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Previous Article | Table of Contents | Next Article 
Blood, Vol. 91 No. 11 (June 1), 1998:
pp. 4127-4135
Growth Inhibition of Granulocyte-Macrophage Colony-Forming Cells by
Human Cytidine Deaminase Requires the Catalytic Function of the Protein
By
Christine Gran,
Arne Bøyum,
Rune F. Johansen,
Dagfinn Løvhaug, and
Erling C. Seeberg
From the Institute of Medical Microbiology, Department of Molecular
Biology, University of Oslo, The National Hospital, Oslo; the Norwegian
Defense Research Establishment, Division for Environmental Toxicology,
Kjeller; and NYCOMED Imaging A/S, Oslo, Norway.
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ABSTRACT |
Previous studies have indicated that cytidine deaminase (CDD) is a
potent growth inhibitor of granulocyte-macrophage colony-forming cells
(GM-CFC). In this study, we have undertaken molecular
cloning and purification of recombinant human CDD to elucidate the
growth regulatory potential and mechanism behind the growth suppressive effect. The purified protein had a specific activity of 1.35 × 105 U/mg and a Km value of 30 µmol/L. In the
GM-CFC assay, the recombinant protein was shown to reduce colony
formation to 50% at 16 pmol/L concentration. Similarly, as was
observed with CDD derived from granulocyte extract, the effect depended
on the presence of thymidine ( 4 × 10-5 mol/L). These
results imply that CDD is an extremely potent inhibitor of GM-CFC and
that no additional factor from the granulocyte extract is required for
the growth inhibitory effect. Modification of CDD by truncation from
the C-terminal end, or by amino acid substitution of an
active site glutamate residue, eliminated both the enzyme activity and
the growth regulatory potential of CDD. Furthermore, CDD from
Escherichia coli was found to be even more effective than human
CDD in growth suppression of GM-CFC, with 10-fold higher inhibitory
activity corresponding to a 10-fold higher enzymatic activity. Taken
together, these results show that the catalytic nucleoside deaminating
function of the protein is essential for the growth suppressive effect
of CDD. Most probably, CDD exerts growth inhibition by depleting the
cytidine and deoxycytidine pool required for DNA synthesis, as addition
of deoxycytidine monophosphate, which is not a substrate for CDD,
neutralizes the inhibiting effect.
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INTRODUCTION |
THE DEVELOPMENT of blood cells from
hematopoietic stem cells in the bone marrow is a complex process
dependent on the microenvironment constituted by stromal cells,
cytokines, and the extracellular matrix.1-4 The cytokines
mediate communication between the cells and exert their biological
functions mostly through specific receptors expressed on the surface of
the target cells. These signal substances have the capacity to
stimulate, enhance, or suppress the proliferation of the stem and
progenitor cells. Some cytokines even have pleiotropic effects, with
different activities depending on the target cell or assay system
used.5 The inhibitors constitute a rather heterogeneous group of molecules, ranging from higher molecular weight protein factors like the transforming growth factor- , tumor necrosis factor- and - , macrophage inflammatory protein-1 , and the
interferons6 to shorter oligopeptides like
pEEDCK7,8 and AcSDKP.9,10
We have previously shown that mature human blood granulocytes produce
an inhibitor of granulopoiesis in diffusion chambers11 and
granulocyte-macrophage colony-forming cells (GM-CFC) in agar assays.12 The inhibitor was identified as cytidine
deaminase (CDD), as judged from different experimental
criteria.13 The inhibitor copurified with CDD activity, the
molecular weight of the inhibitor was found to be in the same size
range of that reported for CDD ( 50 kD), and the growth suppressive
effect of granulocyte extract was abolished by
3,4,5,6-Tetrahydrouridine (THU), a well-known inhibitor of
CDD activity. CDD was found to be a species nonspecific, but seemingly
lineage-specific suppressor11 that requires thymidine ( 3 × 10-5 mol/L for human mononuclear cells
[MNC] in agar assays) to exert a strong inhibitory
effect in vitro.14 CDD is considered to be an intracellular
cytosolic enzyme, which deaminates cytidine and deoxycytidine (dC) to
their respective uridine derivatives.15 It has been
suggested that CDD mRNA expression may serve as a marker for
myeloid differentiation because the expression level increases with
maturation.16-18 Mature granulocytes also have a markedly
higher CDD mRNA expression than chondrocytes, fibroblasts, T-cell lines, and B-cell lines.16 Several studies have
indicated that CDD is actively released from viable granulocytes.
Leukemic granulocytes with prolonged survival were found to inhibit
G-CFC in human bone marrow more than rapidly dying leukemic
cells.11 Granulocyte-conditioned medium causes a
significant inhibition of GM-CFC.12 Other investigators
have reported that polymorphonuclear cells show augmented
release of CDD on activation,19,20 correlated to
the granulocyte specific lactoferrin release from secondary granules.20 These findings support a negative feedback
inhibition of granulopoiesis by released CDD. However, the mechanism of
action has not been resolved. One interpretation is that CDD
acts as a classical signal transducer with growth regulatory effects. An alternative model is that CDD exerts its action through
its enzymatic properties.
To distinguish between these possibilities and further characterize the
molecular effects of CDD on granulopoiesis, we have undertaken
molecular cloning, purification, and characterization of human CDD. It
is shown that human recombinant CDD (rhCDD) is as effective as
authentic CDD from mature granulocytes in suppressing GM-CFC.
Furthermore, site-directed mutagenesis of active site residues of CDD indicates that the growth inhibitory function of CDD in
granulopoiesis is correlated to the enzymatic activity of the protein
and is the result of depleting the pool of cytidine and dC required for
genome replication.
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MATERIALS AND METHODS |
Materials.
Random priming kit and T4 DNA ligase were obtained from Boehringer
Mannheim (Mannheim, Germany).
-32P-deoxycytidine triphosphate (dCTP),
-35S-deoxyadenosine triphosphate (dATP)
(Easytide), Deoxy[5-3H]cytidine, and Rainbow colored
molecular weight markers were obtained from Amersham Pharmacia
(Uppsala, Sweden). Sequencing kit was obtained from United
States Biochemical (Cleveland, OH). RPMI 1640, L-glutamine, and penicillin-streptomycine mixture were obtained from
Bio-Whittaker (Walkersville, MD). Fetal calf serum (FCS)
was from GIBCO (Grand Island, NY). Lymphoprep was
provided by NYCOMED (Oslo, Norway). Chemicals and other reagents were
obtained from Sigma (St Louis, MO), Fluka (Buchs, Switzerland), Bio-Rad Laboratories (Hercules, CA), and New England Biolabs (Beverly, MA).
Synthesis of DNA probe and screening of cDNA library.
The incomplete CDD nucleotide sequence of Kühn et
al16 was used to synthesize the 5 - and
3 -primers (P1 and P2) for amplification of a specific DNA probe
from a human polymorphonuclear leukocyte cDNA library ( gt11;
Clontech, Palo Alto, CA). The sequences of these primers
were: P1, 5 -TGCTGGTTTGCTCCCAGG (nucleotides 59-76, Fig 1A) and
P2, 3 -CAGTACTGCCAGGTCCTC (nucleotides 382-399, Fig 1A). The DNA
probe was radiolabeled using a random oligonucleotide priming kit, and
the probe purified through a Nick column (Pharmacia, Uppsala,
Sweden). A human blood cDNA library in the ZAP Express EcoRI Vector (Stratagene, La Jolla, CA) was
screened with the radiolabeled DNA probe. Plaques were blotted on Nylon
filters (BA 85; Schleicher & Schuell, Keene, NH), the
-DNA denatured in 1.5 mol/L NaCl/0.5 mol/L NaOH and neutralized in
1.5 mol/L NaCl/0.5 mol/L Tris-HCl, pH 8. The filters were prehybridized in 6 × standard sodiumcitrate (SSC), 5 × Denhardt's
solution, 0.5% sodium dodecyl sulfate (SDS), and 100 µg/mL denatured
salmon sperm for 1.5 hours at 68°C. The denatured
32P-labeled DNA probe was added to the hybridization
solution to give about 1 × 106 cpm/mL and the
hybridization was performed overnight at 68°C. The filters were
washed four times for 30 minutes at 42°C in 1 × SSC and 0.1% SDS. The filters were dried and wrapped in plastic before
exposure to an AGFA CURIX x-ray film in a Kodak X-Omatic cassette (Eastman Kodak Co, Rochester, NY) with
intensifying screen at 70°C. Isolated positive clones were
converted to the pBK-CMV phagemid by in vivo excision as described
(Stratagene).

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| Fig 1.
(A) The nucleotide and predicted amino acid sequences of
human CDD (GenEMBL Accession no. AJ000474).
(B) Multiple alignment of CDD from different species as indicated:
BACSU; Bacillus subtilis (P19079), ECOLI; Escherichia
coli (P13652), HAEIN; Haemophilus influenzae, (P44325);
HUMAN; Homo sapiens (P32320), MYCGE; Mycoplasma genitalium
(P47298), MYCPI; Mycoplasma pirum (P47718), MYCPN;
Mycoplasma pneumoniae (P75051), BRUMA; Brugia malayi, (U80980). Exposed regions indicate the active site domains and arrows
denote the conserved cysteines/histidines involved in the Zn binding.
The conserved glutamate referred to in the text is in bold within the
first exposed region. Asterisks represent conserved residues found in
all members of the protein family.
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Enzyme activity analysis by complementation.
Escherichia coli (E coli) strain JF611 (pyrE60 cdd
thi-1 argE3 his-4 proA2 thr-1 leu-6 mtl-1 xyl-5 ara-14 galK2 lacY1 rpsL supE44) lacks CDD activity and pyrimidine de novo synthesis and is
phenotypically unable to use cytidine or dC as sole pyrimidine source.21 Thus, the double mutant requires either uracil or uridine for growth. The strain was used to check plasmid constructs for
functional expression of human CDD by growth tests in the absence of
uracil or uridine. The pBK-CMV transformed bacteria was induced with
0.2 mmol/L isopropyl- -D-thiogalactoside (IPTG) and cultured in
minimal medium supplemented with 0.2% amino acids, 40 µg/mL dC, and
50 µg/mL kanamycin.
Isolation of bacterial cell extracts by plasmolysis.
The procedure was performed on ice.22 A total of 4 mL of
cell culture was centrifuged at 3,500 rpm and the cell pellet washed in
0.04 mol/L Tris-HCl, pH 8. The cells were pelleted, resuspended in 84%
sucrose solution (50 µL 0.04 mol/L Tris-HCl, pH 8), and incubated 10 minutes before the addition of 250 µL 50 mmol/L
4-morpholinepropanesulfonate (pH 7.5)/1 mmol/L EDTA/100 mmol/L KCl/1
mmol/L dithiothreitol (DTT)/125 µg/mL lysozyme. After a 45-minute
incubation, cell debris and DNA was pelleted at 13,000 rpm for 15 minutes and the supernatant frozen on dry ice/ethanol.
CDD assays.
CDD activity in cell extract isolated by plasmolysis was determined by
radiochemical and spectrophotometric assays. The radiochemical assay is
described previously,13 with the modification that the
enzyme was diluted in buffers containing 200 µg/mL bovine serum
albumin (BSA) and 1 mmol/L DTT to stabilize the enzyme. The
spectrophotometric assay is based on the decrease of absorbance when dC
is converted to deoxyuridine (dU) at 235 nm where  = 2,250 mol/L-1 for a 1-cm light path and the initial rate is
vi = ( A/ t)/ . The assay with diluted enzyme was
performed in 100 µmol/L dC, 100 mmol/L Tris-HCl (pH 7.5), 200 µg/mL
BSA, and 1 mmol/L DTT. One unit of enzyme activity is defined as the
amount of enzyme that catalyzes the deamination of 1 nmol dC/min at
room temperature under the above conditions.
DNA sequencing.
The insert in pBK-CMV was sequenced on both strands using Sequenase
version 2.0 (United States Biochemical, Cleveland, OH). The primers used were: P1, P2, P3 (complementary to P1), P4
(5 -TCTCCATGTGGGGCCTGC, nucleotides 295-312 in Fig 1A), P5
(complementary to P4), and the T3 and T7 primers in the respective
promoter regions of the pBK-CMV vector.
Expression of rhCDD in E coli from pT7-SC.
The CDD cDNA was cloned into the vector pT7-SC (USB) and used
for transformation of E coli BL21 (E coli B
F- dcm ompT hsdS(rB-
mB-) gal). The T7 RNA polymerase
(encoded on a lysogenic lambda bacteriophage), and hence, CDD, were
induced with 1 mmol/L IPTG for 2 hours. Expressed proteins were
analyzed by SDS-polyacrylamide gel electrophoresis (SDS-PAGE) as
described by Schägger and von Jagow23 using a 16.5%
T separating gel made from the 49.5% T/3% C acrylamide-bisacrylamide mixture and a 4% T stacking gel.
Purification of rhCDD.
All purification steps were performed at 4°C. The cell extract,
from 4 L of bacterial cells prepared as described,22 was applied to an Affi-Gel Blue column (Bio-Rad) preequilibrated with buffer A (20 mmol/L Tris-HCl, pH 7.5; 50 mmol/L KCl; 1 mmol/L EDTA; 1 mmol/L DTT; and 20% glycerol). The column was washed with buffer A and
proteins were eluted with 1 mol/L KCl in buffer A. The eluate was
desalted by PD-10 chromatography (Pharmacia), and applied to a Mono Q
anion exchange column (0.7 × 5.5 cm; Pharmacia Fast Protein
Liquid Chromatography, FPLC). After washing, the column
was developed with a linear gradient to 0.2 mol/L KCl in buffer A at a
flow rate 0.2 mL/min. CDD active fractions were desalted by PD-10 and
applied to a Mono S cation exchange column (0.7 × 5.5 cm;
Pharmacia). The column was eluted with 0.2 mol/L KCl in buffer A. The
final step yielded a single ultraviolet (UV)-absorbing (280 nm) peak of rhCDD. Protein concentration was determined by the
Bio-Rad protein assay (Bio-Rad), with BSA as a standard.
Purification of E coli CDD.
The E coli CDD gene was amplified by polymerase chain reaction
(PCR) from strain AB1157 (wild-type). The primers were selected from
the CDD sequence entered in the EMBL Data Library
(Accession no. X63144). The 5 -primer sequence, P6,
was 5 -GGAATTCCATATGCATCCACGTTTTCA (the
NdeI-site with flanking sequence in italic letters, the
translational start codon underlined), the 3 -primer sequence,
P7, 3 -CATCGGACTACCTTTAAACTTAAGG (nucleotides from the
3 -nontranslated region and the EcoRI-site with flanking
sequence in italic letters). The PCR product was cloned into the pT7-SC
vector after restriction cleavage with NdeI and EcoRI
and used for transformations of BL21. Expression of E coli CDD
after IPTG induction was examined by enzyme activity analysis and by
SDS-PAGE. The possible incorporation of incorrect nucleotides during
amplification was checked by sequence analysis; however, no mutations
were found. Purification of the enzyme was performed in a three-step
procedure at 4°C. The extract isolated by plasmolysis was applied
to a diethylaminoethyl (DEAE)-Sephacel (Pharmacia) anion
exchange column preequilibrated with buffer A. The column was
step-eluted with 1 mol/L KCl in the same buffer. Salts were removed by
PD-10 chromatography and the protein fraction was subjected to FPLC
MonoQ chromatography. The column was eluted by a linear gradient of 0.2 mol/L KCl in buffer A at a flow rate of 0.2 mL/min. After desalting,
active fractions were applied to a Mini Q anion exchange column of the
SMART system (Pharmacia), eluted with 0.25 mol/L KCl at a flow rate of
0.1 mL/min. The protein concentration was measured by the Bio-Rad
protein assay.
Enzyme kinetics.
For the determination of Km in a Lineweaver-Burk plot,
initial rates (vi) were measured as a function of substrate
concentrations covering the range at least from 0.5 to 5 × Km. Quartz cuvettes of 1-cm light path were used.
Cells.
Bone marrow cells (BMC) were obtained from the femurs of
female (C57BL/6JxDBA/2) F1 hybrid mice (Bomholdt Gaard,
Ejby, Denmark). MNC from human peripheral blood and buffy
coat samples were separated as previously described.13,24 A
human bladder carcinoma cell line (5637) was kindly provided by Dr
Andrew King (SmithKline Beecham, Philadelphia, PA). The
cell line was cultured in RPMI 1640 medium with 10% FCS and
subcultured once or twice weekly. The medium conditioned by the
carcinoma cell line is a rich source of human granulocyte
colony-stimulating factor (G-CSF) (CM 5637).
GM-CFC assay.
Mouse BMC (5 × 104/mL) were cultured in
0.3% agar (Bacto-Agar; DIFCO, Detroit, MI) or 1%
methylcellulose (Methocel MC 4000; Fluka) in McCoy's 5A medium with
16% FCS, 1 mL per culture dish. A total of 10% CM 5637 was used as
stimulator in the routine agar assay, 5 ng/mL interleukin (IL)-1 ,
IL-3, and stem cell factor in the methylcellulose assay. Colonies
(>50 cells) were counted after 7 days of incubation at 37°C with
7.5% CO2 in humidified air. Human peripheral blood MNC (5 × 105/mL) were cultured for 14 days without
stimulator added. Aggregates of more than 40 cells were counted as
colonies. The cultures were run in triplicates.
Site-directed in vitro mutagenesis of CDD.
cDNAs expressing truncated forms of CDD were constructed by PCR using
primers with translation stop codons introduced at defined positions.
The sequence of the PCR primers were: P8,
5 -GGAATTCGGCACGAGACCAACATG (EcoRI-site
with flanking sequence in italic letters, linker sequence underlined and nucleotides 1-9 in Fig 1A); P9,
3 -CCGTGGTTGACCGGGCACATTCGAACCC (nucleotides
334-353, the stop codon underlined and HindIII-site with
flanking sequence in italic letters); P10,
3 -TGGTTCGGCCTACCATGCATTCGAACCC (nucleotides
358-377, otherwise as for P9) and P11,
3 -CAGGTCCTCGACGACGGGATTCGAACCC (nucleotides
391-409, otherwise as for P9). CDD cDNA in pT7-SC was used as
template for the primers in the amplification reaction. The PCR product
was cleaved with EcoRI and HindIII and recloned in the
pT7-SC vector.
Site-directed mutations of CDD were produced by using Altered
Sites in vitro Mutagenesis System (Promega, Madison, WI).
The system uses a unique mutagenesis vector (pAlter phagemid) and a
simple procedure for selection of oligonucleotide-directed mutants. The
sequence of the mutated oligonucleotides was: P12,
5 -TGTGCTGACCGGACCGCT (nucleotides 199-216 in Fig 1A,
substitution underlined), P13, 5 -ATCTGTGCTCAACGGACC
(nucleotides 196-213, substitution underlined), P14,
5 -ATCTGTGCTGCACGGACCGCT (nucleotides 196-216, substitution underlined). All mutants were checked by sequencing.
Truncated and mutagenic forms of CDD were expressed in E coli
BL21 and purified through the Affi Gel step as described above.
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RESULTS |
Isolation of human CDD cDNA clones.
Approximately 5 × 105 plaques from a human
blood cDNA library constructed in the ZAP Express vector were
screened for CDD sequences by hybridization with a CDD
probe (see Materials and Methods) and 44 positive clones were isolated.
Several clones were converted to the pBK-CMV phagemid by in vivo
excision to allow insert characterization in a plasmid system.
Restriction cleavage identified CDD cDNA inserts of varying
lengths, which were subsequently subcloned for sequence and enzyme
activity analysis. Three of four clones transforming E coli
JF611 (cdd-, pyr-) complemented
the double mutant for growth on minimal medium without added uracil.
Radiochemical assays of dC to dU conversion by crude extract from the
three clones confirmed expression of CDD activity from the plasmid
clones. Sequence analysis disclosed 5 - and
3 -nontranslated sequences of different lengths, and the clone
with the shortest 5 -nontranslated sequence (6 bp) was selected for expression and purification of rhCDD (Fig 1A). The
coding region of CDD include 146 codons and is only 1 codon
larger (start codon) than the original incomplete CDD cDNA
reported by Kühn et al.16 In addition, at amino acid
27, we identified a substitution from Q K, and a
silent point mutation at nucleotide 441 from C T.
Expression of human CDD in E coli.
CDD cDNA excised from the pBK-CMV phagemid was ligated into
pT7-SC, a T7 RNA polymerase-based expression system useful for high
production of toxic proteins in E coli. After 2 hours of IPTG
induction, a strong band of about 17.5 kD was observed by SDS-PAGE analysis (Fig 2, lane
2), which is in reasonable agreement with the predicted monomeric
molecular mass of CDD of 16.2 kD. Enzyme activity analysis of crude
extract showed 80-fold higher activity than in bacteria transformed
with the CDD cDNA in the original pBK-CMV vector.

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| Fig 2.
SDS-PAGE of fractions obtained during purification of
rhCDD and of cross-linked enzyme. Lanes from left: 1, molecular weight markers; 2, crude extract; 3, purified rhCDD; 4, cross-linked rhCDD.
Proteins were visualized by Coomassie Blue staining.
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Purification of rhCDD.
The recombinant CDD was purified by a three-step procedure
(Table 1). The Affi-Gel Blue column was quite effective,
removing 85% of the protein with only 8% loss of the enzyme activity,
and yielding a fraction producing only one distinct protein band on the
gels. However, minor contaminants were removed by additional Mono Q and
Mono S chromatography steps (Fig 2, lane 3). At the final step, the
enzyme was purified 18-fold with a 31% recovery implying that the
rhCDD constitute nearly 6% of the soluble protein in the extract.
Cross-linking of rhCDD in 0.01% glutaraldehyde overnight at room
temperature followed by SDS-PAGE suggested a homotetramer composition
of the enzyme (Fig 2, lane 4). The final specific activity of the pure
enzyme was about 1.35 × 105 U/mg. In a
Lineweaver-Burk plot the characteristic Km-value for CDD
was measured to 30 µmol/L at pH 7.5 and room temperature.
Recombinant CDD is an inhibitor of GM colony formation.
Previous studies have shown that CDD in granulocyte extract acts as an
inhibitor of GM-CFC13; an effect dependent on the presence
of thymidine in the growth medium.13,14 In those
experiments, partially purified CDD from granulocytes was investigated,
and it could not be excluded that additional factors in the extract
would be required for the CDD effect. However, rhCDD mediates efficient
inhibition of GM colony formation of both mouse BMC and human MNC, thus
excluding that any additional protein factor is needed
(Fig 3). These results imply that CDD produced in
bacteria is fully active and can be used in further studies of the
growth regulatory effect. RhCDD appears to be a very potent inhibitor
of GM-CFC; 1 ng/mL (16 pmol/L) enzyme was found to reduce the GM colony
formation of mouse BMC to approximately 50%, whereas 6 ng/mL (96 pmol/L) produced almost a complete inhibition. Thymidine at greater
than or equal to 4 × 10-5 mol/L concentration is
required for significant effects of recombinant CDD on colony formation
(Fig 4) in agreement with results obtained previously
from similar experiments with granulocyte extract preparations. Thymidine alone at these concentrations has no effect on GM-CFC (data
not shown).

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| Fig 3.
Effect of rhCDD on mouse bone marrow GM-CFC in the
presence ( ) or absence ( ) of 10-4 mol/L thymidine.
The cells were cultured for 7 days in a GM-CFC agar assay with 10% CM
5637 as stimulator. Colonies of more than 50 cells were counted. Mean
values ± standard deviation (SD) are given as percent of
controls.
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| Fig 4.
Effect of rhCDD (50 ng/plate) on colony formation of
mouse BMC as a function of thymidine concentration added. The cells
were cultured in a GM-CFC methylcellulose assay with 5 ng/mL of
recombinant mouse IL-1 , IL-3, and stem cell factor as stimulators.
Colonies of more than 50 cells were counted after 7 days. Mean values ± SD are given as percent of controls.
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The effect of mutant CDD proteins on GM colony formation.
The mechanism of action for the growth suppressive effect of CDD has
not been studied in any detail. We have investigated the possible
enzyme activity requirement for the growth regulatory function of CDD
by producing different modified forms of the enzyme. Three different
truncated forms of the enzyme were made, deleted from the C-terminal
end, including 115, 123, and 134 amino acids of the 146 amino acid CDD
sequence, respectively. Possible enzymatic activity of the three
truncated forms of CDD was measured in cell extracts from IPTG-induced
BL21, transformed by the expression plasmids, using both the
spectrophotometric and radiochemical assay methods. The truncated
enzymes were all inactive, the measured activity being equivalent to
the background value caused by E coli CDD in the crude extract
(data not shown). The truncated forms were purified through the Affi
Gel step, quantified by immunologic staining (Gran and Seeberg,
unpublished observations, January 1997), and analyzed for
possible growth suppressive effect on GM-CFC. The mutant proteins were
all unable to inhibit colony formation (Fig
5, and data not shown). These results strongly suggest a correlation
between the enzyme activity and the growth regulatory effect of CDD.
However, the possibility remained that the truncated CDD fragments did
not fold properly and therefore were inactive due to an altered
structural conformation. Therefore, we also constructed three point
mutant forms of CDD; E67D (primer P12), E67Q (P13), and E67A (P14). E67
is positioned in a conserved sequence cluster common to all the CDD
sequences known (Fig 1B) and is localized to the active site of the
enzyme interacting with the substrate.25 Replacing the
corresponding residue in the E coli enzyme by alanine has
previously been shown to reduce kcat by 8 orders of
magnitude.26 Spectrophotometric CDD assays showed no enzyme
activity above background in extract from mutant forms expressed in
E coli by IPTG induction. GM-CFC assays with the site-specific
CDD mutant proteins confirmed that the catalytic function of CDD is
essential for the growth suppressive function of CDD (Fig
5).

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| Fig 5.
Effect of mutant rhCDD on mouse bone marrow GM-CFC.
Thymidine (10-4 mol/L) was added to all culture plates in
the GM-CFC assay. The colonies ( 50 cells) were counted after 7 days
in culture with 10% CM 5637 as stimulator. Mean values ± SD are
given as percent of controls. Symbols: CDD truncated 12 amino acids
from the C-terminus ( ), Mutant E67D ( ), Mutant E67Q ( ), Mutant
E67A ( ), rhCDD ( ), and extract from E coli BL21
transformed by the vector (pT7-SC) ( ).
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E coli CDD is a potent inhibitor of GM-CFC.
Another approach to investigate the significance of enzyme activity in
regulating GM-CFC is to compare growth suppressive effects of CDD from
different organisms relative to the specific activities of the enzymes.
The coding region of E coli CDD was PCR-amplified and expressed
with the pT7-SC system. High expression of a 31-kD protein was observed
by SDS-PAGE and the enzyme was purified to homogeneity by a three-step
purification procedure (Table 2). The
specific activity of pure E coli CDD was measured to 1.25 × 106 U/mg, an approximately 10-fold higher activity
than for the human enzyme. The Km value was estimated to
130 µmol/L compared with 30 µmol/L for rhCDD. The potential
inhibiting effect of E coli CDD was tested in a GM-CFC assay
using both human MNC and mouse BMC. The bacterial form of the enzyme
appeared to be a more potent inhibitor of GM-CFC than the human enzyme
(Fig 6). In combination with thymidine
(10-4 mol/L), an enzyme concentration of 50 pg/mL (0.8 pmol/L) yielded a 50% reduction in GM colony formation of human MNC
from peripheral blood, 400 pg/mL (6.5 pmol/L) producing nearly complete
inhibition. This is about 1/15 of the amount of the rhCDD required to
produce the same growth inhibitory effect. When considering the 10-fold higher specific activity of E coli CDD, these results strongly argue that the catalytic function of CDD is essential for the growth
regulatory effect.

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| Fig 6.
Effect of purified E coli CDD on GM-CFC from
human MNC ( ) and mouse BMC ( ) in the presence of thymidine
(10-4 mol/L). Cells were cultured in a GM-CFC assay for 14 and 7 days, respectively. The mean values ± SD are given as percent
of controls.
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The effect of nucleotide precursors on the inhibitory activity of
CDD.
In view of the results showing that the catalytic activity of CDD is
essential for the growth suppressive function, we tested the effect of
different DNA precursors on GM-CFC growth inhibition. Addition of
deoxyadenosine (dA) and deoxyguanosine (dG) up to 10-4
mol/L concentration had no effect or even enhanced growth inhibition (Table 3). Addition of dC produced variable
results depending on the concentration of dC and rhCDD (data not
shown). Because dC is the natural substrate for CDD, any results
obtained with dC will be difficult to interpret, as addition of dC in
any case will compete for the catalytic function of CDD. Therefore, to evaluate if growth inhibition is due to cytidine nucleotide deficiency, experiments with deoxycytidine monophosphate (dCMP) additions were
performed (Fig 7). DeoxyCMP is not a
substrate for CDD,27 but will be taken up by the cells to
an extent sufficient for restoring DNA synthesis if the availability of
cytidine nucleotides is the limiting factor for DNA synthesis and cell
growth. Addition of 10-3 mol/L dCMP together with thymidine
reversed the inhibitory activity of CDD, indicating that the growth
inhibitory effect of CDD can be explained by depletion of the
cytidine and dC pool.

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| Fig 7.
The effect of dCMP on the growth inhibition mediated by
CDD and thymidine. Thymidine was added at 10-4 mol/L
concentration and rhCDD at 50 ng/plate. Mouse BMC were cultured in a
GM-CFC agar assay and colonies ( 50 cells) were counted on day 7. Mean values ± SD are given as percent of controls. Symbols: dCMP ( ), dCMP + rhCDD ( ), dCMP + rhCDD + thymidine ( ).
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DISCUSSION |
In the present work, we have isolated human CDD cDNA from a
blood cDNA library and expressed and purified rhCDD to homogeneity. The
nucleotide sequence of the open reading frame of the CDD cDNA clone is in agreement with the recently published sequence of Laliberté and Momparler.28 Enzyme activity
measurements showed a functional product with a specific activity of
1.35 × 105 U/mg and a Km value of 30 µmol/L, which agrees with values reported previously.18,28-30 In a GM-CFC assay, we have confirmed
the growth suppressive action of CDD on progenitor cells as previously
described by Bøyum et al13 and excluded the need for other
cofactors, apart from thymidine.14 Approximately 16 pmol/L
of rhCDD in combination with an optimal concentration of thymidine
(10-4 mol/L, Fig 4) reduced GM colony formation of mouse
BMC to approximately 50% (Fig 3). This implies that CDD exerts its
effect at very low concentrations, within the same range or even less
than required for inhibition by transforming growth factor- (80 pmol/L).31 Thymidine alone had no significant effect on
GM-CFC (data not shown). When granulocyte extract was used as the
source of inhibitor in GM-CFC assays, a bell shaped dose-response curve
was observed.14 However, high doses of purified rhCDD did
not alleviate inhibition of colony formation, suggesting that crude
granulocyte extract contains factors with growth stimulatory or
antagonistic activity when added at higher concentrations.
Until now, the mechanism responsible for the growth regulatory
potential of CDD has not been investigated in any detail. However, experiments with sorted primitive cells have indicated a direct suppressive effect on high potential proliferative colony-forming cells
(Løvhaug, unpublished observations, February 1995). One hypothesis is that growth inhibition requires the conversion of dC or
cytidine to dU or uridine, respectively, which in combination with
added thymidine, results in an imbalance of the nucleotide pool
sufficient to prevent DNA synthesis. A fine balance of all four
deoxyribonucleotides is required for the optimum rate of DNA synthesis
and normal growth.32 Reduction of dCTP levels by
deamination of dC/cytidine through the salvage pathway may not by
itself be sufficient for growth suppression. Thymidine might contribute
by altering the DNA progenitor balance as well as by preventing the de
novo synthesis of dCTP by changing the substrate specificity of
ribonucleotide reductase.32-34 Ribonucleotide reductase
catalyzes the formation of deoxyribonucleotides from ribonucleotides,
and the complex feedback network regulation of ribonucleotide reductase
has been thoroughly studied.35,36 Accumulation of
deoxythymidine triphosphate (dTTP) will shut off the
production of deoxypyrimidine nucleotides and further activate deoxyguanosine triphosphate (dGTP) and subsequently dATP
production.37 Alternatively, we cannot completely exclude
that the growth inhibition is a receptor-mediated process, which is the
most common way for cells to communicate.5 CDD binding to a
receptor on the cell surface could induce signal transduction that
leads to growth suppression of GM-CFC. Thymidine could be an allosteric
factor promoting the binding to the receptor.
Our studies show a correlation between the enzyme activity and the
growth regulatory effect of CDD. Truncation of the CDD sequence 12 amino acids from the C-terminus abolishes both the enzyme activity and
the growth suppressive effect, as does the substitution of E67 with D,
Q, and A (Fig 5). E67 is within the active site of the enzyme and
important for stabilizing the hydrated substrate in the transition
state for deamination (Fig 1B).25,26 Results obtained with
E coli CDD showing more growth inhibition by an enzyme with
higher specific activity also support that the catalytic function of
the CDD protein is essential. E coli CDD is a dimer where each
subunit is composed of two core domains and has a molecular mass
approximately equal to 31 kD.25 The human enzyme is most
probably a homotetramer of subunits with Mr 16,200 (Fig
2).30 Each subunit of human CDD is suggested to have an
underlying similarity to the core domain of the bacterial enzyme, and
sequence homologies are found at the topological switch point and the
Zn-binding site (Fig 1B).25 The fact that CDD activity is
essential for the growth suppressive function supports that the
nucleotide balance in the cells is impaired to prevent normal cell
growth. This conclusion is further substantiated by the results showing
that addition of dCMP reverses the growth inhibitory effect (Fig 7).
This would be the case if dCTP levels were considerably reduced as a
consequence of cytidine and dC deamination and further inhibition of
deoxypyrimidine nucleotide synthesis by dTTP. In contrast, addition of
dG or dA, which are converted to dATP or dGTP, respectively, do not
reverse inhibition, consistent with the expectation that the
deoxypurine nucleotide pool will be increased rather than decreased as
a consequence of thymidine addition.37 The indication of a
synergistic effect of dG in combination with CDD and thymidine (Table
3) can be nicely explained by the known regulation of ribonucleotide
reductase where dGTP will inhibit the production of deoxypyrimidine
nucleotides, as well as itself.35 According to the
regulatory mechanisms of ribonucleotide reductase, high concentrations
of dG (or dA) could even to some extent be expected to replace the
requirement of thymidine for growth inhibition.
There is recent evidence to suggest that the plasma and serum levels of
CDD in healthy persons are relatively high, about 100 ng/mL (Bøyum,
Brandtzag, Tennfjord, Gran, Løvhaug, in preparation). The extracellular CDD descends most probably from mature granulocytes, which express high amounts of the enzyme.11,16-18 The
release of CDD must either occur from lysis of damaged cells or by an active secretion mechanism.11,12,19,20 One might suggest that released CDD could function enzymatically as a feedback inhibitor of the granulopoietic pathway, both in blood and bone marrow. As shown
in Fig 4, the enzyme requires thymidine ( 4 × 10-5
mol/L) for the regulatory process in vitro (GM-CFC assays) and the
concentration in human plasma is relatively low ( 0.2 µmol/L).38 However, this theory is supported by previous
work with double diffusion chambers containing granulocytes and mouse
BMC implanted intraperitoneal in mice.11 These experiments
showed significant depression of granulopoiesis without any addition of
thymidine. Such a system resembles the in vivo conditions more closely
than the colony assays. Furthermore, in bone marrow where huge numbers of erythroid nuclei are continuosly being phagocytosed and degraded by
macrophages,39 the nucleoside concentration may also be
much higher than in blood.40 This might then provide
conditions for a physiological role of CDD in homeostatic control of
granulopoiesis. The enzyme may alter the extracellular pool of
nucleosides or act intracellularly of the progenitor cells. One could
speculate that the enzyme would be transiently active in the
progenitor's lysosomes before degradation, after compartmentalization
by endocytosis.
Mature granulocytes do not affect blastoid transformation and
proliferation of lymphocytes, nor do they inhibit growth of cells
already committed to granulopoiesis.11,12 Thus, it appears to be a growth regulatory effect directed specifically towards the
granulopoiesis in diffusion chambers11 and GM-CFC in agar assays.12 To achieve cell specificity, one would assume
that a receptor-mediated effect of CDD was a more likely mechanism. However, there could well be a combined mechanism where both a receptor
is involved and the enzyme activity is required, similarly as has been
reported for the observed effects of adenosine deaminase (ADA).41 ADA has generally been considered to be a
cytosolic enzyme deaminating adenosine/dA to the respective inosine
metabolites by a mechanism similar to that of CDD.25
Recently, ADA was found to be associated with the extracellular domain
of a T-cell activation molecule, CD26 or dipeptidyl peptidase IV,
producing a costimulatory response in the T-cell activation
events.41-43 It has been suggested that the role of
ecto-ADA may be the regulation of the local level of extracellular
adenosine, which can modulate the signal transduction in T
cells.41,44,45 On the other hand, the presence of ADA itself might alter the intracellular concentration of the enzyme and in
turn modify the intracellular adenosine metabolism. Actually, compartmentalization of ADA within lysosomes by endocytosis has been
shown in fibroblasts.46 Similarly, there may be a specific receptor for CDD on GM-CFC. Alternatively, the specificity of the
growth suppressive effect of CDD may be due to a highly variable nucleotide profile of human blood cells.47 Lymphocytes have a lower purine/pyrimidine nucleotide ratio than granulocytes. The
nucleotide profile could also change through the differentiation stages. The promyelocytic leukemia cell line HL-60 has reciprocal alterations of guanosine monophosphate (GMP) reductase
and inosine monophosphate dehydrogenase activities during
differentiation48 and activation of a
Na+-dependent nucleoside transport system.49-51
On the other hand, the unresponsiveness of cells already committed to
granulopoiesis could be explained simply by the increased expression of
CDD mRNA during maturation of granulocytes.16 Another
possible explanation for the cell specificity observed may be that some
cells are more dependent on the salvage pathway than the de novo
biosynthesis of pyrimidines for cell growth. CDD, which is committed to
the salvage pathway, will not affect the de novo synthesis of dCTP produced by the CTP synthase-mediated amination of uridine
triphosphate.
Finally, we would like to point out the interesting similarity between
cytidine deaminases and RNA editing proteins, eg, apolipoprotein B.52 both at the sequence level and with respect to
enzymatic activity. Perhaps some hitherto unknown deaminating reaction
may also contribute to the growth inhibitory effect.
 |
FOOTNOTES |
Submitted August 11, 1997;
accepted January 29, 1998.
Supported by NYCOMED Imaging (Oslo, Norway) and the Norwegian Cancer
Society (Oslo, Norway).
Address reprint requests to Erling C. Seeberg, PhD,
Institute of Medical Microbiology, Department of Molecular Biology,
University of Oslo, The National Hospital N-0027 Oslo, Norway.
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" is accordance with 18 U.S.C. section 1734 solely to indicate this fact.
 |
ACKNOWLEDGMENT |
We are grateful to Dr Jan Neuhard for the gift of E coli strain
JF611, to Dr Anders Høgset for stimulating discussions and support,
and to Vivi-Ann Tennfjord for technical assistance with some of the
growth experiments.
 |
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