Blood, Vol. 91 No. 12 (June 15), 1998:
pp. 4686-4693
Transferrin Receptor-Dependent and -Independent Iron Transport in
Gallium-Resistant Human Lymphoid Leukemic Cells
By
Christopher R. Chitambar and
Janine P. Wereley
From the Division of Hematology/Oncology, Department of Medicine,
Medical College of Wisconsin, Milwaukee, WI.
 |
ABSTRACT |
Recent studies showed that gallium and iron uptake are decreased in
gallium-resistant (R) CCRF-CEM cells; however, the
mechanisms involved were not fully elucidated. In the present study, we
compared the cellular uptake of 59Fe-transferrin (Tf) and
59Fe-pyridoxal isonicotinoyl hydrazone (PIH) to determine
whether the decrease in iron uptake by R cells is caused by changes in Tf receptor (TfR)-dependent or TfR-independent iron uptake. We found
that both 59Fe-Tf and 59Fe-PIH uptake were
decreased in R cells. The uptake of 59Fe-Tf but not
59Fe-PIH could be blocked by an anti-TfR monoclonal
antibody. After 59Fe-Tf uptake, R cells released greater
amounts of 59Fe than gallium-sensitive (S) cells. However,
after 59Fe-PIH uptake 59Fe release from S and R
cells was similar. 125I-Tf exocytosis was greater in R
cells. At confluency, S and R cells expressed equivalent amounts of
TfR; however, at 24 and 48 hours in culture, TfR expression was lower
in R cells. Our study suggests that the decrease in Tf-Fe uptake by R
cells is caused by a combination of enhanced iron efflux from cells and decreased TfR-mediated iron transport into cells. Furthermore, because
TfR-dependent and -independent iron uptake is decreased in R cells,
both uptake systems may be controlled at some level by similar
regulatory signal(s).
 |
INTRODUCTION |
GALLIUM NITRATE IS A group-IIIa metal
salt in clinical use for the treatment of hypercalcemia and certain
malignancies.1,2 As an antineoplastic agent, gallium has
significant activity against bladder cancer and
lymphoma.3-8 Recent investigations have shown that the
mechanism of cytotoxicity of gallium includes perturbation of
iron-dependent cell proliferation, including inhibition of ribonucleotide reductase, an iron-containing enzyme responsible for
deoxyribonucleotide synthesis.9-11
Malignant lymphoid cells in vitro and in animal tumor models are
uniformly sensitive to growth inhibition by gallium.2 However, clinical studies have shown that 40% to 50% of patients with
relapsed lymphoma respond to treatment with gallium nitrate whereas the
remainder have disease that is resistant to gallium.8 In an
attempt to understand why certain lymphomas and other malignancies are
relatively resistant to the cytotoxicity of gallium, investigation in
our laboratory has focused on elucidating the biological changes that
tumor cells undergo during the development of drug resistance to
gallium. Recently, we reported that human lymphoid leukemic CCRF-CEM cells with acquired resistance to gallium (R
cells) have a decrease in their uptake of gallium, suggesting that drug
resistance to gallium involves a downregulation of gallium transport
into cells.12
Gallium binds avidly to the iron transport protein transferrin
(Tf)13 and the cellular uptake of gallium closely parallels that of iron.14-17 The uptake of iron and gallium by cells
occurs by Tf receptor (TfR)-mediated endocytosis of Tf-Fe or Tf-Ga.
Inside the cell, the TfR-ligand complex translocates to an acidic
endosome where iron/gallium dissociates from Tf and trafficks out of
the endosome. The receptor-apoTf (metal-free) complex then recycles back to the cell surface where Tf is released to the
exterior.18-20 In addition to TfR-mediated uptake, certain
cells can acquire iron and gallium (as low molecular weight chelates)
through a Tf-independent uptake system.21-25
Our recent investigation showed that in addition to the decrease in
gallium uptake, R cells also have a decrease in their uptake of
iron.12 However, the mechanisms responsible for this decrease in gallium/iron uptake remained to be determined. In the
present study, we have investigated the steps involved in the transport
of iron into R cells to determine whether the previously observed
downregulation of iron uptake by these cells is caused by changes in
TfR-dependent or -independent iron uptake pathways. We show that both
Tf-Fe and non-Tf iron uptake are downregulated in R cells and that this
is associated with changes in TfR synthesis and cycling and the egress
of iron from cells.
 |
MATERIALS AND METHODS |
Gallium nitrate was obtained from Alpha Aesar (Ward Hill, MA). Human Tf
(substantially iron free), pronase and
3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) were
purchased from Sigma Chemical Co (St Louis, MO).
[35S]methionine was obtained from Dupont (Wilmington,
DE). 59FeCl3 and 125I-Na were
obtained from Amersham (Arlington Heights, IL). 59Fe-Tf was
prepared as described by Bates and Schlabach,26 whereas 125I-Tf was prepared by the Chloramine T
method.27 Pyridoxal isonicotinoyl hydrazone (PIH) and
59Fe-PIH were prepared as described by Ponka.28
Monoclonal antibody (MoAb) 42/6 and rabbit antiserum against the human
TfR were generously provided by Ian Trowbridge (The Salk Institute) and
Caroline Enns (Oregon Health Sciences University).
Cells.
Human T lymphoblastic leukemic CCRF-CEM cells (gallium-sensitive or S
cells) were obtained from American Type Culture Collection (Rockville,
MD) and were grown in RPMI 1640 medium supplemented with 10% fetal
calf serum (FCS; complete medium) in an atmosphere of 6%
CO2. A gallium-resistant CCRF-CEM cell line (R cells) was developed from the parent line through a process of continuous exposure
of cells to increasing concentrations of gallium nitrate over a course
of several months. R cells were grown either in medium containing 150 µmol/L gallium nitrate (R1 cells) or in medium without gallium
nitrate (R2 cells). R2 cells displayed a stable gallium-resistant
phenotype even in the absence of gallium.
Cell growth experiments.
Cell growth in the presence and absence of gallium was determined by
MTT assay as previously described by
Mosmann29 or by counting cells directly with a
hemocytometer. For the MTT assay, cells grown to confluency were plated
at an initial density of 2 × 105 cells/mL in 96-well
microwell plates and incubated for 72 hours in the presence of 0 to
1,000 µmol/L gallium nitrate. At the end of the incubation, 10 µL
of MTT (5 mg/mL stock solution) was added to each well and the cells
were incubated at 37°C for an additional 4 hours. Cells were then
solubilized by the addition of 100 µL of 0.04 N HCl
in isopropanol to each well, and the absorbance of each well was
determined spectrophotometrically at dual wave length 570/630 nm by
using an EL 310 microplate auto-reader (Biotech Instruments, Winooski,
VT). The absorbance of the wells containing gallium nitrate was
compared with that of wells in which the drug was omitted. The growth
rate of S, R1, and R2 cells in the absence of gallium nitrate was also
compared by counting cells after 24, 48, and 72 hours of growth.
Uptake of 59Fe by cells.
59Fe uptake studies were performed by using either
59Fe-Tf or 59Fe-PIH. S, R1, and R2 cells in growth
phase (after 24 or 48 hours of incubation in fresh medium) or in
confluent/stationary phase (after 72 hours of incubation in medium)
were washed twice with medium and replated (0.5 × 106
cells/mL) in 1-mL 24-well plates in complete medium or serum-free medium. 59Fe-Tf or 59Fe-PIH was added to each
well as specified in the figure legends and incubation continued for 3 to 24 hours. Because of potential loss of cell viability in serum-free
medium, uptake times for studies in this medium did not exceed 24 hours. In certain experiments, 59Fe uptake was performed in
the presence of 10 µg/mL of MoAb 42/6. At specified times, cells were
removed from the wells, washed twice by centrifugation with ice-cold
phosphate-buffered saline (PBS) and 59Fe cpm in the cell
pellet was determined using a Wallac Compugamma gamma counter (Wallac
Inc, Gaithersburg, MD).
Release of 59Fe from cells.
S, R1, and R2 cells (106 cells/mL) were incubated in
complete medium with 59Fe-Tf (4 µg/mL Tf, 5.9 ng Fe/mL,
28,000 59Fe cpm/mL) for 1 or 3 hours at 37°C in a
CO2 incubator. At the end of the incubation, an aliquot of
cell suspension was removed and centrifuged, and the amount of
59Fe taken up by cells was determined. The remaining cells
were washed twice by centrifugation with ice-cold PBS to remove
unincorporated 59Fe-Tf and suspended in the original volume
of fresh complete medium without 59Fe-Tf (release medium).
These cells were then reincubated in tissue culture flasks at 37°C.
At specified times, aliquots of cell suspension were removed and
centrifuged. The radioactivity in the cell pellet and supernatant
(medium) was counted to determine the fraction of 59Fe
released from cells. In additional experiments, 59Fe uptake
and release conditions were similar except that after the
59Fe uptake step, cells were incubated with pronase (150 µg/mL) for 20 minutes at 4°C to remove surface-bound
59Fe before reincubation in fresh medium. 59Fe
release by cells after uptake of 59Fe-PIH was also
examined. The experimental conditions were similar to those described
for 59Fe-Tf except that 59Fe-PIH uptake was
performed in serum-free medium over 3 hours, whereas the release medium
was supplemented with 1% FCS.
125I-Tf binding.
Cellular TfR expression in cells was determined by an
125I-Tf binding assay as previously
described.30 S and R1 cells were harvested after incubation
in medium for 24, 48, and 72 hours in the absence of gallium. Cells
were washed with PBS containing 0.1% bovine serum albumin and assayed
for 125I-Tf binding at 4°C. Maximum Tf binding was
determined according to the method of Scatchard.31
TfR synthesis.
Cellular TfR synthesis was examined as described by
Rutledge.32 S, R1, and R2 cells (5 × 105/mL) were incubated for 3 or 20 hours with 10 µC/mL
[35S]methionine in methionine-free RPMI 1640 medium
supplemented with 5% FCS. Cells were washed with PBS and lysed in 10 mmol/L Tris pH 7.4/150 mmol/L NaCl/5 mmol/L EDTA buffer containing 1% Triton X-100. Cell lysates were preadsorbed with 50 µL
Staphylococcus aureus cells (Pansorbin cells; Calbiochem, La
Jolla, CA) at 4°C for 1 hour. Pansorbin cells were then removed by
centrifugation and the supernatant containing the radiolabeled TfR was
immunoprecipitated by incubation with 1.4 µL of anti-TfR antiserum
and 25 µL fresh Pansorbin cells. Pansorbin cells with
receptor-antibody complexes bound to it were washed extensively and
finally resuspended in 2× Laemmli sample buffer.33
The sample was heated in a boiling waterbath, it was centrifuged to
remove the Pansorbin cells, and the supernatant was resolved by sodium
dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) under
reducing conditions. Autoradiography of the gel was performed by
exposing the dried gel to XAR-5 film (Eastman Kodak, Co, Rochester, NY)
with intensifying screens at
70°C for 24 to 48 hours.
125I-Tf internalization and release.
The kinetics of internalization of cell surface TfR-bound
125I-Tf and the release of internalized 125I-Tf
was examined by using a modification of a previously described method.18 For the Tf internalization experiments,
107 cells were harvested at confluency, washed with
PBS-BSA, and incubated at 4°C for 60 minutes in 100 µL of the
same buffer with 138 ng 125I-Tf (approximately 6,200 cpm/ng
Tf) to allow for ligand binding to cell surface TfR. Cells were then
washed by centrifugation with ice-cold PBS-BSA and resuspended in 1 mL
serum-free medium prewarmed to 37°C. The cell suspension was
maintained at 37°C in a water bath. One hundred-microliter aliquots
were removed at 2.5-minute intervals, added to 1 mL of ice-cold 10 mmol/L acetic acid/150 mmol/L NaCl pH 3 buffer (acid wash) to remove
125I-Tf on the cell surface, and centrifuged in a microfuge
centrifuge for 1 minute at full speed. The supernatant was carefully
removed and the radioactivity in the cell pellet and supernatant
counted to determine the fraction of 125I-Tf internalized
by cells (acid-resistant cpm). For the 125I-Tf release
studies, pulse-chase experiments were performed in which
107 cells were first incubated at 37°C in 500 µL
serum-free medium containing 0.1% BSA with 125I-Tf to
allow for uptake of the radiolabeled ligand (pulse). After 30 minutes
of incubation, cells were washed twice with ice-cold serum-free medium
to remove unincorporated 125I-Tf and resuspended in 1 mL of
serum-free medium containing 100 µg/mL of nonradioactive Tf-iron at
37°C (chase). The cell suspension was maintained at 37°C in a
water bath and 100-µL aliquots were removed at 2.5-minute intervals
and centrifuged. Radioactivity in the pellet and supernatant was
counted to determine the percent of 125I-Tf released from
cells over time.
 |
RESULTS |
Gallium-resistant CCRF-CEM cells display a stable drug-resistant
phenotype.
The effect of gallium nitrate on the growth of S and R1 cells is shown
in Fig 1A. To determine whether R cells
would revert to a gallium-sensitive phenotype in the absence of
gallium, they were propogated in complete medium without gallium for 10 weeks and then analyzed for sensitivity to gallium. As shown in Fig 1B,
these cells (R2 cells) remained resistant to gallium, indicating that
continued exposure to gallium was not necessary to maintain a stable
gallium-resistant phenotype. Subsequent experiments were performed by
using both R1 and R2 cells. S, R1, and R2 cells displayed similar
growth rates.

View larger version (19K):
[in this window]
[in a new window]
| Fig 1.
Effect of gallium nitrate on the growth of
gallium-sensitive (S) and -resistant (R1 and R2) CCRF-CEM cells. Cells
were plated at 2 × 105 cells/mL in the presence
of increasing concentrations of gallium nitrate, and growth was
determined by MTT assay after a 72-hour incubation. (A)
gallium-resistant cells ( ) that had been maintained continuously in
medium containing 150 µmol/L gallium nitrate (R1 cells). (B)
gallium-resistant cells ( ) that had been grown without gallium in
the medium for 10 weeks (R2 cells). ( ) gallium-sensitive cells.
|
|
Iron uptake by cells.
Recently, we showed that the development of drug resistance to gallium
nitrate in CCRF-CEM cells is related to a decrease in their uptake of
gallium and that this is accompanied by a parallel decrease in iron
uptake.12 To confirm that these differences in iron uptake
between S and R cells were consistent, 59Fe-Tf uptake was
examined by using cells that were actively proliferating (after 24 or
48 hours of growth in culture) or were confluent (after 72/0 hours of
growth in culture). Cells that had been previously grown in medium for
the specified times were reincubated in fresh medium containing
59Fe-Tf and the amount of 59Fe taken up by
cells was measured after 3, 6, and 24 hours of incubation. As shown in
Fig 2, 59Fe uptake by R1 cells
was significantly less than S cells regardless of whether they were
initially confluent or actively proliferating.

View larger version (15K):
[in this window]
[in a new window]
| Fig 2.
59Fe-Tf uptake by S and R1 CCRF-CEM cells at
different times of proliferation. CCRF-CEM cells were grown for 0 to 72 hours in fresh medium and then used for 59Fe uptake
studies. Cells were plated at 2 × 105 cells/mL in
complete medium containing 59Fe-Tf (228 pmole
59Fe/mL), and 59Fe uptake by cells was
determined at the times shown. (A) 59Fe uptake by
confluent, 0/72-hour cells; (B) 59Fe uptake by cells
previously grown for 24 hours in fresh medium; and (C) 59Fe
uptake by cells previously grown for 48 hours in fresh medium. ( ) S
cells; ( ) R cells. Values are means ± standard error (SE) of a
representative experiment performed in triplicate.
|
|
It is known that the cellular uptake of 59Fe-Tf is mediated
by the TfR, whereas the uptake of 59Fe-PIH occurs
independent of Tf and its receptor.28 Therefore, the
uptakes of 59FeTf and 59Fe-PIH were compared to
further define the pathway(s) involved in the decrease of iron
transport into R cells. As shown in Fig 3A and B,
59Fe uptake by R1 and R2 cells was significantly lower than
S cells regardless of whether iron was delivered to cells as
59Fe-Tf or 59Fe-PIH. After a 6-hour incubation
in complete medium, 59Fe-Tf uptake by R1 and R2 cells was
56% and 60% that of S cells, whereas 59Fe-PIH uptake by
R1 and R2 cells was 75% that of S cells (Fig 3A). After a 24-hour
incubation, 59Fe-Tf uptake by R1 and R2 cells was 48% and
60% that of S cells, whereas 59Fe-PIH uptake was 51% and
56% that of S cells (Fig 3B). Figure 3A and B also illustrate that the
cellular uptake of radioiron from 59Fe-Tf was several times
greater than from 59Fe-PIH.

View larger version (28K):
[in this window]
[in a new window]
| Fig 3.
59Fe-Tf and 59Fe-PIH uptake by S,
R1, and R2 cells. Cells were plated in medium containing equivalent
amounts of 59Fe (106 pmole Fe/mL) as either
59Fe-Tf or 59Fe-PIH and incubated for 6 to 24 hours. (A) 59Fe uptake by cells over 6 hours in complete
medium; (B) 59Fe uptake by cells over 24 hours in complete
medium; (C) 59Fe-PIH uptake over 24 hours in complete
medium; (D) 59Fe-PIH uptake over 24 hours in serum-free
medium. Values shown represent means ± SE of an experiment performed
in triplicate. Similar results were obtained in two additional
experiments.
|
|
Because the 59Fe-PIH uptake experiments were performed in
serum-supplemented medium, the possibility existed that Tf (present in
bovine serum) may have influenced iron uptake. To confirm that cells
incorporated 59Fe from 59Fe-PIH independent of
the TfR pathway, cellular 59Fe-PIH uptake studies were also
performed in serum-free, Tf-free medium. Under these conditions,
59Fe uptake by R1 and R2 cells was 44% and 66% of S
cells, respectively (Fig 3D), and was comparable with 59Fe
uptake in serum-supplemented medium (Fig 3C). To exclude the possibility that the decreased 59Fe-PIH uptake by R cells
was not a function of the amount of 59Fe-PIH in the medium,
59Fe-PIH uptake by S and R cells was measured over a
fivefold range of 59Fe-PIH concentrations. As shown in
Fig 4, 59Fe uptake by S and R cells
increased progressively with increasing concentrations of
59Fe-PIH; however, the amount of 59Fe uptake by
R cells was markedly less than that of S cells at all concentrations of
Fe-PIH examined and reached approximately 80% of saturation levels
with 500 pmole of Fe-PIH in the medium.

View larger version (20K):
[in this window]
[in a new window]
| Fig 4.
Uptake of 59Fe-PIH by cells. Cells were
incubated in serum-free medium with increasing concentrations of
59Fe-PIH. 59Fe uptake was determined after 20 hours of incubation. ( ) S cells; ( ) R cells. Values represent the
means of a duplicate experiment.
|
|
To further verify that the decrease in 59Fe-PIH uptake by
R1 and R2 cells was truly independent of the TfR, additional
59Fe uptake studies were performed in the presence of 42/6,
a MoAb that blocks internalization of the TfR.34 As
expected, 42/6 blocked the uptake of 59Fe-Tf by S, R1, and
R2 cells (Fig 5A); however, it had no effect on the
uptake of 59Fe-PIH (Fig 5B). Collectively, these
experiments indicate that 59Fe-PIH delivers iron to
CCRF-CEM cells independent of the TfR and that TfR-independent iron
uptake is decreased in R1 and R2 cells.

View larger version (26K):
[in this window]
[in a new window]
| Fig 5.
Effect of anti-TfR MoAb 42/6 on 59FeTf and
59Fe-PIH uptake. Cells were plated in serum-free medium
containing either 59Fe-Tf (109 pmole Fe/mL) or
59Fe-PIH (245 pmole Fe/mL) with (+) or without ( ) 10 µg/mL 42/6. 59Fe uptake by cells was determined after a
24-hour incubation. (A) 59Fe-Tf uptake; (B)
59Fe-PIH uptake. Values represent means ± SE (n = 3).
|
|
Iron release from cells.
To determine whether the efflux of iron from cells could play a role in
the decrease in iron uptake by R1 and R2 cells, cells that had
incorporated 59Fe-Tf were reincubated in fresh medium to
determine whether they would release 59Fe to the external
environment. These studies showed that after their initial uptake of
59Fe-Tf, R1 and R2 cells released significantly greater
amounts of 59Fe than S cells. As shown in
Fig 6A, after a 1-hour uptake
of 59Fe-Tf, R1 and R2 cells released approximately 1.7-fold
and 2.1-fold more 59Fe to the medium than S cells over the
subsequent 75 minutes of reincubation. A similar pattern of
59Fe release was seen when cells were allowed to
incorporate 59Fe-Tf over 3 hours and then were reincubated
in fresh medium for 20 hours (Fig 6B). After 3 hours of reincubation,
R1 and R2 cells released 2.9-fold and 2.3-fold more 59Fe to
the medium than S cells. Even after 20 hours of reincubation, both R1
and R2 cells continued to release significantly greater amounts of
59Fe than S cells (Fig 6B). To determine whether
59Fe released from cells after the 1- or 3-hour uptake
represented 59Fe released from the cell surface (external)
or 59Fe released from inside the cell, cells were treated
with Pronase (to remove 59Fe on the cell) before
reincubation in fresh medium. Under these conditions, results similar
to those shown in Fig 6 were obtained, thus indicating that the
59Fe released from cells represented the efflux of
intracellular 59Fe.

View larger version (22K):
[in this window]
[in a new window]
| Fig 6.
59Fe release after 59Fe-Tf
uptake. S, R1, and R2 cells were allowed to incorporate
59Fe-Tf over 1 or 3 hours and then washed and reincubated
in fresh medium. At the specified times, aliquots of cell suspension
were harvested and the 59Fe in the medium and cells was
counted to determine the percent of 59Fe released from
cells to the medium. (A) 59Fe released by cells after a
1-hour uptake. Insert figure shows the amount of 59Fe
(pmole Fe/106 cells) taken up by cells over the 1-hour
incubation before release. Data represent means ± SE (n = 3). (B)
Experimental conditions were similar to (A) except that
59Fe release was examined after a 3-hour uptake of
59Fe-Tf and the percent 59Fe released was
measured over 20 hours. Data represent means ± SE (n = 3). Insert
figure shows the amount of 59Fe (pmole Fe/106
cells) taken up by cells over the 3-hour incubation before release.
|
|
In contrast to 59Fe-Tf, significant differences in the
release of 59Fe from S, R1, and R2 cells were not seen
after they had incorporated 59Fe-PIH (Fig
7).

View larger version (18K):
[in this window]
[in a new window]
| Fig 7.
59Fe release after 59Fe-PIH
uptake. Experimental conditions were similar to that described in Fig 6
except that cells were incubated in serum-free medium with
59Fe-PIH for 3 hours and then washed and reincubated in
fresh medium supplemented with 1% FCS. Data represent means ± SE (n
= 4).
|
|
TfR expression and synthesis.
Because the TfR plays a central role in the uptake of Tf-Fe,
125I-Tf binding and TfR synthesis were examined. At
confluency (0 and 72 hours) in culture, R1 and S cells displayed
equivalent cell surface 125I-Tf binding. In contrast, after
24 and 48 hours of growth in fresh medium, maximal 125I-Tf
binding to R1 cells was lower than that to S cells by approximately 29% and 23%, respectively (Fig 8A). Measurement of TfR
synthesis at the 24-hour time point by using a 3-hour
[35S]methionine pulse-label showed that the synthesis of
new TfR at this time point was decreased in R1 and R2 cells (Fig 8B). Interestingly, [35S]methionine pulse-labeling of cells
over a longer period (20 hours) during the first 20 hours of incubation
in fresh medium did not show differences in TfR synthesis. With the
3-hour [35S]methionine pulse, the reduced TfR was
identified on SDS-PAGE analysis as two bands corresponding to 86 kD and
90 kD, consistent with different glycosylation states of the
TfR.35 However, with the 20-hour pulse, the major band was
90 kD, consistent with the size of the mature TfR.

View larger version (43K):
[in this window]
[in a new window]
| Fig 8.
(A) 125I-Tf binding studies.
125I-Tf binding to cells was measured after growth of cells
in fresh medium for the times shown. Open columns, S cells;
hatched columns, R1 cells. Data shown represent the means ± SE (n = 3). (B) TfR synthesis. Newly synthesized TfRs were labeled with
[35S]methionine over a 3-hour or 20-hour pulse as
described in the text. The 3-hour pulse was performed on cells after
they had been incubated in fresh medium for 24 hours. The 20-hour pulse
was performed immediately after the initial plating of confluent cells in fresh medium (0 to 20 hours). The autoradiograph shown is
representative of three separate experiments.
|
|
Tf cycling.
To determine whether S, R1, and R2 cells differ with regard to TfR
function, the kinetics of internalization and release of receptor-bound
Tf were examined by using cells that were in the same growth phase as
those used for the iron release studies. Cells were allowed to
internalize surface receptor-bound 125I-Tf at 37°C and
the amount of 125I-Tf within the cell (acid-resistant cpm)
determined.
Figure
9A shows that the rates of 125I-Tf internalization by S,
R1, and R2 cells were similar during the first 10 to 15 minutes.
However, the amount of acid-resistant 125I-Tf in R1 and R2
cells peaked at the 20-minute time point and decreased thereafter,
indicating that after this time a fraction of 125I-Tf had
cycled out of these cells. In contrast, the amount of acid-resistant
125I-Tf in S cells peaked at the 30-minute time point and
decreased only slightly thereafter.

View larger version (22K):
[in this window]
[in a new window]
| Fig 9.
(A) Internalization of 125I-Tf by cells.
Cells were incubated with 125I-Tf at 4°C to allow for
ligand binding to cell surface TfRs. Cells were washed to remove
unbound 125I-Tf and incubated at 37°C to allow for
internalization of 125I-Tf. At the specified times,
aliquots of cells were removed and centrifuged through an acidic buffer
to determine the fraction of 125I-Tf internalized. Data
shown are representative of three separate experiments. ( ) S;
( 00) R1; ( ) R2 cells. (B) Release of 125I-Tf from
cells. Cells were allowed to incorporate 125I-Tf at
37°C, washed to remove unincorporated radioactivity, and then
incubated in serum-free medium containing 100 µg/mL Tf-Fe (nonradioactive). The amount of 125I-Tf released by cells
at the specified times was determined as described the text. ( ) S;
( 00) R1 cells. Data represent means ± SE (n = 3). Differences
between S and R1 cells after the 5-minute time point are significant
(P < .004).
|
|
Because these results suggested that the exocytosis of internalized Tf
was greater in R cells than in S cells, an additional experiment was
performed in which cells were pulsed with 125I-Tf for 30 minutes and then chased with nonradioactive Tf. As shown in Fig 9B,
these studies showed the egress of 125I-Tf from R1 cells to
be significantly greater than from S cells.
 |
DISCUSSION |
In an earlier investigation, we showed that gallium-resistant CCRF-CEM
cells have a decrease in their uptake of both gallium and
iron.12 Whereas the decrease in gallium uptake protects these cells from the cytotoxicity of gallium, the decrease in iron
uptake could potentially threaten cellular iron-dependent processes.
However, because the growth of R cells is similar to S cells, it is
clear that R cells still acquire a critical amount of iron needed for
viability and proliferation. The decrease in iron uptake by R cells
raised important questions regarding the relative roles of
TfR-dependent and -independent iron transport into these cells, and
therefore, we sought to determine whether this decrease was caused by
changes in TfR-dependent or TfR-independent iron transport. TfR
expression and the uptake of Tf-Fe by nonerythroid cells is closely
linked to the need for iron to maintain cell viability and DNA
synthesis.30,36,37 The TfR-independent iron uptake system
in contrast, may serve to remove potentially toxic low molecular weight
iron complexes from the circulation and may represent a transport
system shared by several metals.23,38-40 Because Fe-PIH has
been shown to support the growth of cells independent of
Tf,41 this iron complex was used to examine TfR-independent iron uptake.
Comparison of 59Fe uptake by using 59Fe-Tf or
59Fe-PIH as the source of iron showed that, whereas
TfR-dependent iron uptake was always greater than TfR-independent iron
uptake, both pathways were significantly downregulated in R cells.
Evidence that the PIH-mediated uptake of iron was independent of the
TfR was provided by performing the uptake studies in serum-free,
Tf-free medium and by showing that 59Fe-PIH uptake was
unaffected by blockade of the TfR with MoAb 42/6. The finding that both
TfR-dependent and -independent iron uptake was decreased in R cells was
unexpected because these two iron uptake pathways are generally
perceived as separate, independent systems. One possible explanation
for the parallel decrease in TfR-dependent and -independent iron uptake
is that both iron uptake pathways may be controlled at some level by
the same mechanism and that this regulatory mechanism is affected
during the development of drug resistance to gallium.
TfR-mediated uptake of iron is generally in balance with the amount of
iron needed to support cellular iron-dependent processes. When iron is
incorporated in excess of cellular requirements, it is sequestered in
ferritin, and hence, very little of it effluxes from cells under normal
conditions. However, R cells released significantly greater amounts of
incorporated iron to the exterior than S cells, indicating that, with
respect to Tf-Fe, an increased efflux of iron contributes to the
decrease in iron uptake. The basis for the increase in iron release
from R cells remains to be determined. Under normal conditions, the
intracellular release of iron from Tf occurs through a process of
endosomal acidification involving an adenosine triphosphate
(ATP)-dependent proton pump.20 The movement of iron out of
the endosome is poorly understood and may include the activity of low
or high molecular weight intermediates or even direct interaction
between organelles.20 Perturbation of any of these
processes could lead to a block in the unloading of iron from Tf and a
subsequent release of iron from cells.
The decrease in Tf-Fe uptake and the increase in iron release from R
cells could be caused by changes in the synthesis, posttranslational modification, or cycling of the TfR. Earlier studies did not show differences in the affinity of the TfR for Tf in R cells.12 In the present study, differences in the size of the TfR were not seen
on SDS-PAGE analysis, making it unlikely that the TfR in R cells is
structurally altered. Although TfR expression in R cells was comparable
with S cells when measured at confluency (0 and 72 hours), TfR
expression was lower in R cells only after 24 and 48 hours of
subculture. Hence, the decrease in Tf-Fe uptake by R cells over the 24- and 48-hour period of incubation can be explained in part by the
decrease in TfR number. In contrast, experiments showing an increase in
the release of iron from R cells were performed over the initial 1 and
3 hours of subculture of cells in fresh medium, time points at which
TfR expression in S and R cells was similar. Pulse-chase experiments
performed at these time points showed that the cycling of
125I-Tf out of R cells was also increased. Based on these
results, we conclude that the decrease in Tf-Fe uptake by R cells is
caused by a combination of enhanced efflux of iron from cells and
decreased TfR-mediated iron transport into cells. The former mechanism
appears to dominate during the initial period of subculture of cells in fresh medium, whereas the latter mechanism comes into play later on.
Although our studies shed light on the mechanisms involved in the
decrease in TfR-dependent iron uptake by R cells, the basis for the
decrease in TfR-independent iron uptake remains to be determined.
Differences in the release of iron from S and R cells were not seen
after the uptake of 59Fe-PIH, suggesting that the primary
mechanism for the decrease in TfR-independent iron uptake involves a
quantitative or qualitative decrease in a non-Tf iron transport system.
It remains to be determined whether these differences in the handling
of TfR-dependent and -independent Fe by R cells are the result of
changes in single or multiple mechanisms involved in the regulation of
iron uptake during the development of gallium resistance.
To our knowledge, there have been no previously reported examples in
which the downregulation of uptake of one metal as a protective
adaptation by a tumor cell results in a decrease in iron transport as
well. Because of the interaction between gallium and iron proteins, R
cells may serve as a unique model system to gain insights into adaptive
changes in cellular iron transport. It is hoped that further
investigation of iron metabolism in these cells will yield new
information regarding regulatory mechanisms responsible for the uptake
and intracellular trafficking of iron and iron proteins.
 |
FOOTNOTES |
Submitted August 8, 1997;
accepted February 3, 1998.
Supported by US Public Health Service Grant No. RO1
CA68028.
Address reprint requests to Christopher R. Chitambar, MD, Division of
Hematology/Oncology, Medical College of Wisconsin, 9200 W Wisconsin
Ave, Milwaukee, WI, 53226.
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.
 |
REFERENCES |
1.
Warrell RP,
Jr:
Clinical trials of gallium nitrate in patients with cancer-related hypercalcemia.
Semin Oncol
18:26,
1991[Medline]
[Order article via Infotrieve]
2.
Foster BJ,
Clagett-Carr K,
Hoth D,
Leyland-Jones B:
Gallium nitrate: The second metal with clinical activity.
Cancer Treat Rep
70:1311,
1988
3.
Seligman PA,
Crawford ED:
Treatment of advanced transitional cell carcinoma of the bladder with continuous infusion gallium nitrate.
J Natl Cancer Inst
83:1582,
1991[Free Full Text]
4.
Crawford ED,
Saiers JH,
Baker LH,
Costanzi JH,
Bukowski RM:
Gallium nitrate in advanced bladder carcinoma: Southwest Oncology Group study.
Urology
38:355,
1991[Medline]
[Order article via Infotrieve]
5.
Seidman AD,
Scher HI,
Heinemann MH,
Bajorin DF,
Sternberg CN,
Dershaw DD,
Silverberg M,
Bosl GJ:
Continuous infusion gallium nitrate for patients with advanced refractory urothelial tumors.
Cancer
68:2561,
1991[Medline]
[Order article via Infotrieve]
6.
Keller J,
Bartolucci A,
Carpenter JT,
Jr,
Feagler J:
Phase II evaluation of bolus gallium nitrate in lymphoproliferative disorders: A Southeastern Cancer Study Group trial.
Cancer Treat Rep
70:1221,
1986[Medline]
[Order article via Infotrieve]
7.
Weick JK,
Stephens RL,
Baker LH,
Jones SE:
Gallium nitrate in malignant lymphoma: A Southwest Oncology Group study.
Cancer Treat Rep
67:823,
1983[Medline]
[Order article via Infotrieve]
8.
Warrell RP,
Jr,
Coonley CJ,
Straus DJ,
Young CW:
Treatment of patients with advanced malignant lymphoma using gallium nitrate administered as a seven-day continuous infusion.
Cancer
51:1982,
1983[Medline]
[Order article via Infotrieve]
9.
Chitambar CR,
Seligman PA:
Effects of different transferrin forms on transferrin receptor expression, iron uptake and cellular proliferation of human leukemic HL60 cells: Mechanisms responsible for the specific cytotoxicity of transferrin-gallium.
J Clin Invest
78:1538,
1986
10.
Chitambar CR,
Matthaeus WG,
Antholine WE,
Graff K,
O'Brien WJ:
Inhibition of leukemic HL60 cell growth by transferrin-gallium: Effects on ribonucleotide reductase and demonstration of drug synergy with hydroxyurea.
Blood
72:1930,
1988[Abstract/Free Full Text]
11.
Chitambar CR,
Narasimhan J,
Guy J,
Sem DS,
O'Brien WJ:
Inhibition of ribonucleotide reductase by gallium in murine leukemic L1210 cells.
Cancer Res
51:6199,
1991[Abstract/Free Full Text]
12.
Chitambar CR,
Wereley JP:
Resistance to the antitumor agent gallium nitrate in human leukemic cells is associated with decreased gallium/iron uptake, increased activity of iron regulatory protein-1, and decreased ferritin production.
J Biol Chem
272:12151,
1997[Abstract/Free Full Text]
13.
Harris WR,
Pecoraro VL:
Thermodynamic binding constants for gallium transferrin.
Biochemistry
22:292,
1983[Medline]
[Order article via Infotrieve]
14.
Harris AW,
Sephton RG:
Transferrin promotion of 67Ga and 59Fe uptake by cultured mouse myeloma cells.
Cancer Res
37:3634,
1977[Abstract/Free Full Text]
15.
Larson SM,
Rasey JS,
Allen DR,
Nelson NJ,
Grunbaum Z,
Harp GD,
Williams DL:
Common pathway for tumor cell uptake of Gallium-67 and Iron-59 via a transferrin receptor.
J Natl Cancer Inst
64:41,
1980
16.
Chitambar CR,
Zivkovic Z:
Uptake of gallium-67 by human leukemic cells: Demonstration of transferrin receptor-dependent and transferrin-independent mechanisms.
Cancer Res
47:3929,
1987[Abstract/Free Full Text]
17.
Chitambar CR,
Zivkovic-Gilgenbach Z:
Role of the acidic receptosome in the uptake and retention of 67Ga by human leukemic HL60 cells.
Cancer Res
50:1484,
1990[Abstract/Free Full Text]
18.
Klausner RD,
van Renswoude J,
Ashwell G,
Kempf C,
Schecter AN,
Dean A,
Bridges KR:
Receptor-mediated endocytosis of transferrin in K562 cells.
J Biol Chem
258:4715,
1983[Abstract/Free Full Text]
19.
Klausner RD,
Ashwell G,
van Renswoude J,
Harford J,
Bridges KR:
Binding of apotransferrin to K562 cells: Explanation of the transferrin cycle.
Proc Natl Acad Sci USA
80:2263,
1983[Abstract/Free Full Text]
20.
Richardson DR,
Ponka P:
The molecular mechanisms of the metabolism and transport of iron in normal and neoplastic cells.
Biochim Biophys Acta
1331:1,
1997[Medline]
[Order article via Infotrieve]
21.
Basset P,
Quesneau Y,
Zwiller J:
Iron-induced L1210 cell growth: Evidence of a transferrin-independent iron transport.
Cancer Res
46:1644,
1986[Abstract/Free Full Text]
22.
Sturrock A,
Alexander J,
Lamb J,
Craven CM,
Kaplan J:
Characterization of a transferrin-independent uptake system for iron in HeLa cells.
J Biol Chem
265:3139,
1990[Abstract/Free Full Text]
23.
Inman RS,
Wessling-Resnick M:
Characterization of transferrin-independent iron transport in K562 cells.
J Biol Chem
268:8521,
1993[Abstract/Free Full Text]
24.
Seligman PA,
Kovar J,
Schleicher RB,
Gelfand EW:
Transferrin-independent iron uptake supports B lymphocyte growth.
Blood
78:1526,
1991[Abstract/Free Full Text]
25.
Chitambar CR,
Sax D:
Regulatory effects of gallium on transferrin-independent iron uptake by human leukemic HL60 cells.
Blood
80:505,
1992[Abstract/Free Full Text]
26.
Bates GW,
Schlabach MR:
The reaction of ferric salts with transferrin.
J Biol Chem
248:3228,
1973[Abstract/Free Full Text]
27.
Hunter HM,
Greenwood FC:
Preparation of iodine-131 labelled human growth hormone of high specific activity.
Nature
194:495,
1962[Medline]
[Order article via Infotrieve]
28.
Ponka P,
Schulman HM,
Wilczynska A:
Ferric pyridoxal isonicotinoyl hydrazone can provide iron for heme synthesis in reticulocytes.
Biochim Biophys Acta
718:151,
1982[Medline]
[Order article via Infotrieve]
29.
Mosmann T:
Rapid colorimetric assay for cellular growth and survival: Application to proliferation and cytoxicity assays.
J Immmunol Methods
65:55,
1983[Medline]
[Order article via Infotrieve]
30.
Chitambar CR,
Massey EJ,
Seligman PA:
Regulation of transferrin receptor expression on human leukemic cells during proliferation and induction of differentiation. Effects of gallium and dimethylsulfoxide.
J Clin Invest
72:1314,
1983
31.
Scatchard G:
The attractions of proteins for small molecules and ions.
Ann NY Acad Sci
51:660,
1949
32.
Rutledge EA,
Root BJ,
Lucas JJ,
Enns CA:
Elimination of the O-linked glycosylation site at Thr 104 results in the generation of a soluble human-transferrin receptor.
Blood
83:580,
1994[Abstract/Free Full Text]
33.
Laemmli UK:
Cleavage of structural proteins during the assembly of the head of bacteriophage T4.
Nature
227:680,
1970[Medline]
[Order article via Infotrieve]
34.
Taetle R,
Castognola J,
Mendelsohn J:
Mechanisms of growth inhibition by anti-transferrin receptor monoclonal antibodies.
Cancer Res
46:1759,
1986[Abstract/Free Full Text]
35.
Omary BM,
Trowbridge IS:
Biosynthesis of the human transferrin receptor in cultured cells.
J Biol Chem
256:12888,
1981[Abstract/Free Full Text]
36.
Larrick JW,
Cresswell P:
Modulation of cell surface iron transferrin receptors by cellular density and state of activation.
J Supramol Struct
11:579,
1979[Medline]
[Order article via Infotrieve]
37.
Trowbridge IS,
Omary MB:
Human cell surface glycoprotein related to cell proliferation is the receptor for transferrin.
Proc Natl Acad Sci USA
78:3039,
1981[Abstract/Free Full Text]
38.
Brissot P,
Wright TL,
Ma W,
Weisiger RA:
Efficient clearance of non-transferrin-bound iron by rat liver.
J Clin Invest
76:1463,
1985
39.
Kaplan J,
Jordan I,
Sturrock A:
Regulation of the transferrin-independent iron transport system in cultured cells.
J Biol Chem
266:2997,
1991[Abstract/Free Full Text]
40.
Olakanmi O,
Stokes JB,
Pathan S,
Britigan BE:
Polyvalent cationic metals induce the rate of transferrin-independent iron acquisition by HL-60 cells.
J Biol Chem
272:2599,
1997[Abstract/Free Full Text]
41.
Landschulz W,
Thesleff I,
Ekblom P:
A lipophilic iron chelator can replace transferrin as a stimulator of cell proliferation and differentiation.
J Cell Biol
98:596,
1984[Abstract/Free Full Text]