Abstracts from the 8th International Conference on cGMP Generators, Effectors and Therapeutic Implications

This work was supported by a restricted research grant of Bayer AG

Regulation des Rezeptor des Stickstoffoxides löslicher Guanylylcyclase

Soluble guanylyl cyclase (sGC) is the best established receptor for nitric oxide (NO) and regulates a great number of important physiological functions. Surprisingly, despite the wellappreciated roles of this enzyme in regulation of vascular tone, smooth muscle cell proliferation, platelet aggregation, renal sodium secretion, synaptic plasticity, and other functions, extremely little is known about the regulation of sGC activity and protein levels. To date, the only well-proven physiologically relevant sGC regulator is NO. In the present study, some additional possibilities for sGC regulation were shown. Firstly, we evaluated the ability of different NO donors to stimulate sGC. Significant differences in the sGC stimulation by SNP and DEA/NO were found. DEA/NO stimulated sGC much stronger than did SNP. Interestingly, no correlation between the sGC protein and maximal activity distribution was found in rat brain regions tested, suggesting the existence of some additional regulatory mechanisms for sGC. The failure of SNP to stimulate sGC maximally might be one of the reasons why the lack of correlation between the distribution of sGC activity and proteins in brain was not detected earlier. Prolonged exposure of endothelial cells to NO donors produced desensitization of the cGMP response. This desensitization cannot be explained by increased PDE activity, since PDE inhibitors were not able to prevent the NO donor-induced decrease of the maximal cGMP response in endothelial cells. The failure of SH-reducing agents to improve the cGMP response after its desensitization by NO suggests that a SH-independent mechanism mediates NO effects. Demonstration that the potency of the recently described activator of oxidized (heme-free) sGC, BAY58-2667, to stimulate sGC increases after prolonged exposure of the cells to an NO donor, DETA/NO, suggests that oxidation of heme may be a reason for NOinduced desensitization of sGC and decrease in sGC protein level. Indeed, the well-known heme-oxidizing agent ODQ produces a dramatic decrease in sGC protein levels in endothelial cells and BAY58-2667 prevents this effect. Although the mechanism of sGC activation and stabilization by BAY58-2667 is unknown, this substance is an interesting candidate to modulate sGC under conditions where sGC heme iron is oxidized. Very little is known about regulation of sGC by intracellular localization or translocation between different intracellular compartments. In the present study, an increase in sGC sensitivity to NO under membrane association was demonstrated. Treatment of isolated lung with VEGF markedly increased sGC in membrane fractions of endothelial cells. Failure of VEGF to stimulate sGC membrane association in cultured endothelial cells allows us to propose a complex mechanism of regulation of sGC membrane association and/or a transient character of sGC membrane attachment. A very likely mechanism for the attachment of sGC to membranes is via sGCinteracting proteins. These proteins may participate also in other aspects of sGC regulation. The role of the recently described sGC interaction partner, Hsp90, was investigated. Shortterm treatment of endothelial cells with an Hsp90 inhibitor does not affect NO donor or calcium ionophore-stimulated cGMP accumulation in the cells. However, inhibition of Hsp90 results in a rapid and dramatic decrease in sGC protein levels in endothelial cells. These effects were unrelated to changes in sGC transcription, since inhibition of transcription had much slower effect on sGC protein levels. In contrast, inhibitors of proteasomes abolished the reduction in sGC protein levels produced by an Hsp90 inhibitor, suggesting involvement of proteolytic degradation of sGC proteins during inhibition of Hsp90. All these data together suggest that Hsp90 is required to maintain mature sGC proteins. In conclusion, in the present study it was demonstrated that multiple mechanisms are involved in the regulation of sGC activity and its sensitivity to NO. Oxidation of sGC heme by NO seems to be one of the mechanisms for negative regulation of sGC in the presence of high or prolonged stimulation with NO. Another possible means of regulating sGC sensitivity to NO is via the intracellular translocation of the enzyme. It has been also demonstrated here that attachment of sGC to the membrane fraction results in an apparent increase in the enzyme sensitivity to NO. Additionally, Hsp90 was required to maintain sGC protein in endothelial and other cell types. However, we could not find any acute affect of Hsp90 on sGC activity, as reported recently. All these findings demonstrate that the regulation of sGC activity and protein level is a much more complex process than had been assumed earlier.Lösliche Guanylylcyclase (sGC) ist der Hauptrezeptor für Stickstoffmonooxid (NO), der sich an der Regulation zahlreicher physiologischer Funktionen beteiligt. Trotz ihrer sehr gut untersuchten Rolle in der Regulation der Blutgefässenrelaxation, synaptische Plastizität, Aggregation der Trombozyten, renale Sekretion und anderen wichtigen Funktionen, ist die Regulation der sGC selber noch nicht ausreichend verstanden. Der einzige, zur Zeit bekannte, physiologische Regulator der sGC ist NO. In der vorgelegten Arbeit wurde die Existenz anderer Möglichkeiten der sGC Regulation gezeigt. Zuerst, wurde die Fähigkeit verschiedener NO Donoren sGC zu stimulieren untersucht. DEA/NO stimulierte sGC viel stärker als SNP. Interessanterweise, wurde keine Korrelation zwischen der Verteilung des sGC Proteins und der Enzymaktivität unter Vmax- Bedingungen in verschiedenen Rattenhirnregionen gefunden. Das deutet auf zusätzliche Regulationsmechanismen hin. Die fehlende Fähigkeit von SNP sGC maximal zu stimulieren könnte ein Grund dafür sein, warum dieses Phänomen nicht schon früher gezeigt wurde. Langfristige Behandlung von Endothelzellen mit NO Donoren produzierte eine Desensitisierung der nachfolgenden cGMP Antwort. Diese Desensitisierung kann nicht durch erhöhte Phosphodiesterase-Aktivität erklärt werden, da Phosphodiesterasenhemmer die durch NO Donor verursachte Abnahme der cGMP Antwort nicht rückgängig macht. SHreduzierende Substanzen waren nicht in der Lage die cGMP Antwort zu verbessern, was zur Annahme führt, dass SH-Gruppenoxidation keine wichtige Rolle bei der Wirkung von NO auf sGC spielt. Es müssen daher andere Regulationsmechanismen vorhanden sein. Oxidation des Häms scheint ein möglicher Mechanismus der NO-induzierten sGC Desensitisierung. Einkürzlich beschriebener Aktivator der oxidierten (bzw. Häm-freien) sGC, BAY58-2667, stimulierte sGC nach Vorbehandlung mit NO Donoreb stärker als ohne Vorbehandlung. Es wird vermutet, dass oxidierte sGC verstärkt abgebaut wird was die durch NO oder Häm oxidierende Substanzen induzierte sGC Proteinabnahme erklären würde. Tatsächlich, nahm sGC Proteinlevel nach der Behandlung mit der Häm oxidierenden Substanz, ODQ, ab. BAY58-2667 verhinderte diesen Effekt. Ferner erhöht die Membranassoziation von sGC derer Empfindlichkeit gegenüber NO. Die Membranassoziation der sGC in Endothelzellen ist reguliert. Behandlung isolierter Lunge mit VEGF erhöht den Anteil an membrangebundener sGC in Endothelzellen dramatisch. In kultivierten Endothelzellen könnte VEGF die Membranassoziation jedoch nicht stimulieren, was einen komplexen Mechanismus der Membranassoziation der sGC in vivo vermuten lässt. Wenig ist bekannt über die Interaktionen von sGC mit anderen Protein und der möglichen Rolle dieser Interaktionen bei der Regulation des Enzyms. Proteininteraktionen scheinen aber ein möglicher Mechanismus für die Membranassoziation der sGC zu sein. Aus diesem Grund wurde die Rolle eines vor kurzem beschriebenen sGC-bindenden Proteins, Hsp90, auf die sGC Regulation untersucht. Kurzfristige Behandlung der Endothelzellen mit Hsp90 Inhibitoren hat keine Auswirkung auf NO Donor- und Calciumionophore-stimulierte cGMP-Produktion. Langfristige Hemmung von Hsp90 führte dagegen zur schnellen und deutlichen Abnahme des sGC Proteins. Dieser Effekt ist nicht durch eine Veränderung der Translation zu erklären, weil Tranlationshemmer einen viel langsameren sGC Abfall verursachten. Im Gegenteil, konnte ein Proteasomeninhibitor, MG132, die Effekte von Hsp90 Hemmern rückgängig machen. Das lässt eine proteolytische Abbau der sGC für die Effekte von Hsp90 Hemmer verantwortlich machen. Diese Daten deuten darauf hin, dass Hsp90 für Aufrechterhaltung des Enzyms notwendig ist. Zusammenfassend, wurde in der vorliegenden Arbeit gezeigt, dass sGC Aktivität und ihre Empfindlichkeit gegenüber ihren Aktivator NO durch multiple Faktoren beeinflusst werden kann. Oxidation des Häms durch NO könnte ein Mechanismus der negativen Regulation der sGC bei dauernd erhöhter Konzentration von NO sein. Ein zusätzlicher Mechanismus der Regulation der Empfindlichkeit der sGC gegenüber NO scheint die intrazellulare Translokation zu sein. Wir konnten hier zeigen, das die Membranassoziation der sGC ihre Empfindlichkeit gegenüber NO erhöht. Auch dieProteinlevel der sGC scheinen unter Kontrolle verschiedener Faktoren zu sein. Einer davon ist Hsp90, der für die Aufrechterhaltung des sGC Proteins sowohl in Endothelzellen als auch in anderen Zelltypen notwendig ist. Alle diese Daten zeigen, dass Regulation der sGC ein viel komplexerer Vorgang ist als bis her angenommen wurde und eröffnen interessante neue Forschungsrichtungen innerhalb dieses wichtigen Signalweges

Cyclic AMP regulates formation of mammary epithelial acini in vitro.

Epithelial cells form tubular and acinar structures notable for a hollow lumen. In three-dimensional culture utilizing MCF10A mammary epithelial cells, acini form due to integrin-dependent polarization and survival of cells contacting extracellular matrix (ECM), and the apoptosis of inner cells of acini lacking contact with the ECM. In this paper, we report that cyclic AMP (cAMP)-dependent protein kinase A (PKA) promotes acinus formation via two mechanisms. First, cAMP accelerates redistribution of α6-integrin to the periphery of the acinus and thus facilitates the polarization of outer acinar cells. Blocking of α6-integrin function by inhibitory antibody prevents cAMP-dependent polarization. Second, cAMP promotes the death of inner cells occupying the lumen. In the absence of cAMP, apoptosis is delayed, resulting in perturbed luminal clearance. cAMP-dependent apoptosis is accompanied by a posttranscriptional PKA-dependent increase in the proapoptotic protein Bcl-2 interacting mediator of cell death. These data demonstrate that cAMP regulates lumen formation in mammary epithelial cells in vitro, both through acceleration of polarization of outer cells and apoptosis of inner cells of the acinus

Cyclic AMP regulates formation of mammary epithelial acini in vitro.

Epithelial cells form tubular and acinar structures notable for a hollow lumen. In three-dimensional culture utilizing MCF10A mammary epithelial cells, acini form due to integrin-dependent polarization and survival of cells contacting extracellular matrix (ECM), and the apoptosis of inner cells of acini lacking contact with the ECM. In this paper, we report that cyclic AMP (cAMP)-dependent protein kinase A (PKA) promotes acinus formation via two mechanisms. First, cAMP accelerates redistribution of α6-integrin to the periphery of the acinus and thus facilitates the polarization of outer acinar cells. Blocking of α6-integrin function by inhibitory antibody prevents cAMP-dependent polarization. Second, cAMP promotes the death of inner cells occupying the lumen. In the absence of cAMP, apoptosis is delayed, resulting in perturbed luminal clearance. cAMP-dependent apoptosis is accompanied by a posttranscriptional PKA-dependent increase in the proapoptotic protein Bcl-2 interacting mediator of cell death. These data demonstrate that cAMP regulates lumen formation in mammary epithelial cells in vitro, both through acceleration of polarization of outer cells and apoptosis of inner cells of the acinus

Modulating the Activity of the Human Organic Cation Transporter 2 Emerges as a Potential Strategy to Mitigate Unwanted Toxicities Associated with Cisplatin Chemotherapy

Cisplatin (CDDP) stands out as an effective chemotherapeutic agent; however, its application is linked to the development of significant adverse effects, notably nephro- and ototoxicity. The human organic cation transporter 2 (hOCT2), found in abundance in the basolateral membrane domain of renal proximal tubules and the Corti organ, plays a crucial role in the initiation of nephro- and ototoxicity associated with CDDP by facilitating its uptake in kidney and ear cells. Given its limited presence in cancer cells, hOCT2 emerges as a potential druggable target for mitigating unwanted toxicities associated with CDDP. Potential strategies for mitigating CDDP toxicities include competing with the uptake of CDDP by hOCT2 or inhibiting hOCT2 activity through rapid regulation mediated by specific signaling pathways. This study investigated the interaction between the already approved cationic drugs disopyramide, imipramine, and orphenadrine with hOCT2 that is stably expressed in human embryonic kidney cells. Regarding disopyramide, its influence on CDDP cellular transport by hOCT2 was further characterized through inductively coupled plasma isotope dilution mass spectrometry. Additionally, its potential protective effects against cellular toxicity induced by CDDP were assessed using a cytotoxicity test. Given that hOCT2 is typically expressed in the basolateral membrane of polarized cells, with specific regulatory mechanisms, this work studied the regulation of hOCT2 that is stably expressed in Madin–Darby Canine Kidney (MDCK) cells. These cells were cultured in a matrix to induce the formation of cysts, exposing hOCT2 in the basolateral plasma membrane domain, which was freely accessible to experimental solutions. The study specifically tested the regulation of ASP+ uptake by hOCT2 in MDCK cysts through the inhibition of casein kinase II (CKII), calmodulin, or p56lck tyrosine kinase. Furthermore, the impact of this manipulation on the cellular toxicity induced by CDDP was examined using a cytotoxicity test. All three drugs—disopyramide, imipramine, and orphenadrine—demonstrated inhibition of ASP+ uptake, with IC50 values in the micromolar (µM) range. Notably, disopyramide produced a significant reduction in the CDDP cellular toxicity and platinum cellular accumulation when co-incubated with CDDP. The activity of hOCT2 in MDCK cysts experienced a significant down-regulation under inhibition of CKII, calmodulin, or p56lck tyrosine kinase. Interestingly, only the inhibition of p56lck tyrosine kinase demonstrated the capability to protect the cells against CDDP toxicity. In conclusion, certain interventions targeting hOCT2 have demonstrated the ability to reduce CDDP cytotoxicity, at least in vitro. Further investigations in in vivo systems are warranted to ascertain their potential applicability as co-treatments for mitigating undesired toxicities associated with CDDP in patients

Heat shock protein 90 regulates stabilization rather than activation of soluble guanylate cyclase

AbstractEndothelium-derived nitric oxide (NO) activates the heterodimeric heme protein soluble guanylate cyclase (sGC) to form cGMP. In different disease states, sGC levels and activity are diminished possibly involving the sGC binding chaperone, heat shock protein 90 (hsp90). Here we show that prolonged hsp90 inhibition in different cell types reduces protein levels of both sGC subunits by about half, an effect that was prevented by the proteasome inhibitor MG132. Conversely, acute hsp90 inhibition affected neither basal nor NO-stimulated sGC activity. Thus, hsp90 is a molecular stabilizer for sGC tonically preventing proteasomal degradation rather than having a role in short-term activity regulation

Properties of Transport Mediated by the Human Organic Cation Transporter 2 Studied in a Polarized Three-Dimensional Epithelial Cell Culture Model

The renal secretory clearance for organic cations (neurotransmitters, metabolism products and drugs) is mediated by transporters specifically expressed in the basolateral and apical plasma membrane domains of proximal tubule cells. Here, human organic cation transporter 2 (hOCT2) is the main transporter for organic cations in the basolateral membrane domain. In this study, we stably expressed hOCT2 in Madin-Darby Canine Kidney (MDCK) cells and cultivated these cells in the presence of an extracellular matrix to obtain three-dimensional (3D) structures (cysts). The transport properties of hOCT2 expressed in MDCK cysts were compared with those measured using human embryonic kidney cells (HEK293) stably transfected with hOCT2 (hOCT2-HEK cells). In the MDCK cysts, hOCT2 was expressed in the basolateral membrane domain and showed a significant uptake of the fluorescent organic cation 4-(4-(dimethylamino)styryl)-N-methylpyridinium (ASP+) with an affinity (Km) of 3.6 ± 1.2 µM, similar to what was measured in the hOCT2-HEK cells (Km = 3.1 ± 0.2 µM). ASP+ uptake was inhibited by tetraethylammonium (TEA+), tetrapentylammonium (TPA+), metformin and baricitinib both in the hOCT2-HEK cells and the hOCT2- MDCK cysts, even though the apparent affinities of TEA+ and baricitinib were dependent on the expression system. Then, hOCT2 was subjected to the same rapid regulation by inhibition of p56lck tyrosine kinase or calmodulin in the hOCT2-HEK cells and hOCT2- MDCK cysts. However, inhibition of casein kinase II regulated only activity of hOCT2 expressed in MDCK cysts and not in HEK cells. Taken together, these results suggest that the 3D cell culture model is a suitable tool for the functional analysis of hOCT2 transport properties, depending on cell polarization