
[Cancer Research 61, 764-770, January 15, 2001]
© 2001 American Association for Cancer Research
Experimental Therapeutics |
A Truncated Human Xeroderma Pigmentosum Complementation Group A Protein Expressed from an Adenovirus Sensitizes Human Tumor Cells to Ultraviolet Light and Cisplatin1
Elizabeth Rosenberg,
Mohiuddin M. Taher,
Nancy B. Kuemmerle,
Julie Farnsworth and
Kristoffer Valerie2
Department of Radiation Oncology, Massey Cancer Center, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298-0058
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ABSTRACT
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Individuals with the genetic disease xeroderma pigmentosum (XP) have
impaired nucleotide excision repair (NER). Group A XP cells are
defective in the XPA protein essential for NER and serve, together with
other NER proteins, as a nucleation factor for the demarcation of bulky
DNA damage. Because XPA cells are extremely sensitive to UV and drugs
that cause bulky DNA damage, the XPA protein is an attractive target
for manipulating cellular sensitivity to certain cancer therapeutics, a
concept that perhaps can be applied toward developing more effective
cancer treatments. We have made a replication-defective adenovirus,
AdCMV-FlagXPA59114, that expresses a truncated form of
XPA encompassing amino acids 59114 sufficient for binding to the
excision repair cross-complementing protein 1 (ERCC1)/xeroderma
pigmentosum complementation group F (XPF) nuclease essential for
making an incision 5' of the damage. On the basis of previous
work, it was expected that this truncated XPA protein would work as a
decoy and impair NER and, thus, sensitize cells to UV and drugs that
produce bulky DNA lesions. Because the truncated XPA protein is
"tagged" with the Flag epitope, an anti-Flag antibody can be used
to detect protein expression and to isolate proteins associated with
the XPA complex. We show that relatively large quantities of truncated
XPA protein are present in infected human lung carcinoma A549 cells
24 days postinfection. Moreover, in a pull-down assay using anti-Flag
antibody, we show that ERCC1 is present in the FlagXPA complex but not
in a complex isolated from cells infected with a control virus. Most
importantly, cells infected with AdCMV-FlagXPA59114 are
significantly more sensitive than control cells to UV-induced damage as
determined by host-cell reactivation of UV-irradiated AdLacZ adenovirus
and in a cytotoxicity assay that appears to be the result of aberrant
processing of 6-4 photoproducts. Infected cells were also more
sensitive to treatment with cisplatin, an important cancer drug. These
results suggest that NER, and the XPA protein in particular, can be a
direct target for sensitizing tumor cells to UV and cisplatin and
perhaps also certain other clinically important drugs.
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INTRODUCTION
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Individuals with the genetic disease
XP3
are defective in some aspect of NER, which is the primary DNA repair
system responsible for repairing bulky lesions in DNA (reviewed
recently in Ref. 1
). There are seven complementation
groups of XP (AG), where each complementation group represents a
defect in a different protein important for DNA incision at the site of
damage. Of all of the different XP complementation groups, cells from
group A are most severely impaired in NER and in vitro
demonstrate extreme sensitivity to UV and other types of bulky DNA
damage including those induced by mitomycin C, cisplatin, melphalan,
and psoralen + UVA (1
, 2)
.
Although several reports have shown that XPA cells can be rescued
by increased UV resistance or increased levels of HCR (HCR) by
cell transfection with the XPA gene or the phage T4
denV gene (3, 4, 5, 6, 7, 8)
, to date there has been no
demonstration of sensitizing tumor cells proficient in NER with a
vector expressing a protein that interferes with NER as a strategy for
cancer therapy. The XPA protein is a zinc-finger protein of
Mr 31,000 (273 amino acids)
involved in DNA damage recognition (4
, 9
, 10) . Previous
work demonstrated that the XPA protein interacts with the ERCC1 protein
through amino acid residues 7284 of XPA (11, 12, 13)
. Hence,
we argued that by overexpressing a truncated form of the XPA protein
encompassing this domain, one might be able to prevent the ERCC1/XPF
nuclease complex from associating with the normal XPA protein produced
by the cell and would thus interfere with the early stages of NER. By
taking advantage of the efficient gene delivery and protein expression
properties of adenovirus (3
, 14)
, the XPA protein is an
excellent target for gene therapeutic intervention through increased
sensitization of tumor cells to chemotherapy. This strategy is
particularly interesting when applied to tumor cells, allowing for more
efficient therapies with a variety of drugs used for chemotherapy and
to counteract increased resistance to chemotherapeutics frequently seen
during the course of treatment of certain types of cancers. We
demonstrate in this report that infection of human tumor cells
proficient in NER with a replication-defective adenovirus expressing
amino acids 59114 of the XPA protein sensitizes the cells to UV and
cisplatin.
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MATERIALS AND METHODS
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Cell Culture.
The human non-small cell lung carcinoma cell line A549 has normal NER
and p53 function (15)
. The GM637 and XP12RO(M1) cells have
been described previously (3
, 16
, 17)
. Human embryonic
kidney 293 cells (18)
, also normal for NER
(19)
, were used for constructing and growing
replication-defective recombinant adenovirus. Cells were routinely
cultured in DMEM (Life Technologies, Inc., Gaithersburg, MD) with 10%
fetal bovine serum (Irvine Scientific, Santa Ana, CA) and
penicillin/streptomycin, and were subcultured twice weekly.
Construction of Adenovirus-expressing Flag-tagged XPA Proteins.
A truncated version of the human XPA cDNA with a 97-bp deletion between
position 104 and 200 (4
, 20)
was cloned in the correct
reading frame in pCMV-FLAG-2 (Kodak, Rochester, NY) and was expected to
produce a FlagXPA fusion protein consisting of amino acids 59273 of
the human XPA protein (4)
. We previously demonstrated that
SV40-transformed human XPA fibroblasts stably transfected with a
plasmid expressing this portion of the XPA gene show normal
HCR of a UV-damaged reporter gene (17)
. Others have also
noted that amino acids 158 of XPA are not required for conferring UV
resistance (11
, 21)
. The
FlagXPA59273 DNA cartridge was transferred into
pZeroTG-CMV and made into an adenovirus (14)
.
Subsequently, a 3' deletion was made of the XPA cDNA in
pZeroTG-CMVFlagXPA59273 by removing the DNA
sequence 3' of the unique BsaBI site (4)
. This
plasmid is expected to produce a truncated XPA protein of 55 amino
acids (59114) tagged at its NH2 terminus with
Flag and spanning the ERCC1 binding domain (amino acids 7284).
Recombinant viruses were screened by Western blotting of extracts
obtained from infected 293 cells using anti-Flag antibody. Viral clones
that produced proteins of the expected sizes that reacted with the
anti-Flag and anti-XPA antibodies (20)
were used in
subsequent experiments. Adenoviruses expressing ß-galactosidase
(AdLacZ), GFP (AdCMV-GFP), Flagp38 MAP kinase
(AdCMV-Flagp38)4
under control of the CMV promoter or an "empty" adenovirus
(AdCMV) without any trans-gene, were constructed and used in
HCR assays or as virus controls.
Protein Purification and Immunoblotting.
For Western blot analyses, A549 or 293 cells were infected with viruses
expressing XPA proteins or various control viruses and harvested 23
days postinfection. Samples were then briefly sonicated in loading
buffer and boiled prior to SDS-PAGE and Western analysis. For affinity
purification of FlagXPA proteins, anti-Flag beads (Kodak, Rochester,
NY) were incubated with protein extracts isolated from cell monolayers
by washing cells with PBS, then lysing the cells for 30 min on ice in
buffer consisting of 50 mM Tris-HCl, 0.25 M
NaCl, 0.1% NP40, 5 mM EDTA, 1 mM DTT and
protease and phosphatase inhibitors (protease inhibitor mixture
and phosphatase inhibitor mixture 1 and 2; Sigma Chemical Co.,
St. Louis, MO) at the manufacturers recommended dilutions. After
centrifugation, the supernatant was transferred to a separate tube, and
the cell pellet was reextracted using the same lysis solution twice
more for 10 min on ice. The pooled supernatants were then bound to
anti-Flag affinity beads in solution for 3 h at 4°C. After
centrifugation, the supernatant was discarded, and the beads were
washed twice with lysis buffer. After washing, the beads were
resuspended in a small volume of 10 mM TE buffer [Tris-HCl
and 1 mM EDTA (pH 8.0)], and 10 µg of Flag
peptide (Kodak, Rochester, NY) was added to release bound FlagXPA
protein complexes from the beads. The reaction was incubated on ice for
30 min and then centrifuged. The supernatant containing the eluted
proteins was transferred to a new tube and used for analysis by Western
blotting. Protein samples were typically separated on a 420%
Tris-Gly gel (Novex, San Diego, CA) at 125 V for 2 h and then
transferred to a polyvinylidene difluoride membrane for 2 h
at 0.6 A. After blocking in 5% milk buffer, the membranes were
incubated with either mouse anti-Flag antibody (Kodak, Rochester, NY),
mouse anti-ERCC1 antibody (Neomarkers, Freeman, CA), or polyclonal
rabbit XPA antibody (20)
. Antibody binding was detected
with a secondary IgG antibody conjugated with alkaline phosphatase
(Santa Cruz, Santa Cruz, CA), followed by detection by
chemiluminescence (Tropix, Bedford, MA). Cellular XPA appears as a band
of Mr
40 on a gel.
DNA Repair Assays.
A modification of our earlier procedure was followed for HCR assay
(3)
. Briefly, a confluent cell monolayer in a 6-cm tissue
culture dish was infected with adenovirus (XPA virus or control virus)
at a MOI of 330 and after a 3 h incubation at 37°C
while slowly rocking, the medium was removed and replaced with fresh
culture medium. After 2 days, infected cells were trypsinized, and
reseeded in triplicate in a 96-well microtiter plate as 2-fold serially
dilutions with
1 x 105 cells
seeded in the first row. On the following day, AdLacZ irradiated with
increasing doses of UV (0400 J/m2) was added to
the 96-well plate at a MOI of 10 for 3 h, then removed, and
replaced with fresh media. After 3 days, the medium was removed from
all of the wells, and the cells were fixed with a solution of 3%
paraformaldehyde/0.25% glutaraldehyde for 10 min at room temperature.
After discarding the fixative and washing the plate with PBS, 50 µl
of the fluorescent substrate resorufin-ß-d-galactose
(Boehringer-Mannheim, Indianapolis, IN) at 0.15
mM in PBS supplemented with 1
mM MgCl2 was added to each
well, and the plate incubated at room temperature in the dark for
1 h. The plate was then read on a FluoroCount (Packard, Meriden,
CT) fluorometer using an excitation filter of 530 nm and an emission
filter of 620 nm. Fluorescence readings from cells not infected with
AdLacZ were subtracted from all other readings as background. Relative
HCR was determined by dividing the average readings for a given UV dose
by the average readings from wells with cells infected with undamaged
AdLacZ. A larger relative fluorescence indicates larger expression of
ß-galactosidase and more DNA repair. GFP fluorescence of cells
infected with AdCMV-GFP is negligible at these filter settings.
To determine the removal of UV damage, a modification of the immune
assay for pyrimidine dimers was followed (22, 23, 24)
.
Briefly, 75% confluent dishes of A549 cells were infected with AdCMV,
AdCMV-FlagXPA59273, or
AdCMV-FlagXPA59114 at a MOI of 10. Two days
after infection, cells were trypsinized and reseeded at 1:8 in 6-cm
dishes. One dish was used for each experimental point including a dish
for unirradiated control. The next morning, dishes were UV irradiated
at a dose rate of 2 W/m2 to a total dose of 5 or
10 J/m2. The cells were then harvested at various
times and cell pellets frozen on dry ice. Cell lysis buffer [0.1
M Tris (pH 7.5), 0.15 M NaCl, 12.5
mM EDTA, and 1% SDS) containing 200 µg/ml proteinase K
was added to the cell pellets and sonicated followed by incubation at
42°C for 5 h. DNA was isolated by phenol:chloroform extraction
followed by ethanol precipitation. The DNA was resuspended in 200 µl
of TE buffer with 5 µg of RNase A and incubated at 37°C for 2 h, followed by a second phenol:chloroform extraction and ethanol
precipitation. The DNA was resuspended in 10 µl of TE, and 1 µl was
spotted in triplicate on duplicate GeneScreenPlus (NEN) membranes. When
dry, the membranes were blocked with 5% nonfat dry milk in TBS-T [0.1
M Tris-HCl (pH 7.5), 0.1 M NaCl, and 0.005%
Tween 20] overnight at 4°C. The membranes were then washed briefly
in TBS-T, and incubated with a 1:3000 dilution of either anti-CBPD or
anti-PP (Kamiya Biomedical, Seattle, WA) mouse monoclonal antibody in
5% BSA in TBS-T for 1 h at room temperature. After washing with
TBS-T, the membranes were incubated with a 1:3000 dilution of antimouse
alkaline phosphatase (Santa Cruz Biotechnology, Santa Cruz, CA) in
TBS-T for 1 h and washed several times in TBS-T followed by
incubation with CDP-Star (NEN), and exposure to a chemiluminescence
screen. Spots were quantified using volume analysis on a Bio-Rad
Molecular Imager FX using Quantity One software (Bio-Rad, Hercules,
CA). To normalize the amount of DNA spotted, the membranes were
hybridized to 32P-labeled genomic DNA isolated
from A549 cells. Briefly, membranes were prehybridized in Church buffer
[1% BSA (w/v), 7% SDS (w/v), 0.25 M phosphate buffer (pH
7), and 1 mM EDTA] containing salmon sperm DNA (0.1 mg/ml)
for blocking for several hours at 65°C.
32P-labeled genomic DNA labeled with a
"Prime-it" kit (Stratagene, La Jolla, CA) was then added to fresh
prewarmed Church buffer and hybridized overnight at 65°C. Membrane
were washed in Church wash buffer [1% SDS in 40 mM
phosphate buffer (pH 7.0) and 0.5 mM EDTA]. Membranes were
exposed to a phosphorimaging screen, scanned in Molecular Imager, and
spots quantified using volume analysis. To analyze the data, the signal
from the immunoassay was normalized to the DNA bound to the membrane.
The signal from the spots obtained without any UV irradiation was
subtracted from all of the values to adjust for background levels.
Finally, to obtain the fraction of damage remaining, the normalized,
background-adjusted signals obtained from the immunoassay were divided
by the mean value for the 0 min time points.
Cytotoxicity Assay.
Confluent 6-cm dishes of A549, GM637, and XP12RO(M1) cells were
infected with a MOI of 3 with either
AdCMV-FlagXPA59114,
AdCMV-FlagXPA59273, or control virus. For the
UV toxicity assay, infected cells were incubated for 48 h, then
trypsinized and UV irradiated in a small droplet of PBS at a dose rate
of 1 W/m2. Treated cells were plated in
triplicate in 96-well plates and serially diluted. For the cisplatin
toxicity assay, infected cells were seeded in 96-well plates at
different dilutions at 24 h, allowed to attach overnight, and then
treated with cisplatin (Aldrich, St. Louis, MO) the following day for
4 h at 37°C in complete media. After either treatment, the
plates were incubated for 5 additional days. Finally, Resazuri
(AlamarBlue; Molecular Probes, Eugene, OR) was added to the medium to a
final concentration of 10 µM, and the plates were
incubated for 3 h at 37°C and then read in the FluoroCount
reader at an excitation of 530 nm and an emission of 590 nm. A larger
relative fluorescence signal indicates more live cells and, thus, lower
toxicity. The results were corrected and normalized as described above
for the HCR assay.
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RESULTS
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Efficient Expression of Flag-tagged XPA Proteins in
Adenovirus-infected A549 Cells.
To ensure that most cells in culture express the truncated XPA protein,
we took advantage of the high infectivity of adenovirus and constructed
a recombinant adenovirus expressing amino acids 59114 of the XPA
protein. Because cell infectivity can reach 100% in vitro,
it is possible to assess the impact of this treatment by conventional
cell toxicity end points (14)
. To facilitate detection and
purification of the XPA59114 protein and to
distinguish it from any cellular counterpart, we added a Flag epitope
tag to the NH2 terminus of the protein.
To demonstrate expression of the FlagXPA proteins from the constructed
adenoviruses, A549 cells were infected with either
AdCMV-FlagXPA59114 or an adenovirus producing
functional XPA protein, AdCMV-FlagXPA59273, at
an MOI of 30. Although, the XPA protein is
Mr 31,000, it migrates as
Mr 40,000 by SDS-PAGE
(9)
. After 3 days of incubation, the cells were harvested
and processed for SDS-PAGE. After protein separation on the gel,
proteins were transferred to a membrane and probed with anti-Flag
antibody for detection of the FlagXPA proteins (Fig. 1A)
. Infection of cells with
AdCMV-FlagXPA59273 expressing near full-length
Flag-XPA59273 protein gave a band of
Mr
40,000, as expected, and
infection with AdCMV-FlagXPA59114 produced a
single band of less than Mr 5,000 as
would be expected for this construct. Termination of the truncated XPA
protein is expected to occur in a stop codon residing in the flanking
sequence. To unequivocally demonstrate that these Flag proteins were
indeed of XPA origin and expressed from the viruses, we then performed
parallel immunoblots using either anti-Flag or anti-XPA antibody (Fig. 1B)
. We found that both of the FlagXPA proteins also reacted
with the anti-XPA antibody. We occasionally detect a second XPA band by
Western analysis at a position of Mr
60,000 (Fig. 1B
, *), which disappears when the sample is
diluted. It is presently unknown why this happens, but is possible that
the FlagXPA59273 protein is not entirely
dissociated from other proteins or else forms dimers at higher
concentrations. Alternatively, the top band could be attributable to
translational read-through or to different conformational properties of
XPA resulting in aberrant migration by SDS-PAGE (9)
. In
any case, this result demonstrates the efficient expression of FlagXPA
proteins from adenovirus in A549 cells.

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Fig. 1. Expression of Flag-tagged XPA proteins in A549 cells. A549
cells were infected with either AdCMV-FlagXPA59273 or
AdCMV-FlagXPA59114 at a MOI of 30. Cell extracts were
prepared after 2 days and separated by SDS-PAGE, transferred to a
polyvinylidene difluoride membrane and probed with (A)
anti-Flag antibody or (B) either anti-Flag or anti-XPA
antibody. *, FlagXPA59273 protein band migrating at
Mr 60,000, which is an anomaly
occasionally observed when larger quantities of FlagXPA are loaded on
the gel.
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FlagXPA59114 Protein Binds ERCC1.
To address whether FlagXPA59114 protein would
bind ERCC1 in vivo, which is necessary if it is meant to
serve as a decoy for normal cellular XPA, A549 cells were infected with
either AdCMV-FlagXPA59114 or a control
adenovirus (AdCMV-Flagp38) expressing Flag-tagged p38 MAP kinase
(25)
. Two days after infection, cells were harvested and
lysed and the resulting protein extract incubated with anti-Flag
agarose beads to purify the FlagXPA proteins. Bound protein complexes
were then eluted from the beads with Flag peptide and separated by
SDS-PAGE, transferred to a membrane, and probed with anti-ERCC1
antibody (Fig. 2
, left). It is clear from the result shown that ERCC1 binds
specifically to the FlagXPA59114 protein
because a band of Mr
40,000, which
is the relative molecular weight of ERCC1 (26)
, is
detected only in extracts from cells infected with the
AdCMV-FlagXPA59114. No such band appears in the
lane with an extract from cells infected with the AdCMV-Flagp38 control
virus. The same membrane was then reprobed with anti-Flag antibody to
ensure the presence of Flag proteins in the extracts (Fig. 2
,
right). Indeed, Flag proteins of the expected sizes,
i.e., Mr
5,000 for
FlagXPA59114 and 38,000 for Flagp38 MAP kinase,
were found in the affinity purified complexes. This result demonstrates
that ERCC1 specifically interacts with
FlagXPA59114 in vivo.

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Fig. 2. ERCC1 protein binds specifically to
FlagXPA59114 protein. A549 cells were infected with
either AdCMV-FlagXPA59114 or AdCMV-Flagp38 virus
expressing Flag-tagged p38 MAP kinase as a control. Two days after
infection, cells were harvested, lysed as described, and incubated with
anti-Flag agarose beads. Eluted protein complexes were separated by
SDS-PAGE, transferred to a membrane, and probed sequentially with
anti-ERCC1 (left) and anti-Flag antibody
(right). IgGL, light
chain of mouse IgG eluted from the anti-Flag beads that bind the
secondary antibody.
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Expression of FlagXPA59114 at Increased Levels Is
Toxic to Cells without Any DNA Damage.
Before undertaking studies assessing the effect of expressing
FlagXPA59114 on the sensitivity of cells to DNA
damage, we first used a toxicity assay to assess the relative toxicity
of the recombinant adenoviruses without exposing the cells to any DNA
damaging agent (Fig. 3A)
. Again, A549 cells were infected with different MOI
(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)
. In time course experiments, expression of FlagXPA proteins was
detected on day 1, and then increased on days 2 and 3 (data not shown).
On day 4, FlagXPA levels were roughly equivalent to those on day 3. We
found that the AdCMV-GFP and the
AdCMV-FlagXPA59273 viruses produced no
significant increase in cell toxicity even at the highest MOI of 30.
The relative growth of cells infected with AdCMV-GFP compared with
uninfected cells was 0.94, and with
AdCMV-FlagXPA59273, it was 1.03. However,
infection of A549 cells with AdCMV-FlagXPA59114
did prove toxic to cells, resulting in a relative growth of 0.56 at a
MOI of 30. In parallel, samples were analyzed for the expression of FlagXPA59114 (Fig. 3B)
. An
excellent correlation between cell toxicity/growth inhibition and
expression of FlagXPA59114 was noticed.
With a MOI of 3 that produced only minor toxicity, no
FlagXPA59114 protein was detected by Western
analysis, whereas at higher MOI, both toxicity and expression were
noted. This result demonstrates that
FlagXPA59114 protein is toxic to cells when
expressed at increased levels, which suggests that XPA or ERCC1
function is required even without any exogenously inflicted DNA damage
to the cell. In subsequent experiments, we used a low MOI because of
the relative toxicity of AdCMV-FlagXPA59114 in
these cells.
Infection of A549 Cells with AdCMV-FlagXPA59114
Reduces HCR of UV-damaged AdLacZ Adenovirus.
To see whether expression of FlagXPA59114
reduced DNA repair and to demonstrate proof of the principle of our
approach, we infected A549 cells with
AdCMV-FlagXPA59114 and, 2 days later, tested
for HCR of UV-damaged AdLacZ virus (Fig. 4)
. HCR is an indirect assay for DNA repair that relies on the notion
that damage needs to be removed in order for transcription to occur,
and, thus, the greater the relative reporter gene activity, the more
proficient the DNA repair (3
, 7)
. At a dose of 400
J/m2, the ß-galactosidase activity in cells
that had not been infected with virus prior to HCR was 0.72 relative to
readings from cells infected with undamaged AdLacZ. By comparison, the
ß-galactosidase activity in control cells initially infected with
AdCMV-GFP and then with UV-irradiated AdLacZ was 0.94. At the same UV
dose, cells infected with AdCMV-FlagXPA59114
showed a significantly reduced fraction of ß-galactosidase activity
of 0.29 (P = 0.0057). This result
demonstrates that infection of A549 cells with
AdCMV-FlagXPA59114 impairs HCR and also
suggests that perhaps cell survival after UV would be reduced.
Infection of A549 Cells with AdCMV-FlagXPA59114
Increases UV and Cisplatin Toxicity.
Because HCR is an indirect DNA repair assay that relies on
transcription of a repaired reporter gene, it was important to
demonstrate that infection with
AdCMV-FlagXPA59114 results in increased
cellular sensitivity to UV exposure. Indeed, we found that infection of
A549 cells with virus-expressing FlagXPA59114
increased toxicity and inhibited growth after UV damage (Fig. 5)
. Growth of uninfected cells exposed to 45 J/m2
of UV was reduced to 0.70 compared with cells not exposed to UV.
Similarly, cells exposed to the same UV dose after infection with the
control virus AdCMV reduced growth to 0.60. However, cells infected
with AdCMV-FlagXPA59114 at a MOI of 3 before
exposure to UV showed a significantly greater reduction in growth of
0.47 (P = 0.0387). Because UV irradiation of
cells were carried out in a droplet, relatively high UV doses were
required to see toxicity under these experimental conditions. To
confirm this result using other cells and to establish the relative
effect of AdCMV-FlagXPA59114 infection on the
UV sensitivity of repair-competent cells to that of XPA cells, a second
experiment was carried out with NER-deficient XPA [XP12RO(M1)] and
normal NER-proficient (GM637) fibroblasts (Fig. 6)
. As expected, both uninfected and control-infected XP12RO(M1) cells
were much more sensitive to UV than were GM637 cells, and
AdCMV-FlagXPA59273 expressing nearly
full-length XPA protein rescued XP12RO(M1) cells to GM637 levels. Most
importantly, infection of GM637 with
AdCMV-FlagXPA59114 resulted in UV sensitization
that approached the XP12RO(M1) levels. These results demonstrate that
infection of two different human cell lines that are normal in NER with
AdCMV-FlagXPA59114 UV sensitizes the cells to
levels approaching those of XPA.
It was of interest to determine whether infecting cells with
AdCMV-FlagXPA59114 could also be applied to
increase cell toxicity to a clinically important drug such as
cisplatin, which causes DNA damage that is repaired by NER. We found
that infection with virus expressing
FlagXPA59114 also inhibited the growth of A549
cells after exposure to cisplatin (Fig. 7)
. Uninfected cells given a dose of 20 µM cisplatin for
4 h showed reduced growth compared with untreated cells of 0.49,
and cells infected with AdCMV control virus before the same cisplatin
treatment were slightly more sensitive with a fraction of growth
relative to untreated infected cells of 0.32. Cells infected with
AdCMV-FlagXPA59114 before challenge with
cisplatin were much more sensitive, showing only 0.15 of the growth of
cells infected with the same virus but not exposed to cisplatin
(P = 0.0026). These results demonstrate that
infection with AdCMV-FlagXPA59114 renders cells
more sensitive to cisplatin as well as to UV, which suggests
that this approach could potentially be used to increase the
sensitivity of tumor cells to cisplatin and other clinically important
drugs that produce bulky DNA damage.
Removal of PPs Is Impaired in Cells Expressing
FlagXPA59114.
To investigate the mechanism by which
AdCMV-FlagXPA59114 sensitizes normal cells to
UV, we examined the removal of pyrimidine dimers from the DNA of
irradiated cells using a immune assay for CBPDs and PPs (22
, 24)
. First, we examined the rate of CBPD and PP removal in A549
cells exposed to 10 J/m2 (Fig. 8A)
. As expected, we found that PP lesions were removed much
faster from the DNA than were CBPDs with half lives of <1 h and
1524 h, respectively, in agreement with previous reports (22
, 24
, 27) . We found no difference in the removal of CBPDs between
uninfected cells, cells infected with AdCMV (control), and cells
infected with AdCMV-FlagXPA59114 (Fig. 8B)
, which suggests that expression of
FlagXPA59114 did not interfere with the removal
of CBPDs. However, when the removal of PPs were examined, we found
dramatic differences between cells infected with
AdCMV-FlagXPA59114 compared with uninfected and
AdCMV-infected cells (Fig. 8C)
. To our surprise, cells
infected with AdCMV-FlagXPA59114 appeared to
generate more PPs over time compared with controls. Because it is
inconceivable that more lesions were generated with time after UV
irradiation, the most reasonable interpretation of this result is that
the PP epitope is better exposed to the antibody, perhaps resulting
from partial DNA repair of the PPs. In any case, the results suggest
that the removal of PPs but not CBPDs is affected by the expression of
FlagXPA59114.
 |
DISCUSSION
|
|---|
Drugs such as cisplatin, mitomycin C, psoralen in combination with
UVA (PUVA), and melphalan are commonly used for the treatment of
ovarian, testicular, prostate, and leukemic cancers. The DNA damage
induced by these drugs is to a large extent repaired by NER (2
, 28)
. One major problem with current modalities for the treatment
of cancer using drugs that cause DNA damage is the relatively small
therapeutic indices that can be achieved. In addition, during the
course of chemotherapy, tumor drug resistance occasionally develops,
and doses may need to be escalated to control tumor growth
(29)
. It would be highly desirable to develop approaches
that would increase therapeutic ratios and lower the doses administered
to the patient. Attempts are now made in many laboratories to target
chemotherapy specifically to tumor cells by using efficient gene
delivery tools, such as adenovirus (29, 30, 31)
, and to attack
cellular functions that influence drug resistance, such as apoptosis,
thereby improving cancer therapy. Thus far, little has been done to
specifically target NER to improve chemotherapy (32)
.
We previously reported on a virus similar to the one described here
that expressed the same truncated XPA protein without the Flag epitope
that sensitized cells to UV (33)
. However, we were unable
to clearly show expression of this truncated protein in infected cells.
Detecting the presence of the Flag epitope on the truncated XPA protein
made by the virus described in the present study unequivocally
demonstrates that this protein is made by the virus and not by the
cell. Results from the present study confirm earlier findings that
ERCC1 binds to XPA (12
, 13) . However, the in
vivo binding between full-length ERCC1 and XPA proteins was
previously demonstrated only with GAL4-fusion proteins in a yeast
two-hybrid screen (11
, 13)
. The result from our study
clearly demonstrates that interaction between the 59114-amino-acid
domain of XPA and ERCC1 occurs in human cells in vivo. We
are currently investigating whether other proteins, including XPF
(12)
, are also present in this protein complex. The
presence of an epitope tag combined with the efficient expression from
a highly infectious adenovirus should be very useful in isolating large
quantities of XPA protein complexes and for determining the composition
and changes in posttranslational modifications in these complexes that
occur in vivo in response to DNA damage.
It was demonstrated previously that a mutant XPA (
G) with 4 amino
acids (GGGF) deleted in the G-domain was unable to bind ERCC1 but was
able to compete with normal XPA protein and to reduce DNA repair
in vitro (11)
. It was suggested that
G
reduced repair because its DNA binding ability was still retained but
was not loading ERCC1 protein on to the damaged DNA site
(11)
. Our results suggest that the reciprocal event is
also possible, i.e., the
FlagXPA59114 protein encompassing the G-domain
is able to bind ERCC1, and perhaps the resulting complex competes with
the formation of normal XPA/ERRC1/(XPF?) complexes. However, at this
point, we have no direct evidence that this occurs. Very recently, it
was shown that the interaction between XPA and ERCC1 is modulated
indirectly by a protein kinase (34)
, which would provide
another means by which NER may be inhibited to increase the
sensitization of tumor cells to chemotherapy.
The results from this study demonstrate that overexpressing truncated
XPA protein is toxic to cells even without treating the infected cells
with any DNA-damaging agent, which suggests that either NER is needed
at all times or that the function of some other protein needed for
normal cellular growth is inhibited by the truncated XPA protein.
However, we were able to establish the virus dose range within which a
sensitizing effect on treatment with UV or cisplatin could be clearly
distinguished from the toxicity observed from the virus itself. Perhaps
by controlling the expression of the
FlagXPA59114 protein by using an inducible
promoter, one could alleviate the toxicity of the protein when cells
are not treated with a drug. Along the same line, future virus vectors
may be designed with a DNA damage-inducible promoter to reduce the
expression of truncated XPA in the absence of DNA damage and, thus,
limit toxicity in the absence of drug treatment. Use of such vector
would be expected to improve the therapeutic ratio.
How might the expression of Flag-XPA59114
affect NER? From these studies, we can conclude that the most likely
mechanism for the increased cell toxicity of
AdCMV-FlagXPA59114 is that expression of
FlagXPA59114 interferes with the removal of PP
lesions. This effect is specific for PPs because the removal of CBPDs
was not affected. Of interest is the result from the immune assay that
suggests that the PPs in the DNA isolated from cells infected with
AdCMV-FlagXPA59114 is exposed more efficiently
to the antibody specific for the PP epitope. The most reasonable
explanation for this result is that the PP has been altered in some
fashion but is still attached to the DNA. Conceivably, this alteration
could be attributable to the incision on one side of the lesion,
presumably the 3' side (35)
, resulting in a flap that
is more exposed to the antibody and thus would result in an increased
signal. However, at the present time, we can only speculate as to what
the exact structure of this lesion might be.
In summary, our results suggest that using an adenoviral vector
expressing a truncated XPA protein to inhibit NER in tumor cells could
be an effective combined modality for the treatment of various cancers
with drugs known to cause bulky lesions repaired by NER. With this
approach, the targeting of tumor cells should be more specific, and
perhaps the doses of chemotherapy could be lowered, resulting in more
effective treatment with fewer side effects to the patient.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by NIH PHS
CA53119. 
2 To whom requests for reprints should be
addressed, at Department of Radiation Oncology, Massey Cancer Center,
Medical College of Virginia, Virginia Commonwealth University, P. O.
Box 980058, Richmond, Virginia 23298-0058. Phone: (804) 628-1004; Fax:
(804) 828-6042; E-mail: KVALERIE{at}HSC.VCU.EDU 
3 The abbreviations used are: XP,
xeroderma pigmentosum; XPA, XP complementation group A; CBPD,
cyclobutane pyrimidine dimer; ERRC1, excision repair
cross-complementing protein 1; GFP, green fluorescent protein; HCR,
host-cell reactivation; MOI, multiplicity/multiplicities of infection;
NER, nucleotide excision repair; PP, 6-4 photoproduct; TBS-T,
Tris-buffered saline with Tween 20; MAP, mitogen-activated protein;
CMV, cytomegalovirus. 
4 Manuscript in preparation. 
Received 5/15/00.
Accepted 11/13/00.
 |
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