We have developed an improved tool for imaging acidic tumors by reporting the insertion of a transmembrane helix: the pHLIP-Fluorescence Insertion REporter (pHLIP-FIRE). In acidic tissues, such as tumors, peptides in the pHLIP family insert as α-helices across cell membranes. The cell-inserting end of the pHLIP-FIRE peptide has a fluorophore-fluorophore or fluorophore-quencher pair. A pair member is released by disulfide cleavage after insertion into the reducing environment inside a cell, resulting in dequenching of the probe. Thus, the fluorescence of the pHLIP-FIRE probe is enhanced upon cell-insertion in the targeted tissues but is suppressed elsewhere due to quenching. Targeting studies in mice bearing breast tumors show strong signaling by pHLIP-FIRE, with a contrast index of ∼17, demonstrating (i) direct imaging of pHLIP insertion and (ii) cargo translocation in vivo. Imaging and targeted cargo delivery should each have clinical applications.
We have developed an improved tool for imaging acidic tumors by reporting the insertion of a transmembrane helix: the pHLIP-Fluorescence Insertion REporter (pHLIP-FIRE). In acidic tissues, such as tumors, peptides in the pHLIP family insert as α-helices across cell membranes. The cell-inserting end of the pHLIP-FIRE peptide has a fluorophore-fluorophore or fluorophore-quencher pair. A pair member is released by disulfide cleavage after insertion into the reducing environment inside a cell, resulting in dequenching of the probe. Thus, the fluorescence of the pHLIP-FIRE probe is enhanced upon cell-insertion in the targeted tissues but is suppressed elsewhere due to quenching. Targeting studies in mice bearing breast tumors show strong signaling by pHLIP-FIRE, with a contrast index of ∼17, demonstrating (i) direct imaging of pHLIP insertion and (ii) cargo translocation in vivo. Imaging and targeted cargo delivery should each have clinical applications.
Imaging technologies are an
important focus for improving the diagnosis of cancer and for guiding
surgical and radiation therapies. Among the new tools, perhaps the
greatest recent growth has come in the field of fluorescence imaging,
with numerous new technologies now being adapted for clinical use.[1,2] One promising approach is the targeting of tumor biomarkers with
fluorescent agents, allowing surgeons to visualize tumors in real-time
during an operation. This advance has the potential to improve the
success of surgical interventions by giving an active real-time marker
of tumor borders, which are often hard to distinguish from the surrounding
healthy tissue.[3] The primary goal in imaging-agent
design is a high target-to-background ratio: agents should contribute
minimal background but have high local concentrations at intended
target sites. The “self” nature of targeted markers
often leads to background signals too high for effective discrimination
of tumors. A further complication lies in the diverse nature of humancancers. Since heterogeneous marker expression is often found within
regions of a tumor, and further since no two cancers are identical,
it is unlikely that a single marker can be relied upon.[4]As an alternative to biomarker targeting,
we have suggested that
the acidic environment within solid tumors may be exploited for targeting
by the pH (Low) Insertion Peptide (pHLIP) family.[5] Malignant tumors exhibit elevated uptake and consumption
of glucose, as well as metabolite buildup and hypoxia due to inadequate
blood supply, leading to tumor acidosis from the Pasteur and Warburg
effects.[6−8] As a result, the extracellular environment in virtually
all solid tumors is acidic (pH ∼ 6.0–6.5),[9,10] and more aggressive tumors are more acidic.[11] Extracellular acidity may therefore be a general biomarker for targeting
malignant tumors.The original pHLIP is a 36-amino-acid peptide,
and a number of
versions with different properties have now been found that constitute
the family of pHLIPs.[5] A pHLIP exists as
a soluble, unstructured monomer with an affinity for cell membranes
at physiological pH. The adsorption to a model POPC membrane at high
pH is accompanied by the release of about 5–7 kcal mol–1 of energy.[5,12] At low pH (pH ≤
∼6), pHLIP folds to form a transmembrane α-helix, inserting
its C-terminus across the cell membrane. The transition proceeds with
an additional release of 1.5–2 kcal mol–1 of energy. This pH-dependent insertion is triggered by protonation
of carboxyl groups on residues in the peptide transmembrane region
and peptide inserting end. The protonation effectively increases the
overall hydrophobicity of pHLIP, permitting the insertion.[13] Serendipitously, the extracellular pH at which
pHLIP undergoes its insertion transition corresponds closely to the
extracellular pH produced in acidic solid tumors. Using peptides covalently
modified with fluorescent dyes at the noninserting N-terminus, pHLIP
has been shown to target both spontaneous and implanted tumors in
small animal models, although slow background clearance has limited
the contrast ratios that can be attained.[14−18] The insertion energy can be used to deliver cargo
molecules into cells, by biasing the equilibrium between surface and
inserted forms in favor of the transport of cell-impermeable polar
molecules attached to the C-terminus.[19−21] While such delivery
has been explored in cells, the step of demonstrating cytoplasmic
delivery in tumors in an animal had not been taken before the work
we report here.To improve contrast and to document transmembrane
insertion delivery in vivo, we have developed the
pHLIP Fluorescence Insertion REporter system (pHLIP-FIRE), with
the main goal as enhancing fluorescent
signal upon insertion into cells in diseased tissue. pHLIP-FIRE peptides
possess neighboring lysine and cysteine residues in the cell-inserting,
C-terminal end. The lysine side-chain is irreversibly covalently linked
to a fluorophore via an amide bond. The neighboring cysteine side-chain
is covalently linked by a disulfide bond to a fluorescence quencher
or another fluorophore (for self-quenching). When these moieties are
both present on the peptide, the fluorescence is quenched, but upon
insertion of the C-terminus into the reducing environment of a living
cell, the quenching moiety is released by disulfide reduction, leading
to the dequenching of the fluorophore emission (Figure 1). The pHLIP-FIRE strategy aims to increase the contrast of
fluorescence imaging in vivo by quenching background
signals. We report tumor imaging with improved sensitivity, as well
as demonstrating for the first time pHLIP insertion and cargo delivery in vivo.
Figure 1
Activation of pHLIP-FIRE. State I: the peptide is soluble
and unstructured
in aqueous solution at physiological pH. State II: The peptide binds
to the surface of a cell membrane in an unstructured form at physiological
pH. State III: At acidic pH, the peptide forms an α-helix and
inserts across the membrane, placing the self-quencing dye construct
in the reducing environment of the cytoplasm. The fluorescence of
the dye is activated by disulfide cleavage that disrupts the fluorophore/fluorophore
or fluorophore/quencher pair, dequenching the construct and producing
strong fluorescence.
Activation of pHLIP-FIRE. State I: the peptide is soluble
and unstructured
in aqueous solution at physiological pH. State II: The peptide binds
to the surface of a cell membrane in an unstructured form at physiological
pH. State III: At acidic pH, the peptide forms an α-helix and
inserts across the membrane, placing the self-quencing dye construct
in the reducing environment of the cytoplasm. The fluorescence of
the dye is activated by disulfide cleavage that disrupts the fluorophore/fluorophore
or fluorophore/quencher pair, dequenching the construct and producing
strong fluorescence.
Results and Discussion
Our strategy of pHLIP-FIRE is based
on fluorescence quenching,
which occurs upon close proximity of either two fluorophores (homoquenching
and H-dimer formation) or a fluorophore-quencher pair (heteroquenching).
When one of the members of a pair is released, in our case by disulfide
cleavage in the cytoplasm, the result is greatly enhanced observable
fluorescence. Accordingly, we designed and synthesized two pHLIP-FIRE
constructs. The first construct, pHLIP-T-T, carries two TAMRA fluorophores
that are self-quenched by forming an H-dimer, with one attached to
pHLIP via a disulfide bond. The second construct, pHLIP-T-Q, has a
TAMRA-QSY9 pair, where the quencher (QSY9) is attached to pHLIP via
a disulfide bond. To control for quenching activity, a pHLIP with
a single, unquenched TAMRA dye covalently linked to a C-terminal cysteine
via a thioether bond was also synthesized and tested. The constructs
used in this study are as follows:pHLIP-T-T: AAEQNPIYWARYADWLFTTPLLLLDLALLVDADEGTK(TAMRA)C(TAMRA)GpHLIP-T-Q: AAEQNPIYWARYADWLFTTPLLLLDLALLVDADEGTK(TAMRA)C(QSY9)GpHLIP-T: AAEQNPIYWARYADWLFTTPLLLLDLALLVDADEGTC(TAMRA)
Chemical Fluorescence Dequenching
The spectral properties
of each pHLIP-FIRE construct were investigated in solution in the
absence and presence of a reducing agent. Glutathione (GSH) is the
primary reducing agent in living cells, with an intracellular concentration
of up to 10 mM, depending upon the intracellular compartment and the
cell cycle.[22] We used 1, 3, or 10 mM concentrations
of glutathione to simulate reductive and physiologically reasonable
intracellular conditions. pHLIP-FIRE dequenching was observed by absorbance
and fluorescence spectroscopy. The absorbance peak of the TAMRA–TAMRA
H-type dimer (in pHLIP-T-T) is blue-shifted to 524 nm from the usual
monomer TAMRA absorbance maximum at 555 nm.[23] The blue-shifted TAMRA–TAMRA dimer absorbance peak was replaced
by an augmented 555 nm TAMRA peak following disulfide reduction in
the pHLIP-T-T peptide with 10 mM glutathione. As expected, in contrast
to pHLIP-T-T, the shape of the absorbance spectrum of pHLIP-T-Q does
not change significantly after the cleavage of the S–S bond
and resulting quencher separation (Figure 2a). The activation of the pHLIP-T-Q and pHLIP-T-T probes were each
monitored by changes in the TAMRA fluorescence signal. After incubation
with 10 mM glutathione, the pHLIP-T-Q or pHLIP-T-T fluorescence was
excited at 555 nm, and emission was followed at its 580 nm maximum
(Figure 2b). An increase in emission intensity
was observed over time following the addition of glutathione (1, 3,
or 10 mM). Fluorescence intensity was plotted as a function of time
and fit using a single exponential function (Figure 2d). The fluorescence of each pHLIP-FIRE construct was significantly
quenched when compared to the emission of pHLIP-T (Figure 2c). The addition of glutathione did not alter the
fluorescence intensity of pHLIP-T, whereas a 7 to 18-fold increase
in fluorescence intensity was observed for the pHLIP-FIRE constructs
after 3 h. Our data show the expected higher dequenching signal for
pHLIP-T-T compared to pHLIP-T-Q, since two moles of TAMRA are dequenced
in the T-T case. The kinetics of activation depend on the glutathione
concentration: At 10 mM GSH, the rates are k = 4.7
h–1 and 3.4 h–1 for pHLIP-T-T
and pHLIP-T-Q respectively, whereas at 1 mM GSH, the rates are k = 1.1 h–1 and 0.4 h–1 (Supporting Information Table 1).
Figure 2
Chemical dequenching
of pHLIP-FIRE constructs. (a) Absorbance spectra
of 1 μM pHLIP-T, pHLIP-T-Q, and pHLIP-T-T before (solid line)
and after (dashed line) treatment with 10 mM of glutathione. The red-shifted
peak (dashed line) of the reduced pHLIP-T-T construct results from
the conversion of H-dimer to monomeric TAMRA. (b) Fluorescence spectra
of 1 μM pHLIP-T, pHLIP-T-Q, and pHLIP-T-T before (solid line)
and after (dashed line) treatment with 10 mM of glutathione. (c) TAMRA
fluorescence level and dequenching capacity of quenched pHLIP-T-Q
and pHLIP-T-T constructs (1 μM) and the nonquenched control
pHLIP-T (1 μM) before (gray bars) and after (red bars) the addition
of 10 mM glutathione. (d) Time-course of dequenching of pHLIP-T-Q
or pHLIP-T-T (1 μM) after the addition of 1, 3, or 10 mM of
glutathione. The dequenching rates are presented in Supporting Information Table 1. Error bars, standard deviation
(SD) (n = 3 experiments).
Chemical dequenching
of pHLIP-FIRE constructs. (a) Absorbance spectra
of 1 μM pHLIP-T, pHLIP-T-Q, and pHLIP-T-T before (solid line)
and after (dashed line) treatment with 10 mM of glutathione. The red-shifted
peak (dashed line) of the reduced pHLIP-T-T construct results from
the conversion of H-dimer to monomeric TAMRA. (b) Fluorescence spectra
of 1 μM pHLIP-T, pHLIP-T-Q, and pHLIP-T-T before (solid line)
and after (dashed line) treatment with 10 mM of glutathione. (c) TAMRA
fluorescence level and dequenching capacity of quenched pHLIP-T-Q
and pHLIP-T-T constructs (1 μM) and the nonquenched control
pHLIP-T (1 μM) before (gray bars) and after (red bars) the addition
of 10 mM glutathione. (d) Time-course of dequenching of pHLIP-T-Q
or pHLIP-T-T (1 μM) after the addition of 1, 3, or 10 mM of
glutathione. The dequenching rates are presented in Supporting Information Table 1. Error bars, standard deviation
(SD) (n = 3 experiments).The pH-dependent interactions of pHLIP-FIRE peptides with
artificial
membranes were followed by circular dichroism (CD). Peptides were
incubated with 100 nm POPC liposomes overnight in pH 8 phosphate buffer
and the pH was dropped rapidly to pH 4 by the addition of concentrated
HCl. When measured alone in solution or in the presence of liposomes
at pH 8, pHLIP-FIRE exhibited CD spectra characteristic of an unstructured
peptide, with a negative ellipticity peak around 200 nm. When the
pH was dropped to 4, a characteristic CD α-helical signal was
observed, with two negative ellipticity peaks at 208 and 222 nm and
a positive peak at 195 nm. The CD data show that the pHLIP-FIRE constructs
exhibit the three states of pH-dependent membrane insertion characteristic
of pHLIP peptides (Figure 3).
Figure 3
Peptide conformations
in the three states of the pHLIP-FIRE constructs.
The pHLIP-T-Q and pHLIP-T-T CD spectra. The pHLIP-FIRE peptides were
studied for the presence of the three basic states of pHLIP: state
I is the peptide in solution at pH 8 (black line), state II is the
peptide in the presence of POPC liposomes at pH 8 (blue line), and
state III is the folding and insertion of the peptide with POPC when
the pH is dropped from pH 8 to pH 3.7 by the addition of an aliquot
of HCl (red line). The inserted state is monitored by changes of the
CD spectral signal. The concentrations of pHLIP constructs and POPC
were 4 μM and 0.8 mM, respectively.
Peptide conformations
in the three states of the pHLIP-FIRE constructs.
The pHLIP-T-Q and pHLIP-T-T CD spectra. The pHLIP-FIRE peptides were
studied for the presence of the three basic states of pHLIP: state
I is the peptide in solution at pH 8 (black line), state II is the
peptide in the presence of POPC liposomes at pH 8 (blue line), and
state III is the folding and insertion of the peptide with POPC when
the pH is dropped from pH 8 to pH 3.7 by the addition of an aliquot
of HCl (red line). The inserted state is monitored by changes of the
CD spectral signal. The concentrations of pHLIP constructs and POPC
were 4 μM and 0.8 mM, respectively.
pHLIP-FIRE Activation in Cultured Cells
pH-triggered
activation of each pHLIP-FIRE probe was tested in cultured cells grown
at normal pH medium (HeLa and COS-7) or adapted for low pH growth
(A549). HeLa and COS-7 cells were incubated with pHLIP-FIRE peptides
(1 μM) for 20 min at room temperature (RT) (∼22 °C)
either at pH 7.4 or at pH 6.1 DPBS buffer in 96-well plates. Cells
were then washed three times with DPBS buffer (pH 7.4 or pH 6.1) and
DMEM (pH 7.4 or pH 6.1) was added before measurements were performed
at each experimental pH. TAMRA fluorescence was measured immediately
after washing (time zero used for normalization), then at multiple
time points for up to 2 days following the incubation and wash steps.
TAMRA fluorescence intensity steadily increased over 2 days following
incubation at low pH conditions to a maximum intensity of 16-fold
over the zero time point. Higher TAMRA fluorescence signals (8–16
fold increase) were observed in cells (HeLa and COS-7) incubated with
pHLIP-FIRE peptides at pH 6.1 as compared to the fluorescence increase
following incubation and washing at pH 7.4 (2–4 fold increase)
(Figure 4). Activation of the pHLIP-FIRE at
neutral pH might occur due to (i) membrane insertion of some amount
of the construct at pH 7.2–7.4, since there is an equilibrium
between inserted and surface locations of the peptide, or (ii) endocytotic
uptake of the peptide adsorbed at the membrane surface, especially
since the time course of the experiment is several days, or both.
The fluorescence data were fitted with a single exponential nonlinear
regression. For constructs at low pH the rate constants were found
to be ∼0.8–1.38 h–1 with a positive
linear slope of 0.08–0.23 (Figure 5),
similar to rates observed in the chemical dequenching experiments
with glutathione concentrations from 1–3 mM (Supporting Information Table 1). The linear component of the
fitting signal may arise from a second population of pHLIP-FIRE, in
which some other mechanism is involved, such as nonspecific endocytotic
uptake of the constructs, producing slow kinetics. Interestingly,
the linear component of nonspecific uptake is higher for HeLa cells
than COS-7 cells, possibly indicating that different cell types internalize
the peptide via different pathways and at different rates.
Figure 4
Changes of
fluorescence intensity of TAMRA upon insertion. Insertion
of pHLIP-T-Q (a) and pHLIP-T-T (b) into HeLa and COS-7 cells at pH
6.1 (red bars) and pH 7.4 (gray bars) at different time points are
shown. Dequenching of the fluorophore is facilitated by the highly
reducing environment inside the cells. All signals are normalized
to the intensity at time zero. Error bars, SD (n =
6 experiments).
Figure 5
Kinetics of dequenching
of pHLIP-FIRE fluorescence resulting from
cell insertion. All data points were fitted using a single exponential
function with a sloped asymptotic line y = A·exp(−kt) + bx + y0 Error bars, SD (n = 6 experiments).
Changes of
fluorescence intensity of TAMRA upon insertion. Insertion
of pHLIP-T-Q (a) and pHLIP-T-T (b) into HeLa and COS-7 cells at pH
6.1 (red bars) and pH 7.4 (gray bars) at different time points are
shown. Dequenching of the fluorophore is facilitated by the highly
reducing environment inside the cells. All signals are normalized
to the intensity at time zero. Error bars, SD (n =
6 experiments).Kinetics of dequenching
of pHLIP-FIRE fluorescence resulting from
cell insertion. All data points were fitted using a single exponential
function with a sloped asymptotic line y = A·exp(−kt) + bx + y0 Error bars, SD (n = 6 experiments).The A549 cells adapted
to low pH growth were incubated with pHLIP-FIRE
peptides (1 μM) or the unquenched control peptide, pHLIP-T (1
μM), for 20 min as described above, then washed cells were kept
in culture at pH 6.1. Fluorescence was measured at intervals for 4
days after treatment. pHLIP-T showed no significant change in fluorescence
(2-fold background increase) over the course of these measurements,
whereas both pHLIP-T-T and pHLIP-T-Q showed an 8- to 10-fold increase
in fluorescence at 74 h after incubation (Figure 6). By itself, pHLIP shows no signs of toxicity in cells or
animals.[5,21]
Figure 6
Incubation of pHLIP-FIRE with A549 cells at
pH 6.1. Normalized
TAMRA fluorescence intensities of pHLIP-T (black triangle), pHLIP-T-Q
(red circle), and pHLIP-T-T (blue square). The pHLIP-T control (not
quenched) showed a 2-fold increase in fluorescence. This 2-fold background
increase may be due to the partial shielding effect of insertion into
the cell or due to the different environmental conditions inside vs
outside of the cells. Error bars, SD (n = 5 experiments).
Incubation of pHLIP-FIRE with A549 cells at
pH 6.1. Normalized
TAMRA fluorescence intensities of pHLIP-T (black triangle), pHLIP-T-Q
(red circle), and pHLIP-T-T (blue square). The pHLIP-T control (not
quenched) showed a 2-fold increase in fluorescence. This 2-fold background
increase may be due to the partial shielding effect of insertion into
the cell or due to the different environmental conditions inside vs
outside of the cells. Error bars, SD (n = 5 experiments).
Confocal Microscopy of
pHLIP-T-T Activation in Cells
We used confocal microscopy
to visualize pH-dependent TAMRA release
and distribution inside cultured cells. The cells were treated with
1 μM of pHLIP-T-T as described above. Thirty minutes before
imaging, the cells were treated with Hoechst to stain the nuclei.
When C-terminuis of the construct is inside the cytoplasm we expect
to see TAMRA fluorescence signal throughout the cytoplasm due to release
of the disulfide linked TAMRA. Confocal microscopy shows that this
is the case at pH 6.1 but not at pH 7.4. Interestedly, we observed
some “punctate” fluorescence at pH 7.4, which might
be attributed to endocytic uptake of the construct by HeLa (Figure 7).
Figure 7
HeLa cells were treated with 1 μM pHLIP-T-T construct
for
20 min followed by 3× DPBS washing at pH 7.4 or 6.1. TAMRA fluorescence
is in red, Hoechst fluorescence is in blue. The microscope image is
taken at 24 h. after the incubation. Rhodamine excitation is at 561
nm.
HeLa cells were treated with 1 μM pHLIP-T-T construct
for
20 min followed by 3× DPBS washing at pH 7.4 or 6.1. TAMRA fluorescence
is in red, Hoechst fluorescence is in blue. The microscope image is
taken at 24 h. after the incubation. Rhodamine excitation is at 561
nm.
Imaging In Vivo
Because of their pH-dependent
interaction with membranes, pHLIP peptides have been shown to target
and persistently label cells in acidic tissues, such as cancerous
tumors, in vivo.[24,25] pHLIP peptides
have also been successfully used to translocate cell-impermeable molecules
across the membranes of cultured cells in a pH-dependent manner.[19,20] Here, we take the next step: demonstrating targeted delivery into
tumor cells in vivo.Balb/c mice bearing implanted
4T1murinebreast tumors were used to assess the tumor targeting and
biodistribution properties of pHLIP-FIRE in comparison with pHLIP-T.
Mousetumors were established by subcutaneous injection of 4T1 cells
(8 × 105 cells) in the right flank of each mouse.
When tumors reached 5 to 6 mm in diameter, each of the pHLIP-FIRE
peptides and the unquenched control pHLIP-T were given as single injections
into the tail veins of groups of mice. Peptides were injected at ∼1
mg/kg, with adjustments made to deliver equimolar dosages of the varied
peptide constructs. Animals were euthanized at 24 or 48 h following
injection, and necropsy was performed immediately thereafter. Tumors
and major organs were excised and imaged on an FX Kodak in
vivo image station. Imaging was performed for each animal
using a uniform set of illumination and exposure parameters in order
to allow accurate comparison of the resulting intensities (Figure 8a, b). The mean TAMRA-fluorescence intensities for
pHLIP-FIRE constructs and for pHLIP-T are shown (Figure 8c), and their numeric values are given in Supporting Information Table 2. Strong tumor targeting was
observed in each case, with very little off-target labeling detected
in muscle, heart, spleen, and lungs. The fluorescence intensity was
the highest in tumors labeled with pHLIP-T-Q and was the lowest in
muscle for the pHLIP-T-T construct. Also, we observed an elevated
uptake of the pHLIP-FIRE constructs in liver and kidneys compared
to pHLIP-T.
Figure 8
Biodistribution and contrast index of pHLIP-T-T, pHLIP-T-Q, and
pHLIP-T. Fluorescent image of organs collected at 24 h (a) and 48
h (b) time after intravenous (IV) injection of constructs. (c) Mean fluorescence values of tumor and organs are shown
for pHLIP-T (gray bars), pHLIP-T-Q (red bars), and pHLIP-T-T (blue
bars) at 24 and 48 h after injection. The horizontal black line on
the distribution panels indicates the level of instrument background
fluorescence. The numeric values are presented in Supporting Information Table 2. (d) Contrast indices for all
constructs at 24 h time intervals: pHLIP-T (gray bar), pHLIP-T-Q (red
bar), pHLIP-T-T (blue bar). Error bars, standard error (SE) (n = 5 mice). p-values for pHLIP-T-Q and
pHLIP-T-T are shown on the graph.
Biodistribution and contrast index of pHLIP-T-T, pHLIP-T-Q, and
pHLIP-T. Fluorescent image of organs collected at 24 h (a) and 48
h (b) time after intravenous (IV) injection of constructs. (c) Mean fluorescence values of tumor and organs are shown
for pHLIP-T (gray bars), pHLIP-T-Q (red bars), and pHLIP-T-T (blue
bars) at 24 and 48 h after injection. The horizontal black line on
the distribution panels indicates the level of instrument background
fluorescence. The numeric values are presented in Supporting Information Table 2. (d) Contrast indices for all
constructs at 24 h time intervals: pHLIP-T (gray bar), pHLIP-T-Q (red
bar), pHLIP-T-T (blue bar). Error bars, standard error (SE) (n = 5 mice). p-values for pHLIP-T-Q and
pHLIP-T-T are shown on the graph.To quantify improvement in tumor discrimination using the
pHLIP-FIRE
constructs as a result of the lower background, we compared the fluorescence
intensities of tumors and nontargeted muscle tissues and calculated
contrast index (CI), defined as the corrected tumor to background
ratio:where Fltumor, Flnorm, and Flauto are the mean fluorescence intensities of
tumors, skeletal muscle, and the autofluorescence background signal
from corresponding tissues in an untreated mouse, respectively.The contrast index was substantially greater for the pHLIP-FIRE
constructs than the unquenched pHLIP-T. After 24 h, the mean contrast
indices were 11.7, 16.6, and 7.3 for pHLIP-T-T, pHLIP-T-Q, and pHLIP-T,
respectively (Figure 8d). Thus, we achieved
over 2-fold improvement in contrast using pHLIP-T-Q compared with
the unquenched fluorescent probe, pHLIP-T. Because the pHLIP-FIRE
signal in the muscle is close to zero after 48 h, we could not use
CI as a parameter for quantitative measurement of the contrast. Division
by a close-to-zero value results in high deviation in the mean value,
which leads to statistically weak representation. However, we can
calculate the ratio of average signals in tumor and muscle. These
parameters show similar values at both 48 and 24 h time points. From
this we conclude at least the same contrast at 48 h as at 24 h.Here, we report a new tool, pHLIP-FIRE, for improved tumor to muscle
contrast, and use it to demonstrate pHLIP delivery into tumor cells
using systemic administration in vivo. Our strategy
is similar to the “molecular beacon”, where a fluorophore-quencher
pair is used to detect nucleic acid hybridization.[26,27] In each system, fluorescence quenching can be achieved by the close
proximity of either two fluorophores (homo-quenching and H-dimer formation
as in the case of pHLIP-T-T) or of a fluorophore–quencher pair
(hetero-quenching as in the case of pHLIP-T-Q). Our approach is based
on targeting of a quenched fluorescent pHLIP-FIRE construct to acidic
tumors and activation of the fluorescence by translocating the cargo
dye into cells, where the reducing power of the cytosol triggers the
enhanced fluorescence. Testing the pH dependent interaction of pHLIP-FIRE
with POPC membranes and with cultured cells demonstrated pHLIP-like
pH dependent properties and fluorescence dequenching. When incubated
with cells, the constructs showed 8- to 16-fold increase in fluorescence
with a time course of dequenching on the order of 1–2 days.
These background experiments set the stage for use in vivo.Experiments using IV administration in mice resulted in the
selective
delivery and activation of the pHLIP-FIREs in tumors. Biodistribution
studies of pHLIP-FIREs showed the highest accumulation in tumor sites.
Slightly elevated levels of pHLIP-FIRE constructs were seen in liver
and kidneys compared with the control fluorescent pHLIP construct
with a single TAMRA. The activation of pHLIP-FIRE in kidneys was expected,
since the kidney is acidic, and labeling of kidneys by pHLIP has often
been seen. The increase of fluorescence in liver most probably indicates
a difference in the biodistribution of pHLIP-FIREs compared to pHLIP-T.
Because pHLIP-FIRE constructs contain two nonpolar molecules (2 TAMRA
or TAMRA plus QSY9), the increased overall hydrophobicity may facilitate
liver uptake. Also, liver has the highest concentration of glutathione
in the body, which may lead to a higher rate of dequenching.[22] In contrast with the cell-free and cellular
dequenching results, pHLIP-T-T showed lower signal intensity compared
to pHLIP-T-Q and pHLIP-T in vivo, which we think
is most probably related to the difference in pharmacokinetics of
the construct and the clearance time. Future designs may explore ways
to reduce or avoid these problems by enhancing the polarity of pHLIP-FIRE,
for example by adding polar groups to the pHLIP moiety or choosing
more polar fluorophores/quenchers. Also, use of fluorescent dyes absorbing
and emitting light at longer wavelengths than TAMRA will ensure better
tissue penetration of light. However, we are mostly concerned with
proof of principle in the present study, and the most important point
is that a significant improvement in tumor-to-background ratio was
achieved. A doubling of the contrast index for pHLIP-FIREs over nonquenched
pHLIP-targeted imaging probes was observed, which allows better discrimination
between healthy tissues and tumors, and points the way for further
improvements.The pHLIP-FIRE system has potential applications
in fluorescence-guided
surgery and may also have promise as a tool in cancer diagnosis. Not
only have we improved the labeling contrast, but we have also shown
targeted delivery of a model cargo (TAMRA or QSY9) into tumor cells in vivo, encouraging the further development of pHLIP for
therapeutic applications in drug delivery.
Methods
Chemical
Syntheses of pHLIP-Constructs
Detailed accounts
of the chemical syntheses and characterizations of pHLIP-T, pHLIP-T-T,
and pHLIP-T-Q constructs are provided in the Supporting
Information. The control pHLIP-T construct was synthesized
by reacting the pHLIP-Cys peptide (AAEQNPIYWA–RYADWLFTTPLLLLDLALLVDADEGTC)
with tetramethyl-rhodamine, 6-maleimide. The pHLIP-FIRE constructs,
pHLIP-T-T and pHLIP-T-Q, were synthesized from the pHLIP-KC peptide
(AAEQNPIYWA–RYADWLFTTP–LLLLDLALLV–DADEGTKCG). To produce pHLIP-T-T, first the C-terminal Cys side
chain of pHLIP-KC is derivatized as an aminoethyl disulfide. Subsequent
treatment with 5-TAMRA SE conjugates TAMRA to the primary amines of
both the Lys side chain and the modified Cys sidechian. Synthesis
of pHLIP-T-Q requires three steps: Reaction between QSY9 succinimidyl
ester and S-(2-pyridylthio)cysteamine (step 1) provides
a QSY9 derivative that is preactivated toward disulfide exchange with
pHLIP-KC (step 2), which furnishes the C-terminal Cys side chain with
the quencher QSY9 via a disulfide bond. Subsequent treatment of the
intermediate with 5-TAMRA SE (step 3) conjugates TAMRA to the neighboring
Lys sidechian via an amide bond. All intermediates and products were
purified to greater than 90% purity using HPLC and their identities
confirmed by molecular mass (via MALDI-TOF mass spectrometry to ±2
Da of expected mass).
Vesicle Preparation
Large Unilammelar
Vesicles (LUV)
were prepared by extrusion. A required stock solution of POPC (1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine, Avanti Polar Lipids, Inc.)
in chloroform was concentrated under reduced pressure on a rotary
evaporator and dried under vacuum overnight. The dried lipid film
was rehydrated in 10 mM phosphate buffer at pH 8.0, vortexed, and
repeatedly extruded (25 times) through a membrane with a pore size
of 100 nm (Avanti Mini-Extruder).
Chemical Dequenching and
Circular Dichroism Measurements
Fluorescence measurements
were performed on an ISS Spectrofluorimeter.
TAMRA was excited at 560 nm and fluorescence was recorded from 565
to 615 nm with the spectral widths of the excitation and the emission
slits at 4 and 8 nm, respectively. Absorbance spectra were measured
on Cary 100-Bio UV–visible spectrophotometer. The pHLIP-FIRE
constructs were dissolved in 10 mM phosphate buffer (pH 8) at 1 μM
concentration. To confirm the quenching mechanism, l-glutathione
(reduced form, Cayman Chemical Company) was added to the construct
solution to achieve the desired final concentrations of the reducing
agent (1, 3, or 10 mM). Before each experiment glutathione powder
was flushed with nitrogen and then dissolved in pH 8.0 phosphate buffer.
Circular dichroism (CD) was performed on JASCO J-810 spectropolarimeter.
Spectra were recorded at 25 °C using a 2 mm cuvette. The solution
of 2 μM of pHLIP-FIRE in phosphate buffer (pH 8) was incubated
with POPC vesicles at the molar lipid/peptide ratio of 200:1 and kept
overnight. The pH of the samples was changed with small amounts of
concentrated HCl acid.
Cell Culture
Humancervix adenocarcinoma
(HeLa) and
humanlung carcinoma (A549) cells were obtained from the American
Type Culture Collection (ATCC). An African green monkey fibroblast-like
cells, COS-7, were a kind gift from Maureen Gilmore-Hebert and David
F. Stern (Yale). The HeLa and COS-7 cells were cultured in DMEM supplemented
with 4.5 g/L d-glucose, 10% FBS (Fetal Bovin Serum) (Gibco),
and 1% penicillin. A549 cells were cultured in DMEM at pH 6.2 for
several weeks to adjust the cells to a low pH environment. All the
cells were grown in an incubator (Revco Elite II, Thermo Fisher Scientific)
under humidified atmosphere of air and 5% CO2 at 37 °C.
Fluorescence Dequenching Experiments with Cells
Cells
were seeded in a UV sterilized 96-well collagen coated plate (Thermo
Scientific) at a density of 5000 cells per well, and then grown close
to 100% confluency level. Then, the cells were treated with 100 μL
of 1 μM of a pHLIP fluorescent construct in Dulbecco’s
Phosphate Buffer Saline (DPBS, supplied with Ca2+ and Mg2+) at pH 7.2 or pH 6.1. Incubation was done at RT (22–25
°C) under normal atmosphere in the biosafety cabinet. After 20
min the solution was removed and the cells were washed 3 times with
pH 7.2 or 6.1 DPBS, and finally pH 7.2 or 6.1 DMEM was added to the
cells. The pH 7.4 DMEM (no phenol red) is supplemented with 20 mM
HEPES, whereas the pH 6.1 DMEM (no phenol red) is supplemented with
20 mM HEPES and 20 mM MES. Fluorescence was measured in a Berthold
Tristar LB 941 plate reader with 535 nm excitation and 590 nm emission
filters, respectively. Results obtained from five wells were averaged
for each condition. The data points were fitted using a single exponential
function with a sloped asymptotic line y = A × exp(−kt) + bx + y0, where k is the
rate constant, y is the normalized fluorescence intensity,
and b is the linear component of the fluorescence
signal. Cell viability was determined by adding a small aliquot of
cell titer 96 Aqueous One solution cell proliferation MTS assay (Promega),
with absorbance measured using a 490 nm filter over time. After the
experiment, the pH of the DMEM was checked and it was found to increase
no more than 0.3 pH unit (most likely due to the bicarbonate content
in the DMEM buffer reacting with MES and/or HEPES acid).
Confocal Microscopy
HeLa cells were grown in glass
bottom dishes (Electron Microscopy Science), and live cell confocal
microscopy was performed on Zeiss LSM 510 NLO META using a 20×
objective. Incubation times and construct concentrations are the same
as described for plate reader assays. The images were taken after
24 h of incubation with the construct. The cells were incubated with
4 μg/mL Hoechst (Life Technologies) 30 min before imaging.
Mouse Experiments
BALB/c female mice ranging in age
from 5 to 6 weeks were obtained from Harlan Laboratories (Indianapolis,
IN). Mousetumors were established by subcutaneous injection of 4T1
cells (8 × 105 cells/0.1 mL/flank) in the right flank
of each mouse. When tumors reached 5–6 mm in diameter, tail
vein injections of 150 μL of 25 μM of pHLIP-T-Q (5 mice),
pHLIP-T-T (5 mice), or pHLIP-T (4 mice) were performed. Animals were
euthanized at 24 or 48 h postinjections, and necropsy was performed
immediately after euthanization. Tumors and major organs were collected
for imaging on a FX Kodak in vivo image station.
Fluorescence intensity was obtained via analysis of images by using
Kodak software. The tumor/background ratio was calculated according
to the equation:where Fltumor, Flnorm, and Flauto are the mean fluorescence intensities of
tumor, muscle, and autofluorescence signal of the same organ from
untreated mice, respectively.
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