Quantitative information about the levels and dynamics of post-translational modifications (PTMs) is critical for an understanding of cellular functions. Protein arginine methylation (ArgMet) is an important subclass of PTMs and is involved in a plethora of (patho)physiological processes. However, because of the lack of methods for global analysis of ArgMet, the link between ArgMet levels, dynamics, and (patho)physiology remains largely unknown. We utilized the high sensitivity and robustness of nuclear magnetic resonance (NMR) spectroscopy to develop a general method for the quantification of global protein ArgMet. Our NMR-based approach enables the detection of protein ArgMet in purified proteins, cells, organoids, and mouse tissues. We demonstrate that the process of ArgMet is a highly prevalent PTM and can be modulated by small-molecule inhibitors and metabolites and changes in cancer and during aging. Thus, our approach enables us to address a wide range of biological questions related to ArgMet in health and disease.
Quantitative information about the levels and dynamics of post-translational modifications (PTMs) is critical for an understanding of cellular functions. Protein arginine methylation (ArgMet) is an important subclass of PTMs and is involved in a plethora of (patho)physiological processes. However, because of the lack of methods for global analysis of ArgMet, the link between ArgMet levels, dynamics, and (patho)physiology remains largely unknown. We utilized the high sensitivity and robustness of nuclear magnetic resonance (NMR) spectroscopy to develop a general method for the quantification of global protein ArgMet. Our NMR-based approach enables the detection of protein ArgMet in purified proteins, cells, organoids, and mouse tissues. We demonstrate that the process of ArgMet is a highly prevalent PTM and can be modulated by small-molecule inhibitors and metabolites and changes in cancer and during aging. Thus, our approach enables us to address a wide range of biological questions related to ArgMet in health and disease.
Arginine methylation (ArgMet) is a prevalent post-translational modification (PTM) evolutionarily conserved from unicellular eukaryotes to humans. It regulates a plethora of fundamental biological processes, such as transcription, translation, RNA metabolism, signal transduction, DNA damage response, apoptosis, and liquid-liquid phase separation (LLPS) (Bachand, 2007; Bedford and Clarke, 2009; Bedford and Richard, 2005; Lee et al., 2005; Pahlich et al., 2006).Three main types of methylated arginine residues are present in cells, including ω-NG-monomethylarginine (MMA), ω-NG,NG-asymmetric dimethylarginine (ADMA), and ω-NG,N’G-symmetric dimethylarginine (SDMA). Formation of MMA, SDMA, and ADMA is catalyzed by a broad spectrum of protein arginine methyltransferases (PRMTs). The number of PRMTs varies from unicellular eukaryotes to humans, and yeast has at least one or two main PRMTs (HMT1/RMT1 and HSL7) and a family of nine PRMTs being present in mammals (Bachand, 2007; Bedford and Clarke, 2009). Depending on the type of methylated arginine they produce, PRMTs are categorized into four main classes (Bachand, 2007; Guccione and Richard, 2019). Type I PRMTs, including PRMTs 1, 2, 3, 4 (also called CARM1), 6, and 8, catalyze the formation of MMA/ADMA, whereas type II PRMTs, including PRMTs 5 and 9, catalyze the formation of MMA/SDMA (Figure S1A). Type III PRMTs such as PRMT7 catalyze the formation of MMA. In yeast, only the type IV PRMT RMT2 has so far been reported (Chern et al., 2002) to methylate the delta (δ) nitrogen atom of arginine residues (Niewmierzycka and Clarke, 1999). Additional potential arginine methyltransferases (NDUFAF7 and METTL23) have been identified, but remain to be biochemically validated (Guccione and Richard, 2019).Most PRMTs methylate glycine- and arginine-rich, so-called arginine-glycine-glycine (RG/RGG), protein regions (Feng et al., 2013; Guo et al., 2014; Hamey et al., 2021). More than 1,000 human (in particular RNA-binding) proteins contain RG/RGG regions (Chong et al., 2018; Thandapani et al., 2013). However, adjacent glycine residues are not a prerequisite for the ArgMet as it has been shown that RXG motifs can be methylated by PRMT1, where X is preferably lysine, phenylalanine, threonine, or leucine (Uhlmann et al., 2012; Wooderchak et al., 2008). Moreover, RPAAPR or APR motifs have been identified as sites of ArgMet (Lee and Bedford, 2002). PRMT4/CARM1 has been reported to methylate arginines within proline-, glycine-, and methionine-rich regions (Cheng et al., 2007; Shishkova et al., 2017). A set of PRMT5 targets identified by mass spectrometry revealed the enzyme's preference for methylating arginine located between two neighboring glycines (GRG) (Musiani et al., 2019). PRMT6 prefers arginines in positively charged regions and disfavors acidic residues at essentially any position around the target arginines (Hamey et al., 2021). Within proteins, intrinsically disordered regions regularly display ArgMet but are not exclusive sites (Lorton and Shechter, 2019). On a molecular level, methylation of these regions regulates nucleic acid binding, protein-protein interactions, LLPS, and protein localization (Guccione and Richard, 2019).PRMTs are ubiquitously expressed in human tissues (Scorilas et al., 2000), with the exception of PRMT8, mainly expressed in the brain (Lee et al., 2005), and regulate important cellular processes that affect cell growth, proliferation, and differentiation (Blanc and Richard, 2017). Embryonic loss of most of these PRMTs results in pre- and perinatal lethality in mice (Pawlak et al., 2000; Tee et al., 2010). Dysregulation of PRMTs has been implicated in the pathogenesis of several diseases, including cardiovascular, metabolic, and neurodegenerative diseases, viral infections, and various types of cancer (Blanc and Richard, 2017). Given that PRMTs tend to be upregulated in cancer malignancies (Jarrold and Davies, 2019; Yang and Bedford, 2013), they represent a promising target in cancer therapy and are currently being investigated in several clinical studies with PRMT inhibitors. Moreover, loss of PRMTs has been linked to cellular senescence and aging in mice (Blanc and Richard, 2017).Despite the biological significance of ArgMet, several key questions are still elusive. (1) The global levels of ArgMet are largely unknown. Pioneering studies indicated that ArgMet might be as abundant as phosphorylation, and around 0.5%–2% of arginine residues are methylated in mammalian cells and tissues (Boffa et al., 1977; Esse et al., 2014; Matsuoka, 1972; Paik et al., 2007). Although more than 1,000 ArgMet sites have already been identified by immunoaffinity purification and liquid chromatography coupled with tandem mass spectrometry (Bremang et al., 2013; Guo et al., 2014), specific concentrations of ArgMet in cells and tissues, including the coupling of ArgMet and metabolism, have so far not been comprehensively studied by nuclear magnetic resonance (NMR). The methyl group for protein ArgMet is provided by the universal methyl donor S-adenosyl methionine (SAM), which is synthesized from methionine and ATP by SAM synthase. One-carbon metabolism is required for recycling of the essential amino acid methionine (Locasale, 2013; Yang and Vousden, 2016). How metabolism regulates ArgMet needs to be determined. (2) Dynamics and turnover of ArgMet, including the existence of an efficient arginine demethylase, are controversial and still largely unexplored issues (Guccione and Richard, 2019). (3) Regulators of PRMTs (e.g., BTG1, TIS21/BTG2, and NR4A1) were proposed in the last years, but their impact on PRMT activity and, in turn, their contribution to global ArgMet concentrations remains enigmatic (Bedford and Richard, 2005; Yang and Bedford, 2013). (4) Small-molecule inhibitors of PRMTs have been discovered, yet their influence on the extent of ArgMet and how ArgMet levels are affected in vivo is currently unknown.Addressing these questions is challenging, in part due to the lack of robust methods for (absolute) quantification of global ArgMet values and dynamics in cells and tissues. Most of the current approaches use antibodies to detect and distinguish differentially methylated arginines. These methods successfully track and annotate these PTMs (Larsen et al., 2016). However, these antibodies are still only raised against specific, short target sequences (e.g., RGG) and mixtures of selected motifs, but fail to recognize or enrich the entire pool of arginine methylated proteins. This limits their use in quantifying of global ArgMet levels because of the large sequence diversities found around these sites (Bhatter et al., 2019; Lee and Stallcup, 2009).We therefore developed a general method for absolute, label-free quantification of (methylated) arginines in cells, organoids, and tissues by using the high sensitivity and robustness of NMR spectroscopy. We demonstrate that ArgMet is a highly abundant PTM, whereas cellular dynamic changes of protein ArgMet occur at a slow rate. Our study provides a strong methodological development for the quantification of ArgMet levels and their dynamic changes that also conceptually advances our understanding of the importance of ArgMet in biology and medicine. Moreover, we offer ways to study the modulation of protein ArgMet by inhibitors, metabolites, and biological processes such as differentiation and aging, enabling future studies from basic to translational research and drug discovery/development far beyond the current state of the art.
Results
NMR enables quantification of global protein arginine methylation
NMR spectroscopy enables robust quantification of metabolites in complex mixtures paired with simple and fast sample preparation, measurement, and analysis (Stryeck et al., 2018). We built on previous chromatography-based approaches to analyze (methylated) arginines in protein hydrolysates (Dhar et al., 2013; Paik and Kim, 1967) and developed an NMR-based protocol for absolute quantification of protein ArgMet. A schematic representation of the workflow is shown in Figure 1A. Proteins were extracted from biological matrices, hydrolyzed by using hydrochloric acid, and delipidated. Basic/hydrophobic amino acids, including arginine and its derivatives, were purified by solid-phase extraction (SPE) and analyzed by NMR spectroscopy. NMR analysis of arginine, ADMA, MMA, and SDMA standards revealed good separation of their 1H signals, in both one-dimensional (1D) Car-Purcell-Meiboom-Grill (CPMG) and two-dimensional (2D) homonuclear J-resolved experiments (JRES) (Figures 1B, 1C, and S1B). The JRES approach separates the chemical shift and J-couplings into two different spectral dimensions. To minimize signal overlap with other metabolites present in biological materials, we used the 1H 1D projections of 2D J-resolved, virtually decoupled NMR spectra for all follow-up analyses, facilitating assignments and quantifications (Nagayama et al., 1977; Stryeck et al., 2018; Viant et al., 2003; Wang et al., 2003). 1H-Methyl signals of MMA and SDMA overlapped in 1H spectra when recorded in buffer, but could be resolved in deuterated dimethyl sulfoxide (d6-DMSO) as solvent (Figure 1D).
Figure 1
Absolute quantification of protein ArgMet by NMR
(A) Schematic workflow depicting steps for protein arginine and ArgMet quantification. Biological matrices are extracted with water/methanol. Protein precipitate containing protein arginine and ArgMet is hydrolyzed, lipids are removed with chloroform, and solid-phase extraction is used to isolate positively charged amino acids, including (methylated) arginine(s). The eluate is analyzed by NMR spectroscopy.
(B) Overlay of 1H 1D-CPMG NMR spectra of 100 μM arginine (black), ADMA (orange), MMA (blue, dashed line) and SDMA (blue, solid line). Chemical-shift ranges for characteristic 1H signals are shown in the spectra. Positions of the corresponding protons are labeled in the structure formula (ADMA, orange; MMA, blue dashed line, SDMA, blue solid line; an acetate impurity is labeled with an asterisk).
(C) Overlay of 1H 1D projections of 2D J-resolved, virtually decoupled NMR spectra of the samples shown in (B). Characteristic regions of ADMA, MMA, and SDMA methyl groups are indicated (arginine, black; ADMA, orange; MMA, blue dashed line; SDMA, blue solid line).
(D) Overlay of 1H 1D projections of 2D J-resolved NMR spectra of 100 μM MMA (blue dashed line) and SDMA (blue solid line) recorded in d6-DMSO show the resolution of methyl resonances.
(E) Overlay of representative recovery experiments of 1H 1D projections of 2D J-resolved NMR spectra recovery experiments from E. coli lysates spiked with ADMA (solid line), MMA (dashed line), or SDMA (dotted line), respectively. Shaded regions represent characteristic regions of ADMA (orange), and MMA and SDMA (blue) methyl groups.
(F) Statistical analysis of ADMA, MMA, and SDMA recovery from lysozyme (squares, n = 5; mean ± SD) (0.34 mM) and E. coli lysates (triangles, n = 5, mean ± SD). Samples were spiked with 100 μM ADMA (orange), MMA (blue), and SDMA (blue) and prepared according to the workflow shown in (A).
Absolute quantification of protein ArgMet by NMR(A) Schematic workflow depicting steps for protein arginine and ArgMet quantification. Biological matrices are extracted with water/methanol. Protein precipitate containing protein arginine and ArgMet is hydrolyzed, lipids are removed with chloroform, and solid-phase extraction is used to isolate positively charged amino acids, including (methylated) arginine(s). The eluate is analyzed by NMR spectroscopy.(B) Overlay of 1H 1D-CPMG NMR spectra of 100 μM arginine (black), ADMA (orange), MMA (blue, dashed line) and SDMA (blue, solid line). Chemical-shift ranges for characteristic 1H signals are shown in the spectra. Positions of the corresponding protons are labeled in the structure formula (ADMA, orange; MMA, blue dashed line, SDMA, blue solid line; an acetate impurity is labeled with an asterisk).(C) Overlay of 1H 1D projections of 2D J-resolved, virtually decoupled NMR spectra of the samples shown in (B). Characteristic regions of ADMA, MMA, and SDMA methyl groups are indicated (arginine, black; ADMA, orange; MMA, blue dashed line; SDMA, blue solid line).(D) Overlay of 1H 1D projections of 2D J-resolved NMR spectra of 100 μM MMA (blue dashed line) and SDMA (blue solid line) recorded in d6-DMSO show the resolution of methyl resonances.(E) Overlay of representative recovery experiments of 1H 1D projections of 2D J-resolved NMR spectra recovery experiments from E. coli lysates spiked with ADMA (solid line), MMA (dashed line), or SDMA (dotted line), respectively. Shaded regions represent characteristic regions of ADMA (orange), and MMA and SDMA (blue) methyl groups.(F) Statistical analysis of ADMA, MMA, and SDMA recovery from lysozyme (squares, n = 5; mean ± SD) (0.34 mM) and E. coli lysates (triangles, n = 5, mean ± SD). Samples were spiked with 100 μM ADMA (orange), MMA (blue), and SDMA (blue) and prepared according to the workflow shown in (A).To validate the robustness of our workflow, we first evaluated stability and recovery of ADMA, MMA, and SDMA signals in diverse biological matrices. All compounds were highly stable during hydrolysis and showed high recovery from both a protein matrix containing lysozyme and a methylation-free Escherichia coli cell matrix (Figures 1E, 1F, and S1E–S1G). Protein-unbound free methyl arginines did not contribute to the detected protein ArgMet (Figures S1C and S1D). A quantitation limit for ADMA of 100 nM was determined (Figure S1H). Concentrations remained linear over a wide concentration range of four orders of magnitude up to the SPE column saturation limit of 3 mM, as shown for arginine (Figure S1I). In summary, our NMR approach offers a simple, rapid, and highly reproducible workflow for arginine and ArgMet quantification. Compared with high-performance liquid chromatography (HPLC)-based quantification, NMR is label-free and does not require chromatographic separation or standards for quantification. Moreover, it enables detection of yet unknown arginine derivatives and can be combined with isotope labeling.
NMR-based protein ArgMet profiling in vitro and in cells
To identify the proportion of ArgMet in protein and cell samples of unknown methylation status, we determined levels of arginine, ADMA, MMA, and SDMA in recombinant proteins, yeast cell cultures, and mammalian cell lines. Levels of ADMA, MMA, and SDMA are presented as normalized to the total arginine content to allow a direct comparison of ArgMet concentrations between different biological matrices. Alternatively, and because NMR is completely quantitative, absolute concentrations can be displayed as normalized to either cell number, tissue mass, or protein content.Methylation by PRMTs occurs preferentially within RG/RGG-rich and proline-glycine-methionine-rich regions (Blanc and Richard, 2017). In mammals, PRMT1 is the most abundant methyl transferase and catalyzes formation of both ADMA and MMA. As expected, NMR analysis of the methylation-free recombinant RG/RGG model proteins cold-inducible RNA-binding protein (CIRBP) and RNA-binding protein fused in sarcoma (FUS) revealed that ADMA and MMA are detectable in recombinant proteins after incubation with PRMT1 and the methyl donor SAM (Figure 2A). Both model proteins are suitable as in vitro substrates for PRMT1, and 12% and 5% of all arginine residues are asymmetrically dimethylated in CIRBP and FUS, respectively. Interestingly, the levels of ADMA and MMA varied between CIRBP and FUS, with CIRBP lacking MMA and FUS showing MMA (Figure S2A). The increased content of MMA in FUS might be due to the presence of two RGGY motifs in FUS. A preference for tyrosine in the +3 position was observed for PRMT1 MMA target sites (Hartel et al., 2019). We cannot rule out the possibility that in vitro methylation might lead to high MMA levels. These data indicated that PRMT1 selectively recognizes amino acid sequences in substrate (Guo et al., 2014) and that ArgMet NMR is well applicable to study levels and kinetics of ArgMet in purified protein substrates.
Figure 2
Characterization of ArgMet in purified proteins, yeast, and mammalian cell lysates
(A) ArgMet quantification of recombinant CIRBP (triangles) and FUS (circles) peptides without methylation or in vitro methylated by recombinant PRMT1, respectively (n = 6; mean ± SD; n.d., not detectable; Tris buffer impurities are labeled with asterisks).
(B) Protein ArgMet quantification of yeast lysates obtained from logarithmically grown wild-type (BY4741 and BY4742) and respective HMT1 (Δhmt1) or HSL7 (Δhsl7) knockout cells (n = 5; mean ± SD; n.d., not detectable).
(C) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3).
(D) Protein ArgMet quantification of human cell lysates (n = 4–5; mean ± SD; n.d., not detectable). ADMA levels in relation to the total amount of arginine are indicated. Spectral overlays of characteristic ADMA and MMA/SDMA NMR methyl signals are shown (n = 4).
(E) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3).
In (A), (B), and (D), the ADMA concentrations are indicated in relation to the total amount of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 4–6).
Characterization of ArgMet in purified proteins, yeast, and mammalian cell lysates(A) ArgMet quantification of recombinant CIRBP (triangles) and FUS (circles) peptides without methylation or in vitro methylated by recombinant PRMT1, respectively (n = 6; mean ± SD; n.d., not detectable; Tris buffer impurities are labeled with asterisks).(B) Protein ArgMet quantification of yeast lysates obtained from logarithmically grown wild-type (BY4741 and BY4742) and respective HMT1 (Δhmt1) or HSL7 (Δhsl7) knockout cells (n = 5; mean ± SD; n.d., not detectable).(C) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3).(D) Protein ArgMet quantification of human cell lysates (n = 4–5; mean ± SD; n.d., not detectable). ADMA levels in relation to the total amount of arginine are indicated. Spectral overlays of characteristic ADMA and MMA/SDMA NMR methyl signals are shown (n = 4).(E) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3).In (A), (B), and (D), the ADMA concentrations are indicated in relation to the total amount of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 4–6).First HPLC-based studies estimated 0.5%–2% of arginine residues to be methylated in mammalian cells and tissues (Boffa et al., 1977; Esse et al., 2014; Matsuoka, 1972; Paik et al., 2007). In yeast, four PRMTs (HMT1/RMT1 [Gary et al., 1996; Henry and Silver, 1996], RMT2 [Niewmierzycka and Clarke, 1999], HSL7 [Miranda et al., 2006], and SFM1[Young et al., 2012]) have been described. Additionally, a large number of methylation sites and their associated proteins have been identified by mass spectrometry (Erce et al., 2013; Plank et al., 2015), suggesting that ArgMet might represent an important mechanism in yeast. Of these PRMTs, HMT1/RMT1 has already been identified as a PRMT1 homolog in 1996 (Gary et al., 1996; Henry and Silver, 1996). Analysis of wild-type and HMT1 or HSL7 knockout yeast strains, assessed in two distinct but related genetic backgrounds (BY4741 and BY4742), showed that on average more than 0.25% of all arginines are methylated in S. cerevisiae (Figure 2B). MMA was detectable in wild-type yeast (BY4741 and BY4742), albeit at low levels (∼20% of ADMA), whereas SDMA was undetectable (Figures 2C and S2B). Deletion of HMT1 essentially abolished ADMA and MMA levels in both backgrounds, consistent with an HPLC-based validation experiment (Figure S2B), suggesting that none of the other PRMTs contributed significantly to the global ArgMet levels. In line with these results, only very few substrates of RMT2, HSL7, and SFM1 have been reported so far (Chern et al., 2002; Sayegh and Clarke, 2008; Young et al., 2012). In contrast to HMT1 deletion, deletion of HSL7 showed no significant impact on global ADMA and MMA levels in BY4741 and BY4742 (Figure 2B), probably because HSL7 only recognizes a small subset of potential substrate proteins in yeast (Sayegh and Clarke, 2008). Indirect effects associated with the loss of HMT1 are unlikely, as the expression of other PRMTs is not affected by HMT1 knockout (Chia et al., 2018)Our approach offers an excellent opportunity to characterize ArgMet in a variety of commonly used human cell lines. ArgMet-NMR analysis of nine human cells lines showed that ADMA and MMA/SDMA concentrations differ significantly; primary fibroblasts showed the lowest, and A375 malignant melanoma cells showed the highest levels of both ADMA and MMA/SDMA, respectively (Figure 2D). In all cell lines tested, ADMA was the predominant ArgMet species with more than 3% of all arginine residues being methylated in A375 cells. SDMA/MMA levels were significantly lower (Figures 2D and 2E). This finding is in line with previous studies estimating MMA and SDMA at levels of 20%–50% of ADMA (Bedford and Clarke, 2009), although the MMA/SDMA values detected by NMR are consistently lower (∼10% of ADMA). The significantly increased concentrations of ArgMet in A375 cells compared with all other cell lines is in agreement with a recent study showing overexpression of PRMT1 in these cells (Li et al., 2016). In contrast, HPLC-based methods detected 0.8% of all arginine residues in A375 cells being asymmetrically dimethylated, which is lower than the 3.4% of ADMA we found (Bulau et al., 2006). The increase of ADMA in all investigated cell lines is correlated with a concomitant increase in MMA and SDMA, indicating that the corresponding enzymes might be coregulated (Figure S2C). Nevertheless, we cannot exclude that the level of substrate proteins and PRMTs might also affect the ArgMet levels. PRMTs are constitutively active and localized in the nucleus and cytoplasm (Goulet et al., 2007; Herrmann et al., 2009). In the nucleus, histone ArgMet is an important modulator of dynamic chromatin regulation and transcriptional controls (Litt et al., 2009). We therefore analyzed the ArgMet levels of chromatin and cytoplasm in A375 and HeLa cells and observed a significant increase of ArgMet in the chromatin fractions compared with the cytoplasmic fractions or whole-cell lysates (Figures S2D and S2E). This is in agreement with a previous study identifying lower PRMT1 protein levels in the chromatin fractions compared with the cytoplasm in HeLa cells (Musiani et al., 2020). The higher levels of ArgMet observed in chromatin might be because of a higher proportion of well-established PRMT substrates, such as histone proteins, which can be methylated by multiple PRMTs (Bedford, 2007). Our observation that ArgMet levels in the cytoplasm are similar to ArgMet levels in whole cells confirmed that the high ArgMet content in whole cells is not because of the chromatin compartment but to an overall high ArgMet level.Generally, non-cancer cell lines such as primary fibroblasts show a tendency to lower concentrations of ArgMet compared with cancer cell lines such as HeLa, A375, or MDA-MB-231. Although HaCaT cells, an immortalized human keratinocyte line, also exhibit higher ArgMet levels, the values are still lower than in cancer cell lines. In summary, our approach provides a direct readout of protein ArgMet in cell lines.
NMR reveals modulation and dynamics of protein ArgMet
Although it has taken 50 years to acknowledge the significance of PRMTs in cancer, the pace at which major discoveries have been made in recent years is phenomenal. Disruption of ADMA modification at key substrates decreases the metastatic and proliferative ability of cancer cells (Li et al., 2016), suggesting that PRMT inhibitors might be an effective strategy to combat different types of cancer. Several PRMT inhibitors have entered or are on the verge of entering the clinic, but how they alter global protein ArgMet levels remains to be uncovered.Given that our method provides a direct readout of ArgMet modulation by PRMT inhibitors, we characterized ArgMet concentrations under distinct conditions of PRMT inhibition (Figures 3A and 3B). We first tested the impact of the commonly used general ArgMet inhibitor adenosine dialdehyde (AdOx) and the type I PRMT inhibitor MS023 (Afman et al., 2005; Chan-Penebre et al., 2015; Guccione and Richard, 2019). In line with our hypothesis, AdOx unselectively, though incompletely, reduced any kind of protein ArgMet significantly by ∼60% (p < 0.0001). As expected for a selective type I PRMT inhibitor, MS023 inhibited mostly ADMA, but not SDMA formation. PRMT5, the major enzyme catalyzing the formation of SDMA, has been implicated in cancer biology, and controls expression of both tumor-suppressive and tumor-promoting genes (Guccione and Richard, 2019). Inhibition of PRMT5 by the small-molecule compounds GSK3203591 or GSK3326595 has been reported to act antiproliferatively on mantle cell lymphoma, both in vivo and in vitro (Chan-Penebre et al., 2015; Gerhart et al., 2018). Moreover, GSK3368715, a reversible type I PRMT inhibitor, exhibited antitumor effects in human cancer models and is currently in phase I clinical trials (Guccione and Richard, 2019). GSK3203591 and GSK3368715 have been reported to synergistically inhibit tumor growth in vivo, possibly through a tumor-specific accumulation of 2-methylthioadenosine, an endogenous inhibitor of PRMT5, which correlates with sensitivity to GSK3368715 in cell lines (Fedoriw et al., 2019). In agreement, GSK3368715 inhibited formation of ADMA but not SDMA formation (Figure S3A), whereas GSK3203591 inhibited generation of MMA/SDMA but not of ADMA. These results were further validated by reverse HPLC (Figure S3B). Compared with all other conditions tested, a combination of GSK3203591 and GSK3368715 showed the strongest inhibition of any type of ArgMet in HeLa cells. Interestingly, inhibition of type I PRMTs by MS023 or GSK3368715 doubled the levels of SDMA/MMA, suggesting that, on a global scale, several type I PRMT targets become symmetrically instead of asymmetrically dimethylated. Accordingly, recent western blotting experiments resulted in increased MMA/SDMA levels after treatment with PRMT1 inhibitors (Dhar et al., 2013; Eram et al., 2016; Fedoriw et al., 2019). Comparable results in other cell lines demonstrated that the mechanisms of ArgMet inhibition are independent of the cell line (Figures S3C and S3D).
Figure 3
NMR enables quantification of protein ArgMet modulation and dynamics
(A) Protein ArgMet quantification of HeLa cells treated for 3 days with either DMSO, 40 μM adenosine dialdehyde (AdOx), 10 μM MS023, 2 μM GSK3368715 (GSK715), 1 μM GSK3203591 (GSK591), or a combination of 2 μM GSK715 and 1 μM GSK591 (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels in relation to the total amount of arginine are indicated. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 5).
(B) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3). Shaded regions represent characteristic regions of MMA and SDMA (blue) methyl groups.
(C) Protein ArgMet quantification of HeLa cells cultured with or without 4 mM glutamine (Gln), 0.2 mM methionine (Met), or glycine (1 mM and 2 mM Gly) (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels in relation to the total amount of arginine are shown. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are presented as shaded regions (n = 5). Unmethylated lysines are labeled with asterisks.
(D) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that SDMA levels strongly decrease upon methionine deprivation (n = 3).
(E) Changes of ArgMet levels after removal of AdOx. Prior to removal of AdOx, HeLa cells were treated with AdOx for 3 days to reduce ArgMet. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet recovery (t1/2), the data were fitted by using a single exponential recovery function (95% confidence interval [CI] 7.5–19.9 h). Dotted lines indicate the level of methylation in the absence of AdOx.
(F) Changes of ArgMet levels after methionine removal. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet decay (t1/2), the data were fitted by using a single exponential decay function (ADMA/arginine: 95% CI 34.0–62.7 h; (SDMA + MMA)/arginine: 95% CI 27.8–61.1 h). Dotted lines indicate the level of methylation in the presence of methionine.
(G) Dynamics of de novo ArgMet via 13C labeling are shown as decay of the 12C-methyl NMR signals upon exchange of media containing 13C-methyl-labeled methionine. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet 12C-methyl signal decay (t1/2), the data were fitted by using a single exponential decay function (ADMA/arginine, 95% CI 14.4–24.7; (SDMA + MMA)/arginine, 95% CI 21.9–73.8). Change of ADMA 12C/13C-methyl signals at the beginning and after 48 h of cultivation in presence of 13C-methyl-labeled methionine (1H 1D projections of 2D J-resolved NMR spectra).
(H) Dynamics of de novo ArgMet via 13C labeling are shown as increase of the 13C-methyl NMR signals detected in 1H,13C HSQC (heteronuclear single quantum coherence spectroscopy) NMR spectra upon exchange of media containing 13C-methyl-labeled methionine. Fractions of 13C labeling are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet 13C-methyl labeling (t1/2), the data were fitted by using a one-phase association function (ADMA/arginine, 95% CI 16.4–21.2; (SDMA + MMA)/arginine, 95% CI 27.4–43.5). Arginine (black), ADMA (orange), MMA, and SDMA (blue) 1H,13C NMR signals are labeled in a representative 1H,13C HSQC NMR spectrum.
NMR enables quantification of protein ArgMet modulation and dynamics(A) Protein ArgMet quantification of HeLa cells treated for 3 days with either DMSO, 40 μM adenosine dialdehyde (AdOx), 10 μM MS023, 2 μM GSK3368715 (GSK715), 1 μM GSK3203591 (GSK591), or a combination of 2 μM GSK715 and 1 μM GSK591 (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels in relation to the total amount of arginine are indicated. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 5).(B) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that MMA and SDMA methyl resonances can be resolved (n = 3). Shaded regions represent characteristic regions of MMA and SDMA (blue) methyl groups.(C) Protein ArgMet quantification of HeLa cells cultured with or without 4 mM glutamine (Gln), 0.2 mM methionine (Met), or glycine (1 mM and 2 mM Gly) (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels in relation to the total amount of arginine are shown. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are presented as shaded regions (n = 5). Unmethylated lysines are labeled with asterisks.(D) Spectral overlays of characteristic MMA and SDMA NMR methyl signals in d6-DMSO show that SDMA levels strongly decrease upon methionine deprivation (n = 3).(E) Changes of ArgMet levels after removal of AdOx. Prior to removal of AdOx, HeLa cells were treated with AdOx for 3 days to reduce ArgMet. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet recovery (t1/2), the data were fitted by using a single exponential recovery function (95% confidence interval [CI] 7.5–19.9 h). Dotted lines indicate the level of methylation in the absence of AdOx.(F) Changes of ArgMet levels after methionine removal. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet decay (t1/2), the data were fitted by using a single exponential decay function (ADMA/arginine: 95% CI 34.0–62.7 h; (SDMA + MMA)/arginine: 95% CI 27.8–61.1 h). Dotted lines indicate the level of methylation in the presence of methionine.(G) Dynamics of de novo ArgMet via 13C labeling are shown as decay of the 12C-methyl NMR signals upon exchange of media containing 13C-methyl-labeled methionine. Integral ratios of ADMA/arginine (orange) and (SDMA + MMA)/arginine (blue) are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet 12C-methyl signal decay (t1/2), the data were fitted by using a single exponential decay function (ADMA/arginine, 95% CI 14.4–24.7; (SDMA + MMA)/arginine, 95% CI 21.9–73.8). Change of ADMA 12C/13C-methyl signals at the beginning and after 48 h of cultivation in presence of 13C-methyl-labeled methionine (1H 1D projections of 2D J-resolved NMR spectra).(H) Dynamics of de novo ArgMet via 13C labeling are shown as increase of the 13C-methyl NMR signals detected in 1H,13C HSQC (heteronuclear single quantum coherence spectroscopy) NMR spectra upon exchange of media containing 13C-methyl-labeled methionine. Fractions of 13C labeling are plotted as mean ± standard error (n = 3) for each time point. To estimate the half-life of ArgMet 13C-methyl labeling (t1/2), the data were fitted by using a one-phase association function (ADMA/arginine, 95% CI 16.4–21.2; (SDMA + MMA)/arginine, 95% CI 27.4–43.5). Arginine (black), ADMA (orange), MMA, and SDMA (blue) 1H,13C NMR signals are labeled in a representative 1H,13C HSQC NMR spectrum.One of the main goals of current ArgMet research is to further refine our mechanistic understanding of ArgMet and how this process is coupled with metabolism. PRMTs add methyl groups to arginine residues by using the universal methyl donor SAM, which is recycled through one-carbon metabolism (Ducker and Rabinowitz, 2017; Yang and Vousden, 2016). Methionine is a key substrate for SAM production. Beyond the single-carbon metabolic pathway, additional metabolites can alter global cellular ArgMet by modulating the SAM levels and recycling. Indeed, considering that methionine is an essential amino acid and its recycling can therefore only partly contribute to the methionine pool required for SAM generation, deprivation of methionine strongly reduced the concentrations of ADMA and MMA/SDMA in HeLa cells (Figures 3C and 3D). Production of SAM requires ATP, and its recycling via S-adenosyl-homocysteine depends on supply of the single-carbon building block from serine (Yang and Vousden, 2016). In cancer cells, glutamine can provide both the single-carbon building block through gluconeogenesis and energy through the tricarboxylic acid cycle. Thus, we tested in HeLa cells if depletion of glutamine reduced the overall levels of protein ArgMet. In line with our hypothesis, concentrations of ADMA and SDMA/MMA were reduced, although not as profoundly as in the case of methionine withdrawal. Glycine supplementation has been proposed to mimic the effects of methionine deprivation through inhibition of the serine-to-glycine conversion that otherwise provides the single-carbon building block for SAM recycling (Partridge et al., 2020). In contrast to these studies, we even observed an increase in ADMA when cells were incubated with 2 mM glycine (Figure 3C). Taken together, ArgMet NMR provides a toolbox for future studies of protein ArgMet regulation by inhibitors and metabolites.Dynamics of arginine methylation and demethylation is one of the yet unsolved and controversial questions in the field (Guccione and Richard, 2019). Several enzymes have been reported to act as demethylases. Peptidylarginine deiminase 4 (PAD4) might “demethylate” proteins by converting methylated arginine to citrulline (Wang et al., 2004). The Jumonji domain-containing 6 (JMJD6) protein has been reported to demethylate arginine in histone tails (Chang et al., 2007). Nevertheless, both demethylation pathways remain controversial.We therefore addressed the dynamics of remethylation in a low-ArgMet background. We treated cells with medium supplemented with AdOx to reduce ArgMet, then changed the medium to AdOx-free medium and collected cells at different time points. We found that levels of ArgMet recovered slowly after AdOx removal, and ADMA had a half-life of >11 h (Figure 3E). As this process might have been affected by the levels of AdOx decreasing slowly inside the cell, we further validated the changes in ArgMet concentrations by using methionine deprivation. Under these conditions, levels of protein ArgMet decreased considerably (∼60%), with half-lives of 45 h and 40 h for ADMA and MMA/SDMA, respectively (Figure 3F). Although these alterations are strongly coupled to the dynamics of the cellular pool of methionine, our results indicate that demethylation of methylated arginine residues is a slow process and that the available levels of methionine are insufficient to maintain the methylation levels over a longer period of time.To monitor the dynamics of ArgMet in the absence of any interference due to the manipulation of metabolic pathways, we combined ArgMet NMR with stable isotope tracing by using 13C-methyl-labeled methionine. With methionine being an essential substrate for SAM production, we next examined whether the methyl group crucial for ArgMet is donated by methionine and investigated the dynamics of the associated methylation reaction. To track and quantify de novo ArgMet, we pulsed HeLa cells in media with 13C-methyl-labeled methionine and chased its appearance by the decay of the 12C-methyl NMR signals upon exchange with media containing 13C-methyl-labeled methionine (Figures 3G and 3H). Coupled with the decrease of 12C protein ArgMet, “newly” synthesized and 13C isotopically labeled protein ArgMet appears (Figure 3H). Fitted half-lives of demethylation (12C-decay) and de novo methylation (13C-increase) were in excellent agreement and approximately 18–19 h and 34–37 h for ADMA and MMA/SDMA, respectively. In line with the AdOx removal and methionine deprivation changes, these data indicate that the overall dynamics of arginine demethylation are slow.
NMR provides insights into dynamics of ArgMet in organoids and tissues
Increasing evidence suggests that ArgMet is required to maintain cells in a proliferative state and plays a key role in the homeostasis of stem cell pools (Blanc and Richard, 2017). In addition, the role of PRMTs has been associated with cell growth, differentiation, apoptosis, and aging (Blanc and Richard, 2017; Guccione and Richard, 2019; Yang and Bedford, 2013). For example, depletion and exhaustion of muscle and hematopoietic stem cells in adulthood was linked to loss of ArgMet (Blanc et al., 2016; Liu et al., 2015). In addition, PRMTs play important regulatory roles in the differentiation of myeloid cells (Balint et al., 2005). To study the relationship of ArgMet and in vitro differentiation in a controlled manner, we generated cell-type-enriched mouse small intestinal organoid cultures. We grew the organoids in complete ENR medium (EGF, Noggin, R-Spondin) as reference. In ENR medium, organoids contain stem cells, enterocytes, and Paneth cells (roughly 15%, 80%, and 5%, respectively). Stem cells, enterocytes, and Paneth cells were enriched by using media supplemented with Wnt-CM (conditioned medium)/valproic acid (VPA; stem cells enriched), removal of R-Spondin (EN; enterocytes enriched), or supplementation of Wnt-CM/N-[N-(3,5-difluorophenacetyl)-L-alanyl∗]-S-phenylglycine t-butyl ester) (DAPT; Paneth cells enriched), respectively. Our data show alterations of ADMA and MMA/SDMA dependent on organoid composition (Figure 4A). In line with a high expression of PRMTs in stem cells found in single-cell mRNA sequencing of mouse small intestine (Haber et al., 2017; Ludikhuize et al., 2020; Uhlen et al., 2015) (Figures S4A–S4C, http://www.proteinatlas.org/), reference organoids (ENR) show higher ADMA and MMA/SDMA. Enrichment of Paneth cells in organoids (DAPT) results in a strong decrease in overall ArgMet, in line with a low expression of PRMTs in Paneth cells (Figures S4A–S4C). However, it remains to be investigated whether ArgMet is a cause or consequence of differentiation and to elucidate the key regulatory and metabolic mechanisms modulating ArgMet during differentiation.
Figure 4
NMR enables characterization of ArgMet in cell differentiation and aging in vivo
(A) Protein ArgMet quantification of mouse small intestinal organoids cultured with EGF/Noggin/R-spondin1 (ENR), EGF/Noggin (EN), ENR plus valproic acid (VPA), or ENR plus Notch pathway inhibitor DAPT (n = 3; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels are presented with respect to total amounts of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 3).
(B) Quantification of protein ArgMet in mouse tissues collected from young mice (9–11 weeks, dots) and old mice (96–104 weeks, triangles) (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels are presented with respect to total amounts of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 3).
NMR enables characterization of ArgMet in cell differentiation and aging in vivo(A) Protein ArgMet quantification of mouse small intestinal organoids cultured with EGF/Noggin/R-spondin1 (ENR), EGF/Noggin (EN), ENR plus valproic acid (VPA), or ENR plus Notch pathway inhibitor DAPT (n = 3; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels are presented with respect to total amounts of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 3).(B) Quantification of protein ArgMet in mouse tissues collected from young mice (9–11 weeks, dots) and old mice (96–104 weeks, triangles) (n = 5; mean ± SD; ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, ∗∗∗∗p < 0.0001). ADMA levels are presented with respect to total amounts of arginine. Spectral overlays of characteristic ADMA (orange) and MMA/SDMA (blue) NMR methyl signals are shown as shaded regions (n = 3).Studying the global levels of ArgMet in vivo is the ultimate goal to reveal the mechanistic links between ArgMet and (patho)physiology. To demonstrate the feasibility of our approach for in vivo studies, we characterized ArgMet levels in commonly studied mouse tissues (brain, heart, kidney, liver, spleen, and lung) in two groups of female wild-type mice (mixed background of 129/J and C57BL/6J) at young (9–11 weeks) and old (96–104 weeks) age. Strikingly, we observed varying levels of ADMA and MMA/SDMA among tissues, and the highest levels of ArgMet were in brain and spleen of young mice (Figure 4B). Recent studies revealed high expression of PRMT1 in the rat spleen and high expression of PRMT5 in the rat brain (Hong et al., 2012), substantiating our findings of high ADMA in the spleen and high MMA/SDMA in the brain. Moreover, PRMT1 and PRMT8 expressions were elevated in mouse brain compared with liver (Wang et al., 2017). The PRMT7 mRNA expression in the spleen in old mice was markedly reduced (Figure S4H), consistent with the decreased ArgMet level in old mice. However, overall PRMT mRNA expression levels were not associated with protein ArgMet levels in the tissues tested (Figures S4D–S4I). With the exception of brain and spleen, we observed no significant aging-related changes in ArgMet levels in any other tissues. Expression and catalytic activity of PRMT1, PRMT4, PRMT5, and PRMT6 have been reported to be reduced in replicatively senescent cells in relation to young cells (Lim et al., 2008, 2010). In addition, senescent cells accumulate in tissues with age along with a decline in immune function (Kuilman et al., 2008). Although the underlying molecular mechanisms remain elusive, one might speculate that the changes in the aged spleen are caused by the accumulation of senescent cells.
Discussion
Protein ArgMet modulates the physicochemical properties of proteins and thus plays a major role in a multitude of regulatory pathways, including gene regulation, signal transduction, regulation of apoptosis, and DNA repair (Blanc and Richard, 2017; Guccione and Richard, 2019; Yang and Bedford, 2013). Although previous studies exist in this field, the lack of a reliable quantification of ArgMet is a restricting factor in elucidating the relevance of ArgMet in physiological and pathological processes. We have developed a simple, fast, and robust protocol for NMR-based quantification of protein ArgMet levels and dynamics in purified proteins, cells, organoids, and tissues. Our study reveals that NMR spectroscopy provides a sensitive readout for detection and quantification of MMA, ADMA, and SDMA in all matrices tested. We show that ArgMet NMR enables detection of methylation patterns in purified proteins incubated with PRMT1. Methylation by PRMTs in the human proteome occurs preferentially (but not exclusively) within glycine-arginine-rich and proline-glycine-methionine-rich regions (Cheng et al., 2007; Thandapani et al., 2013; Woodsmith et al., 2018), but specific consensus sequences targeted by most of the human PRMTs remain to be identified. Our approach provides a toolbox for fast and label-free screening for PRMT selectivity in purified proteins/peptides, complementary to peptide arrays (Kusevic et al., 2016) and mass spectrometry (Uhlmann et al., 2012).Although some human PRMTs are well studied, for a plethora of PRMTs from other organisms it is as yet unknown whether they exhibit any enzymatic activity (Fulton et al., 2019). For example, the main yeast methyltransferase is HMT1, the presumable ortholog of human PRMT1. In addition, in silico studies have predicted 33 additional putative methyltransferases in S. cerevisiae, and it is likely that besides nucleic acid methyltransferases and protein methyltransferases specific to other amino acids, arginine methyltransferases are also among them (Low and Wilkins, 2012). We found that S. cerevisiae produces ADMA and MMA, but no SDMA, in line with a previous report (Hsieh et al., 2007). Strikingly, deletion of HMT1 led to a complete loss of ADMA and MMA, suggesting that the contribution of any other methyltransferase to global levels of ArgMet is negligible, at least in these yeast strains. However, we cannot exclude the possibility that the other putative methyltransferases methylate only a small subset of targets, resulting in low global ArgMet levels. Our proof-of-principle analysis in human cell lines identified a large fraction of arginine residues in a methylated state, ranging from 1% to 3.4%. In all cell lines tested, ADMA constituted the predominant methylated arginine species, followed by SDMA with about 10% and MMA with about 1% of ADMA. These ADMA levels are in agreement with the findings that PRMT1 is the predominant and most active PRMT present in mammalian cells (Tang et al., 2000). Screening the PhosphoSitePlus database of PTMs for ArgMet revealed that for 1.7% of all arginines in human proteins, methylation (ADMA, SDMA, or MMA) has been reported. Given that we identified between a methylation status of 1% and 3.4% of arginines to be methylated indicates that most of the proteins for which ArgMet has been reported are entirely methylated. Note that this estimation assumes that all proteins are present at comparable levels inside the cell (Hornbeck et al., 2015). Methylarginines are predominantly found in intrinsically disordered protein regions, e.g., RG/RGG regions, which are intimately connected to LLPS (Chong et al., 2018; Guccione and Richard, 2019; Woodsmith et al., 2018). A large proportion of the proteins implicated in LLPS are known targets for ArgMet and, therefore, LLPS could be regulated by their ArgMet (Chong et al., 2018; Guccione and Richard, 2019; Lorton and Shechter, 2019). Thus, it is conceivable that the global ArgMet levels regulate LLPS on a global scale in vivo by regulating fluidity and dynamics of membrane-less organelles containing, for example, RG/RGG proteins.By comparing the methylation levels in cell lines, ArgMet were up to 3-fold higher in immortalized and cancer cells compared with primary cells. Strikingly, cells isolated from human metastases contained the highest levels of protein ArgMet. The increased ArgMet levels found in cancer cells are in line with overexpression of PRMT1 in human melanoma, breast, and prostate cancer (Bedford, 2007; Hamamoto and Nakamura, 2016). In addition, PRMT5 expression and activity seem to be important in tumorigenesis and are markers of poor clinical outcome (Stopa et al., 2015). Based on the observation that increased PRMT expression is associated with tumor growth, inhibitors of protein arginine methyltransferases have been developed and showed promising results in clinical studies (https://clinicaltrials.gov). Our study demonstrates that ArgMet NMR provides a precise and specific readout for modulation of ArgMet levels in cells treated with distinct (specific) PRMT inhibitors. This suggests that ArgMet NMR might be a valuable tool for ArgMet-based drug discovery, drug validation, and patient stratification in the future.By examining the modulation of ArgMet levels upon metabolite deprivation in cells, we detected a tight metabolic regulation of ArgMet levels by methionine, glutamine, and glycine. Methionine is required for protein synthesis and its adenylation produces SAM, which serves in turn as a methyl donor for methylation reactions (Locasale, 2013; Yang and Vousden, 2016). Accordingly, we demonstrated that methionine deprivation had a strong impact on protein ArgMet by reducing ADMA, MMA, and SDMA by more than 61%. Given that methionine is an essential amino acid whose levels are dictated by dietary factors (Mentch and Locasale, 2016), it is conceivable that nutrition and fasting could, in addition to protein synthesis, additionally affect protein ArgMet in vivo. Moreover, glutamine deprivation in HeLa cell culture reduced protein ArgMet by more than 30%, corroborating the observation that glutamine is a key energy source in cancer cells and can provide the single-carbon building block for SAM recycling through gluconeogenesis (Curi et al., 2005). Glutamine plays a pleiotropic role in cellular function and its consumption is elevated in proliferating cells not only because of increased DNA production (Counihan et al., 2018; Vander Heiden and DeBerardinis, 2017) but also for maintaining high ArgMet levels. Notably, ArgMet requires an energy demand of 12 molecules of ATP per methylation event (Gary and Clarke, 1998). Thus, reduced energy supply by glutamine deprivation could be the major factor in the observed reduction of protein ArgMet. Glycine is an interesting metabolite owing to its role in SAM recycling and methionine clearance. On the one hand, glycine can act as methyl group acceptor, leading to the formation of sarcosine (N-methylglycine) and S-adenosylhomocysteine. On the other hand, glycine is converted when the single-carbon block is transferred to tetrahydrofolate, which in turn is used to recycle SAM (Ducker and Rabinowitz, 2017; Luka et al., 2009; Yang and Vousden, 2016). Excess glycine has been proposed to reduce methionine levels and to mimic methionine deprivation (Partridge et al., 2020). According to our findings but in contrast to previous studies, glycine supplementation failed to reduce global levels of protein ArgMet. The fact that glycine supplementation did not alter methionine levels in adult worms (Liu et al., 2019) suggests that under physiological conditions glycine supplementation is not generally applicable to mimic methionine deprivation in cancer cells. Our approach is expected to substantiate specific aspects of protein methylation research in the future. Moreover, it will be interesting to reveal whether lifespan extension via methionine restriction is mediated by modulation in ArgMet (Bárcena et al., 2018; Grandison et al., 2009; Lee et al., 2016).Dynamics of cellular protein ArgMet, the process of methylation and the process of “demethylation,” can also be easily examined by our methodology. The existence of an efficient arginine demethylase has not yet been proved and is a long-disputed question in this field (Low et al., 2016). Our results obtained by using different setups of remethylation after treatment with the general methylation inhibitor AdOx and “demethylation” upon methionine deprivation show that global arginine (de)methylation is a slowly developing process in a cellular context. We further substantiated these findings by combining ArgMet NMR with stable isotope tracing by using 13C-methyl-labeled methionine. A decrease of the NMR signal characteristic for unlabeled methylated arginine residues in combination with an increase of the NMR signal characteristic for 13C-methylated arginines indicated that both de novo ArgMet and “demethylation” are slow processes, especially in comparison with phosphorylation and dephosphorylation. For example, global phosphorylation of the epidermal growth factor receptor occurs within 2–3 h with a half-life of approximately 30 min, whereas its intracellular domain is dephosphorylated considerably faster (t1/2 = 15 s) (Gelens and Saurin, 2018). We therefore conclude that no efficient demethylase exists that affects global methylation levels in HeLa cells. Whether demethylation affects specific targets rather than the global ArgMet levels remains to be investigated.We observed even in mouse tissues a large fraction of arginines being methylated, and brain and spleen showed the highest ArgMet levels. In line with the specific pattern of ADMA, SDMA, and MMA observed in cells, ADMA was the most abundant methylated species, followed by SDMA and MMA. During aging of mice, levels of protein ArgMet changed drastically in brain and spleen proteins, whereas other tissues, such as heart, liver, and kidney, were less affected. The spleen is among the most affected organs during aging, and a link to the accumulation of senescent cells has been hypothesized (Lim et al., 2008, 2010). Thus, it is conceivable that the loss of protein ArgMet is associated with loss of PRMT1 expression/activity under physiological conditions, as demonstrated by a recent study linking PRMT1 downregulation with senescence of neuroblastoma cells (Lee et al., 2019). High levels of protein ArgMet in spleen and a strong reduction during aging raises the question as to whether accelerated aging of the spleen could be an inevitable side effect of the aforementioned protein arginine methyltransferase inhibitors. First links between ArgMet and neurodegenerative diseases have been suggested, as hypomethylated RNA-binding proteins FUS and poly-GR dipeptide repeats were found to be enriched in patients with frontotemporal dementia and amyotrophic lateral sclerosis, respectively (Dormann et al., 2012; Gittings et al., 2020; Suarez-Calvet et al., 2016). Given the globally reduced levels of SDMA/MMA in the brain of old mice, it will be interesting to investigate whether ArgMet is associated with the risk of neurodegenerative diseases, for example through modulation of LLPS of RNA-binding proteins.Taken together, our findings support the idea that (1) protein ArgMet is a highly abundant PTM in cells and tissues, (2) ArgMet and specific aspects of metabolism are tightly coupled, (3) "demethylation" is a slow process, and (4) cancer and aging lead to substantial changes in global ArgMet levels. Given its relatively high proportion, we hypothesize that ArgMet plays a key role in maintaining cellular homeostasis, for example by regulating LLPS and formation of membrane-less organelles on a global scale. Concentrations of ADMA, SDMA, and MMA in proteins might be used as biomarkers for drug discovery, treatment response, and (potentially) diagnosis of tumor susceptibility for arginine methyltransferase inhibitors. These findings could lead to the development of improved methods for basic research on ArgMet and implementation of routine ArgMet-based screening in the clinic.
Limitations of the study
Despite the qualitative and quantitative information gathered by using our ArgMet-NMR protocol, some limitations to this study exist. With this assay, the detection limit for ADMA was approximately 100 nM (Figure S1H), and a saturation level of the SPE column of 3 mM arginine has been observed (Figure S1I). Thus, more material might be necessary for samples with low ArgMet content. Our method relies on sample clean-up by SPE using cation-exchange columns, which leads to a loss of some acidic and neutral amino acids and derivatives thereof. Distinguishing MMA from SDMA requires an additional analysis step using DMSO as solvent. In contrast to proteomics-based methods, our protocol does not provide site-specific ArgMet information. Nevertheless, our method could be combined with peptide-based libraries to evaluate sequence specific ArgMet mediated by PRMTs in vitro. Our protocol provides insight into changes in ArgMet levels related to cancers, cell differentiation, and aging. However, whether ArgMet is a cause or consequence in these contexts requires further studies in the future.
STAR★Methods
Key resources table
Resource availability
Lead contact
Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Tobias Madl (tobias.madl@medunigraz.at).
Materials availability
This study did not generate new unique reagents.
Data and code availability
This study did not generate computer algorithm or code. The article includes all data generated or analyzed during this study. Original source data for figures in the paper are available upon request to the lead contact author.
Experimental model and subject details
Cell lines and culture conditions
MDA-MB-231 (Sigma Aldrich, Vienna, Austria), HaCat (ATCC, US), MCF10A (LGC Promochem, US), A375 (ATCC, US), SW-872 (ATCC, US), 93T449 (ATCC, US), SW1353 (CLS, Germany) and juvenile fibroblasts fresh established from foreskin samples were obtained from Division of Biomedical Research (BMF), Medical University of Graz, Austria. HeLa (ATCC®, Guernsey, UK), fibroblast, HaCat, SW1353 and A375 cells were cultured in DMEM supplemented with 2 mM glutamine, 1% PS (100 U/mL penicillin, 100 μg/mL streptomycin) and 10% fetal bovine serum (FBS). MCF10A were cultured in DMEM with single quot kit suppl. Gr, 5% Horse Serum, 20 ng/mL hEGF, 0.5 μg/ml hydrocortison, 100 ng/ml choleratoxin, 10 μg/ml insulin and 2 mM glutamine. MDA-MB-231 were maintained in DMEM Hams F12 with 10% FBS, 2 mM glutamine and 1% PS. SW872 were cultured in DMEM Hams F12 supplemented with 5% FBS, 2 mM glutamine and 1% PS. 93T449 were cultured with RPMI-1640 with 10% FBS, 2 mM glutamine, 10mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES), 1mM sodium pyruvate and 1% PS.Cells were maintained in a humidified incubator at 37°C with 5% CO2. HeLa cells were treated for up to 3 days with AdOx (40 μM), MS023 (10 μM), GSK715 (2 μM), GSK591 (1 μM) and DMSO, before cell extracts were prepared.
Yeast strain and culture conditions
Yeast experiments were carried out in S. cerevisiae BY4741 (MATa his3Δ-1 leu2Δ-0 met15Δ-0 ura3Δ-0) and BY4742 (MATa his3Δ-1 leu2Δ-0 lys2Δ-0 ura3Δ-0) wild type yeast (Baker Brachmann et al., 1998) and the same strains carrying either an HMT1-knockout (hmt1:kanMX4), or HSL7-knockout (hsl7:kanMX4) all obtained from Euroscarf. Correct presence of respective gene knockouts was verified by PCR using forward primers 5’-TGAAGACATCCCATGTCCAG-3’ (HMT1_up), 5’-TGAATGCTACTGATGTCTGC-3’ (HSL7_up), and reverse primer 5’-CAAGACTGTCAAGGAGGG- 3’ (KanR5b). Cells were grown to logarithmic phase in SC 2% glucose medium consisting of 0.14% yeast nitrogen base (BD Difco™, 233520), 5% (NH4)2SO4 supplemented with 30 mg/L of all amino acids (except 80 mg/L histidine, 200 mg/L leucine, 120 mg/L lysine and 26 mg/L methionine), 30 mg/L adenine, and 320 mg/L uracil, allowing comparable growth of both BY4741 and BY4742 strains. Fresh overnight cultures were diluted to 0.1 OD600 (Genesys 10uv photometer, corresponds to ∼2×106 cells/mL), incubated for 6 h at 28°C, 145 rpm, to reach logarithmic growth phase at a culture density of ∼0.6 OD600. 15 OD600 equivalents were harvested by centrifugation (1,700 g, 3 min, 4°C), washed once with 10 ml ice-cold water, and the cell pellet was immediately snap frozen in liquid nitrogen and stored at -80°C until processing for NMR analysis.
Organoid culture
Mouse small intestinal organoids were cultured as described previously (Lindeboom et al., 2018). In short, the organoids were maintained using basic culture (ENR) medium, which contained advanced DMEM/F12 supplemented with penicillin/streptomycin (1%, 10 mM HEPES, 1× Glutamax, 1× B27 (all from Life Technologies) and 1 mM N-acetylcysteine (Sigma) supplemented with murine recombinant epidermal growth factor (Peprotech), R-spondin1-CM (5% v/v) and noggin-CM (10% v/v). A mycoplasma-free status was confirmed routinely. Organoids were split every 4–5 days by mechanical disruption and plated in Matrigel. Three days after splitting, stem cell-enriched organoid cultures (CV) were generated by supplementation of ENR with CHIR99021 (3 μM) and valproic acid (1 mM). Paneth cell-enriched organoids were generated by addition of Chir (3 μM) and DAPT (5 μM), stem cell-depleted organoid cultures (EN) were grown in ENR medium without R-Spondin-1. Organoids were harvested after 3 days by using mechanical dissociation of matrigel followed by 3 washing steps with ice-cold PBS. Organoid pellets were immediately frozen at -80°C for further analysis.
Animals and diets
For all experiments, young (9-11 weeks) and old (96-104 weeks) female wild type mice (mixed genetic background of 129/J and C57BL/6J) were used (n=5). Mice were maintained in a clean, temperature-controlled (22 ± 1°C) environment with a regular light–dark cycle (12 h/12 h) and unlimited access to chow diet (Altromin 1324, Altromin Spezialfutter GmbH, Lage, Germany) and water. All experiments were performed in accordance with the European Directive 2010/63/EU and approved by the Austrian Federal Ministry of Education, Science and Research (GZ 66.010/0051-WF/V/3b/2015).
Method details
In vitro methylation assay
The recombinant CIRBP-RGG and FUS-RGG-PY sequences were as follows: RSRGYRGGSAGGRGFFRGGRGRGRGFSRGGGDRGYGG and GPGGGPGGSHMGGNYGDDRRGGRGGYDRGGYRGRGGDRGGFRGGRGGGDRGGFGPGKMDSRGEHRQDRRERPY. Expression and purification of recombinant His6-PRMT1, His6-CIRBP-RGG and His6-FUS-RGG-PY have been described in previous study (Bourgeois et al., 2020; Hofweber et al., 2018). Untagged CIRBP-RGG and FUS-RGG-PY recombinant proteins and His6-PRMT1 were equilibrated in methylation buffer containing 50 mM Tris-HCl, 150 mM NaCl, and 2 mM Tris(2-carboxyethyl)phosphine, pH 7.5; 100 μM CIRBP-RGG or FUS-RGG-PY was incubated with 10 μM His6-PRMT1 in the presence of 2 mM S-Adenosylmethionine (New England Biolabs) for 16 h at room temperature. Untagged methylated CIRBPRGG (meCIRBP) and FUS-RGG-PY (meFUS) were then isolated from PRMT1 performing a second affinity purification using Ni-NTA beads, and further analyzed using NMR.
Sample preparation
Cells (5 x 106) were plated onto 60 mm dishes and incubated under standard conditions as described above. To harvest the cells, medium was removed, cells were washed three times with 5 mL of cold phosphate-buffered saline (PBS, 137 mM NaCl, 2.7 mM KCl, 8 mM Na2HPO4, and 2 mM KH2PO4) solution and collected using a cell scraper. A solution of 5 × 106 cells was centrifuged at 1,000 rpm for 1 min, the supernatant was discarded and the cell pellet was flash frozen in liquid nitrogen and stored at −80°C for the extraction step. The organs were isolated from sacrificed mice, divided into 20–30 mg and snap-frozen in liquid nitrogen for storage at -80°C until extraction. Cell pellets, tissues and mouse small intestinal organoids were re-suspended in 400 μl ice-cold methanol (-20°C) and 200 μl MilliQ H2O and transferred to a tube containing Precellys beads (1.4 mm zirconium oxide beads, Bertin Technologies, Villeurbanne, France) for homogenization on a Precellys 24 homogeniser for 2 cycles of 20 seconds with 5,000 rpm, 10-s breaks. Cell and tissues debris were pelleted by centrifugation at 13,000 rpm for 30 min (4°C) and the precipitate was used for hydrolysis. Supernatants were frozen at −80°C and be used for e.g. metabolite analysis.The precipitates were hydrolysed with 500 μl 9 M HCl for 12 h at 110°C to obtain (modified) amino acids. The solution was lyophilised and resuspended in 900 μl of 0.1 M HCl and 100 μl chloroform to remove lipids, centrifuged (10 min, 13,000 rpm) and the supernatant subjected to i) solid-phase-extraction (SPE) using Waters™ cartridges (1 mL Oasis MCX 1 cc/30 mg, Waters™, Eschborn, Germany) containing a mixed-mode polymeric sorbent with both reverse phase and cation exchange functionalities. Each step was performed with 1 mL of solution and by centrifugation at room temperature (1,000 rpm for 1 min). ii) auto SPE using Gilson® GX-241 ASPEC system (Gilson Incorporated, Middleton, WI) and Waters™ cartridges. The flow rate for the injection of liquids was set to 2 mL/min for the sample, 7 mL/min for the replacement solution and the 0.1 M HCl, and to 10 mL/min for methanol, PBS and MilliQ-water. The cartridges were pre-conditioned with a detachment solution (2x 1 mL, 10% NH3 saturated solution, 40 % MilliQ H2O, 50 % methanol), methanol (1x 1 mL) and with PBS (2x 1 mL). After sample loading (1x 1 mL), cartridges were washed with MilliQ-water (3x 1 mL), 0.1 M HCl (5x 1 mL) and methanol (2x 1 mL,). The arginine and its derivatives were recovered with the replacement solution (2x 1 mL), lyophylized and dissolved in 500 μl NMR buffer [0.08 M Na2HPO4, 5 mM 3-(trimethylsilyl) propionic acid-2,2,3,3-d4 sodium salt (TSP), 0.04 (w/v) % NaN3 in D2O, pH adjusted to 7.4 with 8 M HCl and 5 M NaOH] for measuring. The Chromatin Extraction Kit (ab117152, Abcam) was used for HeLa/A375 chromatin and non-chromatin fractions extraction according to the manufacturer’s instructions.
NMR measurements and spectral processing
All NMR experiments were acquired at 310 K using Bruker 600 MHz spectrometer equipped with a TXI probe head. The 1D CPMG (Carr–Purcell–Meiboom–Gill) pulse sequence (cpmgpr1d, 512 scans, size of fid 73728, 11904.76 Hz spectral width, recycle delay 4 s), with water signal suppression using presaturation, was recorded for 1H 1D NMR experiments. 1H-13C HSQC (heteronuclear single quantum coherence spectroscopy) NMR spectra were recorded for 13C-methyl labelled methionine assays with a recycle delay of 1.0 s, spectral widths of 20.8228/83.8554 ppm, centered at 3.923/50 ppm in 1H/13C, with 2048 and 256 points, respectively, and 8 scans per increment. The 2D JRES (1H homo-nuclear J-resolved spectroscopy) pulse sequence (jresgpprqf, 16 scans, size of fid 16384 (direct dimension F2)/256 (indirect dimension F1), 10000.00/78.042 Hz spectral width in F2 (chemical shift axis)/F1 (spin-spin coupling axis), recycle delay 2 s, Figure S1J) with presaturation during the relaxation delay was recorded to obtain virtually decoupled spectra (Nagayama et al., 1977; Stryeck et al., 2018; Viant et al., 2003; Wang et al., 2003). In brief, data were processed in Bruker Topspin version 4.0.6 using one-dimensional exponential window multiplication of the FID, Fourier transformation and phase correction. Processing of 2D JRES was done using the SINE and QSINE window functions (SSB = 0) in F2/F1. Fourier transform was performed with 16384/256 F2/F1 points of the fid. 2D J-resolved experiments were processed using back prediction implemented in the Bruker au program proc_jres.be (Martinez et al., 2012; Nuzillard, 1996; Sakhaii and Bermel, 2014; Stryeck et al., 2018). The JRES spectra were then projected along F2 and exported as 1D NMR spectra.The 1H 1D projections of 2D J-resolved, virtually decoupled NMR spectra data processing was carried out using MestReNova 12.0.4 software’s automatic phase and baseline correction. Calibration was made by using tetramethylsilane (δH = 0). Quantification of arginine, MMA, ADMA and SDMA used integration of characteristic peaks. Calculation of absolute concentrations is based on known concentrations of external standards. The ADMA levels relative to total amounts of arginine are calculated by the formula: ADMA/arginine (%) = (integrals (ADMA)/integrals (arginine)) ∗ (integrals (100μM arginine)/integrals (100μM ADMA)), MMA/arginine (%) = (integrals (MMA)/integrals (arginine)) ∗ (integrals (100μM arginine)/integrals (100μM MMA)).
High performance liquid chromatography (HPLC) assay
To verify the accuracy of NMR results, cell hydrolysates were compared with an established chromatographic method with slight modifications (Meinitzer et al., 2007). Samples were derivatized with an autosampler by mixing with o-phtalaldehyde solution (1mg/mL in 0.2 M borate puffer pH=9.5 with 0.5% mercaptopropionic acid). After a two-minute incubation, the mixture was injected. Arginine and metabolites were separated on a Chromolith® Performance RP-18e, column 100 x 4.6 mm (Merck, Darmstadt, Germany) with an isocratic mobile phase (flow 2.0 mL/min) consisting of 50 mM KH2PO4 pH=6.8 and 6% (v/v) acetonitrile. After 15 min, the column was regenerated for 2 min with a mixture of 50 mM KH2PO4 pH=6.5 and 50% (v/v) acetonitrile and reequilibrated before the next injection. The compounds were detected with a fluorescence detector (Agilent 1260 FLD, Santa Clara, CA, USA) at excitation 340 nm and emission 455 nm. Data were acquired on the Agilent Chemstation version B04.03. In contrast to the original protocol, no internal standard was used and the analysis was performed with the standard addition method. Defined concentrations of Arginine, ADMA, SDMA and MMA were added to the hydrolysates and analysed without and with the addition of pure substance. From the differences, the concentrations of the initial concentrations were calculated.
RNA isolation, reverse transcription and real-time PCR
RNA was isolated using TRIsureTM following the manufacturer’s guidelines (Meridian BioscienceTM, Cincinatti, OH). Then 2 μg of RNA were reverse transcribed with the High Capacity cDNA Reverse Transcription Kit (Applied Biosystems, Carlsbad, CA) and quantitative real-time PCR was performed using the Bio Rad C1000 TouchTM Thermal Cycler combined with CFX96 Real Time SystemTM (Bio Rad Laboratories, Hercules, CA). For expression analyses, 6 ng cDNA were analysed in duplicate and normalised to the expression of the housekeeping gene cyclophilin A. Expression profiles were determined using the 2-ΔΔCT method.
Quantification and statistical analysis
Data are presented as mean ± standard deviation (SD). Statistical differences among multiple groups (one-way ANOVA) are indicated by p values of < 0.05 (∗), < 0.01 (∗∗), < 0.001 (∗∗∗) or < 0.0001 (∗∗∗∗). Statistical analyses and graphs were generated using Graph Pad Prism 5.01. software (GraphPad Software, La Jolla, CA, USA).
REAGENT or RESOURCE
SOURCE
IDENTIFIER
Bacterial and virus strains
E. coli BL21-DE3 Star strain
Agilent Technologies
CAT#: 200131; Lot#: 0006276950
Chemicals, peptides, and recombinant proteins
L-arginine
AppliChem
Cat # A3675
ω-NG, NG-asymmetric dimethylarginine (ADMA)
Santa Cruz Biotechnology
Cat # sc-208093
ω-NG-N’G-symmetric dimethylarginine (SDMA)
Santa Cruz Biotechnology
Cat # sc-202235A
ω-NG-monomethylarginine (MMA)
Santa Cruz Biotechnology
Cat # sc-200739A
Sodium phosphate, dibasic (Na2HPO4)
VWR
Cat # 80731-078
3-(trimethylsilyl) propionic acid-2,2,3,3-d4 sodium salt (TSP)
Alfa Aesar
Cat # A1448
sodium hydroxide
VWR
Cat # BDH7363-4
Chloroform
VWR
Cat # MK444410
hydrochloric acid (32% m/v)
VWR
Cat # EM1.00313.2500
deuterium oxide (2H2O)
Cambridge Isotope laboratories
Cat # DLM-6-1000
DIMETHYL SULFOXIDE-D6 (d6-DMSO)
Cambridge Isotope laboratories
Cat # DLM-10-PK
Adenosine, periodate oxidized (AdOx)
Sigma Aldrich
Cat # A7154
MS023 hydrochloride
Sigma Aldrich
Cat # SML1555
GSK3203591
MedChemExpress Austria
Cat # HY-100235
GSK3368715 dihydrochloride
MedChemExpress Austria
Cat # HY-128717A
Methanol
Roth
Cat # 8388.4
Ammonia solution
Roth
Cat # A990.1
S-Adenosyl methionine
Biolabs
Cat # 10079762
L-Methionine-(methyl-13C)
MERCK
Cat # 299146
BD Difco™ Yeast Nitrogen Base without Amino Acids and Ammonium Sulfate
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Authors: Andreas Meinitzer; Markus Puchinger; Brigitte M Winklhofer-Roob; Edmond Rock; Josep Ribalta; Johannes M Roob; Isabella Sundl; Gabriele Halwachs-Baumann; Winfried März Journal: Clin Chim Acta Date: 2007-07-13 Impact factor: 3.786
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