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Enzymes and Protein Markers |
1
Max-Planck Research Unit, Enzymology of Protein Folding, Kurt-Mothes Str. 3, D-06120 Halle/Saale, Germany.
2
Martin-Luther-University Halle-Wittenberg, Institut for
Clinical Chemistry and Pathobiochemistry, Madgeburger Str., D-06112
Halle/Saale, Germany.
a Author for correspondence. Fax +49345 5511972;
| Abstract |
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| Introduction |
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Numerous Cyps and FKBPs have been detected in human tissues (5)(6)(7)(8)(9)(10)(11) and body fluids (6)(7)(8)(9)(10)(11)(12)(13)(14), all of which exhibit considerable enzymatic activity toward proline-containing oligopeptides. Apart from their role as targets of immunosuppressants, PPIases are associated with a variety of biological functions. PPIases have been isolated as components of steroid hormone complexes (3)(4)(5)(15)(16) and have a putative function in structuring unfolded proteins (3)(17). They are probably able to affect cells in a pleiotropic manner (2)(3), and are also associated with a variety of Ca2 handling mechanisms in mitochondria (18)(19) and the sarcoplasmic reticulum (20). The aim of this study was to assess whether pathological processes are reflected in alterations of PPIase activity in body fluids or tissues. Because of the peculiarities of the reversible cis/trans isomerization preventing simple end-point determination, a semiautomated PPIase assay with high throughput is an indispensable tool to detect such changes.
To date, the concentration of individual PPIases has been determined with enzyme-linked immunosorbent systems (8)(9)(12)(19)(21) or radioactive binding assays directed against any of the immunosuppressants (6)(8)(12).
It is striking that neither investigations on PPIase activity in human blood plasma or serum nor results on the pathophysiological significance of these enzymic activities in blood plasma or serum have been published.
Conventionally, the enzymatic activity of PPIases has been determined with the aid of UV/VIS spectrophotometry with N-succinylated tetrapeptide-4-nitroanilides as standard substrates. This assay is based on monitoring the time course of the chymotryptic cleavage of the 4-nitroanilide bond, which is kinetically coupled to the cis-to-trans isomerization of the peptidylprolyl bond of the substrate. Since the spontaneous cis-to-trans isomerization was found to be too fast for reliable calculation of rate constants at room temperature, the assay is usually carried out at or below 10 °C. A typical half time of the uncatalyzed cis-to-trans isomerization is about 100 s at 10 °C.
The assay has some technical disadvantages that may affect implementation into the routine procedures of medical laboratories. For example, the total run time for monitoring the PPIase activity of just one sample takes about 20 min. Moreover, the quality of the kinetic traces produced under assay conditions is vitally dependent on the rapidity, effectivity, and reproducibility of the mixing procedure used for the reagents. These preconditions are difficult to maintain by manual mixing procedures. To solve these disadvantages, we have developed a semiautomated PPIase assay in a 96-well microtiter plate that permits the reproducible determination of PPIase activities with a high throughput rate in crude biological fluids.
In this report, we describe the evaluation of this assay concerning both reliability and accuracy using human sera as the source of PPIase activity.
| Materials and Methods |
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-chymotrypsin was obtained from E. Merck and was found to contain
58% active enzyme as determined by active-site titration with
4-nitrophenyl acetate (22). Human recombinant Cyp
(Cyp18cy; nomenclature of PPIases published in ref. 3) and
human recombinant FKBP12 were obtained from Boehringer Mannheim. Other
chemicals used in this study were of analytical purity and obtained
commercially.
collection of samples
Human blood samples were collected by venipuncture and after
clotting, the serum was separated by centrifugation at 700g
for 15 min. Heparin, EDTA, or citrate plasma was prepared (Sarstedt)
with the corresponding anticoagulants. PPIase activities in sera were
determined within 12 h after venipuncture. Other investigations
involving serum or plasma samples were carried out immediately after
centrifugation. Samples were collected from 151 healthy adult
volunteers (83 females, 69 males) and 47 unselected patients (24
females, 23 males). The investigated samples were from individuals with
heart diseases [cardiac infarction (n = 4) and other (n =
4)], kidney diseases (n = 4), acute and chronic liver diseases
[acute hepatitis (n = 4), chronic hepatitis (n = 6),
cirrhosis (n = 5), and cholestatic liver diseases (n = 4)],
insulin-dependent diabetes (n = 3), chronic hemodialysis (n =
6), cancer (n = 4), and chronic pancreatitis (n = 3).
laboratory measurements
In some cases the serum laboratory values of the patients
were heavily pathological as recognized by means of percentile
points (5%, 50%, and 95%): creatinine (56.8, 76.5, 229 µmol/L),
urea (1.8, 5.9, 16.9 mmol/L), uric acid (181, 351, 586 µmol/L),
bilirubin total (6, 13, 26 µmol/L), aspartate aminotransferase (AST)
(252, 424, 849 U/L), alanine aminotransferase (ALT) (228, 432, 1610
U/L),
-glutamyltransferase (GGT) (169, 815, 4552 U/L), alkaline
phosphatase (AP) (1.2, 2.4, 9.3 U/L),
-amylase (0.9, 1.9, 6.2 U/L),
lipase (25.2, 110, 1949 U/L), lactate dehydrogenase (LDH) (2.6, 5.7,
16.2 U/L), cholesterol (1.8, 5.0, 10.2 mmol/L), triglycerides (0.8,
1.4, 4.0 mmol/L), and C-reactive protein (4.9, 19.1, 1222 mg/L). For
all measurements commercially available kits were used.
determination of ppiase activity
PPIase activity was measured spectrophotometrically at 390 nm at
5 °C, with bovine
-chymotrypsin as an isomer-specific protease.
The time course of the hydrolysis of the cis conformer in
the absence and presence of PPIase was used to calculate enzyme
activity as
![]() | (1) |
When the conventional method was used, the sample cell (total volume 1.257 mL) contained 1.2 mL of 35 mmol/L HEPES buffer (pH 7.8), 600 µg of chymotrypsin, and 50 µL of serum. Instead of serum, the control contained 50 µL of water. The mixture was incubated at 5 °C and the reaction was started by adding 7 µL of substrate stock solution (1020 mg of the corresponding substrate in 1 mL of dimethyl sulfoxide). The liberation of 4-nitroaniline was observed at 390 nm for at least 15 min with a sampling rate of 120 data points per min.
In the 96-well nonsterile (flat bottom) microtiter plates (Bibby
Sterilin) a total volume of 137 µL of solution per cavity, consisting
of 312 µL of serum, 50 µL of substrate solution (125 mg/L
succinyl-Phe-Pro-Phe-4-nitroanilide in 35 mmol/L HEPES buffer, pH 7.8),
and 80 µL of chymotrypsin solution (1 g/L chymotrypsin in 35 mmol/L
HEPES buffer, pH 7.8), was used. The reaction was started by adding the
substrate solution with the microplate reader dispenser, followed by
rapid and intense mixing (PLAT-MIX, Garching Innovation) of
the reaction mixture in each cavity. The first data point of the
reaction was recorded 20 s after reaction start and the sampling
rate was 10 data points per 90 s. Collection was finished after
storage of 70 data points for each well. Typical time courses of
catalyzed and uncatalyzed coupled assays are shown in Fig. 2
.
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upper limit of enzyme activity
Usually, first-order rate constants (k) in
isomer-specific proteolysis are calculated with the equation
![]() | (2) |
as the final absorbance of the
chromogenic product, At as the
absorbance at time t, and Ao as the
amplitude of the fast phase of isomer-specific proteolysis (Fig. 1
-
At in terms of Ppre (the
precision of the photometer), by substitution of
A
- Ao by
(A
CCis%)/100
(with CCis% as the percentage of cis
conformer), and by expressing t in terms of
tlag (Dp
Drate) to give
![]() | (3) |
![]() | (4) |
= 0.7, Ppre = 0.008,
tlag = 20 s, Drate = 9.5
s, and Dp = 10) in conjunction with the substrate-specific
constants as ko and CCis% (Table 1
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statistical analysis
Statistical calculations with the software CSS:STATISTICA
(StatSoft) were used to analyze the relation between laboratory
variables and PPIase activity, and to determine the standard deviation
of kinetic constants.
| Results and Discussion |
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substrate concentration
An oligopeptide containing a prolyl bond, where the cis
conformer is used as a substrate in any protease-coupled PPIase assay,
consists of a mixture of two conformers, cis and
trans, in solution
(2)(22)(23)(24)(25)(26). Dependent on the nature of the
amino acid flanking the proline residue of substrates, the percentage
of cis conformer in aqueous solutions is in the range of
535% (3). Therefore, only 535% of the total
absorbance signal can be used for assaying PPIases by a
protease-coupled reaction. Because of the peculiarities of the coupled
assay, the remaining part contributes to the unwanted background
absorbance attributed to 4-nitroaniline at 390 nm
(15)(24)(25). For a given peptide,
the ratio of the conformers can be influenced by the solvent as
LiCl-tetrahydrofuran (24), aqueous detergents
(23), or the buffer conditions. In dimethyl sulfoxide, the
substrate succinyl-Phe-Pro-Phe-4-nitroanilide has 28% cis
conformer (23), whereas in aqueous buffer solution it
rises to a value of 35% (Table 1
).
A condition for quantifying PPIase activities from time courses of
coupled reactions by applying the first-order rate law is a relation
between substrate concentration [S] and Michaelis constant
(KM) of [S]
KM.
The presence of PPIases with high affinity for a substrate
(KM < [S]) is usually indicated by deviations
of the experimental time traces from strict first-order kinetics in the
early phases of the PPIase-catalyzed reaction. However, no such
evidence was observed for all combinations of substrates and serum
samples used here. Purified PPIases, as Cyp18 or FKBP12, have also been
investigated in this respect
(2)(23)(25). They were found to
fit exactly the kinetic law discussed above when using substrate
concentrations <120 µmol/L. Although it is known that blood sera of
healthy subjects contain secretory Cyp23 (12) as a major
PPIase, and that the concentration of FKBP12 increases in sera of renal
transplant patients (21), pathological sera might contain
several additional PPIases with KM values
[S]. Numerous human PPIases of all three families have been
discovered
(6)(7)(8)(9)(10)(12)(13)(14)(21)(27)(28)(29)(30),
but there is only scant information on substrate specificities or
KM values. Moreover, the exact PPIase
composition of patient sera is still unknown.
To consider the influence of the proteolytic peptidylprolyl fragment, which is produced in large amounts in the fast phase of the coupled reaction, we investigated the influence of succinyl-Ala-Ala-Pro-Phe-OH on the PPIase activity of a mixture of 10 sera and in a separate experiment with purified Cyp18 and FKBP12. Because of its proline content, it has, in principle, a potential to compete with the uncleaved chromogenic cis substrate for the active site of the PPIase. Because no effect on the PPIase activity was found after addition of up to 1 mmol/L succinyl-Ala-Ala-Pro-Phe-OH (not shown), the used substrate concentration, <200 µmol/L, appears to be suitable for a kinetically unperturbed PPIase assay in human blood sera.
concentration of isomer-specific protease
The helper protease must fit two essentials: first, the protease
should exhibit a high degree of isomer specificity toward the substrate
of choice. In addition, the hydrolysis of the trans isomer
should be fast enough to ensure that the portion of the substrate with
the peptidylprolyl bond in the trans conformation will be
completely hydrolyzed within the mixing time
tlag of the reagents (fast phase of the
reaction, Fig. 1
). The kinetics of the remaining part of the reaction
then entirely corresponds to the cis-to-trans
isomerization of the peptidylprolyl bond (slow phase of the reaction).
Chymotrypsin is the protease used most frequently in PPIase assays,
followed by subtilisin or thrombin (3)(31). We
investigated the influence of the chymotrypsin concentration on the
kinetic pattern of 4-nitroaniline release from
succinyl-Phe-Pro-Phe-4-nitroanilide in the presence of 16.6% of a
pooled serum (Figs. 2
and
3). Only at chymotrypsin concentrations >400 mg/L was a ratio of
amplitudes of two kinetic phases found, which corresponds to the actual
cis-to-trans ratio of the substrate. This reveals
that the assay conditions are appropriate for measuring unperturbed
kinetics of cis-to-trans isomerization in serum
samples.
Second, the protease should not compromise the serum PPIases by digestion during the operation time of the assay. We measured the PPIase activity in serum after preincubation of eight different serum samples with chymotrypsin at 5 °C. Even at the high concentration of chymotrypsin (500 mg/L) necessary for the assay, there is no indication of a loss of PPIase activity after a preincubation time of 120 min.
precision of the first-order rate constant
The rate constants of the catalyzed first-order
cis-to-trans interconversion
(kobs) were calculated from the time course of
the absorbance (3). To determine the precision of the
calculated rate constants, serum in increasing amounts was applied
(Figs. 2
and 4
). At a rate constant <0.03 s-1, when the half
time of the reaction is higher than the mixing time, the first-order
reaction is obviously slow enough for precise determination with the
microplate reader technique (Fig. 4
). This value corresponds to the
upper limit calculated by Eq. 3
with the following values:
CCis% = 28%, A
=
0.7, Ppre = 0.008, tlag = 20 s,
Drate = 9.5 s, Dp = 10.
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precision of the rate factor K
Calculations were performed according to Eq. 1
, which describes
the PPIase activity in the sample cell as arbitrary units. By applying
the dilution factor for the serum sample, the magnitude of K
immediately reports the actual capacity of undiluted serum to
accelerate the rate of the cis-to-trans
isomerization of the reference peptide. The precision of K depends on
the error in the determination of ko and
kobs (Eq. 1
). Whereas the error in
ko is independent of the serum sample, the error
in K is likely to be dependent on the absolute magnitude of
kobs. The highest precision of K is found in the
range of kobs between 0.01 s-1 and
0.025 s-1. To get a maximal accuracy of K, the dilution
factor of serum should be adjusted to fit this optimal range. The first
indication of a compromised kobs can be obtained
by evaluating the ratio of the kinetic amplitudes, which must be in the
range of 34% ± 3%; other values signalize lack of precision of the
calculated kobs value (Fig. 3
).
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stability of ppiase activity in stored sera
Peptidylprolyl cis/trans isomerase activity in normal
(n = 10) and pathological (n = 10) human sera was found to be
stable for at least 2 months when the sera were stored at -80 °C
and for at least 96 h at 4 °C. The activity continually
decreased to about 50% of the original value within 12 h at room
temperature. After blood clotting and centrifugation, the sera should
be separated immediately. Up to a twofold increase of PPIase activity
was observed in serum samples not separated from blood clot after
8 h. Obviously, PPIases localized in erythrocytes
(9)(10) were released. A similar increase was
observed for LDH and electrolytes as well (32).
ppiase activities in normal and pathological sera
Because no significant differences between serum and heparin
plasma were found, serum was used.
The PPIase activity patterns of the 151 healthy adult volunteers and
the 47 patients (Fig. 5
) were shown to possess sex-specific differences. The 5th, 50th,
and 95th percentiles of the PPIase activities calculated for healthy
individuals (83 females and 69 males) were 14, 30, and 48, and 17, 36,
and 55 K, respectively. With the nonparametric MannWhitney rank-sum
test, this sex-specific difference was significant, with a P
value <0.0035.
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In both a healthy population control group and patients, men and women showed the same age distribution, with 19.1 and 59.2 years as values of the 5th and 95th percentiles respectively. A statistically significant correlation between PPIase activity and age was not detected.
Healthy donors revealed significantly higher values (P
= <0.0001, MannWhitney rank-sum test) compared with the 47 serum
samples from different patients with pathological laboratory variables
(Fig. 5
). Remarkably, all correlations (Pearson productmoment
correlation) between any of these laboratory variables and PPIase
activity were inverse (data not shown) but not statistically
significant.
It was surprising that AP or GGT activities did not correlate with
PPIase activity because liver cells contain relatively high amounts of
PPIase (8). Therefore we proved the presence of an
effector. With succinyl-Phe-Pro-Phe-4-nitroanilide as substrate and
sera from patients with high and low PPIase activity, the correlation
between serum concentration in the assay and PPIase activity was
investigated. No significant deviation from the expected linear
relation between activity and concentration was detected between 0.5%
and 15% (by vol) of serum in the assay. Mixtures of sera with high and
low activity showed the calculated PPIase activity values in all cases.
Therefore, we are able to exclude an endogenous effector in serum that
could account for variability in serum activity (Fig. 4
).
It remains unanswered whether the internalization of serum PPIases into T lymphocytes, as described for Cyp23 (33), or other unknown effects are responsible for the lower PPIase activity in serum. Because PPIases bind cyclosporin A and FK506, thereby influencing distribution of both immunosuppressants in the body (5), knowledge about the variability of the PPIase concentration should be of pharmacological interest.
In summary, the above results constitute proof of suitability of a 96-well microtiter plate PPIase assay for determining PPIase activities in sera. It is reliable in terms of sensitivity and precision. First results concerning PPIase activity in serum of healthy donors and patients provide an impression of how large the rate of cis-to-trans isomerization of a reference peptide in this body fluid really is.
| Acknowledgments |
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| Footnotes |
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-glutamyltransferase; AP, alkaline phosphatase; and
LDH, lactate dehydrogenase. | References |
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