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Follicular Lymphoma Transformation: Novel Insights from Proteomic Studies

Kojo S.J. Elenitoba-Johnson University of Utah School of Medicine Salt Lake City, UT
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Proteomics
 Introduction
Proteomics is defined as the study of the proteome; and the proteome a term analogous to the genome,
is defined as the total protein complement of an organelle, cell, tissue or an entire organism
[1,
2]
. Proteomic studies require the simplification of a complex mixture of proteins into less
complex components that are more amenable for analysis. In this regard intact proteins with different
biophysical characteristics such as molecular weight, hydrophobicity, and posttranslational modifications
may be present within a complex mixture intended for analysis. In top-bottom proteomics, intact proteins
are analyzed. In bottom-up proteomics, the proteins are proteolytically cleaved using enzymes with or
without cleavage specificity.

The development of sensitive instruments capable of analyzing larger biologic molecules such as
proteins has greatly facilitated the analysis of the total complement of proteins in cells and tissues.
Mass spectrometers measure the mass of the smallest of molecules with very high accuracy, and hence mass
spectrometry can be considered as the smallest weighing scale. In parallel with the technological
advancements in mass spectrometers, technological improvements in ionization methods such as
matrix-assisted laser desorption/ionization (MALDI) and electrospray ionization (ESI) have also enhanced
the ability to analyze complex biologic molecules by mass spectrometry [3]. The final component
that has greatly impacted the ability to conduct proteomic studies is development of translated genomic
databases and specialized software algorithms that rapidly search mass spectrometric data against known
or predicted proteins within the databases [3].

In general, the measurement of peptide masses by mass spectrometry is more accurate than that of
intact proteins. Thus in bottom-up proteomics, the typical work-flow involves initial simplification of
a complex protein mixture followed by digestion into peptides which are subjected to mass spectrometric
analysis. The mass spectrometric data is then analyzed using specialized software algorithms that
identify the proteins from which the peptide sequences are derived. The ability to accurately determine
the mass of a unique peptide that originates from a particular protein greatly facilitates the
identification of that protein. In a nutshell, protein identification centers on the fact that a peptide
sequence composed of 6 amino acid residues or greater, provides a unique opportunity for identification
of a protein. This is because the probability that any one amino acid would occupy a particular position
within a peptide sequence is 1/20. For a sequence of 6 amino acid residues, the hypothetical probability
is 1 in 206 = 1 in 64000000. However in some cases, even these odds may be insufficient to
unequivocally identify a protein from a single peptide. Identification of longer peptide sequences
provides an even greater of certainty in the identification of a protein. Thus in many cases, it is
possible to utilize database searches to identify a protein from only a few peptides.
 Protein isolation
Cellular proteins have to be isolated from samples containing other biological molecules including
carbohydrates, lipids and nucleic acids. Thus protein extraction protocols entail the homogenization of
cells and tissues followed by application of detergents such as 3-([cholamidopropyl]dimethylammonio])-1
propane sulfate (CHAPS), Tween and sodium dodecyl sulfate (SDS) which help to dissolve the proteins and
separate them form the lipid components, reducing agents such as dithiothreitol (DTT), denaturing
agents such as urea which disrupt the bonds that are responsible for the formation of secondary and
tertiary conformational structure, and enzymes with degrade nucleic acids such as DNAses and RNAses.
 Separation of complex proteins into simpler components
Several techniques are utilized for the analytical separation of proteins. These include
one-dimensional (1D) gel electrophoresis, two-dimensional gel electrophoresis (2D-GE), high performance
liquid chromatography (HPLC), ion exchange and different types of affinity chromatography
[4,
5]
. Proteins isolated from gels or individual chromatography fractions can subjected to
proteolytic cleavage by enzymes such as trypsin with specific (effects cleavage at the carboxy-terminal
of lysines or arginines), or non-specific cleavage specificity such as elastase or subtilisin
[6,
7,
8]
.
 Mass spectrometry for proteomics
A mass spectrometer is typically composed of three components: an ionization source, the mass
analyzer and the detector. Basically, the ionization source creates ions from the sample to be
analyzed. The mass analyzer resolves the ions by their mass-to-charge ration (m/z), and the detector determines the mass of the ions. There are two main types
of mass spectrometers that used for proteomics studies. In the first group are the instruments which
integrate matrix-assisted laser desorption/ionization (MALDI) with a time-of-flight mass analyzer (TOF).
In the second category, ESI serves as the mechanism for generation of ions which are subsequently
analyzed by tandem mass spectrometry (MS/MS) [3].
 Ionization
The recent development of so-called "soft" (low energy) ionization techniques such as matrix-assisted
laser desorption/ionization (MALDI)
[9,
10]
and electrospray (ESI) techniques [11] have
dramatically enhanced the possibility to analyze larger biomolecules in general, and proteins in
particular by mass spectrometry. In MALDI, the sample intended for analysis is incorporated into a
chemical matrix containing compounds such as 3,5-dimethoxy-4-hydroxycinnamic acid (sinapinic acid).
Laser activation of the target by a laser within the ion source leads to the release from the target of
peptide/protein ions into gas phase. More recently, a variation on the MALDI concept has been introduced
namely; surface-enhanced laser desorption/ionization (SELDI)
[12,
13]
. This latter format is
embodied in the Ciphergen Chip system and is composed of several chip matrices which exploit the
differing bio-physical and chromatographic characteristics of the different proteins for their
preferential selection. The different surfaces include among others, a hydrophobic surface, a strong
anionic exchange surface, and immobilized metallic ion with a strong affinity for phosphorylated
proteins.

In contrast to the MALDI wherein ions are generated from a solid matrix, electrospray ionization
involves the generation of peptide ions from aqueous solution [11]. The solution containing the
sample passed through a needle subjected to a high voltage. The solution stream is ejected from the
needle orifice as a spray of droplets. The solvent is eliminated from the droplets by a heated
capillary or an inert gas. Solutions with acidic pH favor protonation of the N-terminal amines and
histidine nitrogens, and peptide fragmentation is facilitated when the peptide ions are positively
charged. Thus ESI protocols commonly include acidification steps prior to peptide ion analysis in the
mass analyzer.
 Mass analyzers
Mass spectrometers determine molecular mass by analysis of the mass-to-charge (m/z) ratio of an ion. The time-of-flight mass analyzers measure the transit time
of the peptide/protein ions from the source end of the analyzer to the detector end. In this scheme, the
larger ions traverse the analyzer tube in longer times than the smaller ions. Hence, the m/z ratio is directly related to the time-of-flight of the ions. MALDI-TOF
instruments are capable of good resolution and are popular because they are easy to use and readily
adaptable for high-throughput proteomics.

Electrospray ionization tandem mass spectrometry (ESI-MS/MS) is the other main instrumentational
format for mass spectrometric proteomic analysis. ESI is versatile and can be interfaced with different
types of tandem mass analyzers including triple quadrupoles, ion traps and quadrupole time-of-flight
(Q-TOF) instruments. Tandem mass analyzers generally incorporate a collision cell wherein an ion species
of interest can be selected for subsequent fragmentation by collisional induced dissociation (CID). Mass
analysis of the fragment ions allows for the determination of the peptide sequence.
 Peptide mass fingerprinting and MS/MS
Peptide mass fingerprinting
[14,
15]
and tandem mass spectrometry are the main techniques for
protein identification. Peptide mass fingerprinting is typically coupled with MALDI-TOF mass
spectrometry and entails the measurement of the masses of proteolytically cleaved peptides. The measured
peptide masses are then matched to peptide masses in genomic or protein sequence databases. By
comparison, MS/MS permits extraction of peptide sequence information from the analysis of the
fragmentation spectra, such that patterns of fragmentation reveal sequence identity of the peptide which
can be searched against the databases for the protein of origin [3].
 Quantitative proteomics
Most quantitative proteomic studies are relative in that they are designed to determine the proteomic
differences between one cellular state and another. In this regard, 2D-GE has been extensively utilized
with great success [16]. The isotope-coded affinity tag method has recently been developed and
is advantageous in that it permits the evaluation of low-abundance proteins and proteins at both extremes
of molecular weight and isoelectric point [17]. In this system, one sample is labeled with a
tag containing a light isotope, and the other sample to which it is being compared is labeled with a tag
heavy isotope. The two samples are combined, proteolytically digested and analyzed by mass
spectrometry. A comparison of MS peak pairs permits relative quantification of a peptide and MS/MS
identifies its protein source.
Follicular lymphoma transformation
Follicular lymphoma (FL) is the second most common histologic subtype of NHL in adults in North
America and Europe [18]. FL typically presents as advanced stage disease in middle-aged
individuals, but is considered to be an indolent disorder based on median survivals of 6-12 years after
diagnosis.

Follicular lymphoma is characterized by the t(14;18)(q32;q21) that juxtaposes the bcl2 protooncogene (18q21) to the immunoglobulin heavy chain joining region
(14q32) [19]. This molecular event results in deregulation of bcl2
gene expression, and elevated levels of bcl2 mRNA and protein. Overexpression of BCL-2 protein is
thought to inhibit apoptosis and results in the accumulation of follicle center cells with increased
longevity. The translocation is detectable in approximately 90% of cases of low-grade FL (grades 1 and
2) . Transformation to an aggressive diffuse large B-cell lymphoma (DLBCL) occurs in a subset of patients
[20]. The actuarial risk of transformation for grades 1 and 2 follicular lymphoma is estimated
to vary from 20-60% at eight years. Many series have indicated a poor prognosis after transformation
with rapidly progressive clinical disease and death from a tumor that is refractory to treatment
[21,
22]
. However, recent reports indicate that a subset of patients demonstrate long-term
survival [23].

Multiple secondary genetic aberrations superimposed on the t(14;18) have been demonstrated be involved
in the histologic progression of follicular lymphoma to diffuse large B-cell lymphoma
[24,
25]
.
Previously studies have shown that p53 is inactivated in approximately
30-70% of cases of histologically progressed follicular lymphoma. Similarly, it has been shown that
alterations of the cyclin dependent kinase inhibitor CDKN2/p16INK4A/MTS-1 may precede or be superimposed on p53 mutations
occurring in histologically progressed cases . More recently, deregulated expression of growth factor
and cytokine receptors have been implicated in the histologic progression of follicular lymphoma
[26].
Proteomic studies of follicular lymphoma transformation
 SELDI-TOF MS
We sought to identify proteomic changes that may accompany histologic transformation in follicular
lymphoma. To this end, we performed pairwise comparisons of low-grade and transformed follicular
lymphomas in order to identify proteins that may be involved in the transformation process. We used
surface enhanced laser desorption/ionization time-of-flight (SELDI-TOF) mass spectrometer (ProteinChip™,
Ciphergen Biosystems) technology for our experiments. This system utilizes preactivated differential
binding surfaces to achieve multidimensional chromatography. The protein-bound chips were then analyzed
by a SELDI-TOF mass spectrometer to generate protein profiles. In preliminary experiments, we
demonstrated that the MS data obtained from SELDI-TOF MS was reproducible, and that reduction in sample
complexity improved the ability to detect lower abundance proteins. We rapidly identified potential
candidate proteins involved in follicular lymphoma transformation including an up-regulated 32 kD protein
and a down-regulated 11.8 kD protein. Protein database searches revealed several candidates, among them
cyclin D3 (32.5 kD) and caspase 3 (11.8 kD) whose differential expression were confirmed by
immunoblotting and/or immunohistochemical analysis on the primary tissue specimens. Our studies
demonstrate the utility of SELDI-TOF-mass spectrometry for the rapid discovery of differentially
expressed proteins using femtomolar quantities of crude protein derived from biopsy material. The
versatility of this methodology supports its application to the rapid discovery of potential biomarkers
in a variety of cellular systems.
 Quantitative analysis of p38 MAPK inhibition by tandem mass spectrometry
In our previous work showed evidence for p38 mitogen-activated protein kinase (MAPK) p38 MAPK
activation in a subset of transformed follicular lymphomas [26]. The p38 mitogen-activated
protein kinase (MAPK) is a key mediator of stress, extracellular-, growth factor-, and cytokine-induced
signaling and has been implicated in the development of some cancers
[27,
28]
Using a selective
inhibitor of p38 MAPK (SB203580), we demonstrated that p38 MAPK inhibition resulted in dose- and
time-dependent caspase-3-mediated apoptosis in transformed follicular lymphoma derived-cell lines.In
order to further elucidate the basis of the cellular effects of SB203580, we have employed a systems
biologic approach involving cDNA microarray and quantitative proteomic analysis of transformed follicular
lymphoma derived-cells (OCI-Ly1) treated with SB203580. Gene expression profiling revealed differential
expression (>1.5-fold) of 374 genes/ESTs in cells treated for 3 hours, and 515 genes/ESTs in
cells treated for 21 hours. The majority (52% at 3 hours and 91% at 21 hours) were downregulated,
including genes encoding growth cytokines, transcriptional regulators and cytoskeletal proteins.
Quantitative proteomic analysis using ICATTM-LC/MS/MS identified 277 differentially expressed
proteins at 3 hours and 350 proteins at 21 hours of treatment with SB203580, the majority of which were
also downregulated. Analysis of functional groups of the differentially expressed proteins implicated
components of diverse overlapping pathways including the IL-6/PI-3K, IGF-2/Ras/Raf, WNT8d/Frizzled,
MAPKAPK-2 and NFkB. The differential phosphorylation status of selected kinase-active proteins was
validated by western blotting analysis. Our complementary genomic and proteomic approach revealed the
global cellular consequences of SB203580 treatment and provides insights into its growth inhibitory
effect on transformed follicular lymphoma cells.
Conclusion
The recent advances in protein separation techniques, mass spectrometry and completion of the genome
sequences of several organisms are all critical developments that concertedly facilitate proteomic
studies. At the present time, several strides are being made in the development of high-throughput
technologies for analysis of proteins including protein and antibody arrays. Our preliminary studies
implicate growth factors and cytokines in follicular lymphoma progression. Our data also indicates that
deregulation of apoptosis and cell cycle-related pathways are involved in a subset of cases. In the near
future, proteomics studies will impact the discovery of novel biomarkers and targets for the practical
diagnosis and treatment of various diseases including malignancies.
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