Abstract
Tissue oxygenation, extracellular acidity and tissue reducing capacity are among crucial parameters of tumor microenvironment (TME) of significant importance for tumor pathophysiology. In this paper we demonstrate the complementary application of particulate lithium octa-n-butoxy-naphthalocyanine (LiNc-BuO) and soluble nitroxide (NR) paramagnetic probes for monitoring of these TME parameters using electron paramagnetic resonance (EPR) technique. Two different types of therapeutic interventions were studied: hypothermia and systemic administration of metabolically active drug. In summary, the results demonstrate utility of EPR technique for noninvasive concurrent longitudinal monitoring of physiologically relevant chemical parameters of TME in a mouse xenograft tumor models including that under therapeutic intervention.
Introduction
Tumor tissue hypoxia is well documented[1] and is considered to be a consequence of imbalanced angiogenesis and is associated with changes in metabolism including higher dependence on glycolysis. Tissue hypoxia is associated with extracellular tissue acidosis due to Warburg effect[2] and poor tissue perfusion. Changes in cellular metabolism, tissue hypoxia and acidosis affect tissue redox status[3] [4]. Normalization of these parameters was found to be associated with inhibition of tumor grows and its metastatic activity correlating with efficiency of therapeutic intervention[5–11]. Therefore, noninvasive in vivo assessment of these parameters may provide important knowledge for advanced TME-targeted anticancer therapies[4, 12–14].
In this paper we demonstrate the complementary application of particulate (LiNc-BuO) and soluble (NR) paramagnetic probes for monitoring of basic TME parameters (oxygenation, pO2; extracellular acidity, pHe, and reducing capacity) using electron paramagnetic resonance (EPR) technique, including that under therapeutic intervention.
Lithium octa-n-butoxy-naphthalocyanine (LiNc-BuO) oximetric probe[15] (see Fig. 1 for the chemical structure) was successfully implemented for monitoring of pO2 values in various biological systems. In particular, LiNc-BuO probe was applied for pO2 detection in xenograft tumors when paramagnetic microcrystals were fully or partially internalized by cells and then delivered in tumor cell suspension. This approach is allowed for distribution and spreading of crystalline probes during tumor growth over whole tumor volume[15, 16]. The microcrystals are biologically inert probes which allows for repetitive detection of EPR signal during long period of time (up to 1 month). The EPR spectra of LiNc-BuO microcrystals is a single line (Fig 2.A.) of Lorentzian shape[17] with linewidth being sensitive to oxygen due to physical interaction between paramagnetic centers of crystal and oxygen diradical.
Analysis of Lorentzian linewidth of LiNc-BuO EPR spectra on oxygen concentration (see [17] and Materials and Methods Section) provides probe calibration parameters which than can be used in experiments for calculation of unknown pO2 value.
Particulate probes are the probes of choice when measurement of pO2 values is desired for long time and in predetermined area of interest. However particulate probe does not allow for detection of other physiologically relevant chemical parameters of TME beyond oxygen, and does not applicable for imaging studies. Therefore, soluble probes have advantage for imaging studies and detection multiple physiologically relevant TME parameters. Recently developed extracellular targeted dual function pH-sensitive nitroxide probe (NR, see Figure 1) represent useful soluble nontoxic probes for EPR-based imaging of pHe and redox in vivo[8, 18, 19].
In this work we propose application of the nitroxide NR in combination with LiNc-BuO particulate probe for concurrent monitoring of TME oxygenation, acidosis and redox properties. Two different types of therapeutic interventions were studied: hypothermia and systemic administration of metabolically active drug, 1-(3,4-dimethoxybenzyl)-6,7-dimethoxyisoquinoline, DQ. Hypothermia was reported to improve oxygenation of tumors in normal or hyperbaric conditions [20–22]. DQ is a smooth-muscle relaxation agent [23] which was found to be oxygen consumption inhibitor in cell cultures[24] providing opportunity to alter the oxygenation of tumor tissue upon administration in vivo.
Materials and methods
Reagents
LiNc-BuO microcrystals were synthesized and prepared as described in [15, 25]. The synthesis of pH-sensitive nitroxide (NR) probes were performed as previously described in [8]. A smooth muscle relaxation drug, 1-(3,4-dimethoxybenzyl)-6,7-dimethoxyisoquinoline hydrochloride, abbreviated further as DQ, was purchased from Sigma-Aldrich.
Microcrystals oxygen sensitivity calibration
Microcrystals were dispersed in phosphate buffered saline (PBS, 1 mg/ml) in 1.5 ml centrifuge tube. Centrifuge tube was placed in surface coil resonator of EPR spectrometer and EPR spectra were acquired at different temperatures and oxygen concentrations. Temperature was controlled using water bath attached to the thermostat. To calibrate the sensitivity of microcrystals to oxygen partial pressure at given temperature, EPR spectra were recorded in air-bubbled and anoxic solutions. Anoxia in samples was maintained by using glucose/glucose oxidase enzymatic system [8]. EPR spectra were fitted with Lorentzian shape function to find line width, LW. The sensitivity of microcrystals to pO2 was evaluated as a slope of the dependence of LW on pO2, namely as a value (LW(air)-LW(anoxia))/pO2(air), where LW(air) and LW(anoxia) are spectra linewidth in air and anoxia conditions, correspondingly; pO2(air)=152 mmHg. In the temperature range from 26 °C to 33 °C oxygen sensitivity changed insignificantly being equal to 15.4 mG/mmHg at 26 °C, 13.7 mG/mmHg at 30 °C and 13.0 mG/mmHg at 33 °C, therefore average value of 14.0 mG/mmHg was used to calculate pO2 values in following in vivo experiments. This temperature range was selected because the temperature of xerograph mouse tumor was in the range of 26–33 °C depending on heating condition and time of experiment. Nomad Fiber Optic Thermometer (Neoptix, Canada) equipped with Fiber Optic Temperature Sensor with a probe diameter of 0.5 mm and precision of ± 0.2°C was used to measure tumor temperature.
L-band (1.2 GHz) spectrometer (Magnettech, Bruker) acquisition parameters were as following: microwave power, 13 dB; modulation amplitude, 0.375 G; modulation frequency, 100 kHz; sweep width, 5 G; sweep time, 60 s.
Cell Culture
A549 human lung carcinoma cells and HCT 116 human colon carcinoma cells were maintained in Roswell Park Memorial Institute (RPMI) 1640 medium (Gibco) with 10% Fetal bovine serum, FBS, (Sigma) in a 5% CO2 humidified atmosphere at 37°C.
Internalization of LiNc-BuO microcrystals into cells
A549 and HCT116 cells were plated at a density of 5×105 cells in 10cm cell culture dishes in 10mL RPMI 1640 media and were allowed to attach overnight. The next day media was replaced with 5ml fresh RPMI 1640 media. LiNc-BuO microcrystals were suspended in RPMI 1640 to a concentration of 20 mg/1ml and sonicated for 5 minutes on ice with a probe sonicator (Sonic Bismembrator, model 100; Fisher Scientific) at 20 kHz using 7 W power in a 5 mL glass round-bottom tube. 100 µl of this suspension was added to the cell culture dish containing the cells. Cells were incubated at 37°C for 72 hours or until they reached 80% confluency. Then cells were washed five times with PBS to remove non-internalized particles, trypsinized and 5×105 cells transferred to a new dish. Cells were allowed to attach for a minimum 4 hours and the cycle of particle addition and cell growth/particle internalization was repeated three more times (4 cycles total).
Animals and Tumor Xenografts
Nude mice were obtained from Charles River Laboratories at 8 weeks of age. Once the four cycles of LiNc-BuO microcrystals were complete, cells with the internalized particles were trypsinized, pelleted, and washed with Dulbecco's phosphate-buffered saline (1× dPBS, Gibco) three times. The cells were suspended at a concentration of 5×106 per 100 µl and placed on ice. Each mouse received one injection subcutaneously into the upper portion of the right hind limb of 5×106 cells (100 µl). Tumors appearance and growth was monitored every other day until they reached size 100 mm3.
In Vivo L-Band EPR Studies
Mice were narcotized by inhalation of air-isoflurane mixture using Ohmeda Fluotec 3 anesthetic machine (2% isoflurane in 2 L/min O2 flow) and then placed into the gap of L-band EPR spectrometer (Magnettech, Germany). The surface coil resonator was placed onto xenograft tumor and spectrometer was tuned. Experiment was performed on animals at ambient room temperature (23 °C) or using a thermopad (Pristech Products, Inc.) to maintain body temperature. Baseline measurements of the tumor were made for 5–10 minutes before drug administration. Saline (vehicle) and DQ (2 mg/kg dose in saline) were slowly administered via tail-vein injections at a total volume of 100µl. Once removed from anesthesia, mice were kept warm and monitored until they became ambulatory.
LiNc-BuO microcrystals experiments
EPR spectra of LiNc-BuO microcrystals embedded in to tumor tissue were measured using acquisition parameters listed in “Microcrystals oxygen sensitivity calibration” section for about 60 minutes. The pO2 values were extracted from EPR line width using calibration data.
pH-sensitive nitroxide experiments
Experiments were performed according to published procedure [8]. The EPR spectra were acquired for about 3 min immediately after i.t. injection of the NR probe in saline solution (10 μL, 10 mM). The kinetics of left field component intensity and distance between low-field and high-field component of EPR spectra of the NR probe were measured to determine reduction rate constants and pH, correspondingly. The instrument settings were as follows: incident microwave power, 3 dB; modulation amplitude, 2.5 G; modulation frequency, 100 kHz; sweep width, 60 G; sweep time, 20 s.
Probes localization
Intratumoral localization of cell-embedded microcrystals and NR probe were previously supported by imaging studies reported in ref. [16] and [8] , correspondingly.
Results and Discussion
Application of LiNc-BuO microcrystals for longitudinal studies of tissue pO2 dynamics
Fig. 2A shows typical in vivo EPR spectrum measured in vivo from A549 xenograft tumor in a nude mouse. The EPR signal arises from LiNc-BuO microcrystals internalized by the A549 human lung carcinoma cells used for initiation of tumor growth (see Materials and Methods). Spectrum demonstrates a single line of Lorentzian shape that allows for tissue pO2 calculation using calibration of microcrystal oxygen sensitivity. Fig. 2.B shows temporal dynamics of tissue pO2 value in A549 xenograft tumor in a nude mouse during 60 minutes of anesthesia after i.v. injections of saline or DQ. In these experiments the anesthetized animals were not thermoregulated. It shows increase in tumor tissue oxygenation with time after injections of both DQ drug and saline solutions. Statistical analysis of these experiments is shown in Fig.3. It was found that pO2 values at the beginning of experiment were lower and significantly different from pO2 values at the end of experiment for both saline and drug injections. Note that similar results were obtained for relatively small and large tumors (compare statistics in Tables SI1 and SI2) and for different type of tumor cell lines (compare Tables SI1 and SI5 for tumor xenograft of A549 and HCCT116 cell lines). We hypothesized that the rise of pO2 value over time of anesthesia might be related to low metabolic activity in anesthetized not thermoregulated (hypothermic) animals that results in slowing down the overall cellular oxygen consumption. This hypothesis was tested by using thermopad to maintain anesthetized animal body temperature during the experiment.
The results of these experiments are shown in Fig.4 and Table SI6. Indeed, thermoregulation of animals stabilized tissue oxygenation for entire duration (60 minutes) of the experiment. Note that effect of hypothermia on oxygen consumption and oxygen supply to tumors was previously described [21]. Authors showed that due to hypothermia oxygen consumption is decreased in tumor tissue while oxygen supply remain relatively constant. Therefore tissue thermoregulation might play a significant role in regulation of tissue oxygenation as demonstrated in our experiments (Fig.3 and Fig.4). Figure 4 also demonstrates that DQ does not affect tissue oxygenation. The absence of the effect of DQ might be explained by its inefficient delivery inside tumor cells in our experimental settings.
Application of soluble paramagnetic probes for studies of tumor tissue chemical microenvironment
In addition to tissue pO2 measurements based on EPR signal of LiNc-BuO microcrystals embedded within tumor, we performed intratumoral (i.t.) nitroxide probe delivery for concurrent monitoring of TME acidosis and tissue reducing capacity. Figure 5A shows the EPR spectrum measured in vivo from A549 xenograft tumor in nude mouse after i.t. injection of soluble NR probe. The spectrum shows superposition of typical triplet spectral pattern of NR superimposed with a single EPR line of LiNc-BuO microcrystals embedded within tumor. Extracellular tissue acidity (pHe) of tumor can be calculated from the distance between low-field (left) and high-field (right) components of NR spectra. Independently, tissue reducing capacity can be evaluated from the rate of the nitroxide EPR signal decay. Fig. 5B represents the kinetics of NR nitroxide low-field component decay measured before and 60 min after intravenous (i.v.) saline injections. Linear fitting of these kinetics allows for assessment of arbitrary value of tissue reducing capacity. Recently we have demonstrated [8] that tissue reducing capacity is a characteristic parameter that discriminate tumor tissue and normal mammary gland as well it is sensitive to therapeutic intervention. The EPR measurements performed in this work showed that 1 hour isoflurane anesthesia, hypothermia and DQ treatment did not affect reducing capacity of tumor tissue (Table SI4).
NR bifunctional probe allows for simultaneously detection of tissue reducing capacity and extracellular pH (pHe). Fig.5C shows the measurement of pH in tumor tissue after probe injection before and 60 min after saline i.v. administration in mouse. We observed that 1 hour isoflurane anesthesia and hypothermia did not affect tumor tissue acidity, probably because of limited influence of anesthesia and hypothermia on tumor perfusion [21]. However we did observe significant acidification of tumor extracellular microenvironment after DQ treatment (see Fig.6). Note that DQ has a limited solubility at pH above 5 [26] and therefore is injected in acidic solution which apparently may result in acidification of extracellular tissue microenvironment.
In summary, the results demonstrate utility of EPR technique for noninvasive concurrent longitudinal monitoring of physiologically relevant chemical parameters of TME in a mouse xenograft tumor models including that under therapeutic intervention.
Supplementary Material
Acknowledgments
This work was partially supported by NIH grants CA194013, CA192064 and U54GM104942. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
References
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