Significance
Copper sustains fundamental chemical processes across all kingdoms of life by cycling between two major oxidation states, Cu(I) and Cu(II). However, in contrast to advances in fluorescent sensors and related probes to help decipher Cu(I) biology, Cu(II) detection remains lacking. We present a strategy using metal-directed acyl imidazole chemistry to enable both metal and oxidation state-specific Cu(II) detection by a tandem activity-based sensing/labeling reaction. We use this platform to identify the existence of loosely bound, labile Cu(II) pools, a Cu(II) import protein in cells, and reciprocal Cu(II) elevations and Cu(I) deficiencies driven by a loss of antioxidant defense in cellular models of cancer.
Keywords: activity-based sensing, fluorescent copper probe, oxidative stress, transition metal signaling, cancer metabolism
Abstract
Copper is an essential metal nutrient for life that often relies on redox cycling between Cu(I) and Cu(II) oxidation states to fulfill its physiological roles, but alterations in cellular redox status can lead to imbalances in copper homeostasis that contribute to cancer and other metalloplasias with metal-dependent disease vulnerabilities. Copper-responsive fluorescent probes offer powerful tools to study labile copper pools, but most of these reagents target Cu(I), with limited methods for monitoring Cu(II) owing to its potent fluorescence quenching properties. Here, we report an activity-based sensing strategy for turn-on, oxidation state-specific detection of Cu(II) through metal-directed acyl imidazole chemistry. Cu(II) binding to a metal and oxidation state-specific receptor that accommodates the harder Lewis acidity of Cu(II) relative to Cu(I) activates the pendant dye for reaction with proximal biological nucleophiles and concomitant metal ion release, thus avoiding fluorescence quenching. Copper-directed acyl imidazole 649 for Cu(II) (CD649.2) provides foundational information on the existence and regulation of labile Cu(II) pools, including identifying divalent metal transporter 1 (DMT1) as a Cu(II) importer, labile Cu(II) increases in response to oxidative stress induced by depleting total glutathione levels, and reciprocal increases in labile Cu(II) accompanied by decreases in labile Cu(I) induced by oncogenic mutations that promote oxidative stress.
Copper is an essential nutrient for life (1), where its oxidation reduction (redox) properties are used in catalytic roles to support biological processes such as oxygen transport, metabolism, respiration, growth, and proliferation by cycling between Cu(I) and Cu(II) oxidation states (2–6). However, misregulation of copper-dependent redox activity can also cause aberrant production of reactive oxygen species (ROS) (7), and this accompanying oxidative stress contributes to cancer (4), neurodegenerative diseases (3, 8, 9), inflammation and immune response (10, 11), and genetic copper metabolism disorders (12, 13). Biological copper is partitioned into two main pools: static pools that are tightly bound within metalloproteins, largely as cofactors in active sites, and dynamic labile pools that are weakly bound to low molecular weight ligands and undergo rapid intercellular and intracellular transport (14–19). The physiological significance of labile copper has become increasingly recognized with the discovery of its contributions to a broad array of signaling pathways (20, 21), including work from our laboratory on copper-dependent transition metal signaling in lipolysis (22), spontaneous and stimulated neuronal activity (19, 22–24), and sleep–wake cycles (25). Reversible binding of copper at allosteric sites to regulate protein function has given rise to the concept of metalloallostery (20, 21). Additionally, labile copper has been linked to proproliferative and autophagic kinase signaling pathways involved in oncogenesis (26–28), with the term cuproplasia being recently coined as copper-dependent cell growth and proliferation in disease (4).
Despite the fact that both Cu(I) and Cu(II) are viable oxidation states for this metal nutrient under physiological and pathological conditions, cellular studies of labile copper pools have largely focused on Cu(I), as the conventional view is that the reducing environment of the cell favors this oxidation state. Along these lines, the existence and characterization of labile Cu(II) pools have been insufficiently studied, largely due to a lack of methods for detecting Cu(II) and distinguishing it from Cu(I) in the cellular milieu, with specificity for both metal and oxidation state. Indeed, relative to advances in Cu(I) fluorescence detection (3, 15–18, 21, 23–25, 27, 29–43), Cu(II)-sensitive fluorescent sensors have had limited biological application, as this paramagnetic ion is a potent fluorescence quencher by electron or energy transfer pathways and often leads to turn-off responses that limit the spatial resolution of synthetic fluorophores (15, 44). Therefore, the range of techniques that are available for studying Cu(II) are largely restricted to indirect or low-throughput techniques like spectrophotometry-based copper reduction assays (45) and electrophysiology (46).
To meet the need for detection of intracellular labile Cu(II) pools and their response to external and internal stimuli, we reasoned that an activity-based sensing approach might be amenable to solve this challenge, as analyte detection is often coupled to bond-breaking reactions that dissociate the analyte from the dye reporter (47, 48). We thus turned our attention to an activity-based sensing approach to monitor copper in live cells by using copper-directed acyl imidazole (CDAI) chemistry (22, 49). In this design, binding of a Lewis acidic copper ion increases the electrophilicity of the acyl imidazole unit to trigger nucleophilic addition by proximal amino acids, enabling the detection of localized copper hotspots while preventing probe diffusion. Indeed, the tandem sensing and labeling process occurs with concomitant metal release, which minimizes potential metal dye quenching pathways. While this first-generation design established that CDAI chemistry can achieve metal specificity, a major limitation is a lack of oxidation state specificity, as the probe responds both to Cu(I) and Cu(II). We now present the design, synthesis, and biological applications of Cu(II)-specific CDAI probes. We apply hard–soft acid–base considerations to achieve Cu(II) specificity, where judicious replacement of one of the thioether ligands in the metal receptor of the original CDAI probe with a harder carboxylate ligand can better accommodate the harder Lewis acidity of Cu(II) relative to Cu(I) (50). The red-emissive version, copper-directed acyl imidazole 649 for Cu(II), CD649.2, exhibits high metal and oxidation state specificity. This probe enables visualization of labile Cu(II) pools in live cells as well as dynamic changes in these pools upon exogenous copper supplementation or depletion, establishing the existence of a mobile intracellular Cu(II) pool. We use this probe to identify an ion channel for Cu(II) uptake, expansion of Cu(II) pools caused by oxidative stress, and reciprocal Cu(II) increases and Cu(I) decreases triggered by introduction of oncogenes. By establishing the existence of a labile intracellular Cu(II) pool and its response to cellular redox status, this work provides a starting point for broader investigations of transition metal signaling where these unique elements can achieve an additional layer of biochemical regulation in the form of redox cycling that goes beyond spatial and temporal control afforded by traditional inorganic calcium, potassium, sodium, and chloride signals.
Results and Discussion
Design, Synthesis, and Characterization of CDAI Probes with Cu(II) Selectivity.
The metal-directed acyl imidazole strategy is well suited to paramagnetic Cu(II) detection. Activity-based sensing is achieved by metal binding, triggering Lewis acid activation of the acyl imidazole unit for trapping onto proximal biological nucleophiles to preserve spatial resolution of the dye while simultaneously releasing the fluorescence quenching Cu(II) ion analyte. We designed dual metal and oxidation state selectivity into the CDAI platform by tuning the hard–soft acid–base pairing of the metal chelating portion of the probe (Scheme 1A). Cu(II) is a harder Lewis acid compared to Cu(I) and therefore has a preference for harder Lewis bases. Meanwhile, Zn(II) is a biologically relevant transition metal with similar acidic properties to Cu(II) (51); however, it prefers triamine and tetramine-based ligand scaffolds (15). We hypothesized that replacement of one of the soft thioether ligands with a hard carboxylate ligand would bias selectivity toward Cu(II) over Cu(I) without affecting overall metal selectivity (50). To this end, we synthesized two CDAI for Cu(II) dyes, the red CD649.2 (52) and green CD517.2 (Scheme 1B and SI Appendix, Scheme S1).
To determine the Cu(II) binding affinity of the metal receptor, we titrated compound 5 (NSCO2) to a solution of 1 mM Tris(2-pyridylmethyl)amine and 1 mM of Cu(II) (SI Appendix, Fig. S1). A Kd value was obtained by recording changes in the ultraviolet–visible absorption spectra of the copper-bound Tris(2-pyridylmethyl)amine whose Cu(II) affinity is known (53), providing an estimated Kd of 1.93 × 10−14 M for NSCO2, calculated via previously reported methods (54). To evaluate the reactivity of the Cu(II)-selective CDAI probes, we monitored the hydrolysis reaction of CD649.2 in the presence of Cu(II) via liquid chromatography–mass spectrometry (Fig. 1A). Liquid chromatograms of the reaction between 100 μM CD649.2 and 2.5 equivalence of Cu(II) in phosphate-buffered saline (PBS) showed complete conversion of the probe (415 m/z, Fig. 1B) within 1 h, affording a product with a mass of 561 m/z (Fig. 1C), corresponding to the hydrolyzed CD649.2 species with loss of the copper receptor. The reaction between 100 μM CD517.2 and 2.5 equivalence of Cu(II) in PBS similarly showed complete conversion of the probe (409 m/z) within 1 h, affording a product with a mass of 548 m/z, corresponding to the hydrolyzed product (SI Appendix, Fig. S2). In order to assess the ability of CD649.2 to respond to Cu(II) by Lewis acid activation of its acyl imidazole unit for proximal protein labeling, we performed in vitro protein labeling assays on whole cell lysates incubated with CD649.2 and varying concentrations of Cu(II). In-gel analysis of protein solutions established that CD649.2 was capable of labeling proteins in HEK 293T cell lysates in a Cu(II)-responsive dose-dependent manner, with maximal labeling occurring with a 1:1 ratio of probe and metal (SI Appendix, Fig. S3). We then tested the metal and oxidation state selectivity of CD649.2 by using soybean trypsin inhibitor (SBTI) as a model protein. SBTI has multiple surface-accessible amino acids with nucleophilic side chains (55) that could undergo facile reaction with the CDAI probe. The data show that CD649.2 is highly selective for copper over a range of biologically relevant metals, with about sixfold selectivity for Cu(II) over Cu(I) (Fig. 1D and SI Appendix, Fig. S4), which is also confirmed in cell lysate models (Fig. 1E and SI Appendix, Fig. S5). The result is a marked improvement in oxidation state selectivity over the first-generation probe CD649 (SI Appendix, Fig. S6), further corroborated by treating cell lysate with NSCO2, which inhibits protein labeling by CD649 through competitive chelation of Cu(II) (SI Appendix, Fig. S7). Analogous experiments with CD517.2 showed a similar preference for Cu(II) (SI Appendix, Fig. S8). We confirmed that the observed fluorescence signal arises from labeled protein via mass spectrometry analysis on SBTI and CD649.2. In the absence of Cu(II), only unlabeled SBTI (20.1 kDa) was detected (Fig. 1F). Upon addition of 100 μM Cu(II), a mass corresponding to SBTI + the fluorophore and linker (20.6 kDa) emerges (Fig. 1G). Similarly, unlabeled SBTI was detected upon addition of 50–250 μM Cu(I) and 50 μM CD649.2, whereas addition of 50–250 μM Cu(II) and 50 μM CD649.2 resulted in increasing intensity of the labeled peak for increasing Cu(II) concentration (SI Appendix, Fig. S9).
CD517.2 and CD649.2 Enable Imaging of Labile Cu(II) Pools in Living Cells.
With these probes in hand, we sought to evaluate the ability of CD649.2 to identify and detect changes in labile Cu(II) pools in living cells in response to exogenous copper supplementation and endogenous copper chelation. HEK 293T cells were treated with the Cu(II) ionophore Cu(gtsm) as a copper supplement or with the Cu(II)-selective chelators triethylenetetramine (TETA) or D-penicillamine (DPA) (Fig. 1 C and D), which showed that the probe can identify labile Cu(II) pools and expansion and depletion of these pools by these various treatments. Interestingly, although TETA has a higher affinity for Cu(II) (56), DPA-treated cells showed a slightly lower CD649.2 fluorescence signal, which could result from DPA-mediated reduction of Cu(II) to Cu(I) in addition to Cu(II) chelation (57). To confirm that the observed reduction in fluorescence is a result of sequestered labile Cu(II), we sequentially treated HEK293T cells with TETA or DPA followed by Cu(gtsm) (SI Appendix, Fig. S10). HEK293T cells treated with 200 μM TETA or DPA for 24 h and 2 μM Cu(gtsm) for 1 h showed a slight decrease in CD649.2 fluorescence signal versus vehicle control, indicating that the exogenously added Cu(II) was sequestered by the excess chelator present. Additionally, we treated HEK293T cells with varying concentrations of Cu(II) chelator to determine whether endogenous labile Cu(II) levels could be further depleted (SI Appendix, Fig. S11). While we do see a reduction in CD649.2 fluorescence upon treatment with either TETA or DPA, this reduction is not dependent on chelator concentration in the range of 200–500 µM, suggesting that a majority of the bioavailable labile Cu(II) has been depleted. Dual-color imaging experiments with a Hoechst 33342 nuclear stain confirm that CD649.2 covalently labels biomolecules in both the cytosol and the nucleus in this cell line (SI Appendix, Fig. S12) and maintains high cell viability as measured by a PrestoBlue assay (SI Appendix, Fig. S13). Imaging experiments using CD517.2 showed similar changes in Cu(II)-dependent fluorescence upon treatment with copper supplements or chelators (SI Appendix, Fig. S14). Taken together, these CDAI probes identify pools of labile Cu(II) in cells, adding this oxidation state as a source of bioavailable copper beyond Cu(I).
CD649.2 Identifies Divalent Metal Transporter 1 as an Oxidation State-Specific Cu(II) Importer.
With data establishing the existence of labile intracellular Cu(II) pools that can respond to copper supplementation or chelation, we next sought to elucidate foundational principles of its biological regulation. In this context, we hypothesized that copper uptake is dependent on oxidation state, where divalent metal transporter 1 (DMT1) could serve as a Cu(II) importer, akin to the known role of copper transporter 1 (CTR1) as a Cu(I) importer (Fig. 2A). Indeed, DMT1 is responsible for Fe(II) gastrointestinal and endosomal uptake and can mediate the uptake of multiple divalent metals (46). However, Cu(II) import by DMT1 remains an open question (58), as previous studies to address this issue have been limited to indirect electrophysiological and spectrophotometry-based methods (59). To provide direct evidence for the potential role of DMT1 in Cu(II) transport, we used CD649.2 to measure labile Cu(II) accumulation in mammalian cell models with genetic knockout of either DMT1 or CTR1 (60). DMT1 and CTR1 knockout H1299 cell lines (DMT1 KO and CTR1 KO) were created via CRISPR-Cas9 methods (59). CD649.2 imaging reveals that DMT1 KO cells show lower levels of fluorescence compared to wild-type (WT) cells (Fig. 2 B and C). The magnitude of this decrease in CD649.2 fluorescence is comparable to what is observed upon treatment with copper chelators TETA or DPA (SI Appendix, Fig. S15). In contrast, CD649.2 imaging shows similar fluorescence intensities in CTR1 KO cells relative to WT, corroborating the selectivity for Cu(I) over Cu(II) import by CTR1. Imaging H1299 cells with CD517.2 shows a similar pattern in fluorescence reduction for DMT1 KO cells versus WT (SI Appendix, Fig. S16) and TETA- or DPA-treated cells versus nontreated (SI Appendix, Fig. S17). Moreover, we confirmed the Cu(I) specificity of CTR1 by using the Cu(I)-selective fluorescent probe Copper Fluor-4 (CF4) (25), which showed the expected decrease in fluorescence signal in CTR1 KO cells relative to WT and a modest increase in DMT1 KO cells (Fig. 2 D and E). Interestingly, we found significant mitochondrial localization of CD649.2 fluorescence signal in this cell line as determined from costaining experiments with MitoTracker Green while analogous costaining with CD517.2 and MitoTracker Red reveals uniform labeling for the green-shifted CDAI (SI Appendix, Fig. S18). We propose that CD649.2 and C517.2 provide complementary information on labile Cu(II) status, as one can report on subcellular localization while the other reports on whole cell labile Cu(II). Collectively, these data provide direct evidence that DMT1 can deliver Cu(II) into cells and modulate the intracellular labile Cu(II) pools.
CD649.2 Establishes a Relationship Between Increases in Cellular Oxidative Stress and Dynamic Expansion of Labile Cu(II) Pools.
The ability of CD649.2 to monitor labile intracellular Cu(II) pools in an oxidation state-specific manner led us to investigate how these stores are affected by cellular redox mediators. In this context, glutathione (GSH) is a highly abundant cellular antioxidant that is critical for the maintenance of cellular redox status in equilibrium with its oxidized glutathione disulfide (GSSG) form (61). Indeed, we have recently shown that it plays a role in maintaining labile Cu(I) bioavailability (27). We first perturbed GSH homeostasis by using two different pharmacological treatments and tested their effects on labile Cu(II) pools by CD649.2 imaging. Buthionine sulfoximine (BSO) inhibits glutamate cysteine ligase (62), the enzyme involved in the rate-determining step of GSH biosynthesis, while bis-chloroethylnitrosourea (BCNU) inhibits glutathione reductase (63), the enzyme responsible for reducing GSSG. We monitored the impact of these inhibitors on labile intracellular Cu(II) levels. We observed that both treatments gave rise to an increase in labile Cu(II) as measured by CD649.2 imaging (Fig. 3 A and B). These data could be interpreted as a decrease in Cu(II) buffering by GSH or a more oxidizing environment that favors Cu(II). We also tested genetic manipulation of these same targets in mouse embryonic fibroblast (MEF) cells via short hairpin RNA (shRNA)-mediated knockdown of the gene encoding glutathione reductase (Gsr) or the catalytic subunit of glutamate cysteine ligase (Gclc). Knockdown of these genes produces genetic models equivalent to treatment with BCNU or BSO, respectively. We previously showed that shGclc MEFs have decreased GSH levels, shGsr MEFs have a decreased GSH/GSSG ratio, and both models have unchanged levels of total copper (27). We observed that labile Cu(II) levels, as measured by CD649.2 for both shGsr and shGclc MEF cells, were elevated relative to cells treated with a control shRNA with a scrambled sequence (Scr) (Fig. 3 C–F and SI Appendix, Fig. S19), in agreement with the pharmacological inhibition results. In addition, we performed shRNA-mediated knockdown on the light-chain subunit of the cystine/glutamate antiporter (xCT) in MEFs, the subunit responsible for cystine transport and a key promoter of GSH biosynthesis (64). Labile Cu(II) and Cu(I) levels in shxCT MEFs remained unchanged, as measured by CD649.2 and CF4, respectively (SI Appendix, Figs. S20–S22). Consistent with these results, shxCT MEFs showed unchanged levels of total GSH and an unaffected GSH/GSSG ratio (SI Appendix, Fig. S23). Thus, it is likely that the 50% reduction in xCT expression was not sufficient to reduce GSH status, and compensatory cystine transporter mechanisms maintain GSH levels so that copper bioavailability is unchanged. As a second model to evaluate how broader changes in cellular antioxidant status can affect labile intracellular Cu(II) homeostasis, we also evaluated the effect of loss of nuclear factor–erythroid factor 2–related factor 2 (NRF2), which up-regulates the expression of a series of antioxidant response element genes in response to oxidative stress, including those associated with GSH (65). To evaluate the impact of NRF2 on labile copper levels, we used the non–small cell lung cancer cell A549, which harbors an inactivating mutation in the NRF2 negative regulator KEAP1, in which endogenous NRF2 was ablated via CRISPR-Cas9 (NRF2−/−+V0) and subsequently restored (NRF2−/−+NRF2) (66) and measured labile intracellular Cu(II) and Cu(I) levels by using CD649.2 and CF4 probes, respectively. We found a marked increase in both labile Cu(I) and labile Cu(II) pools in NRF2−/−+V0 cells compared with NRF2−/−+NRF2 control cells (Fig. 3 G and H and SI Appendix, Fig. S24). The observation of higher levels of both forms of labile copper in the NRF2 KO cell line relative to the rescue suggest that NRF2 contributes to the regulation of overall labile copper bioavailability rather than an oxidation state-specific effect. Elevated levels of labile copper would be expected to exacerbate oxidative stress since copper can generate ROS from both Cu(I) and Cu(II) (4). Taken together, these data establish that endogenous cellular antioxidants, acting as binders or buffers for intracellular copper, play important roles in protection against oxidative stress. As was observed for labile Cu(I) pools, cellular redox status is connected to controlling labile Cu(II) bioavailability, directly linking GSH metabolism and broad antioxidant expression to this metal nutrient in both oxidation states.
Oncogenic BRAFV600E and KRASG12D Mutations Promote Redox Stress with Reciprocal Increases in Labile Intracellular Cu(II) Pools and Decreases in Labile Intracellular Cu(I) Pools.
With data establishing the connection between intracellular labile copper and redox status, we sought to further probe these relationships in a disease-relevant context. To this end, we turned our attention to the growing connection between copper and cancer (4, 26–28, 67–72), particularly with regard to cuproplasia, a copper-dependent form of cell proliferation that provides a biochemical basis for this metal nutrient as a disease vulnerability. Indeed, cancer cells exhibit an increased rate of proliferation (4), a process that requires copper for its catalytic role in driving cellular respiration via cytochrome c oxidase. Based on these considerations, we anticipated that Cu(II) could be favored over Cu(I) in a more oxidizing intracellular environment, and thus detection of this more oxidized form of the metal nutrient could be used as a proxy biomarker for oxidative stress in cancer. Indeed, many tumor types have an elevated metabolic demand owing to the rapid proliferation associated with tumorigenesis (4), and in response to these higher energy needs, many tumors also produce increased levels of ROS (73), which in turn should increase the pools of oxidized chemical species in the cell, including Cu(II). To explore this connection, we investigated the effects of introducing oncogenic mutations in BRAF (V600E) or KRAS (G21D) on labile intracellular Cu(II) levels in MEF model of cellular transformation. We found a marked increase in CD649.2 fluorescence signals in both tumorigenic cell lines when compared to Scr controls, suggesting elevations in labile intracellular Cu(II) pools (Fig. 4 A and B). Interestingly, these data complement our laboratories’ previous report showing that these same oncogenic transformations promote decreases in labile intracellular Cu(I) pools due to lowered Gsr expression and increased ROS generation, with levels of total copper remaining unchanged (27). Indeed, these results indicate a unique and dynamic shift in labile Cu(I)/Cu(II) ratios that correlate to the more oxidizing cellular environment promoted by oncogenesis.
Concluding Remarks
We have presented the design, synthesis, and evaluation of a strategy for turn-on fluorescence detection of Cu(II) with unique selectivity for both metal and oxidation state. By leveraging the activity-based sensing mechanism of metal-directed acyl imidazole chemistry, where probe activation occurs through a tandem sensing and labeling strategy with concomitant release of the metal analyte, we overcome the inherent challenges of turn-on detection with Cu(II), a paramagnetic metal ion that is a potent fluorescence quencher. We anticipate that this strategy will be broadly applicable to other metal ions and related biological analytes that can hinder fluorescence responses. Further tuning of the receptor should afford a generalizable platform for detection of other metals, and increasing the fluorogenicity of the probe upon protein labeling offers a robust strategy for improving signal-to-noise responses (74, 75).
The unique capabilities of these CDAI reagents have enabled us to study foundational aspects of Cu(II) biology that had previously not been possible. Green-fluorescent CD517.2 and red-fluorescent CD649.2 show a Cu(II)-selective response with purified protein and in cell lysates and establish the existence of a labile intracellular Cu(II) pool that can respond to copper supplementation and chelation. Moreover, the combined use of Cu(II)-selective CD649.2 and a Cu(I)-selective CF4 probe identify DMT1 and CTR1 as a complementary pair of proteins involved in selective transport of Cu(II) and Cu(I), respectively. Furthermore, we leveraged the Cu(II) specificity of CD649.2 to investigate the relationship between labile Cu(II) pools and GSH, a major contributor to redox regulation in the cell. We observed that labile Cu(II) levels increase upon pharmacological inhibition or genetic depletion of key regulators in GSH biosynthesis and reduction. These results complement our previous work that linked labile Cu(I) to GSH metabolism (27) and support a model where increased oxidative stress alters the GSH/GSSG ratio and increases the bioavailability of both labile Cu(I) and Cu(II) (Fig. 5). Interestingly, while GSSG can potentially bind to Cu(II) via the carboxyl and amine groups on the glutamate side chain (76), our data show that a decrease in the GSH/GSSG ratio leads to an increase, not a decrease, in labile Cu(II) levels, suggesting a weak affinity of GSSG for Cu(II). Genetic manipulation of xCT did not result in significant changes in labile copper or intracellular GSH status; however, it is possible that xCT loss was compensated for by additional cysteine transport mechanisms (77), and the effects of perturbing multiple cysteine uptake pathways on labile copper should be further investigated. Additionally, KRAS-transformed cells are known to transcriptionally up-regulate xCT, resulting in enhanced GSH levels and protection from oxidative stress (64); indeed, exploring how xCT and other GSH regulatory genes might affect labile copper in an oncogenic model could provide more valuable insight into the roles of these genes on metal oxidation state. Loss of NRF2 and the associated antioxidant response leads to an increase in both labile Cu(I) and Cu(II) levels, indicating that the broader antioxidant response to oxidative stress will buffer both forms of the metal. Deciphering antioxidant genes that contribute to sequestering labile copper pools in both oxidation states will yield valuable insights into the emerging relationships between cellular copper and redox status. In this context, metallochaperones like Atox1 that can bind and transport Cu(I) (78), yet also be oxidized by Cu(II) (79), await exploration with the use of Cu(II)-selective probes. Finally, we used CD649.2 to reveal reciprocal, oxidation state-selective changes in labile intracellular copper pools in a disease-relevant context, showing that expression of oncogenes BRAFV600E or KRASG12D in MEF cells increases pools of labile intracellular Cu(II) with concomitant decreases in labile intracellular Cu(I) stores (Fig. 5). Many cancer types are associated with aberrantly elevated levels of copper in patient serum (4, 80), where this metal nutrient regulates several proteins involved in tumor growth and proliferation (4, 81). Our findings show that changes in copper oxidation state are also important to consider in these pathways. More broadly, this work provides a starting point for further investigations of metalloplasias, where the metal nutrient pools contribute to metal-dependent disease vulnerabilities by spatial, temporal, and redox control, going beyond traditional metal signals that participate in only one oxidation state.
Materials and Methods
Full materials and procedures for the synthesis of compounds, spectroscopic characterization, cellular imaging, generation of cell lines, and cell analysis are described in the SI Appendix. Reaction monitoring was carried out with a Waters ACQUITY UPLC I-Class PLUS System with PDA Detector and SQ Detector 2 (column: C18, 130 Å, 1.7 µm, 2.1 mm × 30 mm; method: 0–6 min 30% MeCN/70% H2O/0.1% TFA (trifluoroacetic acid), flow rate 0.500 mL/min). Metal ion selectivity studies were prepared inside an oxygen-free glovebox, and the results were analyzed by ImageLab. Protein mass spectral analyses were carried out with a Shimadzu Biotech Axima Performance (tuning mode: linear, mass range: 19.0–25.0 kDa, pulsed extraction optimized at 20.6 kDa, matrix: 10 mg/mL sinapinic acid in 50% MeCN/50% H2O/0.1% TFA). Cells were imaged with a Zeiss LSM880 laser scanning confocal microscopy system with a 20× dry objective lens, and images were analyzed in Fiji (NIH).
Supplementary Material
Acknowledgments
We thank the NIH (grant nos. GM79465 and GM139245 to C.J.C., GM124749 to D.C.B., and MH109382 to K.L.J.-S.) for support of this work. D.C.B. also thanks the Pew Charitable Trust Scholars Program in Biomedical Science Award 50350 and V Foundation Scholar Award 3C59 8ABS 3424 3BDA for funding. G.M.D. acknowledges the Florida Department of Health Bankhead-Coley research program 9BC07. C.J.C. is a CIFAR Fellow. S.E.B. was supported by the NIH-funded University of Pennsylvania Structural and Molecular Biophysics Training Program (T32 GM132039). T.A.S. was supported by an NIH Ruth L. Kirschstein NRSA Fellowship (F32 GM122248). We thank Alison Killilea and Willie S. Hercule (University of California, Berkeley Tissue Culture Facility) for expert technical assistance, Andrea Stoudt (University of Pennsylvania, Cell and Developmental Biology Microscopy Core) for confocal microscopy technical assistance, and Prof. Massimo Broggini and Ludmilia Puchkova (ITMO University) for sharing DMT1 and CTR1 KO HT1299 cell lines.
Footnotes
Competing interest statement: C.J.C. is listed as a co-inventor on a patent application on copper probes.
This article is a PNAS Direct Submission. A.P. is a guest editor invited by the Editorial Board.
This article contains supporting information online at https://www.pnas.org/lookup/suppl/doi:10.1073/pnas.2202736119/-/DCSupplemental.
Data, Materials, and Software Availability
All study data are included in the article and/or supporting information.
References
- 1.Lippard S. J., Berg J. M., Principles of Bioinorganic Chemistry (University Science Books, 1994). [Google Scholar]
- 2.Solomon E. I., Sundaram U. M., Machonkin T. E., Multicopper oxidases and oxygenases. Chem. Rev. 96, 2563–2606 (1996). [DOI] [PubMed] [Google Scholar]
- 3.Que E. L., Domaille D. W., Chang C. J., Metals in neurobiology: Probing their chemistry and biology with molecular imaging. Chem. Rev. 108, 1517–1549 (2008). [DOI] [PubMed] [Google Scholar]
- 4.Ge E. J., et al. , Connecting copper and cancer: From transition metal signalling to metalloplasia. Nat. Rev. Cancer 22, 102–113 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Adam S. M., et al. , Synthetic Fe/Cu complexes: Toward understanding heme-copper oxidase structure and function. Chem. Rev. 118, 10840–11022 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Lancaster K. M., DeBeer George S., Yokoyama K., Richards J. H., Gray H. B., Type-zero copper proteins. Nat. Chem. 1, 711–715 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Halliwell B., Gutteridge J. M. C., “[1] Role of free radicals and catalytic metal ions in human disease: An overview” in Oxygen Radicals in Biological Systems Part B: Oxygen Radicals and Antioxidants, L. Packer, A. N. Glazer, Eds., (Academic Press, 1990), pp. 1–85. [DOI] [PubMed] [Google Scholar]
- 8.Gaggelli E., Kozlowski H., Valensin D., Valensin G., Copper homeostasis and neurodegenerative disorders (Alzheimer’s, prion, and Parkinson’s diseases and amyotrophic lateral sclerosis). Chem. Rev. 106, 1995–2044 (2006). [DOI] [PubMed] [Google Scholar]
- 9.Esmieu C., et al. , Copper-targeting approaches in Alzheimer’s disease: How to improve the fallouts obtained from in vitro studies. Inorg. Chem. 58, 13509–13527 (2019). [DOI] [PubMed] [Google Scholar]
- 10.Hunsaker E. W., Franz K. J., Emerging opportunities to manipulate metal trafficking for therapeutic benefit. Inorg. Chem. 58, 13528–13545 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.White C., Lee J., Kambe T., Fritsche K., Petris M. J., A role for the ATP7A copper-transporting ATPase in macrophage bactericidal activity. J. Biol. Chem. 284, 33949–33956 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Kaler S. G., ATP7A-related copper transport diseases-emerging concepts and future trends. Nat. Rev. Neurol. 7, 15–29 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Lutsenko S., Atp7b-/- mice as a model for studies of Wilson’s disease. Biochem. Soc. Trans. 36, 1233–1238 (2008). [DOI] [PubMed] [Google Scholar]
- 14.Banci L., et al. , Affinity gradients drive copper to cellular destinations. Nature 465, 645–648 (2010). [DOI] [PubMed] [Google Scholar]
- 15.Carter K. P., Young A. M., Palmer A. E., Fluorescent sensors for measuring metal ions in living systems. Chem. Rev. 114, 4564–4601 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Hare D. J., New E. J., de Jonge M. D., McColl G., Imaging metals in biology: Balancing sensitivity, selectivity and spatial resolution. Chem. Soc. Rev. 44, 5941–5958 (2015). [DOI] [PubMed] [Google Scholar]
- 17.Cotruvo J. A. Jr., Aron A. T., Ramos-Torres K. M., Chang C. J., Synthetic fluorescent probes for studying copper in biological systems. Chem. Soc. Rev. 44, 4400–4414 (2015). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Ackerman C. M., Lee S., Chang C. J., Analytical methods for imaging metals in biology: From transition metal metabolism to transition metal signaling. Anal. Chem. 89, 22–41 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Ackerman C. M., Chang C. J., Copper signaling in the brain and beyond. J. Biol. Chem. 293, 4628–4635 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Chang C. J., Searching for harmony in transition-metal signaling. Nat. Chem. Biol. 11, 744–747 (2015). [DOI] [PubMed] [Google Scholar]
- 21.Krishnamoorthy L., et al. , Copper regulates cyclic-AMP-dependent lipolysis. Nat. Chem. Biol. 12, 586–592 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Lee S., et al. , Activity-based sensing with a metal-directed acyl imidazole strategy reveals cell type-dependent pools of labile brain copper. J. Am. Chem. Soc. 142, 14993–15003 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Dodani S. C., et al. , Calcium-dependent copper redistributions in neuronal cells revealed by a fluorescent copper sensor and X-ray fluorescence microscopy. Proc. Natl. Acad. Sci. U.S.A. 108, 5980–5985 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Dodani S. C., et al. , Copper is an endogenous modulator of neural circuit spontaneous activity. Proc. Natl. Acad. Sci. U.S.A. 111, 16280–16285 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Xiao T., et al. , Copper regulates rest-activity cycles through the locus coeruleus-norepinephrine system. Nat. Chem. Biol. 14, 655–663 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Brady D. C., et al. , Copper is required for oncogenic BRAF signalling and tumorigenesis. Nature 509, 492–496 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Chung C. Y.-S., et al. , Activity-based ratiometric FRET probe reveals oncogene-driven changes in labile copper pools induced by altered glutathione metabolism. Proc. Natl. Acad. Sci. U.S.A. 116, 18285–18294 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Tsang T., et al. , Copper is an essential regulator of the autophagic kinases ULK1/2 to drive lung adenocarcinoma. Nat. Cell Biol. 22, 412–424 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Domaille D. W., Que E. L., Chang C. J., Synthetic fluorescent sensors for studying the cell biology of metals. Nat. Chem. Biol. 4, 168–175 (2008). [DOI] [PubMed] [Google Scholar]
- 30.Fahrni C. J., Synthetic fluorescent probes for monovalent copper. Curr. Opin. Chem. Biol. 17, 656–662 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Aron A. T., Ramos-Torres K. M., Cotruvo J. A. Jr., Chang C. J., Recognition- and reactivity-based fluorescent probes for studying transition metal signaling in living systems. Acc. Chem. Res. 48, 2434–2442 (2015). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Yang L., et al. , Imaging of the intracellular topography of copper with a fluorescent sensor and by synchrotron x-ray fluorescence microscopy. Proc. Natl. Acad. Sci. U.S.A. 102, 11179–11184 (2005). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Zeng L., Miller E. W., Pralle A., Isacoff E. Y., Chang C. J., A selective turn-on fluorescent sensor for imaging copper in living cells. J. Am. Chem. Soc. 128, 10–11 (2006). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Taki M., Iyoshi S., Ojida A., Hamachi I., Yamamoto Y., Development of highly sensitive fluorescent probes for detection of intracellular copper(I) in living systems. J. Am. Chem. Soc. 132, 5938–5939 (2010). [DOI] [PubMed] [Google Scholar]
- 35.Domaille D. W., Zeng L., Chang C. J., Visualizing ascorbate-triggered release of labile copper within living cells using a ratiometric fluorescent sensor. J. Am. Chem. Soc. 132, 1194–1195 (2010). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Dodani S. C., Leary S. C., Cobine P. A., Winge D. R., Chang C. J., A targetable fluorescent sensor reveals that copper-deficient SCO1 and SCO2 patient cells prioritize mitochondrial copper homeostasis. J. Am. Chem. Soc. 133, 8606–8616 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Hirayama T., Van de Bittner G. C., Gray L. W., Lutsenko S., Chang C. J., Near-infrared fluorescent sensor for in vivo copper imaging in a murine Wilson disease model. Proc. Natl. Acad. Sci. U.S.A. 109, 2228–2233 (2012). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Heffern M. C., et al. , In vivo bioluminescence imaging reveals copper deficiency in a murine model of nonalcoholic fatty liver disease. Proc. Natl. Acad. Sci. U.S.A. 113, 14219–14224 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Shen C., et al. , A ratiometric fluorescent sensor for the mitochondrial copper pool. Metallomics 8, 915–919 (2016). [DOI] [PubMed] [Google Scholar]
- 40.Park S. Y., et al. , An endoplasmic reticulum-selective ratiometric fluorescent probe for imaging a copper pool. Chem. Commun. (Camb.) 53, 4457–4460 (2017). [DOI] [PubMed] [Google Scholar]
- 41.Morgan M. T., et al. , Ratiometric two-photon microscopy reveals attomolar copper buffering in normal and Menkes mutant cells. Proc. Natl. Acad. Sci. U.S.A. 116, 12167–12172 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Yi X.-Q., He Y.-F., Cao Y.-S., Shen W.-X., Lv Y.-Y., Porphyrinic probe for fluorescence “turn-on” monitoring of Cu+ in aqueous buffer and mitochondria. ACS Sens. 4, 856–864 (2019). [DOI] [PubMed] [Google Scholar]
- 43.Priessner M., et al. , Selective detection of Cu+ ions in live cells via fluorescence lifetime imaging microscopy. Angew. Chem. Int. Ed. Engl. 60, 23148–23153 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Falcone E., et al. , Reversible turn-on fluorescent Cu(ii) sensors: Rather dream than reality? Dalton Trans. 48, 14233–14237 (2019). [DOI] [PubMed] [Google Scholar]
- 45.Hassett R., Kosman D. J., Evidence for Cu(II) reduction as a component of copper uptake by Saccharomyces cerevisiae. J. Biol. Chem. 270, 128–134 (1995). [DOI] [PubMed] [Google Scholar]
- 46.Gunshin H., et al. , Cloning and characterization of a mammalian proton-coupled metal-ion transporter. Nature 388, 482–488 (1997). [DOI] [PubMed] [Google Scholar]
- 47.Bruemmer K. J., Crossley S. W. M., Chang C. J., Activity-based sensing: A synthetic methods approach for selective molecular imaging and beyond. Angew. Chem. Int. Ed. Engl. 59, 13734–13762 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Iovan D. A., Jia S., Chang C. J., Inorganic chemistry approaches to activity-based sensing: From metal sensors to bioorthogonal metal chemistry. Inorg. Chem. 58, 13546–13560 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Miki T., et al. , A conditional proteomics approach to identify proteins involved in zinc homeostasis. Nat. Methods 13, 931–937 (2016). [DOI] [PubMed] [Google Scholar]
- 50.Que E. L., et al. , Copper-responsive magnetic resonance imaging contrast agents. J. Am. Chem. Soc. 131, 8527–8536 (2009). [DOI] [PubMed] [Google Scholar]
- 51.Parr R. G., Pearson R. G., Absolute hardness: Companion parameter to absolute electronegativity. J. Am. Chem. Soc. 105, 7512–7516 (1983). [Google Scholar]
- 52.Lukinavičius G., et al. , A near-infrared fluorophore for live-cell super-resolution microscopy of cellular proteins. Nat. Chem. 5, 132–139 (2013). [DOI] [PubMed] [Google Scholar]
- 53.Ambundo E. A., et al. , Influence of coordination geometry upon copper(II/I) redox potentials. physical parameters for twelve copper tripodal ligand complexes. Inorg. Chem. 38, 4233–4242 (1999). [Google Scholar]
- 54.Wijekoon C. J. K., Young T. R., Wedd A. G., Xiao Z., CopC protein from Pseudomonas fluorescens SBW25 features a conserved novel high-affinity Cu(II) binding site. Inorg. Chem. 54, 2950–2959 (2015). [DOI] [PubMed] [Google Scholar]
- 55.Ellis L. M., Bloomfield V. A., Woodward C. K., Hydrogen-tritium exchange kinetics of soybean trypsin inhibitor (Kunitz). Solvent accessibility in the folded conformation. Biochemistry 14, 3413–3419 (1975). [DOI] [PubMed] [Google Scholar]
- 56.Smirnova J., et al. , Copper(I)-binding properties of de-coppering drugs for the treatment of Wilson disease. α-Lipoic acid as a potential anti-copper agent. Sci. Rep. 8, 1463 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Gupte A., Mumper R. J., An investigation into copper catalyzed D-penicillamine oxidation and subsequent hydrogen peroxide generation. J. Inorg. Biochem. 101, 594–602 (2007). [DOI] [PubMed] [Google Scholar]
- 58.Jiang L., Garrick M. D., Garrick L. M., Zhao L., Collins J. F., Divalent metal transporter 1 (Dmt1) mediates copper transport in the duodenum of iron-deficient rats and when overexpressed in iron-deprived HEK-293 cells. J. Nutr. 143, 1927–1933 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Ilyechova E. Y., et al. , CRISP-R/Cas9 mediated deletion of copper transport genes CTR1 and DMT1 in NSCLC cell line H1299. Biological and pharmacological consequences. Cells 8, 322 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Lee J., Prohaska J. R., Thiele D. J., Essential role for mammalian copper transporter Ctr1 in copper homeostasis and embryonic development. Proc. Natl. Acad. Sci. U.S.A. 98, 6842–6847 (2001). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Aquilano K., Baldelli S., Ciriolo M. R., Glutathione: New roles in redox signaling for an old antioxidant. Front. Pharmacol. 5, 196 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Griffith O. W., Meister A., Potent and specific inhibition of glutathione synthesis by buthionine sulfoximine (S-n-butyl homocysteine sulfoximine). J. Biol. Chem. 254, 7558–7560 (1979). [PubMed] [Google Scholar]
- 63.Karplus P. A., Krauth-Siegel R. L., Schirmer R. H., Schulz G. E., Inhibition of human glutathione reductase by the nitrosourea drugs 1,3-bis(2-chloroethyl)-1-nitrosourea and 1-(2-chloroethyl)-3-(2-hydroxyethyl)-1-nitrosourea. A crystallographic analysis. Eur. J. Biochem. 171, 193–198 (1988). [DOI] [PubMed] [Google Scholar]
- 64.Lim J. K. M., et al. , Cystine/glutamate antiporter xCT (SLC7A11) facilitates oncogenic RAS transformation by preserving intracellular redox balance. Proc. Natl. Acad. Sci. U.S.A. 116, 9433–9442 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.MacLeod A. K., et al. , Characterization of the cancer chemopreventive NRF2-dependent gene battery in human keratinocytes: Demonstration that the KEAP1-NRF2 pathway, and not the BACH1-NRF2 pathway, controls cytoprotection against electrophiles as well as redox-cycling compounds. Carcinogenesis 30, 1571–1580 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 66.Torrente L., et al. , Inhibition of TXNRD or SOD1 overcomes NRF2-mediated resistance to β-lapachone. Redox Biol. 30, 101440 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Aubert L., et al. , Copper bioavailability is a KRAS-specific vulnerability in colorectal cancer. Nat. Commun. 11, 3701 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68.Michniewicz F., et al. , Copper: An intracellular Achilles’ heel allowing the targeting of epigenetics, kinase pathways, and cell metabolism in cancer therapeutics. ChemMedChem 16, 2315–2329 (2021). [DOI] [PubMed] [Google Scholar]
- 69.Denoyer D., Masaldan S., La Fontaine S., Cater M. A., Targeting copper in cancer therapy: ‘Copper That Cancer’. Metallomics 7, 1459–1476 (2015). [DOI] [PubMed] [Google Scholar]
- 70.Blockhuys S., et al. , Defining the human copper proteome and analysis of its expression variation in cancers. Metallomics 9, 112–123 (2017). [DOI] [PubMed] [Google Scholar]
- 71.Kim Y.-J., et al. , Copper chaperone ATOX1 is required for MAPK signaling and growth in BRAF mutation-positive melanoma. Metallomics 11, 1430–1440 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72.Shanbhag V., et al. , ATP7A delivers copper to the lysyl oxidase family of enzymes and promotes tumorigenesis and metastasis. Proc. Natl. Acad. Sci. U.S.A. 116, 6836–6841 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73.Polishchuk E. V., et al. , Activation of autophagy, observed in liver tissues from patients with wilson disease and from ATP7B-deficient animals, protects hepatocytes from copper-induced apoptosis. Gastroenterology 156, 1173–1189.e5 (2019). [DOI] [PubMed] [Google Scholar]
- 74.Grimm J. B., et al. , A general method to fine-tune fluorophores for live-cell and in vivo imaging. Nat. Methods 14, 987–994 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 75.Wang L., et al. , A general strategy to develop cell permeable and fluorogenic probes for multicolour nanoscopy. Nat. Chem. 12, 165–172 (2020). [DOI] [PubMed] [Google Scholar]
- 76.Eteshola E. O. U., Haupt D. A., Koos S. I., Siemer L. A., Morris D. L., The role of metal ion binding in the antioxidant mechanisms of reduced and oxidized glutathione in metal-mediated oxidative DNA damage. Metallomics 12, 79–91 (2020). [DOI] [PubMed] [Google Scholar]
- 77.Daher B., Vučetić M., Pouysségur J., Cysteine depletion, a key action to challenge cancer cells to ferroptotic cell death. Front. Oncol. 10, 723 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 78.Rae T. D., Schmidt P. J., Pufahl R. A., Culotta V. C., O’Halloran T. V., Undetectable intracellular free copper: The requirement of a copper chaperone for superoxide dismutase. Science 284, 805–808 (1999). [DOI] [PubMed] [Google Scholar]
- 79.Hatori Y., Clasen S., Hasan N. M., Barry A. N., Lutsenko S., Functional partnership of the copper export machinery and glutathione balance in human cells. J. Biol. Chem. 287, 26678–26687 (2012). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 80.Callejón-Leblic B., Gómez-Ariza J. L., Pereira-Vega A., García-Barrera T., Metal dyshomeostasis based biomarkers of lung cancer using human biofluids. Metallomics 10, 1444–1451 (2018). [DOI] [PubMed] [Google Scholar]
- 81.Lelièvre P., Sancey L., Coll J.-L., Deniaud A., Busser B., The multifaceted roles of copper in cancer: A trace metal element with dysregulated metabolism, but also a target or a bullet for therapy. Cancers (Basel) 12, 3594 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
All study data are included in the article and/or supporting information.