A study of the relationship between expression level of TRF1 protein and telomerase activity in human acute leukemia

A study of the relationship between expression level of TRF1 protein and telomerase activity in human acute leukemia first-author corresp ‡Corresponding Author ‡Corresponding Author †E-mail:hehuang@hzcnc.com †E-mail:hehuang@hzcnc.com hehuang@hzcnc.com Department of Hematology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China Department of Hematology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China Objective: 2 To study the expression level of TRF1 (telomeric repeat binding factor 1) protein in human acute leukemia and relationship between expression level of TRF1 protein and telomerase. Methods: 2 A quantitative Western-Blot technique was developed using anti-TRF1 33-277 monoclonal antibody and GST-TRF1 purity protein as a standard to further determine the expression level of TRF1 protein in total proteins extracted from clinical specimens. Results: 2 Bone marrow tissues of 20 acute leukemia patients were studied, 11 healthy donors’ bone marrows were taken as a control. The expression level of TRF1 protein was significantly higher ( P < 0.01) in normal bone marrow ((2.217±0.462) µg/µl) than that of acute leukemia patients ((0.754±0.343) µg/µl). But there was no remarkable difference between ALL and ANLL patients ((0.618±0.285) µg/µl vs (0.845±0.359) µg/µl, P > 0.05). After chemotherapy, TRF1 expression level of patients with complete remission elevated ((0.772±0.307) µg/µl vs (1.683±0.344) µg/µl, P < 0.01), but lower than that of normal ((2.217±0.462) µg/µl, P < 0.01). There was no significantly difference after chemotherapy ((0.726±0.411) µg/µl vs (0.895±0.339) µg/µl, P > 0.05). TRF1 expression level of patients with complete remission is higher than that of patients without complete remission ((1.683±0.344) µg/µl vs (0.895±0.339) µg/µl, P < 0.01). All samples were determined for telomerase activity. It was confirmed that the activity of telomerase in normal bone marrow was lower than that of acute leukemia patients ((0.125±0.078) µg/µl vs (0.765±0.284) µg/µl, P < 0.01). There was no significant difference of expression level of TRF1 protein between ALL and ANLL patients ((0.897±0.290) µg/µl vs (0.677±0.268) µg/µl, P > 0.05). After chemotherapy, telomerase activity of patients with complete remission decreased ((0.393±0.125) µg/µl), but was still higher than that of normal ((0.125±0.078) µg/µl, P < 0.01). Conclusion: 2 The expression level of TRF1 protein has correlativity to the activity of telomerase ( P < 0.001). Acute leukemia (AL) Human telomeric repeat binding factor protein 1 (TRF1) Monoclonal antibody Expression level of TRF1 protein Telomerase activity INTRODUCTION 1 Telomeres are distinctive DNA-protein structures that cap the ends of linear chromosomes. It is very important to keep the chromosomes stabilization. Telomerase activity is closely linked to attainment of cellular immortality, a step in carcinogenesis, while lack of such activity contributes to cellular senescence. Telomerase is activated in more than 85% of malignant tumors (Hiayma et al., 1997 1997 ). Human telomeric repeat binding factor 1 (TRF1) is a telomere associated with proteins and participates in a physiological homeostatic mechanism controlling cellular proliferative potential. TRF1 is involved in negative feedback mechanism that allows telomere shortening by inhibiting the activity of telomerase. Down-regulation of TRF1 expression results in telomere elongation and may be involved in cell immortalization and cancerogenesis. Yamada et al.( 2000 2000 )’s study found expression of TRF1 and TRF2 mRNAs was at higher level in the normal cells than in human malignant hematopoietic cell lines and/or in patients with acute leukemia (AL). Aragona et al.( 2000 2000 ) reported the expression level of TRF1 in malignant tumor was lower than that of normal tissue, inflammation and benign tumor. But expression level of TRF1 proteins in acute leukemia, and the correlativity between TRF1 and activity of telomerase are not available. In this study based on the monoclonal anti-TRF1 33-277 antibody (Huang et al., 2002 2002 ) we will identify the monoclonal antibody TRF1 33-277 and its application in acute leukemia, to explore the relationship between the TRF1 and tumor. MATERIALS AND METHODS 1 Tissue specimens and reagents 2 The patients group consisted of 20 patients diagnosed to have acute leukemia (10 men and 10 women; aged 12~70 years, mean of 39.1 years). They were inpatients from the Department of Hematology, the First Affiliated Hospital, Zhejiang University, China. The diagnosis was based on the national standards (8 ALL: 2 ALL-L1, 3 ALL-L2, 3 ALL-L3; 12 ANLL: 7 M2, 1 M3a, 1 M4b, 3 M5b). Eleven healthy volunteers (3 women and 8 men aged 20~35 years, mean of 29.5 years) were recruited as control group. Lymphocyte separating buffer (Ficoll) was poured into centrifugal tube, and gently mixed with the same volume of specimens (2~3 ml bone marrow with ACD) diluted by PBS buffer. Each mixture was centrifuged at 2 000~2 500 r/min for 10~15 min, and the supernatant was discarded. The mononuclear cells pellets were washed twice with PBS after transferring to eppendoff tubes, and centrifuged at 1 500 r/min for 10 min. After counting, the cellular concentration was adjusted to 1×10 7 or 1×10 6 ml −1 , and stored at −80 °C after drying. Acrylamide, N-N′ bi-methylatic acrylamide, TEMED were purchased from Sangon, China. TRF1 33-277 purity protein and anti-TRF1 33-277 monoclonal antibody were obtained from our research group (Huang et al., 2000 2000 ; 2002 2002 ). Telomerase PCR-ELISA kits were from Boehringer Mannheim Company, Germany. Extraction of cellular protein 2 The precipitate was resuspended with 5 times volume of precooled protein extracting buffer, and thoroughly shaken to achieve homogeneous mixing. The supernatants were extracted after the mixture was boiled at 100 °C for 10 min and then centrifuged at 12000 g for 30 min. Bovine serum albumin (BSA) was used as quantitative standard. The purity of the protein sample was analyzed by ultra-absorbing method before its storing at −70 °C. Quantitative Western-Blot 2 Following Luo et al.( 1996 1996 ), 30 µg sample protein was separated on a sodium dodecyl sulfate (SDS)-10% ( w / V ) polyacrylamide gel (200 V) before being transferred to a nitrocellulose membrane by electroblotting (100 V, 1 h). After blocking in TBST containing 7% ( w / V ) nonfat milk powder, the blots were incubated overnight at 4 °C with the anti-TRF1 33-277 antibody, followed by three washes in PBS, incubated again for 1 h then horseradish peroxidase-conjugated sheep anti-mouse antibody and then washed three times with TBST for 2 h, then once again incubated with ECL at moderate temperature for 1 min and processed to sensitization for 20 to 60 s with X-ray film. The signal blot was scanned under Ultroscan XL after developing and fixing. The intensity of signal was calculated on the basis of the area and darkness of the blot. Gemination diluted pure TRF1 protein was taken as the quantitative standard, at concentration of 0.0625 μg/μl, 0.125 μg/μl, 0.25 μg/μl, 0.5 μg/μl, 1.0 μg/μl, 2.0 μg/μl, and 4.0 μg/μl. A standard curve was depicted in every experiment using a group of quantitative standards, and the relative content of TRF1 protein was calculated by this way. Telomerase activity assay 2 Extract telomerase and detect its activity according to the manufacturer’s instructions in the telomerase PCR-ELISA kit (Boehringer Mannheim Company, Germany). Data analysis 2 Data were presented as mean± SD . Statistical significance was evaluated with Student’s t -test. RESULTS 1 Set up the standard graph of quantitative Western-Blot 2 Take the gemination diluted TRF1 33-277 purified protein as the relative quantitative standard, construct the graph with its relevant value of the blot density integral of each purified protein with different dilution multiple. Through this way, the relative content of TRF1 protein of tissue samples was calculated on the basis of its Western-Blot density integral (Fig. 1 1 and Fig. 2 2 ). Concentrations of GST-TRF1 33-277 fusion protein were 0.0625 μg/μl, 0.125 μg/μl, 0.25 μg/μl, 0.5 μg/μl, 1.0 μg/μl, 2.0 μg/μl, 4.0 μg/μl (from left to right) Concentration of GST-TRF1 33-277 purity protein were 0.0625 μg/μl, 0.125 μg/μl, 0.25 μg/μl, 0.5 μg/μl, 1.0 μg/μl, 2.0 μg/μl, 4.0 μg/μl Quantitative Western-Blot analysis of TRF1 expression of bone marrow tissue 2 TRF1 was expressed in all AL samples. The level of its expression was variable. Before and after chemotherapy, the expression level of TRF1 was (0.754±0.343) μg/μl and (1.368±0.518) μg/μl, respectively, while the TRF1 expression of samples from healthy donors was (2.217±0.462) μg/μl. The expression level of samples from AL patients was lower than that from normal bone marrow (BM) (albeit after chemotherapy) ( P < 0.01) (Table 1 1 ). Fig. 3 3 shows the result of one group of Western-Bolt patients. 1, 3, 5, 7 were four specimens of 4 AL patients after chemotherapy; 2, 4, 6, 8 were four specimens of the same 4 AL patients before chemotherapy M: Male; F: Female; CR: Complete remission; 1: Before chemotherapy; 2: After chemotherapy 2 Patient No. 2 Diagnosis 2 Sex 2 Age (year) 2 Response to chemotherapy 3 Telomerase 3 TRF1 (μg/μl) 1 2 Ratio (2/1) 1 2 Ratio (2/1) 1 ANLL M 29 0.635 0.538 0.847 0.855 0.947 1.107 2 ALL M 63 0.786 0.801 1.019 0.650 0.596 0.917 3 ALL F 20 CR 1.125 0.412 0.366 0.483 1.219 2.524 4 ANLL M 27 1.323 0.737 0.557 0.139 0.332 2.388 5 ANLL M 38 0.439 0.587 1.337 1.556 1.422 0.914 6 ALL F 47 CR 0.624 0.401 0.643 1.055 1.822 1.727 7 ALL M 18 CR 1.254 0.677 0.540 0.445 1.019 2.290 8 ANLL M 31 CR 0.639 0.467 0.731 1.112 1.515 1.362 9 ANLL F 58 CR 0.486 0.203 0.418 0.969 2.070 2.136 10 ANLL M 37 1.012 0.733 0.724 0.491 0.588 1.198 11 ANLL M 70 CR 0.615 0.301 0.489 0.962 1.760 1.830 12 ANLL F 63 0.733 0.601 0.820 0.693 1.041 1.502 13 ANLL F 50 CR 0.635 0.421 0.663 0.844 1.809 2.143 14 ALL M 35 CR 0.823 0.401 0.487 0.585 1.973 3.373 15 ALL F 35 CR 0.667 0.396 0.594 0.804 2.018 2.510 16 ALL M 12 CR 1.310 0.423 0.323 0.112 1.673 14.938 17 ALL F 49 CR 0.590 0.416 0.705 0.806 1.319 1.636 18 ANLL F 31 0.423 0.346 0.818 0.904 1.164 1.288 19 ANLL F 34 CR 0.397 0.197 0.496 1.092 1.999 1.831 20 ANLL F 35 0.785 0.463 0.590 0.523 0.904 1.728 Correlativity between TRF1 expression and classifying of AL 2 In ALL and ANLL patients, the expression level of TRF1 was (0.618±0.285) μg/μl and (0.845±0.359) μg/μl, respectively. The expression level of TRF1 protein between these two types of leukemia was not significantly different ( P > 0.05). Correlativity between TRF1 expression and chemotherapy result 2 After chemotherapy, 12 patients achieved complete remission (CR) while other 8 patients did not. Among patients who achieved CR, the expression level of TRF1 was markedly increased compared with that before chemotherapy ((1.683±0.344) μg/μl vs (0.772±0.295) μg/μl, P < 0.01). However, it was still lower than normal BM tissues ((2.217±0.462) μg/μl, P < 0.01). In patients without CR, there was no significant difference of the expression level pre- or post-therapy ((0.895±0.339) μg/μl vs (0.726±0.411) μg/μl, P > 0.05). Telomerase activity of AL patients 2 Before chemotherapy, the telomerase activity of bone marrow in AL patients was (0.765±0.284), which was much higher than normal ones ((0.125±0.078), P < 0.05) and patients achieved CR ((0.393±0.125), P < 0.01). Before chemotherapy, the telomerase activity in AL patients (0.897±0.290) was higher than that of ANLL patients (0.677±0.268), but without any statistical difference ( P > 0.05) (Table 2 2 ). Normal vs AL (denovo); P < 0.01, AL (denovo) vs AL (after chemotherapy) P < 0.01, AL vs ANLL P > 0.05 Control AL (denovo) AL (after chemotherapy) ALL ANLL n 11 20 20 8 12 TRF1 (μg/μl) 2.217±0.462 0.754±0.343 * * 1.368±0.518 ** ** 0.618±0.285 *** *** 0.845±0.359 Telomerase activity 0.125±0.078 0.765±0.284 * * 1.367±0.518 ** ** 0.897±0.290 *** *** 0.677±0.268 Correlativity between TRF1 protein expression and telomerase activity 2 Analysis of the correlativity between telomerase activity and TRF1 expression level among 11 normal bone marrow and 20 AL patients pre- or post-chemotherapy, showed that the expression level of TRF1 protein had negative correlation with telomerase activity, whether in normal BM tissues ( r =−0.891, P < 0.001) or in AL patients pre-chemotherapy ( r =−0.881, P < 0.001) or in those AL patients post-chemotherapy ( r =−0.820, P < 0.001). DISCUSSION 1 In human somatic cells, telomeres shorten with successive cell divisions, resulting in progressive genomic instability, altered gene expression, and cell death. As a regulating factor of telomerase, TRF1 have been proposed as candidates for the role of molecules regulating telomerase activity, and have been suggested to play key roles in the maintenance of telomere function. Since TRF1 can specifically bind to the TTAGGG repeat domain and inhibit the telomerase activity by regulating telomere length, it was regarded as a negative regulatory factor (van Steensel and de Large, 1997 1997 ). Using the serial diluted TRF purity protein as the relative quantitative standard, we set up a quantitative Western-Blot technique based on anti-TRF1 33-277 monoclonal antibody. Each group of samples had a standard curve. Intergrated intersity of samples was converted to the relative content of TRF1 protein by using standard curve. The purity TRF1 protein and samples were assayed with the same method, processed by SDS-PAGE and Western-Blot under the same conditions, so affecting factors were reduced and the results were more credible and comparable. In our study, the expression levels of TRF1 protein were different in bone morrow of AL patients and normal donors, and found to be much lower in AL patients, in accordance with theory indicating TRF1 has low expression level in tumor tissues as a negative regulator, which result is similar to other result reported in cranial tumor tissues (Aragona et al., 2001 2001 ; La Torre et al., 2005 2005 ). Compared to TRF1 level of AL patients pre-chemotherapy, its expression level was markedly increased when they got CR ( P < 0.001), but was still lower compared to normal volunteers ( P < 0.001). In contrast, the expression level of TRF1 protein had no significant difference in patients without CR. These results indicated that the expression level of TRF1 protein correlated with the results of clinical therapy, in that it has the potential use as an index for dynamic monitoring of the chemotherapy effects and illness varieties. TRF1 expression level did not show any significant difference between two types of AL patients ( P > 0.05), although Ohyashiki et al.( 2001 2001 ) reported the expression of TRF1mRNA was higher in ALL patients than ANLL patients. Therefore, it suggested that the TRF1mRNA expression level probably had no consistency with its protein expression. We also found that the telomerase activity of bone marrow cells in denovo AL patients was higher than normal ones, and that it dropped obviously as the patients achieved CR after chemotherapy but was still higher than normal. Meanwhile, there being no statistically significantly difference of telomerase activity between ALL patients and ANLL patients, suggested that the activation of telomerase was closely correlated to the occurrence or development of AL. And by measuring the activity of telomerase, the chemotherapy effects or illness varieties of AL patients could be monitored dynamically, but still could not distinguish ALL from ANLL. The relationship between the expression level of TRF1 and telomerase activity in normal volunteers and AL patients revealed that the TRF1 protein expression level had negative correlation to telomerase activity ( P < 0.001), which indicated that TRF1 may affect cellular biological behaviors by regulating the telomerase activity, although it could regulate the telomere length directly. And this mechanism may probably play an important role in the occurrence and development of tumor. 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Role of human telomerase reverse transcriptase and telomeric-repeat binding factor proteins 1 and 2 in human hematopoietic cells 10.1631/jzus.2006.B0154 Project (No. 2002CB713704) supported by the National Basic Research Program (973) of China 2005-08-29 2005-11-23 2006-01-19 2022-01-05 Copyright © 2006, Journal of Zhejiang University Science 2006 Journal of Zhejiang University-SCIENCE B (Biomedicine and Biotechnology) 02 07