S-glutathionylated biomarker plasma proteins S-Glutathionylation Cycle Oxidation Reduction [O] [N] Low pK cysteine residue Cysteinyl radical Sulfenic acid S-glutathionylation Glutaredoxin Sulfiredoxin Sulfinic acid (GSTP) Grx Sulfonic acid degrade Deglutathionylation Protected From: Tew, Biochem. Pharmacology 2007 Protein clusters subject to S-glutathionylation 1. Cytoskeletal (actin) 2. Glycolysis/energy metabolism (e.g. GAPDH, pyruvate kinase, triose phosphoisomerase,phosphoglycerate kinase, aldolase, ketoglutarate dehydrogenase, isocitrate dehydrogenase) 3. Signaling pathways (e.g. MEKK1, NfB, STAT3, PKC, cAMP dependent PKA, p53, GTPase p21 ras, Trx, GSTP) 4. Calcium homeostasis (e.g. S100A1, SERCA, calmodulin, ryanodine receptor) 5. Phosphatases (e.g. PTP1B, PTEN, PP1, Cdc2, Cdc25a/b) 6. Protein folding (e.g. PDI, HSP65, 20S proteosome) 6. Serine protease inhibitors (SERPIN’s) From: Townsend, Molecular Interventions 2008 SERPIN’s • Serine Protease Inhibitors • Inactivate enzymes by binding them covalently • Have a characteristic secondary structure of beta sheets and alpha helices antitrypsin antichymotrypsin Possible pathway of activation of proteases by serpinA1 S-glutathionylation Site of S-glutathionylation? From: Silverman et al, 2006 MALDI-TOF identification of S-glutathionylated plasma proteins following NOV-002 treatment Protein (A) Complement C3 (B, D) Serpin A1 (C) Contrapsin (Serpin A3) NCBI Accession # 1352102 Confidence Interval 100% 6678087 100% 54173 100% NOV-002 (25 mg/kg, iv) Kda 0 ¼ ½ 1 4 24 h 150 100 75 50 37 A WB: PSSG B C D WB: albumin Mice treated in vivo Mouse plasma treated ex vivo S-glutathionylation of Serpins A1 & and impacts protein structure A3 is time and dose dependent A C WB:PSSG 0 WB:Serpin A1 1 2.5 5 10 20 30 min WB:PSSG WB:Serpin A3 0 1 2.5 5 10 20 30 min B WB:PSSG WB: Serpin A1 0 5 10 25 50 75 100 μM PABA/NO 0 D Figure 2 WB:PSSG WB: Serpin A3 5 10 25 50 75 100 μM PABA/NO liquid chromatography (LC)-electrospray ionization (ESI)-tandem mass spectrometry (MS/MS) RLGMFNIQHCK RLGMFNIQHC*K y1* = cysteine + 305 + H2O, this ion in absent in the unmodified peptide Figure 3A : Serpin A1 is S-glutathionylated at Cys256 liquid chromatography (LC)-electrospray ionization (ESI)-tandem mass spectrometry (MS/MS) DEELSCTVVELK DEELSC*TVVELK y7* = cysteine + 305, this ion in absent in the unmodified peptide Figure 3B : Serpin A3 is S-glutathionylated at Cys263 A. a b c 1 15 007 a b 05 5 0 c Relative Intensity WB: PSSG WB:albumin 0 2.5 5 15 30 60 120 240 min B. WB: PSSG 18 16 14 12 10 8 6 4 2 0 0 WB: SerpinA1 100 75 100 75 50 50 37 37 A1 A1 + - + A1 A1 - + 15 WB: PSSG 250 150 - 5 30 60 120 240 Time 250 150 IP: NOV-002: 2.5 IP: NOV-002: A3 A3 - + WB: SerpinA3 A3 A3 - + Immunoprecipitation human plasma treated with 40 mmol/L NOV-002 for 1h and biotinylated serpin A1 and A3 antibodies were used to pull-down total unmodified and modified serpins. Figure 4 B. A1 A3 3 10 WB: Serpin A3 al m N or PSSGc/A1 2.0 0.0 0.0 rm No er 0.5 r Ca nc e No r m al 0.0 1.0 0.5 Ca nc 0.2 al 0.4 r 1.0 Mann Whitney test P = 0.0002 1.5 Ca nc e 0.6 Mann Whitney test P = 0.0088 1.5 PSSG/Serpin Unpaired t test P = 0.0026 2.0 PSSG/Serpin 0.8 PSSG/Serpin PSSGb/A3 PSSGa/A1 al C . 1.0 5 6 m 3 4 No r 1 2 2 Ca nc No rm WB: albumin 4 0 er al 0 6 ce r 1 Mann Whitney test P = 0.0018 an 2 8 C Unpaired t test Welch's correction P < 0.0001 Normalized Serpin Levels W B :PSSGa IA1) PPSSGb(A3) SPSSGc(A1) S G WB: Serpin A1 Normalized Serpin Levels A. Unmodified serpins are elevated in certain cancers while the ratio of Sglutathionylated to unmodified serpin is decreased Figure 5 A. WB:PSSG PSSGa IA1) PSSGb(A3) PSSGc(A1) WB: Serpin A1 WB: Serpin A3 WB: albumin 1 - 2 - 3 - 4 1 - + 2 3 4 + + + 1 5 6 - - - 7 8 - - 1 5 6 7 8 + + + + + 100μM NOV-002 Ex vivo treatment with NOV-002 induces serpin A1 and A3 S-glutathionylation and results in greater relative increases in Serpin A1 glutathionylation in normal human plasma Parametric data were analyzed using T-tests and non-parametric data using Wilcoxon matched-pairs signed rank test. Data are mean for 45 cancer samples and 8 diseasefree +/- SEM. C. B. 30 4 2 5 Untreated Treated 20 10 10 0 ce r al Ca n rm Ca nc rm No ce Ca n No at ed rm a r l 0 Tr e at ed Un tre at ed Tr e at ed 20 Interaction P < 0.0001 0 0 Un tre Tr e Un tre at ed 0 at ed 0 Interaction P < 0.0001 Untreated Two-way RM ANOVA Treated No 2 10 Two-way RM ANOVA PSSGc/A1 30 6 al 1 4 PSSGc/A1 Two-way RM ANOVA Interaction P < 0.0001 PSSG/Serpin 2 6 PSSGa/A1 PSSG/Serpin 3 15 Wilcoxon matched-pairs signed rank test P > 0.0001 Pairing was effective: P > 0.05 er 4 PSSGc Normalized PSSG Levels 8 Normalized PSSG Levels E. A1 3 5 15 30 60 120 240 min Normalized Serpin Levels 0 8 6 4 2 0 at ed 2.5 10 Wilcoxon matched-pairs signed rank test P value is ns Pairing was effective: P > 0.0001 at ed 0 at ed WB: Albumin 1 at ed WB: SERPIN A1 2 U nt re 52kDa Normalized Serpin Levels WB: SERPIN A3 Tr e 66kDa A3 Paired t test P value is ns Pairing was effective: P > 0.0001 Tr e D. Un tre 5 Normalized PSSG Levels PSSGb Wilcoxon matched-pairs signed rank test P > 0.0001 Pairing was effective: P > 0.01 PSSG/Serpin PSSGa Wilcoxon matched-pairs signed rank test P > 0.0001 Pairing was effective: P > 0.05 Untreated Treated S-Glutathionylation Cycle Oxidation Reduction [O] [N] Low pK cysteine residue Cysteinyl radical Sulfenic acid S-glutathionylation Glutaredoxin Sulfiredoxin Sulfinic acid (GSTP) Grx Sulfonic acid degrade Deglutathionylation Protected From: Tew, Biochem. Pharmacology 2007 Cancer patient plasma have decreased GSTP and elevated Grx1. GSTpb 0.0 an ce r C or m m al 0.0 N Figure 7 0.5 or 4 NS 1.0 N 2 3 0.5 al 1 1.0 Normalized Densitometry WB: albumin P value = 0.0148 Mann-Whitney an ce r WB: Grx1 Grx 1.5 C WB:GSTp Normalized Densitometry 1.5 What next? • Insert biomarkers into a protocol where treatments are likely to modulate redox homeostasis. • Volunteers?