Andrew Cho1, Roozbeh Eskandari1, Jason S Lewis1, and Kayvan R Keshari1
1Memorial Sloan Kettering Cancer Center, New York City, NY, United States
Synopsis
Across most cancer types, increased macrophage
infiltration is associated with a worsening prognosis. This is because tumor
associated macrophages (TAMs) exhibit a variety of pro-tumor effects ranging
from vascular recruitment, cell proliferation, extravasation, and immune
suppression. A marker of TAMs is arginase-1 expression, which converts arginine
to urea and ornithine. It is thought that arginase expression reduces the
amount of arginine available to local T-cells, leading to T-cell receptor
dysfunction. In this abstract, we outline the synthesis and characterization of
novel compound [6-13C,6-15N3]-Arginine as a
hyperpolarized 13C MRS probe to interrogate arginase activity, with
the potential for in vivo translation.
Purpose
In normal physiology,
macrophages can be classified as pro-inflammatory M1 or anti-inflammatory M2
macrophages1. These two cell types can be differentiated by
the manner in which they metabolize arginine; M1 macrophages favor iNOS
mediated nitric oxide production while M2 macrophages overexpress Arginase-1
(Arg-1), which converts arginine to urea and ornithine1 (Figure 1A). Macrophages are one of the most
common normal cells in the tumor microenvironment, and they overexpress Arg-1
and support immunosuppression like their M2 counterparts2. Thus, increased tumor associated macrophage
(TAM) infiltration in tumors is correlated with a worse prognosis in most
tumors3. Arg-1 overexpression in the tumor microenvironment
has been linked to T-cell dysfunction due to arginine insufficiency4, and Arg-1 mediated ornithine/polyamine
production supports cell proliferation5. Furthermore, reprogramming TAMs to an M1-like
phenotype can improve therapeutic efficacy6. Therefore, a method to interrogate Arg-1
activity within a tumor could potentially serve as a surrogate readout of TAM
infiltration, and this information could prove useful in therapy selection,
monitoring therapeutic efficacy, and determining prognosis. By tracking the
fate of arginine’s carbon-6 via 13C MRS, it is possible to monitor
its conversion to urea (via Arg-1) or citrulline (via iNOS), as demonstrated in
the NMR spectrum in Figure 1B. Below, we detail the synthesis and
characterization of [6-13C,6-15N3]-Arginine-HCl,
a novel hyperpolarized 13C probe to measure Arg-1 and iNOS enzyme
activity with the potential for in vivo
translation. Methods
[6-13C,6-15N3]-Arginine-HCl
was synthesized using the multi-step synthetic scheme detailed in Figure 2,
adapted from Qu et al. and Hailton et al7,8. In vitro Arg-1
enzyme activity was measured using murine Raw 264.8 macrophages. These cells
were differentiated into M1 and M2 lineages via a protocol detailed by Liu et
al9. Arginase activity was measured using an Arginase
activity kit (Sigma) on cell lysate, and activity values were normalized to
total protein content measured by a BCA assay (Thermo Fisher). To confirm the
reduction of quadrupolar relaxation at the guanidino-carbon by 15N
enrichment, 13C NMR spectra for unlabeled and [6-13C,6-15N3]-Arginine
were obtained in a 14.1T magnet. The full width half max (FWHM) of the
guanidino-carbon peak was measured, and the FWHM of the carbon-1 peak was used
as an internal standard. For
hyperpolarized T1 measurements, [6-13C]-Arginine-HCl or [6-13C,6-15N3]-Arginine-HCl
was mixed with 1 equiv. HCl and dissolved to a final concentration of 1.3 M in
2:3 H2O:glycerol with 15 mM OX063 radical. The sample was polarized
for at least 1 hour in a SpinSolve polarizer. The T1 for the
arginine guanidino-carbon was calculated via acquisition of dynamic single-scan
13C NMR spectra with a 30° flip angle and 3s repetition time starting
approximately 30s after dissolution using a Magritek 1T NMR, and peak integral
vs. time was fit to an exponential decay formula correcting for
hyperpolarization loss from the flip angle. This was performed twice and the
calculated T1 values were averaged.Results
[6-13C,6-15N3]-Arginine-HCl
was synthesized with an 8.5% overall yield.
M2-differentiated murine macrophages exhibit approximately 7-fold
increased arginase activity compared to M1-macrophages, and a 20-fold increase
compared to undifferentiated Raw 264.8 macrophages (Figure 3). The FWHM of the
guanidino-carbon peak for natural abundance and [6-13C,6-15N3]-Arginine
was measured to be 1.4 Hz and 1.0 Hz, respectively (Figure 4A), and the FWHM of carbon-1
was 0.9 Hz for both compounds. The T1 of the guanidino-carbon
of hyperpolarized [6-13C]-Arginine could not be measured due to quadrupolar
relaxation, and the T1 of the guanidino-carbon of hyperpolarized [6-13C,6-15N3]Arginine
was calculated to be 20.4 ± 0.4s (Figure
4B). Discussion
The arginase activity assay
data demonstrates the establishment of an in
vitro model for low and high arginase-expressing cells. Future experiments
on M2 differentiated cells, which are similar to TAMs, can provide insight into
Michaelis-Menten enzyme kinetics of TAM arginase and arginine transporter
activity, which can be used to guide future in
vivo experiments. The FWHMGuanidino:FWHMCarbon-1
ratio decreases by 29% in the labeled compound, confirming that 15N
labeling of arginine reduces quadrupolar relaxation at the guanidino-position. The
dynamic HP 13C NMR data reveals the importance of 15N
labeling of guanidino-nitrogens towards mitigating quadrupolar relaxation and
extending hyperpolarized signal lifetime. This is essential towards future in vivo MRS applications that typically
use low field magnets, and quadrupolar relaxation is increased in lower fields.Discussion
Arginase activity can serve
as a surrogate for TAM infiltration within tumors, which is a negative
prognostic indicator for most tumors. We have outlined the synthesis and
polarization of [6-13C,6-15N3]-Arginine which
minimizes quadrupolar relaxation at the guanidino-carbon to extend it’s T1,
which allows for future in vivo
studies that would not be possible without 15N enrichment at the
6-position. Acknowledgements
Grants: NIH P30, Ludwig
Memorial Sloan Kettering's Center for Molecular Imaging and Nanotechnology
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