Hannah J. Lees1, Micaela Millan1, Fayyaz Ahamed2, Roozbeh Eskandari1, Kristin L. Granlund1, Sangmoo Jeong1, and Kayvan R. Keshari1
1Memorial Sloan Kettering Cancer Center, NEW YORK, NY, United States, 2University of California, Berkeley, Berkeley, CA, United States
Synopsis
The pyruvate-lactate flux, kPL, shows
promise as a biomarker of cancer presence and aggressiveness, and assessment of
kPL in patient-derived cells may be a useful tool to assess
treatment response for advanced personalized medicine. Here we present a novel experimental
protocol for the real-time measurement of pyruvate-lactate metabolic flux in
multiple mass-limited cell suspension samples using a single dissolution,
thereby increasing efficiency and providing greater control of the
methodological variability associated with HP experiments. We then applied this
protocol to the measurement of pyruvate-lactate flux in melanoma cells for the
assessment of treatment response to BRAF inhibition.
Introduction
Hyperpolarized (HP) pyruvate has been
examined for its potential clinical value in oncology,1-5 due to the
Warburg effect,6 a metabolic hallmark of cancer7 characterized by the excess conversion of pyruvate to lactate, even
in the presence of oxygen.8 The pyruvate-lactate flux, kPL, may therefore serve
as a useful biomarker of cancer presence, aggressiveness and treatment response,9 and assessment of kPL in patient-derived cells and
organoid cultures may be a useful tool for assessment of response to multiple
treatment regimens for advanced personalized medicine.10 Traditional DNP-MRS in vitro experiments require that the HP
probe be dissolved for each cell sample independently, a costly process in both
time and resources. We previously developed a hyperpolarized micromagnetic
resonance spectrometer (HMRS), featuring a microcoil in the horizontal plane,
for the real-time quantitative measurement of metabolic flux in live cells,11 with greatly increased detection sensitivity (103-fold). Here
we present a novel system and experimental protocol to allow for the real-time
measurement of metabolic flux in multiple mass-limited cell suspension samples,
thereby increasing efficiency and providing greater control of the
methodological variability associated with HP experiments. Following
development of the experiment protocol, we applied this technique to the
measurement of pyruvate-lactate flux in melanoma cells for the assessment of treatment
response to BRAF inhibition.Methods
The HMRS system was designed and assembled as previously
described,11 with a microcoil in the vertical plane to allow for rapid
cell suspension sample load/unload/reload capability. Two human melanoma cell lines: SK-mel 28 (BRAFV600E) and SK-mel 24 (BRAFWT
) were used; cell
proliferation was measured with an IncuCyte HD system and target inhibition by the BRAFi was
assessed using Western blot analysis. The treatment protocol for cell proliferation/Western blot
experiments was 2µM
Vemurafenib treatment at 6, 24, 48 and 72 hours. 1H NMR spectroscopy
(14.1T, Bruker Biospin) was used to measure media lactate and glucose
concentrations following 2µM Vemurafenib treatment at 6, 24 and 48 hours. HP [1-13C]pyruvate
was prepared using trityl radical, as previously described,11 using the DNP method (SPINlab polarizer, 5T)
and dissolved in 10mL of TRIS buffer (100mM TRIS, 1 mM EDTA, pH 7.4 in D2O),
neutralized with sodium hydroxide, to give a solution of 50mM, pH 7.4. Cells were treated for 24 hours with the
BRAFi or 0.1% DMSO as a vehicle control. HP pyruvate was added to cell
suspension samples with a ratio of 1:5 (final concentration ~10mM). Time-resolved
HP-MRS data were acquired using a permanent 3T MRI system (Bruker); a 13C
single pulse was acquired every 250ms, using a 15° excitation and a free
induction decay of 2048 points. HP spectroscopic data were processed using a custom script (MATLAB). Results and Discussion
The use of deuterated buffer for dissolution extended the T1
of HP [1-13C]pyruvate from 73.8± 2.0s to 147.4± 6.3s at 1T. This extended T1 decay allowed
for up to 8 sample measurements to be acquired per dissolution. A summary of the developed experimental
protocol for measuring the kPL of multiple cell suspension samples is shown in Figure 1A. The peak
areas acquired for HP [1-13C]pyruvate, HP [1-13C]pyruvate
hydrate and HP [1-13C]lactate (Figures 1B, 2A) in the first 5
seconds are used to calculate the ratio of lactate relative to the total carbon
signal, per second, and a linear model is fit to determine the slope (Figure
2B), which represents the
initial conversion rate of pyruvate to lactate, kPL.11 The sensitivity of the system was
tested and demonstrated reproducible results with 2.5x105 SK-mel 28
melanoma cells and scales linearly with cell number (R2=0.866,
Figure 2C); this calculated metric is normalized to the number of cells loaded
to give ξ (pmols/s) per 105 cells and allows for comparison across samples
(Figure 2D). A 24 hour treatment with
2µM Vemurafenib led to a significant reduction in the rate of HP pyruvate to
lactate conversion (p=0.03), in BRAFV600E SK-mel 28 cells (Figure 2E),
this is supported by significant changes in the pool size of lactate production and glucose consumption from 6 to
48 hours, respectively, and in cell proliferation following 72 hours of
treatment (Figure 3). As expected, BRAFi-insensitive BRAFWT cells showed no
significant change in metabolic flux, reflected in no difference observed in 1H
NMR media pool size and cell proliferation measurements acquired for this duration
of treatment. These data were acquired with an average of 6 measurements per dissolution,
representing a 6-fold increase in efficiency for measurement of kPL in cell
suspension samples, compared to traditional methods.Conclusions
Deuterated solvation of [1-13C]pyruvate,
combined with a highly-sensitive HMRS system, enabled reproducible, “high
throughput” measurements of pyruvate-lactate metabolic flux in multiple
independent samples using a single HP dissolution. The benefits of this
approach include a reduction in costs and variability associated with each
dissolution experiment, and expedited experimental progress, with the potential
for a two group comparative in vitro study (n=4) to be completed with
one dissolution. The increased sensitivity of the HMRS system, relative to
traditional HP cell suspension methodology, may be particularly useful for
translation to slow-growing patient-derived primary cells or organoid cultures
whereby biological material is limited. Acknowledgements
NIH/NCI S10 OD016422, R21 CA212958, Cancer Center
Support Grant P30 CA008748 and The Alan and Sandra Gerry Metastasis and Tumor
Ecosystems Center.
SK-mel 28 and SK-mel 24 cell lines were a generous
gift from the Jedd Wolchok Lab. Vemurafenib was kindly donated by the Neal
Rosen Lab.References
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