Veronica Clavijo Jordan 1, Andre Martins2,3, Erica Dao4, Alia Al-Ebraheem4, Kalotina Geraki5, Xiaodong Wen3, Sara Chirayil3, Xiaojing Wang3, Mozhdeh Sojoodi6, Michael Farqhuarson4, and A.Dean Sherry3,7
1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA, United States, 2Werner Siemens Imaging Center, Tuebingen, Germany, 3Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4McMaster University, Hamilton, ON, Canada, 5Diamond Light Source, Harwell, United Kingdom, 6Division of Surgical Oncology, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States, 7Department of Chemistry, University of Texas at Dallas, Richardson, TX, United States
Synopsis
Zinc homeostasis is markedly
dysregulated in prostate cancer (PCa), and this dysregulation can be detected with
glucose-stimulated zinc secretion (GSZS) by MRI. Here we explore the use of GSZS MRI
and synchrotron-radiation X-Ray fluorescence to interrogate the effect of
dietary zinc on the healthy and malignant mouse prostate. Our results indicate
that the lateral lobe of the healthy mouse is the only prostatic structure responsive
to a variable zinc diet acting as the zinc “regulator” of the gland, and that in
PCa this lobe no longer responds to changes in dietary zinc, highlighting the
dysregulation of zinc transporters in PCa.
Introduction
The dysregulation of
zinc homeostasis has been used as a biomarker for discriminating PCa from
benign prostatic conditions and we discovered that a sudden change in plasma
glucose stimulates the secretion of zinc in fasted mice1. This allowed the use of extracellular zinc probes
to differentially detect zinc secretion in the healthy and malignant prostate.1-2 Prostate epithelial cells regulate zinc content
by transporting and storing the ion via zinc transporters, and in PCa the import
transporter ZIP1 is downregulated resulting in prostatic zinc loss3-4. Here, we investigate the effects of a variable
zinc diet on the healthy and malignant mouse prostate gland by GSZS MRI and
SR-XRF Methods
Synthesis: GdL,
a Gd-based zinc probe with high affinity to Zn was synthesized as reported5.
Animal model and In
vivo MRI: Male 13-wk old C57Bl6 mice and PCa TRAMP mice were
fed varying zinc content diets (0.05 ppm Zn, 30 ppm Zn, and 150 ppm Zn, N = 6
each) for 21 days. Mice were imaged at 9.4 T using a Varian/Agilent scanner.
Two 3D gradient echo T1-weighted scans were obtained
(TE/TR=1.69/3.35ms, Average=4, θ=20°) and mice then received: 0.07mmol/kg GdL
(i.v.) plus 2.2 mmol/kg glucose (i.p). Immediately after injections, sequential
3D T1-weighted scans were collected over 10 -15 mins and prostates
resected.
Synchrotron-Radiation
X-Ray Fluorescence (SR-XRF): Prostates were frozen
in liq.N2-chilled isopentane, stored at -80oC, sliced
into 50 μm-thick sections and mounted on XRF-compatible films. The SR-XRF I18
beam line at the Diamond Light Source was used at 8.2 and 11 keV to collect
atomic images of Zn, and Gd.
Image analysis: Images were analyzed using ImageJ. Change in contrast to-noise
ratio (DCNR)
of entire prostate ROIs were quantified and reported as a function of time. The
area under the DCNR
vs. time curve was calculated and one-way ANOVA analyses were performed using
GraphPad Prism. For SR-XRF, the gland was segmented into lateral,
dorsal, and ventral lobes and the concentration of Gd and Zn were obtained for
each.
Results
GSZS as detected by MRI
is based on formation of a ternary complex between GdL, secreted zinc, and albumin.
Here, we correlated zinc content and release in
healthy and TRAMP prostate tissues after GSZS of mice fed a zinc deficient
(0.05 ppm), sufficient (30 ppm), and excessive (150 ppm) diet. Fig.1A shows H&E-stained
prostate sections illustrating the lateral, ventral, and dorsal lobes. And their
adjacent SR-XRF-scanned slice showing the distribution of Zn and Gd (Fig.1B). As
it was previously shown6
and seen in Fig.1C, under normal zinc dietary conditions the lateral lobe
contains the highest levels of zinc: 0.93±0.40mM. This uptake
is further exacerbated for the animals under a zinc deficient diet, where the lobe
exhibited 1.45 ± 0.60mM. While, a zinc excessive diet did not result in over-accumulation
of the metal exhibiting the lowest levels of zinc: 0.52 ± 0.21mM. The lateral lobe is the only prostatic structure that
responds to dietary changes by sequestering more or less zinc depending on the bioavailability
(Fig.1C). Despite the different levels
of zinc content available in the healthy gland from diet, GSZS MRI showed that there
were no differences in zinc secretion as detected by GdL (Fig.2A&C). TRAMP mice
fed the variable zinc diet showed that the prostate gland did not respond to
any dietary demands; Fig 3A&B illustrates the SR-XRF elemental maps of mice
fed the high, normal, of low zinc diet and quantitative zinc concentration indicate
that there is no difference in lobular zinc content or within dietary levels.
However, GSZS MRI results indicate that the animals fed a zinc deficient diet elicited
a highest change in signal intensity in the prostate (Fig.4B), and no
difference of probe administration was observed (Fig.4B). Discussion and Conclusion
Dietary zinc is absorbed in
the jejunum and distributed in the body. In the prostate, it remains
mobile and released into seminal fluids but some also redistributed into other
compartments in prostate epithelial and stromal cells in response to an increase in plasma glucose. Zinc
trafficking in the prostate is facilitated by import and export transporters of the ZIP and ZnT families. It has been
hypothesized that the loss of zinc content in PCa cells is initiated by a
downregulation of the import transporter ZIP1 located on the cell membrane.3 The dietary changes imposed in this study and their resultant
zinc content in the gland is an indirect measurement of the homeostatic status
of zinc transporters located in prostate epithelial cells. Exposing healthy
cells to deficient levels of bioavailable zinc results in overabsorption into prostatic
cells in the lateral lobe likely due to a homeostatic rearrangement of zinc
import transporters. Conversely, in PCa the cells are unable to fulfill its
homeostatic duties, and when stimulated by glucose they over-secrete
intracellular zinc tipping the balance in favor of zinc “wasting”. These
results highlight the importance of zinc transporter dysregulation in the onset
of PCa and how combining orthogonal imaging technologies such as molecular MRI and synchrotron radiation X-Ray fluorescence enhances our knowledge
of metal homeostasis and disease pathogenesis.Acknowledgements
Peter Caravan and his laboratory for insightful feedback.
Funding sources: CPRIT, NIDDK, NHLBI
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