Abstract
The active transport of iodide from the bloodstream into thyroid follicular cells is mediated by the Na+/I− symporter (NIS). We studied mouse NIS (mNIS) and found that it catalyzes iodide transport into transfected cells more efficiently than human NIS (hNIS). To further characterize this difference, we compared 125I uptake in the transiently transfected human embryonic kidney (HEK) 293 cells. We found that the Vmax for mNIS was four times higher than that for hNIS, and that the iodide transport constant (Km) was 2.5-fold lower for hNIS than mNIS. We also performed immunocytolocalization studies and observed that the subcellular distribution of the two orthologs differed. While the mouse protein was predominantly found at the plasma membrane, its human ortholog was intracellular in ∼40% of the expressing cells. Using cell surface protein-labeling assays, we found that the plasma membrane localization frequency of the mouse protein was only 2.5-fold higher than that of the human protein, and therefore cannot alone account for the difference in the obtained Vmax values. We reasoned that the observed difference could also be caused by a higher turnover number for iodide transport in the mouse protein. We then expressed and analyzed chimeric proteins. The data obtained with these constructs suggest that the iodide recognition site could be located in the region extending from the N-terminus to transmembrane domain 8, and that the region between transmembrane domain 5 and the C-terminus could play a role in the subcellular localization of the protein.
Introduction
The transport and concentration of iodide from the blood by the thyroid gland is a prerequisite for thyroid hormone synthesis. The key player in this process is the sodium/iodide symporter (NIS, for natrium iodide symporter). The rat NIS sequence was the first to be identified (Dai et al. 1996), followed by the human (Smanik et al. 1996) and mouse sequences (Perron et al. 2001). The human and rat/mouse proteins are 643 and 618 amino acids in length respectively. NIS, also named as solute linked carrier 5A5 (SLC5A5), is a member of the sodium/solute symporter family, and is an integral membrane protein that resides in the basolateral membrane of thyroid epithelial cells (for review see Dohan et al. (2003)). Predicted and experimental data suggest that the NIS protein is organized into 13 membrane-spanning domains (Dohan & Carrasco 2003). Although the NIS contains N-linked carbohydrates, these modifications are apparently not required for full transport activity (Levy et al. 1998b). The NIS transports both Na+ and I− ions from the extracellular fluid (i.e., the blood) into thyroid follicular cells. The stoichiometry of the cotransport is two sodium ions for one iodide ion, with energy provided by the electrochemical gradient of sodium across the plasma membrane. Once in the cell, the iodide is translocated across the apical membrane into the lumen, where it is immediately organified as thyroglobulin, i.e., the thyroid hormone precursor. Through this mechanism, iodide becomes concentrated in the thyroid gland at 20- to 40-fold higher levels than in the plasma.
The NIS-mediated iodide accumulation that occurs in thyrocytes is a useful tool for the diagnosis and treatment of thyroid diseases. The NIS allows the diagnosis of thyroid dysfunction via scintigraphic imaging, and thyroid cancer can be treated using radioiodide therapy. The cloning of the NIS cDNA has opened the door to a new gene therapy strategy for the treatment of cancer cells. In a series of preclinical trials, the NIS gene was successfully transduced into various cancer cell types. NIS expression then catalyzed radioiodide uptake, resulting in targeted cell destruction. However, more detailed knowledge of the NIS protein is still needed to obtain improved iodide accumulation and facilitate future therapeutic strategies.
To date, the importance of individual amino acids and protein domains within the NIS for the protein's function is only partially understood. Mutations in the NIS gene leading to iodide transport defects and congenital hypothyroidism have been reported (Pohlenz & Refetoff 1999, Dohan et al. 2003, Szinnai et al. 2006). Certain residues that could be important for transport activity have been studied at the molecular level by site-directed mutagenesis: a hydroxyl group at residue 354 appears to be essential for NIS function (Levy et al. 1998a); a charged or large side chain at position 395 interferes with the NIS transport activity (Dohan et al. 2002); charged residues other than Glu at position 267 render NIS inactive (De La Vieja et al. 2004); and the G543 residue seems to be important for the localization of NIS to the plasma membrane (De la Vieja et al. 2005). However, further in vitro studies are required to better understand the molecular mechanisms of sodium-coupled iodide transport.
Heltemes et al. (2003) reported that the rat NIS protein is more efficient than the human protein for radioisotope concentration. More recently, Mitrofanova et al. (2006) compared the human and rat NIS genes for their efficacy in cancer therapy. The authors demonstrated that the rat NIS allows the administration of lower doses of 131I to arrest the growth of tumor xenografts in mice. The observed differences in the iodine-concentrating ability, and thus the therapeutic efficacy, between the two orthologs may reflect differences in cell surface targeting. Indeed, Zhang et al. (2005) have shown that although the rat and human NIS proteins are expressed at equivalent levels, only the rat NIS is present at the plasma membrane, with the human protein being found predominantly within cells. They have also analyzed rat/human NIS chimeras and concluded that multiple regions play a role in NIS subcellular localization and that the protein's tertiary structure is critical for surface targeting.
Better understanding of the molecular mechanisms involved in the iodine transport capacity and the post-transcriptional regulation and targeting of the NIS protein should be useful for the development of NIS-based clinical applications, in particular for the imaging of tumor cells and targeted radiotherapy. For this purpose, we analyzed the transport properties and subcellular distribution of the human and mouse (the closest ortholog of the rat gene) NIS transiently expressed in human embryonic kidney (HEK) 293 cells. Our data provide insight into the differences in transport behavior and subcellular distribution of the human NIS compared with its rat/mouse counterparts.
Materials and Methods
Mutagenesis, plasmids, and cDNA construction of His-tagged and chimeric NIS
The mouse NIS (mNIS) coding region was subcloned into pcDNA3.1 (Invitrogen) as described previously (Perron et al. 2001). The full-length human NIS (hNIS; a generous gift of Prof. S M Jhiang) was inserted between the BamHI and XhoI sites of the pcDNA5 FRT plasmid (Invitrogen). In both constructs, the 5′-non-coding region of the cDNA was removed and a Kozak (1997) consensus sequence introduced before the initiator ATG. This sequence, including the NotI restriction site used for the subcloning, was GCGGCCGCCACCATG for mNIS. For hNIS, the sequence, including the BamHI restriction site used for subcloning, was GGATCCGCACCATG. The constructs carrying the mNIS sequence without a histidine tag contained 33 bases from the 3′-non-coding region downstream of the stop codon. The constructs carrying the hNIS sequence without a histidine tag contained 92 bases from the 3′-non-coding region. These non-coding regions were removed in the constructs encoding the His-tagged proteins. The cDNA constructs encoding the His-tagged proteins were engineered by inserting the sequence CATCATCACCATCACCAT (which codes for six histidine residues) at the 3′ extremity of the cDNAs by PCR using Pwo polymerase and appropriate primers (Genosys, Cambridge, UK). Chimeric transporters were produced by exchanging the C-terminal extremities of the human and mouse NIS proteins. The chimeric cDNAs were produced according to a previously described method involving swapping sites (Katagiri et al. 1992). Overlapping segments corresponded to conserved regions. The primer sequences for the chimeras were: 1) between helices 4 and 5, 5′-ACATCTGGGCGTCGCTCCTGTCCACCG-3′ (sense strand) and 5′-CGGTGGACAGGAGCGACGCCCAGAT-3′ (antisense strand); 2) between helices 8 and 9, 5′-TTCCTGGCCTGTGCTTACAGTGGCA-3′ (sense strand) and 5′-TGCCACTGTAAGCACAGGCCAGGAA-3′ (antisense strand); 3) between transmembrane domain 13 and the C-terminus, 5′-CTGACAGGCCCCACCAAGCGCA-3′ (sense strand) and 5′-GCTGCGCTTGGTGGGGCCTGTCAG-3′ (antisense strand). These overlapping segments encoded the conserved sequences DIWASLLSTG (starting at transmembrane domain 5), FLACAYSG (starting at transmembrane domain 9), and LTGPTKRS (following transmembrane domain 13). The final PCR products were hydrolyzed and inserted into the mouse NIS pcDNA3.1 and the human NIS pcDNA5 plasmids. All PCR-amplified portions were sequenced.
Antibodies
Antibody 25 (Ab 25 anti-mNIS) is an affinity-purified fraction of a rabbit immunoreactive serum. Two peptide sequences in the C-terminus of the mNIS were selected using the double XP program from Eurogentec (Seraing, Belgium) and synthesized. The synthetic peptides, CAETHPLYLGHDVETNL (comprising amino acids 603–618) and CVEDLIKPRMPSLAPR (comprising amino acids 367–381), were conjugated to the carrier molecule hemocyanin. Immunoreactive sera were obtained by multipoint injections of a mixture of both peptides. A peptide corresponding in sequence to amino acids 603–618 was coupled to a sepharose gel and used to purify the antibody. The primary monoclonal anti-human NIS antibody 39S (Ab 39S anti-hNIS) was obtained by injecting mice with purified NIS protein. Characterization of this antibody indicated that it predominantly recognizes a domain in the cytoplasmic C-terminal portion of the protein comprising amino acids 580–600 (article in preparation). Purified mouse monoclonal anti-His-tag antibody was purchased from Qiagen (QIAexpress anti-His antibodies). All primary antibodies were used at a 1:3000 dilution in PBS with 2 g/l casein (I-Block; Tropix, Bedford, MA, USA) for western blotting, and at 1:200 in PBS with 1% BSA for immunofluorescence experiments. For western blots, secondary goat anti-mouse or goat anti-rabbit antibodies coupled to horseradish peroxidase (HRP) were obtained from Pierce (Immunopure antibodies, Pierce-Perbio, Brebières, France). Tetramethylrhodamine isothiocyanate (TRITC)-conjugated secondary antibodies used for immunocytochemistry were purchased from Sigma. Secondary antibodies were used at a dilution of 1:5000 in PBS–casein (2 g/l) for western blots and at 1:250 in PBS–BSA (1%) for immunofluorescence.
Cell culture
HEK 293 cells were grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum, 10 mM l-glutamine, and 0.01 mg/ml gentamicin, at 37 °C in a humidified 5% CO2 atmosphere (all cell culture media, supplements, and reagents were obtained from Invitrogen).
Transfections
HEK cells were seeded the day before transfection onto plates coated with 10 mg/ml poly-l-lysine (Sigma–Aldrich) at a density of 3×106 cells/75 cm2. In general, transfection was performed the following day at ∼60% cell confluence (40% for immunocytochemistry), using the FuGENE 6 reagent (Roche) according to the manufacturer's protocol. For each experiment, the transfection efficiency was estimated using an immunofluorescence assay (see below). Usually, between 60 and 70% of the total cells expressed the NIS proteins. Sets of experiments that did not show such transfection efficiencies were not used.
Iodide uptake assays, Km, and Vmax measurements
Iodide uptake assays were performed 2 days after transfection. Monolayers of confluent, transiently transfected HEK 293 cells were washed with Hank's buffered salt solution (HBSS)/10 mM HEPES buffer and incubated in buffer containing 30 μM Na125I (50 Ci/mol) at 37 °C. Iodide uptake was stopped by adding ice-cold HBSS/10 mM HEPES buffer, followed by two washes in the same ice-cold buffer. The cells were then permeabilized in ethanol and the radioactivity measured using a γ-counter (Packard). For kinetic analysis, the cells were incubated with buffer containing different concentrations of NaI (in μM: 2.5, 5, 7.5, 10, 15, 20, 30, 40, 60, 80, 120, 160) for 4 min. For each experiment, the background (experiment in the presence of perchlorate) has been subtracted. For iodide uptake assays (as with the immunoblot, immunofluorescence, and cell surface biotinylation experiments shown in this study), each set of experiments (cells transfected with plasmids encoding the different NIS orthologs or chimeras) was performed at the same time, using the same conditions, and starting from the same batch of cells. All results shown are the average of at least three different experiments, each performed in triplicate.
KmNa measurements
Sodium was replaced by tetramethyl ammonium chloride (TMA; Sigma–Aldrich). NIS-transfected HEK cells were washed with a sodium-free washing buffer (10 mM HEPES, 2 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 160 mM TMA) and then incubated in buffer containing different NaCl concentrations (in mM: 2.5, 5, 7.5, 10, 15, 20, 30, 40, 60, 80, 120, 160) for 4 min. The different NaCl concentrations were obtained by mixing a dilution buffer (10 mM HEPES, 2 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 160 mM TMA, 30 μM NaI) with a sodium-containing buffer (10 mM HEPES, 2 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 160 mM NaCl, 30 μM NaI) in appropriate ratios. After incubation, three washes were performed with the washing buffer. Cells were then permeabilized in ethanol and the radioactivity measured with a γ-counter.
SDS-PAGE and immunoblot analysis
All samples were diluted 1:5 with loading buffer containing 0.3 M Tris (pH 6.8), 0.5 M dithiothreitol (DTT), and 50% glycerol. The samples were then incubated at 42 °C for 45 min, before PAGE. Equal amounts of protein (10 μg) were separated on SDS-10% PAGE and transferred to a polyvinylidene difluoride (PVDF) membrane (Hybond-ECL; GE healthcare, Orsay, France). Membranes were saturated for 45 min in blocking buffer (PBS, 2 g/l casein from I-Block; Tropix) and then incubated for 2 h at room temperature with the primary antibody. Subsequently, the membranes were washed three times for 10 min in 1× PBS buffer and incubated with the secondary antibody for 45 min at room temperature. Three final washes in 1× PBS buffer were performed, 10 min each. Results were revealed with an enhanced chemiluminescence detection system (Amersham ECL plus, GE healthcare). For control experiments with housekeeping proteins, the membrane was stripped in 62 mM Tris (pH 6.7), 100 mM 2-mercaptoethanol, and 2% SDS. After several washes (in PBS), the membrane was incubated with tubulin-specific monoclonal antibodies (clone D66, 1.1 μg/ml; Sigma–Aldrich). Quantification of western blot experiments was performed on images scanned from autoradiographic films using ImageQuant software (GE Healthcare).
Immunofluorescence
HEK 293 cells were seeded onto poly-l-lysine pre-coated coverslips the day before transfection. Forty-eight hours after transfection, when cells reached 40–50% confluence, they were rinsed three times with 1× PBS buffer at room temperature and then fixed in 10% paraformaldehyde/0.02% glutaraldehyde/1× PBS (Chang et al. 1996) for 15 min. The cells were permeabilized by briefly rinsing the coverslips in 100% methanol (−20 °C) and then washed three times for 5 min in 50 mM NH4Cl/1× PBS. Again, the cells were permeabilized for 30 s in 0.01% Triton X-100/1% methanol in 1× PBS. Three washes of 5 min each were performed in 1× PBS. The cells were then blocked for 30 min in 1× PBS/1% BSA. Primary antibodies were diluted 1:250 in PBS/0.1% BSA and incubation carried out overnight at 4 °C. After three washes, 10 min each, in 1× PBS, the cells were incubated with 200 μl 1× PBS/0.1% BSA containing a TRITC-conjugated anti-rabbit or anti-mouse secondary antibody (dilution 1:350, Sigma–Aldrich). After 1-h incubation in the dark at room temperature, the coverslips were washed three times for 5 min in 1× PBS and mounted onto microscope slides using Gel Mount (Interchim, Montluçon, France).
Image acquisition was performed using a Zeiss Axiovert 200M microscope equipped with a CoolSNAP CCD camera from Photometric and the METAView program (Roper Scientific, Evry, France). When required, deconvolution of the images was performed using AutoQuant X1.33 software (AutoQuant Imaging Inc, Bethesda, MD, USA).
Statistical study of NIS protein localization
Six coverslips were prepared for each experimental condition and 50 different images were acquired per coverslip. All stained cells were counted taking into account the subcellular localization of the labeling. The labeled cells were counted from images visualized with a computer. The counting was repeated by different researchers to verify the accuracy of the measurements.
Cell surface biotinylation
HEK 293 cells were seeded onto 100 mm tissue culture dishes (Corning, Schiphol-Rijk, The Netherlands) coated with poly-l-lysine (Sigma–Aldrich) and transfected the following day. Forty-eight hours after transfection, the cells were washed two times with ice-cold PBS containing 0.1 mM CaCl2, 1 mM MgCl2, 138 mM NaCl, 2.7 mM KCl, 9.6 mM Na2HPO4, 15 mM KH2PO4 (pH 8; biotinylation washing buffer). The cells were then incubated for 30 min at 4 °C in biotinylation washing buffer supplemented with 1 mg/ml sulfosuccinimidyl-2-(biotinamido)ethyl-1,3-dithiopropionate (Sulfo-NHS-SS-biotin; Pierce, EZ-Link Sulfo-NHS-SS-Biotin). Remaining free Sulfo-NHS-SS-biotin was removed by washing three times in ice-cold biotinylation washing buffer containing 100 mM glycine at 4 °C. The cells were then lysed in lysis buffer (0.1% SDS/1% Triton X-100/1% sodium deoxycholate/150 mM NaCl/1 mM EDTA/100 mM Tris–HCl (pH 7.5)/1 μg/ml aprotinin/1 μg/ml leupeptin) for 15 min at 4 °C with continuous shaking. The lysates were centrifuged for 15 min at 10 000 g. The supernatant was designated ‘total cellular extract fraction’ (TCEF). Two hundred microliters of TCEF were kept for protein quantification and immunoblotting. Hundred microliters of streptavidin–agarose beads (Immunopure Immobilized Streptavidin, Pierce) were added to the remaining TCEF and incubated for 1 h at room temperature with constant gentle rotational shaking. The suspension was then centrifuged for 5 min at 10 000 g. The pelleted beads were washed three times in 500 μl lysis buffer, and bound proteins were released through the addition of 200 μl 2× elution buffer (Tris 60 mM (pH 6.8)/2% SDS/10% glycerol/1% β-mercaptoethanol/0.1% bromophenol blue). Protein concentrations were determined using the Bradford assay, and SDS-PAGE was carried out as described above. Quantification of western blot experiments was performed on images scanned from autoradiographic films using the ImageQuant software (GE Healthcare). For control experiments with housekeeping proteins, the membranes were stripped in 62 mM Tris (pH 6.7), 100 mM 2-mercaptoethanol, and 2% SDS. After several washes (in PBS), the membranes were incubated with Na/K ATPase-specific monoclonal antibodies (clone 464.6, dilution 1:5000; Novus Biologicals, Littleton, CO, USA).
Statistical analysis
s.e.m. were calculated using Microsoft Excel software for all experiments. Student's t-tests were also performed using Excel.
Results
mNIS iodide uptake is 60% higher than hNIS iodide uptake
HEK 293 cells transiently transfected with recombinant pcDNA vectors encoding the wild-type human or mouse NIS showed significant iodide accumulation, and, in both cases, the kinetics of iodide transport began to plateau after 30 min of incubation with 30 μM NaI (Fig. 1A). We found that hNIS was less efficient than mNIS in iodide uptake activity (Fig. 1A). In Fig. 1A, the iodide uptake in the hNIS- and mNIS-expressing HEK 293 cells is expressed as a percentage of the iodide uptake in mNIS-expressing HEK 293 cells after 30 min (set at 100%). Averaging several experiments revealed that the value of the iodide uptake for hNIS-expressing cells after 30 min was 38% that for mNIS-expressing cells (Table 1). This accumulation that could be inhibited with 100 μM of the competitive NIS inhibitor perchlorate (data not shown) was not observed in non-transfected cells. Data for each experiment are presented as percentages of the values obtained with mNIS-expressing cells at 30 min in order to normalize the different sets of experiments. Small differences were found between experiments and are related to minor variations in the different batches of cells, the amount of cells per well, and the transfection efficiencies. Potential differences in transfection efficiencies were analyzed using immunocytochemistry assays that were carried out simultaneously for the uptake experiments, using the same batch of cells and the same conditions. No differences were observed in transfection efficiency between the hNIS- and mNIS-encoding plasmids.
Kinetic and transport properties of wild-type, chimeric, and histidine-tagged natrium iodide symporter (NIS) proteins
Uptake mean n=3 (% mNIS) | KmI mean n=4 (μM) | Vmax mean n=4 (% mNIS) | KmNa mean n=5 (mM) | |
---|---|---|---|---|
hNIS | 38.2±7.1 | 9.0±0.8 | 24.7±4.1 | 81.6±8.1 |
mNIS | 100 | 26.4±3.5 | 100 | 59.4±4.0 |
hNISH | 39.3±3.0 | 8.4±1.0 | 24.5±5.1 | 92.6±12.8 |
mNISH | 85.1±7.0 | 24.6±1.9 | 83.7±3.9 | 59.6±8.3 |
hNISmCter | 46.4±4.4 | 9.7±2.5 | 21.9±5.7 | 74.1±3.5* |
mNIShCter | 91.6±4.1 | 32.3±0.5 | 83.3±5.0 | 77.0±3.4* |
hNISmCterH | 37.6±4.1 | 9.6±1.0 | 22.3±5.5 | – |
mNIShCterH | 72.6±6.3 | 21.0±1.5 | 71.0±4.0 | – |
h4m9 | 81.4±8.5 | 40.2±3.2 | 66.7±3.6 | 82.2±2.0* |
m4h9 | 43.3±0.1 | 25.8±1.8 | 46.2±5.0 | 65.6±2.7* |
h8m5 | 65.5±9.8 | 20.7±0.7 | 42.6±0.8 | 58.2±3.8* |
m8h5 | 46.9±2.3 | 28.5±0.2 | 39.6±2.4 | 79.3±0.9* |
(*n=2).
hNIS has a higher affinity than mNIS for iodide
In order to understand the molecular mechanisms underlying the observed difference in the uptake activity between hNIS and mNIS, the kinetic properties of iodide uptake in the HEK 293 cells transiently expressing hNIS or mNIS were analyzed. We first measured the effects of varying concentrations of I− (ranging from 0.25 to 160 μM) on the initial rates of I− transport (at 4 min; Fig. 1B). The calculated mean KmI values for hNIS and mNIS were 9±0.8 μM and 26.4±3.5 μM respectively (Fig. 1C; Table 1). The iodide transport constant of the mouse protein was three times that of the human protein, suggesting that mNIS has a lower iodide affinity than hNIS. Thus, the observed difference in iodide uptake (using 30 μM iodide) between hNIS and mNIS cannot be explained by their different iodide transport constants. The corresponding Vmax for hNIS-expressing cells was expressed as a percentage of that for mNIS-expressing cells (set at 100%), and showed a value of about 25% (Fig. 1D; Table 1). These Vmax values are also shown as percentages in order to normalize the different sets of experiments.
mNIS has a higher affinity than hNIS for Na+
The kinetic properties of Na+-dependent iodide uptake in the hNIS- and mNIS-expressing HEK 293 cells were investigated. The KmNa values for hNIS and mNIS were 81.6±8.1 mM and 59.4±4.0 mM respectively (Fig. 1E; Table 1). Considering the sodium concentration of ∼160 mM in the buffer (HBSS) used for the uptake assays, the observed iodide uptake differences between hNIS and mNIS cannot be explained by their different Km values for sodium.
Expression levels of hNIS and mNIS
To determine whether the difference in iodide uptake activity between the human and mouse NIS was due to different protein levels in the transiently transfected HEK 293 cells, we performed immunoblot analyses. In the first set of experiments (Fig. 2A), we used a purified rabbit polyclonal antibody, known as antibody 25 anti-mNIS, directed against the mNIS C-terminus. Lane 1 shows a typical profile obtained with extracts from mNIS-expressing HEK 293 cells. Generally, protein species migrating as four broad bands were obtained. The protein fraction migrating at a molecular weight of ∼90 kDa corresponds to the monomeric form of the fully glycosylated protein (Levy et al. 1997). Immunoreactivity was also found with a 55 kDa protein; this molecular weight is compatible with a partially glycosylated NIS form (Levy et al. 1997). Generally, the antibody also reacted with two other polypeptides migrating as broad bands at 130 and 180 kDa. These fractions presumably correspond to the NIS dimer and/or its multimeric form. The ratios of these bands to the 90 kDa band were very similar over all the conditions tested. Despite the high concentrations of reducing agent (0.1 M DTT) and the presence of detergent, only a fraction of the total protein expressed in HEK 293 cells was detected in a monomeric form. Interestingly, the same anti-mouse NIS antibody 25 immunoreacted with the human NIS (Fig. 2A, lane 2), probably recognizing the four terminal amino acids that are identical in the two sequences. Surprisingly, however, the antibody did not detect any proteins migrating at molecular weights corresponding to the monomeric forms of hNIS. To confirm that monomeric hNIS was indeed present in these samples, we stained blots with the mouse monoclonal anti-hNIS antibody 39S. Ab 39S anti-NIS recognizes a portion of the cytoplasmic C-terminal domain (comprising amino acids 580–600). Immunoblotting with this antibody revealed a commonly observed pattern that corresponds to the migration of the different NIS protein species, including the monomeric forms (Fig. 2B). Therefore, the affinity-purified anti-mouse antibody 25 fraction recognizes the human NIS but only immunoreacts with the dimeric and multimeric forms of the protein. Consequently, this antibody could not be used to determine and compare the total protein expression levels in the hNIS- and mNIS-expressing cells, and thus to address whether different protein levels could account for the different iodide uptake levels seen between the two orthologs. To overcome this issue, we engineered DNA constructs coding for proteins with their C-termini fused to six successive histidine residues (His-tag), allowing the assessment of protein expression levels using a commercially available anti-His-tag-specific antibody.
Incorporation of a C-terminal histidine tag does not alter the kinetic properties of hNIS or mNIS
The C-terminal His6-tagged proteins were referred to as hNISH and mNISH. When compared with their non-tagged wild-type counterparts, they displayed no significant differences in the iodide uptake levels. The results shown (Table 1) are an average of three independent experiments, each performed in triplicate. Similar to hNIS, hNISH accumulates iodide 39% as efficiently as mNIS (set at 100%). mNISH showed a slightly lower (85%) iodide uptake level compared with mNIS.
We next determined the KmI values for the tagged proteins and obtained 8.4±1 μM for hNISH and 24.6±1.9 μM for mNISH (Table 1). These values are not significantly different from those found for the non-tagged proteins. We also measured Vmax values for hNISH and mNISH, obtaining values corresponding to 24.5 and 83.7% of the mNIS value respectively (Table 1). Subsequently, we analyzed the kinetic properties of the Na+-dependent iodide uptake (KmNa) in the hNISH- and mNISH-expressing HEK 293 cells. The Km values of Na for hNISH and mNISH were 92.6±12.8 mM and 59.6±8.3 mM respectively. Again, no differences between the histidine-tagged and wild-type proteins (Table 1) were observed.
hNISH- and mNISH-expressing cells show similar total NIS protein levels
To assess the protein expression levels of the two His-tagged orthologs in HEK 293 cells, we performed immunoblotting experiments with the histidine-tagged proteins and the anti-His4 antibody. In the transiently transfected cells, the level of total mNISH protein was only about 10% higher than that of hNISH (Fig. 3A and C). This small difference in the protein levels cannot account for the important difference in the transport activity observed between the two proteins.
The mNISH protein is efficiently targeted to the plasma membrane
NIS targeting to the plasma membrane was studied by surface biotinylation experiments using His-tagged NIS-expressing HEK 293 cells. The entire biotinylated protein fraction was isolated with streptavidin beads and was immunoblotted using the anti-His-tag antibody (Fig. 3B and C). Our results showed that despite the similar protein expression levels of mNISH and hNISH, the relative quantity of the mouse protein at the plasma membrane was 2.5-fold higher than that of the human protein.
Subcellular localization of hNIS and mNIS proteins
The intracellular localization of the hNIS and mNIS proteins was studied by immunocytochemistry with the anti-mNIS Ab 25 and anti-hNIS Ab 39S antibodies. We performed a statistical analysis, counting over 6000 cells for each experimental condition with an average transfection yield of 70%. Whereas the mNIS protein was clearly localized at the plasma membrane in 90% of the transfected cells (Fig. 4), the hNIS protein distribution was more heterogeneous. We noticed great variability in the subcellular localization of the hNIS protein (see quantification of the NIS-stained cells in Fig. 4B). Although 79.3±17.2% of the transfected cells showed hNIS-specific immunostaining at the plasma membrane, in 40.1±16.9% of the cells, hNIS-specific labeling was predominantly intracellular. In the latter cells, extensive immunofluorescence typically appeared as broad patches dispersing throughout the cytoplasm. The mNIS-specific staining generally extended into numerous plasma membrane protrusions, which was not observed with hNIS. Similar experiments were performed with hNISH- and mNISH-expressing cells, and in both cases the number of cells showing intracellular localization of NIS was about 20% (Table 2; 23.4±6.4% for hNISH and 19.7±4.6% for mNISH). Thus, the introduction of a C-terminal histidine tag modulated the subcellular localization of both proteins and abolished the differences previously seen between the two wild-type proteins. The C-terminal modification of hNIS decreased the number of cells showing intracellular localization of the protein by 50% (Table 2) when compared with the wild-type protein. An inverse effect was observed with the mouse protein, where the histidine tag led to a twofold increase in the number of cells showing intracellular localization.
Statistical analysis of subcellular natrium iodide symporter (NIS) localization in transfected human embryonic kidney (HEK) 293 cells, and the form of the NIS-specific immunostaining. Values are expressed as a percentage of the total number of NIS-stained cells
Cells with membrane NIS staining (%) | Cells with intracellular NIS staining (%) | Cells without NIS staining in protrusions (%) | Cells with NIS staining in protrusions (%) | |
---|---|---|---|---|
hNIS | 79.3±17.2 | 40.1±16.9 | 19.7±10.5 | 80.3±12.6 |
mNIS | 99.9±0.1 | 12.0±2.9 | 0.1±0.1 | 99.9±0.2 |
hNISH | 99.0±1.4 | 23.4±6.4 | 8.3±1.9 | 91.7±3.5 |
mNISH | 98.4±3.3 | 19.7±4.6 | 5.3±2.3 | 94.7±3.9 |
hNISmCter | 99.9±0.1 | 27.8±1.7 | 17.4±2.4 | 82.6±1.7 |
mNIShCter | 99.8±0.5 | 24.4±3.5 | 11.2±3.4 | 88.8±3.1 |
hNISmCterH | 100.0±0.0 | 38.2±6.8 | 31.3±6.3 | 68.7±6.4 |
mNIShCterH | 100.0±0.0 | 32.5±5.9 | 19.2±6.8 | 80.8±5.9 |
h4m9 | 100.0±0.0 | 10.8±3.4 | 4.4±2.4 | 95.6±2.5 |
m4h9 | 100.0±0.0 | 17.9±4.4 | 13.4±4.8 | 86.6±4.8 |
h8m5 | 99.9±0.1 | 18.5±2.9 | 10.2±3.2 | 89.8±3.9 |
m8h5 | 100.0±6.6 | 22.3±2.7 | 15.4±2.6 | 84.6±7.2 |
Generation of mouse/human chimeras
To identify the protein regions potentially responsible for the differences in the iodide uptake activity and subcellular localization between hNIS and mNIS, we replaced several regions of the mouse protein with corresponding portions from the human protein and vice versa (Fig. 5). Three transmembrane domains (similar in size) and the C-terminal extremity of the orthologs were exchanged. These constructs were named according to the sequential order (starting at the N-terminus) of the individual components. Thus, hNISmCter denotes a chimera that is composed of the majority of the human NIS protein, but containing the mouse cytoplasmic C-terminus. Its reciprocal chimeric construct is mNIShCter, in which the cytoplasmic C-terminus of the mouse protein is replaced by the corresponding portion of the human NIS. We engineered four other chimeras, namely h4m9, m4h9, h8m5, and m8h5. h4m9 contains the N-terminus and the first four transmembrane-spanning segments from the human protein, fused to the final nine transmembrane segments and the C-terminal region of the mouse protein. Inversely, chimera m4h9 is composed of the four N-terminal mouse transmembrane-spanning segments and the nine subsequent human transmembrane segments, and so forth.
The cytoplasmic C-terminus is not responsible for the differences in the kinetic properties between the hNIS and mNIS proteins
Iodide uptake measurements taken at 30 min for hNISmCter and mNIShCter revealed no significant differences from their corresponding wild-type counterparts, i.e., hNIS and mNIS respectively (Fig. 6; Table 1). Furthermore, hNISmCter and hNIS showed similar Km values for iodide, as did mNIShCter and mNIS (Fig. 7; Table 1). At the same time, the Km for sodium of mNIShCter was more similar to hNIS than to mNIS (Fig. 7), suggesting that the C-terminus of the protein can modify the sodium recognition site of the transporter. Despite this relatively small effect, our overall results indicate that the NIS C-terminus is not involved in the transport activity of the protein.
Immunocytochemistry with the cytoplasmic C-terminal chimeras
With the aim of immunolocalizing both the hNISmCter and mNIShCter chimeras in the transfected HEK cells using a single antibody, we fused a histidine tag to the C-terminal extremities of both proteins. The resulting constructs were named hNISmCterH and mNIShCterH. The results of the immunofluorescence experiments were similar to those obtained from the His-tagged wild-type proteins, i.e., hNISH and mNISH (Fig. 8): no significant differences between the subcellular localization of hNISmCterH and that of mNIShCterH were detected. When compared with the tagged wild-type proteins, the percentage of cells showing intracellular immunoreactivity increased by ∼10% for both chimeric proteins. The percentage of cells showing no NIS-specific staining in the plasma membrane protrusions was also increased. Taken together, these observations indicate that the final residues of the C-terminal extremity play a role in determining the cellular distribution of the NIS protein.
Analysis of the kinetic properties of NIS chimeras h4m9, m4h9, h8m5, and m8h5 suggests that amino acids within transmembrane domains (TM) 5–13 are involved in the different kinetic behaviors of hNIS and mNIS
As with the wild-type human and mouse NIS, the iodide uptake capacities and the Vmax values of the four chimeras were determined in the transfected HEK 293 cells (Fig. 6; Table 1). Surprisingly, the uptake activities of all four chimeric proteins were higher than those obtained with the wild-type human NIS, although only chimera h4m9 attained values similar to those found with the wild-type mouse NIS. The relative uptake activity of the chimera-expressing and wild-type NIS-expressing cells was, in descending order, mNIS>h4m9>h8m5>m4h9=m8h5>hNIS. These results suggest that the region between TM5 and TM13 and particularly the portion between TM9 and TM13 are responsible for the higher uptake activity of the mouse NIS. The Vmax values obtained with h8m5-, m8h5-, h4m9- and m4h9-expressing cells were all higher than those obtained with hNIS-expressing cells. The calculated Vmax values of the chimera-expressing cells showed the following succession in decreasing order: mNIS>h4m9>h8m5=m4h9=m8h5>hNIS. In contrast to the uptake activity, the Vmax value obtained in h8m5-expressing cells was similar to that of m4h9- and m8h5-expressing cells. The reason for this discrepancy is unclear, and possibly involves a modification of the sodium–iodide coupling efficiency of the h8m5 chimera.
From these results, it appears that sequence differences between hNIS and mNIS in the region from TM5 to TM13 underlie the observed disparities in protein expression and uptake activity between the two orthologs. Unfortunately, we cannot draw any further conclusions concerning the relative importance of the various sections extending from TM5 to TM8 and from TM9 to TM13.
The iodide recognition site is located between TM1 and TM8
We determined the kinetic constants for the iodide transport catalyzed by all the chimeric, histidine-tagged, and the wild-type mouse and human NIS proteins (Fig. 7A). Among the KmI values of chimeras h4m9, m4h9, m8h5, and h8m5, the latter showed the smallest value (20.7±0.7 μM); this value was even smaller than that obtained with the wild-type mNIS. This observation suggests that the domain extending from TM1 to TM8 is involved in the recognition of the iodide ion. However, since the KmI for h8m5 is similar to that of the His-tagged mNIShCterH, the above proposed suggestion must be questioned. We observed the highest KmI in h4m9-expressing cells, implying that an interaction between amino acids within TM1–TM4 and amino acids within TM5–TM13 is modified in the h4m9 chimera. Taken together, we conclude that the iodide recognition site is located between TM1 and TM8.
The cytoplasmic C-terminal portion appears to interact with or be close to the sodium recognition site
We measured the effect of increasing sodium concentrations (ranging from 2.5 to 160 mM) on the rates of iodide transport at 4 min. We found higher Km values for Na with hNIS than with mNIS (see above); introducing a histidine tag at the C-terminal extremity of the wild-type proteins did not modify these values. Surprisingly, replacing the cytoplasmic C-terminal portion of mNIS with the corresponding portion of hNIS (see mNIShCter) altered the constant for the sodium-dependent activation of iodide transport, resulting in a value similar to the KmNa obtained with hNIS. This finding suggests that the cytoplasmic C-terminal extremity and the protein domain involved in sodium recognition either interact or are at least in close proximity.
When studying the chimeric proteins, we observed that the KmNa values for the h4m9 and m8h5 transporters were similar to that of hNIS (approx. 80 mM Na). However, the KmNa for the m4h9 and h8m5 proteins were similar to that of mNIS (60 mM Na). Thus, the presence of either section TM1–TM4 or section TM9–TM13 of the mouse protein lowers the KmNa. Additional analysis is now required to confirm this observation and to elucidate this effect at a molecular level.
Discussion
Previous work has shown that the rat NIS allows superior iodide accumulation when compared with the human NIS (Heltemes et al. 2003, Zhang et al. 2005). In this study, we used 125I uptake experiments and measurements of the iodide and sodium transport constants to compare the mouse and human NIS that had been transiently expressed in HEK 293 cells. We also performed immunocytolocalization studies and western blot analysis to characterize total and cell surface-localized proteins. These studies revealed several significant differences between the two proteins. In order to better understand these differences at a molecular level, we engineered, expressed, and analyzed histidine-tagged and chimeric forms of the two orthologs.
In this study, we used the mouse NIS identified by Perron et al. (2001). Its sequence and known functional properties are similar to those of its rat counterpart (data not shown). Our results concerning the kinetic properties of hNIS and mNIS revealed several significant differences between the human and mouse orthologs with respect to their iodide and sodium transport properties.
Heltemes et al. (2003) compared 11 cell lines expressing either rNIS or hNIS and found that the uptake activity was always lower in the hNIS-expressing cells. We also observed that the uptake activity in hNIS-expressing cells was lower than that in mNIS-expressing cells, using several cell lines (HEK 293, COS-7, C6, HT29, etc.; data not shown). We chose HEK 293 cells for their high transfection efficiency and higher iodide uptake activity. Using COS-7 cells, we also obtained high transfection efficiencies, but the NIS proteins were not predominantly localized to the plasma membrane as they were in HEK 293 cells. It was therefore more difficult to analyze modifications of protein localization in COS-7 cells. However, all the most significant effects described in this study were also observed with COS-7 cells.
We observed that the transport constant for iodide transfer is 2.5-fold lower with the human NIS than that with the mouse NIS when expressed in HEK 293 cells (KmI values: 9±0.8 μM for hNIS and 26.4±3.5 μM for mNIS). These results were confirmed in an oocyte expression system (data not shown). The obtained values are identical to those obtained by the group of Dr N Carrasco for the human (De la Vieja et al. 2005) and rat NIS (Dohan et al. 2002) expressed in the COS-7 cell line. However, our values differ from those obtained by Zhang et al. (2005), who obtained KmI values for hNIS and rNIS (also expressed in COS-7 cells) of 132 and 122 μM respectively. The reasons for these discrepancies are unknown. We also determined the transport constant of sodium transfer. Our data only identified a small difference between the constants for the human and mouse NIS proteins (KmNa values: 82±8.1 mM for hNIS and 59±4 mM for mNIS). Again, our results obtained with mNIS are similar to the KmNa values obtained for rNIS (45 mM) by Dr Carrasco's group (Dohan et al. 2002), but differ markedly from those reported by Zhang et al. (2005). The latter group obtained a KmNa value for rNIS of 22 mM; the constant for hNIS was not given. We therefore strongly suspect that the recognition site for iodide shows more important differences between the NIS orthologs than the recognition site for sodium does.
Significant differences were also found between the Vmax values of the two proteins. The Vmax obtained for mNIS was four times that of hNIS. The same result was obtained by S M Jhiang's group with the rat NIS. Using cell surface protein-labeling experiments, we found that the plasma membrane localization of the mouse protein was only 2.5-fold higher than that of the human protein, and therefore cannot alone account for the observed differences in the Vmax values of the two proteins. We therefore concluded that the different Vmax values likely reflected a higher turnover rate in the mouse protein. By contrast, Zhang et al. (2005) found a direct relationship between the higher Vmax values obtained for the rat protein over its human counterpart and the increased protein levels at the plasma membrane. Further experiments are required to clearly establish the turnover numbers for iodide transport for the human and mouse NIS proteins to elucidate this discrepancy. A modification in the conformation equilibrium required for the transport activity could account for the observed difference in the NIS turnover numbers for the two orthologs. As mentioned above, the KmI value of the human transporter is considerably lower than that of the mouse transporter. This lower value suggests that the iodide-binding site and/or the iodide occluding states are different between the two orthologs. A modification in the conformation equilibrium could then lead to a concomitant change in the Km and Vmax values. A similar phenomenon has been observed in site-directed mutagenesis experiments on the serotonin transporter (hSERT) and the dopamine transporter (Loland et al. 2002). Kristensen et al. (2004) reported that two single mutations in the hSERT sequence increased the Km values that, in turn, led to an increase in the corresponding Vmax values. Loland and collaborators described a mutation in the dopamine transporter that increased the apparent substrate affinity (lower value) and, consequently, led to a decrease in the Vmax.
Analyzing the transport properties of chimeric proteins prepared from orthologs has been successfully used to identify functional domains within the serotonin transporter (Barker et al. 1994, Mortensen et al. 2001) and the sodium/glucose symporter (Nagata & Hata 2006). Unfortunately, to date, studies with the chimeric NIS orthologs have not allowed the identification of the specific amino acids or protein domains involved in iodide recognition or co-substrate translocation. Our analysis of KmI values, however, suggests that the amino acid residues controlling iodide recognition and/or the conformation of this site are located in the region extending from the N-terminus to the transmembrane domain 8. Zhang et al. (2005) also concluded that the differences in the transport activity and plasma membrane localization of the two orthologs are due to sequence differences in the region extending from the N-terminus to transmembrane domain 7. However, we also observed that all the chimeras showed higher KmI and Vmax values than did hNIS, and lower KmI and Vmax values than did mNIS.
With secondary transporters, studies of the structure–function relationship by a chimeric approach have only been used successfully with few proteins (see examples above). This may be due to the few known X-ray structures of secondary transporters, such as the sodium-driven aspartate/glutamate transporter from Pyrococcus horikoshii (Yernool et al. 2004, Boudker et al. 2007) and the proton-driven lactose permease from Escherichia coli (Abramson et al. 2003). Interestingly, in both proteins, the amino acids that contribute to the binding of the co-substrate are localized in several remote transmembrane regions with regard to the protein's primary structure. In the folded proteins, however, these regions form appropriate environments for substrate binding.
In our western blot experiments, hNIS- and mNIS-specific antibodies revealed that the proteins generally migrate in SDS-PAGE as polypeptides with four different apparent molecular weights. On the immunoblots, we detected two bands with molecular weights compatible with either partially (55 kDa) or fully glycosylated (90 kDa) monomeric protein, as well as two additional broad bands (130–170 kDa) formed by the dimeric and/or multimeric forms of glycosylated proteins (Levy et al. 1997). Despite the use of increasing concentrations of reducing agent (up to 100 mM DTT), the dimeric and multimeric NIS species were present in all experiments, suggesting that the NIS dimers and multimers are stabilized by very strong interactions.
Surprisingly, on the immunoblots with membranes from the transfected HEK 293 cells, our affinity-purified anti-mouse NIS Ab 25 antibody fraction recognized both the mouse and human NIS proteins. The same antibody also gave hNIS-specific staining in immunocytochemistry experiments. Unexpectedly, however, this antibody fraction only reacted with the dimeric and multimeric human NIS species, and could therefore not be used for quantification studies of the two proteins. The anti-mouse Ab 25 fraction was produced with a peptide comprising the 16 C-terminal amino acids of the mouse NIS protein. In this portion, only the last four amino acids are identical to the equivalent amino acids in the hNIS sequence. Thus, the affinity-purified Ab 25 anti-mNIS fraction contains an antibody population that specifically recognizes these four amino acids. Even though on our immunoblots the partially or fully glycosylated monomeric NIS proteins were not revealed, their presence in the samples could be detected with our monoclonal anti-human NIS Ab 39S. Thus, the C-terminal extremity of the monomeric human protein is no longer accessible for Ab 25 anti-mNIS binding after SDS-PAGE and immunotransfer onto the PVDF membrane. For quantification experiments, we therefore used an epitope tagging strategy. First, we added an N-terminal Flag sequence that has been successfully used by Levy et al. (1998b) and Zhang et al. (2005) with the rat NIS. However, in our hands, this modification strongly altered the transport activity, precluding its use in our experiments: the iodide uptake activity obtained with the N-terminal Flag-tag construct in the transiently transfected HEK 293 cells was approximately four times lower than that obtained with the wild-type proteins (data not shown). This effect was not observed by Zhang et al. (2005); the reason for this discrepancy is unknown. However, several reports indicate that the fusion of an epitope tag to the amino acid sequence of a transport protein can strongly alter protein function. This was found, for example, with the sodium/glucose symporter (Turner et al. 1996, Bissonnette et al. 1999), another member of the sodium/solute symporter family.
We next fused a sequence of six histidine residues to the C-terminal extremity of the two NIS proteins. Fortunately, this modification did not induce any major changes in the transport activity of the proteins when expressed in HEK 293 cells (Table 1). The His-tag also left the transport activity and Vmax of hNISH intact, while decreases of about 15% in the iodide uptake activity and Vmax were observed for mNISH when compared with mNIS (Table 1). However, the transport constants for iodide and sodium remained unchanged. We observed that fusing the His-tag to the C-terminal extremity of the mouse NIS (mNISH) increased the intracellular retention of the expressed protein in the transfected HEK 293 cells (Table 2; Fig. 8). The four C-terminal amino acids are predicted to be a consensus sequence recognized by PDZ domain-containing proteins. An interaction between the mNIS C-terminus and these proteins may be involved in the proper targeting of NIS to the plasma membrane. Thus, introducing the His-tag adjacent to the potential PDZ recognition site may hamper such interactions and cause the NIS protein to accumulate in the cytoplasmic compartments. It has been shown that interactions with PDZ domain-containing proteins can be an important mechanism for the localization of membrane proteins (Guggino 2004, Weinman et al. 2005).
Opposite results were obtained with the C-terminal His-tag fusion construct of the human NIS. Based on the immunofluorescence images of hNISH-transfected cells, we found that fewer cells presented NIS-specific intracellular immunoreactivity than cells transfected with the wild-type human protein. Likewise, the number of cells showing intracellular anti-NIS immunoreactivity when transfected with chimeras m4h9, h8m5, and m8h5 was lower than that in hNIS-transfected cells and higher than that in mNIS-transfected cells. Only chimera h4m9 showed a localization profile similar to that of mNIS, suggesting that the region between the N-terminus and the TM4 is not involved in determining the subcellular location of the protein. However, this suggestion is far from certain, since chimera m4h9-expressing cells showed less NIS-specific intracellular staining than did hNIS-expressing cells. Together, the data obtained with the chimeric proteins suggest that, in addition to the last four amino acids, the region comprising TM5 to the C-terminus could play a role in determining the subcellular distribution of the protein.
We observed that transfected cells displaying strong intracellular hNIS-specific immunostaining often had a round morphology and showed annexin V labeling (data not shown), indicating the onset of apoptosis. This was not found for mNIS-expressing cells that showed specific immunostaining most often at the plasma membrane and did not show any simultaneous staining of annexin V. It has been reported that the intracellular sodium concentration increases during the early phase of apoptosis (Panayiotidis et al. 2006). This lowers the transmembrane Na+ gradient and consequently reduces the driving force for the NIS-mediated sodium-coupled iodide accumulation. Therefore, in the early-stage apoptotic cells, the NIS protein, although present at the plasma membrane, should not efficiently transport iodide. Thus, a smaller Vmax should be found in apoptotic compared with healthy NIS-expressing cells. This phenomenon could be partly responsible for the different Vmax values found between the hNIS- and mNIS-expressing cells. However, as only 20% of the hNIS-expressing cells were positive for annexin V, the presence of apoptotic cells in cultures transfected with human NIS cannot alone explain the different Vmax values of the two orthologs.
For years, thyroid cancers and their metastases have been efficiently treated with radiotherapy. While NIS-mediated iodide accumulation in malignant thyroid tissue is lower than that in normal thyroid tissue, it is generally sufficient to allow for effective 131I-induced cell destruction. NIS expression has also been found in non-thyroidal tumors such as breast cancers, potentially rendering these cells susceptible to radioiodide treatment. Unfortunately, in breast cancer cells, 131iodide treatment is impossible because of insufficient NIS function due to incorrect targeting and/or too low NIS levels in the plasma membrane. Therefore, understanding the mechanisms that control the subcellular localization of NIS and characterizing the protein domains that are important for promoting NIS targeting to the plasma membrane will be required to improve the therapeutic use of radioiodide in these tumors.
The study reported here is of particular interest in the recent and highly promising field of NIS-based gene therapy for non-thyroidal cancers (Chung 2002), especially when NIS is used in synergy with other genes such as canstatin (an angiogenic inhibitor; Magnon et al. 2007) or with virotherapy (Dingli et al. 2004, Goel et al. 2007). The targeted transduction and the expression of NIS in cancer cells can allow tumor cell destruction by radioiodine treatment as well as in vivo imaging for the generation and investigation of safe and efficient gene delivery systems. A particular advantage of radiotherapy with 131iodide is that internalized isotopes can deliver a local radiation field with cytotoxic doses (across several cell diameters) sufficient to destroy neighboring, possibly untransduced cancer cells (by stander effect). Therefore, important therapeutic effects can be achieved without uniform systemic gene delivery into all tumor cells. However, despite the highly promising results obtained recently (Goel et al. 2007, Magnon et al. 2007), it is still critical to develop better gene delivery systems and to improve the iodide uptake capacity of targeted cells in order to lower the administered radiation doses. As with our experiments, the above-mentioned gene therapy approach is based on the transient expression of NIS in target cells. In view of our observations, the use of mouse NIS would seem to be highly recommended in order to obtain high-level protein expression during gene therapy. However, in humans, the expression of a mouse-derived protein would probably induce an immune reaction, threatening the success of the radioiodine treatment. A better understanding of the molecular mechanisms involved in the post-transcriptional regulation and subcellular distribution of NIS will thus be required to engineer a mainly human-derived NIS protein showing at least the same iodide accumulation capacity as its mouse or rat counterpart.
Acknowledgements
We greatly appreciate the generous gift of the human NIS plasmid from Prof. S M Jhiang (Ohio State University, Colombus, OH, USA). The authors thank Fanny Graslin for excellent technical assistance. We give our thanks to Dr Xavier Fontana and Eliane Valenti from the Centre Antoine Lacassagne for assisting us with the radioactive iodide experiments. This work was supported by the grants from the ToxNuc & ToxNucE programs. M D, C B and V N were recipients of fellowships funded by the ToxNuc & ToxNucE programs. There are no conflicts of interest.
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(M Dayem and C Basquin contributed equally to this work)