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[CANCER RESEARCH 34, 1572-1576,July 1974] Cytoplasmic Glucocorticoid-binding Proteins in Glucocorticoid-unresponsive Human and Mouse Leukemic Cell Lines Marc E. Lippman, Seymour Perry, and E. Brad Thompson Office ofDirectorfor Program EM. E. L., S. P.], Division ofCancer Treatment, and Laboratory ofBiochemistry NIH, Bethesda, Maryland 20014 SUMMARY [E. B. T.], National Cancer Institute, containing receptor but not killed by glucocorticoid has been described (4). This is of considerable importance in light of recent studies suggesting that the presence or absence of SBP may be used to predict steroid responsive ness clinically (7, 8, 10). We now present data for 3 malignant cell lines which are shown to contain SBP that appears normal in quantity, specificity, affinity, and nuclear uptake but which are apparently steroid unresponsive by a variety of criteria. Cytoplasmic glucocorticoid-binding proteins of high af finity and specificity were identified, quantified, and par tially characterized in three steroid-unresponsive tissue culture lines, one derived from an AKR mouse leukemia and two derived from human lymphoblastic leukemia cells. The number of receptors per cell appeared to be comparable to that found in many steroid-responsive cells. Tempera ture-dependent entry of cytoplasmic receptor into the nucleus did not appear to be abnormal as determined in an in vitro nuclear binding assay. Cell growth, nucleoside and MATERIALS AND METHODS amino acid incorporation into macromolecules, amino acid Cells and Culture Techniques. AKR-A cells, a tissue cul pools, and glucose uptake were found to be unaffected by ture line derived from a spontaneously arising leukemia in added glucocorticoid. The presence of specific cytoplasmic receptor proteins for glucocorticoids in malignant tissue AKR mice, were grown in suspension or monolayer culture by established techniques (23). Two cell lines, CCL I 19 does not appear to guarantee steroid responsiveness. (CCRF-CEM) and CCL 120 (CCRF-SB), derived from patients with acute lymphoblastic leukemia, were obtained INTRODUCTION from American Type Culture Collection (Rockville, Md.) and were grown by established methods (3). Normal mouse Much recent work on the mechanism of action of steroid thymocytes were obtained from 7-week-old BALB/c mice. hormones has focused on the initial association between the Nucleoside and Amino Acid Incorporation. Cells growing hormone and a SBP' (14, 18, 22). In fact, these high-affin logarithmically in suspension or monolayer were treated ity, high-specificity “receptor― molecules have been found with various concentrations of dexamethasone phosphate or in all glucocorticoid-responsive tissues examined. For ex other glucocorticoids in the presence of a radiolabeled ample, we have shown that glucocorticoid-responsive acute precursor molecule for at least 12 hr. Following incubation, human leukemic cells contain SBP (7, 8). In cells that have the incorporation of precursor into trichloroacetic acid become steroid resistant, several laboratories have reported precipitable material was assayed as previously described a marked quantitative loss of SBP activity as the mecha (7). nism of resistance (5, 8, 15, 17). On the other hand, it is now Amino Acid Pool Size. Following treatment of one-half of clear that there are many steps that follow the initial binding 1000 ml of a logarithmically growing cell culture with reaction between glucocorticoid and cytoplasmic receptor 10- 6 M dexamethasone phosphate for 18 hr. the cells were and precede the phenotypic expression of steroid response collected and washed 3 times in ice-cold phosphate-buffered characteristic of a given cell type (2, 12, 22). These include isotonic saline (0. 138 M NaCI; 2.7 mM KC1; 8. 1 mM temperature-dependent transformation of the steroid-recep Na2HPO4; and 1.47 M KH2PO4), pH 7.4. Cytosol was pre tor complex with subsequent nuclear entry, association with pared by homogenizing the cells in water (1 : 1 v/v) in a chromatin, presumed alterations in transcription of genetic tightly fitting Dounce homogenizer. The homogenate was material, and finally the synthesis of specific proteins or centrifuged at 100,000 x g for 30 mm, and a small aliquot RNA's mediating phenotypic effects. A priori, one would was reserved for estimation of protein. The bulk of the su expect that a defect in any of these other steps could lead to pernatant fluid was precipitated with 10% trichloroacetic a lack of hormone responsiveness. One lymphoid cell type acid at 0—4°. The acid-soluble fraction was collected, to gether with a single wash of the acid precipitate with 5% tn chloroacetic acid at 4°,and amino acid analysis was per Received June 14, 1973; accepted March 21, 1974. formed on an aliquot on a Beckman amino acid analyzer I The 1572 abbreviation used is: SBP, cytoplasmic steroid-binding protein. CANCER RESEARCH VOL. Downloaded from cancerres.aacrjournals.org on May 2, 2017. © 1974 American Association for Cancer Research. 34 Steroid Receptors in Steroid-resistant (21). The results were then normalized for protein content presented by the respective aliquots. Protein Determination. Protein content was determined by means of the Lowry technique (9). Cytoplasmic Receptor Assay. SBP was estimated with the use of a nadiolabeled steroid competitive-binding assay in which unbound steroid was removed either by charcoal adsorption (7) or by filtration through DEAE filter papers (19). Nuclear Binding of Steroid-Receptor Complexes. Temper ature-dependent transformation of the cytoplasmic recep ton-steroid complex followed by uptake into isolated nuclei was measured in an in vitro incubation system. Cytosol, the 100,000 x g supernatant @ @ from cell homogenate(s), was prepared as previously described (7, 19) in Buffer 1 (20 mM Tnis, pH 7.4; 1 mM MgCl2; and 2 mM CaCl2) and incubated for 2 hr at 0—2° with 8 x 108 M dexamethasone-3H in the presence or absence of 10 M unlabeled dexamethasone. The nuclei from the homogenization of the cells were obtained by collecting the nuclear pellet by centrifugation at 800 x g for 5 mm. This pellet was suspended and washed 3 times in 10 ml Buffer 1 and then was incubated at 0—2° for 2 hr with 8 x 10-8 M dexamethasone-3H in the presence or absence of l0@ M unlabeled dexamethasone to compete with the labeled steroid. After the preliminary incubation of both nuclei and cytosol with steroid, they were mixed in a ratio of I :4, v/v. in a final volume of 100 @tl,uncompeted cytosol with uncompeted nuclei and competed cytosol with competed nuclei. After varying time periods, the nuclei were harvested by centrifugation and washed 3 times in 2 ml Buffer 1. The washed nuclei were sonically dispersed in a small amount of water in a Bronwill sonicator (10 sec, Set ting 15), and a protein determination by the Lowry method (9) was done on an aliquot. An additional aliquot was codnted in a liquid scintillation counter in 8 volumes of NCS to which were added 10 ml of Liquifluor:toluene (both NCS and Liquifluor were from New England Nu clear, Boston, Mass.). Cytoplasmic receptor concentrations were also measured in both original cytosol and, where de sired, in the cytosol recovered from the nuclear incubation. Specifically bound nuclear steroid is taken to represent the difference between the total nuclear bound counts and the counts bound in the competed sample containing unlabeled steroid as well as dexamethasone-3H. Glucocorticoid-induced Inhibition of Glucose Uptake. Al terations in glucose uptake induced by glucocorticoids were measured by the technique of Kattwinkel and Munck (6). Radioactive Compounds. These were dexamethasone- 1, 23H, 22 Ci/mmole (Amersham/Searle Corp., Arlington Heights, Ill.), unidine-5-3H, 25 Ci/mmole (Schwarz/Mann, Orangeburg, N. Y.), and thymidine-methyl-3H, 18.5 Ci/ mmole (Schwarz/ Mann). Radioactivity was estimated by counting in a liquid scintillation spectrophotometer at an efficiency of 20%. saturated with dexamethasone-3H at a concentration of about 1 to 2 x l0@ M (Chart I). From the Scatchard plot of the data (Chart 1), the dissociation constant for this re ceptor may be estimated to be 6 x lO_8 M/liter. This value is similar to what we have reported for steroid-responsive human leukemic cells (7) and higher than that found in liver. The total specifically bound steroid was about 0.2 pmole dexamethasone per mg of cytoplasmic protein. The steroid binding curve of the 2 human leukemic lines, CCL 119 and CCL 120, was extremely similar to that of AKR in terms of affinity for dexamethasone. However, at saturating amounts ofdexamethasone, CCL I 19 and CCL 120 yielded, respectively, 0.67 and 0.88 pmole of dexamethasone bound per mg of cytoplasmic protein. For comparative purposes, Chart 1 also shows a binding curve for normal mouse thymocytes (a glucocorticoid-responsive tissue). The affin ity constant determined from the Scatchard data (Chart I, inset) is 4.2 x l08 M/liter, similar to that of AKR-A cells or steroid-responsive human lymphoblastic leukemic cells (8). The total amount ofdexamethasone bound at saturating levels of steroid to normal thymocytes was 0.30 pmole/mg of cytoplasmic protein. Thus, we conclude that these 3 leukemic cell lines contain quantities of high-affinity recep tor protein in the same range as those found in both steroid-sensitive leukemic cells and thymocytes. If the substance measured by these assays is to be implicated in glucocorticoid action, one would predict that it would show preferential affinity for glucocorticoids. The specificity of binding for AKR SBP is shown in Table I. Potent glucocorticoids and mineralocorticoids which can function as glucocorticoids compete well with dexametha sone for the binding site, whereas cortisol metabolites, androgens, and other steroids show little ability to displace dexamethasone in the binding reaction. Slight differences in specificity of glucocorticoid receptors from differing ste roid-responsive cells have been previously described (6, 8). We do not interpret our data as showing that receptors from sensitive and resistant cells are necessarily identical. Other workers have shown that, in addition to the quantitative defect in SBP apparent in steroid-resistant cells, there appears to be a defect in the remaining receptor, @;@1@:@/― ! I C 5 0 5 DEXAMETHASONE RESULTS Leukem ias Chart I I 20 25 CONCENTRATION 8O@fr@0 ‘ /L 4080 (M,iO8i I . Binding of dexamethasone-3H to cytoplasmic receptors from AKR-A cells (0) or cytoplasmic receptorsfrom BALB/c mousethymo The cytosol of AKR-A leukemic cells contains a high affinity glucocorticoid receptor molecule which becomes JULY cytes (•).Techniques are given in “Materialsand Methods.― Inset, Scatchard plot of the binding data.O, AKR-A cells; •, mouse thymocytes. 1974 Downloaded from cancerres.aacrjournals.org on May 2, 2017. © 1974 American Association for Cancer Research. I 573 M. E. Lippman et a!. present in diminished amount. This defect does not permit it to translocate to the nucleus after the initial binding step takes place in the cytoplasm (1 1, 17). We therefore exam med the ability of the cytoplasmic receptor to undergo temperature-dependent alteration and uptake by the nucleus in an in vitro nuclear binding assay previously developed (17). Results are shown in Chart 2 for the human leukemic cell line CCL 120. As can be seen, at 0°cytoplasmic binding is apparent, but there is no significant nuclear uptake of steroid-receptor complexes. At 20°there is an accumulation of radioactivity in the nucleus associated with a concomitant decrease in steroid-receptor activity in the cytosol. Very similar results were obtained with AKR-A and CCL I 19. Assuming 1 steroid molecule bound per cytoplasmic recep ton, a concentration of SBP of about 2 nM was sufficient to saturate homologous nuclei, a concentration comparable to that needed for a rat hepatoma and mouse fibroblasts in culture (unpublished results). We interpret these results as being consistent with the presence of a viable cytoplasmic receptor in these cells. We next sought some evidence of a phenotypic response to glucocorticoids. Although not necessarily the primary cause of glucocorticoid inhibition of lymphoid cells, a pronounced decrease of macromolecular synthesis has been uniformly described (I, 7, 22) following exposure of sensi tive cells to such steroids. As shown in Chart 3, glucocorti coids fail to show any effect on nucleoside incorporation in Table I CCL 120, even at concentrationsof glucocorticoidfar in Inhibition of specific binding by various competing steroids excess ofthose required to saturate the SBP. Similar results The various steroids listed were compared as to their ability to compete were obtained repeatedly with the CCL I 19 and AKR-A with dexamethasone-3H for specific binding sites in AKR cell cytosol cell lines. None ofthe 3 lines displayed inhibition of growth, fraction. A 100-fold excess of each steroid was added to a saturating incorporation into RNA, or of amino acid concentration of dexamethasone-3H in a series of duplicate tubes; “% of uridine inhibition― refers to the relative ability of each steroid to prevent incorporation into protein following exposure to SBP dexamethasone-3H binding. Non radioactive dexamethasone itself in 100- saturating amounts of corticosteroids. Representative re fold excess did so virtually completely and was arbitrarily set at 100% for suIts for CCL I 19 are shown in Table 2. No inhibitory reference. effects on the growth of AKR-A cells could be elicited by inhibitionDexamethasone100Prednisolone100Cortisol83Aldosterone77Deoxycorticosterone56Corticosterone4717$-Estradiol26Etiocholanolone19I the use of alternate glucocorticoids such as cortisol and Competing steroid% prednisolone (results not shown). Effects of alternate gluco corticoids were not measured on CCL 119 or CCL 120. Inhibitory effects on glucose metabolism have also been widely reported as an early response of lymphoid cells to glucocorticoid (13, 22). We found no glucocorticoid mediated effect on glucose uptake for CCL I 19 and CCL 120 (Chart 4). The differences shown between CCL I 19 and 7a-MethyltestosteroneIS19 Nortestosterone14Prednisone13Tetrahydrocortisol10 ‘0 x3 w CCL 120 reflectincubationof differingcell concentrations and suggest that the results do not reflect an artifact of cell density. Similar results were obtained for AKR-A cells using dexamethasone, cortisol, and prednisolone (not shown). Glucocorticoid-provoked alterations in amino acid poo1 sizes are seen commonly in responsive tissues whether inhibited or stimulated by glucocorticoids (16, 20). We estimated intracellular amino acid pool sizes for equal numbers of AKR cells in the presence or absence of l06 M dexamethasone (Table 3). Glucocorticoids do not induce 0. b C') -J 4 0 C- C 0 z Lu 40 TIME ( minutes) Chart 2. Temperature dependence of nuclear binding of cytoplasmic receptor-steroid complexes. Approximately 4 x I0@cells were homoge nized for this experiment, and nuclear and cytosol fractions were prepared as described in “Materialsand Methods.―Cytosol preincubated at 0°with dexamethasone-3H in the presence or absence of a 100-fold excess of unlabeled dexamethasone was mixed with nuclei that had been similarly preincubated with steroid. At Time 0, nuclei and cytosol were mixed (nuclei without unlabeled steroid mixed with cytosol without unlabeled steroid). The mixes were incubated at 0°or 20°and, at various times, pairs of aliquots were taken, nuclei and cytosol were separated by centrifugation, and the specifically bound counts in nuclei at 0°(•)or 20°(•)or cytosol at 0°(0) or 20°(0) were estimated. l574 Cl, 4 I C- 2 4 ‘Lu C') 0 0 z g -C 4 0 @Lu 0@ z 0 0. DEXAMETHASONECONcENTRATIONI M x C0@I Chart 3. Comparison of glucocorticoid concentration chloroacetic acid-precipitable ration. Techniques are given glucocorticoid binding to SBP and effects of on incorporation of thymidine-3H into tn material. •,binding; 0, thymidine incorpo in “ Materials and Methods.― CANCER RESEARCH VOL. 34 Downloaded from cancerres.aacrjournals.org on May 2, 2017. © 1974 American Association for Cancer Research. Steroid Receptors in Steroid-resistant @ Effrct of 10 Table 2 M dexamethasone phosphate on cell growth and uridine incorporation lymphoblastoid leukemic cells in suspension culture Leuk emias in CCL 119 A growing culture of cellswasdivided. Half wasmade 10 6Min dexamethasone.To both halves. unidine-3H was added. At the stated intervals, aliquots were removed from the cultures for counting of cells and for estimation of unidine incorporation into tnichloroacetic acid-precipitable material. ControlDexamethasoneUnidineNo. ofincorporation5No. ofUnidineTime (hr)cellsa(cpm)cells'incorporation―0220,000574200,0004846215,000155,203220,000146,47922425,000309,362415,000286,78828460,000297,04 a Cell counts were p Into tnichloroacetic cells. performed in triplicate acid-precipitable in a hemocytometer. material 800 1. @6oo @400 N -C @ 200 Cl, Lu 8° 30 (8 @ 25 50 75 TIME 00 25 (nanut.s) 50 75 200 Chart 4. Effects of lO-@M dexamethasone on glucose incorporation in human lymphoblastoid leukemic cells. CCL I 19: 0, control: S. + 10' M dexamethasone phosphate. CCL 120: 0, control: •,+ 10' dexametha sone phosphate. any gross alterations in acid-soluble amino acid pools. We obtained similar results for CCL I 19 and CCL 120. DISCUSSION A variety of lymphoid cells and fibroblasts have been shown to respond to glucocorticoids by inhibition of macro molecular synthesis, of glucose uptake, and of growth, and in some cases by eventual lysis. We here describe 3 lymphoid cell lines in tissue culture, 2 human and 1 mouse, which show none of these responses. We assessed the SBP's of these lines by 4 criteria: quantity, affinity for steroids, specificity for glucocorticoids, and nuclear entry. By all these criteria, the 3 steroid-resistant lines possess steroid binding proteins equivalent to normally steroid-sensitive cells. Although Gehning et a!. (4) have described a cell line which contained a SBP and which was not lysed by gluco corticoids, we believe that the present paper is the first report of steroid-resistant cell lines containing SBP in which the receptor has been shown to be equivalent to that in normally responsive cells by the same criteria used to define specific glucoconticoid receptors (1, 14, 15, 18, 22). Whether JULY per 2 x l0@control or dexamethasone-treated the SBP of the unresponsive cells differs from normal in some subtle way, we cannot tell. Finding equivalent concentrations ofhigh-affinity SBP in unresponsive cells to those shown in a variety of steroid responsive cells is not a surprising result when the compli cated and poorly understood events which follow the association of steroid and receptor molecule and their translocation into the nucleus are considered. Many sites subsequent to SBP binding of steroid could be responsible for the failure of the cells to respond. Indeed, more surprising is the great regularity with which the appearance of steroid resistance in both normal and malignant tissue has been associated with a quantitative defect in receptor activity (5, 7, 8, 15, 17, 22). There is at present little evidence to suggest whether this observed defect in binding activity reflects decreased amounts of SBP per se or whether a defective SBP is present. Equally unclear is the reason for the relative frequency ofloss ofthe cytoplasmic binding step in steroid-resistant cells. The cell lines discussed here, which contain receptor but do not respond to glucocorticoids, are of particular interest for 2 additional reasons. First, we feel that they may be of great value in investigating the more distal steps in steroid action, for example in complementation analysis of somatic cell hybrids. Second, the results obtained in our investiga tions of these 3 cell lines should serve as a caution against the complete acceptance of the presence of SBP as a guarantor of steroid response. While there is no evidence to suggest that a SBP-negative cell will respond specifically to glucocorticoids, the converse, i.e., a SBP-positive cell responding to glucocorticoids, can no longer be considered absolutely valid. While admittedly these are cells in culture which have had considerable time to undergo alterations in phenotype typical of tissue culture cell lines, we feel that it is likely that spontaneously occurring human leukemias which are SBP positive and which are uninhibited by glucocorti coids will be found. On the other hand, our previous work (7, 8, 22) has suggested that this will be considerably less common than leukemias with alterations in SBP activity mediating the control of steroid response. 1974 Downloaded from cancerres.aacrjournals.org on May 2, 2017. © 1974 American Association for Cancer Research. I 575 M. E. Lippman el a!. Table 3 Amino acid concentrations in trichloroacetic acid-soluble fraction, from control and JO “ M dexamethasone phosphate-treated A KR-A cells A growing culture of AKR cells wasdivided, and one-halfwastreatedwith dexamethasone.The results shown give the amino acid content of equal aliquots of the acid-soluble fraction of the hormone-treated and control cells, normalized for their slight differences in protein content. Details of procedure are given in ‘Matenialsand Methods.― I .0 ml aliquotof acid-soluble fractionDexamethasone/ cellsbControl'DexamethasoneaAspartic Amino acidMmoles/ control acid0.2560.2140.85Glutamicacid0.2900.3161.10Proline0.2260.2621.16Glycine0.5720.6151.07Alanine0.3430.3731.09Half-cystineNone detectedValine0.02870.03 detectedNone 21.08Methionine0.01780.01480.84Isoleucine0.03160.03261.03Leucine0.03530.03621.02Tyrosine0.02880.02420.84Phenylalanine0.03320.03100 1 (C Total volume, 2.5 ml. p Ratio of amino acid concentration in acid-soluble fractions compared with equivalent amount from control cells. REFERENCES I. Baxter, J. D., and Forsham, P. H. Tissue Effects of Glucocorticoids. Am. J. Med., 53. 573-589, 1972. 2. Baxter, J. D., Rousseau, G. G., Benson, M. C., Garcea, R. L., Ito, J., and Tomkins, G. M. Role of DNA and Specific Cytoplasmic Receptors in Glucocorticoid Action. Proc. NatI. Acad. Sci. U. S.. 69: 1892-1896, 1972. 3. Foley. G. E., Lazarus, H., Farber, S., Uzman, B. 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VOL. 34 Cytoplasmic Glucocorticoid-binding Proteins in Glucocorticoid-unresponsive Human and Mouse Leukemic Cell Lines Marc E. Lippman, Seymour Perry and E. Brad Thompson Cancer Res 1974;34:1572-1576. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/34/7/1572 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. Downloaded from cancerres.aacrjournals.org on May 2, 2017. © 1974 American Association for Cancer Research.