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Acta Biochim Biophys Sin 2010, 42: 530– 537 | ª The Author 2010. Published by ABBS Editorial Office in association with Oxford University Press on behalf of the Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences. DOI: 10.1093/abbs/gmq063. Original Article Mitochondrial F1Fo-ATP synthase translocates to cell surface in hepatocytes and has high activity in tumor-like acidic and hypoxic environment Zhan Ma 1†, Manlin Cao 2†, Yiwen Liu 1, Yiqing He 1, Yingzhi Wang 1, Cuixia Yang 1, Wenjuan Wang 1, Yan Du 1, Muqing Zhou 1, and Feng Gao 1 * 1 Department of Molecular Biology Laboratory, Shanghai Sixth People’s Hospital Affiliated Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China 2 Department of Rehabilitation Medicine, Shanghai Sixth People’s Hospital Affiliated Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China † These authors contributed equally to this work. *Correspondence address. Tel: þ86-21-64369181; Fax: þ86-21-63701361; E-mail: [email protected] F1Fo-ATP synthase was originally thought to exclusively locate in the inner membrane of the mitochondria. However, recent studies prove the existence of ectopic F1Fo-ATP synthase on the outside of the cell membrane. Ectopic ATP synthase was proposed as a marker for tumor target therapy. Nevertheless, the protein transport mechanism of the ectopic ATP synthase is still unclear. The specificity of the ectopic ATP synthase, with regard to tumors, is questioned because of its widespread expression. In the current study, we constructed green fluorescent protein-ATP5B fusion protein and introduced it into HepG2 cells to study the localization of the ATP synthase. The expression of ATP5B was analyzed in six cell lines with different ‘malignancies’. These cells were cultured in both normal and tumor-like acidic and hypoxic conditions. The results suggested that the ectopic expression of ATP synthase is a consequence of translocation from the mitochondria. The expression and catalytic activity of ectopic ATP synthase were similar on the surface of malignant cells as on the surface of less malignant cells. Interestingly, the expression of ectopic ATP synthase was not up-regulated in tumor-like acidic and hypoxic microenvironments. However, the catalytic activity of ectopic ATP synthase was up-regulated in tumor-like microenvironments. Therefore, the specificity of ectopic ATP synthase for tumor target therapy relies on the high level of catalytic activity that is observed in acidic and hypoxic microenvironments in tumor tissues. Keywords tumor marker; ATP synthase; plasma membrane; translocation; tumor-like microenvironment Received: March 5, 2010 Accepted: May 10, 2010 Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 530 Introduction Using the electrochemical gradient across the inner membrane of the mitochondria that is generated during oxidative phosphorylation, F1Fo-ATP synthase generates energy by coupling the transmembrane delivery of protons to the synthesis of ATP [1]. For a long time, F1Fo-ATP synthase was thought to exclusively locate in the inner membrane of mitochondria. However, more and more evidence hints at the existence of F1Fo-ATP synthase on the outside of the plasma membrane of tumor cells and some types of normal cells, such as endothelial cells, hepatocytes, and adipocytes [2]. Ectopic ATP synthase always localizes on the lipid rafts or caveolae of the cytoplasmic membrane [3–5]. The mechanisms responsible for the protein transport have not been established. Wang et al. [6] found that cholesterol loading increased the level of ATP synthase of the cytoplasmic membrane. However, no increased overall expression of the protein was observed. It was reported that most of the proteins localized to the inner membrane of mitochondria could also be found on the cytoplasmic membrane [7]. Therefore, Wang et al. hypothesized that ectopic ATP synthase might translocate from the mitochondria. However, no direct evidence has been observed to support this hypothesis until now. Ectopic ATP synthase not only functions as energy generators but also as proton channels and receptors for various ligands, which are involved in numerous biological processes including the mediation of intracellular pH, cholesterol homeostasis, the regulation of the proliferation and differentiation of endothelial cells, and the recognition of immune responses of tumor cells [2]. Some proteomic Ectopic ATP synthase – translocation and the existence in tumor microenvironments analysis of membrane fractions indicate that the expression of ectopic ATP synthase in certain ‘malignant’ cells tends to be higher than in ‘less malignant’ cells [8–11]. Since this molecule is involved in the regulation of endothelial cells, ectopic ATP synthase may serve as a marker for both anti-tumor and anti-angiogenesis therapies. Some in vitro and in vivo research suggested that the proliferation of vascular endothelial cells and certain tumor cells could be inhibited by anti-ATP synthase antibodies or inhibitors of ATP synthase [12,13]. For anti-tumor and anti-angiogenesis therapy, specificity for tumor tissues should be considered. First, one should consider whether or not the expression and activity of ectopic ATP synthase in ‘malignant’ cells are always higher than in ‘less malignant’ cells. Second, one should also consider whether ATP synthase could be regulated by tumor-like acidic and hypoxic microenvironments. To visualize the protein transport of the ectopic ATP synthase which located on the cell surface, the b-subunit of the ATP synthase gene (ATP5B) was cloned and co-expressed with the green fluorescent protein (GFP) in human hepatocarcinoma cells (HepG2). The fusion protein was visualized by immunofluorescence and confocal microscopy. To verify the specificity of ATP synthase to tumor tissues, we measured the expression and enzymatic activity of ATP5B in six different cell lines by flow cytometry in both normal and tumor-like acidic and hypoxic conditions. Materials and Methods Cell culture and treatments Human umbilical vein endothelial cells (HUVECs) were obtained from the Sciencell Research Laboratories (Carlsbad, USA). Human hepatocellular liver carcinoma cell line HepG2, hepatic cell line L-02, human highly metastatic lung cancer cell line 95-D, human lung cancer cell line A549, and human embryonic kidney cell line 293 were obtained from the Cell Bank of Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). The cells were cultured in RPMI 1640 medium supplemented with FCS, glutamine and antibiotics except for HepG2 (DMEM), A549 (F12-K), and HUVECs (EGMTM-2). Except EGMTM-2 medium (LONZA, Walkersville, USA), all media are from Gibco (Carlsbad, USA). The cells were incubated at 378C under normal (5% CO2, 20% O2) or tumor-like low pH and hypoxic (17% CO2, 0.5% O2, and N2 balanced) conditions. The gaseous environment was maintained by a ProOxC system with ProCO2 controller (Biospherix, Lacona, USA). The pH and partial pressure of oxygen (PO2) of the medium were monitored by a pH/blood gas analyzer (Ciba Corning, Cambridge, USA). For culture medium, normal condition was defined as pH 7.2, PO2 150–170 mmHg, and low pH and hypoxic condition was defined as pH 6.7, PO2 30– 40 mmHg. For all experiments, the cells were dissociated by incubation with PBS containing 2 mM EDTA ( pH 7.4). Plasmids All kits for gene cloning were from Takara (Dalian, China), except for TrizolTM (Invitrogen, Carlsbad, USA). The expression plasmid for the GFP-ATP5B fusion protein was prepared as follows: total mRNA was isolated from HUVECs using the TrizolTM reagent according to the manufacturer’s instructions, and then was reverse-transcribed into single-stranded cDNA using AMV Reverse Transcriptase (Takara). The ATP5B precursor (ATP5Bp) coding sequence (with mitochondrial signal sequence) was PCR-amplified using the primers 50 -AACAAGCTTGCCA CCATGTTGGGGTTTG-30 and 50 -GCACGGCGAATTCT CGATGAATGCTCTT-30 . The mature ATP5B (ATP5Bm) coding sequence (without mitochondrial signal sequence) was then PCR-amplified using primers 50 -TCGAAGCTTG CCACCATGGCGCAAACATCTC-30 and 50 -GCGGCGGG AACTTAAGACGATGAATGCTC-30 . The resulting PCR fragments were subsequently digested with EcoRI and HindIII, and ligated to the corresponding sites in the pEGFP-N1 vector (Clontech, Mountain View, USA). The reading frame was confirmed by restriction enzyme digestion and DNA sequencing. Transfection and microscopy HepG2 cells were transiently transfected with LipofectamineTM 2000 (Invitrogen). Microscopy of GFP fusion protein was performed using a Nikon A1 confocal microscope (Nikon, Tokyo, Japan) at an interval of 8 h for a total duration of 48 h. The mitochondria were visualized by MitoTrackerTM Red (Invitrogen) staining. Immunofluorescence microscopy Transfected HepG2 were plated at 2 105 cells/ml on glass coverslips and allowed to adhere overnight. The coverslips were then washed with PBS and fixed in 2% paraformaldehyde. A control slide was permeabilized in 0.5% Triton X-100 for 15 min at room temperature after fixation. Cells were washed by PBS and incubated at 48C overnight in PBS ( pH 7.0) containing 1% bovine serum albumin (BSA) with murine monoclonal anti-GFP IgG (Beyotime, Nantong, China) or 10% goat serum (Biostar, Wuhan, China). After that, cells were washed three times and incubated at 48C for 1 h with goat anti-mouse IgG conjugated to biotin (Biostar). All cells were then washed three times and incubated for 1 h in the dark at 48C with avidin conjugated to indocarbocyanine (Cy3) (Biostar). Nuclei were stained by DAPI. After a final wash, the cells were visualized using Nikon A1 confocal microscope. Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 531 Ectopic ATP synthase – translocation and the existence in tumor microenvironments Cell surface ATP generation assay As described by Chi et al. [14], cells in 24-well plates were incubated in normal or tumor-like acidic and hypoxic conditions until they were 80% confluent. Then, the cells were washed and equilibrated into serum-free medium for 30 min with or without oligomycin (10 mg/ml) which was pre-incubated at 378C with the corresponding gaseous environment for 1 h. The cells were then incubated with 0.05 mM ADP (gaseous balanced) for 20 s. The supernatants were harvested and assayed for ATP production by CellTiterGloTM luminescence assay (Promega). Recordings were made on the multifunction microplate reader (BioTek, Winooski, USA). Data are expressed in moles of ATP per cell based on standards determined for each independent experiment. Flow cytometry According to Zhang et al. [13], cells were harvested and resuspended (5 106 cells/ml) in ice-cold staining buffer (Hanks’ balanced salt solution containing 1% BSA and 0.1% sodium azide). All subsequent steps were done on ice to prevent the internalization of surface antigens. Cells were incubated for 45 min with anti-b ATP synthase IgG (Invitrogen). After washing twice with ice-cold staining buffer, the cells were incubated with goat anti-mouse IgG-FITC (SouthernBiotech, Birmingham, USA) or isotypic IgG for 30 min. The cells were then washed twice, and non-viable cells were identified by propidium iodide staining prior to the final wash. The mean relative fluorescence excited at 488 nm was determined on a flow cytometer (Beckman-Coulter, Brea, USA). Results Tracing the expression of GFP fusion protein in HepG2 by confocal microscopy To trace the location of ATP synthase in cells, the ATP5B gene with or without the mitochondrial signal sequence was cloned. The ATP5B-GFP fusion protein, with or without the transit peptide, was subsequently generated in HepG2 cells. The translocation of fusion protein in HepG2 cells was visualized by confocal microscopy. Mature ATP5B-GFP fusion protein without the mitochondrial transit peptide (ATP5Bm-GFP) was translated and localized in the cell plasma. Otherwise, the ATP5B precursor-GFP fusion protein with the mitochondrial transit peptide (ATP5Bp-GFP) was translated in the cytoplasm and translocated to the mitochondria (Fig. 1). Due to a weak signal, relative to those in the cytoplasm, we cannot confirm the existence of fusion protein on the cell surface. Detection of GFP fusion protein on the outside of the plasma membrane by immunofluorescence To detect trace quantities of ATP5B-GFP fusion protein on the outside of the plasma membrane, immunofluorescence with anti-GFP antibody and biotin–avidin system was employed. We observed positive signals of the ATP5BGFP fusion protein with punctuate appearance on the surface of non-permeabilized HepG2 cells transfected by ATP5Bp-GFP instead of ATP5Bm-GFP. As a control, positive signals with a different staining pattern were observed when the cells were permeabilized (Fig. 2). Figure 1 ATP5Bp-GFP fusion protein located on mitochondria (A – C) HepG2 cells were transfected by ATP5Bp-GFP. (D – F) HepG2 cells were transfected by ATP5Bm-GFP. Green channel shows the fluorescence of GFP (A,D). Mitochondria were visualized by MitoTrackerTM Red staining (B,E). Merged images show that fusion protein ATP5Bp-GFP located on mitochondria whereas ATP5Bm-GFP located in cell plasma (C,F). Scale bar ¼ 50 mm. Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 532 Ectopic ATP synthase – translocation and the existence in tumor microenvironments Figure 2 ATP5Bp-GFP fusion protein locate on the out surface of cell membrane HepG2 cells were transfected by ATP5Bp-GFP and immunostained with anti-GFP antibody. (A) Red channel shows ATP5B-GFP fusion protein with punctate appearance located on the surface of non-permeabilized cells. (B) Green channel (GFP) of same cells. (C) Nuclei were visualized by DAPI staining. (D) Merged image. (E) Same cells permeabilized show different staining pattern. (F) No positive signals observed on the surface of HepG2 cells which were transfect by ATP5Bm-GFP. Representative images of three independent experiments were shown. Scale bar ¼ 50 mm. Figure 3 b-subunit of ATP synthase on cell surface was detected by flow cytometry Cells were cultured in acid and hypoxia environment for 24 h, and then incubated with isotypic IgG (1) or antibody against the b-subunit of ATP synthase (3). Cells were cultured in normal environment, and then incubated with an isotypic IgG (2) or antibody against the b-subunit of ATP synthase (4). Expression of ectopic ATP synthase in malignant cells was not always higher than that in less malignant cells (HepG2.L-02 but 95-D,A549). After acid and hypoxia treatment, expression of ectopic ATP synthase in 95-D and 293 was up-regulated, whereas in other cells it was not. Analysis of ectopic b-ATP synthase expression by flow cytometry In this study, the expression of ectopic ATP5B in six cell lines from various tissues and with different ‘malignancies’ was determined by flow cytometry. To avoid the detection of ATP5B in the cytoplasm, all flow cytometry experiments were performed on intact cells (cells without propidium iodide staining). As shown in Fig. 3, ectopic ATP5B Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 533 Ectopic ATP synthase – translocation and the existence in tumor microenvironments can be found on the surface of all cells. There was no evidence to indicate that the expression of ectopic ATP5B was higher in ‘malignant’ cells (95-D, HepG2) than in ‘less malignant’ cells (A549, L-02, 293, HUVECs). Similarly, there was no evidence to indicate that the expression of ectopic ATP5B could be up-regulated after 24-h incubation in acidic and hypoxic conditions. Cell surface ATP generation assay Cell surface ATP synthesis was evaluated in each cell line by determining the production of ATP 20 s after the exposure of cells to ADP and inorganic phosphate. ATP production was determined by luciferin-luciferase assay. The results indicate that ATP synthesis activity is not always higher in ‘malignant’ cells than in ‘less malignant’ cells in both normal and tumor-like acid and hypoxia conditions. For all cell lines, the activity of cell surface ATP synthesis was up-regulated remarkably after acid and hypoxia treatment (Fig. 4), whereas this tendency had not been observed in cells which had been treated by ATP synthase inhibitor oligomycin (Fig. 5). Discussion F1Fo-ATP synthase comprises a soluble F1 portion and a membrane-spanning Fo portion. The catalytic active site, which catalyzes the synthesis of ATP from ADP and inorganic phosphate, is the b-subunit of F1 portion. For every three to four protons that are released into the matrix of mitochondria from the intermembrane space, one ATP is synthesized. Besides mitochondria, in the last few years, researchers observed the existence and activities of F1Fo-ATP synthase on the surface of many cell lines (Fig. 6). Ectopic F1Fo-ATP synthase was thought to be a potential marker for tumor target therapy. The origin of Figure 4 Quantification of extracellular ATP production by luciferinluciferase assay After 20 s of ADP and phosphate exposure, extracellular ATP production of intact cells was determined by luciferin-luciferase assay. Extracellular ATP production in acid and hypoxia environment was higher than that in normal environment. *P , 0.05, **P , 0.01, n ¼ 3. Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 534 Figure 5 The increase of extracellular ATP production in acid and hypoxia environment Compared with that in the normal environment, in acidic and hypoxia conditions, extracellular ATP production was increased by from 80% to 800%. When ATP synthase was inhibited by oligomycin, the increase was not observed. ectopic ATP synthase in cells is still unclear. Compared with those in mitochondria, the expression of ectopic ATP synthase is so low that it is difficult to isolate them for further analysis. Thus, there was still no evidence to indicate that ectopic ATP synthase is different from those in the mitochondria. To explore the protein transport mechanism of the ectopic ATP synthase, in this study, we focused on the b-subunit of ATP synthase (ATP5B). The ATP5B gene is located on chromosome 12 in the p13 region, which has 10 exons and encodes a mitochondrial transit peptide of 49 amino acids and a mature protein of 480 amino acids [15,16]. The sequence of the translation product was analyzed by the signal prediction software SignalP 3.0 (http://www.cbs.dtu.dk/services/SignalP/). No putative cellular membrane target signal was predicted. Then, how does ectopic ATP synthase locate to the cellular membrane? To visualize the localization and translocation of ATP5B in the cell, recombinants encoding ATP5B-GFP fusion protein were constructed and introduced into the hepatocarcinoma cell line HepG2, which expresses high levels of ectopic ATP synthase. Results suggested that with the help of transit peptides, ATP5B was translated in the cytoplasm and localized to the mitochondria. As a consequence of the bright background in the cytoplasm, weak signals in the cellular membrane cannot be excluded. Upon biotin–avidin amplification, ATP5B-GFP fusion protein was clustered into puncta when the cells were transfected with pATP5Bp-GFP. However, the cells were negative for cell membrane-localized ATP synthase when the cells were transfected with pATP5Bm-GFP. Importantly, when cells were permeabilized, the GFP staining pattern (Fig. 2) was totally different from the non-permeabilized cells, which suggested that mature ATP5B could not translocate to cellular membrane alone. Mitochondrial transit peptide is essential for ATP5B translocation to the cellular membrane and the mitochondria. The mitochondrial transit peptide is Ectopic ATP synthase – translocation and the existence in tumor microenvironments Figure 6 Ectopic ATP synthase located on the caveolae of cell membrane Ectopic ATP synthase locates on the caveolae of cell membrane with the F1 portion directed into the extracellular space. With the synthesis of ATP, protons are pumped out of the cell. As autocrine agents, in the caveolae, ATP synthesis products may excite the purinoceptor (P2Y) to promote the proliferation of the cell, and then lead to tumor growth or angiogenesis. (based on Chi et al. [2]). then removed by signal peptidases in the mitochondria. Thus, ectopic ATP5B may be translocated from the mitochondria by an unknown underlying mechanism. This result agrees with the hypothesis of Wang et al. [6]. In addition, some researchers reported that most of proteins that localize to the inner membrane of mitochondria could be found on the surface of the plasma membrane [17], suggesting that translocation is possible. Proteomic research indicated that for certain tumor cells, the expression of ectopic-ATP synthase in ‘malignant’ cells was higher than in ‘less malignant’ cells [10,11]. Earlier reports indicated that ectopic ATP synthase was observed on tumor cells and vascular endothelial cells. Because vascular endothelial cells are involved in angiogenesis, researchers originally thought that ectopic ATP synthase might exist as a bifunctional marker for anti-tumor therapy and anti-tumor angiogenesis therapy [12]. Some antibodies or inhibitors of ATP synthase were demonstrated to be effective both in vitro and in vivo [9–12]. However, for target therapy, specificity is critically important. Since ATP synthase was expressed on the surface of many cells, the tumor specificity of ectopic ATP synthase was naturally questioned. Hence, ‘tumor specificity’ can be defined as: (i) expression of the molecule is different in tumor cells and normal cells; and (ii) for the same cell, the expression or activity of the molecule in tumor tissue or tumor-like microenvironments is different from normal tissue or normal microenvironments. To identify the possibility and specificity of ectopic ATP synthase as a target for tumor therapy, here, the expression of ectopic ATP synthase across six cell lines with different malignancies was measured by FACS in both normal and tumor-like acidic and hypoxic conditions. As shown in Fig. 3, among the six cell lines with different ‘malignancies’, ectopic ATP synthase was detected on the cell surface of all cells. The expression of ectopic ATP synthase in ‘malignant’ cells was not higher than that in ‘less malignant’ cells. Acid and hypoxia treatment did not change the expression. In additional experiments, the expression of ectopic ATP synthase in mesenchymal stem cells (MSCs) and malignant MSCs, which were induced by carcinogen 3-methycholanthrene treatment [18], was measured by FACS. In this case, the expression of ectopic ATP synthase in the MSCs after malignant transformation was also not higher than in the original MSCs (data not shown, see Supplementary Figures). The prevailing dogma that ‘malignant cells express more ectopic ATP synthase than less malignant one [11]’ is not necessarily true. This might be true for some cells, but certainly not for all. Ectopic ATP synthase is not only a structural element but also an enzyme involved in ATP synthesis and proton transport. These functions may be critical for cell survival in tumor-like microenvironments. Thus, the important question is whether or not the activity of ectopic ATP synthase on the surface of malignant cells is higher than in less malignant cells; or whether the activity of ectopic ATP synthase in tumor-like microenvironments is higher than in normal conditions. If the answer is ‘yes’ to either of the above questions, we can conclude that ATP synthase is a tumor-specific target. In the current study, the ATP synthesis activity across six different cell lines was examined in both normal and tumor-like (acidic and hypoxic) conditions. The results suggested that the activity of ATP synthesis is independent Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 535 Ectopic ATP synthase – translocation and the existence in tumor microenvironments of the malignant status of cells, but that it was significantly up-regulated in tumor-like conditions. For ectopic ATP synthase, its specificity for tumors relies on its increased catalytic activity in acidic and hypoxic microenvironments when compared with normal tissues. This result agrees with the report by Chi et al. [14]. But opposite results were obtained by Mangiullo et al. [19] who found that cell surface ATP synthase activities of heptocyte were greater in high pH than in low pH. Different results may be caused by different conditions of cell culture. For example, cells were cultured in normal conditions and put into acidic conditions 4 min before ATP analysis in Mangiullo’s experiment. But in our present research, cells were cultured and analyzed in acidic and hypoxia conditions all along. pH gradient across the cell membrane is an important but not the only factor responsible for the activity ATP synthase on the cell membrane. The mechanisms involved are still unclear. Considering the functions of the ectopic ATP synthase, the above results are acceptable. The activity of ectopic ATP synthase in tumor tissues may provide additional extracellular ATP to counteract the disadvantage of ischemic and hypoxic conditions that are found in tumor tissues [20]. With the synthesis of ATP, intracellular protons are pumped out of the cell to prevent acidosis. When the activity of ectopic ATP synthase was blocked by angiostatin, the proliferation and migration of HUVECs could be inhibited, especially when the cells were cultured in low extracellular pH [14,21]. Moreover, ATP synthesis products may excite the purinoceptor, which has been reported to induce many biological effects like the proliferation of endothelial cells and the angiogenesis [22]. All the above functions indicated that activities of ectopic ATP synthase are critical for cell survival in tumor-like microenvironments. Inhibiting the activities of ectopic ATP synthase can be a potential approach for tumor target therapy. Supplementary Data Supplementary Material is available at ABBS online. Acknowledgements We thank Dr Chunfang Liu (Huashan hospital affiliated to Fudan university, Shanghai, China) for kindly providing the malignant MSCs. Funding This work was supported by grants from the National High Technology Researchand Development Program of China(‘863’ Program) (2008AA02Z121). Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 536 References 1 Stock D, Leslie AG and Walker JE. Molecular architecture of the rotary motor in ATP synthase. Science 1999, 286: 1700– 1705. 2 Chi SL and Pizzo SV. Cell surface F1Fo ATP synthase: a new paradigm? Ann Med 2006, 38: 429– 438. 3 Kim BW, Choo HJ, Lee JW, Kim JH and Ko YG. Extracellular ATP is generated by ATP synthase complex in adipocyte lipid rafts. Exp Mol Med 2004, 36: 476– 485. 4 Hong D, Jaron D, Buerk DG and Barbee KA. Transport-dependent calcium signaling in spatially segregated cellular caveolar domains. 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Structural and functional characterization of FoF1-ATP synthase on the extracellular surface of rat hepatocytes. Biochim Biophys Acta 2008, 1777: 1326– 1335. Ectopic ATP synthase – translocation and the existence in tumor microenvironments 20 Raghunand N, Gatenby RA and Gillies RJ. Microenvironmental and cellular consequences of altered blood flow in tumours. Br J Radiol 2003, 76: S11– S22. 21 Moser TL, Stack MS, Asplin I, Enghild JJ, Hojrup P, Everitt L and Hubchak S, et al. Angiostatin binds ATP synthase on the surface of human endothelial cells. Proc Natl Acad Sci USA 1999, 96: 2811– 2816. 22 Rumjahn SM, Yokdang N, Baldwin KA, Thai J and Buxton IL. Purinergic regulation of vascular endothelial growth factor signaling in angiogenesis. Br J Cancer 2009, 100: 1465 – 1470. Acta Biochim Biophys Sin (2010) | Volume 42 | Issue 8 | Page 537