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2016-2017 Novel Clinical and Translational Methods (NCTM) Pilot Program Application Name(s): _Isabel R. Schlaepfer, PhD_______________________________________ Department(s) and School/College: ____SOM/ DOM/ Medical Oncology____________ Project Title: Develop a reliable method to measure the phosphorylation status of phosphatidylinositol molecules in cells, tumors and body fluids. Applying for: • Phase I (Identify Novel Methodological Development Need) • Phase II (Novel Method Development Plan) This application qualifies as: • Underserved and Minority Investigator • Female Principal Investigator Isabel R. Schlaepfer, Ph.D. | Assistant Professor University of Colorado School of Medicine | Division of Medical Oncology Genitourinary Cancer Program MS 8117 | 12801 E. 17th Ave, Room L18-8101D Aurora, CO 80045 ph: 303-724-8867 [email protected] Page 8 Title: Develop a reliable method to measure the phosphorylation status of phosphatidylinositol molecules in cells, tumors and body fluids. The goal of this proposal is to develop an easily accessible method for the extraction, detection and quantitation of phosphatidylinositol phosphates (PIPs), with different degrees of phosphorylation, from cells, tissues and fluids. Ideally, the technique developed will be available to any investigator in the University of Colorado, either in their own laboratories or through collaboration, will not involve the use of radioactive or hazardous reagents and will have a reasonable cost per sample. It should allow identification and quantitation of molecular species of PIPs, including the acyl chains, the number and, ideally, the position of the phosphate groups on the inositol ring. Specifically, I am interested in measuring accurately the PIPs that are implicated in AKT activation, as part of my investigations in prostate cancer. But the potential interest of such a technique far exceeds the scope of cancer research. AKT phosphorylates upwards of 200 target proteins that regulate gene expression, protein synthesis, cell cycle progression, cytoskeleton organization, and cell metabolism, PIPs regulate many other proteins involved in signaling. The availability of a reliable technique to quantitate PIPs could potentially answer important questions, for example: 1- how diseases such as cancer, cardiovascular disease, obesity or diabetes are established and progress, 2- how cells and tissues are involved at different stages of disease, 3- which types of cellular stress factors trigger signaling leading to adverse cellular responses, 4- how the use of inhibitors or genetic manipulation could interfere with PIP/AKT signaling, or 5- how effective available treatments are in blocking signaling pathways. Information can be obtained from many experimental settings, ranging from cells in culture to animal models of disease and samples from human patients. Rationale & Background: Phosphatidylinositol-3-kinase (PI3K) activity is known to play crucial roles in signaling events relevant to a wide number of cells and tissues, which in turn affect some of the most common diseases in humans, including cancer, obesity or diabetes. In fact, inhibitors of this enzymatic activity are currently undergoing clinical trials to study their efficacy in treating cancer. PI3K isoforms catalyze the incorporation of phosphate in the position 3 of the inositol ring of phosphatidylinositol (PI), phosphatidylinositol monophosphate (PIP) or phosphatidylinositol bisphosphate (PIP2). The levels of these lipids affect intracellular signaling through their binding to proteins containing specific domains such as pleckstrin homology (PH), phox (PX) or FYVE domains. One example of this signaling is the binding of PI(3,4,5)P3 to the PH domain of Akt, which is then translocated to the plasma membrane and phosphorylated to initiate a signaling cascade which affects cell proliferation, survival and metabolism. Most scientist measure the activation of AKT via western blotting, using antibodies that target phosphorylated forms of AKT. This is a valid method but it is indirect, since the initial steps of the activation occur at the plasma membrane, where the phosphatidylinositols become modified in response to growth factors or other stimuli.PIPs are modified in two major ways: via phosphorylation by PI kinases and, less known, via PIP phosphatases like INPP5K and PTEN. The INPP5K gene codes for a phosphatase that removes the 5 phosphate group from each of the 3’, 4’, and 5’ positions of PI(3,4,5)P3 and related phosphoinositides. Considering the key role that the PI3K/AKT pathway plays in cancer, obesity and diabetes, changes in the activities of these PIP phosphatases has a tremendous impact. For example, insulin-induced intracellular production of PI(3,4,5)P3 and phosphorylation of AKT decreased when INPP5K was overexpressed, but increased when endogenous levels of INPP5K were reduced by means of antisense oligonucleotide in ovary cells overexpressing insulin receptors. The phosphatase INPP5K is the focus of my investigations in prostate cancer. I have found that modifying lipid metabolism via CPT1A in the mitochondria produces significant changes in phosphatidylinositol content and decreased activation of AKT. However, I cannot measure accurately the specific PIP species involved (Figure 1). Currently, it is not possible with the current methods available to quantify the type of PIP isomers. This is very important since different PIPs, (PIP2S and PIP3S) can bind PH, PX or FYVE domains on many proteins with different specificities. Figure 1: Diagram of the site of action of INPP5K and its potential effect on androgen receptor (AR) expression via decreased activation of AKT. The decreased expression of CPT1A (1) leads to increased phospholipid degradation and increased INPP5K phosphatase activity, resulting in decreased AKT expression and activation (2). This consequent decrease in p-AKT leads to increased AR expression (3) and action, increasing PSA (KLK3) and FASN and resulting in a more differentiated, lipid-loaded phenotype. PROBLEM: How can I measure the molecular forms of PIPs that are substrates and products of phosphatase actions? Only a fraction of the big number of studies published on PI3K include actual measurements of the levels of the substrates and products of these enzymes. This fact is mainly due to the scarcity of reliable analytical methods available to most investigators. Analysis of these lipids is complicated by several factors including extraction from tissues, detection, identification and quantitation. Extraction is difficult because the varying numbers of phosphate groups result in different partitioning rates in the solvents traditionally used for extraction. As for identification, many different molecular species exist based on the number of phosphate groups and their positions as well as the acyl chains esterified to the glycerol backbone, which can vary greatly in length (typically between 14 and 22 carbons), degree of unsaturation, position and configuration of the double bonds. Detection and quantitation are further complicated by the great differences in levels of the different molecular species, which span several orders of magnitude and require an analytical method with an adequate dynamic range. Perhaps the most common method of measuring PIPs has consisted in radiolabeling using myo-inositol or inorganic phosphate. In most cases, this is followed by hydrolysis and analysis of the polar group using chromatographic separation. In addition to the cost, regulatory constraints and potential risks of using radioactive materials, this method does not reveal the acyl chain composition of the PIPs. The same problem affects the use of antibody-based EIA methods, which are also affected by the potential promiscuity of the antibodies used. Because of these caveats, most of the recent efforts in measuring PIPs have used mass spectrometry as a detection and identification technique. One promising approach involved the methylation of the phosphate groups in PIP3 to overcome the extraction problems mentioned above. However, this approach requires the use of (trimethylsylil) diazomethane, a reagent that is toxic and potentially hazardous, which probably explains why this method has not been widely adopted in the PI3K scientific community. Alternatively, a method used within the LipidMAPS consortium based on the analysis of intact PIP molecules has also failed to become adopted because of concerns about sensitivity and reproducibility of extraction. This proposal aims to recruit one or more collaborating groups within the CCTSI network to explore new approaches to determine the levels of these lipids. Most likely, a successful new method will build on experience gleaned on the techniques mentioned above and improve particularly on the extraction and chromatographic separation of PIPs prior to mass spectrometry-based analysis. It is no doubt a challenging project, but one that could yield an enormous benefit for many researchers, within the University of Colorado and the wider scientific community, interested in the signaling mechanisms involved human disease. Furthermore, this novel method will allow investigators to reliably quantitate PIPs from cells, blood, urine or tissue biopsies from different pathologies or drug treatments.