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The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 8 2942-2950
Copyright © 1999 by The Endocrine Society


Original Studies

Immunohistochemical Detection of Somatostatin sst2a Receptors in the Lymphatic, Smooth Muscular, and Peripheral Nervous Systems of the Human Gastrointestinal Tract: Facts and Artifacts1

Jean Claude Reubi, Jean A. Laissue, Beatrice Waser, David L. Steffen, R. William Hipkin and Agnes Schonbrunn

Division of Cell Biology and Experimental Cancer Research, Institute of Pathology, University of Berne (J.C.R., J.A.L., B.W.), Berne, Switzerland; the Department of Cell Biology, Baylor College of Medicine and Biomedical Computing, Inc. (D.L.S.), Houston, Texas 77030; and the Department of Integrative Biology, Pharmacology, and Physiology, University of Texas Houston Medical School (R.W.H., A.S.), Houston, Texas 77030

Address all correspondence and requests for reprints to: Jean Claude Reubi, M.D., Division of Cell Biology and Experimental Cancer Research, Institute of Pathology, University of Berne, P.O. Box 62, Murtenstrasse 31, CH-3010 Berne, Switzerland. E-mail: reubi{at}patho.unibe.ch


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The cellular distribution of the somatostatin sst2A receptor protein was investigated in the lymphatic, smooth muscular, and nervous components of the human gastrointestinal tract using subtype-specific antibody R2–88 for immunohistochemical staining of cryostat and formalin-fixed, paraffin-embedded tissue sections. Germinal centers of intestinal lymphatic follicles were immunostained, exhibiting a predominantly plasma membrane localization of the receptor. Similarly, nerve fibers and cells in the submucosal and myenteric plexus were stained for sst2A. Antibody preabsorption with 100 nmol/L antigen peptide abolished staining in all of these tissues, and immunohistochemical staining correlated with the labeling observed after receptor autoradiography using the sst2-preferring radioligand 125I-[Tyr3]octreotide. Cytoplasmic immunostaining was detected in gastrointestinal smooth muscle cells and was inhibited by antibody preabsorption with antigen peptide. However, 125I-[Tyr3]octreotide autoradiography was negative, and Western blots showed no band at the usual 70–90 kDa location for sst2A. Instead, a band was observed at 205 kDa. This band comigrated with the rabbit myosin standard, which was also stained with R2–88, although antibody sensitivity for myosin was less than 0.002% of that for the sst2A receptor. Rigorous computer-based sequence analysis demonstrated the peptide sequence chosen for antibody production was unique. Moreover, standard sequence alignment protocols were unable to identify the sequences in myosin responsible for the observed reactivity with the R2–88 antiserum. The observed cross-reactivity emphasizes the need for extensive controls to prove the specificity of immunostaining for such low abundance proteins as receptors even when the peptide sequence chosen for antibody production is unique. This study demonstrates for the first time the presence of specific sst2A receptor protein by immunohistochemistry in the human gastrointestinal lymphatic and nervous components, but not in gastrointestinal circular and longitudinal smooth muscle.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SOMATOSTATIN, with its two main forms, somatostatin 14 and somatostatin 28, has a wide number of actions in the human body (1). The brain and the endocrine system, in particular the pituitary and the endocrine pancreas, are well established targets of somatostatin; other organs have more recently been identified to also be somatostatin targets, including the peripheral nervous system, the immune system, and the vascular system (2, 3, 4). The actions of somatostatin in these tissues are probably mediated by specific somatostatin receptors that have been identified by binding assays and receptor autoradiography techniques (5, 6, 7). Somatostatin receptors have also been detected in various human pathologies, for instance in neoplasia (8).

Five subtypes of somatostatin receptors, designated sst1 to sst5, have recently been identified (9). Investigations in rats and humans using RT-PCR and in situ hybridization have shown that the established somatostatin targets do express somatostatin receptor messenger ribonucleic acid (mRNA), often for several receptor subtypes concomitantly (10, 11, 12). One of the subtypes frequently identified by mRNA studies is the sst2 subtype. In human and rodent tissues the sst2 receptor has been shown to exist in two isoforms, sst2A and sst2B, generated through alternative splicing of the sst2 mRNA at the 3'-end of the coding segment (13, 14). These two variants, which differ only in length and in their amino acid sequence at the C-terminals, exhibit similar binding properties but vary in G protein coupling (13).

Recently, a specific polyclonal antibody (R2–88) was generated against a unique sequence, CERSDSKQDKSRLNETTETQRT, located at the C-terminal tail of the sst2A receptor (15). With this tool, the sst2A receptor protein could be identified with immunohistochemistry in the rat brain, pituitary, and pancreas (15, 16, 17) as well as in human tissues, including cancers and pancreas (18, 19). Not only were the proteins for a specific somatostatin receptor identified, but a better cellular resolution could be achieved with this method.

Despite receptor autoradiographical evidence showing that somatostatin receptors are expressed and localized in discrete regions of the human lymphoid system and peripheral nervous system (5, 20), the exact anatomical site and subtype of the receptor proteins have not been identified in these tissues to date. The aim of the present study was, therefore, to evaluate normal somatostatin targets such as the peripheral nervous system, the lymphoid system, and the smooth muscles for their content in sst2A protein with immunohistochemical methods using R2–88 antiserum. The human intestinal tract was chosen as an important source of peripheral nervous system tissue in the form of the submucosal and myenteric plexus, of lymphoid tissue such as in Peyer’s patches and solitary lymphoid follicles, and of smooth muscle with its circular and longitudinal coat. R2–88 immunohistochemistry was compared to receptor autoradiography and/or with Western blots in these tissues.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The human gastrointestinal tissues selected for the present investigation are listed in Table 1Go. The samples were either frozen or formalin fixed immediately after resection.


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Table 1. Detection of somatostatin receptors by receptor autoradiography and R2-88 immunohistochemistry in germinal centers (GC) of lymphoid tissue and neural elements (N) of nerve plexus in the human gastrointestinal tract

 
Immunohistochemical evaluation of the sst2A antibody R2–88

The R2–88 rabbit polyclonal antibody, generated against a unique sequence located in the C-terminal tail of the sst2A receptor was used as primary antibody (15). Biochemical and immunohistochemical characterization of the antibody have been reported previously (15, 21). R2–88 immunohistochemistry was essentially performed as described previously (18).

Frozen tissues. Ten-micron thick sections were cut on a cryostat (Leitz, Rockleigh, NJ). The sections were fixed for 10 min in acetone and 10 min postfixed in 4% paraformaldehyde (diluted in phosphate-buffered saline), and incubated for 20 min in 5% normal goat serum diluted in Tris-buffered saline (TBS). Then, the sections were incubated with the R2–88 antibody against the sst2A receptor overnight at room temperature. The antibody R2–88 was used at a 1:6000 dilution in TBS containing 1% BSA, 5% normal goat serum, and 0.1% NaN3. Sections were incubated for 45 min at room temperature in a 1:200 dilution (same buffer as for primary antibody) of biotinylated goat antirabbit Ig antiserum (DAKO Corp., Glostrup, Denmark) and thereafter for 45 min at room temperature with avidin-biotin complex/horseradish peroxidase (1:120 in TBS; DAKO Corp.). Finally, sections were developed in 0.05% 3,3'-diaminobenzidine (Fluka) and 0.006% H2O2 (Merck & Co., Inc., Rahway, NJ), weakly counterstained with hematoxylin, and mounted. A tissue was considered positive for R2–88 when the immunostaining was abolished after absorption of the antibody with the peptide antigen at 100 nmol/L (30 min at room temperature, with agitation before application of the antibody to the tissue). The tissue reaction was considered negative if the immunostaining was not suppressed in the presence of the antigen.

Formalin-fixed, paraffin-embedded tissues. In all samples tested, the fixation time was 24–36 h. The fixed tissue was processed for conventional, 2- to 5-µm thick paraffin wax (Paraplast) sections. The sections were dewaxed, rehydrated, and boiled in 10 mmol/L citrate buffer, pH 6.0, in a pressure cooker as described previously (18). Sections were then (and after all subsequent steps) washed in TBS and incubated with the R2–88 polyclonal antibody against sst2A receptors used at a dilution of 1:2000 overnight at room temperature. All subsequent steps, including absorption of the antibody with the peptide antigen, were performed exactly as in the protocol for frozen tissue, and the same criteria were applied to distinguish between positive and negative tissues.

Other immunohistochemical markers

The immunohistochemical staining of synaptophysin for optimal identification of the submucosal and myenteric plexus was performed on cryostat and formalin-fixed material, using commercially available antibodies (DAKO Corp.) at a dilution of 1:100.

Receptor autoradiography with 125I-[Tyr3]octreotide

Twenty-micron cryostat sections, adjacent to those used for R2–88 immunohistochemistry, were used for in vitro receptor autoradiography with the sst2-preferring radioligand, 125I-[Tyr3]octreotide, as described previously (22). Nonspecific binding was determined in the presence of 10-6 mol/L octreotide.

Immunoblots

Cell membranes from the sst2A-expressing rat GH-producing pituitary cell line GH-R2 cells were prepared as previously described (23). Human smooth muscle tissue was dissected from the circular and longitudinal muscles of the human colon using magnifying glasses, and membranes were prepared following previously described procedures (18). Membrane proteins were solubilized in sample buffer [62.5 mmol/L Tris-HCl, 2% SDS, 10% 2-mercaptoethanol (vol/vol), 6 mol/L urea, and 20% glycerol, pH 6.8], separated by SDS-PAGE on a 7.5% polyacrylamide gel, transferred to a polyvinylidene difluoride membrane, and immunoblotted with R2 88 antiserum as described previously (23).

Peptide sequence analysis

The BLAST server at NCBI (http://www.ncbi.nlm.nih.gov/BLAST/) (24, 25) was used to search the nr database (All non-redundant GenBank CDS translations + PDB + SwissProt + PIR + PRF). Several different methods for performing the search were used. Both the Old (ungapped) BLAST program and the BLAST 2 (Gapped BLAST) program were used. The following amino acid substitution scoring matrixes were used: BLOSUM45, BLOSUM62, BLOSUM80, PAM30, and PAM80 for BLAST 2, and BLOSUM62 and PAM40 for Old BLAST. In every case the EXPEC parameter was increased from the default of 10 to a value of at least 1000, and in one case up to 5 x 108. All of these parameters are explained in http://www.ncbi.nlm.nih.gov/BLAST/. The remaining software used for these analyses was supplied as parts of the GCG package, version 9.1, installed at Academic Informatics Services, Baylor College of Medicine (Houston, TX).

A set of 14 full-length or near full-length mammalian myosin heavy chain sequences were identified by searching Entrez (http://www.ncbi.nlm.nih.gov/Entrez/) for the keywords myosin, heavy, and complete. The resulting matches were visually examined, and relevant sequences were downloaded. The sequences used were Entrez Protein Database accession no. 219524, 3041706, 547966, 189034, 3043372, 3041707, 88201, 547981, 1945078, 1945080, 109322, 1346644, 165490, and 127755.

These 14 sequences and the 21-residue sst2A antigen peptide sequence were aligned with the Pileup program of GCG, using default parameters. The Distances program was used to determine the mutational distance between these sequences. Finally, the Bestfit program was used to find the best pairwise alignment of the immunizing peptide and one representative of skeletal and smooth muscle myosin sequences: PIDs 3041707 and 1945078, respectively.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lymphatic tissues

Germinal centers of solitary lymphoid follicles in the colon, of Peyer’s patches in the ileum, and of lymphoid follicles in the appendix were labeled with the sst2-preferring 125I-[Tyr3]octreotide radioligand in receptor autoradiographic studies (Table 1Go). Figure 1Go is an example of a receptor autoradiography experiment showing somatostatin receptor-positive germinal centers in a Peyer’s patch labeled with 125-[Tyr3]octreotide. Such germinal centers could also be immunostained specifically with the R2–88 antibody. The immunostaining was usually weak to moderate and was found in the germinal center forming the central part of the follicle. Figure 2Go shows an example of an R2–88-immunoreactive germinal center in a Peyer’s patch. The luminal part of the germinal center was more heavily stained than the basal part, confirming the observation of polar labeling of germinal centers made previously with receptor autoradiography (20), reflecting the normal polarity of germinal centers (26). As a specificity control, antibody preabsorption with peptide prevented immunostaining of the germinal center completely (Fig. 2Go). At high magnification the R2–88 immunostaining revealed features not detected by autoradiography, namely a preferentially membranous localization of the sst2A receptors (Fig. 2Go). This membrane staining was best seen when the sections were not counterstained with hematoxylin-eosin.



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Figure 1. Receptor autoradiography of somatostatin receptors in a human ileal Peyer’s patch using 125I-[Tyr3]octreotide. A, Hematoxylin-eosin-stained section showing two submucosal lymphoid follicles with germinal centers (arrowheads). m, Mucosa. Bar, 1 mm. B, Autoradiogram showing total binding of 125I-[Tyr3]octreotide. The germinal centers (arrowheads) and the mucosa (m) are labeled. C, Autoradiogram showing nonspecific binding of 125I-[Tyr3]octreotide (in the presence of 10-6 mol/L octreotide).

 


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Figure 2. Immunohistochemical staining of sst2A receptors with R2–88 in a lymphatic follicle from an ileal Peyer’s patch. A, Hematoxylin-eosin-stained section showing a lymphoid follicle with a large germinal center (delimited by the points of the black and white arrowheads). Black arrowheads indicate the luminal part, and white arrowheads indicate the basal part of the germinal center. The arrow shows the direction of the gut lumen. m, Mucosa. Bar, 0.1 mm. B, R2–88 immunohistochemical staining. Preferential immunostaining of the germinal center (within the area delimited by arrowheads), in particular of its luminal part (black arrowheads). Note the nonspecific staining of the mucosa (m) and submucosa. C, R2–88 immunohistochemistry on adjacent section, including absorption with 100 nmol/L peptide antigen (nonspecific control). The staining of the germinal center, but not of the mucosa and submucosa, is completely prevented. D and E, R2–88 immunohistochemistry of a germinal center at high magnification with no counterstain. The predominantly membranous location is shown in D. Bar, 0.1 mm. E is the control section, including absorption with 100 nmol/L peptide antigen.

 
Peripheral nervous system

The submucosal and myenteric plexus of the human colon could be clearly visualized with receptor autoradiography using 125I-[Tyr3]octreotide as radioligand. Figure 3Go shows a typical example of the myenteric plexus, identified by synaptophysin immunoreactivity, that is strongly radiolabeled with 125I-[Tyr3]octreotide. These neural plexuses could also be clearly immunostained with R2–88. Figure 4Go shows an example of a myenteric plexus characterized by its strong synaptophysin immunoreactivity; the plexus was strongly immunoreactive for R2–88; immunoreactivity was primarily found over nerve elements entering and leaving the plexus and localized around the ganglion cells. In addition, the immunostaining was compatible with sst2A receptors localized on the cell membranes of the ganglion cells. Antibody preabsorption with 100 nmol/L of the antigen peptide completely prevented the staining. Figure 4Go shows also an example of an R2–88-immunoreactive submucosal plexus of the colon, with negative control of antibody preabsorption using 100 nmol/L peptide antigen. The tested plexuses were immunoreactive for R2–88 in both cryostat material as well as formalin-fixed, paraffin-embedded material. As an illustration for the latter, Fig. 5Go shows the discrete R2–88 immunoreactivity seen in the nerve fibers of a myenteric plexus from a formalin-fixed, paraffin-embedded 3-µm thick section.



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Figure 3. Receptor autoradiography of the myenteric plexus in a sample of human colon. A, Synaptophysin immunostaining showing intense labeling of the myenteric plexus (arrowheads). CM, Circular muscle; LM, longitudinal muscle. Bar, 1 mm. B, Autoradiogram showing total binding of 125I-[Tyr3]octreotide. The whole myenteric plexus is strongly labeled, but not the surrounding muscles. C, Autoradiogram showing nonspecific binding of 125I-[Tyr3]octreotide.

 


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Figure 4. R2–88 immunohistochemical staining of the myenteric plexus (A–C) and the submucosal plexus (D–F) of human colon (cryostat sections). A, Synaptophysin immunohistochemical staining of the plexus. M, Smooth muscle. Bar, 0.1 mm. B, R2–88 immunohistochemistry. The staining is in nerves entering and leaving the plexus and possibly in the cell membrane of intermingled ganglion cells. The surrounding smooth muscle cells are also stained. D, Hematoxylin-eosin staining of a submucosal plexus. Bar, 0.1 mm. E, R2–88 immunohistochemical staining of the plexus. C and F, R2–88 immunohistochemistry with peptide antigen absorption (controls).

 


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Figure 5. R2–88 immunohistochemical staining of a myenteric plexus in formalin-fixed, paraffin-embedded 3-µm thick section of human colon. Note the discrete filigrane-like staining of the nerve fibers (A). Bar, 0.1 mm. B, Control with peptide antigen immune absorption.

 
Smooth muscle

Somatostatin receptor autoradiography did not detect significant amounts of somatostatin receptors in gastrointestinal colonic smooth muscle, in either the circular or the longitudinal coat. Nonetheless, R2–88 immunostaining was observed in all smooth muscle tissues in the colon, including the circular and longitudinal coats (Fig. 4Go) and the smooth muscle of large vessels. Moreover, antibody preabsorption with 100 nmol/L peptide antigen substantially inhibited the immunostaining, indicating that staining was produced by receptor peptide antibody. To further evaluate the specificity of the immunoreactivity in muscle tissue, Western blots were performed on carefully dissected pieces of colonic smooth muscle. The results shown in Fig. 6Go demonstrate the characteristic staining of a broad 80-kDa band corresponding to the sst2A receptor in a pituitary cell line transfected with a clone encoding this receptor subtype (18, 21). In contrast, only a 206-kDa band was stained in smooth muscle membranes. This high molecular mass band comigrated with rabbit skeletal muscle myosin, the 206-kDa protein standard. Interestingly, rabbit myosin was weakly stained by the R2–88 antiserum. These results suggest that the R2–88 antiserum cross-reacts with myosin and that this cross-reactivity is responsible for the immunocytochemical staining observed in human colonic muscle.



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Figure 6. Western blot analysis of sst2A receptor immunoreactivity. Protein standards (Std; 25 µg) and membrane proteins from either sst2A-transfected GH-R2 pituitary cells (Pit; 2.5 µg) or human intestinal smooth muscle (SM; 50 µg) were separated by PAGE and electrophoretically transferred to polyvinylidene difluoride membrane. The membrane was incubated with anti-sst2A receptor antibody (1:10,000), and immunoreactive proteins were detected by chemiluminescence. Molecular size markers (in kilodaltons) are shown on the left.

 
Comparison of somatostatin receptor peptide and myosin sequences

An important consideration in the choice of the particular peptide used to raise the R2–88 antibody was that a BLAST search of GenBank retrieved the known somatostatin receptor type 2 proteins but no others, thus making it a unique sequence (21). However, a perfect match is not required for antibody cross-reactivity. In response to the cross-reactivity of the R2–88 antiserum with myosin heavy chain observed in Fig. 6Go, we conducted a series of analyses to determine whether this cross-reactivity could be explained by partial sequence similarity between the peptide and myosin. We first adjusted the BLAST parameters to increase the sensitivity of the search. Of all the parameters we used to search GenBank (see Materials and Methods), use of the PAM30 matrix provided the most sensitive search. Using an EXPECT value of 1000, instead of the default value of 10, we retrieved 181 sequences: 6 known somatostatin receptor 2 sequences and 175 other sequences. None of these sequences was myosin heavy chain sequences. Ultimately, by increasing the EXPECT value to 5 x 108, we retrieved 2918 sequences. Although among these were 60 myosin sequences, only 9 of these were the expected mammalian smooth or skeletal muscle myosins. We conclude that these matches are of questionable significance and could not reasonably have been used to predict the myosin cross-reactivity.

To determine whether the region of sequence responsible for cross-reactivity could be identified, we analyzed a collection of 14 mammalian smooth and skeletal muscle myosin heavy chain sequences. We constructed a multiple alignment of these sequences to identify the homologous regions. As has been previously reported (27), the myosin sequences fell into 2 groups, with all of the smooth muscle myosins in 1 group, and the skeletal and other myosins falling into 2 related groups. There was only a slight degree of sequence similarity between the smooth and skeletal muscle myosins. Finally, we performed a rigorous pairwise alignment between the peptide sequence and a representative of the smooth and skeletal groups. The Bestfit algorithm used can almost always detect an alignment and, as expected, pairwise alignments were detected in this case. Two points about these alignments are significant, however. First, the optimal alignment between the peptide sequence and the different myosin sequences did not occur at homologous sites, but, rather, at different sites in the sequence, suggesting that these alignments were not significant. Second, a random match control was included in these analyses, and in all cases this control indicated that the optimal alignments with the antigen peptide were not of significantly higher quality than that expected by chance. Taken together, these results demonstrate that standard sequence alignment software cannot identify the sequences in myosin responsible for the observed reactivity with the R2–88 antiserum. This should not be taken as evidence that the observed reactivity is not directed toward a specific sequence in skeletal and smooth muscle myosins, however. The observed reactivity is presumably directed against a primary sequence feature, as it is detected by Western blotting, but the scoring matrexes used in these analyses have been optimized for detecting evolutionary relationships rather than features important for antibody recognition and thus could well have missed the relevant sequence.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This is the first report on the cellular distribution of sst2A receptor protein in the human peripheral nervous system and in lymphoid tissues. These immunohistochemical results correlate extremely well with the receptor autoradiographical method of identifying sst2 receptors using the sst2-preferring radioligand 125I-[Tyr3]octreotide. The present immunohistochemical investigation not only identifies, for the first time, the sst2A isoform of the receptor in these human tissues, but also allows a better resolution of the receptor localization. In the plexus, the sst2A receptors are localized primarily in nerve elements entering and/or leaving the plexus, but possibly also in the membrane of ganglion cells. In the lymphoid system, the sst2A receptors are localized primarily in cells of the germinal centers of the follicles, where they appear to be mainly membrane bound. The present data in the human gastrointestinal tract correlate very well with recent data reported in the nervous system of the rat gastrointestinal tract using another sst2A-specific antibody (28). Species differences may, however, exist for the sst2A localization in lymphoid follicles, as in the rat, sst2 mRNA has been previously identified in the mantle zone rather than in the germinal centers (11).

As somatostatin-immunoreactive neurons have been shown to be present in the myenteric plexus (29), it is likely that the sst2A receptors in the myenteric plexus may be mediating neuronal functions. They may be involved in the regulation of peristalsis and interdigestive motility. Which of the various neurons present in the plexus (sensory neurons, interneurons, inhibitory and excitatory motor, and secretomotor neurons) are exactly involved in the somatostatin action (30) cannot be precisely evaluated in the present study. The presence of sst2A receptors in submucosal plexus may be related to a function of somatostatin in regulating absorptive and secretory mechanisms of the mucosa as well as regulating blood flow (29).

There are two potential local sources of endogenous somatostatin that could interact with sst2A receptors expressed by the germinal centers of the lymphoid follicles. First, somatostatin originating from nerve fibers of the peripheral vegetative nervous system, which have been shown to reach lymphatic follicles of the gastrointestinal tract in animals (31). Second, somatostatin produced by immune cells of lymphoid organs (32, 33). In such cases, sst2A receptors may mediate the neural and/or immune regulation by somatostatin of humoral antibody responses, as discussed in more detail previously (34).

The strong immunoreactivity found in the gastrointestinal mucosa was shown to be due to nonspecific staining by an unrelated antibody in the R2–88 serum, as preincubation of the serum with antigen peptide did not inhibit this staining. Unfortunately, this nonspecific staining may mask weak specific staining in this tissue, and hence, low abundance sst2A receptors cannot be detected. In contrast, the homogeneous immunostaining of all smooth muscles of the gastrointestinal tract could be inhibited by antibody absorption with 100 nmol/L peptide antigen, indicating that it was due to antipeptide antibody. Nonetheless, this smooth muscle staining is unlikely to result from sst2A receptors, because 1) receptor autoradiography using sst2A-preferring radioligand was negative in all circular and longitudinal smooth muscles; and 2) Western blots of dissected circular or longitudinal gastrointestinal smooth muscle did not show a characteristic 80-kDa sst2A band; rather, a 206-kDa band, comigrating with rabbit myosin heavy chain was stained. Furthermore, pure rabbit skeletal muscle myosin heavy chain, used as a protein standard, was also weakly stained by the R2–88 antiserum. Knowing the amounts of rabbit myosin heavy chain and sst2A receptor loaded on the gel and estimating the relative intensity of the R2–88 staining indicated that the R2–88 antiserum detected the sst2A receptor with approximately 60,000 times the sensitivity that it detected myosin.

Three observations indicate that human myosin is likely to be the cross-reacting protein in smooth muscle: 1) the sst2A receptor peptide antibody exhibits weak cross-reactivity with rabbit myosin; 2) the antibody recognizes a protein in smooth muscle that comigrates with rabbit myosin heavy chain; and 3) myosin is known to be present in high concentrations in smooth muscle. If this conclusion is correct, it is important to note that the cross-reactivity is detectable only in the presence of a vast excess of the cross-reacting protein. Thus, it is noteworthy that the R2–88 antiserum does not detect a 206-kDa protein in brain, pituitary, or pancreas (15, 16, 17). Interestingly, recent studies have shown that antibodies found in sera of myasthenia gravis patients against another neurotransmitter receptor, namely the acetylcholine receptor, can also cross-react with muscle myosin (35). As muscle tissues have high levels of myosin, such a cross-reactivity, even when weak, is of general concern.

Although circular and longitudinal smooth muscles of the human gastrointestinal tract have not been found in the present study to express measurable amounts of sst2A receptors, it does not mean that all human smooth muscles are lacking such receptors. We have indeed reported previously that smooth muscles of human veins located in the immediate surroundings of various tumors (36) or in inflammatory bowel diseases (6) can express somatostatin receptors; they probably belong to the sst2 type, as they are readily identified with 125I-[Tyr3]octreotide autoradiography. Also the smooth muscles surrounding the normal human prostate glands express a low to moderate density of such somatostatin receptors (37). For comparison, in the rat gastrointestinal tract, Krempels et al. (11) reported the presence of mRNA for sst2 in the smooth muscle layers and in the blood vessels. Unfortunately, the cross-reactivity of R2–88 with myosin will make it difficult to identify sst2A receptors with this antibody in human smooth muscle tissues, including vascular and prostatic smooth muscles as well as gastrointestinal smooth muscle layers, due to a probable masking of the specific sst2A staining by the myosin staining.

One common argument used to support the specificity of antibodies used for immunocytochemistry is that the peptide antigen against which the antibody was raised has a unique sequence. This argument together with the observation that immunoreactivity can be blocked by excess peptide are often offered as proof of the identity of the reacting protein. However, we show here that even using the most extreme criteria, the sst2A antigen peptide has no significant similarity to protein sequences in the databanks in general or to the putative cross-reacting myosin sequences in particular. We suspect that the antibody does cross-react with a specific common peptide sequence within these myosin proteins, but that the current sequence alignment tools are unable to identify this region. However, the important conclusion of our analysis is that the inability to detect similar sequences in the protein databases is no guarantee that antibodies raised against a peptide will not cross-react with other cellular proteins. Specific functional and biochemical tests of specificity, such as the ligand binding and molecular mass characterization in immunoblots as reported here, are necessary to confirm the specificity of any novel antibody used in immunohistochemical investigation.

In summary, we have shown that the sst2A receptor protein is present in the peripheral nervous system and in the lymphatic system of the human gastrointestinal tract. These observations may be clinically relevant; indeed, the sst2-preferring drug octreotide, widely used in various somatostatin receptor-expressing endocrine and gastrointestinal pathologies, is also likely to specifically act during treatment of these diseases on other sst2A targets, such as the lymphoid system and the peripheral nervous system. The search for the precise octreotide action through these sst2A targets, which may either be beneficial in certain pathologies or may lead to undesirable side-effects, will be of considerable interest.


    Footnotes
 
1 This work was supported in part by NIH Grant DK-32234 (to A.S.) and a Juvenile Diabetes postdoctoral fellowship (to R.W.H.). Back

Received February 2, 1999.

Revised April 14, 1999.

Accepted April 16, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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