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Original Article |
Institut National de la Santé et de la Recherche Médical, U-515, Prolifération, Différenciation et Processus Tumoraux, Bâtiment Kourilsky, Hôpital St. Antoine (H.T., C.M., F.G., Y.L.B., M.L.), 75012 Paris, France; Commissariat Energie Atomique (CEA), Service de Pharmacologie et dImmunologie, CEA Saclay (C.C.), 91190 Gif-sur-Yvette, France; and Department of Hormonal Biology, St. Louis Hospital (P.B.), 75010 Paris, France
Address all correspondence and requests for reprints to: Dr. M. Laurent, INSERM, U-515, Prolifération, Différenciation et Processus Tumoraux, Bâtiment Kourilsky, Hôpital St. Antoine, 184 rue du Fbg St. Antoine, 75012 Paris, France. E-mail: laurent{at}st-antoine.inserm.fr.
| Abstract |
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| Introduction |
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In normal tissues the NOVH protein can be detected at different levels in kidneys, muscles, cartilage, brain, lungs, ovaries, and heart (1, 14, 15). We recently showed that the adrenal cortex is a major endocrine site of novH expression in adults and during embryogenesis (16). The concentrations of novH in some tissues, such as lungs and heart, differ between species. In several tissues the expression of novH is also developmentally regulated. In chickens, novC mRNA is only detected in the heart during the embryonic stage, whereas it is found in the brain in both adults and embryos (1). In chick embryos, during wing and leg development, the expression of novC is maximal between d 6 and 8 of incubation, and the distribution of NOVC is consistent with it having a role in the formation of cartilage (our personal observations). In humans and rats, the nov gene is regulated during development of the central nervous system (17, 18, 19). The developmental regulation of nov suggests that this gene is implied in the embryonic development of several tissues, even though the function of NOV has not been clearly established.
In tumors derived from several sites of novH expression, the regulation of novH is altered. In renal carcinomas, human prostate cell lines, and prostatic tumors, the novH gene is overexpressed (20, 21, 22). In Wilms tumors, the expression of novH depends on the histology of the tumors (3); novH is underexpressed in undifferentiated tumors and up-regulated in differentiated tumors. In differentiated tumors, the NOVH protein is associated with tumoral blastemas and heterotypic differentiated tissues, such as cartilage and muscle, which suggests that novH is a marker of differentiated Wilms tumors. The recent analysis of benign and malignant adrenocortical tumors showed quantitative and qualitative alterations of NOVH (16). Although the localization of NOVH did not change in the tumors compared with that in normal tissue, the N-glycosylation of NOVH greatly differed in benign and malignant tumors in normal glands. The level of novH expression is higher in benign tumors and lower in malignant tumors. These abnormalities suggested that novH is involved in the development of adrenocortical tumors. In malignant adrenocortical tumors, the decreased expression of NOVH could play a role in cell invasiveness. Alternatively, in benign tumors a high amount of NOVH may be involved in the benign phenotype by increasing cell adhesion. NOVH is also produced at different levels in tumor cell lines derived from central nervous system. The inverse correlation between the amount of NOVH and the tumorigenicity of the cells (23) suggests that NOVH is also involved in brain tumors. NOVH, like all proteins of the CCN family, contains a signal peptide and is efficiently secreted as a recombinant protein produced by insect SF9 cells or as an endogenously protein produced by Madin Darby Canine Kidney-transfected cells (14) and by several human cancer cell lines: glioblastoma (G22) cells (our unpublished results), human breast cancer (HS 578T) cells, human prostate carcinoma (PC3) cells. and lymph node metastases of prostate cancer (LNCap) cells (15).
In this study we determined whether NOVH is released into biological fluids from expressing tissues. Given the sites of novH expression, we looked for NOVH in serum, urine, and cerebrospinal and amniotic fluids. We developed an enzyme immunoassay for NOVH and used it to evaluate the amounts of circulating NOVH-immunoreactive proteins in these fluids and to determine whether these concentrations are associated with development and with diseases affecting the tissues expressing novH. We first measured NOVH concentrations in serum from healthy adult blood donors and from umbilical cords. The high level of novH expressed in the adrenal glands may be the result of an in vivo up-regulation of novH by glucocorticoid or ACTH. To test this hypothesis, we measured the concentrations of NOVH-immunoreactive proteins in serum from patients treated with glucocorticoids for inflammatory diseases and from patients with Cushings syndrome. Cushings disease is a hormonal disorder caused by the overexpression of pituitary ACTH and prolonged exposure to high levels of cortisol.
To test whether NOVH could act as a marker for diseases affecting the adrenal gland and brain, two major sites of novH expression, serum samples from patients followed for adrenocortical tumors were tested, and circulating NOVH was measured in patients with astrocytoma and multiple sclerosis.
| Materials and Methods |
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The anti-NOVH K19M polyclonal antibody directed against the K19M peptide (339357 amino acids) has been described previously (14). The K19M IgG was purified using standard methods on a K19M peptide affinity column. The antibody directed against the full-length NOVH provided by R. Rosenfeld has been previously described (15). The antifibulin-1 polyclonal antibody was purchased from Santa Cruz Biotechnology, Inc. (Tebu, Le Perray en Yvelines, France). The mouse monoclonal antirabbit IgG was purchased from Spi Bio (Massy, France).
NOVH immunoaffinity column
Rabbit K19M IgG and normal rabbit IgG were purified by adding 0.5 M caprylic acid to 2 ml serum (24). The mixture was then incubated with cyanogen bromide-Sepharose (Amersham Pharmacia Biotech, Orsay, France) for 2 h at room temperature. Biological fluids were applied to the column, and the NOVH protein was eluted with 200 mM glycine buffer (pH 2.7), and immediately neutralized with 1 M Tris HCl (pH 8).
Biotinylation of NOVH and human fibulin-1 IgG
Rabbit K19M and human fibulin-1 IgG were purified with caprylic acid and biotinylated with 10 mg/ml biotinamidocaproate N-hydroxysuccinimide in 0.1 M carbonate buffer (pH 9) for 1 h at room temperature (25). The biotinylated products were dialyzed against 100 mM potassium phosphate (pH 7.4), 0.16 M NaCl, 0.1% BSA, and 0.001% azide. The biotinylated K19M and human fibulin-1 IgG were detected with either the streptavidin acetylcholinesterase (AchE) or the streptavidin peroxidase conjugates. AchE activity was measured by Ellmans method by adding 200 µl Ellmans medium (26).
Immunoprecipitation
The G59 glioblastoma-derived cell line (27), which expresses the fibulin-1C gene but not novH (28), was stably transfected with a plasmid expressing the sense NOVH cDNA under control of the cytomegalovirus promoter (14). Confluent transfected cells were cultured in DMEM in the absence of fetal calf serum (FCS) for 24 h. Protein A-Sepharose beads were added to the conditioned medium. After centrifugation the supernatant was incubated with the preformed protein A-K19M antibody complex. The negative controls consisted of incubating the supernatant with nonimmune serum, protein A-Sepharose beads alone, or K19M antibody in the presence of the K19M immunogenic peptide. After washing in 20 mM Tris (pH 8), 150 mM NaCl, 5 mM MgCl2, 0.5% Nonidet P-40, the immunoprecipitated proteins were eluted into Laemmli buffer (29) and separated by SDS-PAGE on 10% or 12% polyacrylamide gels. They were then analyzed by Western blotting using the K19M anti-NOVH and the polyclonal antihuman fibulin-1 antibodies.
Electrophoresis and Western blot analysis
Samples were separated by SDS-PAGE in 10% or 12% polyacrylamide gel and silver stained according to the conventional procedure. For Western blot analysis, the proteins were electrophoretically transferred onto polyvinylidene difluoride (PVDF) membranes (Hybond P, Pharmacia-Amersham, Orsay, France). The membranes were washed in methanol for 30 sec and dried before being incubated for 1 h in 5% nonfat dried milk and 0.05% Tween 20 in PBS with the K19M polyclonal antibody diluted 1:500 or the antifibulin-1 antibody diluted 1:1000. After washing in 0.05% Tween 20 in PBS, the bound antibodies were detected with the antirabbit IgG horseradish peroxidase conjugate. Biotinylated IgG were detected with the streptavidin peroxidase conjugate. Peroxidase activity was detected by enhanced chemiluminescence (Amersham Pharmacia Biotech) according to the manufacturers instructions.
Trichloroacetic acid (TCA) precipitation
The proteins present in the conditioned medium were concentrated by the addition of 0.05% deoxycholate and 7% trichloroacetic acid. After centrifugation, the precipitated proteins were dried, neutralized with 1 N NaOH, and dissolved in Laemmli buffer.
Enzyme immunoassay (EIA) procedure
Microtiter plates (96-well; Maxisorp, Nunc, Roskilde, Denmark) were directly coated by incubating them in 200 µl 10 µg/ml mouse monoclonal antirabbit IgG diluted in 50 mM phosphate (pH 7.4) buffer at room temperature overnight and then saturating them with 1% BSA in PBS for 1 h at room temperature (26). After washing in 10 mM potassium phosphate (pH 7.4) and 0.05% Tween, serial dilutions were made of full-length and C-terminal recombinant NOVH proteins (2250 ng/ml) and the K19M polyclonal antibody diluted 1:200,000, and the plates were incubated overnight at 4 C. The immunocomplexes were further incubated overnight at 4 C with the K19M immunogenic peptide covalently linked to AchE as described by Grassi et al. (26). The enzymatic activity was followed by Ellmans reaction. After 1 h, absorbances were measured at 414 nm. The intraassay coefficients of variation were determined by repeating the same assay in duplicate six times using control serum from a healthy subject. Interassay coefficients of variation were determined in the same way by repeating these measurements on 3 different days.
Solid phase binding assay
The binding of NOVH and fibulin-1 in serum was assessed in solid phase. Microtiter plates (96 well; Maxisorp, Nunc) were coated at room temperature with 200 µl affinity-purified goat polyclonal antifibulin-1 antibodies (10 µg/ml; Tebu) or with the K19M antibody in 50 mM phosphate buffer (pH 7.4). The plates were then incubated overnight at 4 C with the proteins eluted from the NOVH immunoaffinity column diluted in EIA buffer. After washing, the NOVH protein bound to fibulin-1 was detected with the biotinylated K19M IgG, and the fibulin-1 bound to NOVH was detected with the biotinylated antifibulin-1 IgG. Biotinylated IgG were revealed by AchE linked to streptavidin. The specificity of the immunoreactivity was assessed by repeating the experiment using plates coated with nonimmune serum.
Purification of recombinant proteins
To generate a recombinant NOVH protein, a 1009-bp PCR fragment encoding the entire NOVH mature protein sequence (excluding its signal peptide) was generated using a plasmid encompassing the entire novH cDNA (3) as a template, 5'-ATTAATCGAAggccgtggggccAGCGCTGCCCTCCCCAG-3' comprising an SfiI restriction site (lower case letters) as a sense primer and 5'-GCCGctcgagTTACATTTTCCCTCTGGTAGTCTT-3' comprising an XhoI restriction site (lower case letters) as an antisense primer. After appropriate restriction cleavages, the corresponding DNA fragment was ligated into the pDB-3s-H6 transfer vector, which encodes the human placental alkaline phosphatase signal peptide, the first two Ile residues located at the N terminus, and the linker sequence, LVPRGSHHHHHHIEGRGGH, upstream from the SfiI cloning site. The construction of pDB-3s-H6 plasmid, derived from pMJ-Seap vector (30), will be described in detail elsewhere (Chabas, R., and F. Godeau, manuscript in preparation).
A PCR fragment encoding the C-terminal region of NOVH (28) was subcloned into the pDB-3s-H6 transfer vector after amplification using 5'-ATTAATCGAAggccgtgggggCAGGCTTACAGGCCAGAAGCC-3' and 5'-GCCGctcgagTTACATTTTCCCTCTGGTAGTCTT-3' oligonucleotides as sense and antisense primers, respectively. Sf9 cells were transfected with the plasmids, selected by restriction mapping and nucleotide sequencing, and baculoviral DNA, yielding the corresponding NOVH recombinant baculoviruses, which were then purified as previously described (31).
For protein production, medium containing 1% FCS that had been conditioned by Sf9 cells infected with NOVH recombinant baculoviruses for 72 h was clarified by centrifugation. The recombinant NOVH proteins were precipitated twice with (NH4)2SO4 at 75% saturation and then purified by nickel nitriloacetic acid (Ni-NTA)-agarose affinity chromatography as previously described (32).
Recombinant NOVH proteins were eluted in 125 mM imidazole (pH 7.5), pooled, and further purified by chromatography on Cibacron-Blue TSK columns (Tosohaas, Merck \|[amp ]\| Co., Inc., Eurolab, Fontenay sous Bois, France) previously equilibrated in 100 mM phosphate buffer (pH 7.2). The column was washed in the same buffer supplemented with 0.3 M NaCl, and the protein was eluted in the same buffer supplemented with 0.8 M NaCl. Fractions containing NOVH were desalted on a PD10 column (Amersham Pharmacia Biotech) equilibrated with 30 mM ammonium acetate. Eluted proteins were lyophilized, resuspended in PBS containing 10% glycerol, and kept at -80 C. The purity of the recombinant NOVH proteins was assessed by SDS-PAGE and silver staining.
Patients
The amounts of NOVH in serum from 7 umbilical cords and from 39 healthy volunteers were measured. The first group consisted of 10 men, aged 20 to 40 yr; the second group consisted of 18 women, aged 2040 yr; and the third group consisted of 11 subjects, aged 6079 yr. We also analyzed 5 patients, aged 3957 yr, and 18 children, aged 3 months to 14 yr, treated with corticoids for inflammatory diseases. The children with inflammatory diseases were given 1 or 250 µg Synacthen (Novartis Pharma SA, Rueil-Malmaison, France), and the serum NOVH concentration was measured before and 20 or 60 min after Synacthen administration. Serum samples from patients with Cushings disease were also tested for NOVH. Serum samples from 10 patients, aged 3965 yr, and 3 patients, aged 1322 yr, were analyzed before any treatment, and serum samples from 7 treated patients (4 patients aged 3965 yr, and 3 patients aged 1322 yr) were analyzed. A group with adrenocortical tumors was also examined. This group consisted of patients with benign tumors (5 preoperative and 6 after surgical removal of the tumors) and malignant tumors (5 preoperative and 8 after surgical removal of the tumors). The tumors were defined according to histological criteria (Weiss score) and TNM classification. The amount of NOVH was also evaluated in cerebrospinal fluids and serum samples from 5 patients with astrocytoma tumors and 8 patients with multiple sclerosis.
Statistical analysis
Data were analyzed using StatView software (Abacus Concept Inc., Berkeley, CA) with the Mann-Whitney Utest. All P values are from two-sided tests, and only P value less than 0.05 was considered statistically significant.
| Results |
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NOVH was isolated from 2-ml serum samples applied to a NOVH immunoaffinity column and to an IgG column. Western blotting, using the purified K19M IgG antibody, was used to detect NOVH in the unbound and bound states. In each fraction eluted from the NOVH affinity column, the purified K19M IgG detected two main proteins: a strong band at 52 kDa and a faint band at 32 kDa (Fig. 1
, lane 4). The low molecular mass form of NOVH, previously observed in Wilms tumors and adrenocortical tumors (14, 16), is probably derived from the full-length NOVH protein by a natural proteolytic cleavage (28). No bands could be detected in the either fraction from the IgG column (data not shown). The 52- and 32-kDa NOVH proteins were also detected by a polyclonal antibody directed against the full-length recombinant NOVH protein (15) (Fig. 1
, lane 5). The identity of the 52-kDa band was confirmed by use of a biotinylated-K19M antibody (Fig. 1
, lane 3). The normal rabbit-IgG (Fig. 1
, lane 6) weakly reacted with a protein that migrated to a similar position as the full-length NOVH. This protein, which also reacted with an antirabbit IgG horseradish peroxidase conjugate (data not shown), probably corresponded to K19M IgG released from the immunoaffinity column by the glycine buffer. The full-length NOVH isolated from blood did not migrate to the predicted 39-kDa molecular mass; thus, the NOVH present in serum undergoes additional posttranscriptional modifications, as is the case for the NOVH secreted by Madin Darby Canine Kidney-transfected cells (14) and from adrenocortical tumors (16).
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The two-hybrid system and glutathione-S-transferase pull-down techniques have shown that NOVH interacts with fibulin-1C (28). The G59 glioblastoma cell line, which expresses fibulin-1C but not the novH gene, was transfected with a NOVH recombinant plasmid, and the conditioned medium was tested for NOVH and fibulin-1 by Western blotting. Fibulin-1 appeared as a 100-kDa band, and NOVH as a 52-kDa band (Fig. 4
, lane 1). The conditioned medium was then incubated with the K19M antibody. The immunoprecipitated proteins were separated by electrophoresis and analyzed for the presence of NOVH and fibulin-1 by Western blotting. A 100-kDa human fibulin-1 protein was detected by the antifibulin-1 antibody, and a 52-kDa NOVH isoform was detected by K19M antibody (lane 4). One unspecific band was identified by NOVH antibody, but not fibulin-1 antibody, when the proteins were immunoprecipitated with K19M antibody in the presence of the K19M immunogenic peptide, with a nonimmune serum, or with protein A-Sepharose beads alone (lanes 2, 3, and 5). Thus, NOVH and fibulin-1 can also interact in ex vivo systems.
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Sensitivity and specificity of the NOVH enzyme immunoassay
To measure the amounts of NOVH protein in biological fluids, we developed a competitive EIA using the K19M polyclonal antibody and recombinant NOVH (the full-length and the C-terminal regions). The amino-terminal ends of these recombinant proteins were tagged with a six-histidine tag, purified by chromatography on an Ni-NTA column followed by a Cibacron Blue column, and silver stained. Silver staining revealed two major bands at 27 and at 44 kDa (Fig. 6
, lanes 13). Western blotting showed that these two proteins reacted with the K19M antibody (lanes 24) and corresponded to the C-terminal fragment and the full-length recombinant NOVH proteins, respectively. Protein concentrations were determined, and the purified recombinant proteins were used to establish the standard curves for the NOVH EIA. At 50% inhibition, the C-terminal and full-length NOVHs were detected at concentrations of 1.2 and 0.5 pmol/ml, respectively (Fig. 6B
). When the C-terminal fragment and the full-length NOVH proteins were combined in a 3:1 or a 1:3 ratio, 0.89 and 0.56 pmol NOVH-immunoreactive proteins were detected, respectively. This indicates that the K19M antibody has different affinities for the two NOVH isoforms. To measure the total amount of NOVH proteins in serum, NOVH profiles were examined in several serum samples from adults, healthy elderly volunteers, umbilical cords, and patients with Cushings syndrome, inflammatory diseases, and adrenocortical tumors. Western blot analysis of proteins bound to NOVH affinity beads revealed that the NOVH profiles were similar in all samples. As in the control serum, the full-length NOVH was the main component, and only small amounts of the C-terminal 32-kDa isoform were present (data not shown). Therefore, this EIA assay was used as a preliminary approach to determine whether the total amount of immunoreactive NOVH proteins in serum varied in these populations.
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This assay showed that the control human adult serum sample contained 350 ng/ml NOVH-immunoreactive protein. To test the specificity of the assay, the control serum was applied to the NOVH immunoaffinity column. No AchE activity was detected in the unbound material, confirming the absence of cross-reactivity between the assay and serum proteins. As expected, the small amount of K19M IgG eluted from the NOVH affinity column (Fig. 1
, lane 6) interfered with the EIA and prevented determination of the amount of NOVH-immunoreactive proteins bound to this column.
To test whether in the assay all of the recombinant protein and NOVH in the serum is captured, the supernatant of an overnight capture of recombinant NOVH and NOVH from serum was transferred to other similar wells, and no NOVH was detected.
In newly formed thrombi, fibulin-1 is one component of fibrin clots (33). To test whether the NOVH bound to fibulin-1 can be incorporated into fibrin clots, the amount of NOVH was evaluated in serum and plasma samples. The amount of NOVH was identical in serum and plasma. This suggests that NOVH is not incorporated into the fibrin clots.
The EIA was then used to analyze amniotic fluid, urine, and cerebrospinal fluids. The amounts of NOVH in amniotic and cerebrospinal fluids were less than that in serum. The amount of NOVH was 70 ± 0.06 ng/ml in amniotic fluid and 45 ± 2.8 ng/ml in cerebrospinal fluid. However, the presence of different NOVH-immunoreactive proteins in several samples of cerebrospinal fluid (data not shown) may affect the value of NOVH measured in that fluid. No NOVH could be detected in urine.
Serum NOVH concentrations in healthy subjects and in patients with various diseases of the adrenal gland and brain
The amount of immunoreactive NOVH proteins in serum from 39 healthy volunteers was determined. We examined a group of 10 healthy male adults and a group of 18 healthy female adults. The concentrations were 410 ± 86 ng/ml in the men and 391 ± 77 ng/ml in the women. The data were normally distributed; the highest concentration was 551 ng/ml in the males and 620 ng/ml in the females, and the lowest values were 314 and 299 ng/ml, respectively. The Mann-Whitney Utest did not find any significant difference between the two populations. The two populations were therefore pooled and are referred to as a control population in the subsequent analysis. The immunoreactive NOVH concentrations were then evaluated in serum from umbilical cords, from healthy elderly subjects (6779 yr old), and from patients with various diseases (Fig. 7
). The serum concentrations were similar in elderly and control subjects (P = 0.14; Fig. 7A
). In contrast, there was 30% less NOVH-immunoreactive proteins in serum from umbilical cords than in control adult serum (P = 0.0001).
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In the population of patients with inflammatory diseases and receiving glucocorticoid treatment, serum samples from children (aged 3 months to 15 yr) contained less NOVH-immunoreactive protein (P = 0.0003) than control adult serum. In those patients the serum NOVH concentration was not affected by the increase in cortisol, evaluated 20 or 60 min after the injection of 1 or 250 µg Synacthen. In the adults, serum samples contained similar amounts of NOVH-immunoreactive proteins as those from control patients (P = 0.8; Fig. 7B
). The serum from patients with benign tumors (Fig. 7C
) contained similar amounts of NOVH-immunoreactive proteins as that from healthy volunteers of the same mean age. Similarly, after surgical removal of these benign tumors, the serum NOVH concentrations of this population did not differ from those of the control population. In contrast, serum samples from patients with malignant adrenocortical tumors contained significantly more NOVH (P = 0.05) than control serum samples, whereas after surgery the levels of NOVH were not statistically different in the two groups (P = 0.38). Serum samples from patients with astrocytomas or multiple sclerosis contained significantly (P = 0.012 and P = 0.005) less NOVH-immunoreactive proteins than the control population (Fig. 7D
).
| Discussion |
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The first assay was designed to quantify immunoreactive NOVH proteins. This assay is based on the K19M NOVH antibody directed against the 19 amino acids at the C-terminal end of NOVH. The full-length and the C-terminal fragment of NOVH are recognized differently, and thus each NOVH isoform cannot be accurately quantified in the assay. However, in serum the full-length NOVH is the main NOVH component, and no variations in the ratios between the full-length and C-terminal NOVH proteins were observed in several samples from patients with different diseases. Therefore, this assay was used as a first step to evaluate the amount of immunoreactive NOVH proteins in serum and to investigate whether variations in the total amount of immunoreactive proteins were associated with diseases of the adrenal gland and the central nervous system, two major sites of novH expression.
The concentration of NOVH is high in glomeruli (14), but NOVH could not be detected in urine either after immunochromatography on a NOVH-Sepharose column or with our EIA. This suggests that NOVH is not filtrated, reabsorbed, or degraded in the tubules so that no or very low concentrations of NOVH are present in the urine of healthy subjects. However, in some pathological situations NOVH could be released in urine. In Wilms tumors, the expression of novH is deregulated, and the concentration of NOVH in these tumors depends on the histology of the tumors (3). Therefore, urine samples from patients with Wilms tumor or with nephropathies may contain NOVH, as is the case for CTGF, the expression of which is up-regulated in in vivo and in vitro models of diabetic nephropathy (40, 41).
In normal tissues, novH is mostly expressed in the adrenal gland. This high novH expression may be the result of an in vivo regulation by glucocorticoids, as dexamethasone up-regulates expression of the nov gene in rat and human glioblastoma cell lines and in mouse astrocytes (42) (our unpublished data). Adults and children with Cushings disease had higher serum NOVH-immunoreactive protein concentrations before treatment than after treatment, but the values were in the physiological range. Adults and children receiving chronic corticotherapy for the treatment of various inflammatory diseases also had normal levels of NOVH. In addition, the increased serum levels of glucocorticoid measured 20 and 60 min after acute administration of Synacthen did not result in modification of the serum NOVH concentration. These data indicate that in vivo neither ACTH nor glucocorticoids have a major effect on novH gene expression or are responsible for the high concentration of NOVH detected in the adrenal gland. However, it is noteworthy that children with normal and high levels of cortisol had significantly lower NOVH concentrations than healthy adults, and blood from umbilical cords contained less NOVH than blood from healthy adults. Thus, age may affect the amount of NOVH in blood.
We previously reported quantitative alterations of NOVH in adrenocortical tumors, with the level of novH expression being high in benign tumors and low in malignant tumors (16). This study shows that patients with benign adrenal gland tumors and control patients had similar serum concentrations of immunoreactive NOVH proteins and that patients with malignant tumors had values in the normal range, but slightly higher than controls. For some patients the NOVH content has been analyzed in both tumors (16) and serum (this study). The data showed that two patients with malignant tumors had normal levels of circulating NOVH and no detectable NOVH in the tumors and that two patients with benign tumors had high intratumoral concentrations of NOVH and the highest serum values. This indicates that only some of the circulating NOVH originated from the tumor and that several additional factors affect the levels of circulating NOVH. The novH gene is also expressed in several tissues, in particular cartilage and muscles, which may contribute to the circulating NOVH.
The novH gene is also highly expressed in the brain and nervous system, where it is switched on during embryonic development. An inverse correlation has been found between the expression of novH and the tumorigenicity of glioblastoma cell lines (23). This suggests that NOVH is involved in the formation and development of brain tumors. We found that patients with astrocytomas or multiple sclerosis have significantly lower blood concentrations of NOVH than controls. It is not clear whether these differences have specific biological activities or if they are involved in the progression of the disease. Further studies are necessary to determine whether circulating NOVH can be used as a parameter for the diagnosis of multiple sclerosis. Our data indicate that the amount of circulating immunoreactive NOVH protein varies with age and in some tumoral and nontumoral diseases. Further investigations are necessary to develop a specific assay for each NOVH isoform to enable us to evaluate their concentrations in these diseases.
| Acknowledgments |
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| Footnotes |
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Received February 26, 2002.
Accepted October 8, 2002.
| References |
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and -1ß. Development of two enzyme immunometric assays (EIA) using acetylcholinesterase and their application to biological media. J Immunol Methods 123:193210[CrossRef][Medline]
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