The Hexose Monophosphate Shunt in Glucose Catabolism in Ascites Tumor Cells CHARLESE. WENNER, JOHN H. HACKNEY,ANDFRANCISMOLITERNO (Department of Experimental Biology, Roswett Park Memorial Institute, Buffalo 3, N.Y.) In the neoplastia cell there are at least two major pathways for the utilization of carbohy drates—the Embden-Meyerhof glycolytic path way, which is quantitatively the more important (27), and the hexose monophosphate shunt (1, 17, 27). The present study was carried out to determine the physiological role of the hexose monophosphate shunt in ascites tumor cells and the factors which control its operation. Recent evidence has suggested that the hexose monophosphate shunt provides both intermediates and reducing capacity in the form of TPNH1 for reductive synthesis (cf. review in 13, 15, 18). This paper lends strong supporting evidence for the latter concept of the function of the hexose monophosphate shunt. The capacity of intact tu mor cells to produce TPNH can be demonstrated by the addition of artificial electron acceptors which markedly stimulate a TPN-dependent oxi dation of carbon-1 of glucose. The present study affirms the idea that the TPNH is utilized for reductive synthesis by a demonstration of an anaerobic oxidation of carbon-1 of glucose to car bon dioxide, which can be stimulated to its aerobic level by the addition of a physiological electron acceptor such as pyruvate. The effect of glucose concentration on COz formation via the hexosemonophosphate shunt was studied, since Racker (22) had found that high glucose concentrations stimulated carbon-1 oxidation by Ehrlich ascites cells. However, the most important rate-limiting step in the operation of this pathway that was found was the oxidation of TPNH. MATERIALS AND METHODS Tumors.—The mouse tumors used in this study are those described in Table 1. Source references and details of most of these tumors have been listed by Hauschka et al. (11, 12). 'Abbreviations used: DPN and TPN = oxidized diphospho- and triphosphopyridine nucleotide, respectively; DPNH and TPNH = reduced diphospho- and triphosphopyridine nucleotide, respectively; ATP = adenosine triphosphate; DNP = dinitrophenol; Q = ¿»liters/rag dry wt/hour. Received for publication June 5, 1958. Incubation of tissue.—The tumor cells were removed from the peritoneal cavity 7-10 days after implantation, at which time significant growth had occurred. The cell suspensions were centrifuged at 1000 X g for 10 minutes at 5°C., resuspended in calcium-free Ringer phosphate (0.1 M, pH 7.4), and centrifuged again. The initial sediments of lymphoma and K2D ascites cells were resuspended free of the lower red blood cell pellet. Two or three repetitions removed the erythrocyte contamination. Cell suspensions were adjusted to contain 200 mg. of packed cells/ml (approximately 25 mg. dry weight) and dispersed with a very loose-fitting Potter-Elvehjem homogenizer which did not break the cells. For most experiments, 1.0 ml. was added to 2.0 ml. of calcium-free Ringer phosphate solution in a Warburg flask containing substrates and factors as required. Tissue slices were made with a Stadie-Riggs slicer. Approximately 200 mg. of cells (fresh weight) were then added to a final volume of 3.0 ml. of Ringer phosphate containing substrates and factors in Warburg vessels. For broken-cell preparations, the following methods were used: Solid tumors derived from hyperdiploid Ehrlich (EL) ascites cells were homogenized in a Potter-Elvehjem glass homogenizer. Ascites cells, after being washed with calciumfree Krebs-Ringer buffer, were homogenized in either of two ways. For the experiments reported in this paper, the cells were homogenized in the Servali Omni-Mixer at full speed at 3°C. for 3 minutes, at which time few intact cells remained. Since homogenization by this method breaks up the nuclei to a considerable degree, it was of interest to compare the properties of the soluble fraction obtained by a more gentle procedure. Similar results to those reported here were obtained with the soluble fraction obtained by a method in which a 75 per cent recovery of nuclei was obtained. This technic is a modification of the procedure of Lamanna and Malette as described in Methods and Enzymology for the rupture of yeast cell suspensions (3). The ascites cells were disintegrated through mechanical agitation in the presence of grade 10 glow beads (60-80 mesh, 200 m^ average diameter, obtained from Minnesota Mining and Manufacturing Co., Minneapolis). Eighteen to 20 gm. of glass beads were placed in the Servali Omni-Mixer with 10 ml. of a 10 per cent cell suspension in isotonic sucrose. The cells were then disrupted for a period of 2 minutes at a rotor speed of 5000 r.p.m., at which speed the rotor knife blades did not break up the cells in the absence of the beads. When the nuclei obtained by this procedure were examined under the phase microscope, very little cytoplasmic contamination was present. Differential centrifugation of the homogenate was carried out in the following manner. The ascites cells, homogenized in 5 volumes of ice-cold calcium-free Krebs-Ringer solution, were centri fuged at 20,000 X g for 20 minutes at l°-3° C. in the Servali refrigerated centrifuge, and the 1105 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. 1106 Vol. 18, October, 1958 Cancer Research supernatant was decanted (supernatant I). Fur ther centrifugation of supernatant I was carried out at 40,000 X g for 50 minutes in the Spinco Preparative Model L centrifuge, and the decanted supernatant was designated as supernatant II. The gas phase was air for the cell suspensions and 100 per cent oxygen for the tissue slices. After equilibration for 10 minutes at 38°C., sub strate was tipped in, and the flasks were shaken for 1 hour unless designated otherwise. Dilute sulfuric acid was then tipped in. Liberated CO? was trapped in the center well and isolated at the end of the reaction as BaCOs following the addition of 0.6 millimoles of carrier Na2C03. The BaCOj was counted in "infinitely thick" layers with a Micromil thin-window counter. tions were made as described previously Calcula (27). Preliminary experiments were carried out in which the incorporation of C14 of glucose, labeled in positions 1 or 6, into the respiratory COZ was measured. Carbon-6 oxidation was relatively unaffected by glucose concentration. Carbon-1 oxidation was found to be stimulated by increasing the glucose concentration from 0.001 to 0.03 M, provided the incubation period was at least 15 min utes. The stimulation was insensitive to malonate, further evidence that the increased C-l oxida tion was due to a stimulation of the initial enzymes of the hexose monophosphate shunt pathway. However, no stimulation was observed for incu bation periods of less than 15 minutes. The lack of stimulation of C-l oxidation at the short incubation periods suggested that per haps at the lower glucose concentrations the rate TABLE1 DESCRIPTION OFMOUSE ASCITES TUMORS STUDIED Ascites tumors: Anaplastic carcinomas: Hyperdiploid Ehrlich (EL) Hypotetraploid Ehrlich Clone 2 (E2) Hypotetraploid Krebs-2 Clone D (K2D) Lymphomas: A #1 lymphoma 6C3HED lymphosarcoma DBA/2 lymphoma P288 lymph node leukemia Sarcomas: MC1M (fibrosarcoma) Solid tumors: Hyperdiploid Ehrlich (EL) carcinoma Host strain Routine serial passage in: Ha/ICR Swiss Ha/ICR Swiss Ha/ICR Swiss Females Males A/Ha C3H/St DBA/2 DBA/2 Females Females Females Females C3H,/He Males Ha/ICR Swiss Males Males Lactic acid was determined enzymatically by the method of Horn and Bruns (14); pentose and sedoheptulose were assayed by the use of the orcinol reagent (6, 28); and glucose was de termined by the anthrone method (24) .2 of COi formation via the hexose monophosphate shunt was linear for only a short time. Therefore, the effect of glucose concentration on carbon-1 oxidation was measured in the presence of 0.017 M malonate, which completely inhibits oxidation of carbon-6. Under these conditions, carbon-1 oxida RESULTS tion is assumed to represent COt formation via Effect of glucose concentration on hexose monothis pathway. As seen in Chart la, the initial phosphate shunt.—In view of the observation of rate of oxidation of carbon-1 of glucose by the Racker (22) that the ratio of C-l/C-6 oxidation hyperdiploid Ehrlich ascites cells was independent of glucose concentration in the range 5 X IO"3 M of glucose by Ehrlich ascites cells is dependent to 5 X 10~4 M. However, a decline in the rate on the concentration of glucose, we first examined the controlling effect of glucose concentration on of oxidation of carbon-1 was observed at the the rates of COz formation via the alternate oxi- lower glucose concentrations, which can be ex dative pathway by ascites tumor cells. plained by the rapid initial disappearance of glu 1Uniformly labeled glucose (glucose-U-C14) and glucose- cose, as plotted in Chart Ife. The glucose which 2-C" were obtained from H. S. Isbell of the National Bureau of Standards, and glucose-6-C" and glucose-1-C14 disappeared could be accounted for as lactic acid, although some lactic acid was found to disappear were purchased from the Volk Radiochemical Company. Lactic acid dehydrogenase was obtained from Worthington Biochemi after the first 10 minutes of reaction. Thus, it cal Company. Malonate and dinitrophenol were recrystallized would appear that the operation of the alternate from commercial preparations. Phenazine methosulfate, pyripathway is not limited by glucose concentrations dine nucleotides, and 2X-crystalline yeast alcohol dehydrogen above 5 X 10~4 M except under conditions where ase were obtained from the Sigma Chemical Company. Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. WENNER et al.—Glucose Catabolism in Ascites Tumor Cells the substrate is removed by the glycolytic en zymes. An experiment with less tissue was carried out to determine the effect of a wide range of glucose concentrations on the rate of glycolysis and CÛ2 production via the shunt. Since this experiment, described in Table 2, was carried out for very short incubation periods in which oxidation of carbon-6 was negligible, it was found unnecessary to add malonate to determine COs formation via the shunt. The rate of oxidation of carbon-1 of glucose, which is assumed to be derived entirely from the shunt, was independent of substrate concentrations as low as 2.5 X 10~5M. Thus, the limitation in hexose monophosphate 1107 experiment; i.e., for glycolysis, 0.17 jumóleglucose was utilized per 10 minutes of incubation, and, for carbon-1 oxidation, only 0.005 /amolé was uti lized per 10 minutes. As will be described in another section, pyruvate stimulates oxidation of carbon-1 of glucose by acting as an electron acceptor. This introduces the complication that the glucose concentration o O X 150.005M/ / u o co oc /0.0025M 10- u o _J o O.OOIM 5- 0.0005M IO 20 TIME (MINUTES) ¿C O IO 20 30 TIME (MINUTES) CHAKT16.—Ascitescells (200 mg. fresh weight) were incu bated in calcium-free Krebs-Ringer phosphate buffer for the designated time at 87.8°C. with air as the gas phase. Malonate was present in a final concentration of 0.017 M. Hexose monophosphate shunt decarboxylation is considered to be equiva lent to the amount of carbon-1 oxidation in this system. shunt decarboxylation cannot be attributed to a low substrate affinity. The rate of glycolysis was also maximal at low substrate concentrations, although at somewhat higher concentrations than 2.5 X 10~6 M. Despite the higher concentrations might influence the shunt by its effect on the pyruvate level. To avoid this complication, the effect of glucose was measured under conditions in which the concentration of electron acceptor was not such a crucial factor. That is, in the presence of méthylène blue, which is a more ef fective electron acceptor than pyruvate, the rate of carbon-1 oxidation was still found to be inde pendent of substrate at concentrations as low as 2 X IO-6 M. necessary for optimal rate, the glycolytic enzymes have a marked competitive advantage, as seen by a comparison of the optimal velocities in this Effect of artificial electron acceptors on oxidation of glucose-C1* by ascites cells.—Since glucose con centration did not limit the initial rate of COs CHABTlo.—Effect of time and substrate concentration on hexose monophosphate shunt decarboxylation by hyperdiploid Ehrlich ascites cells. The molarities represent initial concen trations of glucose-1-C14. Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. 1108 Vol. 18, October, 1958 Cancer Research production via the shunt, the possibility that the electron transport system was a rate-limiting step was examined by the use of artificial electron acceptors. Méthylène blue, phenazine methosulfate, and 2-methyl-l,4-naphthoquinone were found to stimulate respiration from two- to five-fold, but the most marked effect of these substances was the preferential stimulation of oxidation of carbon-1 of glucose. As seen in Experiment I, Table 3, there was a minor enhancement of carbon6 oxidation by the addition of méthylène blue, but oxidation of carbon-1 was stimulated seven fold. Furthermore, the stimulation of carbon-1 oxidation was malonate-insensitive, indicating that the stimulation might be attributed to the initial reactions of the hexose monophosphate shunt. The most effective electron acceptor was phenazine methosulfate, which gave a 15- to 30fold stimulation of oxidation of carbon-1 by the hyperdiploid and hypotetraploid Ehrlich and Krebs2D ascites cells. The manifold stimulation of carbon-1 oxidation by dyes suggests that one of the rate-limiting steps for the reactions of the shunt may be the oxidation of TPNH. Therefore, it was of in terest to examine the effect of 2-methyl-l,4naphthoquinone, which has been shown to oxidize TPNH more rapidly than DPNH (7). As seen in Experiment 5, this compound markedly in creased carbon-1 oxidation but had no effect on the oxidation of carbon-6, suggesting that it stimu TABLE 2 lated the hexose monophosphate shunt solely. These electron acceptors also were found to EFFECTOFGLUCOSE CONCENTRATION ONAEROBIC GLYCOLYSIS ANDCO2FORMATION VIATHEHEXOSE MONO- stimulate the oxidation of carbon-2, which ap PHOSPHATE SHUNTPATHWAY peared to be related to the extent of enhancement Flasks containing 10 mg. of EL ascites cells (fresh tissue of carbon-1 oxidation. Since carbon-2 can give weight) were equilibrated for 10 minutes at 38°C. in calciumrise to carbon-1 if recycling of the pentose cycle free Krebs-Ringer phosphate, after which procedure glucoseoccurs, it is presumed that the electron acceptors 1-C" was added from the side arm. Flasks of each glucose con centration were then incubated for 5, 10, and 15 minutes. The stimulate the pentose cycle. Evidence compatible values recorded in this table represent the rate for the 10with the stimulation of the recycling process was minute period, at which time the velocity was linear. obtained by the assay of pentose and sedoheptuGlucose lose in the experiments with méthylène blue. There concentration Lactic acid Glucose-C14 to C14Os (Final molarity) (/imoles) (/¿atoms) was no increase of either sugar (measured by the 1.0X10-« 0.34 0.005 orcinol reaction) in the presence of méthylène 2.5X10-» 0.32 0.005 5.0X10-4 0.30 0.004 blue. The lack of accumulation of these inter 2.5X10-' 0.30 0.004 mediates suggests that reactions subsequent to the 1.0X10-4 0.26 0.004 initial dehydrogenations were not rate-limiting. 5.0X10-» 0.20 0.005 2.5X10-5 0.16 0.005 To determine whether the stimulatory effects TABLE 3 EFFECTOFARTIFICIAL ELECTRON ACCEPTORS ONGLUCOSE-C" OXIDATION BYINTACTASCITES CELLS are basedphenazine on tissue methosulfate used (200 mg.(3fresh weight).2-methyl-l,4-naphthoquinone(l The final concentrations were as (0.01 M), méthylène blueValues (7 X IO-1M), X 10~4M), X follows: 10~4M), glucose dinitrophenol (1 X 10-'M). * EL 30 1 EXPERIMENTno.: EL Iff ASCITES: TIKE IMI-,. : Méthyl ène Blue ADDITION: Méthyl ène Blue None 10 Phenaphenol zinefimoles 3.9 Glucose carbon Total C-l C-2 C-6 3.6 6.6 8.8 zineconsumed of oiygen 1.0 0.5 3.04E210Phena 3.4 Dye 1.7 S K2D SEL10Dinitro- Phenazme None 2-Me-l,4-Naphthoquinone 0.75 2.9 1.5 /latoms of glucose carbon to COi 0.9 2.4 0.10 0.61 0.19 0.35 0.05 0.10 1.2 3.0 4.3 0.19 1.2 0.35 0.09 0.24 0.22 0.29 4.28 0.06 1.68 0.02 0.79 0.004 0.09 1.23 3.83 0.10 1.58 0.03 0.99 0.03 0.02 0.37 1.40 3.40 0.08 1.06 0.70 0.05 0.78 0.24 0.02 0.18 0.03 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. WENNER et al.—Glucose Catabolism in Ascites Tumor Cells of the dyes could be attributed to an uncoupling of phosphorylation rather than their serving as electron acceptors, carcinoma cells were incubated with 1 X 10~6 M dinitrophenol in the presence of 0.01 M glucose-C14 labeled in positions 1 or <5.As seen in Experiment 2, Table 3, no preferen tial stimulation of carbon-1 was observed, but oxidation of both carbons-1 and -6 was stimulated to the same extent, suggesting that a symmetrical cleavage of glucose and oxidation via the citric acid cycle occurred. Thus it would appear that the stimulatory effects observed with electron acceptors could not be attributed to an increased availability of phosphate or phosphate acceptors. Localization of a TPN-dependent hexose monophosphate shunt decarboxylative activity in the soluble 1109 6-phosphogluconic dehydrogenase in the superna tant fraction of tissues from solid neoplasms (9). As seen in Table 5, no oxidation of carbon-1 by the hyperdiploid Ehrlich ascites particulatefree supernatant could be demonstrated unless pyridine nucleotides were present. When glucose6-phosphate served as substrate, there was appre ciable oxygen consumption when TPN was added. However, no oxygen consumption was observed if DPN was added unless ATP was also present. Since TPN has been shown to be synthesized from DPN and ATP in mammalian systems (20), it is conceivable that formation of TPN by this system permits appreciable oxygen consumption. Preliminary experiments indicate that a DPN kinase is present in the soluble fraction. TABLE 4 INTRACELLULAR DISTRIBUTIONOF HEXOSE MONOPHOSPHATESHUNT DECARBOXYLA TIVE ACTIVITYOF HYPERDIPLOIDEHRLICH ASCITESCELLS The following substances were in the designated final concentrations: MgSOj, 3 X 10~3M; cytochrome c, 4 X 10-* M; potassium chloride, 0.14 M; phosphate buffer, pH 7.4, 6 X IO"3M; TPN, 3 X 10-« M; yeast hexokinase, 330 K.M. units at 25°C.; ATP, 2 X lp~3 M; glucose, 0.01 M;phenazine methosulfate, 2 X 10""*M; and 0.6 ml. of the tissue suspension in calcium-free Krebs-Ringer buffer representing 120 mg. of tissue (fresh weight). The volume was brought to 1.6 ml., and the cells were incubated for 20 minutes with air as the gas phase at 38°C. The values are based on time of incubation per tissue used. Hexokinase increased C-l oxidation of supernatant by 20%. MATOMP OF GLUCOSE CAKBON TO COl* Total C-I C-i FRACTION Oz UPTAKE Whole cells 3.9 3.35 1.86 0.12 Homogenate 4.85 1.80 0.43 4.4 Supernatant I 2.79 1.81 0.07 4.0 Supernatant II 4.2 3.10 1.96 0.17 Part ¡culate 0.4 0.10 * Headings for separate columns indicate position of radioactive label in substrate used. fraction.—Disruption of the cell membrane per mitted further study as to the localization and the establishment of a TPN-dependence of the stimulation of carbon-1 oxidation by phena/ine. Preliminary experiments with 0.25 M isotonic su crose as the homogenization medium indicated that carbon-1 was oxidized primarily by the sol uble fraction of the ascitic homogenate. Further distribution studies were carried out with isotonic salt solution as suspending medium. As seen in Table 4, appreciable oxidation of glucose by the hyperdiploid Ehrlich ascites homogenate was ob served with supplements of phenazine methosul fate, pyridine nucleotides, and ATP.8 The rate of oxidation of glucose carbon-1 by the homog enate preparation was similar to that observed in the intact cells. Furthermore, all the activity of the homogenate could be accounted for by the soluble fraction. It is presumed that the lo cus of hexose monophosphate shunt decarboxylation is the nonparticulate cytoplasmic fraction, which is in agreement with the compartmentation of glucose-6-phosphate dehydrogenase and C-6 0.05 0.09 0.04 0.05 Further data which are compatible with the TPN specificity for C-l oxidation are also shown when glucose-1-C14 serves as substrate. Since ATP is required for the hexokinase reaction, addition of pyridine nucleotides alone does not permit optimal oxidation of carbon-1. Therefore, a study of the concentrations of DPN or TPN required to give optimal oxidative activity was made in the presence of ATP. TPN was more effective in stimulating hexose monophosphate shunt decarboxylation than DPN, since a greater conver3It is somewhat surprising that carbon-6 oxidation was as rapid in the soluble portion as in the whole cells. However, this finding is not necessarily contradictory to the established fact that mitochondria are involved in C-6 oxidation. There is a significant time lag for incorporation of C14from carbon-6 of glucose into the respiratory CO2 by the intact ascites cell; this can probably be attributed to the dilution of the radio active intermediates by the numerous intermediary metabolites involved in citric acid cycle oxidation. In view of the short incubation period in this experiment, only a relatively small amount of C-6 oxidation is observed. This oxidation can prob ably be attributed to hexose monophosphate shunt decarboxylation by a randomization of the isotope, e.g., resynthesis of hexose from symmetrical 3-carbon units. Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. TABLE 5 TPN-DEPENDENCE FOR GLUCOSE OXIDATION BY EL ASCITES SUPERNATANT II The reaction mixture was essentially the same as described in Table 4, except that hexokinase was not present and nucleotides were added as specified below. The values are based on the time of incubation (1 hour). Substrate concentrations: glucose-6-PO« and glucose-1-C", 0.01 M each. SUBSTBATÕ: GLUCOSE-e-PO,Oxygencon ADDITIONS DPN («) ATP (u) 1to sumed(/¿moles)000.88.28.6GLUCOSB-I-C"Oiygencon sumed(pinoles)00411.93.33.3GlucosecarbonCOj(/¿atoms)00.041.380.871.511.53 TPN (M) 0.001 0.0014 0.001 0.001 0.0014 0.00014 0.0014 0.0014 0.00014 0.001 0.001 TABLE 6 ANAEROBICFORMATIONOF CO2 IN ASCITESCELLS* GAS PHAS* ASCITES Total GLUCOSE CARBON TOCOat (iiatoms/hour/flask) C-I OÃ- C-« 6C3HED lymphoma Nt 0.20 0.19 0.01 0.01 Air 0.58 0.30 0.07 0.07 K2D carcinoma NI 0.22 0.17 0.003 0.02 Air 1.53 0.45 0.17 0.15 Hyperdiploid (EL) carcinoma Nj 0.19 0.10 0.003 0.004 Air 1.55 0.25 0.11 0.10 MC1M fibrosarcoma Nj 0.37 0.20 0.05 0.06 Air 4.04 0.79 0.57 0.44 DBA/2 lymphoma Nt 0.25 0.15 0.007 0.02 Air 0.62 0.29 0.06 0.13 P288 lymph node leukemia Nt 0.38 0.24 0.02 0.02 Air 1.42 0.48 0.22 0.19 * Each flask contained 100 mg. (wet wt.) ascites cells in 3 ml. calcium-free Krebs-Ringer phos phate buffer. After 10 minutes' equilibration, glucose was added from the side arm to a final con centration of 0.01 M. For anaerobic experiments, Linde High Purity Nitrogen (specified 99.99 per cent), passed through three successive solutions of alkaline anthroquinone-hydrosulfite (8), was bubbled through the medium before the experiment and flushed through the flasks for 10 minutes after they were on the manometers. The subsequent 10-minute equilibration period provided added assurance that traces of oxygen would be consumed by respiration before the addition of labeled glucose. The re action was stopped after 60 minutes of incubation at 38°,during which interval no measurable respiration occurred. CO2trapped in the center well was counted as BaCO. at infinite thickness. t Headings for separate columns indicate position of radioactive label in substrate used. TABLE 7 EFFECT OFPYRUVATEON GLUCOSEOXIDATION BYASCITESCELLSAND BY MOUSELIVER SLICESUNDER AEROBICAND ANAEROBICCONDITIONS Experimental conditions are the same as described in Table 6 except that in the experiment with mouse liver 200 mg. of tissue slices (fresh weight) were used. TISSUE K -1 ' carcinoma GAB PHASE Ns Air PYBOVATB (0.01 M) - GLUCOSE CABBON TOCOj* OXYGEN C-ÃŽ C-6 Total UPTAKE (fiatoms per hour per flask) (timóles) 0.120.390.320.410.150.370.290.370.010.020.170.190.0020.040.120.100.010.040.060.050.010.020.100 C-l 0.32 0.12 0.10 1.07 0.29 0.06 0.13 0.62 3.4 3.7 DBA/2 lymphoma Air 3.0 3.0 Liver N, Air 0.17 0.05 0.25 + 0.19 0.03 0.48 * Headings for separate columns indicate position of radioactive label in substrate used. 8.7 9.8 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. WENNERe¿ al.—GlucloseCatabolism in Ascites Tumor Cells sion of glucose carbon-1 to COj was observed by the addition of TPN at a concentration of 0.0001 M. Thus, it would appear that oxidation of carbon-1 is TPN-dependent in this system. In a similar manner, the distribution and TPN dependence of the carbon-1 oxidative system was studied with a solid Ehrlich tumor derived from the hyperdiploid Ehrlich ascites. Carbon-1 oxida tion by a Potter-Elvehjem homogenate of this tu mor could also be attributed to a TPN-dependent oxidative system localized in the nonparticulate cytoplasmic fraction. Further evidence in support of the TPNdependent oxidation of carbon-1 of glucose by the supernatant fraction was obtained spectrophotometrically. No measurable glucose-6-phosphate dehydrogenase activity was observed if DPN served as coenzyme under the conditions of assay described by De Moss (5). However, when TPN served as coenzyme, the rate of TPNH production by the supernatant fraction was QTrNH= 24 at 30°C. Thus, C02 formation by way of the hexose monophosphate shunt is apparently not limited by this dehydrogenase. Since hexokinase increases the phenazine-stimulated C-l oxidation, it may limit the enhanced decarboxylation. Effect of oxygen on glucose-C1*oxidation.—Since the in vitro limitation imposed on the oxidation of TPNH may be overcome in vivo by a number of reductive syntheses which require TPNH as the electron donor, it is important to know the extent to which oxygen is used as an electron acceptor for the hexose monophosphate shunt. In Table 6 are described the results of studies carried out with a number of ascites tumors on the rates of oxidation of the different carbon atoms of radioactive glucose to carbon dioxide under anaerobic and aerobic conditions. These studies have revealed that, in all the ascites cells examined, there is an appreciable anaerobic for mation of carbon dioxide from glucose.4 There was a significant oxidation of carbon-1 of glucose, which accounted for the major portion of the glucose carbon to CO2. The oxidation of carbon-1 proceeded anaerobically at about 10—40per cent of the aerobic rate and accounted for approxi mately 55-90 per cent of the total glucose carbon oxidized to COS. The anaerobic formation of car bon dioxide can probably be attributed to the presence of endogenous substances which can act as electron acceptors for TPNH oxidation. As seen in Table 7, the addition of 10~2Msodium 4Although the rate of anaerobic formation of carbon dioxide is small in relation to the oxygen consumption (S-10 per cent), it may in part account for respiratory quotients greater than 1 observed by previous investigators (2, 19). lili pyruvate in the medium resulted in a threefold stimulation of the anaerobic oxidation of glucose carbon-1 by the Krebs-2 carcinoma and DBA/2 lymphoma.6 It is presumed that pyruvate might serve as an electron acceptor for the TPNH gen erated by the initial enzymes of the hexose monophosphate shunt. It is striking that pyruvate stimulates carbon-1 oxidation more than does oxy gen, and in the presence of pyruvate oxygen does not increase carbon-1 oxidation. The failure of pyruvate and oxygen to stimulate additively suggests that intermediary metabolites such as pyruvate may serve as the principal electron ac ceptors for the hexose monophosphate shunt in ascites cells and that the role of oxygen in this pathway may be to favor the accumulation of such intermediates. The stimulation of carbon-1 oxidation by the addition of pyruvate under anaerobic or aerobic conditions was also observed with three other mouse ascites tumors, namely, the MClM fibro sarcoma, 6C3HED lymphoma, and the hyper diploid Ehrlich (EL) carcinoma. Thus, it appears that the stimulatory effect of pyruvate as well as the anaerobic formation of COa is a general property of ascites tumors. It was also of interest to study anaerobic C-l oxidation of glucose by mouse liver slices, a nonneoplastic tissue which has hexose monophosphate shunt activity. As seen in Table 7, no significant anaerobic CÜ2production from carbon-1 of glu cose was observed in the presence or absence of pyruvate. Thus, the anaerobic oxidation which is observed with neoplastic tissues is not associated with all tissues having hexose monophosphate shunt activity. Coupling of hexose monophosphate shunt dehydrogenases with lactic acid dehydrogenase.—The mechanisms by which pyruvate might serve as an electron acceptor are manifold. Of the possible considerations, TPNH might be reoxidized via lac tic acid dehydrogenase; or by the TPN-dependent malic enzyme, which could account for the anaero bic COj fixation into pyruvate observed by Crane and Ball (4) for ox retina; or by enzymes producing propanediol phosphate from pyruvate (10); or by transhydrogenase as an alternate potential mediator of DPNH oxidation. Malic enzyme did not seem to be involved, since the addition of 'An unexpected stimulation of C-6 oxidation was also observed by the addition of pyruvate, which should be a competitive substrate for that coming from glucose-6-C14. It is conceivable that this enhancement of the relatively minor C-6 oxidation might also be attributed to hexose monophosphate shunt decarboxylation if randomization of isotope occurred, e.g., the resynthesis of hexose from glycolytic inter mediates. Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. 1112 bicarbonate was not required for maximal rate of carbon-1 oxidation in the presence of pyruvate. The most likely explanation of the stimulatory effect of pyruvate on carbon-1 oxidation is that the TPN-dependent dehydrogenases of the shunt are linked with the conversion of pyruvate to lactate. Evidence for a TPN-linked lactic acid dehydrogenase can be demonstrated under the experimental conditions in which a stimulation of glucose carbon-1 oxidation by pyruvate was observed. As shown in Table 8, the soluble fraction of ascites cells catalyzes a rapid oxidation of TABLE 8 OXIDATION OFTPNH BYPYRUVATE CATALYZED BYEL ASCITES SUPERNATANT* MHOLSS AK I Ml 3 Horns' INCUBATION PrBIDINE NUCLKOTIDE Vol. 18, October, 1958 Cancer Research Net Amóles pyridine nucleotide oxidized 0.90 1.3 INITIAL HATFop OXIDATION Net Amóles lactate produced 0.80 1.3 OK PYRIDINE NUCLEOTIDE Qoiid. PNt TPNH 36 DPNH 940 TPNH+DPN 2 *The reaction vessels contained ascitic supernatant II (equivalent to 30 mg. of fresh weight of ascites cells) in 3.4 ml. of calcium-free Ringer phosphate buffer containing 0.01 M py ruvate. The oxidation of the reduced pyridine nucleotide was measured by determining the change in optical density at 340 m/¿ at 30°C. in the Gary spectrophotometer. The reaction was started by the addition of 0.9 /¿moles of TPNH or 1.8 /¿moles of DPNH to the sample compartment, and stopped by the addition of trichloroacetic acid for assay of lactic acid. For ini tial rate studies, less tissue was used to observe rates which were linear with respect to enzyme concentration. The rate of TPNH and DPNH oxidation in the absence of pyruvate was negligible. tQ oxid. PN refers to /¿Iof pyridine nucleotide oxidized/mg dry wt/hour. TPNH by pyruvate. The oxidation of TPNH is accompanied by an almost stoichiometric pro duction of lactic acid, which is indicative that the reaction is due to lactic acid dehydrogenase.6 The enzyme appears to be similar to the TPNlinked lactic acid dehydrogenase of the soluble fraction of rat liver as described by Navazio et al. (21). The initial rate of TPNH oxidation by the tumor enzyme ranged from l/25th to l/40th the rate of DPNH oxidation, a somewhat higher relative activity than for the liver enzyme studied at the same pH. As has also been observed with the liver preparation, TPNH oxidation was markedly inhibited by the addition of DPN. The possibility was considered that the oxida tion of TPNH was catalyzed by a DPN-specific lactic dehydrogenase mediated by transhydrogen6This finding might also explain the observation of Kit (17) that, in the presence of fluoride and pyruvate, the oxida tion of carbon-1 of glucose by the Gardner and Ehrlich tumors under aerobic conditions was stimulated. äse.In order to test for the presence of trans hydrogenase in the soluble fraction, an experiment, described in Table 9, was carried out in which a DPN-specific enzyme, alcohol dehydrogenase, and its substrate, acetaldehyde, were added to the supernatant in the presence of TPNH. One would expect a catalysis of the oxidation of TPNH if transhydrogenase were present. However, no oxidation of TPNH was observed under conditions in which pyruvate was reduced by TPNH. Fur thermore, transhydrogenase could not be detected in the supernatant by an assay involving the oxidation of TPNH by DPN in the presence of acetaldehyde and alcohol dehydrogenase. There fore, it is presumed that the oxidation of TPNH by pyruvate is catalyzed by a TPN-linked lactic acid dehydrogenase. Although the enzyme catalyzes a much slower oxidation of TPNH than of DPNH, it is present in the ascites supernatant with a capacity to TABLE 9 ABSENCE OFTRANSHYDROGENASE INEL ASCITES SUPERNATANT* ADDITIONS Substrate Pyruvate Alcohol dehydrogenase -Hacetaldebyde - A OPTICALDENSITY MINUTEXÕOMG. FRESHWEIGHT DPNH TPNH 0.023 0.011 7.5 0.180 + 3.6 0.015 + 0.170 Pyruvate + 0.011 DPN * The reaction vessels contained ascitic supernatant H (equivalent to 20 mg. fresh weight or less) in a total volume of 1.1 ml. of calcium-free Krebs-Ringer phosphate buffer. Additions as described above were made to both reference and sample cells except that pyridine nucleotide was not added to the reference cells. The reaction was started by the addition of reduced pyridine nucleotide to the sample compartment, and the decrease in optical density at 340 m/¿at 30°C. was re corded. For the extremely rapid oxidations of DPNH, the ini tial reaction rate was measured with less tissue, and the value represented above was calculated for the equivalent of 20 mg. of tissue from the initial reaction velocity. Concentrations used: 0.03 M; alcoholanddehydrogenase acetalde hyde, pvruvate, 0".003M; DPN, DPNH, TPNH, 1.2 Xand 10~*M. oxidize TPNH which is more than sufficient to satisfy the stoichiometric requirements of carbon-1 oxidation. Thus, since two molecules of TPNH must be oxidized for each molecule of CO2 formed via the shunt, a QOIM.TPN = 36 would permit a rate of CO2 formation from carbon-1 of glucose equivalent to a Q value of 18. However, the highest rate of CO2 production from carbon-1 of glucose by the intact ascites cell in the presence of pyru vate had a Q value of 1, which is far below its potential. The rate of formation of TPNH is equivalent to a Q of 24 as measured either spectrophotometrically with the ascites superna tant or by carbon-1 oxidation in the phenazine- Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. WENNERet al.—GlucoseCatabolism in Ascites Tumor Cells 1113 transhydrogenase in the soluble fraction of the tumor cells. Furthermore, Reynafarje and Potter (23) have reported that TPN-cytochrome c reduc tase as well as transhydrogenase is virtually absent in the Novikoff hepatoma. The availability of electron acceptors, however, cannot be considered as the only rate-limiting step in the operation of the hexose monophosphate shunt in ascites cells. If the mechanism by which pyruvate stimulates is via the TPN-linked lactic acid dehydrogenase, consideration of the relative concentrations of TPNH and DPN must be made. Since the intracellular concentration of TPNH is low with respect to DPN, the presence of DPN in the soluble fraction could readily exert a regulatory effect on TPN-dependent dehydrog enases. Although an anaerobic oxidation of carbon-1 of glucose could not be demonstrated with mouse liver slices in the presence or absence of pyruvate, these properties are not unique to the neoplastic tissues. Kinoshita (16) has reported an anaerobic DISCUSSION oxidation of carbon-1 of glucose which could be This study points out that the competitive stimulated by pyruvate beyond the aerobic level. advantage of glycolysis over the shunt pathway Furthermore, Dr. Leonard Cohen has independ for glucose utilization by neoplastic ascites cells ently observed this phenomenon in the retina cannot be attributed to a limitation in substrate of the 5-day-old rabbit.7 supply. Judging from the marked stimulation of A possible alternate function of the hexose carbon-1 oxidation by artificial electron carriers monophosphate shunt in ascites cells is the syn observed in the present experiments, a more likely thesis of ribose-5-phosphate for nucleic acids and rate-limiting factor in the in vitro operation of coenzymes. The hexose monophosphate shunt the hexose monophosphate shunt is the availability pathway would be a very direct pathway for penof a hydrogen acceptor, in which case the capacity tose formation involving oxidative decarboxyl of the hexose monophosphate shunt to generate ation of glucose-6-phosphate. However, from our reduced TPN would exceed the rate of oxidation results, which have been described in a prelim of TPNH. This is in agreement with the sugges inary report (26), it seems that these tumor cells tion (15,18) that the hexose monophosphate shunt synthesize ribose-5-phosphate predominantly by may function to provide TPNH for directing a C-3, C-2 condensation, presumably from transspecific reductive syntheses. ketolase and transaldolase reactions. Evidence compatible with this suggestion is SUMMARY obtained by the demonstration of the shunt under Examination of the rate-controlling factors in anaerobic conditions, when endogenous substrates could serve as oxidants for TPNH. The marked the hexose monophosphate shunt pathway in as stimulation of anaerobic glucose decarboxylation cites tumor cells was made by studying the incor by pyruvate provides an example for TPNH oxi poration of C14 of glucose—labeled uniformly or in carbons-1, -2, and -6—into the respiratory dation by fermentation intermediates. Since oxygen does not increase glucose carbon-1 CÛ2 under varied conditions. A study of the oxidation in the presence of pyruvate, it is pre effect of glucose concentration on the operation sumed that intermediary metabolites serve as the of the alternate pathway in a hyperdiploid Ehrlich principal electron acceptors for the hexose mono- ascites tumor revealed that the initial rate of phosphate shunt and that oxygen favors the CO2 production by the shunt was independent accumulation of suitable electron acceptors for of substrate concentration in the range of 2.5 X TPNH. That oxygen is not directly involved IO"6 M tO 1 X IO"2 M. in the oxidation of TPNH is also suggested by Artificial electron acceptors such as méthylène our failure to observe appreciable activity of TPN7L. IL Cohen and W. K. Noell, Glucose Oxidation in the cytochrome c reductase in homogenates and of Developing Retina (in preparation). stimulated intact cell. Therefore, the failure of pyruvate to stimulate carbon-1 oxidation by the intact cell to the level of the soluble fraction cannot be attributed to dehydrogenases as ratelimiting steps. The most likely explanation for the lack of realization of the full capacity of carbon-1 oxidation by the addition of pyruvate is that the intracellular level of DPN is sufficient to cause an inhibition in the oxidation of TPNH by pyruvate. As has been shown in Table 8, equimolar concentrations of DPN inhibit marked ly TPNH oxidation. Furthermore, the addition of DPN has also been found to cause a marked inhibition of C-l oxidation by pyruvate catalyzed by the EL ascites supernatant. Thus, in addition to the availability of an electron acceptor such as pyruvate which might limit the operation of the shunt, the relative concentrations of DPN and TPNH would also appear to be important in the regulation of TPN-dependent dehydrogenations. Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1958 American Association for Cancer Research. 1114 Cancer Research Vol. 18, October, 1958 blue, menadione, and phenazine methosulfate stimulated carbon-1 oxidation from six- to 30-fold with only a slight stimulatory effect on the oxida tion of carbon-6, suggesting that one of the ratelimiting factors in the operation of the alternate pathway is the availability of the electron trans port system. This stimulation was also observed with homogenates of ascites cells when a source of TPN was supplied. This TPN-dependent oxidative system for carbon-1 was localized in the sol uble fraction, which also contained a lactic acid dehydrogenase that catalyzed the oxidation of TPNH by pyruvate. A significant oxidation of carbon-1 of glucose by intact tumor cells was observed under anaerobic •conditions. The rate of oxidation of carbon-1 was stimulated by pyruvate to that observed in the presence of oxygen. Oxygen did not increase car bon-1 oxidation by the intact cells in the presence of moderate pyruvate levels, indicating that inter mediary metabolites such as pyruvate may serve as the principal electron acceptors for the hexose monophosphate shunt. From the data, it is con cluded that the prime function of the hexose monophosphate shunt is to provide reduced triphosphopyridine nucleotide for specific reductive syntheses. lism in Mammalian Tissues and Tumors. Biochem. J., 66:171-75,1954. 10. GHOTH,D. P.; LEPAGE, G. A.; HEIDELBERGER, C.; and STOESZ,P. A. Metabolism of Pyruvate in Tumor Homog enates. Cancer Research, 12:529-34, 1952. 11. HAUSCHKA, T. S. Cell Population Studies on Mouse Ascites Tumors. Trans. New York Acad. Se. S. II, Vol. 16:64-73, 1953. 12. HAUSCHKA,T. S., and FURTH, J. The Pathophysiology and Immunogenetics of Transplan table Leukemia. Proc. Henry Ford International Symposium, The Leukemias: Etiology and Pathophysiology, pp. 87-120. New York: Academic Press, 1957. 13. HORECKEH,B. L., and HIATT,H. II. Pathways of Carbo hydrate Metabolism in Normal and Neoplastic Cells. New Eng. J. Med., 258:177-84, 1958. 14. HORN, H. and BRUNS,F. H. Quantitative Bestimmung von l(+)-Milchsäure mit Milchsäuredehydrogenase. Biochim. & Biophys. Acta, 21:378-80, 1956. 15. KAPLAN,N. O.; SWARTZ,M. N.; FRECH, M. E.; and CIOTTI,M. M. Phosphorylative and Nonphosphorylative Pathways of Electron Transfer in Rat Liver Mitochondria. Proc. Nat. Acad. Se., 42:481-87, 1956. 16. KiNosHiTA,J. H. 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