THE PERMEABILITY OF NORMAL AND MALIGNANT CELLS TO WATER AUSTIN M. BRUES Ar>D CLAIRE McTIERNAN MASTERS (From the Medical Laboratories of the Collis P. Huntington Memorial Hospital of Harvard Ulliversity) Direct investigation of cell permeability has been necessarily limited in its material, since most of the cells of multicellular organisms have not been available for even roughly quantitative study during their life. Hence it is that most of our knowledge of the permeability of cell surfaces has been derived from experiments with plant cells, the eggs of certain invertebrates, and erythrocytes. It will readily be realized that it would be dangerous to form generalizations as to the permeability or osmotic properties of tissue cells on the basis of studies of other scattered types of cells. Even the red blood cells of various groups of vertebrates show striking divergences in their permeability both to water and to solutes (1). Considering the permeability of cells to simple substances as one of the fundamental phenomena of life, and in view of its importance in determining the accessibility of material to cells for metabolism and growth, an attempt has been made to determine quantitatively, as accurately as conditions permit, the permeability of tissue cells to water. In the preceding paper (2), we have described a method by which the surface and volume of certain fibroblasts can be estimated, and in the present study we have followed the change in cell volume while cells are subjected to a decreasing salt concentration in the surrounding medium. As we showed in the previous paper, it is impracticable to obtain cells which are susceptible of exact measurement except in a medium of clotted plasma. In this medium a number of radially symmetrical spindle-shaped or unduloidal cells can be found and measured. In experiments dealing with discrete cells such as the Arbacia egg or the erythrocyte, it is possible to make the practical assumption that the cell, as soon as placed in the anisotonic fluid medium, is surrounded by this medium so that its behavior is that of a cell placed suddenly in a given constant environment. Our material, on the other hand, is necessarily embedded in plasma at a greater or less distance from the experimental anisotonic medium; the environment of the cell is undergoing constant change and tends to reach equilibrium with the new medium more and more slowly as time goes on, as a function of the osmotic pressure gradient in the environs of the cell. If we consider that the diffusion coefficient and the temperature remain constant, then the rate of diffusion across a plane sheet is proportional to the concentration gradient between two infinitesimally separated points in the line of diffusion, according to Fick's law of diffusion. This is expressed mathematically as the second derivative formula: 324 PElWEABILITY OF NORMAL AND MALIGNANT CELLS TO WATER 2P _ dP = K d dt dx 2 325 (1) in which K is the diffusion constant for the system in question, and P is the concentration of dissolved substance (which may be expressed in terms of osmotic pressure) at a depth x at time t. The solution of this formula (1) is a difficult one (3), and involves, besides the quantities mentioned, the total depth of the diffusion-cylinder, which in our case is the depth of the plasma clot from the free surface to the impermeable coverslip. Expressing this as d, we have [_x.st P 4 Po = 1 -;: e 6d' • 7I'X sin 2d + 1 371'x 9X,.tt j"e 'd' . sin 2d + 1 Se _26K~ 6d • • 571'x sm 2d + ... ] (2) This expression has a number of interesting characteristics. In the first place, it will be noted that it is in the form of an infinite series; however, under the conditions of our experiments it converges rapidly, so that in most cases only the first term need be taken into consideration. Furthermore, .the relationship between the total depth of the diffusion system and the depth being studied is expressed as sin 7IX/2d. This means that if the diffusion constant, time, and total depth are kept constant, this part of the expression is unity when x = d, is zero when x = 0, and follows a sine curve between these points. The formula as expressed above applies only to diffusion of a salt into a medium free from the salt; it can be generalized to apply to diffusion into or out of a medium with a greater or less concentration of salt already present by changing P/po to (P-PO)/(P1-PO) where Po as before is the original concentration and P 1 is the new external concentration applied at t = O. . Now, if the value of K for the system in question can be derived experimentally, it will be possible to calculate the pressure external to a cell in any given position at any time t, under conditions where (for example) a culture at a concentration of 0.9 per cent NaCI is brought into equilibrium with a large quantity of solution at a concentration of 0.3 per cent NaCI. CALCULATION OF THE DIFFUSION CONSTANT Inasmuch as it is impracticable to determine the concentration of salts in clotted plasma at various depths over short intervals of time by any more direct method, the hemolysis time of erythrocytes at various depths was observed in a series of experiments. The erythrocyte seems to be the most suitable natural osmometer for the purpose, since its permeability is high, and, on account of its small size, its surface: volume ratio is large and it tends to reach equilibrium with an external solution rapidly. Red blood cells of the rat were embedded in heparinized plasma of the same rat and clotted with a small amount of tissue juice so as to make hanging plasma-drops containing erythrocytes under similar conditions to the tissue-culture cells, which will be discussed later. The point at which hemolysis of about 70 to 80 per cent of 326 AUSTIN M. BRUES AND CLAIRE MCTIERNAN MASTERS these erythrocytes takes place was determined to be in about 0.50 per cent NaCI. A series of these hanging drops were brought into equilibrium with 0.9 per cent NaCI and then placed in contact with distilled water, and the time was noted which elapsed before seventy to eighty per cent of these cells hemolyzed. The depth of the clot was noted in each case, and the observed cells were very close to the coverslip to which the hanging drop was attached, so that x and d of equation (2) could be considered equal. 300 • 2.70 240 210 . e 180 t- .~ ~ 150 .E s: 120 ~ Q. GJ 90 1:1 60 30 O........-,--.....----r---"T---,--,----r---r---r---1 o 2.0 40 60 80 100 12.0 140 160 180 Time in ,second" FIG. 1. HEMOLYSIS TIME OF RED CELLS (RAT) IN DISTILLED WATER AT VARIOUS DEPTHS OF PLASMA CLOT (~ HEMOLYSIS OBSERVED) - _.. - - .... -. = Theoretical curve. Diffusion constant = 1 X 10-4. - - - - = Curve corrected for estimated permeability of rat corpuscles. Following these experiments, a tentative value of K in equation (2) was assigned for NaCI in water at 25° C. K was taken to equal 1· 10-4 where t was expressed in minutes, and d and x in centimeters. A curve was then constructed on the basis of this tentative coefficient and the diffusion formula given above, showing on the ordinates thickness of the plasma clot, and on the abscissae the time at which the deepest point in this clot would reach a concentration of 0.50 per cent NaCI if distilled water began passing over the free surface of the plasma at t = O. This curve is shown by the broken line in Fig. 1. Inasmuch as the internal salt concentration of the erythrocyte lags behind the external concentration because of the time necessary for water to pass across the cell surface, a second curve was PERMEABILITY OF NORMAL AND MALIGNANT CELLS TO WATER 327 constructed showing the expected hemolysis time, assuming that the cells have a permeability of 3.0. The meaning of this figure and the method of curve building will be apparent later in this paper. The second curve shows a very good agreement with times actually observed (Fig. 1). This agreement is consistently good where the thickness of clot is less than 300 !J-, and none of our experiments deal with cells in clots exceeding that thickness. We now come to consider the process of osmosis across a cell membrane. If we take the membrane to be freely permeable to water and, for purposes of an acute experiment, impermeable to electrolytes, we may consider the rate of passage of water across the membrane to be proportional to the osmotic pressure difference between the two sides of the membrane, to a constant (c) of permeability, and to the cell surface. This could be expressed mathematically thus: dW crt = c.s, (PI - Pe) (3) where dW /dt is the amount of water passing across the boundary in unit time, s is the cell surface, PI is the osmotic pressure inside, and P, is that external to the cell. Bearing in mind that the amount of water entering the cell increases cell volume by an equal amount, and that P e is the same as P as defined above, we may express it thus: dV crt (4) = c.s, (PI - P) where dV/dt represents the increase in cell volume in unit time. Strictly speaking, if we were to consider this process one of diffusion, it would follow Fick's law as above and would be proportional to the pressure gradient. It has been customary, however, to simplify the matter as above, since we do not know the thickness of the cell surface. It now remains desirable to express PI in terms of cell volume, since that is what we measure from time to time. If the cell were an ideal osmometer, we would expect the volume and internal osmotic pressure to follow the following equation: PoV0 = PV, or P = vO Po' V (5) where Po and Vo are the original pressure and volume, and P and V the simultaneous pressure and volume at any time during the experiment. It will be noted that from this equation it should be possible to calculate the volume at equilibrium with an external medium of any given osmotic pressure, since here the quantity P is known. It is, however, well known that a correction must be made for the actual equilibrium volume of the cell. For such material as has been adequately studied has shown that the equilibrium value is a little less than that which would be expected ideally; it has been supposed that this is due to the presence within the cell of "osmotically inactive" material. Ponder (4) gives reasons to suppose that this correction 328 AUSTIN M. BRUES AND CLAIRE MCTIERNAN MASTERS may be due to the fact that the cell is not the perfect osmometer, even in acute experiments, which it has been thought to be. In any case, equation (5) must be corrected to the following form: P _ p - O' (V o - b) V-b (6) This quantity (b) has been ascertained in the previous communication (2), on the basis of changing the salt concentration from 0.9 per cent to 0.3 per cent NaCl. Determinations on chick fibroblasts gave b a value of 22.2 per cent of the cell volume in 0.9 per cent NaCI, and on sarcoma 180 fibroblasts the value was 26.0 per cent. In view of the individual variations found in this value, we have assumed in our calculations that b was in all cases 25 per cent of cell volume at initial equilibrium. Assuming that the above equations hold true, exactly or as a near approximation to the endosmotic sweIIing of the cells with which we are dealing, it should be possible, after measuring the volume and surface changes in cells in endosmosis as a function of time, to calculate the unknown permeability constant c from the other data. Our reasons for making these assumptions will be discussed later, and an interpretation of the meaning of c will be offered. In the case of the Arbacia egg and the erythrocyte it has been possible (with the aid, at times, of simplifying assumptions) to get the corresponding formulae in shape for integration. Since our material is necessarily placed in plasma, however, we must take cognizance of formula (2), which places the time factor inextricably on the wrong side of the equation. This makes integration an apparently impossible task, and so we have resorted to reconstructing a sweIIing curve at appropriately short intervals, assuming (c) at the outset as a probable value. A little experimentation with curve building showed that for optimal results the volume increase had to be calculated at five-second intervals while it was most rapid, and at less frequent intervals as the volume approached equilibrium value. Any further interpolated calculation made no essential difference in the curve. This is the most tedious part of the experiment, for curves had to be reconstructed for each cell studied. METHOD The material used in these experiments consisted of fibroblasts in cultures of chick and rat embryo heart, and in cultures of mouse sarcoma 180 and Walker rat tumor 256.1 These tissues were grown in hanging drop plasma cultures under conditions which have been described in the previous paper (2). Briefly, bits of tissue not over 1 mm. in diameter were explanted in 25 per cent heparinized chicken plasma to which a little dilute embryo extract was added. Such cultures were chosen for observation as contained a 'symmetrical bipolar fibro1 It may be well to point out that the Abroblasts of Walker tumor 256 are probably stroma cells (5). The cells which we chose for study were bipolar and fusiform, but in width and density of cytoplasm were more Uke the cells of sarcoma 180 than the embryo nbroblasts which we employed. PERMEABILITY OF NORMAL AND MALIGNANT CELLS TO WATER 329 blast which could be seen clearly and was entirely in focus at one time. In addition to these qualifications a cell chosen for study had to be in a region where the total thickness of the plasma dot was not over 150 (Jo, since in deeper clots diffusion was so slow that permeability could not be accurately estimated. Furthermore, the selected cell could not be very close to the coverslip nor to the free edge of the plasma. It was soon found that consistent results could be obtained only when these rules were followed. Such a cell was examined under the oil immersion objective and drawn by means of an Abbe camera lucida to a total magnification of 1400 diameters. The cells were viewed usually by green monochromatic light. The depth of the medium was measured by a micrometer on the microscope, and any errors due to refraction in reading this apparent depth should be the same in the experiments establishing the diffusion constant and in those with fibroblasts. After four or five drawings had been made under the conditions of culture, the well under the culture was filled with 0.9 per cent NaCI slightly buffered with a mixture of Na2HPO, and KH 2PO, to a pH of 7.4. Five minutes were allowed to elapse after the salt solution came in contact with the culture medium, and then several more drawings of the cell outline were made. The coverslip was then removed and transferred to another chamber in which the experiment could take place. This chamber consisted of a rubber cylinder cemented to a glass slide so that it made a well 10 mm. deep and 12 mm. in diameter. The coverslip was secured to the top of the cylinder by a vaseline ring. Two glass tubes entered the cylinder from the sides; fluid entered through one of these and left through the other. The flow of fluid, under pressure of gravity, was kept constant at about fifty drops a minute by a constant drip chamber. This was done in order to ensure that the fluid in the chamber was kept agitated, thus renewing the fluid at the surface of the plasma clot, from which sodium chloride was constantly diffusing out. . In the experiments described in this paper, the culture which had been brought into equilibrium with 0.9 per cent NaCI was in this way placed in contact with 0.3 per cent NaCI, which was kept continually renewed. If the second solution was much more hypotonic than this, the cells would slowly disintegrate, or else after apparent equilibrium had been reached, visible particles inside the cells would go into Brownian movement, suggesting that substances were diffusing out through the cell surface or that in some other way the normal viscosity of the cell contents had been lost. All the experiments here recorded deal with endosmosis of water under the influence of hypotonic solutions, since, where shrinkage of the cell was caused by hypertonic solutions, the surface of the cell usually became irregular during the course of exosmosis and estimation of cell volume was impracticable. We have found that cells in 0.3 per cent NaCI for not over an hour can be returned to approximately their original volume, in 0.9 per cent NaCl. At the moment when the weaker salt solution came in contact with the plasma culture, a stop watch was started running, and drawings of the cell outline were made as frequently as possible until apparent equilibrium was reached. During the process of making each drawing, the time was noted, usually by an assistant. All drawings were made by the same observer, after 330 AUSTIN M. BRUES AND CLAIRE MCTIERNAN MASTERS considerable practice at using the camera lucida for this purpose. All drawings which appeared at the time of making them to be inaccurate were deleted from the record without being measured. Measurements of the cell surface and volume were then made on the several drawings in each experiment, according to the method previously described (2), which makes use of the symmetry of the cells chosen. According to this method, the. cell diagram was divided into segments which represented approximate cylinders in the original cell; the volume and lateral surface of these cylinders were then calculated and reduced, on a basis of the magnification, to give measurements of the original cell. It was shown that by using sufficiently small segments (5 mm. wide on the diagram) consistent results could be obtained. TABLE I: Chick Embryo Heart Fibroblast (d = 701', x = 121') Time (seconds) 0.9 per cent NaCl o Mean values 0.3 per cent NaCI 15 30 48 70 90 Equilibrium 110 130 195 1050 Volume Surface (1'3) (1'2) 1971 2183 2115 1741 1087 1123 1051 2002 1096 2794 3432 3038 3711 4193 4213 4333 4923 5038 1280 1449 1292 1497 1485 1582 1642 1715 1642 1123 In this way, the cell surface and volume were calculated at initial and final equilibrium (using in each the mean values from four or more drawings), and at each time interval during the swelling. Theoretical curves were then constructed for the expected rate of swelling, assuming that it took place as a function of cell surface and of osmotic pressure difference across the cell surface. The" osmotically inactive" correction was taken as 25 per cent of the entire volume in 0.9 per cent saline. For each experiment, the first curve was constructed on a basis of a permeability constant (c) of 0.75 (Jo3 per (Jo2 of surface per minute per atmosphere difference in osmotic pressure across the cell surface. Further curves were then made, with greater or smaller permeability constants, till one was found which most satisfactorily paralleled the measured course of swelling. It was thought best, at first, to apply a permeability constant to each volumeobservation made, but since a few observations were sufficiently in error to be far from any curve which could be drawn, it was decided to select a median swelling curve, on each side of which fell half of the observations, and consider that this curve represented the most probable permeability constant. PERMEABILITY OF NORMAL AND MALIGNANT CELLS TO WATER 331 Table I shows the data used in estimating the permeability constant of a single cell, and Fig. 2 shows graphically how these data were used to obtain a figure. Observations were made on fibroblasts derived from the various tissues enumerated above. The chick embryos were of ten to thirteen days' incubation, and the rat embryos were at about two-thirds term. In all cases healthy appearing cells were used, although the duration of the culture after explantation varied from two to six days without apparently affecting the permeability constant. All experiments were done at temperatures between 24° and 28° C. ~ooo e s, .~ ~ U 4000 .D :J L> c II) 5 3000 ~ Expel";lIIent 7 b=70 x:: 12. 2.000 ~--r----.----r--r--,---"'" o 50 100 150 200 2~0 Time in Seconds FIG. 2. VOLUME DETERMINATIONS AND CALCULATION OF PERMEABILITY CONSTANT, CHICK EMBRYO FIBROBLAST At t = 0 the culture in equilibrium with 0.9 per cent NaCI was placed in contact with 0.3 per cent NaCl. The dots represent actual volume determinations on the cell. Lines represent theoretical swelling rate, assuming the various permeability constants (as defined) indicated at the end of each curve. Value assigned for c = 0.7. Under the conditions of growing these tissues the normal and sarcomatous cells showed roughly the same degree of migration and activity. Table II shows, for each cell of which a complete study was made, the permeability constant (C) assigned and the volume of the cell initially in 0.9 per cent NaCl. It will be seen that there is very little difference in the rate at which these various types of cells take up water under the constant conditions. The average permeability constants of the four groups, expressed in the usual units, range from 0.5 to 0.9, and in individual cases from 0.4 to 1.0 (this range of variation is found in a single group, that of chick embryo cells). It 332 AUSTIN M. BRUES AND CLAIRE MCTIERNAN MASTERS appears likely to us that the degree of variation between the individual cases is beyond the experimental errors and represents a real difference in the permeability of different cells, although the magnitude of these errors makes it impossible to be certain of this. Parker (6) has shown that fibroblasts from different parts of the same heart have greatly different growth rates under constant conditions. TABLE II Malignant tissues Normal tissues Exp, no. c Volume Chick 2002 0.7 7 19 0.8 1013 20 0.8 799 21 1192 1.0 1347 35 0.4 22 0.9 863 40 1.0 420 41 0.3 444 Rat 50 0.4 573 0.4 51 878 52 0.9 531 0.74 Average chick 0.56 Average rat Exp. no. S 180 2 26 29 W 256 37 38 39 c Volume 0.6 0.9 0.5 2961 926 1457 0.9 1.0 0.7 1164 690 1140 Average sarcoma 180 Average walker 256 0.67 0.87 Although the averages differ, the wide range of individual values makes it impossible to take them as slgnificantly different. These figures, it will be noted, lie between that given for the much smaller erythrocyte, which is 3.0 (7), and for the much larger Arbacia egg, which when unfertilized is 0.1, and after fertilization is two to four times as great (8). There is no significant divergence between the groups of cells we have studied, in so far as the method is sufficiently accurate to determine it by means of volume changes. In the previous paper, we have shown (2) that various other osmotic phenomena are similar in the case of normal and malignant cells. We must remember, of course, that we are dealing with tissues from rapidly growing embryos and tumors which have been placed under conditions optimal for growth, and. that this may not represent the circumstances found in an adult organism, where growth of normal fibroblasts is nearly at a standstill. It is possible, therefore, that the permeability of such normal resting cells might differ from those of a tumor, and this is suggested by Waterman (9) in work on the electrical resistance and polarization of excised living tissues. That any wide alteration in surface permeability to water might be a fundamental characteristic of malignancy, however, seems denied by these experiments. DISCUSSION It will be noted that we have calculated a "permeability constant" for each cell as if swelling took place in a simple system, susceptible in these experiments only to change in total osmotic pressure. There may, of course, be PERMEABILITY OF NORMAL AND MALIGNANT CELLS TO WATJ::R 333 other factors involved which, because of the limitations of the method, cannot be detected. Bearing in mind these limitations, it still appears as if, at least in the main, the swelling does follow such simple rules; because of the critical way in which volume change responds to environmental change in osmotic pressure, it seems that the important factor conditioning swelling must be the rate at which water can enter the cell. The method is incapable of determining such points as whether this constant is at all stages of swelling proportional to cell surface, although we have made such assumptions because of the analogous behavior of other material which can be more accurately studied. It certainly seems unlikely that the effect of colloid osmotic pressure can be significant in these experiments, for two reasons: because all cells were first put into equilibrium with isotonic saline solutions before the experiments, and because we have observed further clear surface swellings (2) similar to those described by Shear (10, 11) as dependent on decreasing the environmental colloid concentration. SUMMARY 1. Measurements of the volume and surface of fibroblasts growing in plasma have been made during the course of cell swelling in hypotonic solutions. Taking into account the diffusion rate of salts from clotted plasma into fluid of lower salt concentration, an attempt has been made to determine the rate at which various cells take up water. 2. The apparent permeability constants of fibroblasts of rat and chick embryo heart and of mouse sarcoma 180 and Walker rat tumor 256 range from 0.4 to 1.0 in the customary units. This lies between the permeability of the Arbacia egg and that of the erythrocyte. The amount of significance which can be attached to these constants is discussed. 3. We have been unable to establish any significant differences in permeability between avian and mammalian cells, or between embryonic and sarcomatous fibroblasts. NOTE: We wish to express thanks to Dr. J. C. Aub for suggesting this problem, and to Professor E. B. Wilson for examining it from the mathematical standpoint. BIBLIOGRAPHY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. JACOBS, M. H.: Proc. Am. Phil. Soc. 70: 363, 1931. BRUES, A. M., AND MASTERS, C. M.: Am. J. Cancer 28: 314, 1936. HILL, A. V.: Proc. Roy. Soc., ser B 104: 39, 1928. PONDER, E., Cold Spring Harbor Symposia on Quant. Biol. 1: 170, 1933. EARLE, W. R.: Am. J. Cancer 24: 566, 1935. PARKER, R. C.: J. Exper. Med. 58: 401, 1933. JACOBS, M. H.: Ergebn. d. biol, 7: 1, 1931. LUCKE, B., AND MCCUTCHEON, M.: Physiol. Rev. 12: 68, 1932. WATERMAN, N.: Ztschr. f. Krebsforsch. 27: 228, 1928. SHEAR, M. J., AND FOGG, L. C.: U. S. Public Health Rep. 49: 225, 1934. SHEAR, M. J.: Am. J. Cancer 23: 771,1935.
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