Cell-penetrating peptides Uptake, stability and biological activity Tina Holm ©Tina Holm, Stockholm 2011 ISBN 978-91-7447-269-1 Printed in Sweden by Universitetsservice, Stockholm 2011 Distributor: Department of Neurochemistry, Stockholm University To my family List of publications I. T. Holm, H. Johansson, P. Lundberg, M. Pooga, M. Lindgren, and Ü. Langel Studying the uptake of cell-penetrating peptides. Nature Protocols. (2006) 1(2): 1001-1005 II. T. Holm, S. Netzereab, M. Hansen, Ü. Langel, and M. Hällbrink Uptake of cell-penetrating peptides in yeasts. FEBS letters. (2005) 579: 5217-5222 III. H. J. Johansson, S. EL Andaloussi, T. Holm, M. Mäe, J. Jänes, T. Maimets, and Ü. Langel Characterization of a Novel Cytotoxic Cell-penetrating Peptide Derived From p14ARF Protein. Mol Ther. (2008) Jan:16(1):115-23 IV. S. EL Andaloussi, H. J. Johansson, T. Holm, and Ü. Langel A Novel Cell-Penetrating Peptide, M918, for Efficient Delivery of Proteins and Peptide Nucleic Acids. Mol Ther. (2007) Oct:15(10):1820-6 V. T. Holm*, H. Räägel*, S. EL Andaloussi, M. Hein, M. Mäe, M. Pooga, Ü. Langel Retro-inversion of certain cell-penetrating peptides causes severe cellular toxicity. BBA Biomembranes. (2010) Nov 9. In press *These authors contributed equally to this work Additional publications S. EL Andaloussi, T. Holm, and Ü. Langel Cell-penetrating peptides: mechanisms and applications. Current Pharmaceutical Design. (2005) 11;28(3): 597-611 Bodor,N., Tóth-Sarudy,É., Holm,T., Pallagi,I., Vass,E., P. Buchwald,P., and Langel,Ü (2007) Novel, Cell–Penetrating molecular transporters with flexible backbones and permanently charged side chains. J.Pharm.Pharmacol. (2007) 59(8): 1065-1076 T. Holmström, A. Mialon, M. Kallio, Y. Nymalm, L. Mannermaa, T. Holm, H. Johansson, E. Black, D. Gillespie, T. Salminen, Ü. Langel, B. Valdez, and J. Westermarck c-Jun supports ribosomal RNA processing and nucleolar localization of RNA helicase DDX21. J Biol Chem. (2008) Mar14:283(11):7046-53 P. Lundin, H. Johansson, P. Guterstam, T. Holm, M. Hansen, Ü. Langel, S. EL Andaloussi Distinct uptake routes of cell-penetrating peptide conjugates. Bioconjug Chem. (2008) Dec:19(12):2535-42 S. Jones, T. Holm, I. Mäger, Ü. Langel, J. Howl Characterisation of bioactive cell penetrating peptides from human Cytochrome c: Intracellular translocation, protein mimicry and the development of a novel apoptogenic agent. Chem Biol. (2010) Jul 30;17(7):735-44 T. Holm, S. EL Andaloussi, Ü. Langel Comparison of cell-penetrating peptide uptake methods. Chapter 15. Cell-Penetrating Peptides: Methods and Protocols. Methods Mol Biol. (2011) 683:207-17 Abstract Cell-penetrating peptides (CPPs) have emerged as a group of remarkable delivery vectors for various hydrophilic macromolecules, otherwise excluded from cells due to the protective plasma membrane. Unbiased conclusions regarding e.g. uptake mechanism, intracellular distribution and cargo delivery efficacy is complicated by the use of different methodological parameters by different laboratories. The first paper in this thesis introduced unifying protocols enabling comparison of results from different research groups. One of these methods, HPLC, was used in paper II to investigate CPP uptake and degradation in yeasts. Both parameters varied depending on peptide and yeast species; however pVEC emerged as a promising delivery vector in yeast since it internalized into both species tested without concomitant degradation. Protein mimicry was another investigated phenomenon and in paper III a 22-mer peptide from the p14Arf protein (Arf (1-22)) was found to be sufficient for retaining its function as a tumor suppressor. This peptide comprised a combination of apoptogenic property and CPP in one unity, thus providing opportunity to conjugate cytotoxic agents boosting the tumoricidal activity. Surprisingly, a partially inverted control peptide to Arf (1-22), called M918, was found to be an extraordinary CPP. In paper IV, it was shown to be superior to well-established CPPs in delivery of both peptide nucleic acids and proteins. Albeit the promising results these two peptides displayed, their utility in vivo, as with all peptides, is hampered by rapid degradation. With the aim of improving their stability, Arf (1-22) and M918 were synthesized with D-amino acids in the reverse order, a modification called retro-inverso (RI) isomerization. Their cell-penetrating ability was retained, but the treated cells displayed unexpected morphological alterations indicative of apoptosis. The presented results demonstrate the versatility of CPPs, functioning as vectors in both yeast and mammalian cells and as protein mimicking peptides with biological activity. Their potential as drug delivery agents is obvious; however, peptide degradation is an issue that requires further improvements before clinical success is in reach. Contents List of publications ................................................................................... v Additional publications............................................................................................. vi Abstract ................................................................................................... vii Abbreviations............................................................................................ x Introduction ............................................................................................ 11 The cellular plasma membrane ............................................................................. 11 Yeast cell wall ..................................................................................................... 11 Endocytosis ............................................................................................................... 13 Clathrin mediated endocytosis......................................................................... 13 Caveolae-mediated endocytosis ...................................................................... 14 Macropinocytosis ................................................................................................ 14 Clathrin- and caveolae-independent uptake pathways ............................... 15 Cell-penetrating peptides ....................................................................................... 16 History .................................................................................................................. 17 Mechanisms of membrane translocation ....................................................... 17 Cargo delivery..................................................................................................... 20 Peptide degradation ................................................................................................ 21 Stability of CPPs ................................................................................................. 21 Strategies to increase peptide stability .......................................................... 22 Protein delivery and mimicry ................................................................................ 23 Protein delivery................................................................................................... 23 Protein mimicry .................................................................................................. 23 Peptides with dual functions: CPP and biological activity ........................... 26 Aims of the study................................................................................... 28 Methodological considerations ............................................................. 29 Solid phase peptide synthesis ............................................................................... 29 Purification and identification of synthesized peptides and PNA..................... 30 Peptide-PNA conjugation ........................................................................................ 30 Choice of cells .......................................................................................................... 30 Yeasts (paper II) ................................................................................................ 30 Breast cancer cells (paper III-V) ..................................................................... 31 HeLa cells (paper I, III-V) ................................................................................ 31 Astrocytoma cells (paper IV) ........................................................................... 31 Chinese hamster ovarian cells (paper IV) ..................................................... 31 HPLC in determination of peptide uptake and degradation ............................. 32 Quantitative uptake by spectrofluorometry ........................................................ 32 Microscopy ................................................................................................................ 33 Splice correction ...................................................................................................... 33 Cell viability .............................................................................................................. 34 LDH ....................................................................................................................... 34 Wst-1 .................................................................................................................... 34 Cell morphology ................................................................................................. 34 Apoptosis .................................................................................................................. 35 Results and discussion .......................................................................... 37 Studying the uptake of cell-penetrating peptides (Paper I) ............................ 37 Uptake of cell-penetrating peptides in yeasts (Paper II) ................................. 38 Characterization of a novel cytotoxic cell-penetrating peptide derived from p14Arf protein (Paper III) ...................................................................................... 39 A novel cell-penetrating peptide, M918, for efficient delivery of proteins and peptide nucleic acids (Paper IV) ........................................................................... 40 Retro-inversion of certain cell-penetrating peptides causes severe cellular toxicity (Paper V)..................................................................................................... 41 Conclusions ............................................................................................. 43 Populärvetenskaplig sammanfattning på svenska ............................ 44 Acknowledgements ................................................................................ 46 References .............................................................................................. 48 Abbreviations ASMase AP-2 Arf Boc CHO CLIC CME CPP ECM FACS GAG GFP GAG HA2 HDM2 LDH MALDI-TOF MβCD Npys PI PI3K PNA RI RP-HPLC SCOs SV40 TFA Acid sphingomyelinase Adaptor protein 2 Alternative reading frame tert-Butyloxycarbonyl Chinese hamster ovarian cells Clathrin-independent carriers Clathrin-mediated endocytosis Cell-penetrating peptide Extracellular matrix Fluorescence-activated cell sorter Glycosaminoglycan Green fluorescent protein Glycosaminoglycan Hemagglutinin peptide 2 Human double minute Lactate dehydrogenase Matrix-assisted laser desorption/ionization time-of-flight Methyl-β-cyclodextrin 3-nitro-2-pyridinesulphenyl Propidium iodide Phosphatidylinositol-3-phosphate Peptide nucleic acid Retro-inverso Reversed phase high performance liquid chromatography Splice correcting oligonucleotides Simian virus 40 Trifluoro acetic acid Introduction The cellular plasma membrane Modern-day organisms fall into three distinct evolutionary lineages - bacteria, archaea and eukaryotes. Bacteria and archaea are collectively classified as prokaryotes, which lack a defined nucleus and have a simple sub cellular organization. The cells of eukaryotes have a membrane-limited nucleus, numerous specialized organelles, and a complex cytoskeleton. Both single-cell eukaryotes, e.g. yeast, and cells of multicellular organisms are surrounded by a membrane composed of lipids with a hydrophilic head and a hydrophobic tail. The head groups face the cytoplasm and the extracellular space and the tails assemble into a hydrophobic interior, thus forming a lipid bilayer. Different carbohydrates (in the form of glycoproteins and glycolipids) and proteins are inserted into this bilayer, functioning as e.g. receptors and anchoring points to the extracellular matrix (ECM) (in case of mammalian cells) and cell wall (in the case of yeasts). The protein, carbohydrate and lipid composition varies between species and cell types and determine the function of the cell. For example, cholesterol is the most abundant sterol in higher eukaryotes, while the yeast plasma membrane mainly contains ergosterol [1]. The plasma membrane functions as a protective barrier that regulates what is transported in and out of the cell. To carry out these functions, the plasma membrane contains specific transport proteins that permit the passage of certain small molecules. Several of these proteins use the energy released by ATP hydrolysis to pump ions and other molecules into or out of the cell against their concentration gradients. For larger molecules, like proteins, internalization occurs via other mechanisms, collectively known as endocytosis. Yeast cell wall The yeast cell wall maintains the structure and the rigidity of the cell but is freely permeable for solutes smaller than 600 Da [1]. It can be schematically organized into two layers: a structural inner layer and an outer layer, which composition varies with growth stage and species [2] (Fig. 1). Although the cell wall composition varies between species, a common central core exists that is composed of a branched β-1,3-glucan cross-linked to chi11 tin. This glucan-chitin complex is covalently bound to other polysaccharides, which specific composition varies between species [3]. The cell wall is actually a dynamic structure that continuously changes in response to the environment during cell cycle [2]. Figure 1. The yeast cell wall is composed of layers of different polysaccharides. A mannose-protein layer is facing the plasma membrane and the extracellular space. β-1-3-glucan cross linked to chitin makes up the central core and on top of this structure is a layer often composed of β-1-3-glucan. 12 Endocytosis Endocytosis is the process by which components situated in or in close proximity to the plasma membrane are internalized into the cell via vesicles of different character (Fig. 2). There are two distinct mechanisms of endocytosis: phagocytosis and pinocytosis. Phagocytosis involves ingestion of large molecules like bacteria and cell debris through specialized cells, while pinocytosis involves ingestion of fluids and smaller particles and is carried out by practically all cells [4]. The endocytosis literature is not consistent in terms of classification of different endocytic pathways and authors have presented different classification suggestions. One such classification is presented by Conner et al and includes the categories; clathrin-mediated endocytosis, caveolae-mediated endocytosis, macropinocytosis, and clathrin- and caveolaeindependent endocytosis [4], all of which are examples of pinocytosis. The last group encompasses more than one pathway and is divided with respect to its dynamin dependence. The intracellular fate of an internalized molecule is dependent on which of these pathways that is used. After internalization, the most common fates of molecules are degradation or recycling back to the cell surface, but many alternative pathways, such as trafficking to other organelles or translocation into the cytosol, also occur [5]. Clathrin mediated endocytosis (CME) CME occurs constitutively in all mammalian cells and fulfills crucial physiological roles, including nutrient uptake and intracellular communication. For most cell types, CME serves as the main mechanism of internalization for macromolecules and plasma membrane constituents. Clathrin is composed of three-legged structures called triskelions that organize to form basket-like lattices on the cytoplasmic side of the plasma membrane [5]. The assembly of clathrin triskelions induces deformation of the plasma membrane into a coated pit of ~120 nm. Budding of the pit from the membrane requires the binding of a GTPase called dynamin. Dynamin binds at the neck of the pit to mediate membrane fission and formation of a vesicle. This clathrin-coated vesicle is then uncoated and the clathrin triskelia recycled [4]. The vesicle fuses with acidic (pH ~6) early endosomes where recycling receptors, such as transferrin and low density lipoprotein, are localized. The presence of such receptors is a convenient and widely used marker of early endosomes. The early endosome can mature into late endosomes (pH <6), which then fuses with lysosomal vesicles (pH ~5). Lysosomes contain acid hydrolases and other enzymes that mediate degradation of the endocytosed material [5]. 13 Caveolae-mediated endocytosis Caveolae has been demonstrated to be important in a variety of cellular functions including endocytic processes, signal transduction, and cholesterol and lipid homeostasis [6]. Unlike clathrin-coated pits, caveolae are abundant in some cell types (adipocytes, endothelia, muscle) but undetectable in others (lymphocytes and many neuronal cells) [7]. Caveolae are bulb-shaped invaginations of the plasma membrane that are formed by the cholesterol binding dimeric protein caveolin. Recently, information has gathered that also a protein family called cavins is involved in the formation and function of caveolae [8]. These small vesicles (~50-60 nm in diameter) contain only little fluid-phase liquid and internalize slowly [4]. Caveolin and cavin mediates the membrane curvature needed for invagination and vesicle formation. As in CME, dynamin is recruited to the neck of the “bulb” where it catalyzes membrane fission enabling the vesicle to pinch off from the plasma membrane [4]. The general belief has, up to last year, been that these vesicles deliver its contents to pH-neutral “caveosomes”. However, the group that first suggested the existence of the caveosome, revealed findings in the November issue of Journal of Cell Biology that questions the existence of this unique organelle [9]. They found that caveosomes correspond to late endosomal compartments. Several toxins, e.g. cholera and tetanus, are internalized into cells via caveolae vesicles and are therefore commonly used as markers for this endocytic pathway [4,7]. Macropinocytosis Macropinocytosis is another type of clathrin-independent endocytosis pathway and it is the most effective way for cells to ingest large amounts of extracellular fluid. It operates in macrophages and many tumor cells constitutively, and in other cells after stimulation with growth factors or phorbol esters [10]. Membrane ruffling frequently leads to the formation of large and heterogenous dynamic vesicular structures called macropinosomes, which are sometimes as large as 5 µm in diameter [5]. These vesicles are formed by an actin-driven process yielding membrane protrusions that collapse onto and fuse with the plasma membrane, thereby trapping large quantities of extracellular liquid [4]. Little is known about this fusion process and since no specific cargo molecules for macropinocytosis have been identified, it has been difficult to follow the intracellular fate of macropinosomes [11]. Also, macropinosomes have been reported to reach different intracellular compartments depending on cell type. In macrophages, they move towards the centre of the cell and change from an early-endosome-like organelle to a late-endosome like organelle, and then merge completely with the lysosomal compartment. They rarely fuse again with the plasma membrane [12]. In contrast, macropinosomes in human epidermoid A431 cells does not fuse 14 with early or late endosomes, but eventually recycle most of its content to the cell surface [13]. Although macropinocytosis accompanies seemingly chaotic membrane ruffling, it is likely to be a highly controlled and regulated process [4]. Unlike clathrin coated pits, macropinosomes have no discernible coat and do not concentrate receptors. Rather, they most likely contain membrane compositionally similar to plasma membrane [10]. Figure 2. Different endocytosis routes into the cell. Membrane protrusions fuse with the membrane again to form large macropinosomes, which intracellular fate depends on cell type. In the other pathways smaller vesicles are formed from invaginations of the plasma membrane. Clathrin-and caveolae-independent endocytosis have both dynamin-dependent and independent pathways. Clathrin- and caveolae-independent uptake pathways Some clathrin-and caveolae-independent uptake pathways are constitutive, whereas others are triggered by specific signals. They also differ in their mechanisms and kinetics of formation, associated molecular machinery and cargo destination [14]. Kirkham et al, and many others, denote clathrin15 independent vesicles CLICs (CLathrin-Independent Carriers) and presume them to be highly dynamic structures [15]. Their shape and size varies depending on cargo. Simian virus 40 (SV40) has been shown to be internalized by host cells via caveolae but in cells lacking caveolae, endocytosis of SV40 still occurs indicating that caveolae-independent pathways exist [16]. Damm et al further showed that internalization occurred in small, tight-fitting vesicles and was independent of clathrin and dynamin [16]. However, other CLICs exist that are dependent on dynamin. For example, Lamaze et al reported that the interleukin 2-receptor internalized into cells devoid of clathrin in a dynamin-dependent fashion [17] and Sauvonnet et al showed that dynamin is required for the clathrin-independent uptake of γC cytokine receptor [18]. Table 1 Endocytosis pathways CME Caveolaemediated Vesicle Clathrin Caveolincoating triskelions 1[5], ca[4,5] [4] vins[8] ~60 nm[4] Macropinocytosis CLIC-D CLICDI No [5] No [15] No[15,16] >1µm[4] ~90 nm[4] ~90 nm[4] pHneutral, intermediate organelles[16] No[16] Vesicle size Intracellular destination ~120 nm Late endosomes or lysosomes[5] Late endosomes or lysosomes[9] Lysosome[12] or recycling to cell surface[13] depending on cell type Late endosomes or lysosomes[18] Dynamin dependent Actin dependent Examples of markers Yes[18] Yes[19] No[15] Yes[18] Yes[18,20] Yes[20,21] Yes[20] Yes[17,18] Possible[16] Transferrin[4,5] LDL[4,5] Cholera toxin B[19] SV40[16,21] No specific ligand, dextran is used as marker for fluid-phase endocytosis[22] γc cytokine receptor[18] IL-2[17] SV40[16] CME: clathrin-mediated endocytosis; CLIC-D: clathrin-independent carriers dynamin dependent; CLIC-DI: clathrin-independent carriers dynamin independent LDL: low density lipoprotein; SV40: simian virus 40; IL-2: interleukin-2 16 Cell-penetrating peptides History Cell-penetrating peptides (CPPs) are short cationic and/or amphipathic peptides that can be conjugated or complexed with large macromolecules and even microscopic particles to facilitate their cell entry. These peptides are usually less than 30 amino acids in length and internalization is observed in virtually all cells, albeit with different efficiencies that depend on the CPP, the cargo and the cell-type. Although the first report of a polycationic peptide capable of traversing the cellular plasma membrane was published already in 1965 [23], it was not until 1994 when the group of Prochiantz reported the cell-penetrating properties of penetratin that the potential of this new class of peptides was acknowledged [24]. Later a report from Lebleu’s laboratory revealed that a short highly cationic peptide (Tat 48-60) from the Tat protein was sufficient for cell penetration [25]. From that date an ever increasing number of new CPPs have been found and characterized, some of which are presented in Table 2. However, the mechanism of uptake is still not fully elucidated. A summary of the knowledge gained this far is presented below. Table 2 A selection of CPPs Name Sequence Protein derived: Penetratin RQIKIWFQNRRMKWKK Tat (48-60) GRKKRRQRRRPPQ pVEC LLIILRRRIRKQAHAHSK Designed: Polyarginine (R)n Transportan GWTLNSAGYLLGKINLKALAALAKKIL TP10 AGYLLGKINLKALAALAKKIL Ref. [24] [25] [26] [27] [28] [29] All peptides have an amidated C-terminus. Mechanisms of membrane translocation The uptake mechanism of CPPs has been a matter of great controversy, initially reported to be an energy-independent process of direct penetration across the plasma membrane. The model that was proposed suggested that polycationic CPPs interacted ionically with the negatively charged phospholipids of the cell membrane, causing an invagination that led to a local reorganization of the lipid bilayer, resulting in formation of inverted micelles. These would contain the CPP-cargo conjugates, which were released on the cytosolic face of the membrane [30]. However, the outer surfaces of verte17 brate plasma membranes are essentially neutral and electrostatic interactions between cationic peptides and eukaryotic cells are much more likely to involve the abundant negatively charged components present on the membrane surface and the ECM rather than the phospholipids of the bilayer [31]. Involvement of proteoglycans Proteoglycans are the major components of the ECM and they contain a core protein to which one or more glycosaminoglycan (GAG) chains are covalently coupled [32]. CPP binding induce clustering of GAGs, which triggers intracellular signaling events and cytoskeletal remodeling preceding cellular uptake. Letoha et al recently showed that syndecan-4, a transmembrane proteoglycan, initiates the uptake of Tat, penetratin, and Arg8 [33], and many others have reported that GAGs are involved in the uptake of CPPs [34-37]. Interestingly, it was recently suggested that the GAGs do not initiate the internalization process, instead these act merely as sites of CPP accumulation and other components are responsible for the subsequent uptake. This conclusion originated from the finding that cellular delivery of Tat-Cre recombinase into GAG deficient or wild type cells did not differ significantly [38]. Uptake via endocytosis Since the first reports of the inverted micelle model described above, the prevailing view has shifted and today most CPPs are reported to use the endocytic route to gain access to the intracellular milieu. Some examples of endocytic uptake of CPPs are listed in Table 3. It must be noted that the cargo, which is not included in Table 3, also influences the uptake mechanism, as discussed further in the next section. Table 3 Endocytic uptake of a selection of CPPs CPP Endocytic pathway Penetratin Macropinocytosis Tat (47-57) Macropinocytosis Transportan Caveolae-mediated CME TP-10 Caveolae-mediated CME M918 Macropinocytosis and partly CME Ref [39],[40] [22],[39] [41] [39] [41] [39] paper IV,[39] CME: clathrin-mediated endocytosis To determine the involvement of different endocytic pathways in the uptake of CPPs most researchers use pharmacological inhibitors or markers specific for a certain pathway. A summary of commonly exploited inhibitors and markers and their respective pathway is presented in Table 4. 18 Table 4 A selection of inhibitors for endocytic mechanisms Inhibitor Mechanism influenced Macropinocytosis Wortmannin Inhibits PI3K dependent vesicle formation Amiloride Inhibits Na+/H+ exchange Cytochalasin D Inhibits F-actin elongation Clathrin-mediated endocytosis Wortmannin Inhibits PI3K dependent vesicle formation Sucrose Induces abnormal clathrin polymerization Chlorpromazine Disrupts traffic of the clathrin-coated pit component AP-2 Caveolae/lipid raft mediated endocytosis MβCD Depletes cellular cholesterol Ref. [42] [43] [44] [42] [45] [46] [47] PI3K: phosphatidylinositol 3-kinase; AP-2: adaptor protein 2; MβCD: methyl-βcyclodextrin Endocytosis-independent uptake Several studies provide evidence that other, non-endocytic, mechanisms are involved in the uptake of certain CPPs [48-50]. One example is the MPG peptide that, both by itself and in complex with DNA, penetrates the membrane by a mechanism dependent on the GTPase Rac 1. Rac 1 activation stimulates actin network remodeling, leading to increased membrane fluidity and membrane fusion [50,51]. Furthermore, there is also the possibility that one particular CPP might utilize different pathways depending on cargo [52] and concentration [53]. The influence of cargo on the uptake mechanism of Tat was investigated by Tünnerman et al and they found that Tat-protein conjugates were internalized by endocytosis, while Tat-peptide conjugates utilized a rapid mechanism dependent on membrane potential. They concluded that increasing the positive charge of the CPP itself and decreasing the size of the cargo allows rapid internalization to occur in addition to the slower process of endocytosis [52]. Duchardt et al showed that above a critical peptide concentration threshold, internalization occurs through a highly efficient non-endocytic pathway originating from “nucleation zones”, spatially restricted membrane regions, leading to a rapid cytoplasmic distribution of the peptide. They further showed that, at concentrations below this threshold, penetratin, Tat and Arg9 actually utilize a combination of macropinocytosis, CME and caveolae-mediated endocytosis depending on the availability of the different pathways [53]. Recently the same group came a step closer to resolving the mechanism of direct penetration when they showed that cationic CPP interaction with the plasma membrane induced translocation of acid sphingomyelinase (ASMase) to the outer leaflet of the 19 membrane. It was shown that cationic CPP import depended on ASMaseinduced formation of ceramide, which changed the lipid composition of the plasma membrane [54]. Cargo delivery CPPs have been reported to deliver cargos ranging from small molecules and imaging agents to oligonucleotides, peptides, proteins, and even nanoparticles and plasmids [55]. Peptide and protein delivery by CPPs is described in more detail later and oligonucleotides as CPP cargo, both covalently and non-covalently conjugated, was thoroughly reviewed recently by Ezzat et al [56]. The assessment of cellular response following delivery of biologically active cargos is imperative, since uptake mechanism and subcellular localization of free CPP and CPP-cargo is not necessarily the same. Merely analyzing uptake and not a concomitant biological response might lead to misinterpretations regarding efficiency of a certain CPP [57] or importance of different mechanisms in CPP uptake [38]. Examples of cargos generating a positive read out for evaluation of uptake are Cre-recombinase [22], plasmids [58], luciferin [59], and splice correcting oligonucleotides [60]. The splice correction assay will be described in the methodological part of this thesis. Lysosomal entrapment In most cases the cargo ends up in endolysosomal vesicles [57]. Escape from these vesicles is necessary for the cargo to reach its intracellular compartment and exert its biological function. Chloroquine is a weak base that prohibits maturation of endosomes, thereby giving CPP-cargo opportunity to escape to the cytosol. Improved cellular response to cargo activities upon chloroquine treatment has been reported repeatedly [61-63]. Unfortunately chloroquine is toxic at higher concentrations and is not suitable for in vivo situations. Other successful approaches to increase endosomal escape are chemical modifications of the CPP [64,65] or addition of viral fusogenic HA2 peptide of the influenza virus hemagglutenin which destabilizes the endosomal membrane [22]. Although this part of the CPP field has been full of conflicting results, the “take home message” is that there is not one single pathway exclusively employed by any CPP, but rather a predisposition for some mechanisms and inhibition of one pathway may lead to up-regulation of another [66]. For most CPPs, the uptake mechanism still needs to be confirmed and remains controversial, partly due to the fact that different methods, which are not comparable from one lab to another, have been employed to this aim. 20 Peptide degradation A major hurdle to be solved before peptides will gain success in clinical trials is their rapid degradation in vivo. Once the peptide enters the plasma of a subject it becomes vulnerable to attack by proteases. Endoproteases, e.g. trypsin and chymotrypsin, cleave the protein backbone adjacent to aromatic and basic residues, while exopeptidases catalyze the removal of residues from the N-terminus (aminopeptidases) or C-terminus (carboxypeptidases). One approach to protect peptides from endopeptidases is to modify the peptide backbone, which can be done in a number of ways, e.g. β-peptides, peptoids, and retro-inverso peptides. Strategies for evading degradation by exopeptidases include C-terminal amidation and N-terminal acetylation, commonly known as “capping”. Cells have several intracellular pathways for protein degradation, but the major pathway is enzymatic degradation in lysosomes, as discussed above. Cytosolic proteolytic mechanisms involve the proteasomes, which degrade proteins flagged by ubiquitin molecules. All the backbone modifications mentioned above will also rescue peptides from degradation in these compartments, since endogenous mechanisms only recognize natural peptide backbones. Stability of CPPs When taking into account the enormous amount of articles published the last 15 years in the field of CPPs, it is astonishing that so few have analyzed the degradation of these peptides more thoroughly. There are, however, several reports regarding degradation of the CPP pVEC. Elmquist and Langel analyzed the stability of pVEC, as well as its all-D-counterpart, intracellularly and in media with different composition. As expected, all-D-pVEC was resistant to degradation in serum, intracellularly, extracellularly and in presence of trypsin or carboxypeptidase A and B, while the degradation pattern of pVEC varied depending on exposure [67]. This variability was further extended to apply also for different organisms, where it varied from no degradation in yeast to rapid degradation in Sf9 insect cells (paper II and [68]). Also penetratin was included in these studies and, in contrast to pVEC, this peptide was almost completely degraded in all investigated organisms (bacteria, insect Sf9 cells and yeasts). The degradation of penetratin was further investigated in chinese hamster ovarian (CHO) cells where it was shown that extracellular degradation is a critical determinant for uptake, since decreasing the extracellular degradation increased the uptake [69]. Trehin et al analyzed the metabolic degradation kinetics and cleavage patterns of penetratin, Tat (47-57) and a novel human calcitonin (hCT) derived CPP in epithelial models [70]. Although informative in many ways, the authors report of a half life of Tat (47-57) of up to 24 h, which seems unlikely considering the 21 many cleavage sites for proteases within the Tat sequence. Grunewald et al estimated the half-life of Tat (47-57) to 3 min. However, when conjugated to a cargo the half life was increased to 10 min [71]. Strategies to increase peptide stability As aforementioned, there are several methods to increase the stability of peptides by synthesizing non-natural peptide mimics, e.g. β-peptides, peptoids, and retro-inverso peptides. The latter was used in paper V and will be described below. Retro-inverso peptides: In the early 1980’s, Chorev and Goodman carried out extensive research on the chemistry of peptide backbone modifications [72]. They hypothesized that exchanging a natural peptide sequence with all-D amino acids (inverso) and reversing the order (retro) would yield a peptide with the same stereochemistry as the parent peptide (figure 3). These peptidomimetics were named retro-inverso (RI) peptides, where the amino acid side chains are properly arranged in space, but the amine and carbonyl of the amide peptide bond are reversed, thus conferring resistance towards proteases. Figure 3. A dipeptide presented in All-L, All-D, All-L-retro and All-D-retro configuration. In an extensive review from 2005, Chorev presents a number of successful implementations of the RI concept [73]. However, RI modification of natural peptides has a history of mixed success and several groups have reported that their RI-peptides lost the biological activity of the parent Lpeptide ([74] and references therein). Also CPPs have been subjected to this modification, with the aim of producing transporters with increased stability. Tat is by far the most commonly exploited CPP for RI modification. Wender et al found that the L-, D- and RI 22 forms of Tat (49-57) showed similar cellular uptake in serum-free medium, while in the presence of serum the D-form was modestly more active and the RI form much more active than the L-form, indicating the likely role of proteolysis in limiting the activity of natural peptides [27]. The uptake mechanism of RI-Tat has been analyzed [75] and RI-Tat conjugates have been implicated in neuroprotection [76], as anti-HIV agent [77] and as tumor suppressant [78][79]. The RI-p53 restoring peptide reported by Snyder et al [80] was later used by Takayama et al to determine the efficiency of their “penetration accelerating sequence” in conjugates with Arg8 or a CPP called FHV [81]. Interestingly, the mutated p53 peptide used by Snyder et al as control (i.e. not toxic against tumor cells), showed antiproliferative effects in parity with wild type p53 peptide in the article by Takayama et al. In a recent article it was shown that oligomerization of α-Synuclein, a protein involved in Parkinson’s disease, was inhibited by cell-penetrating RI β-Synuclein peptides. The classification of these peptides as CPPs is questionable since very high concentrations (50 and 250 µM) and long incubation times (4 h) were needed to detect uptake, but their biological activity is certainly very promising considering the involvement of α-Synuclein fibrils in Parkinson’s disease [82]. Protein delivery and mimicry Protein delivery There are now literally hundreds of reports of successful cellular delivery of both functional peptides and proteins in vitro. Utilizing CPPs as transporting vehicles is a more straight forward strategy than recombinant protein expression from plasmids, which is time consuming and laborious, and has proven successful repeatedly, as recently reviewed in [56]. This can be achieved by simply co-incubating the CPP and protein, yielding complexes which are internalized by cells. Pep-1 was the first CPP reported to promote protein delivery without covalent conjugation [83]. Streptavidin and avidin are two proteins with high affinity to biotin and they have therefore been utilized as model proteins in studies of protein delivery efficacy by CPP-biotin, since it simplifies the chemical conjugation [84-86]. Protein mimicry The large surface area of peptides gives them advantages over small molecules in their ability to disrupt specific signaling pathways by inhibiting targeted protein-protein interactions. The most common application of pep- 23 tide inhibitors is in cancer research, but some also exert anti-inflammatory or neuroprotective activity [87]. Protein-protein interactions are especially important in the cellular processes that govern oncogene and tumor suppressor functions in general, as well as regulation of the cell proliferation cycle and the cell death machinery. Regulators of these interactions therefore have tremendous potential as a molecular strategy for the discovery of new cancer drugs [88]. As the bioavailability of these peptides is generally low because of poor cellular uptake, utilizing CPPs as transporting vehicles is an attractive alternative. The apoptogenic 7 amino acid peptide Smac fused to Tat was shown to potentiate the activity of cytotoxic drugs on a human glioma xenograft model in vivo [89]. Another study showed that apoptosis was induced by a cell permeable peptide called Shepherdin, which disrupts the interaction between survivin and Hsp90, leading to massive death of tumor cells. Shepherdin by itself or its scrambled peptide did not have any effect, but when fused to Tat or penetratin several hallmarks of apoptosis were detected [90]. Arf tumor suppressor p53/HDM2 p53 is a stress-activated tumor suppressor that is involved in cellular processes like DNA repair, cell-cycle arrest, and activation of the apoptotic program [88]. The central role of p53 in protecting cells against malignant transformation makes it an attractive target in the search for novel cancer drugs. Human double minute-2 (HDM2) is a negative regulator of p53 and the p53-HDM2 interaction is the most advanced protein-protein interaction drug target in oncology [88]. HDM2 governs the activity of p53 by several mechanisms; i) it is a p53-specific ubiquitin E3 ligase and thus promotes the proteasomal degradation of p53, ii) it blocks transcriptional activity of p53 by binding to the N-terminal transactivation domain of p53, iii) it promotes the nuclear export of p53 [91]. Over-expression of HDM2 is therefore an efficient strategy exploited by tumor cells to prevent accumulation and activation of p53. Molecules which bind to HDM2 and block its interaction with p53, including antibodies [92], or peptides based on p53 [93] elevate the levels of p53 protein and its transcriptional activity. One well studied interacting partner of HDM2, acting as an antagonist of its ligase activity, is the nucleolar protein Arf (known as p14Arf in humans and p19Arf in mouse). The tumor suppressor Arf The Ink4a/Arf locus encodes two tumor suppressor proteins, p16Ink4a and Arf, and it is from the alternative reading frame generating Arf protein the name derives [94]. The two most frequently inactivated tumor suppressor genes in human cancer, irrespective of tumor type, site, and patient age, are p53 and Ink4a [95]. Furthermore, Arf-null mice develop tumors early in life 24 [96]. Obviously, the potential of exploiting the antagonizing activity of p14Arf towards HDM2 is of considerable interest in the development of novel cancer therapies. Peptide mimetics of p14Arf Several studies have shown that the conserved N-terminus of p14Arf is sufficient for binding HDM2, thereby blocking its E3 ligase activity and ultimately elevating the levels and activity of p53 [97-99] See Table 5. Table 5 N-terminal peptides of p14Arf with retained activity p14Arf Peptide Sequence 1-14 MVRRFLVTLRIRRA 1-14 MVRRFLVTLRIRRA 16-30 GPPRVRVFVVHIPRL 1-20 MVRRFLVTLRIRRACGPPRV 1-22 MVRRFLVTLRIRRACGPPRVRV Ref. [100] [99] [99] [98] [97] The primary structure of Arf is unusual. The mouse protein is composed of 169 amino acids and the human protein of only 132 amino acids. They are both composed of more than 20% arginine residues, making them highly basic [101]. Clearly, this is a favorable feature in the search for bioactive CPPs. Indirect biological functions of p14Arf The Arf response is a complex mechanism. Although it was first believed that the main function of Arf was to suppress aberrant cell growth by inducing the p53 pathway and thereby mediating tumor suppression, there is now ample evidence that Arf also displays p53-independent activities. These functions are heterogenous and although several potential regulators have been identified, the molecular basis of p53-independent Arf signaling remains largely unknown. These functions of Arf, such as p53-independent cell cycle arrest or apoptosis, are reviewed in [101]. 25 Figure 4. p14Arf increases the levels and the activity of the tumor suppressor 53 by binding to its negative regulator HDM2. Peptides with dual functions: CPP and biological activity Biological activity of CPPs, other than its cargo delivery capacity, has up to recently, been an unwanted phenomenon. However, when taking into account that several of the most widely used CPPs derive from proteins it is not surprising that they also might have some intracellular targets, which could be activated or inactivated upon binding. This was indeed reported to be the case with penetratin, which decreased the transcriptional activity of NFkB [102] and reduced the expression of p38 MAP kinase mRNA [103]. Tat (48-60) had the same effect on p38 MAP kinase [103] and polyargininecontaining peptides also inhibit the mammalian endoprotease furin [104]. However, once the cellular target and biological response is known this feature can be exploited to yield CPPs with dual functions. When synthesizing peptides, short sequences are preferred to avoid aggregation before complete synthesis etc. Also, shorter peptides allow addition of a second executor in the same sequence, possibly yielding peptides with synergistic activity. Thus, a CPP and cargo with the same biological effect might yield synergistic cellular response and exclude the need for extra transporting moieties. This concept is particularly suitable for apoptosis inducing CPPs such as p14Arf (1-22) (paper III) and Cyt c77-101 [105]. Indeed, the apoptogenic po26 tency of Cyt c77-101 was significantly enhanced when modified with a nucleoporin mimetic peptidyl motif [105]. Table 6 presents a summary of biologically active CPPs. CPPs are nowadays an established group of delivery vectors, but the concept of biologically active CPPs was just recently born. Once the issue with peptide instability has been solved, biologically active CPPs could have a tremendous impact on this research field and hold a great potential for the future. Table 6 Biological effects of CPPs CPP Biological activity Side effects Penetratin Decreased transcriptional activity of NFκB Penetratin Decreased p38 MAP kinase mRNA expression Tat (48-60) Decreased p38 MAP kinase mRNA expression Arg8 Proteasomal inhibitor Arg9 Furin inhibitor Arg9 Actin reorganization Intended biological activity Arf(1-22) Apoptogenic CytC77-101 Apoptogenic mPrP(1-28) Decreased formation of prions bPrP(1-30) Decreased formation of prions Ref [102] [103] [103] [106] [107] [108] Paper III [105] [109] [109] 27 Aims of the study 28 Paper I: Present a unifying protocol for analysis of CPP uptake, enabling comparison of data from different groups. Paper II: Determine the uptake and intracellular stability of three different CPPs in two commonly used yeast species. Paper III: Characterize the novel CPP p14Arf possessing a combination of efficient drug delivery vector and apoptogenic peptide in one unity. Paper IV: Evaluate the novel CPP M918 as a cellular transporter of peptide nucleic acid (PNA) and proteins. Paper V: Improve the stability of p14Arf, and thereby its efficacy as an apoptosis inducing agent. Methodological considerations Solid phase peptide synthesis In 1963 Bruce Merrifield revolutionalized peptide synthesis by introducing the concept of solid phase peptide synthesis (SPPS) [110]. The use of a solid support, called resin, upon which the peptide chain is assembled, makes it possible to drive every amino acid coupling step to completion. Excess reagents can easily be washed away and by anchoring the peptide to a support the solubility in organic solvent is increased. The process of amino acid assembly is repetitive and easily automated. Amino acid side chains are protected, thus ensuring that the activated carboxylic acid is only reacting with the α-amino group. However, if the αamino group was free the amino acids not yet coupled to the peptide could react with each other. Therefore, the α-amino group is protected with either tert-Butyloxycarbonyl (Boc) or 9-fluorenylmethyl-oxycarbonyl (Fmoc), depending on what chemistry is applied. This protective group is removed before every new amino acid coupling, while the side chain protective groups are present until the final cleavage from the resin. In this thesis only Boc chemistry was used, both for peptide and PNA synthesis. The Boc group was removed with trifluoro acetic acid (TFA) and the peptide and side chain protective groups were cleaved with the very strong acid hydrogen fluoride. To neutralize the reactive carbocations formed during the cleavage reaction, paracresol was added as a scavenger (together with parathiocresol if the peptide contained methionine or cystein). 5,6Carboxyfluorescein was activated with N-hydroxybenzotriazole and diisopropylcarbodiimide and coupled to the N-terminus of the peptides prior to final cleavage. PNA (paper III-V) was also assembled in a step wise manner, but with PNA monomers instead of amino acids and with other activators, as described in detail in the papers. After peptides and PNA were cleaved from the resin, scavengers were removed by ether extraction in 10% acetic acid, followed by filtration to separate the resin and lyophilization to remove the solvent. 29 Purification and identification of synthesized peptides and PNA Peptides were purified with semi-preparative reversed phase high performance liquid chromatography (RP- HPLC) in a C18 column using a gradient of acetonitrile and water containing 0.1 % TFA. The fraction containing the right product was identified with matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry using α-cyanohydroxycinnamic acid as matrix. Peptide-PNA conjugation Peptide-PNA conjugates used in paper III-V were synthesized with disulfide bond. There are other methods to link PNA to peptides, e.g. maleimide coupling or continuous synthesis. However, to be able to analyze the biological effect of the PNA it is preferable if it is detached from the CPP once inside the cell since the peptide might interfere with target binding. This can be achieved by using disulfide bond for conjugation, since this linker is reduced in the cytoplasm, releasing the PNA. The reaction requires an activated thiol, which can be achieved with the 3-nitro-2-pyridinesulphenyl (Npys) group on cystein side chain [111]. The peptides are synthesized with N-terminal Cys(Npys) and PNAs are synthesized with cystein attached to the N-terminal lysine. Two lysines are added to both the C- and N-terminus of PNA to improve solubility, which is otherwise a major issue with PNA. To form covalent conjugates, CPP and PNA were mixed in 20% acetonitrile/water containing 0.1% TFA and stirred over night. The conjugates were purified with semi-preparative RP-HPLC and identified with MALDI-TOF mass spectrometry. Choice of cells Yeasts (paper II) Candida albicans and Saccharomyces cerevisiae are two widely used yeast species that function as model systems for many genetic studies, due to their rapid growth and ease of genetic manipulation. They are both commensal yeasts, meaning that they are present in the human body without causing any harm. However, in immunocompromised individuals C. albicans may become invasive and cause a condition called candidiasis. 30 Breast cancer cells (paper III-V) In paper III-V the human breast cancer cell lines MCF-7 and MDA MB 231 were studied. Both are isolated from pleural effusions and are of adenocarcinoma origin. However, they differ in their expression of the tumor suppressor p53. MCF-7 expresses wild type p53, while MDA MB 231 has a dysfunctional p53 protein and this difference was exploited in paper III to investigate the p53 dependence of the p14Arf peptide. None of the cell lines express p14Arf protein, making these cell lines suitable models for studying the effects of p14Arf peptide. Since paper V is a direct follow up study of paper III, the same cell lines were used. MCF-7 cells were also used in paper IV, since the initial discovery of the superior CPP properties of M918 originates from paper III utilizing this cell line. HeLa cells (paper I, III-V) The human cervical cancer cell line HeLa is probably the most widely used cell line in laboratories all over the world. It is therefore convenient to include this cell line to enable comparison of results between different research groups. HeLa cells are easy to work with since they proliferate rapidly and are easy to transfect. The splice correction assay (paper III-V) depends upon a special HeLa cell line called HeLa pLuc 705. This cell line was developed by Kole and colleagues in 1998 and is described in more detail in the section describing the splice correction assay. Astrocytoma cells (paper IV) Hifko and VEGF+ cells are genetically engineered transformed murine astrocytes, where the hypoxia inducible factor (Hif-1) is deleted and the VEGF receptor over expressed, respectively [112]. These cells were used in a parallel project where we targeted astrocytomas, therefore they were included in this study as well. Chinese hamster ovarian cells (paper IV) Chinese hamster ovarian cells (CHO)-K1 is a widely used cell-line. It is a sub-clone from a parental cell-line initiated from a biopsy of an ovary of an adult Chinese hamster [113]. One mutant GAG-deficient variant of CHOK1, pgsA-745, has been widely used in CPP internalization studies. In paper IV this cell-line is referred to as CHO2242. The pgsA-745 clone harbors a mutation that decreases the activity of xylosyl-transferase, the first enzyme in GAG synthesis, and hence these cells are devoid of all GAGs [114]. 31 HPLC in determination of peptide uptake and degradation One excellent method of determining peptide degradation, and simultaneously receiving quantitative information regarding intracellular uptake of CPPs, was developed by Ohelke et al [115]. By chemically modifying peptides bound to the extracellular face of the plasma membrane, making them more hydrophobic, it is possible to distinguish these from truly internalized peptides by means of RP-HPLC, since modified peptides have a longer retention time. From the chromatograms it is possible to determine not only the amount of internalized peptide in total, but also the amount of intact and degraded peptides. The protocol for this assay is described in paper I and it was used in paper II and III to determine the uptake and degradation of CPPs in yeasts and to analyze the intracellular stability of p14Arf (1-22), respectively. Although being an outstanding method for determining peptide uptake and degradation, it is claimed by Ohelke et al to be restricted to peptides containing primary amines, i.e. lysine. However, the p14Arf (1-22) peptide contains no lysines, and we were still able to track the intact and degraded peptide. We hypothesized that also cystein is compatible with this method, and recently this was confirmed by Aubry et al. They utilized the same method to assess uptake of thiol-containing peptides [116]. Quantitative uptake by spectrofluorometry Quantitative uptake by spectrofluorometry is a convenient and easy method to determine the amount of internalized, fluorophore-conjugated CPP. In this assay fluoresceinyl peptides are incubated with cells followed by a mild trypsin treatment to remove peptides bound to the outside of the plasma membrane. Following centrifugation, lysis and measurement of fluorescence, the fluorescence is normalized to protein content in each well, to account for variances in cell density. Different endocytosis inhibitors can be employed to evaluate the contribution of various uptake pathways [57]. A selection of inhibitors is presented in Table 4. A disadvantage with this method is that peptides trapped in endosomes cannot be discriminated from truly internalized peptides. Several methods are therefore needed in conjunction to surely determine the cellular uptake. However, it is an excellent initial screening tool; peptides that show no cellular uptake can be excluded from further studies, while the ones generating a positive result are further investigated. 32 Microscopy Before 2001 most studies on cellular internalization of CPPs were conducted using fluorescence microscopy on fixed cells. However, after the discovery by Lundberg et al that cell fixation could cause artifactual results, caution is nowadays given to working with fixed cells [117]. It is becoming increasingly common to use confocal microscopy on live cells, since this technique enables visualization of one focal plane of the cell. Microscopy is the method providing most information regarding the intracellular localization of fluorophore labeled peptides. It is a perfect complement to the method presented in the previous section, since it discriminates between membrane bound and intracellular peptide, as well as peptides trapped in endosomes. In mechanistic studies of CPP internalization pathways, fluorescent markers for different endocytic routs enable measurement of colocalization between CPP and the marker. This is described in paper I where we show that the fluid phase marker dextran co-localizes with the CPP TP10 in HeLa cells, indicating that macropinocytosis is involved in the uptake of this peptide. Peptide degradation complicates the picture since fluorescence inside cells might arise from fluorescent degradation products rather than intact peptides. Therefore, microscopy should always be complemented with other methods, e.g. HPLC described above, to complete the picture of cellular internalization of CPPs Splice correction The use of splice correcting oligonucleotides (SCOs) as a research tool to assess the cargo delivery capacity of CPPs has become common in recent years. However, this method and the HeLa pLuc 705 cells upon which the assay is dependent, was developed already in 1998 [60]. These cells are stably transfected with a luciferase reporter gene, which is interrupted by an intron from β-globin pre-mRNA containing an aberrant splice site. The aberrant splice site activates a cryptic splice site and under normal conditions non-functional luciferase is produced. Upon introduction of SCOs binding complementary to the aberrant splice site, splicing is re-directed and functional luciferase is produced. By coupling different CPPs to SCOs complementary to the cryptic splice site, their capacity as drug delivery vectors can be assessed. This assay gives information whether fractions of CPP-SCO conjugates have escaped endosomes, making it superior to many other assays based on fluorescence techniques. Another major advantage with this method is that it generates a positive biological read-out. A number of different SCOs exist [56], however, in this thesis only PNA was utilized. PNA is an uncharged oligonucleotide analog with a peptide backbone which binds strongly to RNA and DNA [118]. 33 Cell viability LDH A widely used method to determine membrane damage is to measure the amount of lactate dehydrogenase (LDH) leaking out from cells. This method is based on the production of fluorescent product (resorufin) following administration of substrate (NAD+ and diaphorase) for the enzymatic reaction and presence of the LDH enzyme catalyzing the reaction. Since LDH cannot penetrate the plasma membrane, it is only present in the extracellular medium surrounding cells with damaged membrane. The amount of fluorescence produced is proportional to the number of leaky cells. Wst-1 The LDH assay is utilized to determine acute toxicity like membrane damage. To investigate more long term effects on cells treated with peptides the Wst-1 assay is suitable. Mitochondrial dehydrogenases convert tetrazolium salts to formazan in viable cells. A decrease in the number of viable cells leads to a reduction in overall enzyme activity and a decrease in the amount of formazan dye produced, which is measured as reduced absorbance in the sample. The same principle is involved in the historically more widely used MTT assay, but Wst-1 is an improved variant with a single add-and-measure approach. Cell morphology Actin cytoskeleton and focal adhesions Cells treated with trypsin normally obtain a globular form and detach from the underlying surface. However, in paper V we observed that cells treated with RI-CPPs were unable to do so and remained unchanged. The actin cytoskeleton is the structure responsible for cell rigidity and movement and the actin filaments terminate with focal adhesions at the cell membrane [119]. Therefore, to visualize the cytoskeleton we used a rabbit antibody that binds to the focal adhesion protein zyxin and phalloidin that binds to polymerized actin. Secondary antibody goat-anti-rabbit-Alexa-594 yields red fluorescence and phalloidin-Alexa-488 fluoresces green. 34 Apoptosis Apoptosis, or programmed cell death, is a highly regulated process of cell suicide. This process follows certain patterns which can be tracked with different methods. In contrary to necrotic cell death, the apoptotic cells forms membrane blebs and are initially not detaching from the cell culture plastics. AnnexinV staining Early in the apoptotic process phosphatidyl serine, normally present on the inside of the plasma membrane, is displayed on the cell surface. Annexin V is a molecule that specifically binds phosphatidyl serine and by utilizing fluorescently labeled Annexin V, apoptotic cells can be detected with FACS or microscopy. To enable distinction between apoptotic and necrotic cells, propidium iodide (PI) is usually included. PI binds nucleic acids with high affinity, but only cells with damaged membrane are stained. However, in the later phases of the apoptotic process also these cells might be permeable to PI making it hard to distinguish late apoptotic from necrotic cells. This method was utilized in paper III and would have been suitable to use also in paper V. However, to be able to analyze the cells with FACS they have to be trypsinized to detach from the cell plastics. Since the RI-peptides displayed the unexpected characteristic of gluing the cells to the plastics, this method could not be utilized. Attempts with scraping the cells only resulted in a large population of PI positive cells, even in cells not treated with peptides. Nuclear condensation The nuclei of apoptotic cells display characteristic fragmentation and condensation of the chromatin. This can be visualized with fluorescence microscopy after staining the cells with a nuclear dye, e.g. Hoechst or DAPI. To be able to quantify the number of condensed nuclei these have to be counted manually, which is a difficult and time consuming task. In paper V a software (kindly provided by Tobias Holm ♥) was used to keep track of counted cells and the proportion of normal and apoptotic cells. Therefore a large number of cells could be counted. Mitochondrial membrane potential Mitochondria have a central role in apoptosis, and the mitochondrial membrane potential is a prerequisite for cellular viability. A fall in mitochondrial membrane potential is one of the earliest events in apoptosis and is correlated with an uncoupling of electron transport from ATP production. MitoTracker® is a mitochondrion-selective probe that accumulates in active mito- 35 chondria, thus a decrease in fluorescence is detected upon lowered membrane potential. Caspase-3 Caspases are crucial mediators of apoptosis. Caspase-3 is a central death protease responsible for many of the characteristic morphological features of apoptosis, such as chromatin condensation and membrane blebbing [120]. Detection of activated caspase-3 is a common assay to show induction of apoptosis and was utilized in paper V. Following treatment with RI-peptides at different concentrations for 4 h, expression of active caspase-3 was visualized with rabbit polyclonal Caspase-3 antibody and goat anti-rabbit-Alexa594 secondary antibody. 36 Results and discussion Studying the uptake of cell-penetrating peptides (Paper I) The research field of CPPs is relatively new, but the fast increase in number of published articles yearly show the great interest the community has in this group of peptides. When more research groups become involved the need for unifying methods is highly appreciated to enable comparison of data from different laboratories. Paper I provides detailed protocols for three different methods of analyzing cellular uptake of CPPs. The first method, spectrofluorometry, enables quantification of CPP uptake. It is performed in 12- or 24 well plates, thus making it suitable for high throughput screening of new CPP candidates. The importance of trypsination is highlighted by demonstrating that the uptake of both pVEC and TP10 is 3-fold higher without trypsination, showing that peptides bound to the outside of the cell are falsely interpreted as internalized if this step is omitted. Since this method precludes discrimination between biologically available peptides and those trapped in endosomes it is recommended to also use confocal microscopy to get more detailed information regarding intracellular localization. In paper I the necessary preparations of the samples for microscopy is described. It is also presented how to include markers for endocytosis to enable co-localization studies, in this case dextran as a marker for macropinocytosis. A flaw with this method is that only the fluorophore is detected, thus it cannot be ascertained that the fluorescence originates from intact CPP and not from degradation fragments. Therefore, the third presented method is excellent in combination with the earlier two. By use of RP-HPLC it is possible to discriminate between internalized and extracellularly bound peptides as well as intact and degraded peptides. This method is unique in its ability to descriminate between intact and degraded CPPs, as well as the amount of degradation products. These three methods are recommended to use in conjunction, since there is no single method available that gives a complete picture of the uptake pattern. Furthermore, the presented protocols are suitable for initial screening and characterization of new CPPs, but in the end all promising candidates need to be further investigated for capability of delivering cargos with retained biological activity. 37 Uptake of cell-penetrating peptides in yeasts (Paper II) The uptake of CPPs in mammalian cells is a well studied phenomenon and it has been shown that CPPs internalize all cell types. However, reports showing uptake into yeast cells are scarce. The cell wall of yeasts is thick and yeast cells are very resistant towards treatment otherwise harmful to both mammalian and bacterial cells [68]. In paper II we show that the CPPs penetratin, pVEC and (KFF)3K are taken up into two different yeast species, C. albicans and S. cerevisiae. Not only internalization, but also degradation of the peptides was investigated and shown to be different depending both on peptide and yeast species. The most dramatic divergence was the uptake of penetratin in the two species. In S. cerevisiae penetratin was the CPP with highest uptake, while in C. albicans the uptake was negligible. However, when subtracting the degraded fragments from the total penetratin uptake the intracellular pool of intact penetratin was negligible in both yeast species. (KFF)3K was a moderate CPP in both species, even when looking at the total uptake. pVEC was the most promising candidate, since it displayed both the highest uptake and highest stability in both species. Surprisingly, L- and D-pVEC were equal in S. cerevisiae, both in terms of stability and uptake. In contrary, the uptake of D-pVEC in C.albicans was about 5-fold higher than L-pVEC at 10 µM, although no degradation products of L-pVEC could be detected. However, in this study the extracellular degradation of peptides was not determined, which could be one explanation to the divergent and unexpected results. If C. albicans expresses some species specific proteases, this might explain the higher uptake of D-pVEC compared to pVEC, penetratin and (KFF)3K, which are all composed of L-amino acids. When analyzing time dependence of uptake for up to 60 min there was a weak but visible pattern that the L-peptides reached a plateau. D-pVEC, on the other hand, showed unsaturated uptake within the same time frame. One explanation might be the higher stability of D-pVEC resulting in accumulation of peptide over time. In summary, we show that CPPs, in addition to mammalian cells and bacteria, also internalizes into S. cerevisiae and C. albicans. Historically, studies with yeasts have yielded basic insight into cellular processes as diverse as mitochondrial genetics, membrane biogenesis and gene silencing, applicable to all eukaryotes [121]. Yeast cells share most of the structural and functional features of higher eukaryotes, which has rendered yeast an ideal model for eukaryotic cell biology. Utilizing CPPs as delivery agents might aid such studies in the future. Furthermore, considering the pathogenicity of C. albicans, cytotoxic agents conjugated to CPPs could be used as antifungal agents. 38 Characterization of a novel cytotoxic cell-penetrating peptide derived from p14Arf protein (Paper III) One feature common for many CPPs is their net positive charge, which also is characteristic for the tumor suppressor protein p14Arf. This gave rise to the idea of searching for cell-penetrating sequences within this protein, with retained biological activity. Peptides from the N-terminus of p14Arf have been reported by others to be sufficient for binding the HDM2 target and increase p53 activity (Table 5). This prompted us to synthesize several Nterminal peptides and investigate if these sequences could have dual properties of being both cell-penetrating and having the biological effect of the p14Arf protein. Interestingly, Arf (1-22) was internalized to the same extent as the established CPP TP10 and was therefore further analyzed. The uptake displayed a vesicular pattern and was partially co-localized with transferrin, indicating that endocytosis, and more specifically CME, was the major mechanism of internalization. Importantly, Arf (1-22) conjugated to splice correcting PNA induced expression of functional luciferase, verifying its capability of delivering functional cargo to the nucleolus. Splicing was further increased when cells were pre-treated with chloroquine, corroborating the involvement of endocytosis in the uptake. Having established the cell-penetrating and cargo delivery ability of Arf (1-22), the cellular effects were next analyzed. Viability was decreased by approximately 50% in both MCF-7 and MDA MB 231 cells following 25 µM Arf (1-22) treatment. This effect could be reached with only 5 µM Arf (1-22) when chloroquine was added, stressing the importance of endosomal escape. MDA MB 231 cells were included as control since these cells are p53 deficient, thus expected to be non-responsive to the tumor suppressive functions of Arf (1-22). Intriguingly, MDA MB 231 cells were as affected as MCF-7 cells, indicating that cellular pathways independent of p53 status were activated. Indeed, p14Arf can trigger apoptosis by mechanisms that do not require the expression of a wild-type p53 protein [122] [123]. Moreover, Arf interacts with and antagonizes the transcriptional function of Myc and E2F1 independently of p53, both proteins being potent oncogenes required for cell cycle progression [124]. The altered viability was not an effect of membrane damage, since no significant leakage of LDH was detected up to 50 µM. However, scrambled Arf(1-22) did cause leakage at higher concentrations, which could be the reason for the reduced viability observed at 25 µM. Chromatin condensation was evident after Arf (1-22) treatment, indicative of apoptosis. FACS analysis of Annexin V binding showed approximately 30% early apoptotic MCF7 cells following 25 µM Arf (1-22) treatment. A partially inverted control peptide (M918, see paper IV) was inactive in the above mentioned viability 39 and apoptosis assays, supporting specific interaction of Arf (1-22) with target proteins. The results presented in this paper show that Arf (1-22) is a promising candidate for drug delivery in tumor cells. Since it is an efficient CPP capable of delivering bioactive cargo, and at the same time possessing an apoptosis inducing effect per se, synergistic effects on tumor cell viability might be achieved by conjugation with cytotoxic cargos. A novel cell-penetrating peptide, M918, for efficient delivery of proteins and peptide nucleic acids (Paper IV) CPPs have emerged as alternatives for efficient delivery of bioactive cargos such as proteins and PNA. Transfection agents composed of cationic lipids are efficient but high delivery efficacy is often accompanied by toxicity. Therefore, novel peptides with high transporting capacity without concomitant toxicity are highly desired. M918 is one such peptide. It was discovered when it was synthesized as a control peptide to Arf (1-22) in paper III. Its uptake in HeLa cells was significantly higher than the well characterized CPPs penetratin and TP10, and it internalized into all investigated cell-lines. No adverse effects on membrane integrity or cell proliferation were detected. Two different approaches for transduction of the proteins avidin and streptavidin were employed; co-incubation and conjugation via biotinstreptavidin/avidin binding. With the co-incubation strategy CPPs and proteins were simply mixed before adding them to the cells. M918 induced the highest increase in uptake of fluoresceinyl streptavidin. Avidin contains more positive charges than streptavidin, thus counteracting the electrostatic interactions needed for complex formation between CPP and protein. Therefore, CPPs does not increase uptake of avidin as much as streptavidin. On the other hand, when mixing biotinyl CPPs with avidin or streptavidin, nearly irreversible bonds are formed and now avidin reached higher intracellular levels with all three CPPs. M918 and TP10 were most efficient, however, at 25 µM TP10 caused 70% leakage of LDH, thus being very toxic at higher concentrations. When treating cells with M918 at 4 °C, the uptake was significantly reduced. Also sucrose and chloroquine had an inhibitory effect on uptake of M918 and transferrin, indicating involvement of CME. Microscopy images of cells treated with M918 together with transferrin showed partial colocalization, but this was also the case with dextran, which is a marker for fluid phase endocytosis. Intriguingly, GAGs on the cell surface were not a prerequisite, since uptake of M918 in CHO cells devoid of GAGs was not significantly reduced. This observation is disparate from many reports claim- 40 ing GAGs to be the initial interacting partner of CPPs preceding cellular uptake, as described in the introduction. However, merely measuring the uptake and localization of M918 per se is not giving true information regarding its capacity as delivery agent. The splice correcting assay described earlier provides a positive read-out regarding bioavailability of the cargo. PNA, coupled to CPP with disulfide bond, binds to the aberrant splice site and induces expression of luciferase upon delivery to the nucleolus. M918 was more efficient than TP10 and penetratin in PNA delivery at 5 µM concentration. This read-out system was employed together with inhibitors of different endocytosis routs to further elucidate which uptake mechanism M918 utilizes. Decreased splicing at 4 °C indicates involvement of endocytosis in general, and the reduction after treatment with cytochalasin D and Wortmannin indicates macropinocytosis in particular. Together with the observed partial co-localization with dextran, macropinocytosis is suggested to be the major entry route. Splicing was increased after addition of the endosome buffering agent chloroquine, thus a large fraction of conjugates were trapped in endosomes and not biologically available before addition of chloroquine. Put together, these results reveal M918 to be a highly efficient delivery vector capable of transporting diverse cargos, such as PNA and proteins, into cells in a non-toxic fashion. Retro-inversion of certain cell-penetrating peptides causes severe cellular toxicity (Paper V) Inspired by the promising results presented in paper III, the goal was to increase the stability of Arf (1-22) to enable decreased administration concentrations and incubation time. Several approaches exist to increase peptide stability; however in paper V the RI isomerization was used. Since it has been reported that p14Arf (1-14) retains the activity of the original p14Arf (1-22) peptide [100], it was also used in paper V. Indeed, the cytotoxicity of RI-Arf (1-14) was increased compared to its L-counterpart. However, a control peptide believed to be inactive was as cytotoxic as RI-Arf (1-14), indicating that the RI-isomerization could induce toxicity per se. This phenomenon was evident also when investigating the splice correcting capacity of the recently discovered CPP M918 and its RI-counterpart, conjugated to splice correcting PNA, as described in paper IV. There was no difference in delivery capacity between the two isomers at 2 and 5 µM, but at 10 µM the splicing of RI-M918-PNA dropped to the same level as 2 µM while the splicing of M918-PNA increased further. Cells treated with RI-peptides also displayed trypsin insensitivity. To further investigate this phenomenon different morphological examinations were 41 conducted, as well as measurements of apoptosis. Tat and penetratin, the two most widely used CPPs, were synthesized in RI-mode and included. Also a truncated version of penetratin was synthesized. RI-Arf (1-14), RI-M918, and RI-penetratin decreased the metabolic activity in all three cell-lines (MCF-7, MDA MB 231, and HeLa), as determined with the Wst-1 assay, without rupturing the plasma membrane since no significant leakage of LDH could be detected. RI-Tat and RI-short penetratin did not affect viability; neither did the L-peptides. The same pattern was observed when investigating the morphological alterations; treatment with the longer RI-peptides was detrimental to the focal adhesions and the actin cytoskeleton, while Lpeptides where harmless. To investigate if RI-peptides induced apoptosis, firstly, the mitochondrial membrane potential probe MitoTracker® was utilized. During early apoptotic events the inner mitochondrial transmembrane potential is disrupted. The results revealed that RI-Arf (1-14) and RI-penetratin exhibited a detrimental effect on the mitochondrial network already after 3 h, suggesting this to be the initiating event preceding the morphological alterations described above. The longer RI-peptides also induced chromatin condensation visualized by Hoechst staining and, as a more specific marker for apoptosis, increased caspase-3 expression. None of these effects were evident upon RI-Tat, RIshort penetratin or L-peptide treatment, suggesting that longer RI-peptides induced the observed cellular alterations. The importance of peptide length on cellular toxicity has been demonstrated before [125]. The shortening of MAP peptide by four amino acid residues either N- or C-terminally, corresponding to removal of one of the α-helix turns, eliminated its toxic effects [126]. This raises the question whether there is a correlation between helicity (a membrane interacting secondary structure) and cytotoxicity. Indeed, the concept of “stapled” peptides, where an introduced molecule stabilizes the helical structure of a peptide, shows that these peptides possess strong intracellular activities resulting in apoptosis of tumor cells [127]. The toxic peptides presented in paper V all contain amino acids commonly found in helical structures, whereas RI-Tat is highly cationic, counteracting formation of helixes. Furthermore, both RI-Tat and RI-short penetratin are likely too short to form a secondary structure. The observed differences in toxicity might also stem from differences in intracellular levels of the peptides, since Tat per se is not a very efficient CPP [128-130] and its uptake has been demonstrated to be about 50 times lower than penetratin at 5 µM [131]. In summary, we suggest that RI-isomerization of longer CPPs causes cytoxicity displayed as diminished metabolic activity and mitochondrial membrane potential, leading to gross morphological alterations resulting from depolymerized actin cytoskeleton. These changes ultimately culminate in apoptosis. 42 Conclusions Paper I: The presented protocols provide three different methods to determine the cellular uptake of CPPs. If used in parallel these assays provide information regarding amount, degradation as well as intracellular distribution of internalized fluorophore labeled CPPs. Paper II: The three investigated CPPs are internalized into both S.cerevisiae and C. albicans with different efficacy. However, the intracellular stability varies from complete stability, as with pVEC, to almost complete degradation, as with penetratin. Paper III: Arf (1-22) is an efficient CPP with the ability to transport bioactive cargo and, at the same time, reduces the viability of cancer cells. The dual cell-penetrating and apoptogenic ability presented by this peptide is attractive in the search for improved therapeutic agents, since cytotoxic drugs may be conjugated, possibly yielding a synergistic effect on tumor cells. Paper IV: M918 has emerged as an outstanding CPP capable of transporting both PNA and proteins into cells in a non-toxic fashion, with an efficiency superior to most established CPPs. Paper V: Retro-inversion of certain CPPs causes toxicity not attributed to the inherent function of the original natural peptide. This modification also renders the treated cells resistant to trypsination. These results advance the current knowledge about CPP uptake and stability in different organisms. The finding of a novel CPP with superior vector abilities is highly appreciated and a promising tool for improved cargo delivery. Furthermore, the design of a CPP with inherent biological function opens a new avenue in drug discovery. However, applying the commonly exploited RI modification on this and other CPPs generates cytotoxic peptides, a phenomenon which has not been reported before. This provides a warning to other researchers attempting to increase peptide stability with this modification. 43 Populärvetenskaplig sammanfattning på svenska Kroppen är uppbyggd av celler som är omslutna av ett skyddande fetthölje kallat plasmamembran. Läkemedel består ofta av vattenlösliga substanser som inte kan tränga igenom plasmamembranet utan måste transporteras över det för att kunna ha sin verkan inne i cellen. Denna transport kan utföras på olika sätt, men de verktyg som presenteras och analyseras i den här avhandlingen kallas för cell-penetrerande peptider (CPPer). 1994 var det en forskargrupp i Frankrike som upptäckte den första CPPen och sedan dess har flera hundra nya rapporterats. Det som är så anmärkningsvärt med dessa peptider, som är små fragment av proteiner, är att de inte bara kan ta sig över plasmamebranet, utan också föra med sig andra substanser som annars skulle vara exkluderade från cellen. Till och med jästceller, som förutom plasmamembran också omsluts av en tjock vägg av olika kolhydrater, kan penetreras av CPPer. Detta kan utnyttjas inom grundforskning när man vill undersöka funktionen av olika proteiner. Genom att koppla olika substanser till CPPer kan dessa tas upp i cellen och inaktivera proteinet av intresse och man kan då undersöka hur det påverkar cellen. Det finns även arter av jäst som kan orsaka sjukdom och då kan man koppla på giftiga molekyler på CPPer som dödar jästen. CPPer används inom många olika forskningsområden, framför allt inom olika sjukdomar som diabetes och cancer. Cancerceller har förmågan att dela sig oändligt många gånger och mycket forskning inriktas därför på att döda dessa, utan att skada normala celler. I den här avhandlingen presenteras en peptid som har förmågan att både döda cancerceller och vara en CPP, vilket är något helt nytt. Det visade sig även att en peptid som användes som kontroll, det vill säga inte var skadlig för celler, var en mycket effektiv CPP. Den var faktiskt mer effektiv än de etablerade CPPer den jämförts med och den kunde transportera både proteiner och modifierade nukleinsyror in i celler. Ett stort problem när peptider ska användas som läkemedel är att de snabbt bryts ner i kroppen. Med syfte att öka stabiliteten av de två peptiderna presenterade ovan syntetiserades de på ett sätt som gör att nedbrytningsenzymer inte känner igen dem. Det visade sig dock att dessa modifierade peptider orsakade irreversibla skador på celler, vilket inte har rapporterats förut och kan 44 fungera som ett varnande exempel för andra forskare som tänkt utnyttja samma metod. CPPer som forskningsområde har ökat explosionsartat det senaste decenniet och fler och fler forskningsgrupper använder CPPer inom sina respektive områden. Data som kommer från olika laboratorier är svåra att jämföra beroende på att olika parametrar använts, tex celltyp, peptidkoncentration och inkuberingstider. Därför publicerade vi tre olika protokoll som med fördel kan användas parallellt för att ge en mer komplett bild av CPPers upptag i celler och som kan underlätta jämförelse av data. 45 Acknowledgements Nu har jag då kommit till den sista och viktigaste delen av avhandlingen. Efter en rad misslyckade projekt, några mer framgångsrika, mycket jobb och två mammaledigheter börjar jag äntligen närma mig slutet! Jag hade inte kommit så här långt om det inte var för en rad personer. Först och främst vill jag tacka min handledare Ülo för att ha gett mig frihet att göra det jag tycker är spännande, även om det inneburit sidospår. Tack för att du alltid tar dig tid. Mattias, vilken tur jag hade att du behövde hjälp i ett projekt när jag var precis ny! Tack för trevligt sällskap på många middagar. Jag vill även tacka alla lärare för stimulerande föreläsningar. Ett stort tack till den administrativa personalen Ulla, Marie-Louise, Birgitta och Siv för att ni får institutionen att fungera. Ett särskilt tack går till Siv för att du bryr dig och orkar se till att saker blir gjorda. Alla tidigare och nuvarande doktorander; ni har verkligen gjort de här åren roliga och minnesvärda! Det är några jag vill tacka särskilt: Ulla, du har funnits där från dag 1! Tack för allt, både på jobbet och utanför. Du är verkligen inspirerande! Helena, vem hade kunnat tro att vi skulle bli släkt en dag? Du är så härligt annorlunda och jag blir glad bara av att prata med dig! Maarja, du är en genomgod människa. Jag är så glad att jag fått lära känna dig. Samir, var ska jag börja? Din närvaro har inspirerat så många och du kommer gå långt. Tack för alla diskussioner, stunder på gymmet, fester och lekstunder med barnen. Henke, tack för allt du lärde mig när jag var ny och för alla gym-besök. Pontus och Linda, oj va jag har saknat att ha er på rummet! Det blev verkligen tomt när ni slutade Peter J och Jonas, det har varit mysigt att ständigt höra era diskussioner tvärs över korridoren. Tack Peter G, för alla kluriga inlägg på seminarierna, Florén, för sällskap och roliga samtal sena kvällar på labbet, Katri, för hjälp på synteslabbet och Maria, för att du först fick mig intresserad av cellpenetrerande peptider. Emelia, Mats and Yang thank you for always helping out when the HPLC doesn’t want the same thing I do. Rania, lycka till med din lilla flicka. Johan, du är en klippa! Tack för all hjälp med ditten och datten. Andrés, Staffan, Kariem, Henrik och Kristin, ni har några tuffa men roliga år framför er! 46 Johanna, du är verkligen en rolig kompis. Ibland skulle jag vilja vara lika tuff som du! Caroline, tack för sällskap många tidiga morgonar. Jag saknar ditt skratt. Veronica, jag är så glad att du är kvar. Karro, jag beundrar din självständighet. Marie, du är en kämpe! Tack Malin, Nina, Tom, Kristin, Linda T, Sofia, Jessica och Helena G för alla roliga pratstunder i lunchrummet. Xin, thank you for always being so cheerful. Tack igen till Maarja, Kerstin och Samir för att ni tog er tid och korrekturläste min avhandling. Helin and Margus, thank you for a fruitful collaboration that resulted in paper V. Tobias, tänk att du gjorde ett cell-räknar program till mig när jag hade typ miljoner celler jag skulle sitta och räkna! Tack också för bilderna i avhandlingen. Du är bäst! Mina älsklingstjejer som har följts åt ända sedan vi började på universitetet: Anne, Banafsheh, Karin, Christine och Emma! Jag längar alltid till våra träffar och går därifrån med öronen trötta av allt prat. Peter och Bettan, det känns verkligen som om jag haft en liten hejarklack där borta i Asien.Ni är underbara! Min nya familj: Miriam och Torbjörn, tack för att ni alltid bryr er! Det finns inga bättre svärföräldrar. Mattson, Martin, Ullis och Micke, tack för allt roligt vi har gjort. Tusen tack till Miriam, mamma och pappa för all barnvaktshjälp de senaste veckorna. Utan er hade det inte gått. Min älskade syster! Tack för att du alltid finns där och för att du faktiskt har försökt sätta dig in i vad det är jag gör egentligen. En gång hörde jag dig berätta för en kompis vad det är jag jobbar med och du hade ju verkligen fattat! Mamma och pappa! Nu blir jag rörd när jag ska försöka skriva....Tack för allt stöd, för att ni alltid finns där och för att ni alltid uppmuntrat mig att göra det jag brinner för. Ni är dessutom underbara morföräldrar! Elvine och Einar, mina älsklingar! Ni har fått mig att förstå vad som är viktigast i livet. Tobias, orden räcker inte till för att beskriva vad du betyder för mig. I svåra stunder finns du där och delar tyngden, i alla lyckliga stunder gör du glädjen dubbel. Du är mitt allt! 47 References [1] van der Rest, M.E., Kamminga, A.H., Nakano, A., Anraku, Y., Poolman, B., and Konings, W.N. (1995). The plasma membrane of Saccharomyces cerevisiae: structure, function, and biogenesis. Microbiol. Rev. 59, 304-22. [2] Latge, J.P. (2010). Tasting the fungal cell wall. Cell. Microbiol. 12, 863-72. [3] Latge, J.P. (2007). The cell wall: a carbohydrate armour for the fungal cell. Mol. 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