[CANCER RESEARCH 42, 1716-1721, 0008-5472/82/0042-OOOOS02.00 May 1982] Correlation between Amounts of Cellular Membrane Components and Sensitivity to Hyperthermia in a Variety of Mammalian Cell Lines in Culture1 Anne E. Cress,2 Patrick S. Culver, Thomas E. Moon, and Eugene W. Gerner Department of Radiology, Division of Radiation Oncology ¡A.E. C., P. S. C., E. W. G.J, and the Cancer Center Division [T. E. M.J, Arizona Health Sciences Center, Tucson, Arizona 85 724 ABSTRACT The weight ratio of either cholesterol or phospholipid to protein contents in 7 different cell lines, growing exponentially at 37°, correlates positively with increasing resistance of the cells to subsequent hyperthermic cell killing. The relative heat resistance of each cell line is derived from survival curves obtained when the different cell lines are exposed to 43°. Cholesterol and phospholipid amounts in the particulate frac tion correlate with survival sensitivity to 43°when the values are expressed per mg protein but not when expressed per cell number. Also, cholesterokphospholipid molar ratios and the amount of protein in the particulate fraction do not display linear correlations with sensitivity of the respective cell lines to 43°-induced cell killing. The relative degree of fatty acid satu ration at 37°also is independent of whether cells show a higher degree of heat resistance. These data suggest that lipid (both cholesterol and phospholipid):protein weight ratios correlate with increasing resistance of cells to an elevation in tempera ture. The major implication of these data is that major mem brane components can influence and perhaps predict cellular survival to hyperthermia. INTRODUCTION Our laboratory is currently studying the efficacy of hyperthermic treatments for tumor eradication. The basis for this treatment is the exploitation of the apparent increased cytotoxicity of cells to elevations in temperature above 37° (3, 13). We and others find empirically that the sensitivity to hyperther mia varies with the type of cell lines grown in vitro (3, 4, 24). In this study, we use 7 different cell lines to investigate a probable cause for the disparate survival responses of cells exposed to hyperthermia. Our working hypothesis is that the primary constituents of the mammalian cell plasma membrane are major factors in determining cellular heat resistance. Although it is likely that heat, as a nonspecific agent, has multiple cellular targets, we believe a major cellular defense against hyperthermia-induced cytotoxicity may be the integrity of the plasma membrane. Components which would "rigidize" the plasma membrane and/or decrease permeability would be expected to protect against the lethal effects of hyperthermia. Hahn ef al. (15) have shown increased cellular uptake of Adriamycin at elevated temperatures (15), and we have noted that cells appear to "leak" polyamines as a consequence of exposure to hyper ' This research was supported by USPHS Grants CA-18273, 30052, andCA-23074. 2 To whom requests for reprints should be addressed. Received April 17. 1980; accepted February 10, 1982. 1716 CA-17343, thermia (9-11 ). In addition, the known acclimation mechanisms of organisms to environmental temperature fluctuations sug gest the membrane as a likely candidate for the modulation of the heat survival response (19). We are particularly concerned with cholesterol and phospho lipid concentrations and the degree of fatty acid saturation since these factors are primarily responsible for the physical characteristics of the membrane. For example, elevations of cholesterol are known to decrease membrane permeability (23) and alter the permeation rate or transport of a solute across lipid bilayers (5). CHO3 cell mutants deficient in cholesterol have more "fluid" membranes as measured by spin labeled probes (26, 27). Cholesterol thus appears to be one candidate capable of increasing the rigidity of the plasma membrane and decreasing membrane permeability. Decreased permeability can also be achieved by the in creased saturation of fatty acids. It is known that increasing the amount of saturated fatty acid by dietary manipulation in Escherichia coli modifies the thermal sensitivity of these cells (28). Thus, we have an empirical link between increased satu ration, decreased permeability, and an increased resistance to hyperthermia-induced cytotoxicity. These various studies, using a number of systems, indicate a relationship between the amount of cholesterol, fatty acid saturation, and phospholipid and the physical state of the membrane. Specifically, modifications in these components are known to alter permeability which in turn might explain the intrinsic differences in the specific cell line survival responses to hyperthermia. In this study, we have asked whether the amount of cholesterol or phospholipid and the degrees of fatty acid saturation, measured in cells growing normally at 37°, correlates with the eventual survival potential of these cells after exposure to 43°.This report extends our previous studies which indicated a positive correlation between cholesterol con centrations and cellular resistance to hyperthermia (4). MATERIALS AND METHODS Cell Culture Techniques. All cell lines were maintained and treated in log-phase growth in McCoy's Medium 5A supplemented with 20% fetal bovine serum, 100 units penicillin per ml, and 100 jug streptomycin per ml (all from Grand Island Biological Co., Grand Island, N. Y.). All lines were grown in a 5% CO2:95% air atmosphere at 37°. Survival Experiments. All cell lines were maintained in exponential growth in monolayer cultures in T-25 flasks (Falcon Plastics, Oxnard, Calif.). Survival was determined by the ability of single cells to form colonies and was used to determine the thermal sensitivity of the CA3 The abbreviations used are: CHO, Chinese hamster ovary; LDX, 50% lethal dose. CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1982 American Association for Cancer Research. VOL. 42 Cholesterol, Phospholipids, various cell lines studied. The procedure as used by us and the hyperthermic treatment conditions in our temperature-controlled water bath (temperature uniform and constant to ±0.1°)have been described previously in detail (8, 12). Control plating efficiencies and doubling times, respectively, were: CHO, 85 to 95%, 13 to 15 hr; EMT6/AZ (mouse mammary sarcoma), 60 to 80%, 15 to 16 hr; RT-9 (rat astrocytoma), 60 to 80%, 14 to 15 hr; Rat-1 (tsLA24/RSV) [rat fibroblast infected with a temperature-sensitive mutant of Rous sarcoma virus (see 22)], grown at 37°, 37 to 40%, 11 to 13 hr; Rat-1 (normal rat fibroblast), 50 to 70%, 15 to 17 hr; Rat-1 (wt/RSV) [rat fibroblast infected with Rous sarcoma virus (22)], 43 to 45% 13 to 17 hr; HeLa (human cervical carcinoma), 65 to 80%, 20 to 22 hr. Cholesterol, Protein, and Phospholipid Determinations. For each sample, 2.5 x 107 cells were harvested by scraping the culture flasks with a rubber policeman, washed twice with 10 ml of Puck's Saline A (Grand Island Biological Co.), sonicated into 0.01 M Tris buffer, pH 7.2, and centrifuged for 20 min at 31,300 x g. Sonication results in disruption of 95% of the cells as revealed by microscopic examination. Cell number was determined using an electronic particle counter (Coul ter Electronics, Inc., Hialeah, Fla.). The particulate fraction was ex tracted with chloroform:methanol:water (2:2:1), and the amount of cholesterol was determined spectrophotometrically by the method of Glick ef al. (14). Chromatographically pure cholesterol (Sigma Chemi cal Co., St. Louis, Mo.) is used as a standard. Our extraction procedure was monitored by thin-layer chromatography using a chloroform: eters and cell membrane attempted here. components. Nonlinear and Hyperthermia analyses were not RESULTS Cell Survival to 43°.Chart 1 describes the survival response of the various cell lines exposed to 43°for the times indicated. All cell lines are in exponential growth prior to treatment and are grown in identical media, which are at pH 7.4 throughout all procedures. The relative resistance of the cells to hyperthermia is estimated from these survival curves and is repre sented as a DQ.The D0 is the reciprocal slope of the exponential portion of the survival curve and has units of time for a specific temperature. For example, in Chart 1, Rat-1 (wt/RSV) has the greatest D0 and CHO has the smallest D0, corresponding to high resistance to heat and low resistance to heat, respectively. Chart 1 shows the disparate survival responses of different cell lines exposed to identical elevations in temperature. Table 1 supplies further detail about the data given in Chart 1, methanoLacetic acid (90:10:1) solvent. Protein determinations were done according to the method of Brad ford (2). The particulate fraction was hydrolyzed using a final concen tration of 1 N NaOH which does not interfere with the protein determi nation. Phospholipid concentrations were measured from the extract of the particulate fraction by the colorimetrie method of Raheja ef al. (25). A Chromatographically pure reference standard of phosphatidyl choline (Sigma) was used. Saturated and Unsaturated Fatty Acid Measurements. The weight ratios of saturated to unsaturated fatty acids were estimated here by the ratios of stearic saturated to stearic one-double bond fatty acids. Approximately 1.0 x 106 cells were used for this assay. After the particulate fraction was isolated (as described previously), 1 ml of 2.5 N KOH in methanol and 40 /¿gof heptadecanoic acid (an internal standard) were added, and this mixture was heated for 30 min at 70°. After cooling, 1.5 ml of 1 M phosphoric acid were added and mixed well. Then, 1 ml of hexane was added to the hydrolysate, mixed well, and centrifuged at 1200 x g for 3 min. Two additional 0.5-ml hexane extractions were carried out, and all the hexane solutions were com bined. To the hexane solution, 200 n\ of 0.5 M aqueous trimethyltrifluorotolylammonium hydroxide (21) were added. Fatty acid methylesters were formed on the gas Chromatographie column (2 mm x 0.5 meter; 3% Silar 10C on Gas Chrom Q 100/120) which was interfaced with a mass spectrometer (Finnigan 3300). The quantitation of fatty acid methyl esters was performed by comparing the relative weight re sponse of the cellular fatty acids to the internal standard using the total ion current of the selected ions. Statistical Methods. Linear regression analysis was carried out using the observed data (log survival versus time at 43° and survival parameters versus measured membrane component values) to obtain estimates of slope and intercept (6). The estimated values for D0 (final slope parameter), Dq (quasithreshold dose), and LD50 were then deter mined from the slope and intercept parameters as described by Elkind and Whitmore (7), discriminating all survival values above 20%. The estimated standard errors of the estimates were obtained using the method of propagation of error (18). The goodness of fit of the regres sion equations was evaluated by the multiple correlation coefficient, R2, that quantifies the variation explained by the combined influence of the independent variables. The p value associated with each ff indi cates the degree of significance that R2 differs from zero. Only linear correlation coefficients MAY 1982 were determined between survival curve param- Chart 1. Survival of 7 different cell lines in exponential growth after exposure to 43° for varying times shown. All lines were maintained at 37° in McCoy's Medium 5A supplemented with 20% fetal bovine serum. Survival is based upon colony-forming ability as described in the text. Table 1 Multiple correlation coefficient and standard errors of the various Dt>s lineCHORT-9EMT6/AZRat-1 Cell (37°)Rat-1HeLaRat-1 (tsLA24/RSV) (wt/RSV)Do10.5112.8427.0432.9635.3850.8167.54S.E.0.471.536.762.0114.119.736.08fl2"0.990.730.490. a The multiple correlation coefficient (fl2) indicates the proportion of variation about the mean representing the regression line. 1717 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1982 American Association for Cancer Research. A. E. Cress et al. indicating the standard error about the mean for the D0s and the multiple correlation coefficient (R2). It should be noted here that the D0s for the Rat-1 and EMT6/AZ cell lines (R2 = 0.41 and R2 = 0.49, respectively) have the smallest proportion of variation which is represented by the survival curve in Chart 1. In other words, the D0s representing the Rat-1 and the EMT6/ AZ cell lines are the least accurate of all the D0s determined. We have used the fact that cells in cultures are differentially sensitive to heat to ask whether the amount of any major membrane component correlates with an increasing O0. Phospholipid, Cholesterol, and Protein Measurements. Since there are suggestive data (see "Introduction") that the plasma membrane is involved in hyperthermic cell killing, it is important to determine which major membrane components are probable contributors to the resistance of cells to hyperthermia. The major membrane components described in this report are phospholipid, cholesterol, and general protein amounts present in the particulate fraction of the various cell lines. Chart 2 graphically depicts the functional dependence of cell survival sensitivity to 43° heat, indexed by D0 values, on MQCholesterol/106 Cells tig Phospholipid/106 4 02468 100 8 Cells 12 16 and 0.737, respectively). This finding suggests that cell lines which are more resistant to hyperthermia-induced cell killing contain both more cholesterol and more phospholipid relative to protein in the particulate fraction. Interestingly, the D0s do not correlate well with the amounts of either cholesterol or phospholipid per cell number (Table 3, R2 = 0.152 and 0.102, respectively; Chart 2, A and ß),possibly because each cell line differs significantly in size. These data indicate that cells which have higher amounts of phospholipid and cholesterol relative to protein when growing at 37°are more resistant to the cytotoxic effects of subsequent hyperthermic exposures. The O0s are not significantly corre lated with the molar ratio of cholesterol to phospholipid (Table 3, R2 = 0.091; Chart 2O). In addition to cholesterol and 80 60 phospholipid concentrations, the protein amount of cellular particulate fraction is determined. Table 3 and Chart 2C show that the D0s do not correlate significantly with the protein concentration in the particulate fraction (R2 = 0.246). 40 20 Since heat is a nonspecific agent, it is likely that multiple parameters may be important to correlate significantly with the D0s. Therefore, a multivariate analysis was performed to deter mine which combination of factors correlated most highly with the D0s. Cellular Parameter Combinations and the O0. We have analyzed 5 different groups of combinations in order to deter mine statistically which combinations best correlate with the D0. The degree of correlation is reported in Table 4 in terms of 2 values, R2 and p. R2 indicates the proportion of variation 0 80 60 40 20- 0 cholesterol (A), phospholipid (6), and protein (C) contents expressed per unit cell number. Chart 2D shows this same relationship for cholesterol:phospholipid molar ratios. The ac tual values for each parameter by cell line are shown in Table 2, and the statistical analyses of linear correlations are seen in Table 3. Chart 3 describes the manner in which heat sensitivity (D,,) changes as a function of the lipid (cholesterol or phospholipid):protein ratio in the particulate fraction of each cell line. A positive correlation exists between D0 and the amount of either cholesterol or phospholipid per protein, as indicated by rela tively high multiple correlation coefficients (Table 3, R2 = 0.770 SO 100 150 200 0 HflProtein/10« Cells Chart 2. Sensitivity (D0) to 43°-irtduced content present in the particulate fraction content present in the particulate fraction content in the particulate fraction 0.2 0.4 0.6 about the mean representing the regression line. In other words, a higher number for R2 represents a higher correlation 0.8 Cholesterol/Phospholipid Molar Ratio cell killing as a function of: cholesterol of 1.0 x 106 cells M); phospholipid of 1.0 x 106 cells (B); and protein of 1.0 x 106 cells (C). D, cholesterol:phospholipid molar ratio. Bars. S.E. Each survival curve was char acterized by measuring survival after at least 5 different exposure times with 9 individual dishes/time interval at 3 different cell dilutions. Each curve was then done in triplicate. with the regression line. In the analysis of the different combi nations, the highest R2 value with the lowest p value represents the best combination of cellular factors correlating with high sensitivity. We have found that all the parameter combinations which include /ig cholesterol per mg protein correlate well with Do values (R2 > 0.75). The combination of jug protein per unit cell number and cholesterol:phospholipid molar ratio displays Table 2 Summary of various components of the particulate fraction of 7 different cell lines lineCHO Cell cells)1 10e .70 RT-9 2.98 EMT6/AZ 7.50 Rat-1 (tsLA24/RSV) 3.60 Rat-1 2.90 4.25 HeLa Rat-1 (wt/RSV)Cholesterol 4.97 8 Mean ±S.E. 1718 (fig/ cells)7.75 10« ±0.07" 13.05 ±0.29 ±0.93 17.46 ±0.18 10.92 ±0.08 15.19 ±0.27 12.70 ±0.17Phospholipid 13.85 (¿ig/ (¿ig/ 10" cells)80.51 phospholipid ratio0.48 molar ±1.21 ±18.66 ±0.03 ±0.04 129.51 ± 8.02 0.43 ±0.03 ±5.56 0.70 ±0.01 202.10 ± 6.39 ±0.89 96.03 ± 5.22 0.54 ±0.03 ±3.51 96.66 ± 3.92 0.71 ±0.03 ±0.79 85.78 ± 8.63 0.49 ±0.04 ±2.04Protein 43.53 ± 3.14Cholesterol: 0.61 ±0.08 CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1982 American Association for Cancer Research. VOL. 42 Cholesterol, Phospholipids, the lowest level of correlation (fl2 = 0.522 and p = 0.228). The combination of all these parameters gives a R2 = 0.878 but has a high p value (p = 0.504). It is interesting to note that, although several combinations of cellular factors give relatively high correlations with high R2 and low p values (Table 4), individual cellular parameters (jug cholesterol per mg protein and fig phospholipid per mg protein) give comparable R2 and p values (Table 3). These data indicate that a measurement of either cholesterol/mg protein or phospholipid/mg protein is as good a correlate to D0 as the combination of factors, including protein content/cell and cholesterohphospholipid molar ratios. The last phase of our analysis of primary membrane parameters was the fatty acid content of the particulate fraction. Fatty Acid Content. In addition to cholesterol, fatty acid saturation is known to modify membrane permeability and may also be predictive of the hyperthermic survival response. How ever, Table 5 shows that there is no obvious trend relating the amount of stearic saturated fatty acids in each cell line with the corresponding D0. Note that these values are in terms of weight per 1.0 x 106 cells. If the data were expressed in terms of protein content in particulate fraction, there is still no apparent correlation between the fatty acid content in the particulate fraction and the D0. A calculation of the weight ratio of stearic saturated to stearic one-double bond fatty acids does not correlate with the D0. For example, the ratio of stearic saturated to stearic one-double bond fatty acids is 1.4 for both a D0 = 35.38 and Do = 10.51. Table 3 Correlation of individual cellular parameters with the D0 Parameter/ig cholesterol/mg protein /jg cholesterol /1 .0 x 108 cells 0.152 0.737 0.102 0.246 0.091P0.009 /ig phospholipid/mg protein /ig phospholipid/ 1.0 x 106 cells /ig protein/1.0 x 106 cells 0.387 0.029 0.485 0.257 0.510 Cholesterohphospholipid molar ratioR230.770 " The multiple correlation coefficient (R2) indicates the proportion of variation about the mean representing the regression line. 80- 60- E. <3 40 20- 100 200 300 MÕ! Lipid/mg Protein Chart 3. The relationship of D0 (heat sensitivity) as a function of either cho lesterol (•) or phospholipid (O) content/mg protein for the cell lines characterized In Charts 1 and 2. Bars, S.E. MAY 1982 and Hyperthermia Table 4 Correlation of various cellular parameter combinations Parameter combinations fl2 and the D0 p /ig cholesterol/mg protein Cholesterolrphospholipid 0.779 0.049 ng cholesterol/mg protein ng phospholipid/mg protein 0.864 0.050 /ig cholesterol/mg protein /ig protein/106 cells 0.773 0.051 0.522 0.228 0.878 0.504 /ig protein/106 cells Cholesterohphospholipid /ig cholesterol/mg protein /tg phospholipid/mg protein /¿g protein/10e cells Cholesterohphospholipid Table 5 A comparison of fatty acid content, cholesterol content, and heat sensitivity in 5 different cell lines Cholesterol </ig/10e cells)16:0"17.0 acid (/ig/106 at 43° (min)67.54 cells)Rat-1 Cell line (wt/RSV) Rat-1 EMT6/AZ RT-9 CHO4.97 2.90 7.50 2.98 1.50Fatty 64.0 49.0 34.0 12.0 13.0 15.0 8.2 5.9 5.8 35.018:015.029.018:112.121.0Do 35.38 27.04 12.84 10.51 16:0, palmitic saturated fatty acid; 18:0, stearic saturated fatty acid; 18:1, stearic one-double bond fatty acid. DISCUSSION In previous studies, we have found that a positive correlation exists linking elevated cholesterol levels to an increased re sistance of cells to hyperthermia (4, 9). We have extended those studies in this report to include examining whether other membrane components correlate equally well with increased thermal resistance. An increased thermal resistance is judged by an increase in the D0, which was defined earlier. We have also correlated the membrane parameters in this report to other indicators of heat sensitivity, namely LD50 and Dq. LD50 is defined as the dose required to result in 50% survival and the Dq corresponds to the width of the shoulder portion of the survival curve. In all cases, the D0 was the best correlate with every membrane parameter (data not shown). We have found that, of all the parameters examined, the cholesterol content/mg protein and the phospholipid levels/ mg protein are the best positive correlates with heat sensitivity (Table 3). Interestingly, if the cholesterol and phospholipid contents are normalized to cell number, there is not a positive linear correlation (Table 3). A possible explanation for this finding is the fact that all the cell lines tested vary with respect to cell size. The amount of protein in the particulate fraction does not significantly correlate with an increasing D0 (Table 3). To date, we have analyzed only linear correlations between D0s and various membrane components. It is possible that other functional relationships exist. Fatty acid saturation is another important parameter since it is a major factor in modifying membrane physical properties. We have found that the amount of saturated stearic and palmitic fatty acids show no trend either in correlating with the spectrum of D0s or in reflecting the amounts of cholesterol (Table 1719 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1982 American Association for Cancer Research. A. E. Cress et al. 5). The observations argue against a role of fatty acid saturation in predicting survival to hyperthermia and against a compen sation for the elevated cholesterol levels by an increased desaturation of fatty acid. It should be noted here that the particular fatty acids were examined and chosen because of their predominance in the membrane. Cholesterol:phospholipid molar ratios often are used as a convenient index of "packing." According to our working hypothesis, one would expect that the D0 should positively correlate with the "packing ratio." However, we show that the Do is apparently Independent of the cholesterol:phospholipid molar ratio. This conflict may be resolved with the knowledge that cholesterol can exist in clusters, possibly similar to the arrangement found by Higgins et al. (17) in erythrocyte ghosts. In addition, our computation of a phospholipid molar ratio necessarily depends upon an average molecular weight for phospholipid. Finally, it is possible that the degree of fatty acid saturation in fatty acids not measured (24:4 and 18:2, for example) determines the membrane fluidity. Our data suggest that, of all the membrane components we have studied, lipid (cholesterol or phospholipid):protein ratios appear to be the closest individual link to predicting subsequent sensitivity to hyperthermia-induced cell killing in a variety of cell lines of different species. We have also examined which combination of individual parameters would best correlate with the D0. This is important since the membrane is a complex structure and it may be that multiple components are involved in thermal resistance. We have found that, of all the combinations studied, again the lipid (cholesterol or phospholipid):protein ratio correlated as well as the best combinations when both R2 and p values were consid ered. The work presented with the Rat-1 cell line addresses the influence of the transformed state on heat sensitivity. Compar ing the survival data from the Rat-1 normal fibroblasts and the Rat-1 (wt/RSV) and Rat-1 (tsLA24/RSV) transformed cells, it is evident that the transformed state does not correlate with either sensitivity or resistance to 43°-induced cytotoxicity. Rather, it is the state of the membrane (e.g., cholesterol levels, etc.) which predict the subsequent heat response. Our results argue strongly for a role of membrane compo nents and their ratios, specifically cholesterohprotein and phospholipid:protein, in the mechanism of hyperthermic cell inactivation. In support of this idea is an observation by Hahn ef al. (16) indicating that the polyene antibiotics, such as amphotericin B and nystatin, greatly enhance cell killing induced by hyperthermia. These antibiotics purportedly act by binding to accessible sterols, such as cholesterol, in mammalian cells. In addition, Anderson ef al. (1) have shown that increased cholesterol:phospholipid molar ratios correlate with a decreased membrane fluidity. It is important to note that cells do not lyse immediately during or after heat treatments but rather die a proliferative death. We do not argue that cholesterol or other membrane components are the only factors involved in heat cell killing. Rather, we believe our results are consistent with the specu lations of Landry and Marceau (20). These authors have pro posed that cell inactivation by heat results from multiple (2 to 3) mechanisms in the 41-49° temperature range. Thus, a membrane step may comprise one aspect of the mechanism of thermal cell death, with other events, possibly involving nuclear 1720 damage, also contributing to proliferative death. to the overall mechanisms leading ACKNOWLEDGMENTS We appreciate the expert assistance of Sai Y. 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