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Originally published In Press as doi:10.1074/jbc.M102453200 on May 25, 2001
J. Biol. Chem., Vol. 276, Issue 30, 27846-27854, July 27, 2001
Transport of the -O-Glucuronide Conjugate of the
Tobacco-specific Carcinogen
4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) by the Multidrug
Resistance Protein 1 (MRP1)
REQUIREMENT FOR GLUTATHIONE OR A NON-SULFUR-CONTAINING
ANALOG*
Elaine M.
Leslie §¶,
Ken-ichi
Ito§,
Pramod
Upadhyaya ,
Stephen S.
Hecht ,
Roger G.
Deeley§, and
Susan
P. C.
Cole §**
From the Department of Pharmacology & Toxicology and
the § Cancer Research Laboratories, Queen's University,
Kingston, Ontario, K7L 3N6 Canada and the University of
Minnesota Cancer Center, Minneapolis, Minnesota 55455
Received for publication, March 19, 2001, and in revised form, April 24, 2001
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ABSTRACT |
Nitrosamine
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and its metabolite
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) play a crucial
role in the induction of lung cancer, and NNAL-O-glucuronide formation and elimination are important
steps in detoxification of these compounds. In the present study, we investigated the ATP-binding cassette (ABC) protein, MRP1 (ABCC1), as a
candidate transporter responsible for NNAL-O-glucuronide export. MRP1 mediates the active transport of numerous GSH-, sulfate-, and glucuronide-conjugated organic anions and can transport certain xenobiotics by a mechanism that may involve co-transport with GSH.
Using membrane vesicles prepared from transfected cells, we found that
MRP1 transports [3H]NNAL-O-glucuronide but is
dependent on the presence of GSH (Km 39 µM, Vmax 48 pmol
mg 1 min 1). We also found that the sulfur
atom in GSH was dispensable because transport was supported by the GSH
analog, -glutamyl- -aminobutyryl-glycine. Despite stimulation of
NNAL-O-glucuronide transport by GSH, there was no
detectable reciprocal stimulation of [3H]GSH transport.
Moreover, whereas the MRP1 substrates leukotriene C4
(LTC4) and 17 -estradiol
17 -(D-glucuronide) (E217 G) inhibited GSH-dependent uptake of
[3H]NNAL-O-glucuronide, only
[3H]LTC4 transport was inhibited by
NNAL-O-glucuronide (+GSH) and the kinetics of inhibition
were complex. A mutant form of MRP1, which transports LTC4
but not E217 G, also did not transport
NNAL-O-glucuronide suggesting a commonality in the binding
elements for these two glucuronidated substrates, despite their lack of
reciprocal transport inhibition. Finally, the related MRP2 transported
NNAL-O-glucuronide with higher efficiency than MRP1 and
unexpectedly, GSH inhibited rather than stimulated uptake. These
studies provide further insight into the complex interactions of the
MRP-related proteins with GSH and their conjugated organic anion
substrates, and extend the range of xenotoxins transported by MRP1 and
MRP2 to include metabolites of known carcinogens involved in the
etiology of lung and other cancers.
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INTRODUCTION |
The nicotine-derived tobacco-specific nitrosamine,
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone
(NNK)1 and its major
reductive metabolite 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) are believed to play an important role in the induction of lung
cancer in smokers (1). NNK is also a potent lung carcinogen in
experimental animals, independent of the route of administration (2).
In order to exert their carcinogenic effects, NNK and NNAL must
first be metabolically activated by a member(s) of the cytochrome P450
family of mixed function oxidases, ultimately leading to either a
detoxified product or a reactive species that forms adducts with DNA
(Fig. 1) (2-4). The reduction of NNK to the (R) and
(S)-enantiomers of NNAL is mediated by the carbonyl reductase 11 -hydroxysteroid dehydrogenase 1 (5). The enantiomers are conjugated by members of the UDP-glucuronosyltransferase family of
enzymes with UDP-glucuronic acid to produce two diastereomeric O-glucuronides, NNAL-O-glucuronide I and II,
which are formed from (R)- and (S)-NNAL,
respectively (2, 6). NNAL-O-glucuronide I is the predominant
form of this metabolite excreted by NNK-treated rats although
NNAL-O-glucuronide II is the major form found in the urine
of human smokers and snuff dippers (7, 8). (S)-NNAL has been
shown to be more tumorigenic in mice, consistent with the finding that
this enantiomer forms less O-glucuronide conjugate than
(R)-NNAL. Thus, production of NNAL-O-glucuronide,
which is one of three glucuronide conjugates formed during NNK
metabolism (Fig. 1), is an important step
in NNK detoxification.

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Fig. 1.
Biotransformation pathways of NNK as
determined by studies in experimental animals (rodents and primates)
and humans. UGT, UDP-glucuronosyltransferase;
-gluc, -glucuronidase; HPB,
4-hydroxy-1-(3-pyridyl)-1-butanone; HPB-gluc,
-O-[4-oxo-4-(3-pyridyl)-but-1-yl]-D-glucosiduronic
acid; P450, cytochrome P450; HSD,
11- -hydroxysteroid dehydrogenase. Adapted from Murphy et
al. (9).
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Once generated, the glucuronide conjugates of NNAL and NNK must
be actively extruded from cells. However, the transporters responsible
for the elimination of these metabolites have not yet been identified.
Active efflux is generally an important aspect of detoxification
because it prevents the accumulation of conjugates that have the
potential to be directly toxic or to be hydrolyzed, thus regenerating
the parent drug or toxin. Alternatively, conjugate formation can create
stable molecules that are effluxed from the cell and then transported
to distant organs where they may exert selective tissue toxicity (9,
10).
The 190 kDa multidrug resistance protein 1 (MRP1/ABCC1) belongs to the
"C" branch of the ATP binding cassette (ABC) superfamily of
transport proteins and was originally identified on the basis of its
elevated expression in a multidrug resistant lung cancer cell line (11,
12). MRP1 is expressed constitutively in many normal tissues with
relatively high levels found in lung and testes (11, 13). In addition
to its ability to confer resistance to chemotherapeutic agents in tumor
cells, MRP1 is a primary active transporter of GSH-, sulfate-, and
glucuronide-conjugated organic anions such as leukotriene
C4 (LTC4), an important mediator of the
inflammatory response, and the cholestatic-conjugated estrogen, 17 -estradiol 17-( -D-glucuronide)
(E217 G) (12, 14-17). MRP1 and the related MRP2 (ABCC2)
transporter have also been shown to transport conjugates of various
xenobiotics and are key components of the so-called Phase III
elimination pathways of drug metabolism (18-20). However, many of the
anti-cancer agents to which MRP1 and MRP2 confer resistance are not
conjugated to a significant extent in vivo and much in
vitro evidence exists that at least some drugs are effluxed from
cells by MRP1 and MRP2 via a co-transport mechanism with free GSH (14,
21-24).
In the present study, we have investigated the ability of MRP1 to
transport the O-glucuronide of NNAL. Despite the fact that it is a conjugated metabolite, we found that MRP1 did not transport NNAL-O-glucuronide except in the presence of GSH or
ophthalmic acid, a non-sulfur containing analog of GSH. In contrast,
stimulation of GSH transport by NNAL-O-glucuronide was not
detectable. E217 G and LTC4 inhibited
GSH-dependent
[3H]NNAL-O-glucuronide uptake; however,
NNAL-O-glucuronide (+GSH) only reciprocally inhibited
LTC4 uptake and kinetic analysis revealed that this
inhibition was not competitive. A mutant MRP1 capable of transporting
LTC4 but which does not transport E217 G also did not transport NNAL-O-glucuronide even in the presence of
GSH. Finally, we found that NNAL-O-glucuronide was
transported even more efficiently by the related MRP2 but in this
instance, transport was inhibited rather than stimulated by GSH.
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EXPERIMENTAL PROCEDURES |
Materials--
[14,15(n)-3H]LTC4 (38 Ci mmol 1) was purchased from Amersham Pharmacia Biotech
(Little Chalfont, Buckinghamshire, UK). [3H]GSH (50 Ci
mmol 1) and [6,7-3H]E217 G (55 Ci mmol 1) were from PerkinElmer Life Science Research
Products (Guelph, ON, Canada). [5-3H]NNK (3.05 Ci
mmol 1) was purchased from Chemsyn Science Laboratories
(Lenxa, KS) and [3H]NNAL-O-glucuronide and
NNAL-O-glucuronide were synthesized as described below. NNK
and NNAL were purchased from Toronto Research Chemicals (Toronto, ON,
Canada). LTC4 was obtained from Calbiochem (San Diego, CA)
and DTT from ICN (Aurora, OH). Verapamil, ATP, AMP, GSH, GSSG,
S-decyl GSH, E217 G, and UDP-glucuronic acid
were from Sigma. Ophthalmic acid
(L- -glutamyl-L- -aminobutyryl-glycine) was
from Bachem (Torrance, CA). Creatine kinase and creatine phosphate were
from Roche Molecular Biochemicals (Laval, PQ, Canada). The murine
MRP1-specific MAbs QCRL-1, QCRL-3, and QCRL-4 have been described
previously (25, 26) and Fab fragments were prepared using the
ImmunoPure Fab kit (Pierce, Edmonton, AB, Canada).
Cell Lines--
The HeLa cell line T5 is stably transfected with
a pRc/CMV vector containing the complete coding sequence of MRP1 and
has been previously described (27, 28). The C1 HeLa cell line is stably
transfected with the pRc/CMV vector alone. Both HeLa cell lines were
maintained in RPMI 1640 medium supplemented with 4 mM
L-glutamine, 5% defined bovine calf serum and 400 µg
ml 1 geneticin (G418) (Life Technologies, Inc.,
Burlington, ON, Canada). The SV40-transformed human embryonic kidney
(HEK293T) cell line was maintained in Dulbecco's modified Eagle's
medium supplemented with 4 mM L-glutamine and
10% fetal bovine serum.
Synthesis of 3H-labeled and -unlabeled
NNAL-O-glucuronide--
[5-3H]NNK was converted to
racemic [5-3H]NNAL by NaBH4 reduction, and
then the alcohol was purified by reverse phase HPLC as described (29).
The radiochemical purity was 99% with no evidence of contamination by
[5-3H]NNK.
[5-3H]NNAL-O-glucuronide I was prepared by
overnight incubation of purified [5-3H]NNAL with rat
liver microsomes, UDP-glucuronic acid, and cofactors as described
previously (30), and the product was purified by HPLC as described
(31). Unlabeled NNAL-O-glucuronide was produced as described
(31).
MRP1 and MRP2 Expression Vectors and Transfections in HEK293T
cells--
Construction of the expression vector
pcDNA3.1( )-MRP1K encoding wild-type MRP1 (WT-MRP1)
and the vector encoding MRP1 with the substitution of
Trp1246 Ala (W1246A-MRP1) have been described previously
(32). A full-length MRP2 cDNA was assembled from several fragments
generated by PCR as will be described
elsewhere2 and cloned into
pcDNA3.1( ) to generate pcDNA3.1( )-MRP2. For transient
transfections, the wild-type and mutant
pcDNA3.1( )- MRP1K expression vectors and the
pcDNA3.1( )-MRP2 vector were transfected into HEK293T cells using
FuGENETM6 (Roche Molecular Biochemicals, Laval, PQ,
Canada). Briefly, cells were seeded at 3.4 × 106
cells per 175-cm2 culture flask, and 24 h later, 15 µg DNA and 45 µl FuGENETM6 (1:3
DNA:FuGENETM6) were combined in serum-free medium and added
to each flask. When confluent (48-72 h later), the cells were
harvested, and crude membranes or inside-out membrane vesicles were
prepared as described below (14). Cells transfected with empty
pcDNA3.1( ) vector were included as controls in all experiments.
Membrane Vesicle Preparation and Immunoblotting--
Plasma
membrane vesicles were prepared as described with modifications (14).
Briefly, transfected HeLa or HEK293T cells were homogenized in buffer
containing 250 mM sucrose/50 mM Tris pH
7.5/0.25 mM CaCl2, and protease inhibitors and
cells were disrupted by N2 cavitation. The exploded cell
suspension was centrifuged at 800 × g at 4 °C, and
the supernatant was layered onto a 35% (w/w) sucrose/1 mM
EDTA/50 mM Tris, pH 7.4 cushion. After centrifugation at
100 000 × g at 4 °C for 1 h, the interface was
removed and placed in a 25 mM sucrose/50 mM
Tris, pH 7.4 buffer solution and centrifuged at 100,000 × g at 4 °C for 30 min. The membranes were washed with
buffer (250 mM sucrose, 50 mM Tris, pH 7.4),
resuspended by syringing with a 27-gauge needle, aliquoted, and stored
at 70 °C.
Relative levels of the MRP proteins in the membrane vesicles were
determined by immunoblot analysis. Briefly, after SDS-polyacrylamide gel electrophoresis and electrotransfer to a nylon membrane, blots were
blocked with 4% (w/v) skim milk powder for 1 h followed by incubation with the human MRP1-specific murine MAb QCRL-1 (25, 33) or
the MRP2-specific murine MAb M2I-4 (Alexis, San Diego, CA)
for 2 h. After washing, blots were incubated with horseradish peroxidase-conjugated goat anti-mouse antibody (Pierce) followed by
application of RenaissanceR chemiluminescence blotting
substrate (PerkinElmer Life Science Products, Guelph, ON, Canada).
[3H]NNAL-O-glucuronide Transport
Studies--
NNAL-O-glucuronide transport assays were
carried out by a rapid filtration method as described (14). Membrane
vesicles (10 µg of protein per time point) prepared from stably
transfected HeLa cells were incubated at 37 °C in a total reaction
volume of 60 µl containing ATP or AMP (4 mM),
MgCl2 (10 mM), DTT (10 mM),
creatine phosphate (10 mM), creatine kinase (100 µg
ml 1), ±GSH (3 mM), and
[3H]NNAL-O-glucuronide (400 nM, 40 nCi). At selected time points, a 14-µl aliquot was removed and placed
in 800 µl of Tris/sucrose buffer and filtered through glass fiber
filters (type A/E), washed twice, and radioactivity was quantitated by
liquid scintillation counting. Transport in the presence of AMP was
subtracted from transport in the presence of ATP and reported as
ATP-dependent [3H]NNAL-O-glucuronide uptake.
Kinetic parameters were determined by measuring the initial rate of
[3H]NNAL-O-glucuronide uptake (in the presence
of 3 mM GSH) at eight different substrate concentrations
(0.25-25 µM, 40 nCi) at a single time point of 10 min.
Experiments with potential modulators of GSH-stimulated
[3H]NNAL-O-glucuronide transport
[E217 G (25 µM), LTC4 (1 µM), verapamil (100 µM), and Fab fragments
of the MRP1-specific MAbs QCRL-1, 3, and 4 (10 µg
ml 1)] were also carried out for 10 min.
ATP-dependent transport of [3H]NNAL-O-glucuronide in the presence of
S-methyl GSH (3 mM), S-decyl GSH (0.5 mM), GSSG (0.5 mM), and ophthalmic acid (3 mM) was measured under the same conditions.
[3H]NNAL-O-glucuronide transport assays with
membrane vesicles prepared from HEK293T cells transiently transfected
with empty vector, wild-type MRP1, mutant W1246A-MRP1, and wild-type
MRP2 cDNAs were carried out under the same conditions as described above except incubations were for 15 min. Prior to measuring
NNAL-O-glucuronide transport, vesicles were tested for
[3H]E217 G and
[3H]LTC4 uptake activities as described below.
[3H]GSH Transport Studies--
T5 HeLa membrane
vesicles (20 µg protein) were preincubated with 500 µM
acivicin (an inhibitor of -glutamyltranspeptidase) at 37 °C for
10 min and then transport activity was measured by further incubation
for 20 min at 37 °C in a total reaction volume of 60 µl containing
[3H]GSH (100 µM, 300 nCi), DTT (10 mM), and components as described above for
[3H]NNAL-O-glucuronide transport.
NNAL-O-glucuronide was dissolved in phosphate-buffered
saline, diluted in Tris (50 mM, pH 7.4) sucrose (250 mM) buffer, and added over a concentration range of 0-100
µM. Uptake in the presence of verapamil (100 µM), which has previously been demonstrated to stimulate
MRP1-mediated GSH transport (34), was included as a positive control.
[3H]E217 G Transport Studies--
T5
HeLa cell membrane vesicles (5 µg of protein) were incubated at
37 °C for 90 s in a total reaction volume of 50 µl containing [3H]E217 G (400 nM, 40 nCi),
GSH (3 mM), DTT (10 mM), NNK or NNAL or
NNAL-O-glucuronide (0, 10, and 100 µM,
respectively) and components as described above for
[3H]NNAL-O-glucuronide transport.
E217 G transport activity of vesicles prepared from
transiently transfected HEK293T cells was tested as described above
except 8 µg of protein were used, and incubations were carried out
for 5 min.
[3H]LTC4 Transport Studies--
To
measure LTC4 uptake, assays were carried out at 23 °C in
a 50-µl volume containing vesicle protein prepared from T5 HeLa cells
or HEK293T cells transiently transfected with empty vector, wild-type,
and W1246A-MRP1 cDNAs (2 µg), [3H]LTC4
(50 nM; 40 nCi), NNK or NNAL or
NNAL-O-glucuronide (0, 10, 100 µM,
respectively) and components as described above for [3H]NNAL-O-glucuronide transport. After
incubation for 60 s, the entire reaction mixture was removed and
added to 800 µl of ice-cold Tris/sucrose buffer and filtered as
described above.
The mode of LTC4 transport inhibition by
NNAL-O-glucuronide plus GSH was further examined by
measuring LTC4 uptake during the linear phase of transport
(30 s) as described above except LTC4 was added at
eight different concentrations (10-1000 nM), in the
presence of GSH (3 mM), and the presence or absence of NNAL-O-glucuronide (100 µM).
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RESULTS |
[3H]NNAL-O-glucuronide Uptake in Membrane Vesicles
Requires GSH--
To determine whether NNAL-O-glucuronide
was a substrate for MRP1, ATP-dependent uptake into
membrane vesicles prepared from stably transfected HeLa cells was
determined. As shown in Fig. 2A, membrane vesicles from
MRP1-transfected T5 cells contain substantial levels of MRP1 in
contrast to the vesicles from vector-transfected C1 cells where MRP1
was not detectable under the immunoblotting conditions used. A time
course of [3H]NNAL-O-glucuronide uptake by the
T5 and C1 membrane vesicles is shown in Fig. 2B.
ATP-dependent uptake of
[3H]NNAL-O-glucuronide by the MRP1-enriched T5
vesicles was extremely low and similar to uptake observed with AMP or
vector-transfected control C1 vesicles. However, in the presence of GSH
(3 mM), ATP-dependent uptake of
NNAL-O-glucuronide by the T5 vesicles but not the C1 vesicles was observed. Uptake was linear for 10 min, at which time it
reached a level of 4 pmol mg 1 and then began to
plateau.

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Fig. 2.
MRP1-mediated GSH-dependent
[3H]NNAL-O-glucuronide uptake by
inside-out membrane vesicles. A, immunoblot of membrane
vesicles prepared from HeLa cells stably transfected with empty vector
(C1) and MRP1 cDNA (T5). Vesicle protein (2 µg) was resolved on a 7% acrylamide gel, transferred, and probed
with MAb QCRL-1 as described in "Experimental Procedures."
B, ATP-dependent transport of
[3H]NNAL-O-glucuronide in the presence of GSH
by C1 (control) ( ) and T5 (MRP1-enriched) ( ) membrane vesicles,
and in the absence of GSH by T5 membrane vesicles ( ). Membrane
vesicles (10 µg of protein per time point) were incubated at 37 °C
in transport buffer with
[3H]NNAL-O-glucuronide (400 nM, 40 nCi) with and without 3 mM GSH. C,
GSH-dependent
[3H]NNAL-O-glucuronide uptake was measured
after preincubation of T5 membrane vesicles with Fab fragments (10 µg
ml 1) prepared from the indicated MRP1-specific
MAbs.
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Inhibition of GSH-dependent
[3H]NNAL-O-glucuronide Transport by MRP1-specific
MAbs--
Several MRP1-specific MAbs have been shown previously to
inhibit transport of conjugated and unconjugated MRP1 substrates including LTC4, E217 G, aflatoxin
B1-GS, and vincristine in the presence of GSH (14, 15, 21,
26, 35). The Fab fragments of these antibodies also block transport
indicating that a direct and specific interaction with MRP1 occurs
(26). When the Fab fragments of MAbs QCRL-3 and -4 (which recognize
different conformation-dependent epitopes) were tested for
their ability to inhibit GSH-dependent uptake of
[3H]NNAL-O-glucuronide by T5 membrane
vesicles, complete inhibition was observed at a concentration of 10 µg ml 1 (Fig. 2C). MAb QCRL-1, which
recognizes a linear epitope in part of the linker region of MRP1 and
does not inhibit transport of other MRP1 substrates (33), had no effect
on NNAL-O-glucuronide transport. These results further
confirm the MRP1 specificity of GSH-dependent transport of
NNAL-O-glucuronide.
Kinetic Analysis of MRP1-mediated GSH-dependent
[3H]NNAL-O-glucuronide
Uptake--
GSH-dependent transport of
NNAL-O-glucuronide by MRP1 was further characterized by
determining initial rates of uptake over several concentrations of
substrate in the presence of 3 mM GSH (Fig.
3). Data were analyzed with GraphPad
PrismTM Michaelis-Menten curve fit and
Km and Vmax values were estimated to be 39 µM and 48 pmol mg 1
min 1, respectively (mean of two independent
determinations).

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Fig. 3.
Kinetic analysis of MRP1-mediated
GSH-dependent
[3H]NNAL-O-glucuronide uptake. ATP-
and GSH-dependent uptake of
[3H]NNAL-O-glucuronide by membrane vesicles
prepared from MRP1-transfected T5 HeLa cells was measured at various
NNAL-O-glucuronide concentrations (0.25-25
µM) in the presence of 3 mM GSH for 10 min at
37 °C. Data were analyzed with GraphPad PrismTM
Michaelis-Menten curve fit and kinetic parameters determined. The graph
shown represents results obtained in a single experiment and the data
points represent means (± S.D.) of triplicate determinations. Similar
results were obtained in a second experiment. The mean
Km and Vmax values were
estimated to be 39 µM and 48 pmol mg 1
min 1, respectively.
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Effect of GSH Derivatives and Ophthalmic Acid on
[3H]NNAL-O-glucuronide
Transport--
[3H]NNAL-O-glucuronide uptake
was also measured in the presence of S-methyl GSH as well as
S-decyl GSH and GSSG. As shown previously for MRP1-mediated
transport of vincristine (21), S-methylGSH (3 mM) supported NNAL-O-glucuronide uptake to
levels that were 75% of those observed in the presence of GSH. In
contrast, S-decylGSH and GSSG did not support the transport
of NNAL-O-glucuronide at all (Fig.
4A).
[3H]NNAL-O-glucuronide uptake was also
measured in the presence of ophthalmic acid
(L- -glutamyl-L- -aminobutyryl-glycine), a non-sulfur containing, endogenously formed tripeptide in which the
sulfhydryl moiety of the cysteine residue of GSH has been replaced by a
methyl group (Fig. 4B) (36). Ophthalmic acid supported [3H]NNAL-O-glucuronide uptake at
levels that were ~60% of GSH-stimulated uptake levels,
demonstrating that the sulfur atom of GSH is not essential for its
interaction with MRP1.

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Fig. 4.
Effect of GSSG and non-thiol tripeptides on
MRP1-mediated transport of
[3H]NNAL-O-glucuronide.
A, T5 HeLa cell membrane vesicles (10 µg of protein) were
incubated for 10 min at 37 °C in transport buffer with
[3H]NNAL-O-glucuronide (400 nM, 40 nCi) in the absence (open bar) or presence (shaded
bars) of GSH (3 mM), S-methylGSH (3 mM), GSSG (0.5 mM), S-decylGSH (0.5 mM) or ophthalmic acid (3 mM) (solid
bar) as indicated. Results are expressed as a percent of
GSH-dependent NNAL-O-glucuronide transport.
Bars represent means of triplicate determinations (± S.D.).
B, chemical structures of GSH, S-methylGSH, and
the non-sulfur containing GSH analog, ophthalmic acid.
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NNAL-O-glucuronide Does Not Stimulate MRP1-mediated
[3H]GSH Transport--
In previous studies, we have
shown reciprocal stimulation of transport of GSH and certain
xenobiotics (e.g. vincristine) (21). Consequently,
NNAL-O-glucuronide was tested for its ability to stimulate
[3H]GSH uptake in MRP1-enriched membrane vesicles (Fig.
5). Verapamil (100 µM) was
included as a positive control and stimulated GSH uptake by ~4-fold,
as expected based on previous observations (34). In contrast,
NNAL-O-glucuronide (3-100 µM) did not
detectably stimulate transport of [3H]GSH.

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Fig. 5.
Effect of NNAL-O-glucuronide
on MRP1-mediated [3H]GSH transport. Membrane
vesicles prepared from MRP1-transfected HeLa cells (T5) were incubated
in transport buffer at 37 °C for 20 min with 100 µM
[3H]GSH (300 nCi), DTT (10 mM), and the
indicated concentrations of NNAL-O-glucuronide
(hatched bars). Results are expressed as fold-stimulation of
control [3H]GSH uptake activity by T5 membrane vesicles,
which was 0.26 ± 0.06 nmol mg protein 1 (open
bar). [3H]GSH uptake in the presence of 100 µM verapamil (VRP) was included as a positive control
(solid bar). The results shown were obtained in a single
experiment and bars represent means of triplicate
determinations (± S.D.). Similar results were obtained in two
additional experiments.
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Inhibition of GSH-dependent
[3H]NNAL-O-glucuronide Uptake by Various Organic
Anions--
Previous studies have shown that a variety of conjugated
organic anions such as E217 G and LTC4, as
well as unconjugated drugs such as the phenylalkylamine verapamil
in the presence of GSH, can act as competitive inhibitors of MRP1
transport (14, 15, 21, 34). GSH-dependent transport of
[3H]NNAL-O-glucuronide (400 nM)
was also inhibited by E217 G (25 µM),
LTC4 (1 µM), and verapamil (100 µM) by 80 ± 10%, 50 ± 3%, and 80 ± 10%, respectively (Fig. 6).

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Fig. 6.
Inhibition of GSH-dependent
[3H]NNAL-O-glucuronide uptake. ATP-
and GSH-dependent uptake of
[3H]NNAL-O-glucuronide by membrane vesicles prepared from
MRP1-transfected T5 HeLa cells was measured at an initial substrate
concentration of 400 nM (40 nCi) for 10 min at 37 °C in
the presence of the organic anions LTC4 (1 µM) and E217 G (25 µM), and
the phenylalkylamine verapamil (100 µM). Results are
expressed as a percent of control ATP- and GSH-dependent
transport activity in the absence of inhibitor which was 10.3 pmol mg
protein 1. Bars represent means of triplicate
determinations (± S.D.) in a single experiment.
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Effect of NNAL-O-glucuronide on MRP1-mediated
[3H]E217 G and
[3H]LTC4 Transport--
To determine whether
NNAL-O-glucuronide could modulate the transport of other
conjugated organic anion substrates of MRP1, the effect of
NNAL-O-glucuronide (10 and 100 µM) on
[3H]E217 G and
[3H]LTC4 uptake was tested in the presence of
GSH. NNAL-O-glucuronide had no effect on
[3H]E217 G uptake (Table
I). The effect of NNK and NNAL on
[3H]E217 G and
[3H]LTC4 transport was also measured but
these compounds did not modulate transport of these MRP1 substrates,
even in the presence of GSH (data not shown). In contrast,
NNAL-O-glucuronide (100 µM) inhibited
[3H]LTC4 transport by 45% but only in the
presence of GSH.
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Table I
Effect of NNAL-O-glucuronide plus GSH on 17 -estradiol
17-( -D-glucuronide) and leukotriene C4 uptake by
MRP1-enriched membrane vesicles
Membrane vesicles prepared from stably transfected HeLa cells were
incubated with the indicated substrates, NNAL-O-glucuronide
and 3 mM GSH as described in "Experimental Procedures."
The values shown are the means (± S.D.) of triplicate determinations.
|
|
The inhibition of [3H]LTC4 transport was
further characterized by measuring the effect of
NNAL-O-glucuronide (100 µM) plus GSH (3 mM) on [3H]LTC4 uptake at
different substrate concentrations (10-1000 nM) (Fig.
7). Data were analyzed with GraphPad
PrismTM Michaelis-Menten curve fit program and kinetic
parameters were determined. In the absence of
NNAL-O-glucuronide the Km and
Vmax values for LTC4 were 67 nM and 188 pmol mg 1 min 1
respectively; in the presence of NNAL-O-glucuronide both the apparent Km and Vmax were
increased to 328 nM and 445 pmol mg 1
min 1, respectively. Similar values were also obtained
from Eadie-Hofstee plots.

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Fig. 7.
Modulation of
[3H]LTC4 uptake by
NNAL-O-glucuronide and GSH. Uptake of
[3H]LTC4 (10-1000 nM) by
membrane vesicles prepared from MRP1-transfected HeLa T5 cells (2 µg
of protein) was measured at 23 °C for 30 s. Assays were carried
out with 3 mM GSH in the absence ( ) and in the presence
( ) of 100 µM NNAL-O-glucuronide. Data were
analyzed with GraphPad PrismTM Michaelis-Menten curve fit
and kinetic parameters determined. In the absence of
NNAL-O-glucuronide the Km and
Vmax values of LTC4 were 67 nM and 188 pmol mg 1 min 1,
respectively; in the presence of NNAL-O-glucuronide, the
apparent Km and Vmax were 328 nM and 445 pmol mg 1 min 1,
respectively. Data points represent means (±S.D.) of triplicate
determinations in a typical experiment. Similar results were found in
three additional experiments.
|
|
MRP1 With a Trp1246 Ala Mutation Does Not Transport
[3H]NNAL-O-glucuronide--
We have previously shown
that substitution of the tryptophan residue at position 1246 in the
last transmembrane segment of MRP1 is crucial for its ability to
transport E217 G (32). To determine whether
Trp1246 was also essential for GSH-dependent
transport of NNAL-O-glucuronide, transport assays were
carried out using membrane vesicles prepared from HEK293T cells
transfected with pcDNA3.1( ) (empty vector), WT-MRP1, and
W1246A-MRP1 cDNAs. The W1246A-MRP1 mutant and WT-MRP1 proteins were
expressed at similar levels in the HEK293T cells as determined by
immunoblot analysis of the membrane vesicles (Fig.
8A). Moreover,
[3H]LTC4 uptake by the W1246A-MRP1 mutant was
comparable with uptake by WT-MRP1 whereas
[3H]E217 G uptake by the mutant protein was
undetectable, as reported previously (Fig. 8B) (32). In
contrast, whereas the addition of GSH markedly stimulated uptake of
[3H]NNAL-O-glucuronide by WT-MRP1, uptake by
the MRP1-W1246A mutant membrane vesicles remained low and comparable
with that of membrane vesicles from cells transfected with empty vector
(Fig. 8C). As expected,
[3H]NNAL-O-glucuronide uptake in membrane
vesicles from the wild-type, W1246A mutant and vector
control-transfected cells in the absence of GSH was extremely low and
indistinguishable from one another.

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Fig. 8.
GSH-dependent uptake of
[3H]NNAL-O-glucuronide by wild-type and
mutant W1246A-MRP1. A, membrane vesicles prepared from
HEK293T cells transfected with wild-type MRP1 (WT-MRP1), mutant MRP1
(W1246A-MRP1), or empty vector (pcDNA3.1( )) were immunoblotted
with the MRP1-specific MAb QCRL-1 as described in "Experimental
Procedures." Five µg of vesicle protein were loaded per lane.
B, ATP-dependent uptake of
[3H]LTC4 (left) and
[3H] E217 G (right) using
membrane vesicles described in A. Bars represent
the mean of triplicate (± S.D.) and duplicate determinations for
[3H]LTC4 and [3H]
E217 G, respectively. C, ATP- and
GSH-dependent uptake of
[3H]NNAL-O-glucuronide was measured at an
initial substrate concentration of 400 nM (40 nCi) for 15 min at 37 °C in the absence (solid bars) and presence
(open and hatched bars) of 3 mM GSH.
Bars represent means of triplicate determinations (± S.D.).
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|
Transport of [3H]NNAL-O-glucuronide by MRP2 Is
Inhibited by GSH--
To determine whether
NNAL-O-glucuronide was also a substrate for the related MRP2
transporter, membrane vesicles were prepared from HEK293T cells
transfected with pcDNA3.1( )-WT-MRP2 and control pcDNA3.1( )
vectors. The MRP2-transfected cells showed significant levels of
expression as determined by immunoblotting with the MRP2-specific MAb
M2I-4 whereas expression of MRP2 in the vector control-transfected cells was not detectable (Fig.
9A). Transport assays were
carried out in the presence and absence of 3 mM GSH as
before and, in striking contrast to MRP1,
[3H]NNAL-O-glucuronide uptake by MRP2 showed
no requirement for GSH (Fig. 9B). Levels of
[3H]NNAL-O-glucuronide uptake by MRP2 were 22 pmol mg protein 1 whereas uptake by MRP1 vesicles under
the same conditions was the same as the vector control vesicles (1 pmol
mg protein 1). Again, in marked contrast to MRP1, addition
of GSH almost completely inhibited
[3H]NNAL-O-glucuronide uptake by MRP2. Thus,
in the presence of 3 mM GSH, uptake by MRP2 was reduced
more than 7-fold from 22 pmol mg protein 1 to 3.1 pmol mg
protein 1 whereas uptake by MRP1 was 6.3 pmol mg
protein 1.

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Fig. 9.
Uptake of
[3H]NNAL-O-glucuronide by MRP2.
A, membrane vesicles prepared from HEK293T cells transfected
with wild-type MRP2 (WT-MRP2), and empty vector (pcDNA3.1( )) were
immunoblotted with the MRP2-specific MAb M2I-4 as described
in "Experimental Procedures." Five µg of vesicle protein were
loaded per lane. B, ATP-dependent uptake of
[3H]NNAL-O-glucuronide by MRP2 and MRP1 were
measured at an initial substrate concentration of 400 nM
(40 nCi) for 15 min at 37 °C in the presence (open and
hatched bars) and absence (solid bars) of 3 mM GSH. Bars represent means of triplicate
determinations (± S.D.). The WT-MRP1 vesicles used in these
experiments are those shown in Fig. 8.
|
|
 |
DISCUSSION |
Several lines of evidence from in vitro and in
vivo studies indicate that MRP1 has a role in protecting tissues
from toxin-induced damage (20). For example, GSH conjugates of the
carcinogenic mycotoxin, aflatoxin B1, are substrates of
MRP1 (35), as is the GSH conjugate of the major membrane lipid
peroxidation product, 4-hydroxynonenal (37). In addition, comparative
studies of mrp1( / ) knock-out mice and their wild-type
mrp1(+/+) counterparts have shown that mrp1 is important for
protection of the choroid plexus epithelium, the oropharyngeal layer
and the testicular tubules from the toxic effects of the anti-cancer
drug etoposide (38-40). The results of the present study have now
extended the range of xenotoxins that can be transported by MRP1 by
demonstrating ATP- and GSH-dependent uptake of the
tobacco-specific metabolite NNAL-O-glucuronide by
MRP1-enriched membrane vesicles (Fig. 2).
In addition, our findings provide further insight into the complex
interactions of the MRP-related proteins with GSH and their conjugated
substrates. Whereas transport of unconjugated drugs such as vincristine
has been shown previously to be GSH-dependent (21), the GSH
dependence of NNAL-O-glucuronide transport by MRP1 was
unexpected because transport of other conjugated organic anions by this
transporter has displayed no such requirement. Precisely how GSH
facilitates or enhances transport of certain conjugated and
unconjugated MRP1 substrates is not yet known but it is clearly not
related to the sulfhydryl reducing capacity of this tripeptide because
S-methyl GSH and other short chain alkyl derivatives of GSH
also support transport (17, 21, 35). Furthermore, our demonstration
that GSH can be replaced with ophthalmic acid, an endogenous tripeptide
analog of GSH which contains -aminobutyrate instead of cysteine,
provides direct evidence that even the sulfur atom of GSH is not
required for its transport modulating interactions with MRP1 (Fig. 4).
Recently MRP1-mediated transport of etoposide glucuronide was reported
to be enhanced 3-fold by GSH, and the uptake of the sulfate conjugate
estrone 3-sulfate was enhanced 10-fold but, unlike
NNAL-O-glucuronide, transport of these conjugated substrates
also occurred in the absence of the tripeptide (16, 17, 41).
Interestingly, ophthalmic acid also supports MRP1-mediated vincristine
transport and enhances estrone 3-sulfate
uptake.3 In this respect,
MRP1 bears some similarity to rat Oatp2, which mediates bidirectional
transport of organic anions by a GSH-sensitive facilitative diffusion
mechanism (42). Thus, recent studies have shown that GSH derivatives
including ophthalmic acid may also serve as intracellular substrates
for this anion exchanger.
Earlier we showed that GSH not only increases the efficiency of
vincristine transport by MRP1 but also enhances the affinity of the
protein for the drug (21), and it has been proposed that binding of GSH
to MRP1 may facilitate transport by inducing a conformational change in
the protein or by exposing key amino acids that favor binding and
transport of its substrates (12, 21, 43). An alternative possibility is
that GSH, S-methyl GSH and now ophthalmic acid, may actually
mask a site in MRP1 that diminishes the affinity of the protein for
certain substrates. Our finding that NNAL-O-glucuronide
transport by the related MRP2 does not require GSH and indeed, is
strongly inhibited by GSH (Fig. 9B), indicates that the
amino acids that comprise this site, if it exists, are not the same in
MRP1 and MRP2.
The stimulation of [3H]NNAL-O-glucuronide
uptake by GSH raised the possibility that GSH might be co-transported
with this compound as has been shown previously for several other MRP1
substrates including etoposide and vincristine (21, 22, 38). However, [3H]GSH uptake was not stimulated by concentrations of
NNAL-O-glucuronide up to 100 µM (Fig. 5). In
this respect, NNAL-O-glucuronide may be compared with
estrone 3-sulfate whose transport by MRP1 was markedly enhanced by GSH
but reciprocal stimulation of GSH transport was not detected (17). On
the other hand, it contrasts with our previous demonstration of
vincristine-stimulated [3H]GSH transport and
verapamil-stimulated [3H]GSH transport, which were
readily detectable under experimental conditions and substrate
concentrations similar to those described here (21, 34). Interestingly,
although E217 G transport by the MRP-related AtMRP2
transporter from the vascular plant Arabidopsis thalania was
enhanced by GSH, the converse was not true and indeed, in this
instance, E217 G inhibited [3H]GSH
transport (44). Currently the structural and/or physical features that
determine whether a conjugated or unconjugated substrate will stimulate
GSH transport by MRP1 and vice versa are not well understood, although
a certain degree of hydrophobicity appears essential (45).
Based on the observed ability of MRP1 to transport conjugated organic
anions and unconjugated xenobiotics in the presence of GSH, it has been
proposed that MRP1 contains a bipartite binding site for the
hydrophobic and anionic elements of its conjugated substrates (14, 46,
47). While this may hold functionally, it is now clear that although
binding of many substrates may be mutually exclusive, each
substrate/inhibitor forms its own individual set of atomic contacts
within a multipartite binding pocket(s) of the protein (14, 15, 21, 32,
34, 48, 49). Such a model has been proposed for the transcriptional
regulator of the Bacillus subtilis multidrug transporter
Bmr, which binds multiple structurally dissimilar hydrophobic cations,
and is supported by considerable biochemical and structural data (50,
51). According to this model, some MRP1 substrates/modulators could bind to identical sites in the protein, while others could bind to
different sites that may or may not overlap. Whether or not binding of
a second substrate/modulator is influenced by binding of the first,
would therefore depend on the extent of overlap or whether the binding
sites interact in some allosteric fashion (51). This model could
explain some of the observations of the transport inhibition studies
reported here. Thus while GSH-dependent [3H]NNAL-O-glucuronide transport was inhibited
by E217 G and LTC4 (Fig. 6),
NNAL-O-glucuronide (+GSH) inhibited only
[3H]LTC4 but not [3H]
E217 G transport (Table I). The lack of reciprocity
between E217 G and NNAL-O-glucuronide (+GSH)
transport inhibition indicates that the binding pockets for these two
glucuronidated substrates are not identical. However, a commonality of
at least some binding determinants is suggested by the observation that
neither E217 G nor NNAL-O-glucuronide (+GSH)
were transported by the mutant W1246A-MRP1 (Fig. 8) (32). In addition,
E217 G is significantly bulkier than
NNAL-O-glucuronide and has a higher affinity for MRP1, which might explain how this conjugated estrogen could block the interaction of NNAL-O-glucuronide with MRP1 but not the converse (14,
15, 21, 34).
In the presence of NNAL-O-glucuronide (+GSH), the apparent
Km and Vmax of
LTC4 were both increased (Fig. 7). The increase in
Vmax indicates that the increase in
Km does not simply reflect competitive inhibition.
One possible explanation for this observation is that
NNAL-O-glucuronide (+GSH) interacts with MRP1 and disrupts
only some, but not all, LTC4 binding determinants in the
substrate binding pocket of the protein. This would decrease the
affinity of MRP1 for LTC4 but could also increase the
release of this substrate after transport across the membrane,
resulting in the observed increase in transport efficiency. The
increase in Vmax also indicates that the
NNAL-O-glucuronide (+GSH) and LTC4 interact at
non-identical sites on MRP1. Consistent with this conclusion is the
observation that the W1246A mutant of MRP1 retains its ability to
transport LTC4 but does not transport the tobacco-derived
glucuronide (Fig. 8) (32).
The NNAL-O-glucuronide used in this study was predominantly
the NNAL-O-glucuronide I isomer because (R)-NNAL
is the major reductive product of NNK formed by rat liver microsomes,
which were used to prepare the radiolabeled-conjugated metabolite.
However, the predominant diastereomer found in human urine is
NNAL-O-glucuronide II (7, 8) and although likely, the
ability of MRP1 to transport this diastereomer remains to be confirmed
experimentally. Previously we have shown that MRP1 transports both the
endo and exo GSH conjugates of aflatoxin
B1 with similar efficiency (35). MRP1 also transports the
R and S-diastereomers of prostaglandin
A2 GSH conjugates with comparable efficiency (52).
Consequently, it seems unlikely that MRP1 would exhibit
stereospecificity for the NNAL-O-glucuronide enantiomers. On
the other hand, we have shown that MRP1 can display remarkably
different affinities for closely related structural isomers of its
glucuronidated estrogen substrates. For example, the ability of
conjugated estrogens to inhibit MRP1-mediated E217 G and
aflatoxin B1-GS transport is highly dependent on the site of conjugation of the steroid nucleus. Thus, while 16 ,
17 -estriol 17-( -D-glucuronide) was a very good
inhibitor of E217 G and aflatoxin B1-GS
transport, the 16-( -D-glucuronide) conjugate was not
(15, 35). Low levels of two additional glucuronide conjugates of NNK
are also formed during metabolism, -hydroxymethyl NNK-glucuronide, and HPB-glucuronide (Fig. 1), but whether or not they are MRP1 substrates remains to be determined (53).
Finally, it is important to consider the potential for other
MRP-related proteins to transport NNAL-O-glucuronide and
other NNK-related conjugated metabolites. Previous studies using
microsomes prepared from human tissues indicate that little
NNAL-O-glucuronide is formed in the lung, and that the
majority of the metabolite is formed in the liver (6). In smokers, an
estimated 40-100% of the NNK consumed is excreted in the urine as
NNAL and NNAL-O-glucuronide (I and II) (54). This urinary
pathway of glucuronide excretion is similar in several laboratory
primate models but contrasts with rodent models, for which excretion
into the bile is the predominant elimination pathway (2, 54). The liver
expresses very low levels of MRP1 but the related transporter, MRP2, is
expressed at much higher levels in this tissue (55). The organic anions transported by MRP2 are similar to those transported by MRP1, although
in many instances, the affinities of the two proteins for individual
substrates differ substantially (18, 19, 56). In addition, unlike MRP1
and MRP3, which are localized to basolateral membranes in the liver,
MRP2 is localized to apical (canalicular) membranes and thus transports
its substrates into the bile. MRP1 and MRP2 are also expressed in the
kidney; however, only MRP2 is localized in the apical domain of
proximal tubule epithelia where it can function to export conjugated
organic anions into the urine (57). Thus, our demonstration that
NNAL-O-glucuronide is a substrate of MRP2 suggests that in
humans this transporter could play a role in the renal excretion of
NNAL-O-glucuronide (Fig. 9). In rodents, mrp2 could be
important for the secretion of NNAL-O-glucuronide into the
bile and thus it would be of interest to investigate the absorption,
disposition, and elimination of NNK and its conjugated metabolites in
hyperbilirubinemic mutant rats, which are deficient in this protein
(58, 59). Our finding that NNAL-O-glucuronide transport by
MRP2, in contrast to MRP1, does not require the addition of GSH was
unexpected (Fig. 9) and represents the first time such a difference
between MRP1 and MRP2 mediated transport of a conjugated organic anion
has been observed. It also indicates that whereas the substrate binding
pockets of the two proteins may share some physical similarities, there
clearly must be some significant differences.
MRP3, which has greater amino acid similarity with MRP1 than MRP2,
reportedly has a higher affinity and capacity for
glucuronide-conjugated anions compared with GSH-conjugated anions (60,
61). Expression of the MRP3 transporter may also be induced by a number
of xenobiotics and when secretion into the bile is blocked (62-67).
Thus, in certain circumstances, organic anions that would normally be
excreted into the bile might be transported out of the liver and
re-enter the systemic circulation via MRP3 and possibly MRP1. In this
way, conjugates such as NNAL-O-glucuronide formed in the
liver could conceivably be transported to other tissues where they
could be cleaved to regenerate the parent toxicant and exert
tissue-specific toxic effects. Of interest in this respect is the
recent finding that cotinine, the major metabolite of nicotine,
inhibits bile flow and biliary elimination of NNK metabolites in
rodents (68). While highly speculative at this point, it is possible
that this inhibition could result in induction of MRP3 expression and
enhanced efflux of NNAL-O-glucuronide across basolateral
membranes into the systemic circulation. Consequently, it will be of
particular interest to determine whether NNAL-O-glucuronide
and other nicotine metabolites are substrates and/or inducers of this
basolateral transporter.
 |
ACKNOWLEDGEMENTS |
We thank Libby Eastman and Kathy Sparks for
tissue culture support, Dr. Q. Mao for preparation of Fab fragments,
Dr. J. N. Reynolds for helpful kinetic discussions, and Maureen Rogers
for assistance in the preparation and submission of the manuscript.
 |
FOOTNOTES |
*
This work was supported by Grant MT-10519 from the Medical
Research Council of Canada (MRCC)/Canadian Institutes of Health Research (CIHR) and Grant no. CA-81301 from the National Institutes of
Health.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
Recipient of an MRCC Doctoral Award.
**
Senior Scientist of Cancer Care Ontario. To whom correspondence
should be addressed: Cancer Research Laboratories, Rm. 328, Botterell
Hall, Queen's University, Kingston, Ontario, K7L 3N6 Canada. Tel.:
613-533-2636; Fax: 613-533-6830; E-mail: coles@post.queensu.ca.
Published, JBC Papers in Press, May 25, 2001, DOI 10.1074/jbc.M102453200
2
C. W. Westlake, M. Vasa, S. P. C. Cole, and
R. G. Deeley, unpublished observations.
3
E. M. Leslie, R. G. Deeley, and S. P. C. Cole,
unpublished observations.
 |
ABBREVIATIONS |
The abbreviations used are:
NNK, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone;
NNAL, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol;
(S/R)-NNAL-O-glucuronide, 4-[(methylnitrosamino)-1-(3-pyridyl)- but-1-yl]- -O-D-glucosiduronic
acid;
ABC, ATP-binding cassette;
GSSG, glutathione disulfide;
DTT, dithiothreitol;
LTC4, leukotriene C4;
E217 G, 17 -estradiol
17 -(D-glucuronide);
MAb, monoclonal antibody;
HPLC, high
performance liquid chromatography;
WT, wild type.
 |
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October 5, 2001;
276(41):
38108 - 38114.
[Abstract]
[Full Text]
[PDF]
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Copyright © 2001 by the American Society for Biochemistry and Molecular Biology.
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