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NAD(P)H:Quinone oxidoreductase1 (DT-diaphorase) expression in normal and tumor tissues

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Abstract

NAD(P)H:Quinone Oxidoreductase1 (NQO1) also known as DT-diaphorase is a flavoprotein that catalyzes the two-electron reduction of quinones, quinone imines and azo-dyes and thereby protects cells against mutagenicity and carcinogenicity resulting from free radicals and toxic oxygen metabolites generated by the oneelectron reductions catalyzed by cytochromes P450 and other enzymes. High levels of NQO1 gene expression have been observed in liver, lung, colon and breast tumors as compared to normal tissues of the same origin. The transcription of the NQO1 gene is activated in response to exposure to bifunctional (e.g. β-naphthoflavone (β-NF), 2, 3, 7, 8 tetrachorodibenzo-p-dioxin (TCDD)) and monofunctional (phenolic antioxidants/chemoprotectors e.g. 2(3)-tert-butyl-4-hydroxy-anisole (BHA)) inducers. The high level of expression of the NQO1 gene and its induction by β-NF and BHA require the presence of an AP1 binding site contained within the human Antioxidant Response Element (hARE) and are mediated by products of proto-oncogenes, Jun and Fos. Induction of NQO1 gene expression involves transfer of a redox signal from xenobiotics to unknown ‘redox protein(s)’ which in turn, modify the Jun and Fos proteins for greater affinity towards the AP1 site of the NQO1 gene and activates transcription. The expression and regulation of the NQO1 gene is complex as many additional cis-elements have been identified in the promoter region and is a subject of great future interest. In addition to established tumors, NQO1 gene expression is also increased in developing tumors, indicating a role in cellular defense during tumorogenesis. It has been proposed that low molecular weight substance(s) can diffuse from tumor cells into surrounding normal cells and activate the expression of the NQO1 gene. Purification and characterization of such substance(s) may provide important information in regard to the mechanism of activation of NQO1 gene expression and the role of increased NQO1 expression in tumor development. In view of the general consensus that NQO1 is over-expressed in tumor cells and the realization that NQO1 may either activate or detoxify xenobiotics, it is important to establish the role of NQO1 in the activation, and the detoxification of xenobiotics and drugs and in the intrinsic sensitivity of tumors to bioreductive alkylating aziridinyl benzoquinones such as diaziquone (AZQ), mitomycin C (MMC), and indoloquinone EO9, as well as to the dinitrophenyl aziridine, CB1954, and the benzotriazine-di-N-oxide, SR 4233.

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References

  1. Ernster L, Navazio F: Soluble diaphorases in animal tissues. Acta Chem Scand 12: 595, 1958

    Google Scholar 

  2. Ernster L, Ljunggren M, Danielson L: Purification and some properties of a highly dicoumarol-sensitive liver diaphorase. Biochem Biophys Res Commun 2: 88–92, 1960

    Google Scholar 

  3. Ernster L: DT-diaphorase: A historical review. Chem Scripta 27A: 1–13, 1987

    Google Scholar 

  4. Lind C, Hochstein P, Ernster L: DT-diaphorase: Properties, reaction mechanism, metabolic function. A progress report. In: King TE, Mason HS, Morrison M (eds) Oxidases and Related Redox Systems. Pergamon Press, Oxford, 1982, pp 321–347

    Google Scholar 

  5. Talalay P: Mechanisms of induction of enzymes that protect against chemical carcinogenesis. Adv Enzyme Regul 28: 149–159, 1989

    Google Scholar 

  6. Riley RJ, Workman P: DT-diaphorase and cancer chemotherapy. Biochem Pharm 43: 1657–1669, 1992

    Google Scholar 

  7. Prochaska HJ, Talalay P, Sies H: Direct protective effect of NAD(P)H:Quinone Reductase against Menadione-induced chemiluminescence of postmitochondrial fractions of mouse liver. J Biol Chem 262: 1931–1934, 1987

    Google Scholar 

  8. Chesis PL, Levin DE, Smith MT, Ernster L, Ames BN: Mutagenicity of quinones: pathways of metabolic activation and detoxification. Proc Natl Acad Sci 81: 1696–1700, 1984

    Google Scholar 

  9. Lind C: Formation of Benzo(a)pyrene-3,6-quinol monoand diglucuronides in rat liver microsomes. Arch Biochem Biophys 280: 226–235, 1985

    Google Scholar 

  10. Smart RC, Zannoni VG: DT-diaphorase and peroxidase influence the covalent binding of the metabolites of phenol, the major metabolite of benzene. Mol Pharmacol 26: 105–111, 1984

    Google Scholar 

  11. Thor H, Smith MT, Hartzell P, Bellomo G, Jewell S, Orrenius S: The metabolism of menadione (2-methyl-1,4-naphthoquinone) by isolated hepatocytes. J Biol Chem 257: 12419–12425, 1982

    Google Scholar 

  12. De Flora A: Prominent role of DT-diaphorase as a cellular mechanism reducing chromium (VI) and reverting its mutagenicity. Cancer Res 45: 3188–3196, 1985

    Google Scholar 

  13. Talcott RE, Rosenblum M, Levin VA: Possible role of DT-diaphorase in the bioactivation of antitumor quinones. Biochem Biophys Res Commun 111: 346–351, 1983

    Google Scholar 

  14. De Flora S, Bernnicelli C, Camoirano A, Serra D, Hochstein P: Influence of DT-diaphorase on the mutagenicity of organic and inorganic compounds. Carcinogenesis 9: 611–617, 1988

    Google Scholar 

  15. Ernster L: DT-diaphorase. Methods in Enzymology 10: 309–317, 1967

    Google Scholar 

  16. Martin LF, Patrick SD, Wallin R: DT-diaphorase in morbidly obese patients. Cancer Letters 36: 341–347, 1987

    Google Scholar 

  17. Conover TE, Ernster L: DT-diaphorase. IV. Coupling of extramitochondrial reduced pyridine nucleotide oxidation to mitochondrial respiratory chain. Biochim Biophys Acta 67: 268–280, 1963

    Google Scholar 

  18. Danielson L, Ernster L, Ljunggren M: Selective extraction of DT-diaphorase from mitochondria and microsomes. Acta Chem Scand 14: 1837–1838, 1960

    Google Scholar 

  19. Edlund C, Elhrmammer A, Dallner G: Distribution of newly synthesized DT-diaphorase in rat liver. Biosci Rep 2: 861–865, 1982

    Google Scholar 

  20. Amzel LM, Bryant SH, Prochask HJ, Talalay P: Preliminary crystallographic X-ray data for NAD(P)H:quinone reductase from mouse liver. J Biol Chem 261: 1379, 1986

    Google Scholar 

  21. Shaw PM, Reiss A, Adesnik M, Nebert DW, Schembri J, Jaiswal AK: The human dioxin-inducible NAD(P)H:quinone oxidoreductase cDNA-encoded protein expressed in COS-1 cells is identical to diaphorase 4. Eur J Biochem 195: 171–176, 1991

    Google Scholar 

  22. Hojeberg B, Blomberg K, Sternberg S, Lind C: Biospecific adsorption of hepatic DT-diaphorase on immobilized dicoumarol. Arch Biochem Biophys 207: 205–216, 1981

    Google Scholar 

  23. Raftell M, Blomberg K: Immunochemical studies on two DT-diaphorase active antigens isolated from rat liver cytosol by affinity chromatography. Arch Biochem Biophys 199: 165–171, 1980

    Google Scholar 

  24. Segura-Aquilar J, Kaiser R, Lind C: Separation and characterization of isoforms of DT-diaphorase from rat liver cytosol. Biochem Biophys Acta 1120: 33–42, 1992

    Google Scholar 

  25. Prochaska HJ, Talalay P: Purification and characterization of two isofunctional forms of NAD(P)H:quinone reductase from mouse liver. J Biol Chem 261: 1372–1378, 1986

    Google Scholar 

  26. Edwards YH, Potter J, Hopkinson DA: Human FAD-dependent NAD(P)H diaphorase. Biochem J 187: 429–436, 1980

    Google Scholar 

  27. Williams JB, Lu AYH, Cameron RG, Pickett CB: Rat liver NAD(P)H:Quinone reductase. J Biol Chem 261: 5524–5528, 1986

    Google Scholar 

  28. Robertson JA, Chen HC, Nebert DW: NAD(P)H:menadione oxidoreductase: novel purification of enzyme. cDNA and complete aminoacid sequence and gene regulation. J Biol Chem 261: 15794–15799, 1986

    Google Scholar 

  29. Smith D, Martin LF, Wallin R: Human DT-diaphorase, a potential cancer protecting enzyme. Its purification from abdominal adipose tissue. Cancer Letters 42: 103–112, 1988

    Google Scholar 

  30. Jaiswal AK, McBride OW, Adensik M, Nebert DW: Human dioxin-inducible cytosolic NAD(P)H:Quinone Oxidoreductase. J Biol Chem 263: 13572–13578, 1988

    Google Scholar 

  31. Jaiswal AK, Burnett P, Adesnik M, McBride OW: Nucleotide and deduced amino acid sequence of a human cDNA (NQO2) corresponding to a second member of the NAD(P) H:quinone oxidoreductase gene family. Extensive polymorphism at the NQO2 gene locus on chromosome 6. Biochemistry 29: 1899–1906, 1990

    Google Scholar 

  32. Segura-Aguilar JE, Lind C: Isolation and characterization of DT-diaphorase enzymes from rat liver. Chem Scripta 27A: 37–41, 1987

    Google Scholar 

  33. Ma Q, Cui K, Xiao F, Lu AYH, Yang CS: Identification of glycine-rich sequence as an NAD(P)H-binding site and tyrosine 128 as a dicoumarol-binding site in Rat Liver NAD (P)H:Quinone Oxidoreductase by site-directed Mutagenesis. J Biol Chem 267: 22298–22304, 1992

    Google Scholar 

  34. Jaiswal AK: Human NAD(P)H:Quinone Oxidoreductase gene structure and induction by dioxin. Biochemistry 30: 10647–10653, 1991

    Google Scholar 

  35. Bayney RM, Morton MR, Favreau LV, Pickett CB: Rat liver NAD(P)H:Quinone Reductase: regulation of quinone reductase gene expression by planar aromatic compounds and determination of the exon structure of the quinone reductase structural gene. J Biol Chem 264: 21793–21797, 1989

    Google Scholar 

  36. Schor NA: The use of DT-diaphorase for the detection of foci of early neoplastic transformation in rat liver. Cancer Lett 5: 167–171, 1978

    Google Scholar 

  37. Schor NA: The activity of the DT-diaphorase in experimental hepatomas Cancer. Biochem Biophys Acta 2: 5–9, 1977

    Google Scholar 

  38. Becker FF, Stout DL: A constitutive deficiency in the monooxygenase system of spontaneous mouse liver tumors. Carcinogenesis 5: 785–788, 1984

    Google Scholar 

  39. Beyer RE, Segura-Aguilar J, Lind C, Castro VM: DT-diaphorase activity in various cells in culture with emphasis on induction in ascites hepatoma cells. Chemica Scripta 27A: 145–150, 1987

    Google Scholar 

  40. Schor NA, Cornelisse CJ: Biochemical and quantitative histochemical study of reduced pyridine nucleotide dehydrogenation by human colon carcinomas. Cancer Res 43: 4850–4855, 1983

    Google Scholar 

  41. Schor NA, Rice BF, Huseby RA: Dehydrogenation of reduced pyridine nucleotides by Leydig cell tumors of the rat testis. Proc Soc Exp Biol Med 151: 418–421, 1976

    Google Scholar 

  42. Koudstaal J, Makkin B, Overdiep SH: Enzyme histochemical pattern in human tumors-II. Oxidoreductases in carcinoma of the colon and the breast. Eur J Cancer 11: 111–115, 1975

    Google Scholar 

  43. Batist K, Cowan KH, Curt G, Katki AG, Mayer CE: Increased glutathioneS-transferase activity (GST) in drug treated human breast cancer cells. Proc Am Assoc Cancer Res 26: 345A, 1985

  44. Schlager JJ, Powis G: Cytosolic NAD(P)H:(Quinone-Acceptor) Oxidoreductase in human normal and tumor tissue: Effects of cigarette smoking and alcohol. Int J Cancer 45: 403–409, 1990

    Google Scholar 

  45. Cresteil T, Jaiswal AK: High levels of expression of the NAD(P)H:Quinone Oxidoreductase (NQO1) gene in tumor cells compared to normal cells of the same origin. Biochem Pharm 42: 1021–1027, 1991

    Google Scholar 

  46. Beyer BE, Segura-Aguilar JE, Ernster L: The anticancer enzyme DT-diaphorase is induced selectively in liver during Ascites Hepatoma Growth. Anticancer Research 8: 233–238, 1988

    Google Scholar 

  47. Richardson HL, Cunningham L: The inhibitory action of methylcholanthrene on rats fed the azo dye 3′-methyl-4-dimethylaminobenzene. Cancer Res 11: 274–278, 1951

    Google Scholar 

  48. Kumaki K, Jensen NM, Shira JGM, Nebert DW: Genetic differences in induction of cytosol reduced-NAD(P):Menadione Oxidoreductase and microsomal aryl hydrocarbon hydroxylase in the mouse. J Biol Chem 252: 157–165, 1977

    Google Scholar 

  49. Beatty P, Neal RA: Induction of DT-diaphorase by 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCCD). Biochem Biophys Res Commun 68: 197–204, 1976

    Google Scholar 

  50. Prochaska HJ, De Long MJ, Talalay P: On the mechanism of induction of cancer-protective enzymes: a unifying proposal. Proc Natl Acad Sci 82: 8232–8236, 1985

    Google Scholar 

  51. Whitlock JP: The regulation of gene expression by 2,3,7,8-tetrachlorodibenzo-p-dioxin. Pharmacol Rev 39: 147–161, 1987

    Google Scholar 

  52. Nebert DW, Gonzalez FJ: P450 genes: structure, evolution and regulation. Ann Rev Biochem 56: 945–953, 1987

    Google Scholar 

  53. Gonzalez FJ: The molecular biology of cytochrome P450s. Pharmacol Rev 40: 243–288, 1988

    Google Scholar 

  54. Neuhold LA, Shirayoshi Y, Ozato K, Jones JE, Nebert DW: Regulation of mouse CYP1A1 gene expression by dioxin: requirement for two cis-acting elements during induction. Mol Cell Biol 9: 2378–2386, 1989

    Google Scholar 

  55. Whitlock JP Jr: Genetic and molecular aspects of 2,3,7,8-tetrachlorodibenzo-p-dioxin action. Ann Rev Pharm 30: 251–277, 1990

    Google Scholar 

  56. Henry ECG, Rucci G, Gasiewicz TA: Characterization of multiple forms of the Ah receptor: comparison of species and tissues. Biochemistry 28: 6430–6440, 1989

    Google Scholar 

  57. Perdew GH, Poland A: Purification of the Ah receptor from C57BL/6J mouse liver. J Biol Chem 263: 9848–9852, 1988

    Google Scholar 

  58. Watson AJ, Hankinson O: DNA transfection of a gene repressing aryl hydrocarbon hydroxylase induction. Carcinogenesis 9: 1581–1586, 1988

    Google Scholar 

  59. De Long MJ, Santamaria AB, Talalay P: Role of cytochrome P1-450 in the induction of NAD(P)H:quinone reductase in a murine hepatoma cell line and its mutants. Carcinogenesis 8: 1549–1553, 1987

    Google Scholar 

  60. Talalay P, De Long MJ, Prochaska HJ: Identification of a common chemical signal regulating the induction of enzymes that protect against chemical carcinogenesis. Proc Natl Acad Sci 85: 8261–8265, 1988

    Google Scholar 

  61. Li Y, Jaiswal AK: Regulation of human NAD(P)H:quinone oxidoreductase gene: role of AP1 binding site contained within human antioxidant response element. J Biol Chem 267: 15097–15104, 1992

    Google Scholar 

  62. Li Y, Jaiswal AK: Identification of Jun-B as third member in human antioxidant response element-nuclear protein complex. Biochem Biophys Res Commun 188: 992–996, 1992

    Google Scholar 

  63. Favreau LV, Pickett CB: Transcriptional regulation of the rat NAD(P)H:quinone reductase gene. Identification of regulatory elements controlling basal level expression and inducible expression by planar aromatic compounds and phenolic antioxidants. J Biol Chem 266: 4556–4561, 1991

    Google Scholar 

  64. Rushmore TH, Pickett CB: Transcriptional regulation of the rat glutathioneS-transferase Ya subunit gene: characterization of a xenobiotic-responsive element controlling inducible expression by phenolic antioxidants. J Biol Chem 265: 14648–14653, 1990

    Google Scholar 

  65. Rushmore TH, King RG, Paulson KE, Pickett CB: Regulation of glutathioneS-transferase Ya subunit gene expression: identification of a unique xenobiotic-responsive element controlling inducible expression by planar aromatic compounds. Proc Natl Acad Sci USA 87: 3826–3830, 1990

    Google Scholar 

  66. Rushmore TH, Morton MR, Pickett CB: The antioxidant responsive element. Activation by oxidative stress and identification of the DNA consensus sequence required for functional activity. J Biol Chem 266: 11632–11639, 1991

    Google Scholar 

  67. Friling RS, Bensimon A, Tichauer Y, Daniel V: Xenobioticinducible expression of murine glutathione S-transferase Ya subunit gene is controlled by an electrophile-responsive element. Proc Natl Acad Sci USA 87: 6258–6262, 1990

    Google Scholar 

  68. Friling RS, Bergelson S, Daniel V: Two adjacent AP-1-like binding sites form the electrophile-responsive element of the murine glutathione S-transferase Ya subunit gene. Proc Natl Acad Sci 89: 668–672, 1992

    Google Scholar 

  69. Herschman HR: Primary response genes induced by growth factors and tumor promoters. Ann Rev Biochem 60: 281–319, 1991

    Google Scholar 

  70. Hai T, Curran T: Cross-family dimerization of transcription factors Fos/Jun and ATF/CREB alters DNA binding specificity. Proc Natl Acad Sci USA 88: 3720–3724, 1991

    Google Scholar 

  71. Xanthoudakis S, Miao G, Wang F, Pan YE, Curran T: Redox activation of Fos-Jun DNA binding activity is mediated by a DNA repair enzyme. EMBO 11: 3323–3335, 1992

    Google Scholar 

  72. Demple B, Amabile-Cuevas CF: Redox redux: The control of oxidative stress responses. Cell 67: 837–839, 1991

    Google Scholar 

  73. Traver RD, Horikoshi T, Danenberg KD, Stadlbaur THW, Danenberg PV, Ross D, Gibson NW: NAD(P)H:Quinone Oxidoreductase gene expression in human colon carcinoma cells: Characterization of a mutation which modulates DT-diaphorase activity and mitomycin sensitivity. Cancer Res 52: 797–802, 1992

    Google Scholar 

  74. Ehlen T, Dubeau L: Loss of heterozygosity on chromosomal segments 3p, 6q and 11p in human ovarian carcinomas. Oncogene 5: 219–223, 1990

    Google Scholar 

  75. Vogelstein B, Fearon ER, Kern SE, Hamilton SR, Preisinger AC, Nakamura Y, White R: Allelotypes of colorectal carcinomas. Science 244: 207–211, 1989

    Google Scholar 

  76. Sato T, Tanigami A, Yamakawa K, Akiyama F, Kasumi F, Sakamoto G, Nakamura Y: Allelotype of breast cancer: Cumulative allele losses promote tumor progression in primary breast cancer. Cancer Res 50: 7184–7189, 1990

    Google Scholar 

  77. Prochaska HJ, Santamaria AB, Talalay P: Rapid detection of inducers of enzymes that protect against carcinogens. Proc Natl Acad Sci USA 89: 2394–2398, 1992

    Google Scholar 

  78. Zhang Y, Talalay P, Cho C, Posner GH: A major inducer of anticarcinogenic protective enzymes from broccoli: Isolation and elucidation. Proc Natl Acad Sci USA 89: 2399–2403, 1992

    Google Scholar 

  79. Smith MT, Eastmond DA, DiMonte D: The activation and detoxification of quinones by DT-diaphorase. Chem Scripta 27A: 105–107, 1987

    Google Scholar 

  80. Ross D, Siegel D, Gibson NW, Pacheco D, Thomas DJ, Reasor M, Weirda D: Activation and deactivation of quinones catalyzed by DT-diaphorase. Evidence for bioreductive activation of diaziquone (AZQ) in human tumor cells and detoxification of benzene metabolites in bone marrow stroma. Free Radic Res Commun 8: 373–381, 1990

    Google Scholar 

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Belinsky, M., Jaiswal, A.K. NAD(P)H:Quinone oxidoreductase1 (DT-diaphorase) expression in normal and tumor tissues. Cancer Metast Rev 12, 103–117 (1993). https://doi.org/10.1007/BF00689804

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