Page 1
1987 70: 264-270
Y Yamada, T Amagasaki, DW Jacobsen and R Green Lactoferrin binding by leukemia cell lines
http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#repub_requestsInformation about reproducing this article in parts or in its entirety may be found online at:
http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#reprintsInformation about ordering reprints may be found online at:
http://bloodjournal.hematologylibrary.org/site/subscriptions/index.xhtmlInformation about subscriptions and ASH membership may be found online at:
Copyright 2011 by The American Society of Hematology; all rights reserved.20036.the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 2
264 Blood. Vol 70. No 1 (July). 1987: pp 264-270
Lactoferrin Binding by Leukemia Cell Lines
By Yasuaki Yamada, Tatsuhiko Amagasaki, Donald W. Jacobsen, and Ralph Green
Monocytes and macrophages have receptors for the iron-
binding protein lactoferrin. Lactoferrin acts as a potentinhibitor of granulocyte-macrophage colony stimulating
factor production when it binds to these cells. Using a
rosette assay and immunofluorescence. we have shown
that cultured leukemia cells, including the human erythroid
leukemia cell line K562, also have lactoferrin binding sites.
The number of binding sites on K562 cells was estimated
using soluble �Fe-lactoferrin. Inhibition studies demon-
strate that lactoferrin binding sites are distinct and unre-
Iated to receptors for transferrin or the Fc portion of IgG.
which are present on K562 cells. However, electrostatic
L ACTOFERRIN,* a cationic glycoprotein that binds two
atoms of ferric iron per molecule,’ is present in high
concentration in milk ( I mg/mL),23 other body secretions,45
and in secondary granules of myeloid cells (3 pg/ I 06 neutro-
phils),�8 but is scarcely detectable in the serum (less than I
pg/mL).9 It has many biochemical similarities to trans-
ferrin,’#{176}�’2which is present in plasma (2 to 4 mg/mL)’3 and
other body fluids. A major biological role for transferrin as
an iron transport and delivery protein has been defined.
Immature erythroid cells, activated lymphocytes, and neo-
plastic cells, which require iron for hemoglobin synthesis or
replication, take up iron efficiently through the specific
receptor for transferrin.’4’8 On the other hand, the biological
significance of lactoferrin remains obscure. One of its roles is
in the regulation of normal myebopoiesis. Lactoferrin binding
to the surface of monocytes through a putative specific
receptor results in suppression of the release of granulocyte-
macrophage colony stimulating factor.’9 Another suggested
role is as a bacteriostatic or bactericidal agent.4�#{176} Apo-
lactoferrin depresses the multiplication of iron-dependent
microbial strains. Little is known about the relation between
lactoferrin and neoplastic cells. By applying a rosette-
5Lactoferrin and transferrin refer to the diferric forms, unless
otherwise stated.
From the Section of Investigative Hematology. Department of
Laboratory Hematology. and Department of Brain and Vascular
Research, Cleveland Clinic Foundation.Submitted May 12. /986; accepted March 9. 1987.
Supported in part by a research grant from the Cleveland Clinic
Foundation (RPC No. I 749). This is publication no. 03-87from the
Department of Laboratory Hematology. Cleveland Clinic Founda-
tion.
Presented in Part at the American Society of Hematology. NewOrleans. December 1985. YY and TA are special fellows in the
Department of Laboratory Hematology at The Cleveland Clinic
Foundation.
Address reprint requests to Ralph Green. MD. Department of
Laboratory Hematology. Cleveland Clinic Foundation. 9500 Euclid
Aye, Cleveland. OH 44106.The publication costs ofthis article were defrayed in part by page
charge payment. This article must therefore be hereby marked“advertisement” in accordance with 18 U.S.C. §1734 solely to
indicate this fact.
C I 987 by Grune & Stratton. Inc.
0006-4971/87/7001-0041$3.00/0
forces may be important for lactoferrin binding. since other
polycationic proteins (eg, protamine) inhibit lactoferrin
binding. Prior treatment of K562 cells with trypsin nearly
abolishes lactoferrin binding. However, these cells recover
their ability to bind lactoferrin when trypsin is removed.
Unlike transferrin receptors. the expression of lactoferrin
binding sites is not regulated by cellular iron status. Cyto-
sine arabinoside arrests the proliferation of K562 cells and
simultaneously leads to a reduction in lactoferrin surface
binding, suggesting that lactoferrin binding may be depen-
dent on cell proliferation.
S 1987 by Grune & Stratton, Inc.
forming assay that was developed in our laboratory,2’ we
have found that neoplastic cells also express lactoferrin
binding sites similar to those reported for monocytes or
macrophages. We report here the nature of lactoferrin
binding to cultured leukemia cells.
MATERIALS AND METHODS
Cell preparation. K562 cells, a human erythroid leukemia cell
line, were used to analyze the kinetics of lactoferrin binding. Cells
were grown in RPMI 1640 medium supplemented with 5% heat-
inactivated fetal bovine serum, 100 U/mI penicillin, 100 �tg/mL
streptomycin, and 0.25 pg/mI fungizone (Irvine Scientific, Santa
Ana, CA). MOLT-4 cells and CCRF-CEM cells (human T lympho-blastic leukemia cell lines), U937 cells (human histiocytic lym-
phoma cell line), HL-60 cells (human acute promyelocytic leukemia
cell line), CCF-YI cells (a human B cell line established in our
laboratory from a patient with Ph’ negative juvenile chronic myelo-
cytic leukemia), Raji cells (human Burkitt lymphoma cell line), and
L1210 cells (mouse B lymphocytic leukemia cell line) were also used
and were grown under similar conditions but with 10% fetal bovine
serum medium. All experiments were conducted using cells atgrowth densities of 3 to 5 x l0� cells/mI (logarithmic phase). Cellswere washed once with RPMI 1640 + 0.5% bovine serum albumin
(fraction V; Sigma Chemical Co. St Louis), resuspended in the same
medium at a cell density of I x 106/mL, and used for rosette
formation.
Mononuclear cells were separated from heparinized normal blood
by a density-gradient centrifugation technique using Ficoll-
Hypaque (FH; Pharmacia, Piscataway, NJ). Cells were then passed
through a nylon-wool column22 to enrich T lymphocytes. The resul-
tant T lymphocytes were activated by stimulation with concanavalin
A (Con A; Sigma) for 96 hours and evaluated for lactoferrin
binding.
Lactoferrin and transferrin. Purified human apo-lactoferrin
from colostrum (Calbiochem-Behringer, La Jolla, CA) and human
apo-transferrin (Sigma) were saturated with iron according to the
method described by Bates and Schlabach.2”23 Iron saturation was
confirmed spectrophotometrically by an increase in absorbance at
460 nm (A460/A280 = 0.045 to 0.048 for fully saturated trans-
ferrin).24 Monoclonal antibodies (MoAbs) against the human trans-
ferrin receptor (42/6 and B3/25)25 were generously supplied by Dr
Ian Trowbridge (Salk Institute, La Jolla, CA). OKT9 antihuman
transferrin receptor antibody was purchased from Ortho Diagnostic
Systems (Raritan, NJ).Lactoferrin coating of bovine red blood cells and rosetting
procedure. Lactoferrin was coated on bovine red blood cells (B-
RBC) using CrC13 according to the method described originally for
the protein A hemolytic plaque assay26 and modified subsequently by
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 3
co
80
60
40
20
z0
4
0
I-
an0
LACTOFERRIN BINDING BY LEUKEMIA CELLS 265
this laboratory for transferrin-coated B-RBC.2’ Successful coupling
of lactoferrin on B-RBC was confirmed with fluorescein isothiocya-
nate (FITC)-labeled antilactoferrin antibody (Cappel Worthington
Biochemicals, Malvern, PA). Apo-lactoferrin, transferrin, or albu-
mm-coated B-RBC were prepared similarly, using the same concen-
trations of protein. Cultured neoplastic cells or T lymphocytes
(1 x 106/mL in 0.25 ml) were mixed with 0.1 mL of lactoferrin,
transferrin, or albumin-coated B-RBC (0.5% packed cell volume) in
U-bottom 12 x 75-mm tubes (Falcon #2054, Oxnard, CA). The
mixtures were centrifuged at 30 x g for three minutes and then
incubated at 37#{176}Cfor 45 minutes (except for the time-course study).
The pellets were carefully resuspended, and rosette formation was
estimated visually using a hemocytometer. More than 200 cells were
counted, and those cells binding more than three B-RBC on their
surface were considered positive for rosette formation. All experi-
ments were performed in triplicate.
Immunofluorescence assay. Lactoferrin binding was also evalu-
ated by an immunofluorescence assay using soluble lactoferrin.
After washing three times with PBS, 1 x 106 pelleted cells were
incubated with 100 zL of lactoferrin solution (50 pg/mI in PBS) at
4#{176}Cfor 60 minutes. The treated cells were washed three times with
PBS, and then incubated with 50 �L of a 1/20 dilution of FITC-
conjugated rabbit antihuman lactoferrin antibody (F(ab’)2 fraction,
Cappel Labs). After washing three times with PBS, the labeled cells
were examined using a fluorescence-activated cell sorter.
59Fe-lactoferrin binding assay. Apo-lactoferrin was saturated
with 59Fe (59FeC13, New England Nuclear, Boston) by the methodused for preparing nonradiolabeled diferric-lactoferrin.2”23 K562
cells (1 x 106) suspended in Hank’s balanced salt solution (HBSS)
were incubated at 4#{176}Cfor 60 minutes with various concentrations of
59Fe-lactoferrin. After incubation cells were washed three times with
HBSS, and radioactivity was measured in a gamma spectrometer.
Benzidine staining. K562 cells were cultured in the presence of3.6 x iO� mol/L cytosine arabinoside (Sigma) to induce erythroid
differentiation27 for assessment of differentiation-associated change
in lactoferrin binding ability. Hemoglobin synthesis in these cells
was estimated by benzidine staining.27 The proportion of cells that
synthesized hemoglobin (stained blue) was assessed by light micros-
copy.
Other chemicals. Deferoxamine mesylate (Desferal, CIBA
Pharmaceutical Co, Summit, NJ) or ferric ammonium citrate(Sigma) were dissolved in distilled water and added to culture media
at final concentrations of 1 x l0� mol/L and 10 pg/mI respec-
tively to determine the effect of iron content of the culture solution
on the expression of transferrin receptor and lactoferrin binding
sites. Cells treated with 0.25% trypsin solution (Irvine Scientific) for
one minute at 37#{176}C,cells treated with 2 mg/mL of deoxyribonu-
clease I or ribonuclease A (DNase or RNase, Sigma) for one hour at
room temperature, and cells treated with 0.1 U/mI of neuramini-
dase (Calbiochem-Boehringer) for 20 minutes at 37#{176}Cwere used to
assess the susceptibility of lactoferrin binding sites to digestion by
these enzymes. Human IgG (Sigma) was incubated for 30 minutes
at 60#{176}Cto prepare heat-aggregated IgG for use in experiments to
study inhibition of rosette formation. Human milk lysozyme andsalmon protamine (Sigma) were also used to study the specificity of
lactoferrin binding.
RESULTS
Time-course study of rosette formation. Mixtures of
K562 cells and lactoferrin-, apo-lactoferrin- or albumin-
coated B-RBC were incubated for up to 90 minutes at 37#{176}C.
Rosette formation with lactoferrin-coated B-RBC increased
rapidly and reached a plateau after 45 minutes incubation
(Fig 1). Rosette formation was lower with apo-lactoferrin-
0 l5 30 45 60 90
INCUBATION TIME (mm)
Fig i . Time course of rosette formation. K562 cells were
incubated with Iactoferrin-(---*). apo-lactoferrin (O-O). or
aIbumin-I�---i�) coated B-RBC. Each point is the mean of three
assays; vertical bars indicate standard deviations.
coated B-RBC. Control albumin-coated B-RBCs did not
form rosettes throughout the incubation time.
Determination of lactoferrin binding sites by Scatchard
analysis. 59Fe-radiolabeled lactoferrin showed saturable
binding to K562 cells (Fig 2). A Scatchard plot analysis of
these data showed maximum binding of 4.9 x 1O�’ molecules
per cell; the dissociation constant was 7.4 x I0_6 mol/L. A
competition assay using a tenfold excess of unlabeled lacto-
ferrin was also attempted but was unsuccessful due to the
technical problem caused by cell aggregation at lactoferrin
concentrations greater than 2.5 mg/mL.
Specificity ofrosette-forming assayfor detection of lact 0-
ferrin binding sites. To test the specificity of the rosette-
forming assay, K562 cells were preincubated with either
soluble lactoferrin, transferrin, or MoAbs against transferrin
receptor for 30 minutes at room temperature before addition
of lactoferrin-coated B-RBC. Rosette formation was inhib-
ited by prior treatment with soluble lactoferrin in a dose-
dependent manner (Fig 3). Soluble apo-lactoferrin also
inhibited rosette formation almost to the same extent as did
soluble lactoferrin (Table 1 ). However, neither transferrin
nor three types of MoAbs against transferrin receptor inhib-
ited rosette formation with lactoferrin-coated B-RBC (Table
1); all inhibited rosette formation with transferrin-coated
B-RBC at the same concentrations).2’ Heat-aggregated IgG
at a concentration of 64 �g/mL, which is sufficient to fully
saturate all Fc receptors on K562 cells,28 did not inhibit
rosette formation (Table 1 ). Since lactoferrin is a cationic
protein (p1 = 8.7),29 nonspecific electrostatic binding to the
cell surface membrane was considered. To investigate this
possibility, we used two kinds of cationic proteins in competi-
tion studies: human milk lysozyme and salmon protamine.
Lysozyme caused no inhibition, but protamine substantially
inhibited rosette formation. Furthermore, neuraminidase, an
enzyme that cleaves membrane surface sialic acid resulting
in decreased cell surface negative charge, also partially
inhibited rosette formation.
Trypsin sensitivity of lactoferrin binding sites. K562
cells were examined for rosette formation with lactoferrin-
coated B-RBC before and after digestion with trypsin. In
three experiments, rosette formation decreased markedly
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 4
MOLECULES/CELL z I0�
0
l00
Positivity: 4.7%
0 4 8 16 32 64 128
266 YAMADA ET AL
C
C
0ILF CONCENTRATION (pg/mI)
Fig 2. Dose-response binding of �‘Fe-radiolabeIed lactoferrinto K562 cells. The mean of three experiments is shown. AScatchard plot analysis (inset). indicates that 4.9 x i0� moleculesare bound to each K562 cell at saturation. The dissociationconstant (K,,) derived from the concentration of free Iigand at halfsaturation of the binding sites is 7.4 x i0’ mol/L.
following trypsin digestion (from 82.9% ± 0.6% to
1 1 .8% ± 3.9%) but recovered almost to pretreatment levels
following culture of the digested cells for five hours at 37#{176}C
in culture medium without trypsin (74.6% ± 2.0%). Trypsin
sensitivity of lactoferrin binding by MOLT-4 cells was also
shown using the immunofluorescence assay (Fig 4). Binding
z0
Iz
IF (pg/mi)
Fig 3. Inhibition of rosette formation by soluble lactoferrin.K562 cells were pretreated with soluble lactoferrin before rosetteformation. Each point is the mean of three assays; vertical barsindicate standard deviations.
Table 1 . Specificity of Rosette- Forming Assay
Treatment of K562 Cells
Inhibition ofRosette Formation 1%)
Mean ± SD (n - 3)
Lactoferrin (64 �g/mL)
Apo-lactoferrin (64 �zg/mL)
Transferrin (64 �zg/mL)
Apo-transferrin (64 �g/mL)
MoAbs against transferrin receptor
42/6 (1 zg/mL)
B3/25 (1 �.tg/mL)
OKT9 (1 �tg/mL)
Heat-ag�egated human lgG (64 �g/mL)
Cationic proteins
Human milk Iysozyme (64 jcg/mL)
Salmon protamine (64 �zg/mL)
Neuraminidase (0.1 U/mL)
74.0 ± 1.8
77.9 ± 3.6
- 1 .9 ± 6.8
- 3. 1 ± 9.0
9. 1 ± 3.9
3.4 ± 5.9
5.4 ± 8.7
- 1 . 5 ± 3.3
- 1 .9 ± 1.0
44.6 ± 8.9
31.5 ± 4.0
9(562 cells were pretreated with these agents before rosette forma-
tion for 30 minutes at room temperature except for neuraminidase
treatment, which was performed at 37#{176}C.
A
B
LU
DCz...aLUU
D
Positiv,ty:673%
Positivity 47.7%
RELATIVE FLUORESCENCE INTENSITY
Fig 4. Trypsin sensitivity of lactoferrin binding sites. LabeledMOLT-4 cells (-) were processed on a fluorescence-activated cell sorter and compared with control cells (----) treatedwith FITC-conjugated antibody only. Nontreated cells (A). trypsin-digested cells (B). DNase-treated cells (C). and RNase-treated cells(D) were analyzed for lactoferrin binding.
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 5
z0I-
4
0
U.
LU
LUan0
lOO
8O�
60�
40
20
0
A0
a-z0Ua-anz 120
4
C, 110�l0O
0 24 48 72
CULTURE TIME (HRS)
96
Fig 5. Influence of iron content ofculture media on the expression oftransferrin receptor (A) and lactoferrinbinding sites (B). K562 cells were cul-tured with deferoxamine (A-t�) or
ferric ammonium citrate (-) for
varying times up to 96 hours and com-
pared with control cells (O-O) for
their transferrin and lactoferrin binding
ability. Each point is the mean of threeassays; vertical bars indicate standard
deviations.
LACTOFERRIN BINDING BY LEUKEMIA CELLS 267
was almost completely abrogated by trypsin digestion (Fig
4B). DNase did not remove but rather enhanced lactoferrin
binding (Fig 4C). Interestingly, RNase caused slight inhibi-
tion of lactoferrin binding (Fig 4D).
Influence of iron availability on the expression of lacto-
ferrin binding. K562 cells were cultured up to 96 hours in
the presence of the iron chelator deferoxamine ( I x I O�
mol/L) or 10 pg/mL ferric ammonium citrate. At various
times lactoferrin and transferrin binding by these cells was
assessed with the rosette-forming assay. Proliferation status
of K562 cells was not affected by either agent at these
concentrations, and the doubling times of these cells were
similar to untreated control cells. Rosette formation with
transferrin-coated B-RBC increased two to three times fol-
lowing deferoxamine treatment but decreased to less than
one-half following addition of ferric ammonium citrate (Fig
5A). However, rosette formation with lactoferrin-coated
B-RBC was not influenced by these agents (Fig 5B).
Influence of cell proliferation status on expression of
lactoferrin binding. K562 cells were cultured with cytosine
arabinoside (C-ara) and examined for rosette formation with
lactoferrin-coated B-RBC at 24-hour intervals. The culture
solution was replaced by fresh media containing C-ara every
other day. Cell proliferation ceased after 24 hours in C-ara
medium, but the viability remained greater than 90%. The
proportion of benzidine-positive cells increased daily and
reached 77.7% at 144 hours, indicating maturation to hemo-
globin-producing cells. There was a corresponding inverse
decline in rosette formation rate (Fig 6). This decrease in
lactoferrin binding could be curtailed by removing C-ara
from the culture media.
Lactoferrin binding sites on various cells. Expression of
lactoferrin binding sites was examined on other neoplastic
cell lines as well as on normal blood lymphocytes before and
after activation with Con A (Table 2). The immunofluores-
cence assay was always more sensitive than the rosette-
forming assay. Four (K562, MOLT-4, L I 2 10, and CCF-Y I)
of eight cell lines examined showed abundant lactoferrin
binding sites. The rosette-forming assay failed to detect
lactoferrin binding sites on activated T lymphocytes, but the
immunofluorescence assay showed that approximately one
half of activated T lymphocytes display lactoferrin binding.
0 24 48 72 144
CULTURE TIME (HRS)
Fig 6. Effects of C-ara on the expression of lactoferrin bindingsites. Rosette formation was performed on K562 cells cultured in
the presence of C-ara (i-). For some cells C-ara was removedat 48 hours. and culture was continued without C-ara (----).
Each point is the mean of three assays; vertical bars indicatestandard deviations.
DISCUSSION
Although more than 25 years have passed since the
iron-binding protein lactoferrin was found in milk,3 its bio-
logical functions are still poorly understood. Receptor-like
binding of lactoferrin to human peripheral monocytes has
been described.30’3’ Furthermore, it has been reported that
lactoferrin has an inhibitory effect on the release of granulo-
cyte-macrophage colony stimulating factor (GM-CSF) from
monocytes and macrophages.’9 Few studies have been done
on the relation between lactoferrin and neoplastic cells. Two
recent articles have shown that lactoferrin is an essential
nutrient for the growth of neoplastic cell lines in serum-free
medium. Growth stimulation of Bri 7 cells, a human B
lymphocytic leukemia cell line, was greater with lactoferrin
than with transferrin.32 Similarly, growth of HT29, a human
colon adenocarcinoma cell line, was also stimulated by
350
� 300
0
I-. 250z0U 200
� ISO4C,4 100anLU
D..a4
>0 I I I I
0 24 48 �T2 96
CULTURE TIME (HRS)
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 6
268 YAMADA ET AL
Table 2. Lactoferrin Binding by Neoplastic Cell Lines
and Normal T Lymphocytes
Cells
Rosette Formation %
Mean ± SD In - 3)Immunofluorescence
Assay (%)
K562 90.0 ± 3.8 97.7
MOLT-4 21.3 ± 5.2 67.3
L1210 28.9 ± 3.3 ND
CCF-Y1 13.0 ± 1.4 91.8
CCRF-CEM 2.9 ± 0.5 ND
HL-60 0.7 ± 0.7 9.7
U937 0 14.0
Raji 0 4.9
Resting T lymphocytes 0 2.8
Mitogen-stimulated
T lymphocytes 0 55.4
lactoferrin.33 The effect was more pronounced in the pres-
ence of iron. These reports led us to study lactoferrin binding
sites on neoplastic cells.
In the present studies we used a rosette-forming assay to
detect lactoferrin binding. Rosette formation rate was
greater with lactoferrin-coated than with apo-lactoferrin-
coated B-RBC, suggesting a higher binding affinity of
iron-saturated lactoferrin. Although differences in the quan-
tity of protein coating cannot completely be excluded, it is
unlikely that this is the cause of the discrepancy, since the
same concentration of lactoferrin or apo-lactoferrin was used
for coating. By analogy, iron-saturated transferrin has
higher binding affinity to its receptor than apo-trans-
ferrin.3�’36 The transferrin molecule becomes more compact
and spherical after it has bound iron,34’”’35 and this may be
advantageous for receptor binding. On the other hand,
rosette formation with lactoferrin-coated B-RBC was inhib-
ited by soluble lactoferrin irrespective of its iron content,
suggesting that low affinity binding is sufficient to suppress
rosette formation. However, lactoferrin-coated B-RBC
rosette formation was not inhibited by transferrin, MoAbs
against the transferrin receptor, or heat-aggregated human
IgG. This indicates that lactoferrin occupies binding sites
different from those for either the transferrin receptor or the
Fc receptor for IgG, which are both present on K562 cells.28
The number of lactoferrin binding sites on K562 cells was
estimated by Scatchard analysis using 59Fe-lactoferrin. Bind-
ing of 59Fe-lactoferrin was saturable, and the number of
binding sites per cell (4.9 x lO�), though high, agrees with
figures reported for adherent mononuclear cells (3.3 x IO�
per cell) and nonrosetting lymphocytes (2.5 x lO� per cell)
prepared from normal human blood.30 Because of problems
with cell aggregation that we encountered at high lactoferrin
concentrations, it was not possible to eliminate nonspecific
binding, so that our figure is likely an overestimate of the
number of binding sites.
Since lactoferrin is a cationic protein (p1 = 8.7),29 we
considered that binding to the negatively charged cell surface
might be of a nonspecific electrostatic nature. We therefore
pretreated K562 cells with two other cationic proteins to
block surface-negative charges. The more cationic lysozyme
(p1 = 10.5 to I l.O)�� did not inhibit lactoferrin-B-RBC
rosette formation. However, protamine caused considerable
inhibition, although the inhibitory activity was less than that
of soluble lactoferrin. Sialic acid, one of the major sources of
surface negative charge, was removed by neuraminidase
treatment’#{176} of K562 cells and resulted in a decrease of rosette
formation. Taken together these findings suggest that elec-
trostatic factors are intimately involved in lactoferrin bind-
ing to cells. Similar electrostatic factors have been impli-
cated in the binding of lactoferrin to macrophages and liver
reticuloendothelial cells. Lactoferrin binds to alveolar
macrophages in competition with the other cationic neutro-
phil granule glycoproteins, elastase and cathepsin G.4’
Removal of sialic acid from lactoferrin increases its binding
affinity to mouse peritoneal macrophages.42 Moreover, based
on a study of lactoferrin uptake by the liver, the possible
existence of common binding sites for certain cationic pro-
teins on liver reticuloendothelial cells has been postulated.43
The lactoferrin binding sites we have demonstrated on
neoplastic cell lines are similar in some respects to the
lactoferrin binding sites described on macrophages and liver
reticuloendothelial cells. However, there are also differences,
such as the sensitivity to trypsin digestion. We found marked
sensitivity to trypsin digestion of lactoferrin binding by
neoplastic cells. In contrast, lactoferrin binding by human
peripheral blood monocytes is somewhat resistant to trypsin
digestion.” A further difference is the sensitivity to DNase
and RNase. Lactoferrin binding sites on neoplastic cells were
resistant to DNase but were partially sensitive to RNase,
suggesting that lactoferrin binding sites may be RNase-
susceptible acidic groups present on the cell surface.�#{176} In
contrast to neoplastic cells, lactoferrin binding sites on
normal human monocytes are sensitive to DNase treat-
ment.”
Transferrin receptor expression of cultured cells is regu-
lated by the iron concentration of the culture medium. An
iron chelator, deferoxamine, increases the number of trans-
ferrin receptors, whereas excess iron decreases transferrin
receptor expression.24’45’�’47”'8 We confirmed this observation
by finding a good inverse correlation between iron supply and
transferrin-receptor expression using our rosette-forming
assay. Lactoferrin shows close structural homology to trans-
ferrin at the iron binding site, but unlike transferrin, lactofer-
rin binding to cells was not influenced by cellular iron status.
This finding supports the view that K562 cells cannot take up
iron from lactoferrin even though cells can bind and internal-
ize lactoferrin (unpublished observation).
Four of eight leukemic cell lines as well as activated T
lymphocytes showed lactoferrin binding, but resting T lym-
phocytes did not. Similarly, receptor-like binding of lactofer-
rin to fresh leukemia cells, but not to normal lymphocytes or
platelets has been reported.49 Furthermore, we were able to
demonstrate diminished expression of lactoferrin binding by
C-ara treatment of K562 cells. These results seem to indicate
that there is a close relationship between lactoferrin binding
and cell proliferative status. Although monocytes and acti-
vated lymphocytes also have lactoferrin binding sites, analy-
sis in conjunction with other cell markers may prove useful
for the identification of leukemic cells in blood or neoplastic
cells in body fluids suspected to contain metastatic tumor.
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 7
LACTOFERRIN BINDING BY LEUKEMIA CELLS 269
REFERENCES
I. Masson PL, Heremans JF: Metal-combining properties of
human lactoferrin (red milk protein) I . The involvement of bicar-
bonate in the reaction. Eur J Biochem 6:579, 1968
2. Masson PL, Heremans JF: Lactoferrin in milk from different
species. Comp Biochem Physiol 39: 1 19, 1971
3. Groves ML: The isolation of a red protein from milk. J Am
Chem Soc 82:3345, 19604. Masson PL, Heremans JF, Prignot JJ, Wauters G: Immuno-
histochemical localization and bacteriostatic properties of an iron-
binding protein from bronchial mucus. Thorax 21:538, 1966
5. Masson PL, Heremans JF: Studies on lactoferrin, the iron-
binding protein of secretions. Protides Biol Fluids Proc Colloq
14:115, 1966
6. Masson PL, Heremans JF, Schonne E: Lactoferrin, an iron-
binding protein in neutrophilic leukocytes. J Exp Med 130:643,
1969
7. Baggiolini M, Duve C, Masson PL, Heremans JF: Association
of lactoferrin with specific granules in rabbit heterophil leukocytes. J
Exp Med 131:559, 1970
8. Leffell MS, Spitznagel JK: Fate of human lactoferrin and
myeloperoxidase in phagocytizing human neutrophils: Effects of
immunoglobulin G subclasses and immune complexes coated on
latex beads. Infect Immun 12:813, 1975
9. Broxmeyer HE, Gentile P, Bognacki J, Ralph P: Lactoferrin,
transferrin and acidic isoferritins: Regulatory molecules with poten-
tial therapeutic value in leukemia. Blood Cells 9:83, 1983
10. Aisen P, Leibman A: Lactoferrin and transferrin: A compara-
tive study. Biochim Biophys Acta 257:314, 1972
I I . Metz-Boutigue MH, Jolles J, Mazurier J, Spik G, Montreuil
J, Jolles P: Structural studies concerning human lactoferrin: Its
relatedness with human serum transferrin and evidence for internal
homology. Biochimie 60:38, 1978
12. Metz-Boutigue MH, Jolles J, Mazurier J, Schoentgen F,
Legrand D, Spik G, Montreuil J, Jolles P: Human lactoferrin:
Amino acid sequence and structural comparisons with other trans-
ferrins. Eur J Biochem 145:659, 1984
13. Olesen H, Terp B: Transferrin determination by Laurell
electrophoresis in antibody containing agarose gel. Scand J Clin Lab
Invest2l:14, 1968
14. Jandl JH, Katz JH: The plasma-to-cell cycle oftransferrin. J
Clin Invest 42:314, 1963
I 5. Larrick JW, Cresswell P: Transferrin receptors on human B
and T lymphoblastoid cell lines. Biochim Biophys Acta 583:483,
I 979
16. Galbraith GMP, Galbraith RM, Faulk WP: Transferrin
binding by human lymphoblastoid cell lines and other transformed
cells. Cell Immunol 49:215, 1980
17. Galbraith RM, Werner P. Arnaud P, Galbraith GMP: Trans-
ferrin binding to peripheral blood lymphocytes activated by phyto-
hemagglutinin involves a specific receptor. J Clin Invest 66:1135,
1980
18. Van Renswoude J, Bridges KR, Harford JB, Klausner RD:
Receptor-mediated endocytosis of transferrin and the uptake of Fe
in K562 cells: Identification of a nonlysosomal acidic compartment.
Proc NatI Acad Sci USA 79:6186, 1982
19. Broxmeyer HE, Smithyman A, Eger RR, Meyers PA,
DeSousa M: Identification of lactoferrin as the granulocyte-derived
inhibitor of colony-stimulating activity production. J Exp Med
148:1052, 1978
20. BuIlen JJ, Armstrong JA: The role of lactoferrin in the
bactericidal function of polymorphonuclear leukocytes. Immunology
36:781, 1979
21. Yamada Y, Jacobsen DW, Green R: Visualization of the
receptor for transferrin on K562 cells by a rosette-forming assay. J
Immunol Methods 86:95, 1986
22. Danilovs J, Ayoub G, Terasaki P1: B-lymphocyte isolation by
thrombin-nylon wool, in Terasaki P1 (ed): Histocompatibility Test-
ing. Los Angeles, UCLA Tissue Typing Laboratory, 1980, p 28723. Bates GW, Schlabach MR: The reaction of ferric salts with
transferrin. J Biol Chem 248:3228, 1973
24. Bottomley 55, Wolfe LC, Bridges KR: Iron metabolism in
K562 erythroleukemic cells. J Biol Chem 260:681 1, 1985
25. Mendelsohn J, Trowbridge I, Castagnola J: Inhibition of
human lymphocyte proliferation by monoclonal antibody to trans-
ferrin receptor. Blood 62:821, 1983
26. Gronowicz E, Coutinho A, Melchers F: A plaque assay for all
cells secreting Ig of a given type or class. Eur J Immunol 6:588,
1976
27. Hicks DG, Ohlsson-Wilhelm BM, Farley BA, Kosciolek BA,
Rowley PT: K562 cell erythroid differentiation: Requirement for a
factor in fetal bovine serum. Exp Hematol 13:273, 1985
28. Ichiki AT, Wust CJ, Lozzio CB: Characterization of the Fc
(IgG) receptor on the pluripotential leukemia cell K562. Clin Exp
Immunol 59:64, 1985
29. Moguilevsky N, Retegui LA, Masson PL: Comparison of
human lactoferrins from milk and neutrophilic leukocytes. Relative
molecular mass, isoelectric point, iron-binding properties and uptake
by the liver. Biochem J 229:353, 1985
30. Bennett RM, Davis J: Lactoferrin binding to human periph-eral blood cells: An interaction with a B-enriched population of
lymphocytes and a subpopulation of adherent mononuclear cells. J
Immunol 127:1211, 1981
31. Birgens HS, Hansen NE, Karle H, Kristensen LO: Receptor
binding of lactoferrin by human monocytes. Br J Haematol 54:383,
1983
32. Hashizume 5, Kuroda K, Murakami H: Identification oflactoferrin as an essential growth factor for human lymphocytic cell
lines in serum-free medium. Biochim Biophys Acta 763:377, 1983
33. Amouric M, Marvaldi J, Pichon J, Bellot F, Figarella C:
Effect of lactoferrin on the growth of a human: Adenocarcinoma cell
line-Comparison with transferrin. In Vitro 20:543, 1984
34. Kornfeld 5: The effect of metal attachment to human apo-
transferrin on its binding to reticulocytes. Biochim Biophys Acta
194:25, 1969
35. Tsunoo H, Sussman HH: Characterization of transferrin
binding and specificity of the placental transferrin receptor. Arch
Biochem Biophys 225:42, 1983
36. Klausner RD. Ashwell G, Van Renswoude J, Harford JB,
Bridges KR: Binding ofapotransferrin to K562 cells: Explanation of
the transferrin cycle. Proc Natl Acad Sci USA 80:223, 1983
37. Fuller RA, Briggs DR: Some physical properties of hen’s egg
conalbumin. J Am Chem Soc 78:5253, 1956
38. Azari PR, Feeney RE: Resistance of metal complexes ofconalbumin and transferrin to proteolysis and to thermal denatur-
ation. J Biol Chem 232:293, 1958
39. Alderton G, Ward WH, Fevold HL: Isolation of lysozyme
from egg white. J Biol Chem 157:43, 1945
40. Weiss L: The cell periphery. Int Rev Cytol 26:63, 1969
41. Campbell EJ: Human leukocyte elastase, cathepsin G, and
lactoferrin: Family of neutrophil granule glycoproteins that bind to
an alveolar macrophage receptor. Proc Natl Acad Sci USA 79:6941,
1982
42. Van Snick JL, Masson PL: The binding of human lactoferrin
to mouse peritoneal cells. J Exp Med 144:1568, 1976
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom
Page 8
270 YAMADA ET AL
43. Moguilevsky N, Retegui LA, Courtoy PJ, Castracane CE, 46. Bridges KR, Cudkowicz A: Effect of iron chelators on the
Masson PL: Uptakeoflactoferrin by the liver III. Critical roleofthe transferrin receptor in K562 cells. J Biol Chem 259:12970, 1984protein moiety. Lab Invest 50:335, 1984 47. Louache F, Testa U, Pelicci P. Thomopoulos P. Titeux M,
Rochant H: Regulation of transferrin receptors in human hemato-44. Bennett RM, Davis J, Campbell 5, Portnoff 5: Lactoferrin
binds to cell membrane DNA. Association of surface DNA with an poietic cell lines. J Biol Chem 259:1 1576, 198448. Mattia E, Rao K, Shapiro DS, Sussman HH, Klausner RD:
enriched population of B cells and monocytes. J Clin Invest 71:61 1,I 983 Biosynthetic regulation of the human transferrin receptor by des-
ferrioxamine in K562 cells. J Biol Chem 259:2689, 1984
45. Cudkowicz A, Klausner RD, Bridges KR: Regulation of the 49. Birgens HS, Karle H, Hansen NE, Kristensen LO: Lactofer-
transferrin receptor in K562 erythroleukemia cells. Prog Clin Biol rin receptors in normal and leukemic human blood cells. Scand J
Res 165:509, 1984 Haematol 33:275, 1984
For personal use only. by guest on July 10, 2011. bloodjournal.hematologylibrary.orgFrom