Autocrine motility factor/
phosphoglucose isomerase (AMF/PGI) is the extracellular
ligand for the gp78/AMFR receptor overexpressed in a variety of human
cancers. We showed previously that raft-dependent internalization of AMF/PGI is elevated in metastatic MDA-435 cells, but not metastatic, caveolin-1-expressing MDA-231 cells, relative to non-metastatic MCF7 and dysplastic MCF10A cells suggesting that it might represent a
tumor cell-specific endocytic pathway.
METHODOLOGY/PRINCIPAL FINDINGS: Similarly, using flow cytometry, we demonstrate that raft-dependent endocytosis of AMF/PGI is increased in metastatic HT29
cancer cells expressing low levels of
caveolin-1 relative to metastatic, caveolin-1-expressing, HCT116 colon cells and non-metastatic Caco-2 cells. Therefore, we exploited the raft-dependent internalization of AMF/PGI as a potential
tumor-cell specific targeting mechanism. We synthesized an AMF/PGI-
paclitaxel conjugate and found it to be as efficient as free
paclitaxel in inducing cytotoxicity and apoptosis in
tumor cells that readily internalize AMF/PGI compared to
tumor cells that poorly internalize AMF/PGI. Murine K1735-M1 and B16-F1
melanoma cells internalize
FITC-conjugated AMF/PGI and are acutely sensitive to AMF/PGI-
paclitaxel mediated cytotoxicity in vitro. Moreover, following in vivo intratumoral injection,
FITC-conjugated AMF/PGI is internalized in K1735-M1
tumors. Intratumoral injection of AMF/PGI-
paclitaxel induced significantly higher
tumor regression compared to free
paclitaxel, even in B16-F1 cells, known to be resistant to
taxol treatment. Treatment with AMF/PGI-
paclitaxel significantly prolonged the median survival time of
tumor bearing mice. Free AMF/PGI exhibited a pro-survival role, reducing the cytotoxic effect of both AMF/PGI-
paclitaxel and free
paclitaxel suggesting that AMF/PGI-
paclitaxel targets a pathway associated with resistance to chemotherapeutic agents. AMF/PGI-
FITC uptake by normal murine spleen and thymus cells was negligible both in vitro and following
intravenous injection in vivo where AMF/PGI-
FITC was selectively internalized by subcutaneous B16-F1
tumor cells.
CONCLUSIONS/SIGNIFICANCE: