Gamma-glutamylcysteine synthetase (␥-GCS) is a heterodimer consisting of heavy (␥-GCSh) and light (␥-GCSl) subunits. ␥-GCS catalyzes the rate-limiting de novo biosynthesis of glutathione (GSH), an abundant physiological antioxidant that plays important roles for regulating oxidative stress. Expression of ␥-GCSh and ␥-GCSl are sensitive to oxidative stress. To investigate whether expression of ␥-GCS is correlated with tumor progression, we used immunohistochemical approaches to examine 16 human colorectal adenomas and resected 57 carcinomas from untreated patients. In adjacent normal colorectal epithelium, levels of ␥-GCSh expression were low. Strong cytoplasmic staining for ␥-GCSh was detected in 3 (18.8%) adenoma and 48 (84.2%) carcinomas. The frequency of ␥-GCSh expression in carcinoma was significantly higher than in adenoma (p<0.0001). We used RNase protation assay and Western blot to determine levels of ␥-GCSh mRNA and protein from 10 pairs of matched carcinomas with adjacent normal controls. Elevated expression of both ␥-GCSh mRNA and protein were found in 6 cases, suggesting that transcriptional and/or posttranscriptional regulation play an important role in the upregulation of ␥-GCS during colorectal carcinogenesis. We also examined the expression of another redox-regulated gene, multidrug resistance protein 1 (MRP1). Strong staining for MRP1 was detected in 1 (6.3%) adenoma and 40 (70.2%) carcinomas. The frequency of MRP1 expression in carcinoma was significantly higher than in adenoma ( p<0.0001). Nuclear p53 expression was detected in 30 (52.6%) of carcinomas. There is a significant correlation between ␥-GCSh and MRP1 expression (p)310.0؍ but not between ␥-GCSh and p53. Since ␥-GCS is a sensor of oxidative stress, these results are consistent with the notion that oxidative stress is associated with colorectal tumor progression. © 2002 Wiley-Liss, Inc.
Key words: ␥-GCSh; MRP1; colorectal neoplasmGlutathione (GSH) plays an important role in regulating intracellular redox conditions. Biosynthesis of GSH involves 2 enzymatic reactions: the first reaction involves the synthesis of glutamylcysteine through ␥-peptide bond formation between glutamate and cysteine and is catalyzed by the rate-limiting enzyme gamma-glutamylcysteine synthetase. 1 The second reaction is catalyzed by GSH synthetase, which conjugates glycine to glutamylcysteine. The mammalian ␥-GCS holoenzyme is a heterodimer that consists of a 73 kDa heavy subunit (␥-GCSh) and a 28 kDa light subunit (␥-GCSl). [2][3][4][5] The steady-state levels of ␥-GCSh and ␥-GCSl mRNA are increased in cultured cells exposed to prooxidants (-naphthoflavone, menadione, tert-butylhydorquinone and pyrrolidine dithiocarbamate, 6,7 ), antitumor agents (cisplatin, 8 1-(4-amino-2-methyl-5-pyrimidinyl)methyl-3-(2-chloroethyl)-3 nitrosourea 9 ), cytokines (interleukin 1 10 ), etc. These cytotoxic agents are known to generate reactive oxygen species (ROS) and exert various degrees of oxidative stress to the cells. In all cases, induction of ␥-GCS is accompanied by the...