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PH of Cancer Cells

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PH of Cancer Cells

Cancer cells

Uploaded by

Udayanidhi R
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Intracellular pH imaging in cancer cells in vitro and tumors in vivo using the
new genetically encoded sensor SypHer2

Marina V. Shirmanova, Irina N. Druzhkova, Maria M. Lukina, Mikhail


E. Matlashov, Vsevolod V. Belousov, Ludmila B. Snopova, Natalia N.
Prodanetz, Varvara V. Dudenkova, Sergey A. Lukyanov, Elena V. Zagaynova

PII: S0304-4165(15)00126-9
DOI: doi: 10.1016/j.bbagen.2015.05.001
Reference: BBAGEN 28202

To appear in: BBA - General Subjects

Received date: 11 November 2014


Revised date: 30 April 2015
Accepted date: 4 May 2015

Please cite this article as: Marina V. Shirmanova, Irina N. Druzhkova, Maria M. Lukina,
Mikhail E. Matlashov, Vsevolod V. Belousov, Ludmila B. Snopova, Natalia N. Prodanetz,
Varvara V. Dudenkova, Sergey A. Lukyanov, Elena V. Zagaynova, Intracellular pH imag-
ing in cancer cells in vitro and tumors in vivo using the new genetically encoded sensor
SypHer2, BBA - General Subjects (2015), doi: 10.1016/j.bbagen.2015.05.001

This is a PDF file of an unedited manuscript that has been accepted for publication.
As a service to our customers we are providing this early version of the manuscript.
The manuscript will undergo copyediting, typesetting, and review of the resulting proof
before it is published in its final form. Please note that during the production process
errors may be discovered which could affect the content, and all legal disclaimers that
apply to the journal pertain.
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Intracellular pH imaging in cancer cells in vitro and tumors in vivo using the new
genetically encoded sensor SypHer2

Marina V. Shirmanova1,2, Irina N. Druzhkova1, Maria M. Lukina1,2, Mikhail E. Matlashov3,


Vsevolod V. Belousov1,3, Ludmila B. Snopova1, Natalia N. Prodanetz1, Varvara V. Dudenkova2,1,

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Sergey A. Lukyanov1,3, and Elena V. Zagaynova1,2

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1

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Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Sq., 603005 Nizhny
Novgorod, Russia

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2
Lobachevsky State University of Nizhny Novgorod, 23 Gagarin Ave., 603950 Nizhny
Novgorod, Russia

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3
Shemyakin–Ovchinnikov Institute of Bioorganic Chemistry RAS, 16/10 Miklukho-Maklaya St.,
117997 Moscow, Russia
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Key words: intracellular pH, genetically encoded sensor, SypHer2, cancer cell, tumor,
ratiometric imaging
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Corresponding author: e-mail [email protected], Phone: +7 831 465 5672, Fax: +7 831 465
4113
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Background: Measuring intracellular pH (pHi) in tumors is essential for the monitoring of cancer
progression and the response of cancer cells to various treatments. The purpose of the study was
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to develop a method for pHi mapping in living cancer cells in vitro and in tumors in vivo, using
the novel genetically encoded indicator, SypHer2.
Methods: A HeLa Kyoto cell line stably expressing SypHer2 in the cytoplasm was used, to
perform ratiometric (dual excitation) imaging of the probe in cell culture, in 3D tumor spheroids
and in tumor xenografts in living mice.
Results: Using SypHer2, pHi was demonstrated to be 7.34 ± 0.11 in monolayer HeLa cells in
vitro under standard cultivation conditions. An increasing pHi gradient from the center to the
periphery of the spheroids was displayed. We obtained fluorescence ratio maps for HeLa tumors
in vivo and ex vivo. Comparison of the map with the pathomorphology and with hypoxia staining
of the tumors revealed a correspondence of the zones with higher pHi to the necrotic and hypoxic
areas.
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Conclusions: Our results demonstrate that pHi imaging with the genetically encoded pHi
indicator, SypHer2, can be a valuable tool for evaluating tumor progression in xenograft models.

General significance: We have demonstrated, for the first time, the possibility of using the
genetically encoded sensor SypHer2 for ratiometric pH imaging in cancer cells in vitro and in

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tumors in vivo. SypHer2 shows great promise as an instrument for pHi monitoring able to

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provide high accuracy and spatiotemporal resolution.

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1. Introduction

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Intracellular pH (pHi) is known to be an important regulator of many cell functions. In normal
cells, intracellular pH is lower than extracellular pH (pHe), with the pHi and pHe values lying

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mostly in the range 7.0–7.2 and 7.3–7.4 respectively. Cancer cells are generally associated with
higher values of pHi 7.12 -7.65 and lower pHe 6.2–6.9. Such a reversed intra-extracellular pH
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gradient is considered to be a hallmark of neoplastic tissue, assisting the progression of the
cancer [1, 2]. An elevated pHi allows cell proliferation and the evasion of apoptosis, provokes a
metabolic switch from oxidative phosphorylation to aerobic glycolysis (Warburg effect) and
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possibly promotes genetic instability and the multidrug resistance (MDR) of cancer cells. An
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increased pHi and a decreased pHe coordinately enhance invasion and metastasis. Therefore it
appears that the measurement of pHi in tumors could represent an important method for
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monitoring the progression of cancers and the responses of cancer cells to various treatments.
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Given the significant role of pHi in tumor development, it is crucially important to be able
to measure it with high accuracy and spatiotemporal resolution. Fluorescence imaging based on
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pH-sensitive fluorescent probes offers excellent opportunities as a highly-sensitive, low cost


technique for real-time, non-invasive pH determination in cells and tissues. The majority of
commercially available probes are small organic molecules that have to be introduced into the
cells or tissues exogenously. The most widely used of these are derivatives of fluorescein
(BCECF, BCPCF, fluorescein, fluorescein sulfonic acid, carboxyfluorescein) and benzoxanthene
(SNAFL, SNAFR, SNARF) [3].
Despite the variety of pH sensitive fluorescent dyes available, measuring intracellular pH
remains problematic, especially in living tissues. These shortcomings include problems with the
intracellular delivery; with self-redistribution of the dyes and their leakage from the cells; their
interactions with other molecules in the cell, and their own cytotoxicity [4]. As a result, the
current applications for such synthetic probes are limited to the assessment of pHi in cell cultures,
in dissociated spheroids and tissues and in tissue slices following incubation with the probe [5-9].
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Although some of these dyes are able to enter cells in vitro, the mapping of pHi in solid
tumors in vivo remains impracticable and, so far, only pHe measurements in tumors have been
carried out with the use of this type of synthetic probe. For example, Mordon et al.
ratiometrically measured pHe in vivo in subcutaneously grafted lymphoid leukemia P388 tumors
in mice, using 5,6-carboxyfluorescein, 5,6-CF [10]. Robey et al. determined pHe in MDA-MB-

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231 tumor xenografts following the injection of SNARF-1 free acid [11]. In the paper by Hight

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et al. pHe was quantified with SNARF-4F in dye-perfused surgically-resected tumor specimens

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[12].
Therefore, it is desirable both to engineer new indicators for intracellular pH

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measurement and to develop appropriate methods for their use in vivo. In this context, pH-
reporters based on green fluorescent protein (GFP) represent promising instruments for

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overcoming the limitations of the synthetic dyes [13, 14]. Being genetically encoded, they can be
directed to any particular compartment within a cell, or allowed to distribute themselves by
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diffusion within the cytosol. Consequently, they enable the subcellular measurement of pH with
unrivalled specificity. The stable expression of GFP-based probes opens up possibilities for
continuous pH monitoring in living cells and tissues.
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In this issue, Matlashov et al. [15] report on an improved pH-sensitive ratiometric


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indicator SypHer2 based on the cpYFP fluorophore. It was generated from the H2O2 indicator
HyPer-2 [16] by mutation of the H2O2-sensing cysteine residue to serine (supplemental Fig. S1),
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causing a total loss of sensitivity to H2O2. SypHer2 has two excitation peaks, at 420 nm and 500
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nm, and one emission peak at 516 nm, similar to HyPer [17], however, in mammalian cells,
compared to SypHer [18], it has a 2 to 3 fold brighter fluorescence signal.
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The purpose of the study was to develop a method for pHi sensing in living cancer cells
in vitro and tumor xenografts in vivo, using this new genetically encoded indicator SypHer2.
Ratiometric (dual excitation) imaging of the probe was performed in cell culture, in 3D tumor
spheroids and in tumor xenografts in living mice. Quantitative assessment of the in vitro pHi was
made possible by using a calibration curve. Additionally, histopathology and hypoxia in the
tumors were characterized, to assist in interpreting the ratiometric imaging data.

2. Materials and Methods


2.1. SypHer2 spectral characterization
The SypHer2 protein was extracted and purified from competent E.coli XL1-Blue cells
transfected with pQE30-SypHer2 plasmids. Individual bacterial clones were picked and grown
overnight on solid LB-agar plates at 37oC followed by 24 hrs at room temperature. Cells were
lysed using B-PER reagent (Thermo Fisher Scientific), then equal aliquotes of the cell lysates
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were added to buffers (25 mM Tris-HCl и 150 mM NaCl) with pH values 7.1, 7.6, 8.1, 8.6, 9.0.
Fluorescence excitation spectra were recorded using Cary Eclipse (Varian) fluorimeter in 350-
510 nm range (530 nm emission). Fluorescence emission spectra in 440-620 nm range were
recorded with 420 nm excitation. The obtained excitation and emission spectra of SypHer2 are
presented in Fig. 1A.

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Measuring of the excitation spectra at different pH showed that the excitation peak at 420

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nm decreases with pH proportionally to the increase in the peak at 500 nm, allowing ratiometric

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measurement of pH (Fig. 1B).

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2.2. Monolayer and 3D cell cultures
A HeLa Kyoto cell line, stably expressing SypHer2 (HeLa-SypHer2) in the cytosol, was used.

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The cells were cultured in DMEM supplemented with 10% FBS (Hyclone), 2 mM glutamine
(PanEco), 10 U/ml penicillin and 10 mg/ml streptomycin. For fluorescence microscopy the cells
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were seeded (1x105 in 2 mL) into glass-bottomed 35 mm FluoroDishes, and incubated overnight
at 37°C, 5% CO2 and 80% relative humidity. Then the cells were washed with PBS and placed
into Henk's solution for imaging.
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The protocol for 3D cultures (tumor spheroids) was modified from the plate
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manufacture's protocol. A cell suspension of HeLa-SypHer2 cells in complete growth medium


was seeded into the wells of a round bottom 96-well Ultra-Low Attachment plate (Corning,
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USA) at a density of 100-150 cells/200 µL/well. Complete culture medium was added on day 3.
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Once spheroid formation had been completed, on the day 7 they were carefully washed with PBS
and transferred into glass-bottom FluoroDishes with PBS for investigation.
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2.3. Animals and tumors


All animal protocols were approved by the Ethics Committee of Nizhny Novgorod State Medical
Academy. Experiments were performed on female athymic nude mice purchased from the
Pushchino animal nursery (Pushchino, Russia). Mice of 20-22 g body weight were inoculated
subcutaneously in the left flank with HeLa cells expressing cytosolic SypHer2 (2x106 in 200 µL
PBS). Imaging started 7 days after the cell injection, when the tumors had reached 3–4 mm in
diameter. The animals were monitored on days 7, 10, 14 and 18. Before fluorescence imaging
the mice were anesthetized intramuscularly with a mixture of Zoletil (40 mg/kg, 50 µL, Virbac
SA, Carros, France) and 2% Rometar (10 µL and 10 mg/kg, Spofa, Czech Republic). To reduce
signal attenuation, a skin flap over the tumor was repeatedly opened for image acquisition and
closed with a 6-0 suture immediately afterwards. On day 18 the animals were sacrificed by
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cervical dislocation and the tumors were excised. The total number of animals in the study was
10.

2.4. Fluorescence microscopy


The fluorescence intensity of the monolayer cell cultures was measured on an inverted Nikon

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Eclipse TI N-STORM microscope (Nikon, Japan). Epi-fluorescence mode with a BV-2A filter

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(Ex: 400-440 nm, Em: 470 nm) and a YFP filter (Ex: 490-500 nm, Em: 520-560 nm) was used

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for the detection of SypHer2 fluorescence.
For the tumor spheroids, those measuring ~200 µm were analyzed on day 7 after seeding,

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using an inverted Carl Zeiss LSM 710 laser scanning confocal microscope (Carl Zeiss,
Germany). An argon laser with a diffraction grating was used for fluorescence excitation at

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wavelengths of 405 nm and 488 nm. Emissions were recorded in the range 435 - 689 nm for
excitation at 405 nm, and at 509 – 689 nm for excitation at 488 nm. Twelve randomly selected
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spheroids were examined. Starting from one pole of each spheroid, confocal z-stacks were
obtained through them with confocal slice thicknesses of 1.2 μm and a step size of 2.47 μm
between adjacent optical planes.
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After animal sacrifice, the tumors were excised, cut in two parts and immediately placed
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into liquid nitrogen. Each piece of tumor was then embedded into O.C.T. compound (Optical
Cutting Temperature, Tissue-Tek, Sakura Finetek) on a cryotome holder. Prior to cryosectioning
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the tumor pieces were brought to -20°C and allowed to equilibrate for 30 minutes. The frozen
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samples were cut into 20 µm thick slices, placed on glass slides and immediately imaged on a
Leica DMIL (Leica, Germany) microscope using both CFP ET (Ex: BP 436/20, Em: BP 480/40)
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and YFP ET (Ex: BP 500/20, Em: BP 535/30) filtration.


The fluorescence images were processed with ImageJ 1.39p software (NIH, USA). The
background signal, taken from an empty region, was subtracted from the measurements, and the
ratio of emission intensity resulting from excitation at the two wavelengths was calculated
(I500/I420).

2.5. pH calibration in vitro


The protocol for pH calibration was modified from Ref. [19]. A set of buffer solutions containing
130 mM KGluconate, 2 mM CaCl2, 1mM MgCl2, 10 µM nigericin and 30 mM MOPS was
prepared with pH values of 6.7, 6.9, 7.1, 7.3, 7.5, 7.7, 8.0. The pH was adjusted with 1M KOH
or 1M HCl at room temperature (the registration of fluorescence was also performed at this same
temperature). The cells were incubated with buffer for 5 minutes, and then the fluorescence was
registered as described above. For each pH value the fluorescence signal from 5 fields of view
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was acquired, with the fluorescence ratio being calculated for 5-10 cells for each field of view in
order to obtain an averaged value of signal. Since two different microscope types were used for
monolayers and for spheroids, separate calibration curves were constructed for them.

2.6. Fluorescence imaging of tumors in vivo

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The tumor-bearing mice were imaged in vivo using an IVIS-Spectrum imaging system (Caliper

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Life Sciences, USA). Fluorescence was excited at two wavelengths 430±15 nm (I430) and

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500±15 nm (I500), and detected using a 530–550 nm band filter. The images were processed with
ImageJ 1.39p software as described above.

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2.7. Histopathology

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20 µm tumor tissue cryosections were stained with hematoxylin and eosin (H&E) and examined
with a Leica DM2500 microscope. The histological structures were matched with the
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fluorescence signals recorded for the corresponding sections.

2.8. Hypoxia assessment


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For the investigation of tumor tissue hypoxia, mice were intravenously injected with
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Hypoxyprobe™-1 (pimonidazole HCl) solution at a dosage of 60 mg/kg body weight, 40 min


before tumor excision. 20 µm cryosections were stained with FITC-conjugated IgG1 mouse
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monoclonal antibodies diluted 1:100, according the manufacturer’s protocol.


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2.9. Statistical analysis


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The mean values (M) and standard deviations (SD) were calculated for the results of pH
measurements for the cells and spheroids, and for the results of the SypHer2 fluorescence ratio
measurements of tumors. The Student’s t-test and the one-way ANOVA with Fisher’s post-hoc
test were used to compare the data (p ≤ 0.05 was considered statistically significant). To
construct the curve fit for the pH calibration data the least-squares method was used in Microsoft
Excel.

3. Results
3.1. pH registration in monolayer cell culture
To test the sensitivity of SypHer2 to pH changes and to calibrate the signal, their fluorescence at
two wavelengths, 500 nm and 420 nm, and the corresponding I500/I420 ratios were registered in
monolayered HeLa cells in buffer solutions with known pH values. In vitro calibration was
performed over the pH range 6.7-8.0 using MOPS buffers and nigericin. As expected, with
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increasing pH, the fluorescence excited at 420 nm decreased while that at 500 nm increased,
resulting in an increase of the ratio of intensities (Fig. 2A). The relationship between the
measured fluorescence ratio and the pH was well approximated by an exponential fit (r2 = 0.99,
the solid line in Fig. 2B).
The resulting calibration curve was used to determine the pHi values in HeLa cells in

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vitro (Fig. 2C). It was found to be 7.34 ± 0.11 (mean±SD, n=40) under standard cultivation

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conditions.

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3.2. pH mapping in tumor spheroids

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It is widely recognized that 3D cellular systems, and spheroids, are biologically more relevant to
solid tumors in vivo than are conventional 2D cell cultures, as they exhibit some of the

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morphological and physiological properties of the tumors and mimic the in vivo
microenvironment. For example, spheroids show heterogeneous expression of the membrane
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receptors that regulate cell adhesion and metabolism, produce an intercellular matrix, and have
oxygen and nutrient gradients that lead to the formation of a necrotic core and to different
proliferative activity [20, 21]. Due to proliferation and to the pO2 gradients, the pH in spheroids
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may also vary in different areas [8, 9]. To examine these pHi gradients in HeLa spheroids, we
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used the genetically encoded pH indicator SypHer2.


The spheroids were generated from HeLa cells stably expressing SypHer2. To convert the
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ratio signals to pH values in the spheroids we used the appropriate calibration curve obtained for
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monolayered cells. In a preliminary study using a confocal microscope we measured the


attenuation of the probing light as it passed through the spheroid and found that violet and blue
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light intensities attenuate equally, at least, up to the depth of ~90 µm (data not shown). However,
at the depths greater than 50 µm signal-to-background ratio did not exceed 10 for both
wavelengths. Therefore, to avoid any distortion of the ratio owing to the poor permeability to
light, the confocal scanning of the spheroids and, consequently, the measurement of pH, was
limited to this 50 µm depth.
Fig. 2D shows a pHi gradient from the core of the living spheroid to its periphery.
Quantitative analysis of the pHi values revealed that the pHi in peripheral parts of the spheroid
was 7.43±0.06, while in the central areas it was 7.23±0.04 (p=0.00000, n=12). Lower pHi in the
cores of the spheroids may be a result of the hypoxia-induced accumulation in the cell cytoplasm
of metabolic by-products, mostly lactate.

3.3. pH mapping of tumors in vivo


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Noninvasive pH measurement of tumors in vivo by optical methods is a complicated and
challenging task due to the extent of light absorption and scattering by the tissues. Another
problem is the delivery of the probe to the tumor cells. Therefore ratiometric genetically encoded
indicator stably expressed in the cancer cells has the potential to be a valuable tool for in vivo pH
monitoring.

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We induced tumors in mice using HeLa cells stably expressing SypHer2. In vivo

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fluorescence imaging was performed to visualize the SypHer2 emissions at 520 nm, sequentially

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excited at 430 and 500 nm.
Initial experiments showed that the skin above the tumor significantly reduces the level of

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detected SypHer2 fluorescence in both channels. Furthermore, as blue light (500 nm) penetrates
through the skin better than violet (430 nm), this means that this effect will bias the measured

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I500/I430 ratio upwards. Therefore, the resulting SypHer2 ratio measured from the intact
subcutaneous tumor does not reflect the actual SypHer2 signal. To overcome this obstacle, a skin
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flap over the tumor was surgically opened for image acquisition, and the fluorescence was
detected directly from the tumor surface.
Calculation of the I500/I430 ratio showed that the SypHer2 signal in the HeLa tumor was
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highly heterogeneous, indicating differences in pHi values across the tumor (Fig. 3A). The
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spatial distribution of the signal patterns was specific to each particular tumor. Our data support
the notion that tumors are phenotypically and functionally heterogeneous, and this heterogeneity
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can be observed both between different tumors and within individual tumors [22].
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Heterogeneous pH distribution in solid tumors has been demonstrated previously using, for
example, fluorescence imaging with 5,6-CF [10] or MRI [23].
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Macroscopically, the tumors had a multinodular, fleshy appearance with blood vessels,
plus yellowish and red-colored areas (Fig. 3A). Analysis of the I500/I430 ratio map revealed a
spatial gradient of pH within each separate tumor nodule, with a lower ratio (more acidic pH) in
the center, similar to that in the spheroid model. It is probable that the acidic pHi in the nodule
center is a result of the increased metabolism of glucose and poor blood perfusion. Comparison
of the mapped ratios with the conventional histopathology showed a correspondence of the areas
with highest ratio (more alkaline pH) to those showing necrosis (Fig. 3A). Quantitative
estimation of the ratio signals in 10 tumors, each containing 3-6 nodules, displayed statistically
significant differences between the central and peripheral parts of the nodules and the necrotic
zones.
As the tumors grew, the heterogeneity of the signals increased, but without any notable
changes in their spatial distribution (Fig. 3B).
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3.4. Histopathology and hypoxia in tumors
Since pH could influence the viability of tumor cells, and changes in pH values are associated
with both the oxygen consumption and the metabolic state of the cells, histopathological
investigation and hypoxia analysis of SypHer2 expressing tumors were performed. Fresh
cryosections of the tumors were examined for SypHer2 fluorescence and stained with H&E,

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while additional subsequent cryosections were stained with pimonidazole. In a preliminary study

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on tumor spheroids we showed that cryofixation does not change spatial distribution of SypHer2

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ratio (supplemental Fig. S2).
We observed higher I500/I420 ratios within necrotic areas and hypoxic zones, and lower

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ratios – within vital tumor tissue (Fig. 4).

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4. Discussion
This work was the first application of the genetically encoded pH probe SypHer2 for
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assessing pHi distribution in cultured cancer cells and tumors.
Various genetically encoded pHi indicators have been developed so far [13, 14], however
in cancer studies, their use has previously only been recorded in cultured cells. For instance,
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Bizzarry et al. developed the ratiometric excitation and emission pH indicator E2GFP and
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applied it for pHi probing in U-2 OS cells [24]. Similarly, EYFP [25] and cytoSypHer [18] have
been used to measure cytosolic pH in HeLa cells.
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Owing to the possibility of the subcellular targeting of FPs and FP-based sensors by
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fusing them to any protein of interest, the analysis of pH within cellular organelles became
possible with the introduction of GFP-based pH indicators. A number of GFP mutants, such as
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EYFP-mito [25], MitoSypHer [18], mtAlpHi [26] and GFP-pH [27] have been engineered to
monitor the pH of the mitochondrial matrix and their use in HeLa cells has also been
demonstrated. There are also examples of pH-sensitive FPs targeted to the Golgi apparatus.
Using a Golgi-targeted green fluorescent protein GT-EGFP as a probe, Rivinoja et al.
demonstrated the presence of a more alkaline pH in the medial/trans-Golgi in cancer cell lines,
MCF-7, HT-29 and SW-48 [28]. Golgi-associated GT-EGFP/GT-ECFP or GT-EYFP/GT-ECFP
have been used in HeLa cells to examine the contribution of actin dynamics to Golgi pH
homeostasis [29]. Serresi et al. have described an application of E1GFP fused to the HIV-Tat
protein in the measurement of pH changes along the endo-lysosomal pathway in HeLa cells [30].
Since animal tissues have poor permeability to light, pHi sensing with genetically
encoded indicators in tissues in vivo remains challenging, and to our knowledge, it has not
previously been implemented in the more complicated models of cancer, such as tumor
spheroids and animal tumors. For this purpose, the new optimized GFP-based ratiometric pH
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indicators are required, with absorption and fluorescence in the optical window, and with
enhanced brightness and broad dynamic ranges. It should be noted that ratiometric indicators
represent the most useful class of fluorescent sensors because they are relatively independent of
such factors as optical path length, focusing, excitation intensities, emission collection
efficiencies, probe concentration, and photobleaching, in contrast to the intensiometric indicators.

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SypHer2, as used in this study, is a new ratiometric pH sensor with increased brightness

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compared to its parental analogue, SypHer (HyPer-C199S), engineered by Poburko et al. [18].

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Using SypHer2, we determined the pHi values in HeLa cells grown in monolayered
culture. The pHi value of 7.34 ± 0.11 that we obtained using SypHer2 agreed well with cytosolic

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pH values reported for HeLa cells: 7.33 ± 0.13 [25], ~7.4 [18, 31], but was slightly higher than
the 7.11±0.12 demonstrated in another report [32].

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In our study, a core-periphery difference in the fluorescence ratio of SypHer2 was
recorded in living HeLa spheroids, indicating a spatial pHi gradient, with the lower pHi in the
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core. Similar results had previously been demonstrated in Ref. 7-9, where synthetic pH probes
were used. Using carboxy-SNARF-1, Swietach et al. found that spheroids of RT112 bladder
carcinoma cells have an acidic core with a pHi 0.25 units lower than at the surface [7]. With
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living OvCa nodules, pH imaging using SNARF-4F has demonstrated a pH gradient along their
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radii, with more acidic cores being observed consistently for both small and large spheroids [8].
Hulikova et al. also studied pHi in spheroids loaded with carboxy-SNARF-1 and showed 0.1-0.2
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units difference in pHi between the center and the periphery for both HT29 and HCT116
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spheroids, with the more acidic pH in the core [9]. However, in our experiments, the very limited
penetration of the probing light used for excitation of SypHer2 did not allow the ratiometric
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measurement of pHi from deeper than 50 µm in living spheroids.


Using SypHer2 we obtained a fluorescence ratio map for pHi in HeLa tumors in vivo and
ex vivo. In solid tumors in vivo, translation of the fluorescence ratios into pH units requires
careful correction, given the optical properties of the tumor tissue, in particular, the different
extent of penetration and attenuation of the excitation illumination and of the fluorescence
emissions of different wavelengths. The apparent heterogeneity of the SypHer2 ratios in the in
vivo images therefore could theoretically be explained by differential light absorption and/or
scattering in different areas of the object. However, the correlation of the in vivo ratio mapping
with that of the ex vivo tissue sections, where these factors do not impact on the ratio, allows us
to conclude that the observed heterogeneity results from differences in pHi.
The development of ratiometric pH indicators working in the red range or fluorescence
lifetime based pH sensors represents possible solutions for measuring pH in living tissues. The
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pH-dependence of the SypHer2 fluorescence lifetime and the development of a FLIM-based
method of pH analysis in cells in vitro and in vivo will be the subject of further research.
Comparison of the fluorescence ratio map with pathomorphology and hypoxia staining in
the tumors revealed a correspondence of the zones with higher pHi to the necrotic and hypoxic
areas. Hypoxia, a common feature of solid tumors, is known to be responsible for inducing

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acidosis in tumors through a shift from oxidative phosphorylation to glycolytic metabolism,

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which generates a high acid load in the tumor microenvironment [33]. However, prolonged

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deprivation of oxygen leads to chronic hypoxic stress and to necrotic cell death, so necrosis is
also a common characteristic of tumors. Using microelectrode techniques, it was shown in the

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1980s, that in those areas with gross, presumably long-established necrosis, the pH shifts
towards more alkaline values [34, 35]. This happens probably due to a lack of formation of

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acidic metabolites once the glycogen stores are exhausted. As a consequence, necrotic cells
demonstrate acidophilic (eosinophilic) staining.
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In summary, we have shown, for the first time, the possibility of using the genetically
encoded sensor SypHer2 for ratiometric pHi imaging in cancer cells in vitro and for tumors in
vivo. Our results demonstrate that pH imaging can be a valuable tool for evaluating metabolic
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state of tumor and progression in xenograft models.


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Acknowledgements
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This work was supported by the Russian Science Foundation (project # 14-15-00646). The
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authors are grateful to Natalia Klementieva for her kind assistance with the Nikon Eclipse TI N-
STORM microscope.
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References
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Fig. 1. A) Fluorescence excitation (em. 530 nm) and emission (ex. 420 nm) spectra for SypHer2
protein from crude lyzates registered at pH 7.1. B) Excitation spectra of SypHer2 at different pH.
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Fig. 2. SypHer2 ratiometric imaging in HeLa cells in vitro. A) fluorescence images using
excitation at 420 nm and 500 nm (detection at 520 nm) and I500/I420 ratio images at different pH
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values; B) SypHer2 calibration curve (exponential fit, r2 = 0.99), mean±SD, n=30; C) pH


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imaging in resting HeLa cells transfected with SypHer2 and maintained under physiological
medium; D) Confocal z-stack of living tumor spheroid shows more acidic pHi in the spheroid
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core. Depth of scanning is indicated on the images. Excitation at 405 nm and 488 nm, detection
at 435-689 nm and 509-689 nm respectively. Scale bars 40 µm.

Fig. 3. A) in vivo pHi mapping of HeLa tumor expressing the genetically encoded pH-indicator
SypHer2. Upper row: fluorescence images with excitation at 430 nm and 500 nm (detection at
540 nm) and the calculated I500/I430 ratio; quantitative analysis of the I500/I430 ratio in the center
and at the periphery of tumor nodules (n=42) and in necrotic areas (n=16), M±SD. Lower row:
enlarged I500/I430 ratio map of the area highlighted by the dotted line, corresponding to the
photograph of the tumor from the histological slide (H&E, sagittal plane). N - necrosis. The blue
to red colors of the I500/I430 lookup table indicate pHi values ranging from more acidic to more
alkaline conditions. The data was recorded on day 18 of tumor growth. A separate tumor nodule
with a radial pH gradient is highlighted by the dashed circle. Cutting line is shown by the white
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line; B) in vivo monitoring of the fluorescence I500/I430 ratio during the course of tumor growth.
The HeLa tumor expressing SypHer2 was imaged with the skin flap opened.

Fig. 4. Correspondence between the pHi map (A, I500/I430 ratio from a freshly frozen tissue
section), its histopathology (B, H&E staining) and the distribution of hypoxia (C, pimonidazole)

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in a SypHer2 expressing tumor. N – necrosis, T – vital tumor tissue. Scale bar 100 µm.

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Figure 1.

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Figure 3.

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Figure 4.

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Highlights
 We developed a method for pHi mapping in living cancer cells in vitro and in tumors in
vivo
 The novel genetically encoded indicator, SypHer2, was used
 Intracellular pH was measured in HeLa cells in monolayer and tumor spheroids
 We obtained fluorescence ratio maps, representing the pHi distribution, for HeLa tumors

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in vivo and ex vivo
 A correspondence of the zones with higher pHi to the necrotic and hypoxic areas was

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demonstrated.

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