Abstract:
Herein described is an ovarian cancer activating factor that has been isolated from ovarian cancer ascites fluid. The factor may be utilized in its isolated form in a screening program aimed at identifying inhibitors of factor-mediated ovarian cancer activation, or as a growth supplement useful for culturing ovarian and other cancer cell lines.

Description:
The cause of proliferation of human ovarian cancer tumor cells, the primary cause of death from gynecologic tumors, has not been determined. Abnormal oncogene expression or action has been detected, suggesting that a growth factor might be involved in the growth of ovarian cancer. This has prompted investigation of ascitic fluid for growth factors responsible for proliferation of ovarian cancer cells. 
     Mills et al (Cancer Research, 1988, 48:1066) report that ascites fluid taken from ovarian cancer patients, contains a factor that induces proliferation of fresh ovarian cancer cells and the ovarian cancer cell line designated HEY. The proliferative response was associated with rapid increases in phospholipid hydrolysis and changes in intracellular calcium. Evidence presented by these authors suggests that the factor is proteinaceous in nature, having been enriched by application of protein isolation techniques such as ammonium sulphate precipitation, having shown susceptibility to protease K, and having shown susceptibility to boiling. It was later suggested that the factor is a 30 kD glycoprotein (Diagn. Oncol, 1992, 2:39). 
     It is an object of the present invention to isolate a factor that is capable of stimulating calcium release in ovarian cancer cells. 
     SUMMARY OF THE INVENTION 
     There has now been isolated a factor that activates ovarian cancer cells by stimulating the release of intracellular calcium. In contrast to the findings previously reported, the present ovarian cancer ascites factor, herein referred to as OCAF, is substantially devoid of protein and peptide, and likely is phospholipid in nature. In its isolated form, the factor can be exploited in a screening program aimed at identifying substances that inhibit factor-mediated ovarian cancer activation, for therapeutic use in the treatment of ovarian cancer. Alternatively, factor may be used as an immunogen, for the purpose of raising antibodies for use therapeutically to inhibit OCAF action in vivo, or for use in detecting OCAF in serum samples for the purpose of ovarian cancer diagnosis. 
     More particularly, and in accordance with one aspect of the present invention, there if provided a factor that is recoverable from ovarian cancer ascites fluid and that stimulates intracellular calcium release within ovarian cancer cells, wherein the factor is substantially free from proteins and peptides. The factor may be characterized further by (1) solubility in 80% acetone and in 100% methanol; (2) retained activity after boiling in water for up to fifteen minutes, and after incubation with protease; and (3) abolished activity after incubation with Vibrio sp. phospholipase B, with Streptomyces chromofuscus phospholipase D and with soybean lipoxidase. 
     According to another aspect of the present invention, there is provided a method for obtaining the isolated factor, which comprises the steps of 
     (1) obtaining ovarian cancer ascites fluid; 
     (2) extracting the fluid with methanol and chloroform; 
     (3) recovering the aqueous methanol phase and re-extracting with acidified chloroform and methanol; 
     (4) recovering the chloroform phase and subjecting the chloroform phase to fractionation by silica gel; and 
     (5) recovering the methanol eluant therefrom. 
     These and other aspects of the present are now described in greater detail with reference to the accompanying drawings in which: 
    
    
     REFERENCE TO THE DRAWINGS 
     FIGS. 1A &amp; B illustrate the effect of OCAF and thrombin on [Ca ++  ] i  release in HEY cells. [Ca ++  ] i  response to sequential addition of OCAF (10 μl) and thrombin 
     (0.1U)(A); or addition of thrombin followed by OCAF (B); 
     FIGS. 2A &amp; B illustrate cross inhibition of the [Ca ++  ] i  response induced by OCAF and LPA administered in sequence. (A) The trace shows the [Ca ++  ] i  response triggered by OCAF (10 μl), which inhibits the [Ca ++  ] i  response to subsequent addition of OCAF (20 μl) and LPA (10 μM); (B) LPA (10 μM) was added, followed by additional LPA (20 μM) and OCAF (10 μl); and 
     FIGS. 3A &amp; B illustrate cross inhibition of the [Ca ++  ] i  response induced by OCAF and SPC administered in sequence. (A) The trace shows the [Ca ++  ] i  response triggered by OCAF (10 μl), which inhibits the [Ca ++  ] i  response to subsequent addition of OCAF (20 μl) and SPC (10 μM); (B) SPC (10 μM) was added, followed by additional SPC (20 μM) and OCAF (10 μl). 
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     The invention relates to an isolated factor, designate OCAF, that activates ovarian cancer cells, by stimulating the release of intracellular calcium. The term &#34;isolated&#34; is used herein with reference to a factor that is substantially free from proteins and peptides, i.e. is free from proteins and peptides detectable by protein staining techniques. The activating property of the factor with respect to ovarian cancer cells is revealed using the fluorescence scanning technique and the incubation protocol reported by Mills et al, supra, which is incorporated herein by reference. Briefly, established ovarian cancer cells, of the line designated HEY, are preincubated with the fluorescing calcium chelator Indo-1; after addition of the factor, the cells are scanned using a spectrophotometer to measure chelated calcium and thus indirectly measure the increased concentration of intracellular calcium. 
     The various identifying characteristics of the ovarian cancer ascites factor of the present invention were revealed upon examination of a preparation obtained from ascites fluid that was taken from ovarian cancer patients. The preparation was obtained in the manner described in example 1 herein. Briefly, this entailed a first methanol/chloroform extraction of fresh human ovarian cancer ascites fluid according to the method described by Bligh and Dyer in Can. J. Biochem. Physiol., 1959, 37:911. The OCAF activity was recovered in the aqueous/methanol phase, which was re-extracted with acidified chloroform and methanol according to the method described by Schact in Methods Enzymol., 1981, 72:626. The factor-containing chloroform phase was then fractionated on silica gel, and the isolated OCAF was eluted using methanol. 
     The factor resulting from this extraction was subjected to various analytical techniques, and its ovarian cancer activating properties were compared with other known activating and growth factors, using the HEY-based fluorescence scanning assay. As is revealed in the examples which follow, OCAF is probably lipid in nature, and may be a unique form of phosholipid. 
     In its extracted form, OCAF may be exploited in screening assays designed to identify compound(s) that inhibit OCAF-mediated activation of ovarian cancer cells. Such an assay entails incubating an ovarian cancer cell line, such as the HEY cell line, in the presence of OCAF and a compound the inhibiting properties of which are to be determined. Inhibition by the compound will be revealed by elimination of or a reduction in the intracellular release of calcium within the ovarian cancer cell line, relative to a control experiment in which only OCAF is present. 
     Inhibitors of OCAF may be in the form of antibodies, raised by immunizing rabbits, for instance, with OCAF and then recovering the antibodies so formed according to well established procedures. When conjugated to a reporter such as an enzyme, e.g. urease, peroxidase and the like, such antibodies can also be exploited to determine the presence of OCAF in biological samples, as a way of diagnosing ovarian cancer. 
     EXAMPLE 1 
     Isolation of the Factor 
     Freshly obtained ascites was centrifuged to remove cells. 25 ml of methanol and 12.5 ml of chloroform were added to 10 ml of ascites. After thorough mixing of their contents, the mixture was centrifuged (1000 g, 10 min). The supernatant was removed to a new tube and the precipitate was re-extracted with 12.5 ml of chloroform. The combined supernatant was washed with 12.5 ml of 0.88% KCl in H 2  O and separated into two layers by centrafugation. The precipitate, which contained more than 99% protein (determined by the Bio-Rad protein assay), had no OCAF activity and was discarded. The lower chloroform phase, which contained mostly neutral lipids (revealed by TLC analysis), had no OCAF activity. The upper aqueous/methanol layer contained OCAF activity (˜90% activity from crude ascites). The methanol and most of the H 2  O in this phase was removed by a rotary evaporator at 50° C. The resulting material was brought up to 1 ml by H 2  O and 3 ml of chloroform/methanol (1:2) was added and mixed. Then, 1 ml of 2.4N HCL and 1 ml chloroform were added. After thorough mixing, the mixture was centrifuged (about 1000 g for 10 min) and the lower layer was transferred into new tubes. The interface and upper phase were extracted once more with 2 ml of chloroform. The combined lower phases were washed with 4 ml of methanol-1NHCl, 1:1 (v/v). The upper phase, found to contain no OCAF activity, was discarded after centrifugation. The lower layer was collected, and found to possess OCAF activity (&gt;80% recovery from crude ascites). 
     OCAF in this acidified chloroform was passed on a Sep-Pak silica cartridge (˜10 ml/cartridge), which was washed with 20 ml of chloroform, 20 of acetone and then 20 ml of chloroform/methanol(50:50, v/v). The OCAF activity was eluted with 50 ml of methanol with overall recovery &gt;70%. 
     This OCAF preparation is free of protein and amino acid, as assessed by silver-stained SDS PAGE and TLC analysis by staining with ninhydrin. TLC analysis also indicated that OCAF is substantially free of neutral lipids. 
     EXAMPLE 2 
     Evaluation of the Factor 
     The activating properties of OCAF and various comparison compounds were investigated by determining increases in the intracellular calcium concentration within HEY cells. For this purpose, HEY cells (a human ovarian cancer cell line obtained from Toronto General Hospital) having the properties described by Buick et al, Cancer Research, 1985, 45:3668) were cultured in complete medium (RPMI 1640 (GIBCO, Grand Island, N.Y.) substituted with 5% (v/v) FCS (Flow Laboratory, Maclean, Va), 2 mM glutamine (GIBCO) and 1×10 5  M mercaptoethanol. Cells were split weekly and were cultured in RPMI 1640 without FCS for at least 20 hours prior to use. Cells were harvested in PBS, 2 mM EDTA. 
     Measurements of intracellular calcium were obtained as described by Mills et al, supra, using Indo-1-AM as the Ca ++  chelator and fluorescence indicator. HEY cells were loaded with Indo-I AM, washed and incubated at 37° C. for at least 30 min. Different compounds were added to the cells at concentrations as indicated and fluorescence changes were measured by a Hitachi 4000 spectrophotometer at 37° C. Ascites was used as a positive control to show that the cells were responsive. In all cases, assays were performed in a calcium free buffer (140 mM NaCl, 1 mM KCl, 1 mM MgCl 2 , 10 mM glucose, and 20 mM HEPES, pH 7.23) and 1 mM EGTA was added followed by the test samples. 
     To confirm that various known growth factors were not responsible for OCAF activity, the factors identified in Table 1 were evaluated in the HEY-based assay at the noted concentrations. 
     
                       TABLE I______________________________________PEPTIDE GROWTH FACTORSTESTED IN [Ca.sup.++ ].sub.i ASSAY                          ASSAYCOMPOUND       CONCENTRATION   (Ca.sup.++)______________________________________TGF-α    0.01 ng-1 μg/ml                          -TGF-β     100 ng/ml       -EGF            0.01 ng-1 μg/ml                          -Acidic FGF     0.01 ng-1 μg/ml                          -Basic FGF      0.01 ng-1 μg/ml                          -PDGF           5 ng/ml         -IGF-I          0.01 ng-1 μg/ml                          -IGF-II         0.01 ng-1 μg/ml                          -IL-1           1,000 half-max. units/ml                          -IL-2           0.01 ng-1 μg/ml                          -IL-8           0.01 ng-1 μg/ml                          -TNF-α    100 ng/ml       -INSULIN        10.sup.-6 M     -LIF*           0.01-1 μg/ml -THROMBIN       0.1-10 unit/ml  +FIBRINOGEN     2-200 μg/ml  -VASOPRESSIN    100 ng/ml       -ANGIOTESIN     100 ng/ml       -α- &amp; β- INTERFERONS          10,000 units/ml -BOMBESIN       10 nM-1 μM   -BRADYKININ     10 nM-1 μM   -PHA**          30 μg/ml     -______________________________________  *LIF: Leukaemia inhibitory factor **PHA: Mitogenic lectin phytohemagglutinin 
    
     Of the more than 20 different peptide growth factors tested, only thrombin stimulated a transient [Ca ++  ] i  increase in HEY cells. However, thrombin did not interfere with the OCAF-activated calcium signal, although some attenuation did occur (FIGS. 1A and 1B). Furthermore, antithrombin was found to block thrombin activity, but not OCAF activity. 
     Still further evidence that OCAF is not a protein was obtained from protease digestion studies. It was found that OCAF activity was not abolished after treatment with the following proteases, all of which were separately incubated with OCAF at 37° C. for 3-5 hours: bromelain, carboxypeptidase Y, peptidase, pepsin, papain, protease types XXV (Pronase E), XVII-B (V8), XIII and XIV (pronase E), proteinase K, thermolysin, and trypsin. 
     Further characterization of OCAF also demonstrated that it is resistant to extremely harsh treatment including boiling in water for fifteen minutes, extremes of pH and detergent treatment. Furthermore, it is soluble in 80% acetone and 100% MeOH, suggesting that it could be a lipid. More than 20 known lipid growth factors/mediators were then tested, and the results are presented in Table II. 
     
                                           TABLE II__________________________________________________________________________ORGANIC COMPOUNDS TESTED IN [Ca.sup.++ ].sub.i ASSAYCOMPOUND           CONCENTRATION                         ASSAY (Ca.sup.++)__________________________________________________________________________ARACHIDONIC ACID   12,24,60,120,480 μM                         -OLEIC ACID         1,12,120 μM                         -DIACYLGLYCEROL     1,12,20,200 μM                         -PHOSPHATIDIC ACID  12,60 μM                         -PHOSPHATIDYLCHOLINE              12,30,75,300 μM                         -PHOSPHATIDYLETHANOLAMINE              12,30,80 μM                         -PHOSPHATIDYLSERINE 12,30,80 μM                         -**LPA              1,12 μM +LPC                12,60 μM                         -LPE                1,12,20 μM                         -LPG                1,12,20,50 μM                         -LPI                1,12,20,50 μM                         -**LPS              1,12 μM +SPHINGOSINE        1,12,20,50 μM                         -**SPC              1,12,20 μM                         +SPHINOGOMYELIN     1,12,20 μM                         -OSM                2,10,20 μM                         -CERAMIDE           1,12,20 μM                         -PAF                10.sup.-11 TO 10.sup.-5 M                         -TPA                10.sup.-10 TO 10.sup.-6 M                         -CARBACHOL          0.2,1.2,2.4 mM                         -__________________________________________________________________________ LPA: Lysophosphatidic acid (oleoyl, palmitoyl or stearoyl) LPC: Lα-lysophosphatidylcholine (oleoyl or palmitoyl) LPE: Lysophosphatidylethanolamine (oleoyl) LPG: Lysophosphatidylglycerol LPI: Lysophosphatidylinositol LPS: Lysophosphatidylserine SPC: Sphingosylphosphorylcholine OSM: Noleoyl-D-sphingomyelin PAF: Platelet activating factor TPA: 12O-tetradecanoylphorbol-13-acetate 
    
     It will be seen from Table II that LPA (oleoyl, palmitoyl and stearoyl), LPS and SPC were found to stimulate [Ca ++  ] i  release in HEY cells. Furthermore, they all cross inhibit OCAF and each other in the assay and FIGS. 2 and 3 show typical interactions. Enzymatic digestions of OCAF and other lipids were carried out to determine whether OCAF is phospholipid in nature, and whether other phospholipids might possess OCAF activity. Phospholipase digestions were carried out in 10 mM HEPES, pH 7.4, with either 100 mM NaCl or 4 mM CaCl 2  at 37° C. for 3 h. The reactions were stopped by freezing at -20° C. No further extraction was done and the mixtures were assayed for calcium release activity as described above. The enzymes used were also incubated in the absence of substrate under the same conditions, and no calcium release was observed. The results are shown in Table III. 
     
                       TABLE III______________________________________[Ca.sup.++].sub.i RELEASE AFTER ENZYMATIC DIGESTIONSSAMPLE  CONTROL     PL-B    PL-D   LIPOXIDASE______________________________________OCAF    ++          -       -      -LPA     ++          -       ++     ++LPC     -           -       ++     -LPS     ++          -       ++     -SPC     ++          ++      -      ++Thrombin   ++          ++      ++     ++______________________________________ LPA: Lysophosphatidic acid (oleoyl, palmitoyl or stearoyl) LPC: Lysophosphatidylglycerol LPS: Lysophosphatidylserine SPC: Sphingosylphosphorylcholine PL-B: Phospholipase B (Vibrio species) PL-D: Phospholipase D, type VI (Streptomyces chromofuscus) LIPOXIDASE: Lipoxidase (soybean) 
    
     The digestion profile of OCAF does not correspond to those observed for other phospholipids, but imply structural similarity. Judging from its sensitivity to phospholipase B and D, OCAF is likely a phospholipid other than LPA, LPS and SPC.