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Harald StenmarkHåvard E. DanielsenKnut Liestøl Ragnhild A. LotheAntoni WiedlochaKirsten SandvigErlend B. Smeland
In his Ph.D. work S.O. studied proteins interacting with pre-mRNA and mature mRNA and demonstrated that the proteins are partly different.
Since 1971 S.O. has studied the mechanism of action of certain protein toxins made by plants and pathogenic bacteria. These toxins comprise diphtheria toxin, Shigella toxin, ricin, abrin, modeccin and others, and they are some of the most potent poisons known. This property is the reason for their current use to form immunotoxins, where monoclonal antibodies to cell surface markers are armed with toxins for targeted cell killing in cancer and other diseases. Other important applications of the toxins is their use as probes in studies on endocytosis and intracellular vesicular transport and on translocation of proteins across membranes.
Common for these toxins is that they consist of two functionally different parts, one (the B-moiety) that binds to cell surface receptors and one (the A-moiety) that has enzymic activity and is able to inactivate in a specific manner ribosomes or elongation factor 2 and thereby inhibit protein synthesis. Since the target is in the cytosol, the toxins, or their enzymatically active part must cross the cell membrane to act.
He has studied the mechanism of intracellular pH-regulation and more recently the ability of acidic fibroblast growth factor to penetrate across cellular membranes into the cytosol and the nucleus.
The main contributions of S.O. and collaborators are the following (some key references are given in parenthesis):
Toxins with a structure-function relationship as in those S.O. and collaborators have studied represent main pathogenicity factors of a large group of infectious diseases. Thus, diphtheria, cholera, pertussis, tetanus and botulism are diseases where the symptoms are due to toxins with an A-B structure and where the intracellular action is enzymic. In Pseudomonas infections and in dysentery the role of the toxin is less dominating, but in both cases the toxins play a role in tissue damage. Shiga-like toxin is produced by an number of enteropathogenic E.coli strains, and it is the causative agent in hemolytic uremic syndrome (the “hamburger disease”) which has become a serious problem. Toxins produced in antrax and in certain Clostridia also have a structure-function relationship similar to the A-B toxins.
Since S.O. and collaborators constructed the first hybrid toxins in 1974, a large number of laboratories have prepared hybrids of ricin or diphtheria toxin with antibodies against cell surface markers, particularly against tumor markers, in attempts to construct specific toxins for targeted cell killing. Such conjugates are now being tried in many cancer centers and in bone marrow transplantation units. A problem with these constructs is, however, that they are often not very efficient. It is therefore a common feeling that more knowledge about the entry mechanism of the native toxins is required in order to be able to tailor correctly efficient immunotoxins.
The fact that toxins of the A-B type have a complicated mechanism of action make them interesting tools to explore normal cellular mechanisms. Over the years S.O. and collaborators have used the toxins in model systems to study ligand-receptor interactions, endocytosis, intracellular traffic between different vesicular compartments, transport of endocytosed material back to the cell surface and protein translocation. The toxin is transported retrograde through the Golgi complex to the endoplasmic reticulum where it is translocated across the membrane to the cytosol. This is probably the entry route for many toxins including most immunotoxins.
The toxins are the only known group of proteins that are translocated across membranes in the direction from the exterior to the cytosol, but resent data from S.O. and collaborators indicate that also physiological proteins such as acidic fibroblast growth factor are translocated in a similar way. The mechanism of toxin translocation has properties in common with translocation of export proteins across cellular membranes. The ability of toxins to carry peptides and proteins into the cytosol has later been exploited by other groups in vaccine development (MHC-class I immunity) with promising results.
Work on anion transport and pH-regulation is important for several reasons. Many cellular processes, including growth and division are regulated by the intracellular pH. Furthermore, anion transport plays an important role in transport of salt across membranes, a process that is deficient or disturbed in many diseases.
The finding that acidic fibroblast growth factor translocated to the cytosol as a fusion protein with diphtheria toxin enters the nucleus and stimulates DNA synthesis in cells lacking FGF-receptors indicates that the growth factor does not only act by stimulating the tyrosine kinase of the FGF-receptor. Later work indicates that also the growth factor as such has the capability of entering the cell, possibly by a mechanism employed by certain toxins.