Complexities of a protonatable substrate in measurements of Hoechst 33342 transport by multidrug transporter LmrP
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Complexities of a protonatable
substrate in measurements
of Hoechst 33342 transport
by multidrug transporter LmrP
Brendan M. Swain1, Dawei Guo1, Himansha Singh1, Philip B. Rawlins2, Mark McAlister2 &
Hendrik W. van Veen1*
Multidrug transporters can confer drug resistance on cells by extruding structurally unrelated
compounds from the cellular interior. In transport assays, Hoechst 33342 (referred to as Hoechst) is
a commonly used substrate, the fluorescence of which changes in the transport process. With three
basic nitrogen atoms that can be protonated, Hoechst can exist as cationic and neutral species that
have different fluorescence emissions and different abilities to diffuse across cell envelopes and
interact with lipids and intracellular nucleic acids. Due to this complexity, the mechanism of Hoechst
transport by multidrug transporters is poorly characterised. We investigated Hoechst transport by
the bacterial major facilitator superfamily multidrug-proton antiporter LmrP in Lactococcus lactis
and developed a novel assay for the direct quantitation of cell-associated Hoechst. We observe that
changes in Hoechst fluorescence in cells do not always correlate with changes in the amount of
Hoechst. Our data indicate that chemical proton gradient-dependent efflux by LmrP in cells converts
populations of highly fluorescent, membrane-intercalated Hoechst in the alkaline interior into
populations of less fluorescent, cell surface-bound Hoechst in the acidic exterior. Our methods and
findings are directly relevant for the transport of many amphiphilic antibiotics, antineoplastic agents
and cytotoxic compounds that are differentially protonated within the physiological pH range.
Hoechst 33342 (referred to as Hoechst) is a bis-benzamide dye that is relatively non-toxic and cell-permeable,
making it suitable for a wide range of applications in cell biology. As its fluorescence increases when bound to
adenine–thymine-rich sequences in the minor groove of double-stranded DNA, Hoechst is commonly used to
stain nuclei, track chromatin condensation, and monitor the cell cycle phase in eukaryotic c ells1–3. Hoechst fluorescence also increases when the dye intercalates between lipid molecules in biological m
embranes4. Hoechst is
a substrate of multidrug transporters, which translocate a wide range of structurally unrelated compounds from
cells in a metabolic energy-dependent f ashion4–6 and reduce Hoechst fluorescence in the transport process. In
various mammalian cell lines and tissues, Hoechst efflux by the ATP-binding cassette (ABC) multidrug transporters ABCB1 and ABCG2 shows the presence of a ‘side population’ with decreased Hoechst fl
uorescence5,7.
The interactions of bacterial multidrug transporters with Hoechst is also documented in a wide range of publications. For example, Hoechst was used in studies of drug efflux-based antibiotic resistance in Salmonella enterica
serovar Typhimurium8,9 and Acinetobacter baumannii10,11, and in transport measurements for the ABC multidrug transporters LmrA from Lactococcus. lactis12–14, Sav1866 from Staphylococcus aureus15, MsbA and YbhFSR
from E. coli16,17, and PatAB from Streptococcus pneumoniae18. Hoechst transport assays were used in studies of
secondary-active multidrug and toxic compound extrusion (MATE) transporters VcmA from Vibrio cholerae19
and AbeM from A. baumannii20, and in studies of a novel natural product inhibitor of the major facilitator
superfamily (MFS) multidrug transporter NorA from Staphylococcus aureus21.
Hoechst transport has also been reported for the MFS multidrug transporter LmrP from L. lactis, which can
efflux a wide range of clinically relevant antibiotics and cytotoxic compounds and Ca2+ from cells22,23. LmrP
exports monovalent cationic ethidium and divalent cationic propidium by electrogenic exchange with 2 protons and 3 protons, respectively24,25. These transport reactions are dependent on the transmembrane chemical
proton gradient (ΔpH, interior alkaline) and membrane potential (Δψ, interior negative) components of the
1
Department of Pharmacology, University of Cambridge, Tennis Court Road, Cambridge CB2 1PD, UK. 2Structure,
Biophysics and Fragment‑Based Lead Generation, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca,
Cambridge CB4 0WG, UK. *email:
Scientific Reports |
(2020) 10:20026
| https://doi.org/10.1038/s41598-020-76943-0
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Vol.:(0123456789)
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Figure 1. Protonation states of Hoechst. (A) Structure of Hoechst 33342 in which the three nitrogen atoms
with predicted changes in protonation in the physiological pH range are labelled. (B) Calculated distribution of
Hoechst species at varying pH. For simplicity in presentation, species with a maximum prevalence of less than
1% are not shown.
proton-motive force (PMF = Δψ − ZΔpH in which Z = 59 mV at 24 °C). Therefore, the coupling stoichiometry
in LmrP is variable and dependent on the charge and physico-chemical properties of the substrate. This phenomenon reflects the different mechanisms of drug binding in the interior chamber of LmrP, some of which
alter the availability of catalytic carboxylates for proton interactions24,25. Hoechst transport and binding have
also been used to characterise drug interactions in LmrP6,23,26, to define steps in the transport cycle in structural
analyses27 and, most recently, to trap the protein in a conformation that could be crystallised, thus allowing the
determination of the three-dimensional protein s tructure28.
In spite of the frequent use of Hoechst as a reporter for drug resistance and efflux, the quantitative interpretation of the transport-associated fluorescence change of Hoechst is unclear and complicated by two significant
factors. Firstly, complex equilibria will exist between pools of Hoechst in the cytoplasm, bound to DNA and
intercalated in biological membranes, in which the dye exhibits different levels of fluorescence emission. Secondly, three basic nitrogen atoms are present in Hoechst’s chemical structure. The protonation state of Hoechst,
therefore, varies within the physiological range of pH inside and outside of cells, leading to pH-dependent
fluorescence and interaction with macromolecular structures29. Measurements of Hoechst transport are further
complicated for LmrP and other proton-coupled multidrug transporters, where the pH difference across the
plasma membrane provides a driving force for Hoechst extrusion by drug/proton antiport.
To facilitate the quantitative analysis of Hoechst transport by LmrP and deconvolute the physical and environmental effects on Hoechst fluorescence, we investigated the fluorescence properties of dissolved, and lipid
or DNA-bound Hoechst as a function of pH, and developed an assay for the direct determination of the amount
of Hoechst associated with cells that is independent of its fluorescence in situ. We compared this assay to the
conventional cell-based fluorescence (...truncated)