1. Introduction
Purine and pyrimidine nucleobases/nucleosides are essential to life as we know it by being the coding building blocks of genetic information and core moieties of molecules with fundamental roles in information flow, signaling and metabolism.
Based on their role as antimetabolites, nucleobase/nucleoside analogs have long been used as antimicrobial, antiviral or anticancer drugs [
1]. Such analogs hijack the nucleotide metabolism and inhibit key nucleotide-salvage/interconversion enzymes or become incorporated into DNA or RNA, leading to cytotoxicity.
Despite the plenitude of knowledge on the intracellular antimetabolite metabolism, the cellular uptake of nucleobase/nucleoside antimetabolites at the level of the membrane is still understudied, especially in bacteria. In particular, regarding the cellular uptake of anticancer antimetabolites which is important for understanding variations in the drug effectiveness and chemoresistance, research has focused almost entirely on the human genome-encoded transporters of the tumor cells [
2,
3] and rarely, if at all, on bacterial drug-transporting counterparts in the associated tumor microenvironment.
Bacteria in the tumor microenvironment can greatly affect the availability and toxicity of antimetabolites to the cancer cells and contribute to chemoresistance. A prominent example concerns gemcitabine (2′,2′-difluoro-2′-deoxycytidine) (dFdC), a cytidine analog commonly used in cancer therapy and especially as a frontline drug for pancreatic cancer [
4]. Bacteria-mediated metabolism of gemcitabine has been implicated with enhanced chemoresistance in pancreatic ductal adenocarcinoma [
5]. The phenomenon is also linked with active transport of the drug by the bacteria, based on indirect evidence from preincubation of gemcitabine with
Escherichia coli K-12 devoid of the nucleoside-related transporter gene
nupC and use of the cell-free supernatant in a pancreatic adenocarcinoma cell line culture [
5]. However, the transporters responsible for the uptake of gemcitabine by the tumor-associated bacteria have not been elucidated to date.
Bacteria colonizing the pancreatic tumors are diverse, but gamma-proteobacteria of certain genera are common in these populations [
5,
6] and possess a so-called long isoform of cytidine deaminase (CDD
L) which was correlated with the phenomenon of bacteria-mediated chemoresistance [
5]. The gemcitabine transporters in these bacteria are unknown but, based on phylogenetic considerations, they might belong to the Concentrative Nucleoside Transporter (CNT) family, which is evolutionarily widespread [
7], or the Nucleoside-H
+ Symporter (NHS) family which is confined in Bacteria [
8]. The known gemcitabine transporters encoded in human fall in either the CNT (SLC28) or the Equilibrative Nucleoside Transporter (ENT) family (SLC29) [
9,
10] and transport of gemcitabine into the pancreatic tumor cells has been linked primarily with hENT1 [
11,
12,
13] and, to a minor extent, with hCNT1 or hCNT3 [
14,
15,
16]. Functional knowledge of the bacterial gemcitabine transporters of the tumor microbiome would be important to fully understand the involvement of the tumor-associated bacteria to the chemoresistance phenomenon and highlight the specificity differences between the bacterial and the human transporters.
In the present study, we investigate the complement of gemcitabine transporters of the CNT and NHS families in E. coli K-12 and two common gamma-proteobacteria species of the pancreatic tumor microbiome (Klebsiella pneumoniae, Citrobacter freundii). The results show that E coli K-12 contains two efficient high-affinity gemcitabine transporters with distinct specificity properties, namely NupC and NupG, whereas the gemcitabine transporters of C. freundii and K. pneumoniae include the NupC and NupG orthologs, indistinguishable functionally from their counterparts, and, in K. pneumoniae, one additional functional variant of NupC, designated KpNupC2. Our study reveals that these bacterial transporters have higher affinity for gemcitabine than their human counterparts in the tumor cells.
3. Discussion
Proteobacteria are enriched in the bacterial populations colonizing pancreatic ductal adenocarcinoma tumors relative to the gut microbiome. Gamma-proteobacteria that are common in these microbiome populations contain a >800-nt long isoform of cytidine deaminase (CDD
L) which has been correlated with the phenomenon of chemoresistance since it can rapidly convert gemcitabine into the less toxic 2
′,2
′-difluoro-2
′-deoxyuridine (dFdU) [
5]. On the other hand, the transmembrane transporters responsible for the uptake of the drug by the bacteria are not fully known. The import of gemcitabine into the bacterial cells has been associated with the nucleoside transporter NupC of the CNT family, based on the fact that only NupC had been linked with gemcitabine transport in the model gamma-proteobacterium
E. coli K-12 from earlier studies [
17]. However, prior to the present study, no functional knowledge was available for the potential gemcitabine transport systems in
K. pneumoniae or
C. freundii or any other gamma-proteobacteria, and, even in
E. coli, complete knowledge of the potential gemcitabine transporters was missing. In this work, we shift attention to a more systematic investigation of the potential bacterial transporters of the drug. We show that
E. coli K-12 contains two high-affinity gemcitabine transporters, one of which (NupC) was known but not studied systematically in this respect in the past and the other (NupG of the NHS family) is shown here as a gemcitabine transporter for the first time. We also show that both NupC and NupG are present as gemcitabine transporters in the two related Enterobacteriaceae species
K. pneumoniae and
C. freundii which are common and possibly linked with chemoresistance in the pancreatic tumor microbiomes [
5,
6].
Our transport kinetic analysis shows that both NupC and NupG have higher kinetic affinities for gemcitabine relative to their human counterparts, i.e.,
KM of 2–3 μΜ (NupG) or 10–13 μΜ (NupC), compared to 0.2–0.3 mM for hENT1 [
25,
26,
27] and 20–60 μM for hCNT1 or hCNT3 [
25,
26,
27,
28,
29]. The main transporter shown to mediate gemcitabine uptake in human cell lines is hENT1 (SLC29A1) and clinical correlation studies have shown that low expression of hENT1 in pancreatic adenocarcinoma is linked with poor outcomes of the gemcitabine treatment [
11,
12,
13]. NupG might be an interesting new candidate for further research of its substrate specificity in comparison to hENT1. Unlike NupC which is a member of the evolutionarily widespread CNT family, NupG belongs to the prokaryote-specific NHS family which is structurally distinct from the nucleoside transporter families (CNT, ENT) in human. NHS and ENT are distantly related, both belonging to the Major Facilitator Superfamily [
30] sharing the same overall fold and mechanistic motif (rocker-switch mechanism) [
31]. However, NupG (NHS) and hENT1 are unrelated in sequence, have different binding site residues and differ in their functional properties. hENT1 is a uniporter and NupG a proton symporter, hENT1 has 100-fold lower affinity for gemcitabine (see above) and at least 10-fold lower affinity for uridine [
32,
33], both proteins show broad specificity for purine and pyrimidine nucleosides but hENT1 can additionally transport nucleobases, with roughly 10-fold lower affinities [
34]. hENT1 has been studied for recognition of a range of antimetabolite nucleoside analogs and shown to have high affinity for several of them (dideoxycytidine, dideoxythymidine, azidothymidine, ribavirin, dideoxyinosine, cladribine, dipyridamole) [
32,
33,
34,
35,
36]. It would be interesting to assay NupG for recognition of these and other similar analogs to elucidate potential hENT1 substrate motifs that are not recognized by NupG.
Another intriguing feature with respect to NupG derives from the comparison of the binding pocket residues in its recently solved structure [
8] with other members of the NHS family. The ribose moiety of the nucleoside (uridine) in the structure of NupG is stabilized with hydrogen bonds from three conserved residues (R136, T140, E264) which are invariable in the proteobacterial NHS transporters. The same is true of the neighboring D323 which is not directly in contact with substrate but is considered crucial for coupling substrate binding with protonation, based on the properties of the D323A and D323N mutants [
8]. However, additional residues that interact with the nucleobase moiety through hydrogen bonds (Q225, N228, Q261, Y318) or π-π interactions (F322, F143) are also invariable in the monophyletic cluster containing the NupG and XapB homologs (see
Figure S6 and S7). In contrast to NupG which is of broad specificity but does not transport or recognize xanthosine (
Figure S2) [
8], XapB appears to be selective for xanthosine transport (
Figure S3) [
19]. Thus, it follows that residues at the periphery of the binding pocket are crucial for the substrate profile of NupG and underlie the functional distinction between NupG and XapB.
Another aspect of our work concerns the phylogenetic analysis of the distribution of NupC, NupG and related transporter homologs among proteobacteria. This is important to investigate to understand the realm of functional transporters that might be relevant to the chemoresistance-related metabolism of gemcitabine in tumor microbiomes. Summarizing our key observations, we have found that NupC orthologs (constituting a subgroup of the NupC clade, sharing 74–99% pairwise sequence identity) are clustered in almost all families of Enterobacterales, whereas the NupG orthologs (subgroup of the NupG/XapB clade, with 78–99% pairwise sequence identity) are mostly confined in Enterobacteriaceae (
Supplementary Table S2). All species containing NupC and/or NupG possess the long cytidine deaminase isoform CDD
L and the few species of Enterobacterales lacking CDD are devoid of both NupC and NupG (
Table S2). In addition to NupC, the paralog NupC2 (which is probably a gemcitabine transporter similar to NupC, based on the results with KpNupC2) is also present in several species, including most Enterobacteriaceae. Interestingly, as well, although most
K. pneumoniae strains contain both NupC, NupC2 and NupG, 13% of them lack NupC2, 6% contain only NupC and 5% contain only NupG as a potential gemcitabine transporter (
Table S1). Of the other CNTs or NHSs, which show no detectable gemcitabine transport (
Figure 1,
Figure 2 and
Figure 3), KpvcCNT is related in sequence and phylogeny (
Figure S6) to vcCNT, which has been characterized as a uridine transporter with high affinity for uridine and cytidine, but very low affinity for gemcitabine (
KD about 1.5 mM, 40-fold higher than that of uridine, based on fluorescence anisotropy measurements) [
22]. The presence of KpvcCNT orthologs is not correlated with genomes containing the active CDD
L isoform in any of the Enterobacterales families (
Table S2). Overall, the data imply that either NupC or NupG or both NupC and NupG might be involved in the cellular uptake of gemcitabine depending on the enterobacterial family, strain or species.
Apart from Enterobacterales, other bacteria also contain the CDD
L isoform which has been implicated with the gemcitabine resistance [
5]. In the analysis of bacterial species from the Kyoto Encyclopedia of Genes and Genomes (KEGG) [
37] shown in [
5] (
Table S5 in [
5]), 98.4% of the genomes containing CDD
L are gamma-proteobacteria. Enterobacterales constitute two thirds of these genomes. The remaining one third belong to genera that appear in our phylogenetic analysis of nucleoside transporters in clusters that are closely related to CNTnw [
23] (
Haemophilus,
Mannheimia,
Aggregatibacter,
Pasteurella) or vcCNT [
7] (
Vibrio,
Allivibrio,
Aeromonas,
Shewanella) (
Figure S6). It seems plausible to assume that some of these homologs might be involved in the uptake of gemcitabine in the aforementioned gamma-proteobacteria.
Experimental evidence in
E. coli indicates the association of NupC with gemcitabine transport through the properties of
nupC-knockout mutants. One piece of this evidence refers to the partial abrogation of gemcitabine metabolism in CDD
L-containing
E. coli K-12 that lack the
nupC gene, as judged from the compromised alleviation of the gemcitabine effect on a human pancreatic adenocarcinoma cell line [
5]. This effect of the
nupC-knockout is partial and much less pronounced (10-fold higher EC
50) than the effect of the CDD
L-knockout (
Figure 2C in [
5]), implying involvement of additional gemcitabine transporters. The second piece of evidence comes from the study of adaptation of
E. coli to gemcitabine through an experimental evolution strategy highlighting that
nupC loss-of-function mutations correlate with gemcitabine resistance [
20]. In the context of this study, the authors also performed a genome-wide screen showing that several different single gene losses can confer resistance and impact the bacterial drug degradation. Apart from NupC, other transporters, as well as metabolic genes and transcription factors were among single-gene knockouts yielding gemcitabine resistance [
20]. Some of the resistance effects are complex, as they involve both increased import and increased deamination of gemcitabine. This is the case with the
cytR-knockout, since CytR is a repressor of numerous genes, including both gemcitabine transporters
nupC and
nupG and the gemcitabine deaminating enzyme
cdd. Overall, it appears that multiple alternative mutation routes in
E. coli could lead to gemcitabine chemoresistance.
In conclusion, the initial characterization of gemcitabine-related transporter properties of NupG in E. coli, C. freundii, K. pneumoniae, and the phylogenetic analysis of NupG, NupC and related nucleoside transporters in the NHS and CNT families might broaden our understanding of the bacterial gemcitabine transporters involved in the phenomenon of bacteria-mediated chemoresistance and encourage experimentation towards analyzing the differences between bacterial and human drug transporters at the molecular level.
Author Contributions
Conceptualization, S.F.; methodology, N.I., E.A., M.B., E.K. and E.T.; validation, E.A., M.B., E.T. and S.F.; formal analysis, N.I., E.A., M.B., E.K., E.T. and S.F.; investigation, N.I., E.A., M.B., E.K., E.T. and S.F.; resources, N.I., E.A., M.B. and S.F.; data curation, N.I., E.A., M.B. and S.F.; writing—original draft preparation, N.I. and S.F.; writing—review and editing, N.I., M.B. and S.F.; supervision, M.B. and S.F.; project administration, S.F.; funding acquisition, S.F. All authors have read and agreed to the published version of the manuscript.