TO THE EDITOR:
I would like to comment on the recent article by Tsopelas and Sutton (1) regarding the identification of dyes that may be useful in visual identification of the sentinel lymph node. The goal of the study was to elucidate why particular dyes are absorbed by the lymphatic system. Indirect information on dye absorption was obtained through an investigation that used size-exclusion chromatography to determine the percentage of a particular dye that bound with rat plasma proteins. The authors were particularly interested in determining if binding was a function of molecular structure. Indeed, in the article the authors reported that the number of sulfonate groups, and the number of atoms between the sulfonate groups, on a dye correlate with its plasma protein binding. Although this finding is based on a model system in which rat plasma is used in place of lymph, the data may be useful in helping to identify dyes for use in sentinel node visualization.
Unfortunately, the authors’ explanation of the dye–protein binding at a “molecular level” does not seem plausible. Although the authors use the term binding affinity throughout the article, they speculate that the binding of the dye with proteins occurs through covalent bond formation (i.e., sulfonamide formation). This explanation seems highly unlikely, as the sulfonamide-forming reaction of a protein amine with a sulfonic acid, as depicted in Figure 3 of the article, simply would not occur under physiologic conditions. Indeed, this reaction requires dehydration in an aqueous environment, which would be very difficult to perform. Some mechanism of activation of the sulfonate toward nucleophilic attack by the amine is required. For example, conjugation of dyes through sulfonamide bond formation with protein amines is a standard methodology, but sulfonyl chlorides, which are highly activated to nucleophilic attack, are used (2). Even conjugation with sulfonyl chlorides does not occur readily under physiologic conditions, as the protein amines are rendered nonnucleophilic by protonation at neutral pH. Further, sulfonates are fully ionized under physiologic conditions, such that the reaction in Figure 3 might best be depicted as below. When reaction components are depicted as ions, it is more apparent that the reaction to form the sulfonamide would not occur under physiologic conditions.
Such a conversion as shown in Figure 3 of the article may be possible if specific enzymes are present in serum, which catalyzed the transformation. However, speculating that enzymatic coupling has occurred is not warranted unless substantial data are provided unequivocally proving that the dyes are bound to serum proteins through covalent bond formation. No data are provided that demonstrate that the sulfonamide is formed. Importantly, size-exclusion chromatography cannot delineate whether a peak observed for a protein–dye combination came about by a high-affinity interaction or from chemical bonding of the 2 species. Demonstration that a chemical species is bonded to a protein is relatively easy using mass spectral analyses. In addition, other analytic methods such as ion-exchange chromatography and isoelectric focusing electrophoresis can also be used to confirm that the dye is bonded and not simply associated with the plasma proteins.
An alternate, and perhaps more plausible, explanation for the observed dye–protein interaction than the sulfonamide bond formation proposed by the authors is that the dyes have a varying affinity for serum proteins brought about by ionic and lipophilic interactions based on each dye’s unique structural features (e.g., lipophilic portions, 3-dimensional shape, and distance between sulfonates). As an example, Birkenmeier (3) reported an evaluation wherein blood proteins were separated using immobilized dyes. In that study, 2 dyes were evaluated as “affinity materials” for partitioning serum proteins. One dye, Remazol yellow GGL (DyStar) (4) has 2 sulfonate groups, one of which has 3 atoms between the sulfonate and an aromatic ring. The other dye, Cibacron blue F3G-A (Ciba-Geigy Corp.) (4) has 3 sulfonate groups directly attached to separate aromatic rings. These “affinity ligands” containing sulfonate groups displayed strong interaction with serum proteins but were not covalently bonded to the proteins.
In summary, the authors should further investigate the nature of the protein–dye binding and delineate whether it is brought about by covalent bonding or noncovalent interaction. With that information, they will be able to substantiate or refine the mechanism of molecular binding that is depicted in Figures 2 and 3 of their article.
REPLY:
We are grateful to D. Scott Wilbur for his précis regarding the nature of the dye–protein bond and accept that covalent bonding is not proven but proposed. The following response is offered nevertheless, as a rebuttal to his critique. Sulfonation or acylation reactions are chemical transformations that occur by an identical mechanism, that being the nucleophilic attack of nitrogen, oxygen, carbon, or sulfur atoms onto electrophilic sulfonyl or carbonyl centers, respectively. Such reactions are successfully performed in vitro under a variety of conditions, which usually include the use of activated substrates (sulfonyl- or acyl-chlorides, esters, anhydrides, etc.) in organic or even aqueous solvents. In a simple system in which a sulfonic acid–containing molecule is united with an amine such as lysine or arginine under neutral aqueous conditions, a water-solvated ion pair is expected to ensue (similar to the product depicted in the reaction sequence of the Wilbur letter). When the reaction medium is blood serum, however, this complex milieu comprises molecules with the potential to promote alternative interactions.
Different enzymes have frequently been used for coupling organic molecules in vitro. In particular, good yields of oligopeptides can be synthesized from the reaction of (nonactivated) carboxylic acids and amines in organic-aqueous solvents with subtilisin or endopeptidase/chymopapain (1) and in aqueous solvents with thermolysin/α-chymotrypsin, papain, or penicillin acylase (2). Amide bonds formed in these enzyme-catalyzed acylation reactions result in an overall loss of water. Similarly, a phosphorylation reaction between 2 phosphate-containing molecules can be achieved in an aqueous buffer (3), where a phosphorus–oxygen bond is created at the expense of H2O. The statement that a dehydration reaction would be difficult to perform in an aqueous environment has been otherwise shown in the literature.
In lymph, serum, or extracellular tissue, proteins are known to participate in covalent bond formation either with themselves or with other molecules. Examples of the “chemisorption” reaction include cross-linking of fibrin during blood clot formation, cross-linking of collagen to produce connective tissue, reaction with other proteins as a consequence of aging, disulfide bond formation of fibrillins during assembly of microfibrils via sulfhydryl oxidases, retinoylation of proteins, and substrate phosphorylation. Cytosolic enzymes/proteins are routinely involved in covalent bond-forming reactions with sulfotransferase in sulfonation/sulfation (4) or the ribosome 50S subunit, nonribosomal synthetases, or polyketide synthases in amino acid acylation (peptide synthesis).
Coupling reactions between biologic molecules and xenobiotic small molecules ex vivo have been shown to form covalent-bonded adducts at temperatures up to 37°C, including carboxylated dyes with horseradish peroxidase (5), amine- or sulfhydryl-specific dyes and cytochrome c (6), malachite green cation and chicken egg albumin (7), thiazole orange derivatives with oligonucleotides (8), 4-nitrobenyl-35S-mercaptan S-sulfonic acid with rat cytosolic proteins, a leukotriene-tetraenoic acid with 15-lipooxygenase, and a ribozyme-catalyzed formation of dipeptides. In view of the evidence supporting the formation of amide and other covalent bonds between proteins and endogenous/xenobiotic molecules, one cannot preclude the possibility of an enzyme-mediated sulfonamide bond formation between proteins and sulfonic acid-dyes as reported earlier (9).
The literature also provides evidence of a “physisorption” interaction of protein hydrophobic groups and small aromatic water-soluble molecules, where for example, naphthalene sulfonic acid groups are particularly associated with arginine groups on the exterior of the protein. Preliminary observations in this laboratory thus far, after use of instant thin-layer chromatography (ITLC), suggest that a simple ion pair does not define the dye–protein interaction, nor does a hydrophobic interaction. At the time of publication (9), it was known that naphthol blue black (NBB) and Evans blue (EB), in separate experiments, migrated on ITLC-silica gel/glass paper in saline (0.9%) with migration coefficients of Rf = 0.8 in the presence or absence of excess arginine or of lysine, phenylalanine, or polylysine. Mixing any of these dyes with plasma for a brief time (∼20 s) at room temperature, and then performing ITLC on the dye–protein mixture, resulted in a colored spot at Rf = 0.8, indicating no chemisorption or physisorption. This was confirmed by size-exclusion chromatography, a technique that serves to separate products from starting materials, where there was 100% recovery of the initial dye. However, altering the incubation conditions to 37°C for 10 min found, for NBB exclusively and EB predominantly, that the colored spots were visible at the baseline and near the baseline, respectively. Likewise for 99mTc-EB, the location of radioactivity on the ITLC strip correlated with blue color. These observations indicate that a strong affinity exists between dye and protein and that a simple ion pair association is absent. Furthermore, although Coomassie blue G (a sulfonic acid reported to bind to proteins by physisorption) has shown anomalous behavior in its interaction with polylysine (10), both Evans blue and NBB, with Rf = 0.8, have not. In an ongoing study, this laboratory is gathering additional evidence to elucidate the bond between serum proteins and naphthalene-sulfonic acid dyes.