Heme plays a key role in the generation of cellular energy via respiration26. Altered heme metabolism is known to be associated with various diseases including cancer28,41. Inhibition of heme synthesis is known to cause cell cycle arrest and apoptosis in Hela cells26,41. It has been shown that high heme synthesis level is associated with the progression of lung cancer cells28. Therefore, it would be of great importance to measure the levels of heme biosynthesis in cells under different conditions. The method discussed here does not quantify the total amount of heme therefore, it does not provide the absolute value of heme present in the cells. There are a variety of colorimetric methods and kits available to measure the total amounts of heme in the cells. For example, heme can be extracted from cells and mitochondria in a mixture of acetone and HCl and mixed with 50% (v/v) acetonitrile. Then the mixture can be applied to a 3.9 x 300 mm C18 Bondclone column followed by elution of heme in a gradient of acetonitrile containing 0.05% (v/v) trifluoroacetic acid and identifying heme compounds at 400 nm44,45.
Previously, to measure the levels of heme biosynthesis in mammalian tissues and cell extracts [14C]-glycine and [14C] 5- ALA were used46,47. Although labeled glycine enters the heme biosynthesis pathway at the first step but it is drained off by other metabolic pathways resulting in its limited incorporation into heme. Glycine is not a specific metabolite for heme biosynthesis pathway48. On the other hand, labeled 5-ALA is specific to heme biosynthesis pathway. This feature confers a quantitative advantage of using 5-ALA over glycine46,48,49. Therefore, use of radioactive 5-ALA is a more specific and accurate method to measure and compare the levels of heme biosynthesis.
The most critical steps to get consistent results are: 1) make sure the cell confluency does not go higher than 100% and not below 70% across various conditions; 2) the amount of radioactivity added per plate should be identical because this method is very sensitive; 3) heme extraction buffer should not be old, it is recommended to make fresh every time. The volume of radioactivity required per plate is very small and it is difficult to maintain the identical amounts across the samples. Therefore, it is recommended to make a working stock solution in the culture medium, if using the same medium for all the samples, else PBS (phosphate buffered saline) can be used. Working stock solution can be prepared in such a way that the volume dispensed per plate is under 10 μl. Also, to be more accurate, the medium from the replicate samples for one condition can be taken out in a 50 ml tube and the appropriate amounts of radioactivity can be added from the working stock solution, then dispense back equal amounts of medium to the plates. If the number of cells are limited, such as in primary cultures, 12-well or 24-well plates can be used to culture the cells and reduce the amount of radioactivity added per well proportionately.
This protocol is straightforward, simple, and provides accurate measures of the levels of heme synthesis. Sometimes, it may be difficult to resuspend the cell pellet in the heme extraction buffer (step 2.8) completely. To avoid this be quick in step 2.8, add heme extraction buffer to 1-2 samples at a time, vortex and put them on ice. Make sure the heme extraction buffer is not too old. If the standard deviation among the replicate samples is too high, pay attention to the following steps: 1) PBS was removed completely in step 2.7; 2) avoid spilling the sample when in diethyl ether phase, follow the tip in step 2.9; 3) make sure the radioactivity added per plate and the confluency of the replicate samples were the same.
Using radioactive 5-ALA method, the levels of heme synthesis were compared as shown previously28 in normal nonmalignant (HBEC) vs. cancer (HCC) cells, developed from the same patient. The technique described here requires the use of [14C] 5-ALA, a precursor in heme biosynthesis pathway (Figure 1), and measures the radioactivity incorporated into heme. In this technique, porphyrins, including heme, were extracted from the cells in a mixture of acetone, concentrated HCl and water50,51. Heme was further separated from porphyrins by extracting in diethyl ether and washing the ether phase with 2 N HCl50,51. Then, the radioactivity incorporated into heme was determined using a scintillation counter. Results can be normalized by the total amount of protein or cell number. Heme synthesis in HeLa cells was inhibited by using succinyl acetone (SA) and a decrease in the level of heme synthesis was observed as shown previously26 (Figure 3).
This method is very useful for the comparison of the levels of heme synthesis under different conditions or between cell lines (Figure 4). It requires a small number of cells and provides specific measurement and comparison of the levels of heme synthesis in different cells. It is not intended for the accurate measurement of absolute heme levels in the cells. It is best used to compare the levels of heme synthesis in cells with different properties, such as different cancer cells. Because cobalt, instead of iron, can be incorporated into heme in the last step of heme synthesis and be extracted 51, this method may not yield accurate comparison of heme synthesis, if the growth media contain different levels of cobalt or other metal ions. Nonetheless, the heme synthetic pathway from 5-aminolevulinic acid to porphyrins and heme is very specific, measuring the flux levels of the whole pathway is likely to be more reflective of metabolic activities relevant to heme, regardless of the metal ions. In contrast, the method using 59Fe detects only the part of the pathway incorporating Fe to form heme52. Although this is more specific, in the presence of significant levels of metal ions, the detected heme synthesis levels may not reflect the metabolic potential of certain cells such as cancer cells. Furthermore, Fe can be sequestered into other cellular locations beside mitochondria to make heme. By and large, we believe that the use of [4-14C] 5-ALA is a more practical method for measuring heme levels when comparing different cells with varying properties.