Background: Preparations of human chorionic gonadotropin (hCG) have been sh
own to exhibit anti-Kaposi's sarcoma (KS) activity, but the identity of the
responsible agent(s) remains controversial. One candidate agent is an eosi
nophil-derived neurotoxin (EDN)-like polypeptide that contaminates preparat
ions of hCG, We have genetically engineered a unique form of hEDN, which is
a ribonuclease, and have evaluated the cytotoxic effects of the recombinan
t protein on KS Y-1 cells and on cells of other cancer types. Methods: The
amino-terminus of hEDN was extended by four amino acid residues, correspond
ing to the proximal part of the hEDN signal peptide (serine, leucine, histi
dine, and valine; positions -4 to -1, respectively), by use of the polymera
se chain reaction and an hEDN complementary DNA, The recombinant protein wa
s isolated from bacterial inclusion bodies. The cytotoxic activity of this
hEDN variant, (-4)rhEDN, was tested on KS Y-1 cells and human glioma, melan
oma, breast carcinoma, and renal carcinoma cells. Results: Approximately ha
lf of the anti-KS activity in a crude commercial preparation of hCG was ass
ociated with a polypeptide that reacted with anti-recombinant-hEDN (rhEDN)
polyclonal antibodies, Although rhEDN protein displayed little cytotoxicity
against KS Y-l cells (IC50 [50% inhibition concentration] = >100 mu g/mL),
(-4)rhEDN markedly inhibited cell viability (IC50 = 6 mu g/mL). Neither ve
rsion of rhEDN inhibited the viability of other tested human cancer cell ty
pes. Conclusions: A four amino acid extension of the amino-terminus of rhED
N confers cytotoxicity against KS Y-1 cells in vitro, Design of the (-4)rhE
DN variant was based on the sequence of a natural human protein associated
with hCG, Our results suggest that (-4)rhEDN is one of the agents in hCG re
sponsible for anti-KS activity. A purified molecule is thus available for i
n vitro and in vivo mechanistic and, possibly, future clinical studies.