ENOX2 (ecto-NOX disulfide-thiol exchanger 2)

2014-01-01   Xiaoyu Tang , Dorothy M Morré , D James Morré 

MorNuCo, Inc., 1201 Cumberland Avenue, Ste. B, Purdue Research Park,.West Lafayette, IN 47906 USA

Identity

HGNC
LOCATION
Xq26.1
LOCUSID
ALIAS
APK1,COVA1,tNOX
FUSION GENES

DNA/RNA

Atlas Image
Figure 1. ENOX2 mRNA.

Description

The human ENOX2 gene is located on the reverse strand of chromosome X (bases 4918 to 284856); according to NCBI Refseq Gene Database (gene ID: 10495, RefSeq ID: NG_012562.1), and is comprised of 279939 bp.
ENOX2 is composed of 13 protein-coding exons between 71 bp and 2066 bp in length and 14 introns which vary greatly in length (1781 bp to 117994 bp). It has a 501 bp 5 untranslated region and a long 3 UTR (approximately 1935 bp).

Transcription

According to NCBI the human ENOX2 gene encodes a 4036 bp mRNA transcript, the coding sequence (CDS) located from base pairs 356 to 2101 (NM_001281736.1). The CDS from the Ensembl genome browser database (ENST00000370927, transcript length 3788 bp) and NCBI (NM_001281736.1) are identical. Transcripts NM_001281736.1 and ENST 00000370927 are also included in the human CCDS set (CCDS14626) and encode a 610 aa long protein.

Pseudogene

None known.

Proteins

Atlas Image
Figure 2. Deduced amino acid sequence and functional motifs of the bacterially expressed 46 kDa enzymatically active C-terminus of ENOX2.

Description

ENOX2 transcription variants all appear to be variations that include an exon 4 minus splicing event that allows for down-stream initiation and expression of the ENOX2 protein at the cell surface of malignant cells (Tang et al., 2007a; Tang et al., 2007b). Without the exon 4 deletion, mRNA derived from the gene does not appear to be translated into protein. Thus, the exon 4 deletion is the basis for the cancer specificity of the ENOX2 transcription variants. An hnRNP splicing factor directs formation of the Exon 4 minus variants of ENOX2 (Tang et al., 2011). The fully processed 34 kDa generic ENOX2 protein found on the cell surface of HeLa cells and in sera of about 23% of early cancer patients retains full-functional activity. The deduced amino acid sequence of a bacterially expressed 46 kDa functional C-terminus of ENOX2 exhibits the same characteristics of alternation of the two activities and drug response as the cell surface and generic serums forms. Identified functional motifs include a quinone binding site, an adenine nucleotide binding site, a CXXXXC cysteine motif as a potential disulfide-thiol interchange site and two copper binding sites, one of which is conserved with superoxide dismutase. ENOX2 proteins lack flavin and only one of the two C-X-X-X-X-C motifs characteristic of flavoproteins are present in ENOX2. Yet the protein effectively carries out protein disulfide interchange. The motif C569-X-X-X-X-X-C575, alone or together with a downstream histidine (H582) provides an additional potential active site for protein disulfide-thiol interchange (Morré and Morré, 2013).
The signature ENOX2 motif is that of the potential drug/antibody binding site E394EMTE. Antisera directed to this portion of the protein act as competitive inhibitors to drug binding. The sequence provides a putative quinone or sulfonylurea-binding site with four of the five amino acids in at least one other putative quinone site in the same relative positions.
The correctness of the various assignments has, for the most part, been confirmed by site-directed mutagenesis (Chueh et al., 2002). While amino acid replacements that block oxidation of reduced pyridine nucleotide by ENOX2 also eliminated protein disulfide-thiol interchange and vice versa (Chueh et al., 2002), the two activities appear to occur independently. One can be measured in the absence of the other.
The ENOX2 proteins have properties of prions and are protease resistant (Kelker et al., 2001) and N-terminal sequencing. Concentrated solutions aggregate and form amyloid-like filaments.

Expression

Widely expressed in malignant cells but only as exon 4 minus splicing variants (Tang et al., 2007b).

Localisation

External cell surface (Morré, 1995).

Function

ENOX2 is a member of a family of cell surface metalocatalysts with binuclear copper centers that oscillate. They catalyze both NAD(P)H and hydroquinone oxidation in one configuration and carry out protein disulfide-thiol interchange in a second configuration (Figure 3). The two activities alternate creating a regular 22 min period to impart a time-keeping function (Morré and Morré, 2003). The oscillations are highly synchronous and phased by low frequency electromagnetic fields.
Functionally ENOX2 proteins of cancer cells act as terminal oxidases of plasma membrane electron transport (PMET) whereby electrons coming from cytosolic NAD(P)H are transferred to membrane-located coenzyme Q with eventual transfer of electrons and proteins to oxygen to form water (Figure 4). The released energy is presumably utilized to drive cell enlargement. The protein disulfide-thiol interchange part of the cycle carries out a function essential to the cell enlargement mechanism (Morré et al., 2006). The phenotype of unregulated accelerated growth is recapitulated in a transgenic mouse strain over expressing human ENOX2 (Yagiz et al., 2006).
Atlas Image
Figure 3. Diagrammatic representation of the functional unit of the ENOX2 proteins which is a dimer, each monomer of which contains two copper centers. During the oxidative portion of the ENOX cycle on the right, the net result is the transfer of 4 electrons plus 4 protons to molecular oxygen to from 2H2O. The left portion of the diagram illustrates the protein disulfide-thiol interchange activity portion of the cycle where the result is an interchange of protons and electrons that results in the breakage and formation of disulfide bonds important to cell enlargement.

Homology

RNA recognition motif (RRM) in the cell surface Ecto-NOX disulfide-thiol exchanger (ECTO-NOX or ENOX) proteins. This subgroup corresponds to the conserved RNA recognition motif (RRM) in ECTO-NOX proteins (also termed ENOX), comprising a family of plant and animal NAD(P)H oxidases exhibiting both oxidative and protein disulfide-like activities.
The ENOX2 gene is present in the human genome as a single copy, with no obvious homologs and a single constitutive ENOX1 (CNOX) ortholog with 64% identity and 80% similarity (Jiang et al., 2008).

Mutations

Somatic

No reports of mutations leading to inactivation of or inability to express ENOX2.

Implicated in

Entity name
Various cancers
Note
The ENOX2 protein is universally associated with malignancies. It is not the result of an oncogenic mutation but appears to be similar if not identical to a form of ENOX protein with characteristics of an oncofetal protein important to maintenance of unregulated growth in very early development that may be re-expressed in malignancy (Cho and Morré, 2009). Re-expression as an oncofetal protein helps explain the role of ENOX2 of cancer cells in acquiring the well-known characteristic of uncontrolled growth. Consistent with this interpretation are observations that the malignant phenotypes of invasiveness and growth on soft agar of cancer cells in culture are lost when cells are transfected with ENOX2 antisense (Chueh et al., 2004; Tang et al., 2007a). ENOX2 is the first reported cell surface change absent from non-cancer cells and associated with most, if not all, forms of human cancer (Morré and Morré, 2013). As such, ENOX2 emerges as a potential universal molecular cancer marker and, being an ecto-protein at the cell surface and shed into the circulation, a reliable cancer diagnostic marker both for cancer presence and tissue of cancer origin (Figure 4).
ENOX2 proteins are expressed differently by different tissues of cancer origin within the body with each type of cancer being characterized by one, two, three or more tissue specific transcript variants of characteristic molecular weights and isoelectric points (Morré and Morré, 2012). ENOX2 proteins are absent or reduced to below the limits of detection from sera of healthy individuals or patients with diseases other than cancer. Circulating ENOX2 has been detected in sera of patients representing all major forms of human cancer including leukemias and lymphomas. All ENOX2 transcript variants appear to share the common antigenic determinant recognized both by an ENOX2-specific monoclonal antibody (Cho et al., 2002) and a corresponding scFv single chain variable region recombinant antibody expressed in bacteria and derived from the monoclonal antibody-producing hybridoma cells with analysis by 2-D-gel electrophoresis and western blot (Hostetler et al., 2009).
Atlas Image
Figure 4. Schematic representation of the utility of the ENOX2 proteins as cancer-specific cell surface proteins for diagnosis and therapeutic intervention in cancer. Modified from Morré and Morré (2013).
Entity name
Breast cancer
Note
Sera of breast cancer patients contains an ENOX2 transcript variant of 64 to 69 kDa, isoelectric point 4.2 to 4.9.
Entity name
Lung cancer
Note
Sera of patients with non-small cell lung cancer contain a 53 to 56 kDa ENOX2 transcript variant, isoelectric point pH 4.7 to 5.3 while sera of small cell lung cancer contain a transcript variant of 52 kDa, isoelectric point pH 4.1 to 4.6.
Entity name
Prostate cancer
Note
Sera of patients with prostate cancer contain a 71 to 88 kDa ENOX2 transcript variant, isoelectric point pH 5.1 to 6.5.
Entity name
Cervical cancer
Note
Sera of cervical cancer patients contain a 90 to 100 kDa transcript variant, isoelectric point pH 4.2 to 5.4.
Entity name
Malignant melanoma
Note
Sera from malignant melanoma patients contain an ENOX2 transcript variant of 37 to 41 kDa, isoelectric point pH 4.6 to 5.3.
Entity name
Leukemias, lymphomas and myelomas
Note
Sera of patients with leukemia, lymphoma or myeloma, cancers having blood as the common tissue of origin, all contain ENOX2 transcript variants of 38 to 48 kDa and low isoelectric point pH 3.6 to 4.5.
Entity name
Ovarian cancer
Note
Sera from ovarian carcinoma patients contain two ENOX2 transcript variants of 72 to 90 kDa and 37 to 47 kDa, both having similar isoelectric points in the range of pH 3.7 to 5.0.
Entity name
Bladder cancer
Note
Sera of patients with carcinoma of the bladder contain two ENOX2 transcript variants of 63 to 66 kDa and 42 to 48 kDa with isoelectric points of 4.2 to 5.8 and 4.1 to 4.8, respectively.
Entity name
Uterine cancer
Note
Sera of patients with uterine carcinoma contain two ENOX2 transcript variants of 64 to 69 kDa and 36 to 48 kDa with isoelectric points of pH 4.2 to 4.9 and pH 4.5 to 5.6.
Entity name
Colorectal cancer
Note
Sera of patients with colorectal cancer contain at least two of three possible ENOX2 transcript variants of 80 to 96 kDa, isoelectric point pH 4.5 to 5.3, 50 to 60 kDa, isoelectric point pH 4.2 to 5.1 and 33 to 46 kDa, isoelectric point pH 3.8 to 5.2.
Entity name
Other cancers
Note
Unique patterns of ENOX2 transcript variant expression (number, molecular with and isoelectric point) have been found as well associated with brain, endometrial, esophageal, gastric, hepatocellular renal cell, squamous cell, testicular germ cell and thyroid cancer as well as mesothelioma and sarcomas.
Entity name
Endometriosis
Note
Invasive endometriosis is the only non-malignant disorder thus far characterized by the presence of unique ENOX2 transcript variants.
Entity name
As a cancer therapeutic drug target
Note
ENOX2 is responsive to differentiating agents such as calcitriol and anticancer retinoids and inhibited by anticancer drugs such as doxorubicin, the anticancer sulfonylureas, the vanilloid capsaicin, the catechin EGCg and the cancer isoflavene phenoxodiol, all of which appear to function as quinone site inhibitors directed toward the EEMTE drug binding motif of ENOX2 (Morré and Morré, 2013; Hanau et al., 2014). The possibility of ENOX2 as a drug target is enhanced by the external location of the ENOX2 protein in a position to be readily available to drugs or antibodies conjugated to impermeant supports. As the growth involvement of ENOX2 proteins is in cell enlargement, ENOX2 inhibitors also block cell proliferation. The blocked cells, unable to enlarge, also fail to divide and eventually undergo apoptosis (Figure 4).

Bibliography

Pubmed IDLast YearTitleAuthors
119414502002Monoclonal antibody to a cancer-specific and drug-responsive hydroquinone (NADH) oxidase from the sera of cancer patients.Cho N et al
187044082009Early developmental expression of a normally tumor-associated and drug-inhibited cell surface-located NADH oxidase (ENOX2) in non-cancer cells.Cho N et al
118882912002Molecular cloning and characterization of a tumor-associated, growth-related, and time-keeping hydroquinone (NADH) oxidase (tNOX) of the HeLa cell surface.Chueh PJ et al
157060602004tNOX is both necessary and sufficient as a cellular target for the anticancer actions of capsaicin and the green tea catechin (-)-epigallocatechin-3-gallate.Chueh PJ et al
190553242008Molecular cloning and characterization of a candidate human growth-related and time-keeping constitutive cell surface hydroquinone (NADH) oxidase.Jiang Z et al
114120892001Cancer isoform of a tumor-associated cell surface NADH oxidase (tNOX) has properties of a prion.Kelker M et al
173799412006ATP-dependent and drug-inhibited vesicle enlargement reconstituted using synthetic lipids and recombinant proteins.Morré DJ et al
85412911995NADH oxidase activity of HeLa plasma membranes inhibited by the antitumor sulfonylurea N-(4-methylphenylsulfonyl)-N'-(4-chlorophenyl) urea (LY181984) at an external site.Morré DJ et al
216259592011hnRNP F directs formation of an exon 4 minus variant of tumor-associated NADH oxidase (ENOX2).Tang X et al
183511302007Antisense experiments demonstrate an exon 4 minus splice variant mRNA as the basis for expression of tNOX, a cancer-specific cell surface protein.Tang X et al
179246592007Alternative splicing as the basis for specific localization of tNOX, a unique hydroquinone (NADH) oxidase, to the cancer cell surface.Tang X et al
165171492006Transgenic mouse line overexpressing the cancer-specific tNOX protein has an enhanced growth and acquired drug-response phenotype.Yagiz K et al

Other Information

Locus ID:

NCBI: 10495
MIM: 300282
HGNC: 2259
Ensembl: ENSG00000165675

Variants:

dbSNP: 10495
ClinVar: 10495
TCGA: ENSG00000165675
COSMIC: ENOX2

RNA/Proteins

Gene IDTranscript IDUniprot
ENSG00000165675ENST00000338144Q16206
ENSG00000165675ENST00000370927Q16206
ENSG00000165675ENST00000370935Q16206
ENSG00000165675ENST00000394363Q16206
ENSG00000165675ENST00000432489B1AKF7
ENSG00000165675ENST00000610637A0A0C4DGT9

Expression (GTEx)

0
5
10
15
20

Protein levels (Protein atlas)

Not detected
Low
Medium
High

References

Pubmed IDYearTitleCitations
157060602004tNOX is both necessary and sufficient as a cellular target for the anticancer actions of capsaicin and the green tea catechin (-)-epigallocatechin-3-gallate.12
180234142008RNA interference targeting tNOX attenuates cell migration via a mechanism that involves membrane association of Rac.10
187899342008Stress-induced down-regulation of tumor-associated NADH oxidase during apoptosis in transformed cells.8
216259592011hnRNP F directs formation of an exon 4 minus variant of tumor-associated NADH oxidase (ENOX2).4
272715882016Capsaicin Inhibited Aggressive Phenotypes through Downregulation of Tumor-Associated NADH Oxidase (tNOX) by POU Domain Transcription Factor POU3F2.4
281223592017Tumor-associated NADH oxidase (tNOX)-NAD+-sirtuin 1 axis contributes to oxaliplatin-induced apoptosis of gastric cancer cells.4
215710402011Metabolite modulation of HeLa cell response to ENOX2 inhibitors EGCG and phenoxodiol.3
226591632012Phosphorylation of serine-504 of tNOX (ENOX2) modulates cell proliferation and migration in cancer cells.2
183511302007Antisense experiments demonstrate an exon 4 minus splice variant mRNA as the basis for expression of tNOX, a cancer-specific cell surface protein.1
197341252008Age-related ENOX protein (arNOX) activity correlated with oxidative skin damage in the elderly.1

Citation

Xiaoyu Tang ; Dorothy M Morré ; D James Morré

ENOX2 (ecto-NOX disulfide-thiol exchanger 2)

Atlas Genet Cytogenet Oncol Haematol. 2014-01-01

Online version: http://atlasgeneticsoncology.org/gene/40134/enox2-(ecto-nox-disulfide-thiol-exchanger-2)