GSTM4 (Glutathione S-transferase Mu 4) is a member of the GST family of enzymes that catalyze the conjugation of reduced glutathione to a wide range of exogenous and endogenous hydrophobic electrophiles. This enzyme plays critical roles in:
Detoxification of electrophilic compounds, including carcinogens and products of oxidative stress
Catalyzing the conjugation of leukotriene A4 with reduced glutathione to form leukotriene C4
Transferring glutathionyl groups from glutathione to specific lipid mediators such as 13(S),14(S)-epoxy-docosahexaenoic acid to form maresin conjugate in tissue regeneration 1 (MCTR1)
Limiting apoptosis through interaction with Apoptosis Signal-regulating Kinase 1 (ASK1) and inhibiting signaling via the c-Jun N-terminal Kinase axis
GSTM4 is particularly notable in cancer research as it has been identified as a major GST specifically expressed in Ewing sarcoma, where it is upregulated by the EWS/FLI oncoprotein via a GGAA microsatellite in the promoter region .
Based on the research data, GSTM4 expression shows significant tissue specificity and disease correlation:
In Ewing sarcoma: GSTM4 ranks as one of the major GSTs expressed, specifically upregulated in approximately half of Ewing sarcoma tumors due to the EWS/FLI oncoprotein
In ovarian cancer (OC): GSTM4 shows decreased expression in OC samples compared to normal ovary samples at both mRNA and protein levels
In normal tissues: GSTM4 exhibits very low expression in most non-Ewing sarcoma tissues
RNA-seq analysis of Ewing sarcoma cells demonstrated that GSTM4 ranks fourth among 17 members of the GST family, with GSTP1, GSTO1, and MGST3 being the other prevalent GSTs .
Research-grade GSTM4 antibodies generally feature the following characteristics:
Host organisms: Primarily raised in rabbits, with some mouse monoclonal options available
Clonality: Both polyclonal and monoclonal options exist, with polyclonal being more common
Immunogen regions: Most commonly target regions within AA 1-218 of the human GSTM4 protein
Applications: Typically validated for Western Blotting (WB), Immunohistochemistry (IHC), and ELISA, with some also validated for Immunoprecipitation (IP) and Immunocytochemistry (ICC)
Species reactivity: Primarily human-reactive, with some cross-reactivity to mouse and rat GSTM4
Storage conditions: Generally stored at -20°C for long-term and 4°C for short-term use and frequent handling
GSTM4 plays multiple critical roles in Ewing sarcoma biology and treatment resistance:
Oncogenic transformation: GSTM4 is required for the oncogenic transformation of Ewing sarcoma cells, as demonstrated by knockdown studies showing inhibition of transformation
Chemoresistance mechanism: High expression mediates resistance to chemotherapeutic drugs, particularly etoposide
Prognostic marker: Elevated expression in primary tumors correlates with poor patient outcomes
Apoptosis regulation: GSTM4 limits apoptosis through interaction with ASK1 and inhibition of c-Jun N-terminal Kinase signaling
These findings have led researchers to explore GSTM4 as a novel therapeutic target using both inhibitors of GSTM4 activity (such as NBDHEX) and GSTM4-activated anti-cancer agents (such as JS-K) .
Research has revealed seemingly contradictory findings regarding GSTM4 expression and prognosis across different cancer types:
To address these contradictions, researchers should:
Consider cancer stage-specific effects: Evaluate whether GSTM4's impact varies by disease stage
Examine dual functions: Investigate GSTM4's role in both cancer initiation and progression phases
Analyze microenvironment effects: Examine how GSTM4 affects immune cell infiltration, as GSTM2-4 were found to negatively associate with CD8+ T cells in ovarian cancer
Standardize methodology: Use consistent analytical approaches and larger cohorts to validate findings
GSTM4 contributes to drug resistance through several mechanisms:
Direct detoxification: Conjugates glutathione to chemotherapeutic drugs, promoting their elimination
Anti-apoptotic activity: Interacts with ASK1 to inhibit stress-induced apoptosis pathways
Synergistic inhibition: Combined inhibition of GSTM4 with chemotherapeutic agents shows synergistic increases in cytotoxicity:
Experimental evidence demonstrated that pharmacological inhibition of GSTM4 using NBDHEX significantly limited cellular proliferation and oncogenic transformation of Ewing sarcoma cells, further supporting its role in treatment resistance .
The production and validation of GSTM4 antibodies typically involves:
Recombinant protein expression: Express recombinant GSTM4 protein or peptide fragments (commonly AA 1-218) in bacterial systems such as E. coli
Purification: Using affinity chromatography, often with Ni-NTA resin for His-tagged proteins
Immunization: Initial injection with complete Freund's adjuvant, followed by boosting with incomplete Freund's adjuvant (typically 100-200 μg of purified protein)
Titer testing: Testing antibody reactivity against recombinant peptide by Western blotting
Final bleeding and purification: Selection of antiserum with highest titer, followed by affinity purification
Western blotting: Using known positive controls and testing specificity across multiple cell lines
Immunohistochemistry: Testing on formalin-fixed, paraffin-embedded tissues
Cross-reactivity testing: Evaluation across different species and related GST family members
Immunoprecipitation: Confirming ability to specifically precipitate the target protein
RNA knockdown controls: Using cells with GSTM4 knockdown to confirm antibody specificity
Based on the research literature, the following application-specific recommendations can be made:
Fixation: Formalin-fixed, paraffin-embedded tissues
Antigen retrieval: Heat-induced epitope retrieval in citrate buffer
Blocking: 3-5% BSA for 15-60 minutes at room temperature
Primary antibody incubation: Typically 1-3 μg/ml in 2.5% BSA
Cell preparation: Fix with 70% ethanol (10 minutes), permeabilize with 0.25% Triton X-100 (20 minutes)
Antibody concentration: 1-3 μg per million cells in 2.5% BSA
Fixation: 4% paraformaldehyde
Permeabilization: 0.1% Triton X-100 in PBS for 15 minutes at room temperature
Blocking: 3% BSA for 15 minutes
Antibody dilution: 1:25 for fluorophore-conjugated antibodies
Distinguishing between GST family members presents significant challenges due to sequence and structural similarities. Researchers should:
Select highly specific antibodies: Choose antibodies that target unique regions of GSTM4 not conserved in other GST family members
Validate specificity: Test antibodies against recombinant proteins of multiple GST family members to confirm lack of cross-reactivity
Use molecular techniques as complementary approaches:
RT-qPCR with isoform-specific primers
RNA interference targeting specific GSTM family members
Mass spectrometry to distinguish between isoforms based on peptide fragments
Consider functional assays: Evaluate enzyme activity with substrates preferentially metabolized by GSTM4
Negative controls: Include samples from tissues known to express minimal GSTM4, particularly for polyclonal antibodies that may have higher cross-reactivity risk
Research has identified several promising therapeutic strategies targeting GSTM4:
GSTM4 has been shown to significantly influence immune cell infiltration in the tumor microenvironment, particularly in ovarian cancer:
T Cell Populations: GSTM4 expression negatively correlates with CD8+ T cell infiltration, potentially contributing to immune evasion
Macrophage Regulation: GSTM4 is positively correlated with macrophage M2 infiltration, which typically promotes tumor progression
Immune Checkpoint Expression: High GSTM4 expression is associated with decreased expression of several immune checkpoints:
CIBERSORT analysis specifically showed that GSTM4 was correlated with:
This indicates that GSTM4 may influence immunotherapy response through its effects on the tumor immune microenvironment, suggesting potential synergies between GSTM4-targeted therapies and immunotherapies.
Developing highly specific antibodies against GSTM4 presents several technical challenges:
High sequence homology: GSTM family members share significant sequence similarity, making it difficult to identify unique epitopes for antibody generation
Conformational similarities: Similar three-dimensional structures between GST family members can result in cross-reactive antibodies, even when targeting regions with sequence differences
Post-translational modifications: Differences in glycosylation or other modifications between recombinant immunogens and native proteins can affect antibody recognition
Validation challenges: Comprehensive validation requires:
Testing against all GSTM family members
Confirming specificity in tissues with different GSTM expression profiles
Using knockdown/knockout controls for each GSTM isoform
Epitope selection strategies:
Target unique N-terminal or C-terminal regions
Focus on surface-exposed loops with lower conservation
Consider using synthetic peptides corresponding to unique GSTM4 regions rather than full-length protein immunogens