NT5C2 Antibody, FITC conjugated, is a fluorescently labeled rabbit polyclonal antibody targeting the cytosolic 5'-nucleotidase II enzyme (NT5C2). FITC (Fluorescein Isothiocyanate) conjugation enables visualization of NT5C2 protein localization and expression via fluorescence microscopy, immunofluorescence (IF), or flow cytometry. This antibody is critical for studying NT5C2’s role in purine metabolism, drug resistance mechanisms (e.g., in acute lymphoblastic leukemia), and cellular nucleotide homeostasis .
NT5C2 is implicated in thiopurine resistance in acute lymphoblastic leukemia (ALL). Mutations (e.g., R367Q, R29Q) or alternative splicing (e.g., exon 6a inclusion) enhance NT5C2’s nucleotidase activity, degrading 6-mercaptopurine (6-MP) and reducing its efficacy . FITC-conjugated antibodies enable:
Localization Studies: Tracking NT5C2 distribution in leukemia cells to correlate with drug resistance .
Phosphorylation Analysis: Investigating post-translational modifications (e.g., S502 phosphorylation) that modulate enzyme activity .
NT5C2 preferentially hydrolyzes inosine 5'-monophosphate (IMP) and guanosine 5'-monophosphate (GMP), maintaining purine nucleotide balance . FITC-conjugated antibodies facilitate:
Immunoprecipitation: Enriching NT5C2 for biochemical assays to measure nucleotidase activity .
Co-localization Studies: Identifying interactions with deoxycytidine kinase (dCK) or other nucleotide-metabolizing enzymes .
Mutational Resistance: NT5C2 R367Q mutations increase IMP/GMP degradation, reducing 6-MP efficacy. CRCD2, an NT5C2 inhibitor, reverses resistance by blocking enzymatic activity .
Phosphorylation Dynamics: S502 phosphorylation enhances NT5C2’s nucleotidase activity, contributing to non-genetic resistance in wild-type cells .
Cancer Cells: Elevated NT5C2 expression in leukemia cells correlates with 6-MP resistance .
Normal Tissues: Detected in liver, placenta, and lung tissues, highlighting its role in nucleotide metabolism .
Titration: Recommended dilutions vary by application (e.g., WB: 1:1000–1:4000; IF: 1:200–1:800). Optimization is required for specific cell types .
Cross-Reactivity: Some antibodies show reactivity with dog, cow, or other species, enabling comparative studies .
Storage Stability: Aliquoting is unnecessary for -20°C storage, but repeated freeze-thaw cycles should be avoided .
NT5C2 Gene Function and Clinical Significance: The following studies highlight the diverse roles and clinical implications of NT5C2:
NT5C2 is a cytosolic 5'-nucleotidase that dephosphorylates purine monophosphate nucleotides. In cancer contexts, particularly ALL, NT5C2 inactivates chemotherapy drugs like 6-mercaptopurine (6-MP) by dephosphorylating their monophosphate forms, thereby reducing their cytotoxic effects. This mechanism is clinically significant as mutations in NT5C2 drive resistance to thiopurine chemotherapy in over 35% of early relapse ALL cases . The enzyme's primary function involves purine nucleotide metabolism, but its role in chemotherapy resistance has made it a crucial research target for overcoming treatment failure in leukemia patients.
NT5C2 mutations found in relapsed leukemias result in hyperactive nucleotidase activity through altered activating and autoregulatory switch-off mechanisms . These gain-of-function mutations, such as R367Q, K359Q, L375F and D407A, enhance the enzyme's ability to dephosphorylate and clear nucleotide monophosphates, including those derived from thiopurine drugs like 6-MP . This increased activity leads to reduced generation of the active cytotoxic metabolites methyl thio-IMP and deoxythioguanosine triphosphate, ultimately preventing them from inhibiting de novo purine biosynthesis and activating DNA-mismatch-induced apoptosis, respectively . The clinical consequence is selective resistance to thiopurine chemotherapy while maintaining sensitivity to other drugs.
For measuring NT5C2 nucleotidase activity, a malachite-green-based nucleotidase assay using IMP as a substrate represents an effective high-throughput approach . This method was successfully employed to screen over 60,000 compounds for NT5C2 inhibitors. For cellular models, researchers can measure the accumulation of purine degradation products and IMP levels to assess NT5C2 activity. In NT5C2 mutant cells, CRCD2 treatment resulted in increased IMP levels and decreased accumulation of deoxyxanthosine, confirming its inhibitory effect on NT5C2 . Surface plasmon resonance analysis can confirm direct binding of inhibitors to NT5C2 protein, providing binding affinity measurements (KD values) .
When studying NT5C2 mutations, researchers must select antibodies that can reliably detect both wild-type and mutant forms of the protein. The structural analyses of NT5C2 wild-type and mutant proteins show little difference in the catalytic center, which might affect antibody epitope recognition . For comparative studies, it's crucial to use antibodies targeting conserved epitopes rather than regions affected by mutations. The 15223-1-AP antibody has been validated for detection of NT5C2 across multiple cell lines, including HepG2, A549, NCl-H1299, and NIH/3T3 cells, as well as in human placenta tissue and mouse/rat liver tissue . This broad reactivity suggests it recognizes conserved epitopes suitable for comparative studies.
For immunofluorescence detection of NT5C2 in leukemia samples, the 15223-1-AP antibody can be used at a dilution of 1:200-1:800 . The protocol should include proper fixation (typically 4% paraformaldehyde), permeabilization with 0.1-0.5% Triton X-100, and blocking with 5% normal serum. When working with patient-derived samples, additional optimization may be needed due to the heterogeneity of leukemia cells. For detecting NT5C2 in pancreatic β-cells, as demonstrated in KK-Ay mice with type 2 diabetes, immunohistochemistry protocols have successfully shown differential expression patterns between normal and diseased states . This approach can be adapted for leukemia samples by adjusting tissue processing methods accordingly.
For optimal NT5C2 detection via western blot, use the 15223-1-AP antibody at a dilution of 1:1000-1:4000 . The calculated molecular weight of NT5C2 is 65 kDa, but the observed molecular weight typically ranges between 60-65 kDa . When comparing wild-type and mutant forms, researchers should be aware that post-translational modifications might affect migration patterns. For instance, NT5C2 S502 phosphorylation has been identified as a mechanism of 6-MP resistance . Sample preparation should include phosphatase inhibitors to preserve these modifications. To ensure specificity, include both positive controls (from validated cell lines like HepG2 or NCI-H1299) and negative controls (NT5C2 knockout cells if available). The detection system should be sensitive enough to capture potentially subtle differences in expression levels between wild-type and mutant forms.
NT5C2 antibodies can be critical tools for evaluating NT5C2 inhibitor efficacy in preclinical models by allowing researchers to correlate inhibitor activity with changes in NT5C2 protein levels, localization, or post-translational modifications. In the development of CRCD2, the first-in-class small molecule NT5C2 nucleotidase inhibitor, researchers used a multi-faceted approach that could be enhanced with antibody-based techniques . Immunoblotting with NT5C2 antibodies can verify target engagement by assessing changes in protein levels or mobility shifts due to inhibitor binding. Immunofluorescence can reveal changes in subcellular localization of NT5C2 following inhibitor treatment. Additionally, antibodies can be used in co-immunoprecipitation experiments to evaluate how inhibitors affect NT5C2's interactions with other proteins in resistance pathways.
Detection of NT5C2 mutations in minimal residual disease requires highly sensitive methods. Deep sequencing with unique molecular identifier barcodes and ultrasensitive droplet polymerase chain reaction has been used with a sensitivity of 1:1000 and 1:20,000, respectively . These approaches failed to identify NT5C2 mutations in diagnostic samples from patients who later relapsed with NT5C2 mutant leukemia, suggesting the mutations are acquired during treatment rather than present at diagnosis . To support these molecular methods, immunohistochemistry or immunofluorescence with NT5C2 antibodies could potentially detect protein-level changes in rare cells. Serial sampling during remission can detect the emergence and expansion of NT5C2 mutations several weeks before relapse occurs . This suggests a multi-modal approach combining molecular techniques with antibody-based detection might improve early identification of resistant clones.
In diabetes research, NT5C2 serves a distinct function compared to its role in cancer. Studies have shown that DNA hypermethylation in promoter regions reduces NT5C2 gene expression in type 2 diabetes (T2D) patients . NT5C2 protein expression is decreased in pancreatic β-cells from T2D mice, particularly in late-stage disease associated with insulin resistance . Mechanistically, NT5C2 appears to epigenetically regulate the insulin receptor by down-regulating DNA methyltransferase I (DNMT1) . When studying NT5C2 in diabetes contexts, researchers should focus on its regulatory relationship with insulin signaling rather than nucleotide metabolism. This requires adapting immunostaining protocols to visualize co-localization with insulin-producing cells, using dual staining approaches that can simultaneously detect NT5C2 and insulin or insulin receptor proteins in pancreatic tissues.
The specificity of NT5C2 antibodies can be influenced by several factors, including epitope conservation across species, potential cross-reactivity with related nucleotidase family members, and the presence of post-translational modifications. The 15223-1-AP antibody has demonstrated reactivity with human, mouse, and rat samples , indicating high conservation of its target epitope. To minimize cross-reactivity, always validate the antibody in your specific experimental system using positive controls (cells known to express NT5C2) and negative controls (preferably NT5C2 knockout cells). The availability of isogenic NT5C2 wild type and knockout CUTLL1 cells provides an excellent control system . Pre-absorption of the antibody with recombinant NT5C2 protein can also help reduce non-specific binding. Additionally, optimizing blocking conditions (using 5% BSA rather than milk for phospho-specific detection) and incubation times can significantly improve specificity.
Inconsistencies between NT5C2 protein levels and enzyme activity can occur due to several factors, particularly in the context of activating mutations that enhance enzymatic function without necessarily increasing protein abundance. When facing such discrepancies, researchers should implement a multi-pronged approach. First, employ direct enzyme activity assays, such as the malachite-green-based nucleotidase assay with IMP as substrate , alongside protein detection methods. Second, assess post-translational modifications that might affect activity, particularly the S502 phosphorylation identified as a novel mechanism of 6-MP resistance . Third, consider the presence of endogenous inhibitors or activators that might modulate NT5C2 activity independent of protein levels. Finally, evaluate subcellular localization changes that might affect substrate accessibility, as altered compartmentalization could impact functional activity without changing total protein levels.
Developing quantitative assays for NT5C2 in clinical samples presents several challenges. First, sample heterogeneity in patient-derived materials introduces variability that can affect antibody performance. Second, preservation methods and processing times influence epitope integrity, particularly for phosphorylation sites like S502 . Third, limited material availability often constrains the ability to perform technical replicates or validation using alternative methods. To address these challenges, researchers should: (1) Develop standardized sample collection and processing protocols to minimize pre-analytical variability; (2) Establish appropriate normalization strategies using housekeeping proteins that remain stable across disease states; (3) Consider developing multiplexed assays that can simultaneously measure NT5C2 and relevant biomarkers of activity or resistance; and (4) Validate findings with orthogonal techniques when possible, such as correlating protein levels with NT5C2 mRNA expression or enzymatic activity measurements.
NT5C2 antibodies can play a crucial role in developing combination therapies for resistant leukemias by helping researchers monitor target engagement and pathway modulation. Studies have shown that CRCD2, an NT5C2 inhibitor, synergizes with 6-MP treatment, with combination index values of 0.8 in drug-sensitive wild-type cells and 0.32 in 6-MP resistant mutant cells . Using NT5C2 antibodies, researchers can verify that both drugs are reaching their targets and assess how the combination affects downstream signaling pathways. Immunoprecipitation followed by mass spectrometry could identify novel NT5C2 interaction partners that emerge during combination treatment, potentially revealing new therapeutic targets. Additionally, antibody-based imaging techniques could track the cellular response to combination therapy in real-time, helping optimize dosing schedules and identify resistance mechanisms as they develop.
Determining whether NT5C2 mutations are drivers or passengers in relapsed leukemia requires sophisticated methodological approaches. Functional studies have shown that expression of relapse-associated NT5C2 mutations induces selective resistance to thiopurine chemotherapy in ALL cell lines , strongly suggesting a driver role. To further investigate this question, researchers could use NT5C2 antibodies in combination with phospho-specific antibodies to track activation of downstream pathways that might be affected by mutant NT5C2. CRISPR-Cas9 gene editing to introduce or correct specific NT5C2 mutations, followed by antibody-based detection of resulting phenotypic changes, can provide direct evidence of causality. Temporal analysis of patient samples during treatment and relapse, using highly sensitive detection methods, can establish whether NT5C2 mutations emerge prior to clinical relapse , further supporting their driver status. Lastly, drug sensitivity profiling of isogenic cell lines differing only in NT5C2 mutation status can quantify the specific contribution of these mutations to the resistant phenotype.
Research on NT5C2 in both cancer and diabetes reveals intriguing possibilities for developing dual-purpose therapeutic approaches. In cancer, NT5C2 mutations drive resistance to thiopurine therapy through increased nucleotidase activity , while in diabetes, NT5C2 epigenetically regulates insulin receptor expression by modulating DNA methyltransferase I (DNMT1) levels . These distinct but potentially overlapping mechanisms suggest several research directions. First, investigating whether NT5C2 inhibitors like CRCD2 could affect insulin signaling might reveal unexpected benefits or risks in diabetic cancer patients. Second, exploring the role of NT5C2-regulated DNA methylation in cancer cells could uncover epigenetic vulnerabilities specific to NT5C2 mutant tumors. Third, examining whether diabetes-associated metabolic alterations affect the frequency or selection of NT5C2 mutations might explain comorbidity patterns. To pursue these directions, researchers should develop experimental systems that can simultaneously model both diseases, such as diabetic mouse models bearing NT5C2 mutant leukemia xenografts, and utilize NT5C2 antibodies to track protein expression and localization across multiple tissue types.