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2. Materials and methods

2.8. Quantitative real-time PCR

Each real-time PCR was carried out in triplicate in a 25 μl volume using SYBR

Green qPCR Master Mix (Fermentas Life Sciences,St. Leon-Rot, Germany)

according to the manufacturer’s protocol. Primers sequences were as follows:

survivin 5’-ATTCGTCCGGTTGCGCTTTCC-3’ and

5’-CACGGCGCACTTTCTTCGCAG-3’; β-Actin:

5’-GCGAGAAGATGACCCAGATC-3’ and 5’-GGATAGCAACGCCTGGATAG-3’.

The PCR conditions were for 10 min at 95 °C for initial denaturation, followed by 40

cycles of 95 °C for 15 s and 60 °C for 1 min in the ABI Prism 7000 Sequence

Detection System (Applied Biosystems, Foster City, CA). Relative gene expression

quantifications were calculated according to the comparative Ct method using β-actin

as an internal standard. The fold amplification of genes was respectively detected by

calculating the 2-∆∆Ct of the genes.

2.9. Immunoprecipitation

The PureproteomeTM Protein G Magnetic Beads (Millipore, Bedford, MA) were

mixed so that all of the beads are uniformly resuspended. The beads were plased into

a 1.5 ml microcentrifuge tubes, then tubes were removed into the Magna GrIP Rack

(Millipore). Then the storage buffer was removed with a pipette. The beads were

washed by adding 500 μl of PBS containing 0.1 % Tween® 20 surfactant and

vortexing vigorously for 10 seconds. The tubes were returned to the magnetic rack and allow the beads to adhere to the side. The buffer was removed with a pipette. The

washed beads were resuspend in 350 μl of PBS containing 0.1 % Tween 20 surfactant.

The survivin antibody was added to the resuspended beads with incubation at room

temperature for 30 minutes. Then the tubes were placed into the magnetic rack, and

then the buffer was removed with a pipette. The beads were washed 3 times with 500

μl of PBS containing 0.1 % Tween 20 surfactant. After the last wash, the tubes were

removed from the rack and the cell lysates were added. According to the relative

protein expression of survivin in control and baicalein-treated samples, the total protein lysates were adjusted in immunoprecipitation analysis for equal survivin protein expression of control and baicalein-treated sample. Then samples were

immobilized survivin antibody at 2–8 °C with continuous mixing overnight. The

tubes were placed into the magnetic rack, and then removed the sample with a pipette.

The beads were washed 3 times with 500 μl of PBS containing 0.1 % Tween 20

surfactant. After the last wash, the tube were removed from the magnetic rack and

added the sample buffer for western blot analysis.

2.10. Immunofluorescence staining and confocal microscopy

To view the protein expression of survivin and ubiquitin after baicalein treatment,

the cells were subjected to immunofluorescence staining and confocal microscopy.

After fixation with 4 % paraformaldehyde solution, the cells were washed three times

with PBS, and non-specific binding sites were blocked in PBS containing 10 % FBS

and 0.3 % Triton X-100 for 1 h at 37 °C. Thereafter, the cells were separately

incubated with mouse anti-survivin (1:200) antibody and rabbit anti-ubiquitin (1:400)

antibody in PBS containing 10 % FBS for 1 h at 37 °C, and washed three times with

0.3 % Triton X-100 in PBS. Then the cells were individually incubated with goat

anti-mouse Cy3 (1:200) and anti-rabbit FITC in PBS containing 10 % FBS for 1 h at

37 °C. The nuclei were stained with Hoechst 33258. The samples were examined

under a confocal microscope Fluoview 300 (Olympus, Tokyo, Japan).

2.11. Statistical analysis

Data were analyzed using Student’s t test, and a p value of <0.05 was considered

as statistically significant in the experiments.

3. Results

3.1. Baicalein induces cytotoxicity and proliferation inhibition in bladder cancer cells

To examine the cytotoxicity and proliferation following baicalein treatment in

BFTC905 bladder cancer cells, the cells were analyzed by MTT assay. Treatment

with 20–100 μM baicalein for 24 h significantly reduced the cell viability via a

concentration-dependent manner in BFTC905 cells (Fig. 1). The value of IC50 (the

concentration of 50 % inhibition of cell viability) was around 30 μM. Moreover,

baicalein inhibited cell proliferation and induced cell death that can be observed by

time-lapse living cell morphology observation alteration. The arrows show that

baicalein induced the cell death at 24 h observation (Fig. 2). However, the untreated

cells clearly displayed the increase of cell proliferation and cell number at 24 h

observation (Fig. 2).

3.2. Baicalein inhibits survivin protein expression but not altered gene expression in bladder cancer cells

To study the effect of survivin protein expression by baicalein in BFTC905

bladder cancer cells, the baicalein-treated cells were analyzed by Western blot. The

protein levels of survivin were decreased by 20–80 μM baicalein for 24 h in

BFTC905 cells (Fig. 3A and 3B). The quantified data also shows that baicalein

significantly reduced survivin protein expression in BFTC905 cells (Fig. 3B).

Moreover, we have further investigated the survivin expression on transcriptional

levels by reverse transcription-PCR and real-time PCR. The qualities of total RNA

extracts were presented by the contents of 28S rRNA and 18S rRNA (Fig. 4A).

However, baicalein did not alter the survivin mRNA expression (Fig. 4B and 4C).

The survivin mRNA expression in baicalein-treated cells was compared to the control

for 24 h by real-time PCR (Fig. 5A). The mRNA level of survvin was not statistically

altered by treatment with baicalein (Fig. 5B).

3.3. Baicalein reduces the protein stability of survivin in bladder cancer cells

To further determine the effect of baicalein on the protein stability and half-life

of survivin proteins, a protein synthesis inhibitor (cycloheximide, CHX) was

examined on the effect of survivin protein expression. Treatment with 10 μg/ml CHX

for 24 h reduced around the half of total amount of survivin proteins (Fig. 6A).

However, treatment with CHX and baicalein, the survivin protein levels were

decreased more quickly than CHX alone at 6–24 h (Fig. 6B). Co-treatment of CHX

and baicalein almost completely blocked the survivin protein expression after 12 h

period (Fig. 6B).

3.4. Proteasome inhibitor decreases baicalein-induced survivin protein degradation in bladder cancer cells

To investigate the role of proteasome on baicalein-induced down-regulation of

survivin protein expression, MG132 (a proteasome inhibitor) was utilized in this

study. Treatment with 60 μM baicalein for 24 h significantly reduced survivin protein

expression (Fig. 7). Pre-treatment of BFTC905 cells with 5 μM MG132 potentially

reversed survivin protein level in the baicalein-treated cells (Fig. 7). In annevin V/PI

apoptosis assay, baicalein increased higher apoptosis level than untreated sample in

BFTC905 cells (Fig. 8). Moreover, pre-treatment of MG132 potentially inhibited

apoptosis in the baicalein-treated BFTC905 cells (Fig. 8).

3.5. Baicalein treatment increases ubiquitination of survivin

We have determined the effect of baicalein on the protein ubiquitination of

survivin. As shown in Fig. 9, baicalein induced ubiquitinated survivin levels in

BFTC905 cells. To further confirm the ubiquitination of survivin proteins, the

baicalein-treated cells were subjected to immunofluorescence staining and confocal

microscopy. Baicalein reduced the intensity of red fluorescence (Cy3) of survivin

proteins. However, baicalein induced high intensity of green fluorescence of ubiquitin

proteins. The yellow color indicated that co-locolization of survivin and ubiquitin

(Fig. 9, arrows).

3.6. Co-treatment of baicalein and oxaliplatin enhances the

cytotoxicity and survivin protein inhibition in bladder cancer cells

As shown in Fig. 11, co-treatment with 10–50 μM baicalein and 1 μM

oxaliplatin for 24 h enhanced the cytotoxicity in BFTC905 cells. To study the

combination effect of baicalein and oxaliplatin on the survivin protein inhibition, the

cells were co-treated with baicalein and oxaliplatin followed by Western blot analysis.

Both of baicalein and oxaliplatin significantly reduced survivin protein expression

(Fig. 12A and 12B). Co-treatment with baicalein and oxaliplatin for 24 h enhanced

the decrease of the survivin protein expression (Fig. 12A and 12B).

4. Discussion

Various types of flavonoids display anticancer effects on growth inhibition and

apoptosis (Brusselmans et al., 2005; Lee et al., 2005a; Psahoulia et al., 2007; Spencer

et al., 2003; Yin et al., 2001). In this study, baicalein significantly inhibited cell

viability in the human BFTC905 bladder cancer cells. We also found that baicalein

induced growth inhibition and cell death by time-lapse observation in BFTC905 cells.

Survivin has been demonstrated to inhibit apoptosis and to promote mitotic

progression in cancer cells (Ambrosini et al., 1997; Li et al., 1998). Interestingly,

baicalein significantly reduced survivin protein expression in BFTC905 cells.

However, baicalein did not influence the survivin mRNA expression by RT-PCR and

real-time PCR assays. As a consequence, we suggest that baicalein inhibits the

survivin expression on the alteration of protein level but not gene expression.

Ubiquitin-proteasome pathway is an essential mechanism participating in

cellular process. Proteasome degradation has also been shown to play an important

role in regulation of apoptosis and cell proliferation by indomethacin (Chiou and

Mandayam, 2007). Furthermore, kaempferol and quercetin enhanced apoptosis by

degradation of survivin in glioma cells (Siegelin et al., 2008; Siegelin et al., 2009). It

has been shown that survivin can be degraded via the ubiquitin-proteasome pathway

in a cell cycle-dependent manner (Zhao et al., 2000). We have shown that baicalein

inhibited survivin protein expression (Chao et al., 2007); however, suppression of

survivin on the post-translational level by baicalein has not been shown previously.

We have further determined the half-life of survivin by baicalein. Baicalein enhanced

the survivin protein degradation when the cells were co-treated with CHX. The data

indicates that baicalein induces the survivin protein instability in bladder cancer cells.

Furthermore, MG132 proteasome inhibitor prevented survivin protein degradation in

the baicalein-treated cells. In addition, MG132 can reduce the baicalein-induced

apoptosis. Baicalein also activated ubiquitination of survivin in bladder cancer cells.

Accordingly, our findings suggest that baicalein inhibits survivin protein expression

through the ubiquitin-proteasome pathway in human bladder cancer cells. We provide

a model of baicalein-induced down-regulation of survivin as shown in Fig. 13.

The stability of survivin resulted from the protein phosphorylation at Thr34 by

the mitotic kinase complex CDK1/cyclin B1 (O'Connor et al., 2000a; Wall et al.,

2003). Quercetin increases the survivin protein expression, which correlates with

raising the protein levels of cyclin B1 and phospho-CDK1 (Kuo et al., 2004). The

levels of cyclin B1 and CDK1 were reduced for inducing G2/M arrest by baicalein in

bladder cancer cells (Chao et al., 2007). The role of CDK1/cyclin B1 on the

regulation of survivin protein should be further investigated. It has been shown that

XAF1-XIAP complex enhanced degradation of survivin protein (Arora et al., 2007).

Therefore, further investigations are required to determine the roles of XAF1-XIAP

and CDK1/cyclinB1 on the regulation of survivin protein expression following

baicalein in bladder cancer cells.

Combination of various anticancer agents may increase the efficiency of cancer

therapy (Hochster et al., 2003; Ramanathan et al., 2003; Rathkopf et al., 2009).

Previously, Oxaliplatin reduced survivin protein expression and induced apoptosis in

cancer cells (Lin et al., 2005). In this study, we have further examined the anticancer

effects of combination of baicalein and oxaliplatin on the cell viability and survivin

expression in human bladder cancer cells. Both baicalein and oxaliplatin significantly

induced cell death in BFTC905 cells. Interestingly, co-treatment of baicalein and

oxaliplatin additively decreased the levels of survivin proteins and increased

cytotoxicity in BFTC905 cells. Accordingly, the combination of baicalein and

oxaliplatin may increase anticancer effects on survivin inhibition and cancer cell

death, providing important strategy for cancer therapy.

5. Conclusion

We have summerized that the down-regulation of survivin by baicalein is

mediated ubiquitin-proteasome degradation pathway in human bladder cancer cells

(Fig. 13). Our findings indicate that the blockage of survivin by baicalein may

provide the novel strategies for elevating the efficiency of cancer therapy in bladder

cancer.

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