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Hispolon Induces Apoptosis and Cell Cycle Arrest of Human Hepatocellular Carcinoma Hep3B Cells by Modulating ERK Phosphorylation

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Running title: hispolon induces human hepatoma cell apoptosis 1

2

Hispolon Induces Apoptosis and Cell Cycle Arrest of Human Hepatocellular

3

Carcinoma Hep3B Cells by Modulating ERK Phosphorylation

4

5

Guan-Jhong Huang*†, Jeng-Shyan Deng , Shyh-Shyun Huang†, and Miao-Lin Hu*‡§ 6

7

School of Chinese Pharmaceutical Sciences and Chinese Medicine Resources, College of Pharmacy, 8

China Medical University, Taichung, Taiwan; 9

Department of Health and Nutrition Biotechnology, Asia University, Taichung 413, Taiwan 10

Department of Food Science and Biotechnology, National Chung Hsing University, Kuo-Kuang 11

Road, Taichung, Taiwan 12

§

Institute of Nutrition, China Medical University, Taichung, Taiwan 13

14

*Corresponding author: 15

Miao-Lin Hu, Ph.D., Department of Food Science and Biotechnology, National Chung Hsing 16

University, 250 Kuo-Kuang Road, Taichung 402, Taiwan 17

Tel.: +886 4 2281 2363; Fax: +886 4 2287 6211 18

E-mail address: mlhuhu@dragon.nchu.edu.tw 19

20 21 22 23

(2)

ABSTRACT 1

Hispolon is an active phenolic compound of Phellinus igniarius, a mushroom that has recently 2

been shown to have antioxidant, anti-inflammatory, and anticancer activities. In this study, we 3

investigated the antiproliferative effect of hispolon on human hepatocellular carcinoma Hep3B cells 4

by using the MTT assay, DNA fragmentation, DAPI (40, 6-diamidino-2-phenylindole 5

dihydrochloride) staining and flow cytometric analyses. Hispolon inhibited cellular growth of Hep3B 6

cells in a time-dependent and dose-dependent manner, through the induction of cell cycle arrest at S 7

phase measured using flow cytometric analysis and apoptotic cell death, as demonstrated by DNA 8

laddering. Hispolon-induced S-phase arrest was associated with a marked decrease in the protein 9

expression of cyclins A, and E and cyclin-dependent kinases (CDKs) 2, with concomitant induction 10

of p21waf1/Cip1 and p27Kip1. Exposure of Hep3B cells to Hispolon resulted in apoptosis as 11

evidenced by caspase activation, PARP cleavage, and DNA fragmentation. Hispolon treatment also 12

activated JNK, p38 MAPK and ERK expression. Inhibitors of ERK (PB98095), but not those of JNK 13

(SP600125) and p38 MAPK (SB203580), suppressed hispolon-induced S-phase arrest and apoptosis 14

in Hep3B cells. These findings establish a mechanistic link between MAPK pathway, and 15

hispolon-induced cell cycle arrest and apoptosis in Hep3B cells. 16

17

KEYWORKS: Phellinus igniarius; apoptosis; Hep3B; caspase; mitochondria 18

(3)

INTRODUCTION 19

Hepatocellular carcinoma (HCC) is a lethal and one of the four most prevalent 20

malignancies in adults in Taiwan, China, and Korea. Several etiologic factors, 21

including exposure to aflatoxin B1, and infection with hepatitis B virus and hepatitis 22

C virus, have been classified as high-risk factors associated with HCC (1). Apoptosis 23

is important in the control of cell quantity during development and proliferation. The 24

mechanism of apoptosis is conserved from lower eukaryotes to mammals and exhibits 25

a network of tightly ordered molecular events that finally converge into the enzymatic 26

fragmentation of chromosomal DNA, driving a cell to death (2). Apoptosis involves 27

the activation of a family of caspases, which cleave a variety of cellular substrates that 28

contribute to detrimental biochemical and morphological changes (3). At least two 29

pathways of caspase activation for apoptosis induction have been characterized. One 30

is mediated by the death receptor, Fas. Activation of Fas by binding with its natural 31

ligand (Fas ligand) induces apoptosis in sensitive cells (4). Fas ligand 32

characteristically initiates signaling via receptor oligomerization and recruitment of 33

specialized adaptor proteins followed by proteolysis and activation of procaspase-8. 34

Caspase-8 directly cleaves and activates caspase-3, which in turn cleaves other 35

caspases (e.g., caspase-6 and -7) for activation (5).The other pathway, driven by Bcl-2 36

family proteins, which may be anti-apoptotic (Bcl-2 and Bcl-XL) or pro-apoptotic

(4)

(Bax, Bak, and Bid), regulates cell death by controlling the permeability of 38

mitochondrial membrane during apoptosis (6). Upon apoptosis, pro-apoptotic proteins 39

translocate to the mitochondria and accelerate the opening of mitochondrial porin 40

channels, leading to release of cytochrome c and thereby triggering the cascade of 41

caspase activation (7). The induction of apoptosis by natural products on malignant 42

cells validates a promising strategy for human cancer chemoprevention (8). 43

Phellinus linteus (Berk. & M.A. Curt.) (PL) is a mushroom that belongs to the

44

genus Phellinus and is commonly called “Sangwhang” in Taiwan. It is popular in 45

oriental countries and has been traditionally used as food and medicine. PL contains 46

many bioactive compounds, and is known to improve health and to prevent and 47

remedy various diseases, such as gastroenteric disorders, lymphatic diseases, and 48

cancer (9). Recently, a few pharmacological actions of PL have been elucidated. For 49

instance, PL suppresses cellular proliferation and it induces apoptosis in lung and 50

prostate cancer cells (10). The anticancer effects of PL have been demonstrated by the 51

inhibition of invasive melanoma B16-BL6 cells (11). PL has been found to inhibit the 52

growth, angiogenesis and invasive behavior of breast cancer cells via the suppression 53

of AKT phosphorylation (12). We recently reported that hispolon, a phenol compound

54

isolated from PL, anti-inflammatory (13) and antimetastatic effects (14). Others have

55

also shown that hispolon has antiproliferative and immunomodulatory activities (15).

(5)

However, there have been no reports on the antiproliferative effects of hispolon in 57

liver cancer cells. In this study, we investigated the anticancer effects of hispolon on 58

three different hepatoma cell lines, including J5, HepG2, and Hep3B cells. A major 59

difference of these three hepatoma cell lines lies in their invasive activities, i.e., J5 > 60

HepG2 =Hep3B, based on their expression levels of thyroid hormone b1 nuclear 61

receptor and nm23-H1 (16); the latter is a tumor metastatic suppressor gene that has 62

been identified in murine and human cancer lines (17-19). The purpose of this study 63

was to investigate the anticancer effect of hispolon and to provide scientific rationales 64

for using hispolon as chemopreventive and/or chemotherapeutic agents against liver 65

cancer. 66

67

MATERIALS AND METHODS 68

Chemicals. Dulbecco’s modified Eagle’s medium (DMEM), 3-(4, 69

5-dimethylthiazolyl-2)-2, 5-diphenyltetrazolium bromide (MTT), and other chemicals 70

were obtained from Sigma Chemical Co. (St. Louis, MO, USA). Trypsin–EDTA, fetal 71

bovine serum (FBS) and penicillin/streptomycin were from Gibco Life Technologies, 72

Inc. (Paisley, UK). Cell culture supplies were purchased from Costar (Corning, Inc., 73

Cypress, CA, USA). The antibody against Bax, Bcl-2, Fas, FasL, Bid, caspase 3, 74

(6)

caspase 8, caspase 9, MAPK/extracellular signal–regulated kinase (ERK) 1/2, c-Jun 75

NH2-terminal kinase (JNK)/stress-activated protein kinase, and p38 MAPK proteins

76

and phosphorylated proteins were purchased from Cell Signaling Technology 77

(Beverly, MA). Anti-cyclin A, anti-cyclin E, anti-CDK 2, anti-p27, anti-p21, and 78

anti-PARP mouse monoclonal antibody and horseradish peroxidase-conjugated goat 79

anti-mouse IgG antibody were purchased from Santa Cruz Biotechnology Co. (Santa 80

Cruz, CA). 81

82

Isolation and Characterization of hispolon from Fruiting Body of PL. The fruiting 83

body of PL (about 1.0 kg, air dry weight) was powdered, and extracted with 95% 84

EtOH 6 L at room temperature (3 times, 72h each). Extracts were filtered and 85

combined together, and then evaporated at 40 °C (N-11, Eyela, Japan) to dryness 86

under reduced pressure to give a dark brown residue (40 g). The yield obtained for PL 87

is about 4 %. The crude extract was suspended in H2O (1 L), and then partitioned with

88

1 L n-hexane (× 2), 1 L EtOAc (× 2) and 1 L n-butanol (× 2), successively. 89

Hispolon (Fig.1A) was purified from the EtOAc soluble portion (8 g) by a 90

bioassay-guid separation. A portion of the active EtOAc fraction was subjected to 91

silica gel chromatography using stepwise CHCl3-MeOH (9:1, 8:2, 1:1 v/v) as eluent.

92

Final purification was achieved by preparative HPLC (Spherisorb ODS-2 RP18, 5 μm 93

(7)

(Promochem), 250×25 mm, acetonitrie-H2O (83: 17 v/v), at a flow rate of 10 mL/min

94

and UV detection at 375nm). The identification of hispolon was performed by 95

comparing their physical spectral data with literature values (20). 96

97

Cell Culture. The hepatocarcinoma J5, HepG2, and Hep3B cell was purchased from 98

the Bioresources Collection and Research Center (BCRC) of the Food Industry 99

Research and Development Institute (Hsinchu, Taiwan). Cells were cultured in plastic 100

dishes containing Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 101

10% fetal bovine serum (FBS) in a CO2 incubator (5% CO2 in air) at 37 °C and

102

subcultured every 2 days at a dilution of 1:5 using 0.05% trypsin–0.02% EDTA in 103

Ca2+-, Mg2+- free phosphate-buffered saline (DPBS). 104

105

Assay of Cell Viability. The cells (2 x 105) were cultured in 96-well plate containing 106

DMEM supplemented with 10% FBS for 1 day to become nearly confluent. Then 107

cells were cultured with hispolon for 24, 48, and 72 h. Then, the cells were washed 108

twice with DPBS and incubated with 100 L of 0.5 mg/mL MTT for 2 h at 37°C 109

testing for cell viability. The medium was then discarded and 100 L 110

dimethylsulfoxide (DMSO) was added. After 30-min incubation, absorbance at 570 111

(8)

nm was read by a microplate reader. At least three repeats were done for each sample 112

to determine cell proliferation. Decolorization was plotted against the concentration of 113

the sample extracts, and the amount of test sample necessary to decrease 50% 114

absorbance of MTT (IC50) was calculated.

115

116

Assay of DNA Fragmentation. Apoptosis was determined by the presence of 117

internucleosomal DNA fragmentation (DNA laddering) after cell treated with 118

increasing dose of hispolon for 48 h, or treated with 45 M for 24, 48, and 72 h. Hep 119

3B cells were cultured in 24-well microtiter plates at a density of 2 x 106 cells/well (1 120

mL final volume). To extract genomic DNA, cells were harvested, washed with cold 121

10 mM Tris–HCl, pH 7.5, 100 mM NaCl, 2 mM EDTA, and lysed by adding 0.5% 122

SDS. Cell lysates were then incubated at 56C for 3 h in the presence of 100 g/mL 123

of proteinase K. DNA was purified by successive phenol/chloroform extractions and 124

the resultant aqueous phase was mixed with 3M sodium acetate (pH 5.2) and absolute 125

ethanol. The mixture was incubated at -20C overnight and the ethanol-precipitated 126

DNA was washed with 70% ethanol. Purified DNA was resuspended in 10 mM 127

Tris–HCl, pH 7.5, 1 mM EDTA and treated with 50 g/mL DNase-free RNase A for 128

1 h. Samples were resolved on a 1% agarose gel and stained with 0.5 g/mL ethidium 129

bromide before DNA was visualized with ultraviolet light (21). 130

(9)

131

DAPI (40, 6-diamidino-2-phenylindole dihydrochloride) Staining. Cells were 132

seeded onto a 12-well plate at a density of 5 x 104 cells/well before treating with drugs. 133

Hep3B cells were cultured with vehicle alone or 45 M hispolon in DMEM medium 134

for 24, 48, and 72 h. After the treatment, cells were fixed with 3.7% formaldehyde for 135

15 min, permeabilized with 0.1% Triton X-100 and stained with 1 g/mL DAPI for 5 136

min at 37 ºC. The cells were then washed with PBS and examined by fluorescence 137

microscopy (Nikon, Tokyo, Japan). 138

139

Flow Cytometric Analysis for Cell Cycle Distribution. Human hepatocellular 140

carcinoma Hep3B cells (1 x 106 cells) were suspended in a hypotonic solution (0.1% 141

Triton X-100, 1 mM Tris-HCl (pH 8.0), 3.4 mM sodium citrate, and 0.1 mM EDTA) 142

and stained with 50 g/mL of propidium iodide (PI). DNA content was analyzed with 143

a FACScan (Becton Dickinson, San Jose, CA). The population of cells in each phase 144

of cell cycle was determined using CellQuest PRO software (Becton Dickinson, San 145

Jose, CA). 146

147

Assay of Cell Apoptosis. Quantitative assessment of apoptosis was analyzed by an 148

Annexin V-FITC assay kit (BD Biosciences, San Jose, CA). Briefly, cells grown in 10 149

(10)

cm Petri dishes were harvested with trypsin and washed in PBS. Cells were then 150

resuspended in a binding buffer (10 mM HEPES/NaOH (pH 7.4), 140 mM NaCl, 2.5 151

mM CaCl2) and stained with Annexin V-FITC and PI at room temperature for 15 min

152

in the dark. Cells were analyzed in an EPICS flow cytometer (Coulter Electronics) 153

within 1 h after staining. Data from 10,000 cells were detected for each data file. 154

Early apoptotic cells were defined as Annexin V-FITC-positive and PI-negative cells 155

(Annexin V+/PI- fraction) and late apoptosis or necrotic cells were defined as annexin 156

V+/PI+ cells. 157

158

Preparation of Whole-Cell Lysates. Hep3B cells (1 × 105 cells) were plated in a 159

100-mm Petri dish and were treated with various concentrations of hispolon. Hep3B 160

cells were washed twice with PBS and were scraped into a microcentrifuge tube. The 161

cells were centrifuged at 1,250g for 5 min, and the pellet was lysed with iced-cold 162

RIPA (Radio-Immunoprecipitation Assay) buffer (1% NP-40, 50 mM Tris-base, 0.1% 163

SDS, 0.5% deoxycholic acid, 150 mM NaCl, pH 7.5), to which was added freshly 164

prepared phenylmethylsulfonyl fluoride (10 mg/mL), leupeptin (17 mg/mL), and 165

sodium orthovanadate (10 mg/mL). After incubation for 5 min on ice, the samples 166

were centrifuged at 10,000g for 10 min, and then the supernatants were collected as 167

whole-cell lysates. The lysates were denatured and subjected to SDS-PAGE and 168

(11)

Western blotting. The protein content was determined with Bio-Rad protein assay 169

reagent using BSA as a standard. 170

171

Western Blotting Analysis. Whole-cell lysates proteins (30-50 μg of partially 172

purified protein) were mixed with an equal volume of electrophoresis sample buffer, 173

and the mixture was then boiled for 10 min. Then, an equal protein content of total 174

cell lysate from control, 0.2% DMSO, and hispolon-treated sample were resolved on 175

10-12% SDS-PAGE gels. Proteins were then transferred onto nitrocellulose 176

membranes (Millipore, Bedford, MA) by electroblotting using an electroblotting 177

apparatus (Bio-Rad). Nonspecific binding of the membranes was blocked with 178

Tris-buffered saline (TBS) containing 1% (w/v) nonfat dry milk and 0.1% (v/v) 179

Tween-20 (TBST) for more than 2 h. Membranes were washed with TBST three 180

times each for 10 min and then incubated with an appropriate dilution of specific 181

primary antibodies in TBST overnight at 4 °C. The membranes were washed with 182

TBST and then incubated with an appropriate secondary antibody (horseradish 183

peroxidase-conjugated, goat antimouse, or antirabbit IgG) for 1 h. After washing the 184

membrane three times for 10 min in TBST, the bands were visualized using ECL 185

reagents (Millipore, Billerica, MA). Band intensity on scanned films was quantified 186

(12)

using Kodak Molecular imaging (MI) software and expressed as relative intensity 187

compared with control. 188

189

Statistical Analysis. Values are expressed as means ± SD and analyzed using 190

one-way ANOVA followed by LSD Test for comparisons of group means. All 191

statistical analyses were performed using SPSS for Windows, version 10 (SPSS, Inc.); 192

a P value <0.05 is considered statistically significant. 193

194

RESULTS 195

Isolation of hispolon from PL and its Structural characterization. PL was isolated 196

via extensive chromatographic purification of the ethyl acetate-soluble fraction of the 197

dried fruiting body. The chemical structure of the purified yellow powder was 198

elucidated by NMR spectroscopy and mass spectrometry studies and was identified as 199

hispolon. 200

201

Inhibitory Effects of Hispolon on Tumor Cell Growth. To examine whether 202

hispolon would alter malignant proliferation, inhibitory effects on the growth of J5, 203

HepG2, and Hep3B tumor cells were determined by a MTT colorimetric assay. As 204

(13)

shown in Fig. 1, hispolon inhibited cellular growth of J5, HepG2, and Hep3B cells in 205

a time-dependent and dose-dependent manner, and treatment for 24, 48 and 72 h 206

induced marked inhibition of cellular growth. The IC50 values (50% cell growth

207

inhibitory concentration) at 72 h for human hepatoma cancer cells J5, HepG2, and 208

Hep3B cells were 54.53 ± 0.63, 87.59 ± 1.42, and 35.90 ± 1.10 M, respectively 209

(Table 1). As compared to J5 and HepG2 cells, hispolon seemed to have a stronger 210

death effect toward Hep3B liver cancer cells. The results indicate that hispolon was 211

more cytotoxic to Hep3B cells. 212

213

Effects of Hispolon on Nuclear DNA Fragmentation of Hep3B Cells. We assessed 214

the effect of hispolon on the induction of apoptosis in Hep3B cells by DNA 215

fragmentation assay. Hep3B cells treated with 22.5, 45, and 66.5 M hispolon for 48 216

h, or treated with 45 M for 24, 48 and 72 h showed that hispolon treatment resulted 217

in the formation of DNA fragments. Nucleosomal DNA fragmentation was observed 218

in cells treated with 45 M of hispolon for 0, 24, 48, and 72 h or treated with 22.5, 45, 219

and 66.5 M hispolon for 48 h (Fig. 2A). The profile for hispolon-induced apoptosis 220

closely correlated with its growth suppressive effect. Thus, growth suppression 221

induced by hispolon in Hep3B cells may be related to the induction of apoptosis. 222

(14)

Effects of Hispolon on Phenotypic Changes in Cell Nucleus. This study further 224

elucidated whether hispolon also induces DNA fragmentation and chromatin 225

condensation in Hep3B cells. Treatment with hispolon resulted in changes in nuclear 226

morphology, as demonstrated by DAPI staining. Condensation and fragmentation 227

were seen in cells 24, 48, and 72 h after 45 M of hispolon treatment (Fig. 2B). The 228

phenotypic characteristic of hispolon-treated Hep3B cells was also evaluated by 229

microscopic inspection of overall morphology. Apoptotic bodies were observed after 230

Hep3B cells were treated with hispolon for 24 h. Based on the above data, DNA 231

condensation and formation of apoptotic bodies indicated that hispolon-induced 232

Hep3B cell death was a typical apoptotic cell death. 233

234

Effects of Hispolon on Cell Cycle Distribution. Induction of apoptosis has been 235

reported to be a potentially promising approach for cancer therapy. Exhibition of the 236

biological phenomena (cell cycle redistribution, DNA fragmentation, and chromatin 237

condensation) represents the proceeding of apoptosis (22). The apoptotic effect of 238

hispolon was confirmed by flow cytometric analysis. As shown in Fig. 3A, 239

concomitant with the growth inhibitory effect, hispolon treatment induced a strong 240

S-phase arrest in a time-dependent manner. When Hep3B cells were incubated with 241

45 M of hispolon for 0, 6, 12, and 24 h, the relative percentage of cells staying at the 242

(15)

S phase were 17.31%, 43.95%, 70.98% and 70.89%, respectively (Fig. 3B). This 243

increase in the S-phase cell population was accompanied by a concomitant decrease in 244

the G0/G1 and G2/M phase cell populations. Meanwhile, the sub-G1 population was 245

slightly increased in cells exposed to 45 μM hispolon. These results indicated that 246

hispolon caused cell cycle arrest at the S phase, followed by apoptosis. 247

248

Effects of Hispolon on Cell Apoptosis. To further confirm and quantify the 249

apoptosis of Hep3B cells triggered by hispolon, cells were stained with both Annexin 250

V-FITC and PI, and subsequently analyzed by flow cytometry (5). Fig. 4 shows the 251

annexin V-FITC/PI analysis of Hep3B cells cultured with 45 M of hispolon for 0, 6, 252

12 and 24 h. Annexin V positive cells were considered as the relative amount of 253

apoptoic cells. Early apoptotic cells appeared in the annexin V+/PI− fraction, whereas 254

cells damaged by scraping appeared in the annexin V−/PI+ fraction, and late 255

apoptosis or necrotic cells were evident in the annexin V+/PI+ fraction. After 256

treatment with 45 M of hispolon for 0, 6, 12, and 24 h, the corresponding quantities 257

of necrosis and apoptosis were 1.2%, 5.4%, 14.4%, and 19.6%, respectively (Annexin 258

V+/PI+ fraction). 259

260

Hispolon Induces Apoptosis via Intrinsically- and Extrinsically-Mediated 261

(16)

Pathways. The effects of hispolon on the protein expression of Fas, FasL, 262

pro-caspase-8, and Bid in Hep3B cells are shown in Fig. 5A and 5B. Treatment of 263

Hep3B cells with hispolon (45 μM) for 0, 3, 6, 12, and 24 h resulted in significant 264

increases in the levels of Fas and FasL expression. Treatment with 45 μM hispolon for 265

24 h significantly decreased the expression levels of pro-caspase-8 and Bid by 48% 266

and 56%, respectively, as compared to those of the control. 267

The effects of hispolon on the protein expression of the Bcl-2 family and cytosolic 268

cytochrome c in Hep3B cells are shown in Fig. 6A and 6B. After treatment with 45 269

μM hispolon for 24 h, the level of pro-apoptotic protein expression of Bax was 270

increased by 187.7%, in comparison to the control. Hispolon treatment at 45 μM for 271

24 h significantly decreased the level of Bcl-2 (antiapoptotic protein) expression by 272

38% in comparison with the control. Cytochrome c release in the cytosolic fraction 273

following hispolon treatment was then investigated. Treatment with hispolon (45 μM, 274

24 h) resulted in a significant increase in the level of cytosolic cytochrome c 275

expression by 177%, as comparison to the control. A significant time-dependent shift 276

in the ratio of Bax to Bcl-2 was observed after hispolon treatment at 45 μM for 0-24 h 277

(Fig. 6B). 278

The effects of hispolon on the protein expression of pro-caspase-3, caspase-9, 279

and poly (ADP-ribose) polymerase (PARP) in Hep3B cells are shown in Fig.7A and 280

(17)

7B. The results show that exposure of Hep3B cells to hispolon (45 μM, 24 h) caused 281

the degradation of pro-caspase-3 and caspase-9, which generated a fragment of 282

caspase-9 and caspase-3. Hispolon treatment at 45 μM for 24 h significantly increased 283

the level of expression of cleaved PARP by 138%, as comparison to the control. The 284

results indicate that hispolon treatment causes a significant increase in the activity of 285

caspase-9 and caspase-3 and hispolon may have acted through initiator caspase-8 and 286

then executioner caspase-3 to increase the cleavage form of PARP. 287

288

Effects of Hispolon on the Expression of Cell Cycle Regulators Involved in 289

S-Phase Arrest. As shown by immunoblot analysis in Fig. 8A, hispolon (45 μM, 24 h) 290

treatment caused a time-dependent decrease in the expression levels of cell cycle 291

regulators including cyclin A, cyclin E and cyclin-dependent kinases CDK 2, which 292

may contribute to the cell cycle progression from G0/G1 to S-phase. Hispolon 293

treatment at 45 μM for 24 h significantly decreased the level of expression of cyclin A, 294

cyclin E, and CDK 2 by 48.3%, 61.2% and 42.2%, respectively, in comparison with 295

the control. Binding of cyclins to CDKs would form active kinase complexes, which 296

are regulated and inhibited by various CKDIs and growth suppressor genes such as 297

p21waf1/Cip1 and p27Kip1. As shown by immunoblot analysis in Fig. 8A, the 298

expression levels of p21waf1/Cip1 and p27Kip1 were up-regulated in a 299

(18)

time-dependent manner by hispolon treatment. Hispolon treatment at 45 μM for 24 h 300

significantly increased the level of expression of p21waf1/Cip1 and p27Kip1 by 156% 301

and 144% in comparison with the control. 302

303

Effects of Hispolon on MAPK Signaling Pathway. Studies have shown that the 304

MAPK signaling pathway plays an important role in the action of chemotherapeutic 305

drugs (23). Therefore, we determined whether the MAPKs were activated in 306

hispolon-treated Hep3B cells by Western blot analysis using specific antibodies 307

against the phosphorylated (activated) forms of the kinases. It was found that hispolon 308

treatment induced differential phosphorylation of JNK, ERK, and p38 MAPK in cells 309

exposed to 45 M hispolon (Fig. 9A and 9B). Phosphorylation of ERK was detected 310

as a sustained activation from 0 to 24 h, which decreased thereafter and reached the 311

control level at 24 h. Activation of p38 by hispolon was also observed as early as 3 h 312

after hispolon treatment, which peaked at approximately 24 h. A time course study 313

showed that JNK activation displayed a rapid onset after 3h of treatment, followed by 314

a progressive decline, returning to the basal level after 24 h. 315

To study the role of MAPK activation in hispolon-induced growth inhibition, we 316

examined the effects of specific MAPK inhibitors on overall cell death. The results of 317

the MTT assay showed that pretreatment with SP600125 (a JNK inhibitor) or 318

(19)

SB203580 (a p38 inhibitor) had no effect on hispolon-induced cell death (Fig. 9C), 319

although these inhibitors reduced the phosphorylation of their target kinases. 320

The results suggested that JNK and p38 did not play important roles in regulating 321

cell death in Hep3B cells induced by hispolon. However, pretreatment with PD98059 322

(an ERK inhibitor) significantly decreased the extent of cell death induced by 323

hispolon (Fig. 9C). Only the ERK inhibitor PD98059 significantly blocked 324

hispolon-mediated cell death. These contradictory results imply that the drug actions 325

of hispolon indeed result from the complex interaction of many compounds and many 326

targeted molecules. These results suggested that activation of the ERK pathway was 327

involved in the apoptotic cell death of Hep3B cells induced by hispolon. 328

329

330

Discussion

331

In the present study, we investigated the apoptosis of human hepatocellular 332

carcinoma cells induced by hispolon. Our data revealed that hispolon, a phenol 333

compound, acts directly on human hepatocellular carcinoma cancer cells to induce 334

cytotoxicity in a manner that causes apoptosis (Table 1). In breast and bladder cancer 335

cells, Lu et al. have reported that hispolon treatment for 72 h inhibits the cell viability 336

at IC50 values ranging from 20 M-40 M (24) as well as inhibits the growth of

(20)

human gastric cancer cells cells in a dose- and time-dependent manner, with an IC50

338

of 30 M at 72 h of incubation (25). 339

A flow cytometic analysis of PI -labeled cells shows that treating Hep3B cells 340

with hispolon (45 M) induced significant accumulation of cells in the S phase (Fig. 341

3A). The ratio of G0/G1 to S to G2/M phase in Hep3B cells at 0, 6, 12, and 24 h varied

342

significantly in the presence of 45 M (Fig. 3B). The G0/G1 cell population increased

343

to 70.89% in Hep3B cells treated with 45 M of hispolon for 24 h. Moreover, a 344

characteristic hypodiploid DNA content peak (sub-G1) was easily detected after

345

treatment with hispolon 45 M for 0, 6, 12, and 24 h. A significant increase in sub-G1

346

phase is indicative of induction of apoptosis. Uncontrolled cell proliferation is the 347

hallmark of cancer, and tumor cells have typically acquired mutations in genes that 348

directly regulate their cell cycle (26-27). 349

Inhibition of deregulated cell cycle progression in cancer cells is an effective 350

strategy to halt tumor growth (28). Cyclins, CDKs, and CDKIs play essential roles in 351

the regulation of cell cycle progression. CDKIs, such as p21waf1/Cip1 and p27Kip1, 352

are tumor suppressor proteins that downregulate the cell cycle progression by binding 353

with active cyclin-CDK complexes and thereby inhibiting their activities (29). 354

Chemopreventive agents usually cause apoptosis or cell cycle arrest at the G0/G1 or 355

G2/M phases. Relatively little is known about mechanisms that control progress 356

(21)

within the S-phase. It has been reported that hispolon elicits cell-cycle arrest at G2-M 357

phases in human breast and bladder cancer cells through the induction of CDKIs and 358

the inhibition of cyclins and CDKs (24). Although these results offer much insight for 359

the cell cycle arrest action of hispolon, the detailed molecular mechanisms remain to 360

be clarified. It has been reported that S-phase cell cycle arrest occurs with the loss of 361

Cdk2 activity due to reduced formation of active complex cyclin E/Cdk2 kinase (30). 362

We demonstrate here that hispolon-induced cell-cycle arrest was accompanied by 363

down-regulating the protein levels of cyclin A, cyclin E, and CDK2 and up-regulation 364

of p21 and p27 in Hep3B cells. It has been reported that S phase cell-cycle arrest 365

occurs with the loss of Cdk2 activity due to up-regulation of p21 and reduced 366

formation of active complex cyclin E/Cdk2 kinase (23). Our findings that hispolon 367

down-regulated cyclin A, cyclin E and CDK2 but up-regulated p21 and p27 suggest 368

that S-phase arrest is responsible for the cell-cycle-arresting effect of hispolon in 369

Hep3B cells. 370

Hispolon-induced apoptosis in Hep3B cells was also indicated by DNA laddering 371

(Fig. 2A) and DAPI positive staining (Fig. 2B). The induction of apoptosis stimulates 372

endonucleases, which catalyze the breakage of double-stranded DNA to form 373

fragments with oligonucleosome-length, resulting in a typical DNA electrophoresis 374

ladder that signifies apoptotic cell death (26). The apoptosis-inducing effect of 375

(22)

hispolon on Hep3B cells appeared to be directly proportional to its concentration. In 376

addition, the apoptosis-inducing efficacy of hispolon was found to be similar to its 377

anti-porliferative activity toward Hep3B cells. Furthermore, using annexin V−FITC to 378

identify apoptotic cells by binding to phosphatidyl serine and a red-fluorescent PI to 379

bind to nucleic acids of necrotic cells, the present study further demonstrated that 380

hispolon induced a significant and dose-dependent increase of annexin V+/PI+ 381

apoptotic cells (Fig. 4). 382

Caspases are believed to play crucial roles in mediating various apoptotic 383

responses. A model involving two different caspases (caspase-8 and -9) in the 384

mediation of distinct typesof apoptotic stimuli has been proposed (31). The cascade 385

led by caspase-8is involved in death receptor-mediated apoptosis such as theone 386

triggered by Fas.Ligation of Fas by Fas ligand results in sequential recruitmentof 387

FADD (Fas-associateddeath domain) and procaspase-8 to the death domain of Fas to 388

formthe death-inducing signaling complex, leading to cleavage ofprocaspase-8, with 389

the consequent generation of active caspase-8. Active caspase-8 in turn activates 390

downstream effecter caspases throughthe cleavage of Bid, committing the cell to 391

apoptosis (27). The present results suggest that hispolon may act through the initiator 392

caspase-8 and then the executioner caspase-3 to increase the cleavage form of PARP 393

for DNA fragmentation (Fig. 5A and 7A). 394

(23)

Many reports have pointed out that the ability of anticancer agents in inducing 395

apoptosis of tumor cells (such as Taxol) correlates with the ability of decreasing the 396

expression of Bcl-2 (32). In the present study, we showed that the expression of Bcl-2 397

decreased as the concentration of hispolon and the percentage of apoptotic Hep3B 398

cells increased. This inverse proportional relationship suggested that Bcl-2 may play a 399

preventive role in hispolon-mediated apoptosis of Hep3B cells. 400

Mitochondrial-dependent apoptosis is often through the activation of a pro-apoptotic 401

factor in the Bcl-2 family. Thus, one possible role of Bcl-2 in the prevention of 402

apoptosis is to block the release of cytochrome c from mitochondria (Fig. 6A). On the 403

contrary, increases in the expression of Bax and cytochrome c release were observed 404

during hispolon treatment in the present study. Bax is a pro-apoptotic protein that has 405

also been shown to induce cytochrome c release and caspase activation recently (33). 406

The above findings suggest that hispolon induces apoptosis in Hep3B cells through a 407

mitochondria-mediated pathway. 408

Several protein kinase pathways have been known to regulate cell proliferation 409

and survival. MAPKs, a family of serine-threonine protein kinases, have been 410

implicated in apoptosis and cell cycle regulation signaling in diverse cell models (23). 411

In general, JNK and p38 are activated by diverse stimuli such as oxidative stress, UV 412

irradiation, and osmotic shock and required for the induction of apoptosis. ERK plays 413

(24)

vital roles in cell growth and division and is generally considered to be a survival 414

mediator (34). In human HCC cell lines, multiple anticancer effects such as inhibition 415

of cellular proliferation as well as induction of cell cycle arrest and apoptosis have 416

been achieved by blocking ERK signaling (35). ERK inactivation observed in this 417

study may contribute to the S phase cell cycle arresting and apoptotic activities of 418

hispolon, which need to be investigated further. In addition, different MAPK 419

signaling pathways can be coordinately manipulated to enhance the efficacy of 420

anticancer drug. Cotreatment of anticancer drugs with ERK inhibitors has been found 421

to enhance anticancer effects. In our experiments, as shown in Fig. 9A, hispolon 422

markedly elevated the phosphorylated forms of JNK and p38 and reduced the 423

phosphorylated form of ERK1/2 in a dose dependent manner. Therefore, 424

hispolon-induced apoptosis in Hep3B involves mitochondria caspase pathways, 425

activation of JNK and P38 and inhibition of the ERK MAPK signaling. The use of 426

specific inhibitors revealed that JNK and p38 did not play important roles in 427

regulating cell death induced by hispolon in Hep3B cells. In this study, the MTT

428

method was used to examine the effects of specific MAPK inhibitors, as the same

429

method has often been used to examine the effects of specific MAPK inhibitors (23,

430

36, 37). In our previous reports, we also used the same approach to show that hispolon

431

modulates ERK phosphorylation (20, 23).

(25)

Our observations that hispolon induced S-phase arrest and p21 overexpression

433

are in agreement with those of a previous report which shows that the transduction of

434

the p21 gene results in S-phase arrest (40). P21, an inhibitor of CDKs, directly inhibits

435

CDK2, CDK3, CDK4, and CDK6 activity. Overexpression of p21 usually leads to G1

436

or G2 arrest by inhibiting CDK activity. P21 can also directly inhibit DNA synthesis

437

by binding to proliferating cell nuclear antigen (PCNA) (41). The expression of p21

438

can be regulated at the transcriptional, post-transcriptional, or post-translational levels

439

by p53-dependent and -independent mechanisms (5). Indeed, we found that

440

suppression of ERK activation attenuated hispolon-mediated induction of p21

441

expression and S-phase arrest. Although ERK and p21 are likely to play a role in

442

hispolon-mediated S-phase arrest, it is possible that some other molecules that were

443

not examined here may also be involved in hispolon-mediated S-phase arrest.

444

In conclusion, this study has provided mechanistic insights into how hispolon 445

regulates the components of cell cycle progression and apoptotic machinery to delay S 446

to G2/M transition and induces apoptosis in Hep3B cells. Our data imply the potential 447

of hispolon as a chemotherapeutic agent because many antbicancer drugs are known 448

to achieve their anticancer function by inducing apoptosis and/or cell cycle arrest in 449

susceptible cells. 450

(26)

ABBREVIATIONS USED 452

FBS, fetal bovine serum; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium 453

bromide; PARP, poly(ADP-ribose) polymerase; MAPK, mitogen-activated protein 454

kinase; ERK, extracellular signaling-regulating kinase; JNK/SAPK, c-Jun N-terminal 455

kinase/ stress-activated protein kinase; 456

457

ACKNOWLEDGEMENTS 458

The authors want to thank the financial supports from the National Science Council 459

(NSC 97-2313-B-039 -001 -MY3), China Medical University (CMU) (CMU97-232 460

and CMU99-S-29) and and Taiwan Department of Health Clinical Trial and Research 461

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