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Caffeic acid derivatives inhibit the growth of colon cancer: Involvement of the PI3-K/Akt and AMPK signaling pathways

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Caffeic acid derivatives inhibit the growth of colon cancer:

Involvement of the PI3-K/Akt and AMPK signaling pathways

En-Pei Isabel Chiang 1, 2,†, Shu-Yao Tsai 3, †,Yueh-Hsiung Kuo 4,5, Man-Hui Pai 6, Hsi-Lin Chiu 4,5, Raymond L. Rodriguez 7,and Feng-Yao Tang 8,§

1 Department of Food Science and Biotechnology and 2 NCHU-UCD Plant and

Food Biotechnology Program and Agricultural Biotechnology Center, National Chung Hsing University, Taichung 402, Taiwan, Republic of China;

3 Department of Health and Nutrition Biotechnology, Asia University, Taichung

41354, Taiwan, Republic of China;

4 Department of Chinese Pharmaceutical Sciences and Chinese Medicine

Resources, China Medical University, Taichung 40402, Taiwan, Republic of China;

5 Department of Biotechnology, Asia University, Taichung 413, Taiwan,

Republic of China;

6 Department of Anatomy, Taipei Medical University, Taipei 11031, Taiwan,

Republic of China;

7 Department of Molecular and Cellular Biology, University of California, Davis,

CA 95616, USA

8 Biomedical Science Laboratory, Department of Nutrition, China Medical

University, Taichung 40402, Taiwan, Republic of China

Author information Corresponding author 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

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§ Tel: (886-4) 22060643, Fax: (886-4) 22062891, E-mail:

vincenttang@mail.cmu.edu.tw

Present address

§ Biomedical Science Laboratory, Department of Nutrition, China Medical

University, 91 Hsueh-Shih Road, Taichung 40402,Taiwan, Republic of China

Notes

: These authors equally contributed to this work.

Abstract

Background: The aberrant regulation of phosphatidylinositide 3-kinases (PI3-K)/Akt , AMP-activated protein kinase (AMPK) and mammalian target of rapamycin (m-TOR) signaling pathways in cancer has prompted significant 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

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interest in the suppression of these pathways to treat cancer. Caffeic acid (CA) has been reported to possess important anti-inflammatory actions. However, the molecular mechanisms by which CA derivatives including caffeic acid phenethyl ester (CAPE) and caffeic acid phenylpropyl ester (CAPPE), exert inhibitory effects on the proliferation of human colorectal cancer (CRC) cells have yet to be elucidated.

Methodology/Principal Findings: CAPE and CAPPE were evaluated for their ability to modulate these signaling pathways and suppress the proliferation of CRC cells both in vitro and in vivo. Anti-cancer effects of these CA derivatives were measured by using proliferation assays, cell cycle analysis, western blotting assay, reporter gene assay and immunohistochemical (IHC) staining assays both in vitro and in vivo. This study demonstrates that CAPE and CAPPE exhibit a dose-dependent inhibition of proliferation and survival of CRC cells through the induction of G0/G1 cell cycle arrest and augmentation of apoptotic pathways. Consumption

of CAPE and CAPPE significantly inhibited the growth of colorectal tumors in a mouse xenograft model. The mechanisms of action included a modulation of PI3-K/Akt , AMPK and m-TOR signaling cascades both in vitro and in vivo. In conclusion, the results demonstrate novel anti-cancer mechanisms of CA derivatives against the growth of human CRC cells.

Conclusions: CA derivatives are potent anti-cancer agents that augment AMPK activation and promote apoptosis in human CRC cells. The structure of CA derivatives can be used for the rational design of novel inhibitors that target human CRC cells.

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Keywords: Caffeic acid phenylpropyl ester; cell cycle arrest; Akt; AMP-activated protein kinase; human colorectal cancer cells

Introduction

Colorectal cancer (CRC) is one of the leading causes of cancer and cancer

mortality in many countries [1,2]. In the United States alone, approximately

50,000 deaths are attributed to this cancer annually [1,2]. Many studies have

indicated that mutations of the phosphatidylinositide 3-kinase (PI3-K)/Akt and 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91

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mitogen-activated protein kinase (MAPK)/ extracellular-signal-regulated

kinase (ERK) molecules are commonly observed in various types of cancer

[3,4]. For example, oncogenic activation of PI3-K/Akt molecules enhances cell

proliferation by increasing the cyclin D1 level [5,6]. It is well known that the

aberrant expression of the cyclin D1 and Cdk4 proteins is involved in the

proliferation of CRC cells [7]. Suppression of the PI3-K/Akt and MAPK/ERK

signaling pathways leads to the blockade of cell proliferation and

demonstrates the importance of these signaling cascades in the control of

both cell cycle progression and cell growth during cancer development [4,8].

Therefore, the PI3-K/Akt and MAPK/ERK signaling pathways play

predominant roles in determining the fate of tumor growth. Malignant cancer

cells detach from the primary tumor and migrate across structural barriers,

including basement membranes and the surrounding stromal extracellular

matrix (ECM) [9]. Tumor invasion and metastasis both require an increase in

the expression of matrix metalloproteinases (MMPs) and the degradation of

ECM [9,10]. MMPs are zinc-dependent endopeptidases capable of degrading

ECM components [11]. Enzymes such as MMP-9 degrade ECM and create a

microenvironment that maintains tumor development [10,11].

AMP-activated protein kinase (AMPK) is a fuel-sensing molecule that 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110

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functions as a regulator of energy balance [12]. AMPK has been shown to be

ubiquitously expressed in mammalian cells and to be involved in energy

homeostasis [13]. An increased adenosine monophosphate (AMP)/adenosine

triphosphate (ATP) ratio, reflecting a decrease in the cell's energy state, leads

to the activation of the AMPK protein by phosphorylation [14]. The

augmentation of AMPK activation is thought to be inversely correlated with

cancer risk [15]. Recent studies have further suggested that the activation of

the PI3-K/Akt and MAPK/ERK signaling molecules is associated with a

decreased level of phosphorylated (activated) AMPK in the course of tumor

progression [16,17]. Additional studies concluded that AMPK agonists are

effective in the treatment of cancer [15,18], while other studies showed that

the lipogenic enzyme fatty acid synthase (FASN) is regulated by energy intake

and plays a crucial role in carcinogenesis [19]. One recent study reported that

FASN expression is correlated with the growth and progression of CRC [20].

The phosphorylation (i.e. activation) of Akt was shown to induce the

expression of FASN and to trigger aggressive malignancy in cancer cells [21].

In contrast, treatment with an AMPK agonist, leading to the activation of

AMPK, suppressed the expression of FASN and blocked the growth of

colorectal tumor [22-24]. Moreover, epidemiological studies further indicated 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129

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that AMPK (PRKAG2) single-nucleotide polymorphism (SNP) is associated

with risk of human CRC [25]. Thus, AMPK-mediated energy homeostasis has

attracted interest in this pathway as a means of treating human colon cancer.

Many studies have demonstrated that phenolic acid compounds function as

potent antioxidants [26]. Among them, caffeic acid (CA) is a non-vitamin

phenolic compound found largely in vegetables and fruit. In addition to its

antioxidant activity, CA exerts anti-inflammatory effects in several kinds of

cells [27,28]. Recent studies indicated that caffeic acid phenethyl ester

(CAPE), a CA derivative naturally isolated from honeybee propolis, also exerts

its beneficial effects through antioxidant and anti-inflammatory activities

[29,30]. Furthermore, it has been demonstrated that CAPE inhibits the

proliferation of cancer cells and act as a potential anti-cancer agent [31,32].

However, there is no report of the inhibitory effects of CA derivatives on the

AMPK pathway and /or FASN expression during the progression of CRC.

Moreover, the lack of consistent results across numerous studies and the

failure to determine the mechanism of action of the CA derivatives may

explain the difficulty in demonstrating the in vivo benefits of CA derivative

supplementation against CRC. We investigated, therefore, the inhibitory 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148

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effects of various CA derivatives on human CRC cells both in vitro and in vivo.

The results demonstrated that CA derivatives such as CAPE and caffeic acid

phenylpropyl ester (CAPPE) significantly inhibited cellular proliferation in

human CRC cells. CAPE and CAPPE induced cell cycle arrest through the

suppression of the PI3-K/Akt and mTOR signaling pathways. Furthermore, CA

derivatives reduced cellular ATP levels and suppressed FASN expression.

The mechanism of action was associated in part with an augmentation of the

AMPK pathway. The results of this study suggest that CA derivatives act as

chemopreventive agents against human CRC by modulating the PI3-K/Akt,

mTOR and AMPK signaling pathways both in vitro and in vivo.

Materials and Methods

Reagents and antibodies

Human colon cancer cells HCT-116 and SW-480 were purchased from

American Type Culture Collection (Walkersville, MD). The following

monoclonal antibodies were purchased from Cell Signaling Technology, Inc.:

Anti- N-cadherin (#4061), PTEN (#9559), anti-phosphorylation PDK1 (Ser241;

#3061), total-PDK1(#3062), anti-phosphorylation Akt (S473; #4060), total-Akt

(#9272), phosphorylation GSK3α (S21; #9327), total- GSK3α (4337), anti-149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167

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phosphorylation GSK3β(S9; #9323), total- GSK3β(#9315),

anti-phosphorylation FOXO3 (T32; #9464), total- FOXO3 (#12829), total- TSC1

(#6935), total- TSC2 (#3990), total- LKB1 (#3047), total- 14-3-3

(#8312),phosphorylation ERK 1/2 (T202/Y204; #9101), total-ERK 1/2 (#9102),

phosphorylation AMPKα (T172; #2535), total-AMPKα(#5832),

phosphorylation m-TOR (S2448; #5536), total-m-TOR (2983),

FASN(#3180), NF-B (p65) (#3033), Cdk4(#2906),

anti-p21waf/cip1(#2947), anti-cyclin E(#4132), anti-cyclin D1(#2978), anti-c-myc

(#9402) and anti-Lamin A (#2032) (Danvers, MA). The anti- β-actin (# A2066)

antibody and compound C (specific inhibitor of AMPK) were purchased from

Sigma (St Louis, MO). The active Akt (Myr-Akt1, Addgene plasmid # 9008)

and control empty vector (pcDNA3, Addgene plasmid # 10792) were obtained

from Addgene. The tumor necrosis factor-α (TNF-α) recombinant protein was

from R&D System (Minneapolis, MN). The nuclear Protein Extract Reagent Kit

was purchased from Pierce Biotechnology Inc. (Lackford, IL). The

luminescence ATP detection assay kit (ATPlite kit) was purchased from

Perkin Elmer Life Science (Boston, MA). The NF-κB response element

(NF-κB-RE) plasmid and Dual-Luciferase Reporter Assay kit were purchased from

Promega (Madison, WI). PI (propidium Iodine) and anti- proliferating cell 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186

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nuclear antigen (PCNA) (#610664) monoclonal antibodies were purchased

from BD Biosciences Inc. (Franklin Lakes, NJ). CA derivatives, including

CAPE and CAPPE (Figure 1) were provided by Dr. Y. H. Kuo (China Medical

University). These CA derivatives were dissolved in dimethyl sulfoxide

(DMSO) at a concentration of 200 mM stock solution and stored at -20oC.

Immediately before the experiment, the stock solution was added to the cell

culture medium, as described previously.

Cell culture

Briefly, human CRC cells were cultured in a 37oC humidified incubator with

5% CO2 and grown to confluency using fetal bovine serum (FBS)

supplemented RPMI-1640 media. The cells used in the different experiments

have the same passage number. RPMI-1640 medium was supplemented with

10% heat-inactivated FBS, 2 mM L-glutamine and 1.5 g/L sodium

bicarbonate.

Supplementation with CA derivatives

Human CRC cells were incubated with different concentrations (0, 5, 10, 20,

50, and 100 μM) of the CA derivatives for 2h or 24 h. For efficient uptake of

the CA derivatives by human colon cancer cells, these compounds were 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206

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incorporated into FBS for 30 min and mixed with the medium. In control

groups, cells were incubated with an equivalent volume of solvent DMSO

(final concentration: 0.05% v/v) as a carrier vehicle.

Assessment of cell proliferation

The MTT (3-[4,5-dimethhylthiaoly]- 2,5-diphenyltetrazolium bromide) assay

was conducted to detect the cell proliferation. Human CRC cells were seeded

in 24-well plates, each well containing 1x 105 cells. After 24 h, the culture

medium was replaced by media containing CA derivatives at one of five

concentrations (i.e.,0, 5, 10, 20, 50 and 100 µM) in the presence or absence

of compound C. Transfections of constitutively active Akt (Myr-Akt1, Addgene

plasmid 9008) and empty vector (pcDNA3, Addgene plasmid 10792) were

conducted by using Lipofectamine LTX transfection reagent. Each

concentration was tested in triplicate. At the end of the experiment, one of the

plates was taken out and fresh MTT (final concentration 0.5 mg/mL in PBS)

was added to each well. After 2 hr incubation, the culture media were

discarded, 200 μL of acidic isopropanol were added to each well and vibrated

to dissolve the depositor. The optical density was measured at 570 nm with a

microplate reader. 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225

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Quantitative analysis of cell cycle by flow cytometry

Human colon cancer CRC cells were cultured into 6-well plates at a density of

1x106 cells per well. Before the experiment, cells were synchronized by

culturing them in 0.05 % FBS supplemented RPMI-1640 media overnight until

CAPE or CAPPE treatment. To measure the distribution of the cell cycle, cells

were treated with CAPE or CAPPE (0, 10, 50, 100 μM) for an additional 24 h.

Cells were harvested after treatment with a solution of trypsin and

ethylenediaminetetraacetic acid (EDTA) and suspended with the binding

buffer (1x105 cells/mL). Human CRC cells were stained with PI and analyzed

following the manufacturer’s protocol. Briefly, five microliters of PI were added

to the suspended cells and incubated at room temperature in the dark and

analyzed by BD FACSCanto flow cytometry (BD Biosciences Inc., Franklin

Lakes, NJ). The PI-stained cells were analyzed using accessory software.

Xenograft implanation of tumor cells

To establish the mouse xenograft model, subconfluent cultures of colon

cancer HCT-116 cells were given fresh medium 24h before being harvested

by a brief treatment with 0.25% trypsin and 0.02% EDTA. Trypsinization was 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244

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stopped with medium containing 10% FBS, and the cells were washed twice

and resuspended in serum-free RPMI 1640 medium. Only single-cell

suspensions with a viability of > 90% were used for the injections.

Animals, Diet and CA Derivative Supplementation

Adult (3-4 week old) BALB/C AnN-Foxn1 nude mice (19-22 g) were obtained

from the National Laboratory Animal Center (Taipei, Taiwan). Mice were

maintained under specific pathogen-free conditions in facilities approved by

the National Laboratory Animal Center in accordance with current regulations

and standards (animal protocol no. 102-142-N). The animal use protocol listed

above has been reviewed and approved by the Institutional Animal Care and

Use Committee at China Medical University. The animal study was conducted

according to the national guideline and the approved animal protocol in order

to maintain animal welfare and ameliorate suffering in the experimental

animals. During the entire experimental period, mice were fed a standard Lab

5010 Diet purchased from LabDiet Inc. (St. Louis, MO, USA). The standard

diet contains crude fat (13.5 % total dietary energy), protein (27.5%) and

carbohydrate (59%), and had no detectable CA derivatives, as indicated by

the supplier. Mice that had been anesthetized with an inhalation of isofluorane 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263

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were placed in a supine position. The mice were subcutaneously (s.c.)

injected with human colon cancer HCT-116 cells (1 x 106/0.1 ml medium) into

the right flank of each BALB/C AnN-Foxn1 nude mouse. A well-localized bleb

was considered to be a sign of a technically satisfactory injection.

After the inoculation, mice were divided into three subgroups (n=6 per group).

CA derivatives were given to the experimental animals by gavage once a day

at a total volume 0.15 mL. The CAPE and CAPPE groups each received a

daily oral dose of CA derivatives dissolved in corn oil (4% w/w) at 50 nmol/kg

of BW once per day. The tumor control group received corn oil (4% w/w) once

per day only. Normal mice without tumor- inoculation were used as the

negative control. Tumor volume was calculated by the following formula:

0.524 L1(L2)2, where L1and L2 represent the long and short axis of the tumor,

respectively. BW was determined once weekly. No significant differences of

food intake or body weight were found in this study. At the end of the

experimental period, the animals were euthanized by CO2 inhalation; tumor

tissues were then excised, weighed, and frozen immediately. These tumor

tissues were sectioned and stained with Mayer’s hematoxilin– eosin (H&E) for

examination by light microscopy. The remaining tissues of the liver, lung,

spleen, pancreas and intestine were also excised, weighed and frozen for 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282

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further experiments. Blood samples were collected from the heart in a 1-ml

vacutainer tube in the presence or absence of heparin and centrifuged for 10

min at 1000g to obtain plasma or serum, respectively.

Histopathological and immunohistochemical staining of tumor

tissues

Frozen tumor tissues were cut in 5 μm sections and immediately fixed with 4%

paraformaldehyde. Sections were stained with Meyer’s Hematoxylin-Eosin

(H&E) for light microscopy. Negative controls did not exhibit any staining.

Three hot spots were examined in a blinded manner per tumor section (high

power field 200X) from six different tumors in each group. For

immunohistochemical staining, frozen tissue sections were treated with 0.3%

hydrogen peroxide to block the endogenous peroxide activity. Non-specific

protein binding was blocked with 10% normal goat serum (NGS) for 1hr

followed by incubation with either anti-FASN or anti-PCNA primary antibodies

(1:300). Tissue sections were washed with 0.1 M phosphate buffer saline

(PBS) and incubated with biotinyated immunoglobin G (1:300 secondary

antibody) at room temperature for 1 hr. Tissue sections were stained with

Avidin-Biotin complex (ABC), diaminobenzidine (DAB) and hydrogen 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301

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peroxide. Cell nuclei were stained with hematoxylin. Imaging was performed

at 200 X magnifications. Images of tumor sections were acquired on an

Olympus BX-51 microscope using an Olympus DP-71 digital camera and

imaging system (Olympus, Tokyo, Japan).

Preparation of protein extraction

Human CRC HCT-116 cells were cultured in 10% FBS culture media in the

presence of CAPE or CAPPE for 2h or 24h. Cell lysates (cytoplasmic and

nuclear proteins) from colon cancer cells were prepared using the Nuclear

Protein Extract Reagent Kit containing a protease inhibitor and phosphatase

inhibitors according to the manufacturer’s instructions. After centrifugation for

10 minutes at 12,000 xg to remove cell debris, the supernatants were retained

as a cytoplasmic extract. Cross contamination between nuclear and

cytoplasma fractions was not detected (data not shown).

Detection of Plasma MMP-9 by Enzyme-Linked Immunosorbent

Assay (ELISA)

The MMP-9 plasma level was measured by ELISA according to the

manufacturer’s instructions (R&D Systems Inc.). Briefly, a 100 μL diluted

plasma sample (1:8 dilution) from each group was added to each well and 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321

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analyzed. Upon completion of the ELISA process, the plate was read at

450/570 nm wavelength using a microplate reader (Tecan Inc., Mannedorf,

Switzerland).

Analysis of cellular ATP levels

Human CRC cells were cultured for 24h in 96-well plates, each well containing

1x 104 cells in the presence of CAPE or CAPPE. Measurements of cellular

ATP were analyzed following the manufacturer’s protocol. Briefly, cell lysates

were prepared using cell lysis buffer directly. Total cell lysate (100 μL) were

mixed with substrate solution and vibrated to dissolve the deposits according

to the manufacturer’s instructions. The optical density was measured with a

Synergy HT Multi-Mode Microplate Reader (BioTek, Winooski, VT).

Western Blotting Analysis

Cellular proteins (70 μg) were fractionated on 10% SDS-PAGE, transferred to

a nitrocellulose membrane, blotted with anti-phosphorylation Akt monoclonal

antibody, and performed with chemiluminescence based assay. Protein

phosphorylation of PDK1, phosphorylation of GSK3α, phosphorylation of

GSK3βphosphorylation of FOXO3, phosphorylation of AMPK,

phosphorylation of m-TOR, PTEN, N-cadherin, PDK1, Akt, GSK3α, GSK3β, 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341

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FOXO3, TSC1, TSC2, mTOR, LKB1, 14-3-3, AMPK, FASN, NF-κB (p-65),

cyclin D1, Cdk4, PCNA, p21CIP1/WAF1, cyclin E and c-myc in the cell lysates

were measured using the same procedure described above. The blots were

stripped and reprobed with eitherβ-actin or lamin A antibodies as the loading

control.

Reporter gene assay

Transfection of NF-κB response element (NF-κB-RE) plasmid was carried out

in human CRC HCT-116 and SW-480 cells according to the manufacturer's

instruction. Human CRC HCT-116 and SW-480 cells were then plated at a

density of 2 X105 cells per well in 12-well plates in 2 mL of media and

incubated overnight. Cells were treated with either CAPE or CAPPE at

different concentrations for 24 h before the analysis of reporter gene activities.

The reporter gene assay was performed by using Dual- Luciferase Reporter

Assay kit. Luciferase intensities were measured using with a Synergy HT

Multi-Mode Microplate Reader (BioTek, Winooski, VT).

Statistical analysis

A quantitative methodology was used to determine whether there was any

significant difference in the cell viability as well as protein expression between 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361

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experimental sets and control sets of colon cancer cells. In brief, statistical

analyses of the differences in cell viability among triplicate sets of the

experimental conditions were performed using SYSTAT software.

Confirmation of a difference in cell viability as significant requires rejection of

the null hypothesis of no difference between the mean indices obtained from

the replicate sets of experimental and control groups at the P=0.05 level,

utilizing the one way ANOVA model. The Bonferroni post hoc test was used to

determine differences among the different groups.

Results

CA derivatives significantly inhibited the proliferation of human

CRC cells in vitro

The inhibitory effects of CA derivatives on the proliferation of human CRC

cells (HCT-116 and SW-480 cells) were investigated in vitro. As shown in

Figure 2-3, CA derivatives (at the concentrations of 5, 10, 20, 50 and 100μM)

significantly inhibited the proliferation of human CRC HCT-116 and SW-480

cells. At the concentrations of 5, 10, 20, 50 and 100μM, CAPE and CAPPE

each significantly suppressed the proliferation of human CRC HCT-116 cells,

respectively. (Inhibitory effects of CAPE: 4, 31, 47, 54, and 58%; CAPPE: 5, 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380

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45, 56, 59 and 64%) (Figure. 2A). The IC50s for CAPE and CAPPE in human

CRC HCT-116 cells are 44.2 μM and 32.7 μM, respectively. At the

concentrations of 5, 10, 20, 50 and 100μM, CAPE and CAPPE significantly

suppressed the proliferation of human CRC SW-480 cells, respectively.

(Inhibitory effects of CAPE: 0.5, 8.9, 14, 19 and 32%; CAPPE: 6, 15, 22, 26

and 47%) (Figure. 3A). The IC50s for CAPE and CAPPE in human CRC

SW-480 cells are 132.3 μM and 130.7 μM, respectively. These results

demonstrate that CAPE and CAPPE are each able to significantly inhibit the

proliferation of human CRC cells in a dose-dependent manner. CAPPE

seems to inhibit the proliferation of human CRC HCT-116 cells more

effectively than CAPE. For this reason, CAPE and CAPPE were selected for

further study of their potential anti-cancer effects on human CRC cells. The

role of signalling molecules on cell proliferation in human CRC cells treated

with CA derivatives was investigated. In these cells, Akt was either

over-expressed by transfection with a constitutively active Myr-Akt1 plasmid, or

AMPK activity was inhibited by compound C. As shown in Figure. 2A, both

over-expression of Akt and suppression of AMPK activity rescued cell

proliferation inhibited by CAPE or CAPPE treatments in human CRC HCT-116

cells. The effects of Akt over-expression or reduced AMPK activity on 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399

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rescuing cell proliferation were less significant, however, in SW-480 cells

treated with CA-derivative (Figure 3A). Expression levels of p-Akt and t-Akt

proteins by the overexpression of a constitutively active form of Akt in human

CRC HCT-116 and SW-480 cells were shown in Figure 2B and Figure 3B,

respectively. Expression levels of p-AMPK and t-AMPK proteins by the

treatment of compound C in human CRC HCT-116 and SW-480 cells were

shown in Figure 2C and Figure 3C, respectively. The results suggested that

CA derivatives act as chemopreventive agents against human CRC through a

modulation of the PI3-K/Akt and AMPK signaling pathways

CAPE and CAPPE each induced G

0

/G

1

cell cycle arrest in CRC

cells

To determine whether CA derivative-mediated suppression of cell proliferation

was due to an arrest at a certain stage of the cell cycle, the effects of CAPE

and CAPPE were studied further in HCT-116 and SW-480 cells. Cells treated

with CAPE or CAPPE were subjected to flow cytometric analysis after their

DNA was stained with PI. Histograms of the flow cytometric data are shown in

Figure 4A. CAPE and CAPPE significantly induced cell cycle arrest at the

G0/G1 phase in a dose-dependent manner (P<0.05). At a concentration of 50

400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418

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μM, CAPE and CAPPE significantly increased cell cycle arrest of HCT-116

cells during the G0/G1 phase by up to 56% and 61 %, respectively, whereas in

the control group the percentage of cells in the G0/G1 phase was only 34%

(Figure. 4B). At a concentration of 50 μM, CAPE and CAPPE significantly

increased cell cycle arrest of SW-480 cells during the G0/G1 phase by up to

44% and 57 %, respectively, whereas in the control group the percentage of

cells in the G0/G1 phase was only 37% (Figure. 4C). These increases in G0/G1

arrest were mostly at the expense of the S and G2/M phase cell populations.

CAPPE seems to induce G0/G1 cell cycle arrest more effectively than CAPE in

human CRC cells. Thus, it is plausible that CAPE and CAPPE inhibited cell

proliferation of human CRC cells through a cell cycle arrest at the G0/G1

phase.

To determine the molecular mechanisms underlying these effects, we further

investigated the chemopreventive effects of CA derivatives on human CRC

cells. A previous study had indicated that the cell cycle progression through

G1 phase is primarily regulated by cyclinD1/Cdk4 proteins [33]. To investigate

the possible inhibitory effects of CA derivatives on cell cycle regulatory

proteins, HCT-116 and SW-480 cells were treated with the aforementioned

concentrations of CAPE and CAPPE and the expression of nuclear proteins 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437

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were measure by western blot analysis. As shown in Figure. 4D (HCT-116

cells) and 4E (SW-480 cells), CAPE and CAPPE each significantly inhibited

the expression of the cyclin D1 protein in a dose-dependent manner. CAPE

and CAPPE also suppressed the expression of proliferating cell nuclear

antigen (PCNA) protein in CRC cells. These results indicated that CAPE and

CAPPE significantly induced cell cycle arrest of CRC cells at the G0/G1 phase

through suppression of the nuclear cyclin D1 and PCNA proteins.

CAPE and CAPPE inhibited the proliferation of human CRC cells

through the modulation of the PI3K/Akt, AMPK and mTOR

signaling pathways

Previous studies indicated that the PI3-K/ Akt, mTOR and AMPK signaling

pathways play important roles in the growth and progression of human CRC

[18,34-37]. To explore the molecular mechanisms by which inhibition of

signaling cascades might induce cell cycle arrest, we investigated the

inhibitory effects of CAPE and CAPPE on the PI3-K/ Akt, mTOR and AMPK

signaling pathways. As shown in Figure 5 (HCT-116 cells) and 6 (SW-480

cells), CAPE and CAPPE significantly inhibited the phosphorylation of the

PDK1, Akt and mTOR signaling molecules compared to untreated control 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456

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cells. Moreover, treatment with CAPE or CAPPE significantly augmented the

expression of the 14-3-3 protein and the phosphorylation of the FOXO3

proteins. Previous studies showed that the upregulation of N-cadherin is

associated with the progression of carcinoma cells [38]. Here, the results

demonstrated that CAPPE significantly inhibited the expression of N-cadherin

in CRC cells. These results suggested that CAPE and CAPPE each

significantly inhibited cell proliferation and progression through the modulation

of PI-3K/Akt and mTOR cascades, as well as the downstream target

molecules, in HCT-116 cells.

Recent studies suggested that the AMPK signaling pathway is involved in

FASN expression and the progression of human CRC cells via crosstalk with

the PI3-K/Akt signaling cascades [21-24]. Therefore, we further examined the

effects of CAPE and CAPPE on the AMPK signaling pathway. As shown in

Figure 5A and 6A, CAPE and CAPPE each significantly augmented the

phosphorylation (i.e. activation) of AMPK molecule in CRC cells. Moreover,

the results also showed that CAPPE- mediated activation of AMPK pathway is

associated with the suppression of FASN expression (Figure. 5A and 6A) and

decreased ATP levels in CRC cells (Figure. 5B and 6B). The results

suggested that CAPE and CAPPE suppressed the expression of FASN in 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475

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human CRC cells, in part through the augmentation of AMPK signaling

molecules. These results further suggest that CAPPE inhibits the PI3-K/Akt,

AMPK and mTOR signaling pathways in CRC cells more effectively than

CAPE (Figure. 5A and 6A). Moreover, the inhibitory effect of CAPPE on the

cellular ATP levels is also more significant than CAPE in CRC cells (Figure.

5B and 6B).

CAPE and CAPPE inhibited the proliferation of CRC cells

independently of NF-κB signaling pathway

Previous study showed that CAPE is a well know NF-κB inhibitor in U937 cells

[39]. To investigated whether CAPE and CAPPE inhibited the proliferation of

human CRC cells through NF-κB pathway, the expression of NF-κB (p65;

RelA) by Western blotting assay and reporter gene assay were performed in

this study. The results demonstrated that CAPE or CAPPE moderately

inhibited the expression of NF-κB (p65; RelA) protein in HCT-116 cells at 2 h

time point (Figure 7A). Moreover, the expression of NF-κB (p65) protein was

only inhibited by the treatment of CAPPE rather than CAPE in SW-480 cells at

2 h time point (Figure 7B). However, CAPE and CAPPE did not suppress the

reporter gene activities of NF-κB response element (NF-κB-RE) in HCT-116 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494

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(Figure 7C) or SW-480 cells (Figure 7D) at 24 h time point. To determine

whether NF-κB inhibition is important for cell proliferation, tumor necrosis

factor-α (TNF-αa NF-κB activator) was utilized in this study. The results

showed that CAPE and CAPPE had differential effects on the suppression of

cell growth in HCT-116 (Figure 7E) or SW-480 cells (Figure 7F) in the

presence of TNF-α(1 ng/mL). These results suggested that CAPE and

CAPPE mediated-suppression of cell growth was independent of NF-κB

pathway in human CRC cells.

Consumption of CAPE or CAPPE suppressed the growth of

colorectal tumor in a mouse xenograft model

To verify these in vitro findings, we further examined the respective effects of

CAPE and CAPPE on the growth of human colon cancer HCT-116 cells in a

mouse xenograft model. As shown in Figure. 8A, consumption of CAPE and

CAPPE (at dosages of 50 nmol /kg of BW per day) significantly inhibited the

growth of colorectal tumors in a mouse xenograft model (P<0.05). By the end

of the 6-week study period, CAPE or CAPPE significantly reduced tumor

weights (P<0.05) compared to the tumor control group (Figure. 8B).

Histopathological staining results indicated that consumption of either CAPE 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513

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or CAPPE inhibited the growth of colorectal tumor in these experimental

animals (Figure. 8C). Moreover, consumption of CAPE or CAPPE also

suppressed the expression of malignant biomarker proteins, such as PCNA

(Figure. 8 D) and FASN in tumor tissues (Figure. 8 E). Previous studies had

suggested that the expression of MMP-9 was associated with tumor invasion

and progression of CRC [11,40]. In the current study, we investigated whether

consumption of CAPE or CAPPE modulated the expression of plasma MMP-9

proteins in these experimental animals. By the end of the study, the basal

MMP-9 plasma levels in the tumor-free mice were approximately 11.3 ng/mL.

Mice inoculated with colon cancer HCT-116 cells had high plasma levels of

MMP-9 (mean ± SD : 125.6 ± 14 ng/mL). The consumption of CAPE or

CAPPE, however, significantly decreased the MMP-9 plasma level in these

tumor-bearing mice. The MMP-9 plasma levels decreased from 125.6 ng/mL

in the tumor control group to 43.1ng/mL and 32.8 ng/mL in the CAPE and

CAPPE–fed groups, respectively (Figure. 8F). No hepatoxicity was induced by

CAPE or CAPPE at doses of 50 nmol /kg of BW in this study (data not

shown). These results show that consumption of CAPE or CAPPE

significantly inhibited tumor growth of CRC in a mouse xenograft model. The

chemopreventive effects of CAPE and CAPPE were in part associated with 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532

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the suppression of the PCNA, FASN and MMP-9 proteins in these

tumor-bearing animals.

CAPE- or CAPPE-mediated suppression of tumor growth was

associated with the modulation of the PI3-K/Akt, AMPK and mTOR

signaling pathways in experimental animals

The results described above clearly show the inhibitory effects of CAPE and

CAPPE on the growth of CRC cells in a mouse xenograft model. We also

demonstrated the molecular mechanisms of action of the CA derivatives in

vitro. To verify these mechanistic findings, we further examined the molecular

effects of CAPE and CAPPE in these tumor-bearing mice. As shown in

Figure. 9A, CAPE and CAPPE consumption each significantly inhibited the

expression of cyclin D1, Cdk4, cyclin E and c-myc proteins in vivo. Moreover,

the in vivo chemopreventive effects of CAPE and CAPPE were associated

with the upregulation of the p21CIP1/WAF1 protein.

It is well known that the PI3-K/Akt and MAPK/ERK signaling cascades play an

important role in tumor growth and progression [4,41]. Suppression of the

PI3-K/Akt and MAPK/ERK signaling cascades leads to down-regulation of

downstream target proteins such as cyclin D1/Cdk4 and a blockade of the cell 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551

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cycle [4,36,41-45]. Therefore, we further investigated the inhibitory effects of

CAPE and CAPPE on the PI3-K/ Akt and MAPK/ ERK signaling pathways. As

shown in Figure. 9B, consumption of CAPE or CAPPE effectively inhibited the

activation of the Akt, mTOR and ERK 1/2 signaling molecules. CA

derivative-mediated suppression of the Akt, mTOR and ERK 1/2 signaling cascades was

associated with an up-regulation of E-cadherin as well as a suppression of

N-cadherin. Moreover, CAPE and CAPPE -mediated suppression of FASN

protein was associated with the augmentation of the AMPK cascade in

tumor-bearing mice (Figure. 9B). These results show that CAPE or

CAPPE-mediated suppression of PI3-K/Akt and MAPK/ ERK signaling cascades, as

well as an augmentation of the AMPK signaling pathway is associated with

the suppression of tumor growth at least in small laboratory animals.

Discussion

Previous studies suggest that CAPE has potential as a chemopreventive and

therapeutic agents [46-49]. Many studies demonstrated that CAPE could

inhibit tumor angiogenesis and suppress the growth of several types of cancer

[47-52]. The aberrant PI3K/Akt pathway has been shown to be the

predominant pathway in the tumorigenesis of many types of cancer including 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570

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colon cancer [53]. Studies suggested that suppression of the PI3K/Akt and

integrin-mediated signaling pathways by CAPE could effectively inhibit the

tumor growth [50,54]. To date, the effects of CAPPE on the proliferation and

survival of human CRC cells have not been convincingly demonstrated. In the

current study, we demonstrate the inhibitory effects of CA derivatives (CAPE

and CAPPE) on the proliferation of human colon cancer cells both in vitro and

in vivo. The results show that CAPE and CAPPE each effectively suppressed

the proliferation of human colon cancer cells in a dose-dependent manner.

CAPE and CAPPE effectively suppressed the proliferation of human CRC

cells through the induction of cell cycle arrest at the G0/G1 phase. Previous

studies suggested that the overexpression of cell cycle-related proteins, such

as D1 and Cdk4, is correlated with the proliferation of human cancer cells [33].

In this study, the results showed that CAPE or CAPPE significantly inhibited

the expression of cyclin D1 protein. Recently, cyclin D1 was identified as a

target of the PI3-K/Akt pathways in CRC cells [44]. We further confirmed that

the molecular effects of CAPE and CAPPE were carried out through the

inhibition of the PI3-K/Akt and mTOR signaling pathways in human CRC cells.

Moreover, CAPE and CAPPE inhibited the expression of FASN through an

augmentation of the AMPK cascade. A recent study reports that the activation 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589

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of AMPK is associated with an increased cellular AMP/ATP ratio [55]. A low

energy status leads to the phosphorylation (i.e. activation ) of AMPK and the

suppression of mTOR activity through the effect on the LKB1 protein [55]. The

current study suggested than CAPPE may suppress the activity of mTOR

protein in a LKB-independent manner. In contrast, CAPPE-mediated

activation of the AMPK molecule was more significantly correlated with the

decreased ATP levels in CRC cells. Therefore, it is probable that the

respective CAPE- and CAPPE- mediated augmentation of the AMPK cascade

and suppression of mTOR protein are in part associated with a decreased

level of ATP in these CRC cells. There are several possible scenarios to

explain why CAPPE is a more effective anti-cancer compound than CAPE.

One explanation might be that CAPPE has a cell membrane solubility higher

than that of CAPE. This possibility is consistent with the findings of an earlier

toxicity study [56]. Previous studies demonstrated that the inhibitory effect of

CA derivatives on nitric oxide (NO) production is correlated with the increasing

length of the alkyl chain (i.e. CAPPE> CAPE) [56]. A recent study showed that

the L-arginine -mediated NO reaction is also associated with AMPK activation

[57]. These findings suggest that the upregulation of AMPK activation is

dependent on the increasing length of the CA derivatives. It is to be expected, 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608

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therefore, that CAPPE would be more effective in AMPK activation than

CAPE. This may explain why CAPPE is a more effective regulator of AMPK

activation and the suppression of cell proliferation than CAPE. The

anti-proliferation effect of CAPPE could be achieved by increasing the dosage

levels of CAPE (Figure. 2,3). The current study also showed an inverse

correlation between AMPK and mTOR activity in vivo. These results are

consistent with AMPK -mediated downregulation of mTOR activity [22,23].

This suggests that CAPE and CAPPE may act through this pathway as

effective anti-cancer agents against human CRC cells. Moreover, the results

suggested that CAPE and CAPPE mediated- suppression of cell proliferation

was independent of NF-κB pathway in human CRC cells.

To verify these in vitro findings, we further examined the respective inhibitory

effects of CAPE and CAPPE on the growth of colorectal tumor in a xenograft

mouse model. As shown in Figure. 8, consumption of CAPE or CAPPE

significantly inhibited tumor growth in vivo. We also examined the actions of

these bioactive compounds on multiple signaling pathways including

PI3-K/Akt, MAPK/ERK and AMPK signaling cascades (Figure. 9). The results

demonstrated that CAPE and CAPPE also effectively induced the activation of

the AMPK cascade and suppressed the activation of both the PI3-K/Akt and 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627

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MAPK/ERK signaling cascades. CAPE and CAPPE further significantly

inhibited the expression of FASN , cyclin D1 , cyclin E, Cdk4 and c-myc

proteins of tumor tissues in an in vivo animal study. We further examined

whether the consumption of CAPE or CAPPE would help prevent tumor

progression in tumor-bearing mice. The results demonstrated that CAPE or

CAPPE significantly inhibited the expression of plasma MMP-9 in vivo (Figure.

8F). These results are consistent with the in vitro findings.

In conclusion, this is the first demonstration of the inhibitory effects of CA

derivatives (CAPE and CAPPE) on the proliferation of human colon cancer

cells both in vitro and in vivo. The directional changes in protein expression

produced by CAPE and CAPPE are in relevant pathways and consistent with

the properties of a chemopreventive agent. Whether CAPPE is a more potent

chemopreventive agent than CAPE will require further preclinical studies.

Figure Legends

Figure 1 Chemical structure of the CA derivatives

The CA derivatives are depicted in Fig.1. (A) CAPE and (B) CAPPE differ in

the elongation of the alkyl side chain of the caffeic acid ester. 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647

(34)

Figure 2 CA derivatives significantly inhibited the proliferation of human CRC HCT-116 cells in vitro

(A) Human CRC HCT-116 cells were cultured in RPMI-1640 medium with

CAPE and CAPPE (at concentrations of 0, 5, 10, 20, 50 and 100 μM) in the

presence or absence of compound C (10 μM) for 24 h. Transfections of

constitutively active Akt (Myr-Akt1) and empty vector (pcDNA3) were

conducted before the treatment of CA derivatives . The cell proliferation was 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668

(35)

measured by MTT assay as described in Materials and Methods. Data are the

mean  SD (standard deviation) of three independent experiments. The

different symbols ( for CAPE and for CAPPE) represent a statistically ※ △

significant difference compared to the CA derivative -untreated control group

in each group, respectively, at P<0.05. The different symbols (# for

CAPE_Akt, § for CAPE_compound C, ▲ for CAPPE_Akt, and ■ for

CAPPE_compound C) represent a statistically significant difference compared

to each corresponding CA derivative- treated control group in each dosage

subgroup, respectively, at P<0.05.

(B-C) Cytoplasmic proteins were prepared for Western blotting analysis using

monoclonal antibodies against phosphorylation Akt (S473), total-Akt,

anti-phosphorylation AMPKα (T172) and total-AMPKα

Figure 3 CA derivatives significantly inhibited the proliferation of human CRC SW-480 cells in vitro

(A) Human CRC SW-480 cells were cultured in RPMI-1640 medium with

CAPE and CAPPE (at concentrations of 0, 5, 10, 20, 50 and 100 μM) in the

presence or absence of compound C (10 μM) for 24 h. Transfections of

constitutively active Akt (Myr-Akt1) and empty vector (pcDNA3) were

conducted before the treatment of CA derivatives . The cell proliferation was 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687

(36)

measured by MTT assay as described in Materials and Methods. Data are the

mean  SD (standard deviation) of three independent experiments. The

different symbols ( for CAPE and for CAPPE) represent a statistically ※ △

significant difference compared to the CA derivative -untreated control group

in each group, respectively, at P<0.05. The different symbols (# for

CAPE_Akt, § for CAPE_compound C, ▲ for CAPPE_Akt, and ■ for

CAPPE_compound C) represent a statistically significant difference compared

to each corresponding CA derivative- treated control group in each dosage

subgroup, respectively, at P<0.05.

(B-C) Cytoplasmic proteins were prepared for Western blotting analysis using

monoclonal antibodies against phosphorylation Akt (S473), total-Akt,

anti-phosphorylation AMPKα (T172) and total-AMPKα

Figure 4 CAPE and CAPPE each induced G0/G1 cell cycle arrest in CRC

cells

Human CRC cells were synchronized in RPMI-1640 medium with 0.05 % FBS

in tissue culture dishes overnight. To measure the distribution of the cell cycle,

cell were cultured in the presence or absence of CAPE and CAPPE (0, 10, 50

and 100 μM) cultured in 10% FBS RPMI-1640 medium for another 24 h. (A)

The measurement of the cell population at different cell cycle phases was 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706

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performed using flow cytometry analysis, as described under Materials and

Methods. The data indicate the (B) HCT-116 cell (C) SW-480 cell population

percentage at different cell phases under the treatment of CAPE or CAPPE in

human CRC cells.

Human CRC (D) HCT-116 cells (E) SW-480 cells were treated with either

CAPE or CAPPE (at concentrations of 0, 5, 10, 20, 50 and 100 μM) in 10%

FBS RPMI-1640 for 24h. Nuclear proteins were prepared for Western blotting

analysis using monoclonal antibodies against cyclin D1, Cdk4, PCNA, and

lamin A antibodies, as described under Materials and Methods. The levels of

detection represent the amounts of cyclin D1, Cdk4 and PCNA in the nuclei of

human CRC cells. The results (mean ± SD) represent the folds change of

control group and are representative of three different experiments. The

immunoreactive bands are noted with an arrow. The mean integrated

densities of these proteins adjusted with the internal control lamin A protein

are shown in bottom row. The standard deviation (SD) of each measured

protein was indicated in the parenthesis. A single asterisk indicates a

significant difference compared to the CAPE- or CAPPE-untreated control

group, respectively (P<0.05). 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725

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Figure 5 CAPE and CAPPE inhibited the proliferation of human CRC HCT-116 cells through the modulation of the PI3K/Akt, AMPK and mTOR signaling pathways

Human CRC HCT-116 cells were treated with either CAPE or CAPPE (at

concentrations of 0, 5, 10, 20, 50 and 100 μM) in 10% FBS RPMI-1640 for

24h.

(A) Cytoplasmic proteins were prepared for Western blotting analysis using

monoclonal antibodies against N-cadherin, PTEN, anti-phosphorylation PDK1

(S241), total-PDK1, phosphorylation Akt (S473), total-Akt, anti-726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746

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phosphorylation GSK3α (S21), total- GSK3α, anti-phosphorylation

GSK3β(S9), total- GSK3β, anti-phosphorylation FOXO3 (T32), total- FOXO3,

total- TSC1, total- TSC2, total- LKB1, total- 14-3-3, anti-phosphorylation

AMPKα (T172), total-AMPKα, anti-phosphorylation m-TOR (S2448),

total-m-TOR, anti-FASN and β-actin as described under Materials and Methods. The

levels of detection represent the amounts of each protein in the cytoplasm of

HCT-116 cells. The results (mean ± SD) represent the folds change of control

group and are representative of three different experiments. The

immunoreactive bands are noted with an arrow. The mean integrated

densities of these proteins adjusted with the control protein are shown in

bottom row. The standard deviation (SD) of each measured protein was

indicated in the parenthesis. A single asterisk indicates a significant difference

compared to the CAPE- or CAPPE-untreated control group, respectively

(P<0.05).

(B) The measurement of cellular ATP was performed as described under

Materials and Methods. Data represent the percentage of cellular ATP levels

in the CAPE- or CAPPE-treated human CRC HCT-116 cells. A single or

double asterisk indicates a significant difference compared to the CAPE- or

CAPPE-untreated control group, respectively (P<0.05). 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765

(40)

Figure 6 CAPE and CAPPE inhibited the proliferation of human CRC SW-480 cells through the modulation of the PI3K/Akt, AMPK and mTOR signaling pathways

Human CRC SW-480 cells were treated with either CAPE or CAPPE (at

concentrations of 0, 5, 10, 20, 50 and 100 μM) in 10% FBS RPMI-1640 for

24h.

(A) Cytoplasmic proteins were prepared for Western blotting analysis using

monoclonal antibodies against N-cadherin, PTEN, anti-phosphorylation PDK1

(S241), total-PDK1, phosphorylation Akt (S473), total-Akt,

anti-phosphorylation GSK3α (S21), total- GSK3α, anti-anti-phosphorylation 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786

(41)

GSK3β(S9), total- GSK3β, anti-phosphorylation FOXO3 (T32), total- FOXO3,

total- TSC1, total- TSC2, total- LKB1, total- 14-3-3, anti-phosphorylation

AMPKα (T172), total-AMPKα, anti-phosphorylation m-TOR (S2448),

total-m-TOR, anti-FASN and β-actin as described under Materials and Methods. The

levels of detection represent the amounts of each protein in the cytoplasm of

HCT-116 cells. The results (mean ± SD) represent the folds change of control

group and are representative of three different experiments. The

immunoreactive bands are noted with an arrow. The mean integrated

densities of these proteins adjusted with the control protein are shown in

bottom row. The standard deviation (SD) of each measured protein was

indicated in the parenthesis. A single asterisk indicates a significant difference

compared to the CAPE- or CAPPE-untreated control group, respectively

(P<0.05).

(B) The measurement of cellular ATP was performed as described under

Materials and Methods. Data represent the percentage of cellular ATP levels

in the CAPE- or CAPPE-treated human CRC SW-480 cells. A single or double

asterisk indicates a significant difference compared to the CAPE- or

CAPPE-untreated control group, respectively (P<0.05). 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805

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Figure 7 CAPE and CAPPE inhibited the proliferation of CRC cells independently of NF-B signaling pathway

(A-B) Human CRC cells were treated with either CAPE or CAPPE (at

concentrations of 0, 5, 10, 20, 50 and 100 μM) in 10% FBS RPMI-1640 for 2h. Nuclear proteins were prepared for Western blotting analysis using

monoclonal antibodies against NF-κB (p65) and lamin A as described under

Materials and Methods. The levels of detection represent the amounts of each

protein in the nuclei of HCT-116 cells (A) or SW-480 cells (B). The results

(mean ± SD) represent the folds change of control group. The mean

integrated densities of these proteins adjusted with the control protein are 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825

(43)

shown in bottom row. The standard deviation (SD) of each measured protein

was indicated in the parenthesis. Human CRC HCT-116 cells (C) or SW-480

cells (D) were transfected with NF-κB-RE plasmid and then treated with either

CAPE or CAPPE (at concentrations of 0, 5, 10, 20, 50 and 100 μM) in 10%

FBS RPMI-1640 for 24h. The relative light units (R.L.U) were measured by the

manufacturer's instruction as described under Materials and Methods. A

single or double asterisk indicates a significant difference compared to the

CAPE- or CAPPE-untreated control group, respectively (P<0.05).

Human CRC HCT-116 cells (E) or SW-480 cells (F) were cultured in

RPMI-1640 medium with CAPE and CAPPE (at concentrations of 0, 5, 10, 20, 50

and 100 μM) in the presence or absence of TNF-α (1 ng/mL) for 24 h. The cell

proliferation was measured by MTT assay as described in Materials and

Methods. Data are the mean  SD (standard deviation) of three independent

experiments. The different symbols ( for CAPE and for CAPPE) represent※ △

a statistically significant difference compared to the CA derivative -untreated

control group in each group, respectively, at P<0.05. The different symbols (▲

for CAPE_TNF-α and ■ for CAPPE_TNF-α) represent a statistically significant

difference compared to each corresponding CA derivative- treated control

group in each dosage subgroup, respectively, at P<0.05. 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844

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Figure 8 Consumption of CAPE or CAPPE suppressed the growth of colorectal tumor in a mouse xenograft model

Xenograft nude mice (n=6 for each group) were divided into three groups (the

tumor group, tumor with CAPE, tumor with CAPPE) and given CAPE or

CAPPE (at a dosage of 50 nmol /kg of body weight (BW)/day) for 6 weeks.

Data (mean ± SD) represent the change in the tumor volume (A) or tumor

weight (B) among the tumor group (i.e. the control group), tumor with CAPE

and tumor with CAPPE. The different letters at the same time point represent

a statistically significant difference, (P<0.05).

Tumor tissues were formalin-fixed, embedded in paraffin, sectioned and

subjected to hematoxylin-eosin (H&E) staining (C) as described under

Materials and Methods. Blue spots represent the nuclei stained with 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864

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hematoxylin. The red spots represent cytoplasm stained with eosin. For

immunohistochemical (IHC) staining, tumor tissues (at week 6) were frozen ,

sectioned and subjected to either anti- PCNA (D) or anti-FASN (E) antibodies.

The intense dark brown color indicates the distribution of the PCNA or FASN

proteins in HCT-116 cells stained with a monoclonal antibody. The blue area

represents the localization of the cell nuclei. Imaging was documented at

200X magnification. (F) The plasma levels of MMP-9 were determined using

an ELISA Kit (R&D systems). Upon completion of the ELISA process,

fluorescence intensities were read using a wavelength of 450/570 nm. The

results presented are representative of six different experiments and are

presented as plasma MMP-9 levels. The different letters represent a

significant difference in a comparison of normal mice, tumor control mice,

CAPE-treat mice and CAPPE-treated mice, P<0.05. 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884

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Figure 9 CAPE- or CAPPE-mediated suppression of tumor growth was associated with the modulation of the PI3-K/Akt, AMPK and mTOR signaling pathways in the experimental animals

(A) Nuclear proteins from tumor tissues were prepared for Western blotting

analysis using monoclonal antibodies against p21CIP1/WAF1, cyclin D1, cyclin E,

Cdk4 and c-myc as described under Materials and Methods. The results

(mean ± SD) represent the folds change of control group and are

representative of three different experiments. The immunoreactive bands are

noted with an arrow. The levels of detection represent the amount of these

proteins in the nuclei of CRC cells in the experimental animals. The mean

integrated densities of these proteins are adjusted with the control protein

and shown in bottom row. The standard deviation (SD) of each measured

protein was indicated in the parenthesis. A single asterisk represent a

statistically significant difference compared to the control group, P<0.05. 885 886 887 888 889 890 891 892 893 894 895 896 897 898 899 900 901 902 903 904

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(B) Cytoplasmic proteins from tumor tissues were prepared for Western

blotting analysis using monoclonal antibodies against E-cadherin, N-cadherin,

p-Akt, p-mTOR, p-ERK 1/2, p-AMPK, FASN and actin, as described under

Materials and Methods. The results (mean ± SD) represent the folds change

of control group and are representative of three different experiments. The

levels of detection represent the amount of these proteins in the cytoplasm of

CRC cells in the experimental animals. The mean integrated densities of

these proteins are adjusted with the control protein and shown in bottom row.

The standard deviation (SD) of each measured protein was indicated in the

parenthesis. A single asterisk represent a statistically significant difference

compared to the control group, P<0.05. 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924

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