Abstract
Background: Ascorbic acid is proposed to have antitumor potential against certain cancer types but has the limitation of requiring high doses for treating cancer. Ascorbyl stearate (ASC-S) is a fatty acid ester derivative of ascorbic acid with comparable potent apoptotic activity. The present study was aimed at understanding the pathway involved in apoptotic activity of ASC-S in cervical cancer cells. Materials and Methods: The effect of ASC-S on reactive oxygen species (ROS), and mitochondrial membrane potential (MMP) was studied in HeLa cells. Furthermore, the dose-dependent effect of ASC-S on release of cytochrome c, pro-caspase-9, caspase-3, BH3 interacting-domain death agonist (BID), truncated BH3 interacting-domain death agonist (t-BID), FAS ligand (FASL) and transcription factors nuclear factor-kappa B (NF-ĸB), nuclear factor of activated T-cells (NFAT) and activator protein-1 (AP1) were studied in HeLa cells. Results: Treatment of HeLa cells with ASC-S significantly increased the MMP. The modulation of MMP resulted in cleavage of BID, expression of FAS, cleavage of pro-caspase-9 and release of cytochrome c into cytosol. In addition, ASC-S treatment resulted in deregulation of transcription factors NF-ĸB, NFAT and AP1, which play an important role in the development of inflammation and cancer. Conclusion: Our data, for the first time, suggest that ASC-S has an apoptotic effect against HeLa cells by inducing change in mitochondrial membrane permeability, cytochrome c release and subsequent activation of caspase-3 and NF-ĸB.
- Ascorbyl stearate
- apoptosis
- reactive oxygen species
- mitochondrial membrane potential
- intrinsic pathway
- extrinsic pathway
- HeLa cancer cells
Cervical cancer is the second leading cause of death in women aged 19-39 years (1). Every year in India, 122,844 women are diagnosed with cervical cancer and 67,477 die from this disease (2). Invasive cervical cancer incidence and mortality are one of the current health issues of the world. Cervical neoplasia is associated with excessive inflammation as a result of oxidative stress by reactive oxygen species (ROS). It is well known that activation of transcription factors such as nuclear factor-kappa B (NF-ĸB), activator protein-1 (AP1) and nuclear factor of activated T-cell (NFAT) with successive major histocompatible complex-T cell receptor (MHC-TCR) interaction is vital for antigen-induced cancer cell proliferation, cytokine secretion and survival (3). Since dysregulation of NF-ĸB function is associated with inflammation, any molecule that interferes with NFĸB activation is a potential candidate for therapeutic strategy in the treatment of cervical cancer neoplasia.
L-Ascorbic acid (vitamin C) was recognised as an anticancer agent as early as the 1970s. However, in view of its limitation in bioavailability and induction of acute oxalate nephropathy (4, 5), studies were undertaken to study the effect of ascorbic acid on various malignant cell lines (6). To overcome the limitation of ascorbic acid as an anticancer molecule, a number of novel ascorbic acid derivatives have been developed by modifying its hydroxyl groups. Amongst them, fatty acid esters of ascorbic acid, ascorbyl palmitate and ascorbyl stearate have attracted considerable interest as anticancer compounds due to their lipophilic nature and easy passage across cell membranes and the blood–brain barrier (7). Our group has reported that ascorbyl stearate (ASC-S) inhibits proliferation and induces apoptosis in human glioblastoma, pancreatic and ovarian cancer cell lines. ASC-S treatment inhibited cancer cell growth by interfering with cell-cycle progression, clonogenicity and induced apoptosis by modulating signal transduction pathways of insulin-like growth factor 1 receptor (IGFIR)/p53/p21/cyclins (8). In this study, we report ASC-S induction of mitochondria-mediated cell death through activation of NF-ĸB and other transcription factors.
Materials and Methods
Chemicals. ASC-S was purchased from Tokyo Chemical Industry (Tokyo, Japan). Cell culture grade plastic-ware and chemicals such as enhanced chemiluminescence (ECL) kit were purchased from Himedia (Bangalore, India) and Life Technologies, (Bangalore, India). Cell culture grade dimethyl sulphoxide (DMSO), real-time poly merase chain reaction (PCR) primers and other analytical reagents were obtained from Sigma Chemicals (Bangalore, India). Halt protease inhibitor cocktail, bicinchoninic acid (BCA) kit for protein assay, JC-1, and verso cDNA synthesis kit were procured from Thermo Fisher Scientific (Bangalore, India). Rabbit antibodies to procaspase-9, procaspase-3, procaspase-8, BH3 interacting-domain death agonist (BID), FAS ligand (FASL), cytochrome c, nuclear factor-kappa B (NF-ĸB), nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor, alpha (IĸBα) and β-actin, as well as horseradish peroxidase (HRP)-conjugated anti-rabbit, IgG antibody were purchased from Cell Signaling Technology (Bangalore, India) and Abcam (Kolkata, India) respectively. Polyvinylidene fluoride (PVDF) membrane was purchased from Pall Corporation (Bangalore, India). RNA purification kit and SYBRGreenreal-time PCR master mix was procured from Fermentas Life Sciences (Bangalore, India) and Biorad Laboratories (Bangalore, India)respectively. Inhibitors of caspase-8 and 9 were purchased from Calbiochem (San Diego, CA, USA).
Cell culture. HeLa cells were procured from the cell repository at National Centre for Cell Science (Pune, India) and were maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% foetal bovine serum (FBS) at 37°C in 5% CO2. Cells were plated at least 48 h before drug treatment.
Preparation of ASC-S. One mM stock of ASC-S was prepared by dissolving ASC-S in DMSO and making up in DMEM by adjusting the pH to 7 with 0.1 mM sodium hydroxide in sterilized Milli Q water. Concentrations of 50-200 μM ASC-S were used for treatment of HeLa cells for 48 h at 37°C in a CO2 incubator.
Measurement of mitochondrial membrane potential (MMP). MMP was determined using the mitochondrial-specific fluorescent probe JC-1 by a spectroflourimetric method (9). JC-1 (5 μM) was incubated with ASC-S-treated HeLa cells for 0.5 h at 37°C, prior to analysis. The change in fluorescence was measured using a spectrofluorimeter, JC-1 has dual emission, depending on the state of the MMP. A decrease in MMP resulted in a decrease in red fluorescence with a simultaneous rise in green fluorescence as the dye shifts from an aggregate to monomeric state. The ratio of red to green fluorescence was used as an index for calculation of MMP. Hyperpolarization of the mitochondria as shown by shift in the ratio of red to green fluorescence
Immunoblot analysis of proteins from ASC-S-treated HeLa cells. ASC-S-treated HeLa cells were lysed in radio-immunoprecipitation assay buffer (RIPA) buffer: 50 mM Tris-HCl, pH 7.4, 1% NP-40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate (SDS), 150 mM NaCl, 2 mM EDTA with 1X protease inhibitor cocktail. Equal amounts of protein (25 μg) as quantified by BCA kit were electrophoresed on 12% SDS-p and wet transferred onto methanol pre-activated PVDF membrane. Membranes were blocked with 5% non-fat milk powder and then incubated overnight at 4°C with rabbit antibodies to procaspase-9, procaspase-3, procaspase-8, cytochrome c (whole-cell lysate) and cytosolic fraction as mentioned by Dimauro et al. (10), BID, NFĸB, IĸBα, FAS antibodies or rabbit anti-β-actin antibody and finally incubated with HRP-conjugated anti-rabbit, IgG antibody followed by exposure to ECL detection reagents and image capturing in Syngene G:Box unit (Bangalore, India). Densitometric analysis was performed using inbuilt Syngene tools electrophoresis analysis software.
FAS-ligand enzyme-linked immunosorbent assay (ELISA). ELISA was performed as described in (11) with slight modification for the detection of FAS ligand levels in the ASC-S-treated HeLa cell homogenate, which was prepared by lysing cells in RIPA buffer. Rabbit anti-FAS at 1:1,000 dilution (v/v) and HRP-conjugated anti-rabbit, IgG antibody at 1:5,000 dilution were used as primary and secondary antibody respectively followed by 3,3’,5,5’-tetramethylbenzidine/H2O2 as substrate for activity detection. The absorbance was measured at 450 nm with a reference wavelength of 570nm in a microplate ELISA reader. The concentration of FAS ligand expressed in ASC-S-treated HeLa was quantified with the standard FAS ligand plot.
Electrophoretic mobility-shift assay (EMSA). HeLa cells were exposed to 25-200 μM ASC-S and were harvested after 4 h for nuclear pellets prepared as described elsewhere (3). EMSA was performed by incubating 10 μg of nuclear proteins with 16 fmol of 32P-end-labeled, 45-mer double-stranded NFĸB oligonucleotides from the human immunodeficiency virus long terminal repeat (5’-TTGTTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAGGCGTGG-3’; boldtype indicates NFĸB-binding sites), AP-1 (5’-CGCTTGA TGACTCAGCCGGAA-3’; boldtype indicates AP1-binding site) or NF-AT (5’-CGC CCA AAG AGG AAA ATT TGT TTC ATA-3’; boldtype indicates NFAT-binding site) in the presence of 0.5 μg of poly(2’-deoxyinosinic–2’-deoxycytidylic acid) in binding buffer (25 mM HEPES, pH 7.9, 0.5 mM EDTA, 0.5 mM dithiothreitol, 1% NP-40, 5% glycerol, and 50 mM NaCl) for 30 min at 37°C. The DNA–protein complex formed was separated from free oligonucleotide on 6.6% native polyacrylamide gels using buffer containing 50 mM Tris, 200 mM glycine, and 1 mM EDTA, pH 8.5.The dried gel was exposed to a phosphor image plate and the radioactive bands were visualized using a phosphor image plate scanner (Amersham Biosciences, Pittsburgh, PA, USA). The images were processed by using Adobe Photoshop software (San Jose, CA, USA).
Effect of caspase inhibitors on ASC-S-induced apoptosis. HeLa cells were pre-incubated with inhibitors of caspase-8 (25 μM) or caspase-9 (40 μM) for 30 min as described in (12) and then treated with ASC-S (50, or 100 μM) at 37°C for 48 h. The cells were then harvested and incubated in buffer [PBS + 0.1% Triton-X + 0.1% sodium citrate, pH 7.4, supplemented with 50 μg/ml propidium iodide (PI) overnight at 4°C. Cell death was estimated using a flow cytometer (Partec, Görlitz, Germany).
Quantitative real-time polymerase chain reaction (RT-PCR) analysis. The expression of caspase-8, caspase-9, apoptotic protease activating factor 1 (APAF), cytochrome c, BID, NFKB, FAS, Fos proto-oncogene; AP1 transcription factor subunit (FOS) and Jun proto-oncogene, AP1 transcription factor subunit (JUN) in ASC-S-treated cells were analysed by RT-PCR. Total RNA was purified from ASC-S-treated HeLa cells using RNA purification kit. One microgram of RNA was employed for cDNA synthesis using verso cDNA synthesis kit; reaction mixtures of 20 μl were prepared with SYBR green master mix using Biorad CFX real-time PCR with validated primers as given in Table I.
List of primers used in real-time polymerase chain reaction analysis.
The amplification parameters were as follows: initial denaturation at 95°C for 5 min prior to 39 thermal cycles of 95°C for 15 s, 55°C for 30 s, and 72°C for 30 s, with final extension of 65°C for 5 min. Standard PCR reactions were performed with 39 cycles. The PCR products were analysed and quantities calculated by inbuilt Biorad software for fold expression levels, normalized to endogenous glyceraldehyde 3-phosphate dehydrogenase (GAPDH).
Statistical analysis. Statistical analysis was performed by one-way analysis of variance (ANOVA) and Dunnett test by comparing control with ASC-S-treated cells at different doses and time intervals using Graphpad statistical software (Graph Pad Instat; La Jolla, CA, USA).
Results
ASC-S perturbed the MMP. A significant increase in MMP (p<0.001) was observed in HeLa cells on incubation with different concentrations of ASC-S as shown in Figure 1. This emphasis the mitochondrial membrane hyper-polarization of HeLa cells on treatment with ASC-S.
ASC-S modulates expression of apoptotic markers. Treatment of HeLa cells with ASC-S resulted in a decrease in levels of pro-caspase-3, pro-caspase-8, pro-caspase-9, Bid, NF-ĸB, and cytochrome c in whole-cell lysate, However, an increase in t-BID IĸBα, cytosolic cytochrome c and FAS ligand was observed on dose-dependent treatment with ASC-S (p<0.01) (Figure 2).
ASC-S modulates transcription factors NFĸB, NFAT and AP1. Figure 3 shows the effect of ASC-S on transcription factors NF-ĸB, AP1 and NFAT. ASC-S treatment reduced expression of NF-ĸB, NFAT and increased that of AP1 after 4 h treatment as shown by the EMSA profile.
Effect of ascorbyl stearate (ASC-S) treatment on mitochondrial membrane permeability in HeLa cells as shown by (red/green) fluorescence of JC-1 at wavelength of green (~529 nm) to red (~590 nm). Data represent the mean±SE (n=3): Significantly different at **p<0.01; ***p<0.001 compared to vehicle-treated cells (control).
Caspase inhibitors abrogated ASC-S-induced apoptosis. Pre-treatment of HeLa cells with caspase inhibitors, namely of caspase-8 or caspase-9, significantly abrogated ASC-S-induced cell death as evaluated by PI staining and esterase activity (p<0.01) (Figure 4).
Effect of ascorbyl stearate (ASC-S) on cytochrome c, pro-caspase-s, nuclear factor kappa-B p65 subunit (NFĸB), nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor, alpha (IĸBα) and FAS ligand (FASL) levels studied by western blot and enzyme-linked immunosorbent assay (ELISA). HeLa cells were treated with 0-200 μM of ASC-S for 48 h. A, C: ASC-S treatment reduced expression of pro-caspase-3,-9 and -8, and BID and NFĸB in HeLa cells. ASC-S treatment increased IĸBα, t-BID and FASL levels in HeLa cells. B, D: Cytosolic fraction of cytochrome c level increased while whole-cell cytochrome c level decreased in ASC-S-treated HeLa cells. E: FASL levels estimated by ELISA method in lysate of HeLa cells treated with ASC-S. Data represent mean±SE (n=3). n.s.: Not significantly different; **significantly different at p<0.01 compared to vehicle-treated cells (control).
Effect of ascorbyl stearate (ASC-S) on apoptotic protease-activating factor 1 (AP1), nuclear factor-kappa B p65 subunit (NFĸB) and nuclear factor of activated T-cells (NFAT) in HeLa cells. HeLa cells were incubated with ASC-S at 0-200 μM for 4 h, then nuclear extracts were prepared and analysed for AP-1 (A), NFKB (B) and NFAT (C) by electrophoretic mobility shift assay method.
Effect of ASC-S on gene expression in HeLa cells. Quantitative real-time RT-PCR for 10 genes that are involved in both extrinsic and intrinsic pathways of apoptosis, namely caspase-9, caspase-3, caspase-8, APAF, cytochrome c, BID, NFKB, FAS, FOS and JUN, was carried out. On treatment with ASC-S, the expression of all these genes was elevated in comparison to that of control cells (p<0.01) (Figure 5) in a concentration-dependent manner. However, a significant suppression of mRNA levels of the NF-KB gene (p<0.01) was observed on treatment of HeLa cells with different concentrations of ASC-S (Figure 5).
Discussion
Apoptosis is a genetically regulated form of cell death in response to developmental and environmental stress involving death signals, genetic regulation and activation of effectors (13). One such stimulus includes ROS, which induce DNA damage (14) followed by a hyperpolarization in MMP and leakage of cytochrome c, which lead to the activation of the caspase cascade (15). It has been shown that a high concentration of ROS induces necrosis, whereas a low concentration induces apoptosis (16). Caspase-dependent apoptosis involves extrinsic and intrinsic pathways (17). The extrinsic pathway involves FAS and tumour necrosis factor family receptor-mediated pathway leading to activation of caspase-8. The intrinsic pathway involves release of cytochrome c from mitochondria and activation of the initiator caspase-9, which then cleaves and activates caspase-3. The cleavage of BID to t-BID connects the two pathways (18). The balance between ROS and antioxidant enzymes in cell survival and its manipulation by increasing ROS results in a pro-oxidative shift, driving the cells to undergo apoptosis (19).
Ascorbic acid, a dark horse in cancer management, is often questioned for its anticancer properties. On its applications as anticancer agent in the 1970s, high doses were administered for treatment of cancer; however, randomized controlled clinical studies showed inconsistent results with ascorbic acid (4), and as an anticancer molecule, it has always been surrounded by ambiguity. The major drawback of ascorbic acid treatment is its poor bioavailability due to tightly controlled concentrations in plasma and tissues (4), requiring that high doses be administered, which can lead to acute oxalate nephropathy (5). The anticancer activity of ascorbic acid was studied in a number of cancer cell lines (20). Various derivatives of ascorbic acid were synthesized by substituting fatty acid side chains at the 2 and 6 position, which enabled the molecules to cross the blood–brain barrier, (7) and the anticancer activity of ascorbic acid derivatives were studied on malignant cell lines (8, 21-25). Sporadic investigations have been carried out on the anticancer effects of ascorbic acid on human cervical cancer cells. Ascorbic acid at a concentration of 7 to 10 mM is reported to be effective in inducing cytotoxicity and death of cervical cancer cells (6).
Effect of caspase-8 (CASP8i) and caspase-9 (CASP9i) inhibitors on ascorbyl stearate (ASC-S) treated HeLa cells. HeLa cells were treated with ASC-S or not (control) for 48 h and then stained with propidium iodide (PI) and acquired on a flow cytometer. J: Corresponding bar chart of results shown in A-I. Data represent the mean±SE (n=3). n.s.: Not significantly different; **significantly different at p<0.01 compared to vehicle-treated cells (control).
In this study, we report that ASC-S at micromolar concentrations induced apoptosis of HeLa human cervical cancer cells through activation of both intrinsic and extrinsic pathways of apoptosis. This observation is supported by the evidence of formation of pro-oxidant ROS in ASC-S-treated HeLa cells (26). Ascorbate at pharmacological concentrations is reported to act as a pro-oxidant, generating H2O2-dependent cytotoxicity against a variety of cancer cells in vitro without adverse effects on normal cells (27). HeLa cells are reported to overexpress the antioxidant enzyme superoxide dismutase (28), which plays an important role in generation of pro-oxidant by ASC-S and which may lead to cell death. This pro-oxidative shift results in mitochondrial oxidative stress, characterized by hyperpolarization of MMP (29) and release of cytochrome c (19). The same effect was observed when ASC-S treatment resulted in dose-dependent increase in MMP of HeLa cells (Figure 1) which is in agreement with de Sousa Leal et al. (29). The increase in MMP resulted in release of cytochrome c, which in turn led to activation of various a caspase-dependent intrinsic pathway modules (19). The cytochrome c levels decreased in whole-cell lysate and increased in cytosol upon ASC-S treatment of HeLa cells dose-dependently, indicating its release and further caspase activation (30). The cytochrome c release activated pro-caspase-9 and pro-caspase-3, leading to apoptosis via the intrinsic pathway, as reported earlier (19). Furthermore, ASC-S treatment leads to the overexpression of transcription factor AP1 in a dose-dependent manner, suggesting its role in synthesis of FAS ligand, an extrinsic pathway marker (31). Moreover, the cleavage of BID to t-BID and activation of pro-caspase-8 in ASC-S-treated HeLa cells may also act as a predisposing factor in altering MMP apart from ROS, resulting in cross talk between the intrinsic and extrinsic pathways (18).
Quantitative real-time polymerase chain reaction studies of apoptotic genes from intrinsic and extrinsic pathways. Bar diagram depicting relative expression of caspases 3, 8 and 9, BH3-interacting domain death agonist (BID), apoptotic protease-activating factor 1 (APAF), FAS ligand (FASL), cytochrome c (CYCS), FOS proto-oncogene (FOS) and Jun proto-oncogene (JUN) were significantly up-regulated in HeLa cells on ascorbyl stearate (ASC-S) treatment. A significant decrease in nuclear factor-kappa B p65 subunit (NFKB) expression was observed in HeLa on ASC-S treatment represented as line chart. Data represent the mean±SE (n=3). n.s.: Not significantly different; significantly different *p<0.1; **p<0.01 compared to vehicle-treated cells (control).
To confirm the cross-talk between the intrinsic and extrinsic pathways in ASC-S-treated HeLa cells, inhibitors of caspase-8 and caspase-9 were incubated with HeLa cells prior to the addition of ASC-S. Both these inhibitors significantly abrogated ASC-S-mediated apoptosis of these cells, which is in accordance with findings of others (12).
ASC-S treatment also reduced the expression of NFAT1 transcription factor in HeLa cells, which is rather a prerequisite for carcinoma invasive and migratory behaviour (32). ASC-S dysregulated NF-ĸB activation in HeLa cells dose-dependently and an increase in IĸBα inhibitor was recorded (and also increased IĸBα levels in HeLa cells). NF-ĸB activation is a potential candidate for therapeutic strategy in the treatment of inflammatory diseases as suggested by (3).
Mechanism of ascorbyl stearate (ASC-S)-induced apoptosis in HeLa cells. FASL: FAS ligand; BID: BH3-interacting domain death agonist; t-BID: truncated BID; NFĸB: Nuclear factor kappa-B p65 subunit; NFAT: nuclear factor of activated T-cells; AP1: apoptotic protease-activating factor 1.
Conclusion
Our results clearly demonstrate that at micromolar concentrations, ASC-S induces apoptosis by modulating extrinsic and intrinsic pathways of apoptosis involving MMP, cytochrome c, FAS, AP1, NFAT and NFĸB in HeLa cells (Figure 6). To our knowledge, this is the first report showing involvement of extrinsic and intrinsic pathways of apoptosis in cell death induced by ASC-S in HeLa cancer cells. However, further studies are warranted to test the efficacy of ASC-S as anticancer agent in humans.
Acknowledgements
The Authors thank Professor Ram Rajshekaran, Director, C.S.I.R.-C.F.T.R.I., Mysore for support and encouragement in this study. The Authors also thank Dr. S. Chattopadhyay, Associate Director, Bioscience group and Head, Radiation Biology Health Sciences Division, B.A.R.C., Mumbai, India for permitting us to carry out flow cytometry-related analysis. Mr Shirish D. Mane, UGC-CSIR SRF, gratefully acknowledges the financial assistance from University Grant Commission, New Delhi, India, in carrying out this research.
- Received October 11, 2016.
- Revision received October 29, 2016.
- Accepted November 1, 2016.
- Copyright© 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved