Abstract
Background: Petasin (Petasides hybridus) is a perennial shrub that is found in Europe as well as parts of Asia and North America and is being used to treat hypertension, tumors and asthma. In a previous study, we reported that petasin possesses biological effects including inhibition of testosterone production and the release of corticosterone from rat zona fasciculata-reticularis cells, and anti-proliferative effect on human T24 bladder carcinoma cells. Materials and Methods: In the present study, we assessed the effects of S-petasin and iso-S-petasin on the growth and proliferation of two hormone-independent DU145 and PC3 and one hormone-dependent LNCaP prostate cancer cell line at concentrations of 10-7-10-5 mol/l. The cell proliferation index, cell number index, expression of caspases and apoptosis-associated proteins and cell morphology were measured. Results: S-Petasin and iso-S-petasin reduced the viable cell number and increased the numbers of apoptotic cells in the tested cell lines in a dose-dependent manner. Western blot analysis revealed that S-petasin and iso-S-petasin reduced the protein levels of procaspase 3, 8, and 9 and cleaved poly(ADP-ribose) polymerase (PARP) in all tested prostate cancer cell lines, and reduced that of procaspase 7 in LNCaP and PC3 cells. At the same time, S-petasin and iso-S-petasin increased mitochondrial membrane permeability and cytochrome c release from mitochondria to the cytosol via reducing the ratio of BCL2/BAX in DU145 and PC3 cells, and up-regulating the levels of p53 in DU145 cells but down-regulating it in PC3 cells. Conclusion: These results indicate that S-petasin and iso-S-petasin induce apoptosis via the activation of mitochondria-related pathways in prostate cancer cells, suggesting S-petasin and iso-S-petasin could be potential anticancer agents.
- Petasin
- anti-proliferative
- apoptosis
- prostate cancer
Prostate cancer is a major health problem and its type is age related in men worldwide (1, 2). Furthermore, its prevalence has increased progressively in recent years. Since androgens play a role in promoting development and progression of prostate cancer, its treatment can be controlled by hormone manipulation. Hormonal manipulation, including surgical castration or other types of medical androgen-depletion strategy, has become the main treatment for prostate cancer for more than 60 years (3, 4). However, the major cause of mortality of this disease is the metastasis of cancer cells that escape hormone ablation therapy. Clinical evidence showed that in half of patients, disease recurred within 18-24 months after any type of hormone therapy and leading to a so-called hormone refractory condition. Therefore, it is necessary to develop newer and effective strategies for curing or controlling hormone-insensitive prostate cancer. Phytochemicals are agents that show potential chemo-preventive or chemotherapeutic actions in the treatment of prostate cancer (5, 6). Petasites hybridus (L.) is a widely used traditional Chinese herbal medicine. S-Petasin is the most abundant bioactive compound isolated from P. hybridus. It has been shown that S-petasin possesses many biological effects including reducing the severity of tonsillitis, anti-spasmodic activity of the gastrointestinal tract, reducing asthmatic attacks and having antiproliferative activity toward human T24 bladder carcinoma cells (7, 8). In a study by Shih et al., S-petasin could suppressed ovalbumin- induced airway hyper-responsiveness via inhibition of phosphodiesterase activity (9). In Taiwan, S-petasin is used as folk medicine to treat hypertension, tumors and asthma (10). In our previous study, we found that S-petasin inhibits the production of testosterone from rat testicular interstitial cells (11). We demonstrated that S-petasin reduced both basal and adrenocorticotropin-induced corticosterone release, and inhibited the release of corticosterone from rat zona fasciculata-reticularis (ZFR) cells via diminishing the activity of cholesterol side-chain cleavage enzyme (cytochrome P450scc) and 11β-hydroxylase (12). Thus, based on these findings, it seems reasonable to speculate that S-petasin may find use in the treatment of human prostate cancer.
One of the hallmarks of cancer is the escape of cancer cells from apoptosis (13, 14-19). Therefore, increasing apoptosis of cancer cells can be an effective strategy for treatment of all types of cancer. Apoptosis is controlled by two different pathways; the membrane death receptor-mediated pathway (14, 16, 20) and the mitochondria-mediated pathway (14, 18, 19, 21). The death receptor pathway is mediated by the ligand binding to its receptor, which ultimately leads to apoptosis. Alternatively, the mitochondrial pathway is mediated by the change of mitochondrial membrane permeability, which promotes the release of cytochrome c from the mitochondria, thus resulting in apoptosis. Mitochondria-mediated apoptosis is also regulated by the B-cell leukemia/lymphoma 2 (BCL2) family of proteins (22).
In the present study, we hypothesized that there would be a cytotoxic effect or inhibitory role of S-petasin and iso-S-petasin (structure shown in Figure 1) on the prostate cancer cell lines (LNCaP, DU145 and PC3). The major objectives of the present study were to explore cell proliferation, cytotoxicity, and protein expression of apoptosis-related molecules in vitro in both androgen-dependent and androgen-independent prostate cancer cell lines. Under the conditions used in this study, S-petasin and iso S-petasin did not affect the viability of mouse TM3 Leydig cells and human adrenal cortical carcinoma cells (h295).
Materials and Methods
Prostate cancer cell line culture. Human prostate carcinoma cell lines were purchased from the Biosource Collection and Research Center of the Food Industry Research and Development Institute (Taiwan, ROC). LNCaP cells were maintained in RPMI-1640 medium (Gibco Laboratories, Buffalo, NY, USA) and DU145 and PC3 cells in Dulbecco's modified Eagle's medium (Gibco Laboratories Buffalo, NY, USA) with 2 mM L-glutamine, 2.0 g/l sodium bicarbonate, 0.11 g/l sodium pyruvate, 100 U/ml penicillin and 100 μg/ml streptomycin (BioSource International, Camarillo, CA, USA) with 10% fetal calf serum (Biological Industries, KBH, Israel). Cells were incubated in the condition of 5% CO2 in air at 37°C, as previously described (23).
Cell proliferation assessment. Cell proliferation was determined with the use of the modified colorimetric 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. After cells were attached, they were challenged with different concentrations of S-petasin or iso-S-petasin that were kindly provided by Dr. Yun-Lian Lin from National Research Institute of Chinese Medicine, Taipei, Taiwan. The MTT (Sigma, St. Louis. MO, USA) assay was performed on days 1, 2, 3, and 4 as described previously (24). The proliferation index of each day referred to the optical density (OD) of that day divided by the OD of day 0. Each experimental setting was performed in three preparations and repeated three times.
Trypan blue dye exclusion assay. For trypan blue dye exclusion assay, 5×103 cells were plated in 6-well plates, and allowed to attach overnight. The medium was replaced with fresh complete medium containing the desired concentrations of S-petasin or iso-S-petasin and the plates were incubated for 4, 8, 12, 18 and 24 hours at 37°C in a humidified atmosphere of 95% air and 5% CO2. Both floating and adherent cells were collected and pelleted by centrifugation at 700 xg for 5 min. The cells were re-suspended in 25 ml phosphate buffered saline (PBS), mixed with 5 ml of 0.2% trypan blue (Sigma) solution and then counted using a hemacytometer.
Western blot analysis. Cells were incubated with S-petasin (10−7 to 10−5 M) or iso-S-petasin (10−7 to 10−5 M) for 8, 12 or 18 h. After culture under the indicated conditions, the cells were harvested and washed twice in ice-cold PBS. The cell pellets were dissolved in RIPA lysis buffer (50 mM Tris–HCl, pH 7.4, 1% NP-40, 150 mM NaCl, 1 mM EDTA, 1 mM phenylmethylsulfonyl fluoride, and 1 g/ml aprotinin), and the protein content of the lysate was determined using the Coomassie blue protein assay (Bio-Rad Laboratories, Inc. Richmond, CA, USA). Aliquots (80 μg) of cell lysate were resolved on 12% or 15% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and analyzed by western blotting. The membranes were blocked with 5% nonfat milk in TBST [20 mM Tris- HCl (pH 7.6), 135 mM NaCl; 0.1% Tween 20]. The blots were incubated with the antibodies to cytochrome c, BCL2-associated X protein (BAX), BCL2, p53, caspase 3, 7, 8, 9 and their proenzyme forms and β-actin (Santa Cruz, CA, USA). The secondary antibodies used for the western blot were goat anti-mouse and goat anti-rabbit horseradish peroxidase-labeled antibodies. The signals were visualized by enhanced chemiluminescence detection (ECL Amersham Pharmacia Biotech, Little Chalfont, Bucks, UK). The signal intensities of the western blots were calculated after their normalization to that of the internal control.
Cell morphology. The cells were plated into 24- wells plates at 37°C under a humidified atmosphere of 5% CO2. After the density reached 50-60 % confluence, the cells were treated with different concentrations of S-petasin or iso-S-petasin for 24 hours. For the cell morphological experiment, the culture plates were examined under a microscope (x20) and photographed.
Statistical analysis. All values are given as the mean±SEM. In some cases, the treatment means were tested for homogeneity by the analysis of variance (ANOVA), and the difference between specific means was tested for significance by Duncan's multiple- range test. In other cases, Student's t-test was employed. A difference between two means was considered statistically significant when p<0.05.
Results
Effect of S-petasin and iso-S-petasin on the proliferation of human prostate cancer cell lines. We first determined the antiproliferative effects of S-petasin and iso-S-petasin on human prostate carcinoma cells. Proliferation status was assessed by both MTT assay (Figure 2) and trypan blue dye exclusion assay (Figure 3). The proliferation of LNCaP cells by MTT assay was significantly inhibited by S-petasin at doses of 8×10−6 to 10−5 M on day 4 (p<0.05). The proliferation of DU145 cells was significantly inhibited by S-petasin at 10−6 to 10−5 M on the day 3 and 4 of treatment (p<0.05). Similarly, the proliferation of LNCaP was significantly inhibited by iso-S-petasin at doses of 4×10−6 to 10−5 M on day 4 (p<0.05). The proliferation of PC3 cells was not significantly inhibited by S-petasin at any dose after treatment of 1 to 4 days. The proliferation of DU145 cells was significantly inhibited by iso-S-petasin at 2×10−6 to 10−5 M on day 3 and 4 of treatment (p<0.05). The proliferation of PC3 cells was not significantly inhibited by iso-S-petasin at any dose after treatment from 1 to 4 days.
The antiproliferative effects were also measured by trypan blue dye exclusion assay. The number of LNCaP cells was significantly reduced by both S-petasin and iso-S-petasin at doses of 10−6 to 10−5 M after treatment for 12 to 24 h (p<0.05). The number of DU145 cells was significantly reduced by both S-petasin or iso-S-petasin at doses of 10−6 to 10−5 M after a 24-h treatment (p<0.05). The number of PC3 cells was also significantly reduced by S-petasin at doses of 10−6 to 10−5 M after 18 to 24 h treatment (p<0.05) and to a greater extent by iso-S-petasin at doses of 10−7 to 10−5 M after 12 to 24 h treatment (p<0.05).
Effect of S-petasin and iso-S-petasin on the expression of caspase proteins in human prostate cancer cell lines. Effects of S-petasin (10−7 to 10−5 M) and iso-S-petasin (10−7 to 10−5 M) on the expressions of caspases proteins were examined in LNCaP, DU145 and PC3 cell lines (Figures 4 and 5). Activation of caspase cascades results in a reduction of the proenzyme forms. In LNCaP cells, S-petasin reduced the amount of procaspase 3, 7, 8 and 9 proteins after 12 and 18 h and iso-S-petasin treatments had similar effects (p<0.05). S-Petasin and iso-S-petasin also induced similar effects on DU145 and PC3 cell lines after 12 and 18 hours treatment (p<0.05), but the amount of procaspase 7 was not significantly different in DU145 cells after treatment. At the same time, active caspase cleaves cellular target proteins, including PARP, thus leading to cell death. Therefore, we also determined the effects of S-petasin and iso-S-petasin on the activation of PARP. Treatment of LNCaP cells with S-petasin (10−7 to 10−5 M) and iso-S-petasin (10−7 to 10−5 M) for 12 or 18 h resulted in a dose- dependent increase in the cleavage of PARP (p<0.05). Similar effects were also observed for DU145 and PC3 cell lines (p<0.05) (Figures 4 and 5).
Effect of S-petasin and iso-S-petasin on the expression of apoptosis-associated proteins in human prostate cancer cell lines. An early event in apoptosis is the disruption of the mitochondrial membrane permeability, which is induced by events including translocation of BAX from the cytosol to the mitochondria, and release of cytochrome c from mitochondria to the cytosol. Effects of S-petasin (10−7 to 10−5 M) and iso-S-petasin (10−7 to 10−5 M) on the protein expressions of p53, Bax, cytochrome c and Bcl-2 were examined in LNCaP, DU145 and PC3 cell lines (Figures 6 and 7). In LNCaP cells, both S-petasin and iso-S-petasin increased the release of cytochrome c from mitochondria after treatment for 8 and 12 h (p<0.05). Treatment of S-petasin or iso-S-petasin for 8 or 12 hours also resulted in an increase of cytochrome c release, p53 expression and Bcl-2 down-regulation of BCL2 in PC3 cells (p<0.05). Similar effects with a concomitant of BAX translocation were also observed in DU145 cells (p<0.05).
Effect of S-petasin and iso-S-petasin on cell morphology. Morphological analysis of cells treated with S-petasin and iso-S-petasin for 24 h revealed cell heterogeneity as compared to control cells (Figure 8). In LNCaP cells, damaged cells became rounded and floating after treatment with S-petasin or iso-S-petasin for 24 h. Similarly, treatment of DU145 and PC3 cell lines with S-petasin or iso-S-petasin for 24 hours led to shrunken, rounded and floating cells, while the untreated control cells were well spread.
Discussion
Although an early diagnosis may contribute to curing prostate cancer, many patients still suffer from metastatic disease. Since the prostate is an androgen-dependent organ, androgen ablation becomes the major treatment of this cancer type (25, 26). However, prostate carcinoma may gradually become refractory to hormonal therapy after a period of treatment (27). Therefore, finding newer treatment strategies or promising agents is still needed.
P. hybridus (petasin) is a perennial shrub, found throughout Europe as well as in parts of Asia and North America, that has been used medicinally for centuries (28, 29). The use of plant-derived products has shown a great promise, owing to their being less costly and having fewer side-effects. Therefore, increasing apoptosis or reducing proliferation can be an effective method for chemotherapeutic intervention in prostate cancer. In the present study, we evaluated the effects of S-petasin and iso-S-petasin in order to determine its potential in prevention of prostate cancer by studying proliferation of two hormone-independent (DU145 and PC3) and in one hormone-dependent (LNCaP) human prostate cancer cell lines. The results of our study indicate that S-petasin and iso-S-petasin exert significant dose- and time-dependent inhibitory effects on the proliferation of the tested prostate cancer cell lines. However, there is a slight inconsistency between tested assays for PC3 cells due to the fluorescence property of petasin and this is in agreement with previous studies (30, 31). In our previous study, we found that petasin also inhibits the production of testosterone from rat testicular interstitial cells and has an inhibitory effect on corticosterone production from rat ZFR cells through reducing the activities of adenylyl cyclase, P450scc and 11β-hydroxylase (12). All of these results show that petasin indeed influences some biochemical processes via inhibition of enzymes expressed in prostate cancer.
The reduction of procaspase is a key step in apoptotic signal transduction, and caspases can be divided into two types of subfamilies: initiator caspases (including caspase 8 and 9) and effector caspases (including caspase 3, 6, and 7), which finally induce apoptosis (32, 33). Here we showed that protein levels of procaspase 3, 7, 8 and 9 in LNCaP and PC3 cells as well as procaspase 3, 8 and 9 in DU145 cells were reduced after S-petasin and iso-S-petasin treatments, indicating caspase cascades activation. Furthermore, treatments of S-petasin and iso-S-petasin resulted in cleavage of PARP in all tested cell lines. Apoptosis is tightly regulated by anti-apoptotic and pro-apoptotic effector molecules, including the BCL2 family proteins (34). The proteins of the BCL2 family either promote cell survival (e.g. BCL2) or induce programmed cell death (e.g BAX) (35). The ratio of BAX to BCL2 is critical for apoptosis induction (36-38). An increase in the ratio of BAX to BCL2 stimulates the release of cytochrome c from mitochondria into the cytosol (39). The cytosolic cytochrome c then leads to the activation of caspase-3 and cleavage of PARP (40). In addition, the tumor suppressor protein p53 plays an important role in determining the response to DNA damage through its transcriptional activity (41, 42). After genotoxic stress, p53 protein functions as a transcription factor and up-regulates multiple downstream target genes, including BAX (35, 43). Our results showed that treatment with S-petasin and with iso-S-petasin resulted in up-regulation of p53 and its downstream regulator BAX with concomitant down-regulation of anti-apoptotic BCL2 in DU145 cells. In PC3 cells, we found treatments with S-petasin or iso-S-petasin resulted in down-regulation of p53 with concomitant down-regulation of BCL2 and no difference in BAX protein expression. In LNCaP cells, we found no difference in p53, BAX to BCL2 protein expression after treatment, but cytochrome c protein expression was still enhanced. These results show enhanced apoptosis with these treatments and indicate different mechanisms underlying the cytotoxicity of the tested prostate cancer cells.
Consistent with the previous findings in this study S-petasin and iso-S-petasin changed the morphology of human prostate cancer cells after 24 h treatment. This indicate that S-petasin and iso-S-petasin substantially influence several cell behaviors, such as cell proliferation, and induction of apoptosis, and ultimately induce morphological changes.
Conclusion
In summary, S-petasin and iso-S-petasin caused antiproliferative effects and cell apoptosis in androgen-dependent and -independent prostate cancer cells. Caspase activation, BAX translocation, and cytochrome c release were involved in the apoptotic pathway after treatment with S-petasin and iso-S-petasin. These findings suggest that S-petasin and iso-S-petasin could be potential anticancer agents.
Acknowledgements
This work was supp orted in part by grants from DMR-102-124, China Medical University Hospital.
Footnotes
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* These two authors contributed equally to this study.
- Received August 20, 2014.
- Revision received September 30, 2014.
- Accepted October 7, 2014.
- Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved