Abstract
Acacetin (5,7-dihydroxy-4′-methoxyflavone) is a flavone compound, some of which have anti-cancerous effects. Vascular endothelial growth factor (VEGF) plays an important role in angiogenesis and tumor growth. In this study, we found that acacetin decreased the steady level of VEGF mRNA level and inhibited VEGF transcriptional activation. To further determine the potential mechanism of acacetin in inhibiting VEGF expression, we showed that acacetin inhibited HIF-1α expression and AKT activation. Over-expression of HIF-1α or AKT restored acacetin-decreasing VEGF transcriptional activation, indicating that AKT and HIF-1 are the essential downstream targets of acacetin for inhibiting VEGF expression in the cells. Moreover, acacetin significantly inhibited ovarian cancer cell-induced angiogenesis and tumor growth in vivo through inhibiting HIF-1α and VEGF expression. Acacetin did not change HIF-1α mRNA level, but inhibited HIF-1α protein level through increasing its degradation and decreasing its stability. These results indicate that acacetin may be a useful natural compound for ovarian cancer prevention and treatment.
Keywords: acacetin, VEGF, angiogenesis, HIF-1, AKT
1. Introduction
Ovarian cancer has leading fatalities in all gynecological cancers [1]. Although many cancers respond to chemotherapy at the beginning of the treatment, the ability of cancer cells to become resistant to chemotherapeutic drugs remains a significant impediment to successful chemotherapy [2]. In addition, many of the present chemotherapeutic agents have strong side effects on the normal cells. Thus, it is important to continue our efforts to discover new treatments.
Angiogenesis is the process by which new blood capillaries are generated from the pre-existing vasculature, and plays an important role in including tumor growth and progression. Vascular endothelial growth factor (VEGF) is a potent inducer of angiogenesis and tumor growth. Hypoxia-inducible factor 1 (HIF-1) is a heterodimeric transcription factor composed of HIF-1α and HIF-1β subunits, and is a major regulator of VEGF expression in response to hypoxia [3,4]. HIF-1 is a key factor in carcinogenesis, tumor angiogenesis, tumor growth, invasion, and metastasis and can be induced by hypoxia, growth factors [5]. HIF-1α is often upregulated in human cancers to regulate VEGF expression by binding to the hypoxia responsive element of VEGF promoter [3,6]. It has been well demonstrated that AKT is one of the important upstream regulators of HIF-1α and this signaling pathway is one of the major pathways in regulating tumor angiogenesis and tumor growth in ovarian, prostate, and lung cancer cells [7–9].
Flavonoids are present in fruits, vegetables, seeds, and medicinal herbs. More and more evidence has showed that flavonoids exert their anti-cancerous effects through multiple levels: scavenging reactive species induced by carcinogens, inhibiting the activation of pro-carcinogens, suppressing the proliferation of cancer cells, inducing selective apoptosis of cancer cells, inhibiting tumor metastasis and angiogenesis, activating immune responses against cancer cells, and reversing drug resistance against chemotherapy [10,11]. Up to now, many kinds of flavonoids such as apigenin, genistein, green tea polyphenol (−)-epigallocatechin-3-gallate, chrysin, curcumin, quercetin, and luteolin have shown the cancer prevention effects in vitro and in vivo [12–16]. Our previous studies have shown that apigenin and its analogs can suppress angiogenesis and tumor growth through inhibiting the expression of HIF-1α and VEGF, indicating the high pharmacological potency of these natural compounds [17–20].
Acacetin (5,7-dihydroxy-4′-methoxyflavone) is a flavonoid compound commonly present in several plants, seeds, and flowers [21]. It has been reported that acacetin exhibits anti-cancerous effect by inhibiting cell proliferation and cell cycle progression in human cancer cells [22,23], suppressing invasion and migration of cancer cells [24–26], but the role of acacetin in regulating tumor growth and angiogenesis remains to be elucidated. In this study, we want to investigate that 1) whether acacetin inhibits VEGF expression; 2) whether acacetin inhibits HIF-1α expression; 3) which signaling pathway is involved in acacetin-inhibited VEGF expression; 4) whether acacetin inhibits angiogenesis and tumor growth in vivo; and 5) how acacetin affects HIF-1α protein expression. These studies will help to understand the role and mechanism of acacetin in inhibiting angiogenesis and tumor growth in human ovarian cancer cells.
2. Methods
2.2. Cell culture and reagents
Mouse epidermal cell line JB6clone 41 (Cl 41) stably transfected with VEGF reporter was maintained in MEM medium supplemented with 5% fetal bovine serum, 100 units/ml penicillin, 100 mg/ml streptomycin, 5% CO2 at 37oC [27]. OVCAR-3 and A2780 ovarian cancer cells were cultured in RPMI 1640 medium supplemented with 10% fetal bovine serum and antibiotics. Acacetin was from Sigma (St. Louis, MO), dissolved in dimethyl sulphoxide (DMSO), and stored at −20°C. Antibodies against HIF-1α and HIF-1β were from BD Biosciences (Franklin Lakes, NJ). Antibodies against phospho-AKT (Thr473) and total AKT were from Cell Signaling (Beverly, MA). The growth-factor-reduced phenol red-free Matrigel was purchased from BD Biosciences (Bedford, MA). Lipofectamine was from Invitrogen (Carlsbad, CA). Reporter lysis buffer, luciferase (Luc) assay system, and reverse transcriptase AMV were from Promega (Madison, WI). TRIzol was purchased from Invitrogen (Carlsbad, CA). High Capacity RNA-to cDNA Kit and Power SYBR Green PCR Master Mix for real-time RT-PCR were from ABI (Froster City, CA).
2.2. VEGF activity assay
To test the effect of acacetin on VEGF transcriptional activation, JB6 cells carrying VEGF reporter were trypsinized and seeded into 12-well plate. After the cell density reached80% to 90%, various concentrations of acacetin (10, 20, and 30 μM) were added to the cells. The cells treated by DMSO were used as negative control. Total proteins were assayed by the Protein Assay Kit (Bio-Rad, Hercules, CA) and used as an internal control. For ovarian cancer cells, transient transfection and Luc activity assay in OVCAR-3 and A2780 cells were performed and measured as we previously described [28]. The relative Luc activity was calculated by the ratio of luc/β-gal activity, and normalized to that of the control.
2.3. Real-time reverse transcription-polymerase chain reaction (RT-PCR)
OVCAR-3 cells were treated with various doses of acacetin (0, 10, and 20 μM) for 12 h. Total RNAs were extracted by TRIzol, and cDNAs were synthesized and obtained by using High Capacity RNA-to cDNA Kit according to the introduction. The PCR reactions were performed by using Power SYBR Green PCR Master Mix and StepOne Real-time PCR Systems (ABI, Froster City, CA) per the manufacturer’s instruction. The primers used for real-time PCR are follows:
VEGF forward primer: 5’-CGAGGGCCTGGAGTGTGT-3’;
VEGF reverse primer: 5’-CCGCATAATCTGCATGGTGAT-3’;
GAPDH forward primer: 5’-ATGGGTGTGAACCATGAGAAGTATG-3’;
GAPDH reverse primer: 5’-GGTGCAGGAGGCATTGCT-3’. The PCR procedure is:
95°C for 10 min, followed by 40 cycles of 95°C 15 sec and 60°C 60 sec. A melt curve was generated at the end of each run to verify specificity.
2.4. Western blotting
Western blotting was performed as described previously [20]. In brief, OVCAR-3 cells were seeded in 60 mm dishes and cultured to 70–80% confluence. After treatment with acacetin, the cells were harvested and lysed. Aliquots of proteins were resolved on SDS-PAGE, and transferred onto nitro-cellulose membrane. Proteins of interest were detected by Western blotting using specific antibodies as indicated.
2.5. Tumor angiogenesis and tumor growth assay
Fertilized white Leghorn chicken eggs were incubated at 37°C with 70% humidity for 8 days. An artificial air sac was created as previously described [9]. To test tumor angiogenesis, the OVCAR-3 cells were suspended in serum-free medium containing 50% Matrigel (BD Biosciences, Bedford, MA) with acacetin at 10 μM. Treatment with equal volume of solvent DMSO was used as a negative control. Aliquots (3×106 cells) of the mixture were then applied onto the chicken chorioallantoic membrane (CAM). After 96 h, the area around the implanted Matrigel was photographed and the number of blood vessels was obtained by counting the branching of blood vessels. The experiments were performed using 8 chicken embryos for each treatment. For tumor growth assay, similar treatment was performed. After the implantation of cancer cells for 9 days, tumors were trimmed out, photographed, and weighed. Part of tissue samples were ground in liquid nitrogen and used to test HIF-1and VEGF expression by Western blotting and RT-PCR, respectively.
2.6. Statistical analysis
The data represent mean ± SE from independent experiments as indicated in figure legends. Statistical analysis was performed by Student’s t test at a significance level of P<0.05.
3. Results
3.1. Acacetin inhibited VEGF expression under the nomoxia and hypoxia conditions
To determine whether acacetin regulates VEGF transcriptional activation, JB6 cells stably transfected with VEGF reporter were treated with acacetin. VEGF Luc activity showed acacetin at 10 μM inhibited more than 50% of VEGF transcriptional activation, with stronger inhibitory effect at higher concentrations (Fig. 1A). To further test whether acacetin inhibits VEGF transcriptional activation in human ovarian cancer cells, OVCAR-3 cells and A2780 cells were transiently transfected with VEGF reporter and β-gal plasmids, and treated without or with 10 μM of acacetin. Acacetin decreased VEGF transcriptional activation to 40% and 50% in OVCAR-3 and A2780 cells, respectively, suggesting that this compound has a general effect to inhibit VEGF transcriptional activation in ovarian cancer cells (Fig. 1B). Consistent with this result, acacetin at 10 μM and 20 μM greatly inhibited VEGF expression in OVCAR-3 cells (Fig. 1C). Cell viability assay indicated that the inhibition of VEGF transcriptional expression was not due to the toxicity of acacetin in the cells (Fig. 1D).
3.2. Acacetin inhibited VEGF transcriptional activation through HIF-1α expression
HIF-1 belongs to the basic helix-loop-helix-Per-ARNT-Sim-proteins. To determine whether acacetin affects HIF-1 expression, we found acacetin treatment at 10 and 20 μM decreased HIF-1α, but not HIF-1β expression in OVCAR-3 cells and A2780 cells (Fig. 2A). To further study whether acacetin inhibits VEGF transcriptional activation through regulating HIF-1α expression, we found forced expression of HIF-1α was sufficient to abolish acacetin-inhibiting VEGF transcriptional activation, suggesting that HIF-1α is a downstream target of acacetin for regulating VEGF expression (Fig. 2B). These results suggest acacetin inhibits VEGF transcriptional activation through decreasing HIF-1α expression.
3.3. Acacetin inhibited VEGF expression through AKT activation
AKT (or protein kinase B), a serine/threonine protein kinase, plays a central role in regulating cell survival, proliferation, tumor growth and angiogenesis [7]. Consistent with the effect of acacetin on HIF-1α expression, the levels of phospho-AKT were inhibited by acacetin in a dose-dependent manner (Fig. 2C). To further test whether AKT is the upstream molecule in regulating VEGF transcriptional activation, we found that over-expression of AKT (Myr-AKT) completely abolished acacetin-inhibited VEGF transcriptional activation in OVCAR-3 cells (Fig. 2D), demonstrating that acacetin inhibited VEGF transcriptional activation through AKT signaling pathway. We found that over-expression of AKT by infecting ovarian cancer cells using adenovirus carrying AKT did restore HIF-1α expression inhibited by acacetin (Fig. 2E). This result is consistent with previous studies demonstrating that HIF-1α is one of the downstream targets of AKT [8,9], suggesting that acacetin inhibits VEGF expression through AKT activation and HIF-1 expression.
3.4. Acacetin inhibited HIF-1α expression by affecting its degradation
To determine whether acacetin inhibits HIF-1α expression at transcriptional level, OVCAR-3 and A2780 cells were treated with different doses of acacetin for 6 h and HIF-1α mRNA was tested by RT-PCR. As shown in Fig. 3A, acacetin treatment did not decrease HIF-1α mRNA levels, indicating that acacetin did not inhibit HIF-1α expression at transcriptional level. We next determined the effect of acacetin on the stability of HIF-1α protein by using cycloheximide (CHX) treatment to inhibit new protein synthesis in the cells. OVCAR-3 and A2780cells were treated with CHX or CHX plus acacetin for a different time period. The levels of HIF-1α protein were detected by immunoblotting, and normalized to those of β-actin in the cells (Fig. 3B). The relative half-life of HIF-1α protein in the cells was calculated. The half-life of HIF-1α was 4.2 min and 5.2 min in OVCAR-3 and A2780 cells, respectively, in the presence of CHX alone, and was decreased to 2 min and 1.4 min, respectively with the treatment of acacetin, suggesting that acacetin treatment significantly increased HIF-1α protein degradation (Fig. 3C).
3.5. Acacetin inhibited ovarian tumor angiogenesis, tumor growth, and HIF-1α and VEGF expression in vivo
The results above showed that acacetin inhibited VEGF and HIF-1α expression. Given the key roles of VEGF and HIF-1α in regulating tumor growth and angiogenesis, we used chicken chorioallantoic membrane (CAM) model to test the effect of acacetin on tumor angiogenesis. The results showed that acacetin treatment greatly inhibited tumor angiogenesis. The micro-vessel density was decreased by acacetin treatment to 50% of the control (Fig. 4A), showing that acacetin inhibited ovarian cancer cells-induced angiogenesis in vivo. To further test whether acacetin inhibited tumor growth, OVCAR-3 cells were implanted on the CAM in the absence or presence of acacetin to grow tumors for 9 days. As shown in Fig. 4B, acacetin treatment inhibited tumor growth with 50% decrease of tumor weight when compared to that from the control group, indicating that acacetin suppresses tumor growth through impeding the angiogenesis. Consistent with the results of in vitro studies, acacetin inhibited the levels of HIF-1α and VEGF expression in tumor tissue samples (Figs. 4C and D). These results suggest that acacetin has strong effect to inhibit tumor growth and angiogenesis.
4. Discussion
VEGF is the most important inducer of tumor angiogenesis. The increased level of VEGF is correlated with angiogenesis and poor prognosis in cancer, showing the vital role of VEGF in tumor angiogenesis and development. Tumor growth and metastasis require angiogenesis when the tumor reaches 1–2 mm in diameter. Inhibition of angiogenesis specifically suppresses tumor growth and invasion without affecting the normal mature vessels in human body. Thus, there are growing interests in developing anti-angiogenesis approaches for human cancer therapy.
Acacetin shows inhibitory effect on cell proliferation, cell cycle progression, induces cell apoptosis in vitro [22,23,29,30], and suppresses invasion and migration of cancer cells [24–26]. It also suppresses LPS-induced up-expression of iNOS and COX-2 in murine macrophages and TPA-induced tumor promotion in mice [31]. In this study, acacetin decreased VEGF transcriptional activation in both JB6 cells and ovarian cancer cells. It inhibited VEGF mRNA expression in OVCAR-3 cells. AKT transmits survival signals from growth factors, and regulates cell survival, migration, proliferation, metabolism, and tumor growth. To identify the relative signaling pathway, we also found that acacetin inhibited AKT activation. Overexpression of HIF-1α or AKT reversed acacetin-inhibited VEGF transcriptional activation, indicating that HIF-1α and AKT are the upstream molecules of VEGF, which is inhibited by acacetin. Overexpression of active form of AKT by adenovirus reversed acacetin-suppressed HIF-1α expression, suggesting that acacetin inhibited HIF-1 through AKT activaton. Acacetin also inhibited tumor angiogenesis and tumor growth by suppressing HIF-1α and VEGF expression by using CAM model.
In most cases, HIF-1α protein levels are constitutively expressed, but rapidly degraded by the ubiquitin-proteasome pathway under normoxia. The von Hippel-Lindau tumor suppressor gene product, pVHL, functions as the substrate recognition component of an E3-ubiquitin ligase, which targets the oxygen-sensitive HIF-1α subunit for rapid proteasomal degradation under normoxic conditions. To study whether acacetin inhibits HIF-1α protein level at transcriptional level, RT-PCR results indicated that HIF-1α mRNA was not be inhibited by acacetin. The regulation of HIF-1α stability is the major factor in controlling HIF-1α protein levels. We found that acacetin greatly shortened the half-life of HIF-1α in both OVCAR-3 and A2780 cells, suggesting that acacetin inhibited HIF-1α expression through decreasing its stability.
In summary, this study demonstrated that acacetin inhibited tumor growth and angiogenesis via suppressing AKT/HIF-1 signaling pathway to inhibit VEGF expression. These results help to understand molecular basis of acacetin in ovarian tumor growth and angiogenesis, which may be useful for rational design for cancer prevention and therapy in the future.
Acknowledgments
This work was supported by grants CA109460 and CA123675 from National Cancer Institute, NIH.
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