Abstract
The purpose of this study was to evaluate the cytotoxic effect of thalidomide on 4T1 and 4THMpc mouse breast cancer cell lines. Mouse breast cancer cells (4T1) and cells derived from metastatic lesions (4THMpc) were treated with various doses of thalidomide [10-2-100 µM dissolved in dimethyl sulfoxide (DMSO) as recommended] and 1.4 µM DMSO (maximum DMSO concentration in the highest thalidomide dose) as a DMSO control against the untreated control groups. MTT was used to evaluate the cytotoxic effects of the treatments. Therefore, we investigated the role of thalidomide on apoptosis. A fluorometric EnzChek caspase-3 enzyme activity assay kit was used to evaluate the apoptotic effects of thalidomide. Thalidomide dissolved in DMSO exhibited cytotoxic effects on 4T1 and 4THMpc cells compared to the control groups incubated without any supplement. Treatment with thalidomide resulted in apoptosis of mouse breast cancer cells in a time- and dose-dependent manner as demonstrated by caspase-3 enzyme activity. However, DMSO alone suppressed cell proliferation more effectively than thalidomide. In cultured mouse breast cancer cells the inhibitory effect of thalidomide may be partially attributed to the solvent DMSO alone.
Keywords: DMSO, thalidomide, 4T1, 4THMpc, apoptosis
Introduction
Breast cancer, which is the second leading cause of cancer mortality in women, occurs at a high frequency (1). Although there have been significant advances in diagnosing and treating breast cancer, a number of major unresolved clinical and scientific problems remain and investigations are ongoing (2).
Thalidomide [a(N-phthalimido)-glutarimide, a derivative of glutamic acid with two rings and two optically active forms] is an odorless, white crystalline compound with low solubility in water and has a cytotoxic effect on a number of cancer cell lines, including breast cancer (3,4).
Thalidomide has been shown to be clinically useful in a number of situations due to its ability to inhibit TNF-α synthesis. However, its use is restricted by potentially serious side effects, including teratogenicity (5). Furthermore, insolubility may cause serious problems in terms of systemic bioavailability. The major solvent of thalidomide is dimethyl sulfoxide (DMSO) and it has been shown to mimic the cytotoxic effects of thalidomide (6).
The aim of this study was to evaluate the effect of thalidomide and DMSO on the viability of cultured 4T1 and 4THMpc mouse breast cancer cell lines.
Materials and methods
Thalidomide. Thalidomide was purchased from Sigma-Aldrich (Cat. No. T 144; St. Louis, MO, USA). A 100 µM stock solution dissolved in DMSO (14.08 mM) was prepared and then the solution was aliquoted into standard Eppendorf tubes in quantities of 500 µl for daily assays. These aliquots were stored at -70˚C until required.
Cell lines and in vitro cell culture conditions. 4T1 breast cancer cells and 4T1 heart metastases post capsaicin (4THM), a cell line obtained from orthotopically transplanted 4T1 breast cancer cells, were used in this study. The cell lines were a kind gift from Dr Nuray Erin (Akdeniz University, Medicine Faculty, Antalya, Turkey). Cells were grown as monolayer adherent cultures in plastic cell culture petri dishes (BD, Bedford, MA, USA) in DMEM-F12 (Biochrom, Germany) supplemented with 5% fetal bovine serum (FBS), 2 mM L-glutamine, 1 mM sodium pyruvate and 0.02 mM non-essential amino acids. The cell lines were maintained at 37˚C in a humidified atmosphere of 5% CO2. The cell lines used in this study were tested and shown to be free of mycoplasma contamination.
Thalidomide and DMSO treatments. To determine the effects of the cell number on the cytotoxic effects of thalidomide and DMSO, initial experiments were performed with three different cell numbers (1,000, 3,000 and 5,000 cells/well) and 5,000 cells/well was selected for all experiments.
Cells were seeded and 24 h later treated with thalidomide (10-2-100 µM dissolved in DMSO) and 1.4 µM DMSO alone. The fresh medium was added to the control groups. Following the treatments, the cells were incubated for three different incubation periods (24, 48 and 72 h) and then the cell growth was determined.
Determining cell viability. Cell proliferation was determined using the tetrazolium compound 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulphophenyl)-2H-tetrazolium, inner salt (MTS) according to the manufacturer's instructions (Cell Titer 96 Aqueous One Solution Cell Proliferation Assay; Promega Corp., Madison, WI, USA). Formation of formazan determined at OD 490 was compared between the groups. In this study, one group was treated with thalidomide (100 µM), and the other group was treated with DMSO. The control group received refreshed medium containing 1% serum.
Fluorometric caspase-3 enzyme activity assay. Caspase-3 activity in total cell lysates was determined by a fluorometric EnzChek caspase-3 assay kit (Molecular Probes, Eugene, OR, USA) using 7-amino-4-methylcoumarin-derived substrate Z-DEVD-AMC, according to the manufacturer's instructions. Briefly, thalidomide and DMSO were administered to the wells (200,000 cells/well in a 6-well plate). After 48 h, the cells were harvested using trypsinization and cell lysates were prepared. The protein concentration of the samples was determined using a Bio-Rad protein assay kit (Bio-Rad Laboratories, Hercules, CA, USA) and measured against bovine serum albumin standards. Samples of the cell lysates were seeded into standard black 96-well plates as each sample contained 10 µg protein per well. Samples were mixed with reaction buffer and the plate was incubated for 2 h at room temperature avoiding direct light. Then, 200 µmol/l substrate of caspase-3, Z-DEVD-AMC, was added to each well and incubated for 1 h at 37˚C in the dark. The assay conditions were standardized in order that the products of the reaction remained in the linear range of detection. The plate was detected by a fluorescence spectrophotometer using 496/520 nm excitation/emission wavelengths and the sample readings were calculated by subtracting the absorbance of blank samples.
Statistical analysis. Data were expressed as the means ± SEM and analyzed statistically using one-way ANOVA followed by Dunnett's multiple comparisons test for comparison of the group means to controls (Graph Pad InStat., USA). P<0.05 was considered statistically significant.
Results
In vitro cytotoxic effects of thalidomide dissolved in DMSO and DMSO alone on 4T1 and 4THMpc cell lines. Results obtained from the experiments were statistically analyzed and are shown in Figs. 1-3. As shown in Fig. 1, DMSO was more cytotoxic than thalidomide on 4T1 cells. This cytotoxic effect was time-dependent. Time 0 indicates the cell number at the beginning of the experiment. The same results obtained from the experiments carried out on 4THMpc cells are shown in Fig. 2. The cytotoxic effect of DMSO on 4THMpc cells was also time-dependent.
Figure 1.
In vitro cytotoxic effects of DMSO and thalidomide on 4T1 mouse breast cancer cells. DMSO (1.4 µM) and thalidomide (100 µM) exhibit cytotoxic effects on the 4T1 mouse breast cancer cell line. Time 0 indicates the cell number at the beginning of the experiment. Cells treated with any supplement were evaluated as the control group.
Figure 2.
In vitro cytotoxic effects of DMSO and thalidomide on 4THMpc mouse breast cancer cells. DMSO (1.4 µM) and thalidomide (100 µM) exhibit cytotoxic effects on the 4THMpc mouse breast cancer cell line. Time 0 indicates the cell number at the beginning of the experiment. Cells treated with any supplement were evaluated as the control group.
Figure 3.
Changes in caspase-3 enzyme activity. DMSO (1.4 µM) and thalidomide (100 µM) caused a significant increase in caspase-3 enzyme activity. This effect was blocked by adding caspase-3 inhibitor.
Using a fluorometric assay, we determined whether incubation of cells with thalidomide and DMSO for 48 h was capable of inducing caspase-3 activity. The results are shown in Fig. 3. In the two cell lines, both DMSO and thalidomide triggered caspase-3 activity compared with the control groups. The increase in caspase-3 activity was markedly prevented following combined treatment by thalidomide and DMSO together with the broad caspase inhibitor zVAD-fmk.
Discussion
The first aim of this study was to test the cytotoxic effects of thalidomide on mouse breast cancer cells 4T1 and 4THMpc. Breast cancer is a life-threatening disease that may be cured by pharmacological therapies.
Thalidomide widely used in the treatment of cancer in its present form is not soluble in water, and for in vitro experiments DMSO is commonly used as a solvent (6). Thalidomide (1 mM) dissolved in 14.08 µM DMSO was used as a stock solution. DMSO (1.4 µM) alone was used as a control.
Our results showed a cytotoxic effect of 100 µM thalidomide dissolved in DMSO on mouse breast cancer cells compared to the control cells without any supplement. Therefore, we showed that DMSO alone in a concentration equivalent to dissolved thalidomide was capable of exhibiting cytotoxic effects as well.
Only a few studies have used thalidomide in in vitro experiments. In two studies, Kaven et al and Spraul et al indicated that thalidomide dissolved in DMSO showed an inhibitory effect on the migration and proliferation of rabbit pigment epithelium (RPE) cells compared to controls without any supplement (7,8). However, these authors did not use DMSO alone as a control.
By contrast, Moreira et al demonstrated a dose-dependent inhibition of human umbilical vein endothelial cell proliferation by thalidomide solved in DMSO. These authors used DMSO alone and obtained no significant results on inhibition (9). In their study, Bauer et al used DMSO alone as a control and DMSO did not exhibit an inhibitory effect (10).
At present, thalidomide is used for its anti-angiogenic effect, but the exact mechanism of this property remains to be elucidated. The possible cause may be the action of one of its metabolites. The same may be true for DMSO. Of note, water-soluble thalidomide has recently been produced.
However, further the cell culture experiments with thalidomide are required to confirm these results.
In conclusion, we showed a cytotoxic effect of thalidomide dissolved in DMSO on 4T1 and 4THMpc mouse breast cancer cell lines. Therefore, this effect may partially be attributed to the solvent DMSO alone.
Acknowledgments
This study was supported by the Scientific and Technological Research Council of Turkey (TÜBİTAK project no: 104 T 204). We would like to thank all the employees of the Akdeniz University Scientific Research Project Unit.
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