Abstract
Aim:
Energy-restriction mimetic agents (ERMAs) are small-molecule agents that target various aspects of energy metabolism, which has emerged as a promising approach in cancer therapy. In the current study, we tested the ability of OSU-CG5, a novel ERMA, to target human colorectal cancer (CRC) in vitro.
Methods:
Two human CRC cell lines (HCT-116 and Caco-2) were tested. Cell viability was assessed using MTT assay. Caspase-3/7 activities were measured using Caspase-Glo 3/7 assay kit. Western blot analysis was used to measure the expression of relevant proteins in the cells. Glucose consumption of the cells was detected using glucose uptake cell-based assay kit.
Results:
OSU-CG5 dose-dependently inhibited HCT-116 and Caco-2 cell proliferation with the IC50 values of 3.9 and 4.6 μmol/L, respectively, which were 20–25-fold lower than those of resveratrol, a reference ERMA. Both OSU-CG5 (5, 10, and 20 μmol/L) and resveratrol (50, 100, and 200 μmol/L) dose-dependently increased caspase-3/7 activity and PARP level in the cells. Furthermore, both OSU-CG5 and resveratrol induced dose-dependent energy restriction in the cells: they suppressed glucose uptake and Akt phosphorylation, decreased the levels of p-mTOR and p-p70S6K, increased the levels of ER stress response proteins GRP78 and GADD153, and increased the level of β-TrCP, which led to the downregulation of cyclin D1 and Sp1.
Conclusion:
OSU-CG5 exhibits promising anti-cancer activity against human CRC cells in vitro, which was, at least in part, due to energy restriction and the consequent induction of ER stress and apoptosis.
Keywords: colorectal cancer, energy restriction mimetic agent, OSU-CG5, resveratrol, apoptosis, glucose uptake, Akt, mTOR, ER stress, β-TrCP
Introduction
The growing interest in utilizing energy restriction without malnutrition as an approach for cancer therapy and prevention is based on the promising results from animal and human trials1,2. The principle of targeting energy metabolism as an anti-tumor strategy relies on the differences in the ways that normal and transformed cells generate energy3. Unlike non-neoplastic cells, transformed cells exhibit a high demand for glucose with very limited flexibility for modifying their means of ATP generation in response to changing environmental conditions and energy source availability3,4. Therefore, cancer cells are exquisitely vulnerable to energy restriction. However, it is extremely difficult to implement chronic energy restriction through actual dietary caloric restriction as an antitumor strategy in humans.
Energy-restriction mimetic agents (ERMAs) are small-molecule agents that target various aspects of energy metabolism5. Energy restriction suppresses the clonal expansion of transformed cells by limiting the survival factors required for the regulation of cell proliferation, cell cycle control and angiogenesis6. While very effective in pre-clinical studies, the United States Food and Drug Administration has terminated the clinical trial investigating the use of ERMAs, such as 2-deoxyglucose (2-DG), in prostate cancer (NCT00633087) due to serious side effects7. Therefore, new ERMAs with higher efficacy and improved safety are currently needed.
Ciglitazone, a thiazolidinedione (TZD), has been used as a scaffold to develop novel ERMAs, such as OSU-CG5, to mimic glucose starvation. These compounds were able to induce multiple components of the starvation-associated responses, which offer advantages over an ERMA that targets only one component of this response8. In addition, they exhibited high antiproliferative activity in human prostate cancer LNCaP and human breast cancer MCF-7 cell lines9.
In the current study, we employed OSU-CG5, a novel ERMA, as a new therapeutic option for the treatment of colorectal cancer (CRC). A major challenge in the systemic treatment of CRC is the cellular resistance to conventional cytotoxic agents, which may be attributed to the heterogeneity of genetic abnormalities that are acquired during the course of carcinogenesis10. The direct link between obesity and CRC was used as the basis for selecting ERMAs as a novel treatment option for CRC11,12,13. We hypothesized that ERMAs will provide considerable advantages over traditional chemotherapeutic agents and will foster potentially successful strategies for the treatment of CRC. In the present study, we evaluated the in vitro antitumor effect of OSU-CG5 and its ability to target CRC through energy restriction compared to the reference ERMA, resveratrol.
Materials and methods
Reagents and antibodies
OSU-CG5 (Figure 1A) was obtained from Dr CHEN's laboratory at The Ohio State University. OSU-CG5 was dissolved in dimethyl sulfoxide (DMSO) at a final concentration of 0.1% or less and was then added to the cells. Resveratrol (Figure 1A) was obtained from Sigma-Aldrich Chemical Co (St Louis, MI, USA). Antibodies against various biomarkers were obtained from the following sources: 78 kDa glucose-regulated protein (GRP78), Akt, p-473Ser Akt, p-172Thr AMPK, AMPK, p-389Thr p70S6K, p70S6K, p-2448Ser mammalian target of rapamycin (mTOR) and mTOR from Cell Signaling Technologies (Danvers, MA, USA); Sp1, growth arrest and DNA damage-inducible gene (GADD)153 and cyclin D1 from Santa Cruz Biotechnology (Santa Cruz, CA, USA); β-transducin repeat containing protein (β-TrCP) from Invitrogen; and β-actin from Sigma-Aldrich (St Louis, MO, USA). Mouse anti-poly (ADP-ribose) polymerase (PARP) monoclonal antibody was obtained from BD Pharmingen (San Diego, CA, USA). The enhanced chemiluminescence system that was used to detect the immunoblotted proteins was purchased from GE Healthcare (Little Chalfont, Buckinghamshire, UK). Other chemicals and reagents were obtained from Sigma-Aldrich, unless otherwise mentioned.
Figure 1.
The antiproliferative activity of OSU-CG5 on CRC cells. (A) The structures of OSU-CG5 and resveratrol. (B) Dose-dependent effects of OSU-CG5 and resveratrol on the viability of the CRC HCT-116 and Caco-2 cell lines after 48 h treatment. Mean±SD. n=6.
Cell culture
The human colorectal carcinoma cell lines HCT-116 and Caco-2 were obtained from the American Type Culture Collection (Manassas, VA, USA). The cell lines were cultured in RPMI-1640 medium (Invitrogen, Carlsbad, CA, USA) supplemented with 10% fetal bovine serum (FBS; Invitrogen, Carlsbad, CA, USA), 1.5 g/L sodium bicarbonate, 2 mmol/L L-glutamine and 1% penicillin/streptomycin. The cells were cultured at 37 °C in a humidified incubator containing 5% CO2.
Cell viability analysis
Cell viability was assessed using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay as previously described14,15; 6 replicates were performed for each sample. Briefly, CRC cells were seeded at a density of 5×103 cells/well in 96-well flat-bottomed plates; then, 24 h later, the cells were treated with OSU-CG5 or resveratrol at the indicated concentrations. After 48 h, the medium was aspirated and replaced with 200 μL of RPMI-1640 medium containing 0.5 mg/mL MTT; the cells were incubated for 2 h. Supernatants were aspirated, and the reduced MTT dye was dissolved in 200 μL of DMSO per well. The absorbance at 570 nm was determined using a plate reader. The results were calculated by subtracting the blank readings, which did not contain cells, from the sample readings. IC50 values were determined using CalcuSyn software (Biosoft, Cambridge, UK).
Caspase assays
The caspase-3/7 activities in HCT-116 cells treated with OSU-CG5 or resveratrol were measured using the Caspase-Glo 3/7 assay kit (Promega, Madison, WI, USA) according to the manufacturer's instructions. Briefly, the cells were seeded into an opaque polystyrene 96-well microtiter plate in six replicates. Following treatment, the prepared reagents were added (100 μL/well) and incubated in the dark for 30 min at room temperature. Following incubation, the luminescence was measured using a GloMax-96 Microplate Luminometer (Promega, Madison, WI, USA) at 560 nm, and the data are expressed in relative light units (RLU).
Immunoblotting
Western blot analysis was performed as previously reported16. Briefly, the treated cells were washed with PBS, resuspended in sodium dodecyl sulfate (SDS) sample buffer, sonicated, and boiled for 5 min. The cell lysates were centrifuged, and equivalent amounts of proteins were subjected to 10% SDS-polyacrylamide gel electrophoresis. Blots were transferred onto a nitrocellulose membrane using a semi-dry transfer cell. The membranes were washed three times with TBS containing 0.05% Tween 20 (TBST) and were then blocked with TBST containing 5% nonfat milk for 120 min. The membranes were then incubated with the appropriate primary antibodies in TBST containing 5% low fat milk at 4 °C overnight and were then washed three times with TBST. The membranes were probed with goat anti-mouse or anti-rabbit IgG-horseradish peroxidase conjugated secondary antibodies for 90 min at room temperature and then washed three times with TBST. The immunoblots were detected using enhanced chemiluminescence. Western blot analysis was conducted on the HCT-116 and Caco-2 cell lines in a parallel fashion. The protein expression/phosphorylation profile was similar for both cell lines; therefore, the results from the HCT116 cells were used as a representative to avoid any redundancy.
Glucose uptake assay
The ability of the test compounds to inhibit glucose uptake was measured using the Glucose Uptake Cell-Based Assay Kit (Cayman, Ann Arbor, Michigan, USA) according to the manufacturer's instructions. Briefly, the cells were seeded at a density of 5×103 cells/well in 96-well flat-bottomed plates and were incubated overnight. The next day, the cells were treated for 48 h with OSU-CG5, resveratrol or vehicle in 100 μL of glucose- and serum-free media containing 150 μg/mL of the fluorescent glucose analog 2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl)amino]-D-glucose (2-NBDG). At the end of the treatment, the plates were centrifuged for 5 min at 400×g at room temperature, and the supernatant was aspirated. Cell-Based Assay Buffer was added to each well (100 μL/well). The reading of each well was immediately measured using a fluorescent microscope (excitation/emission=485 nm/535 nm).
Statistical analysis
Statistical analyses were conducted using SPSS (Statistical Package for the Social Sciences) 9.0 software (SPSS Inc, Chicago, IL, USA). All results are presented as the mean±standard deviation (SD). Significant differences between the mean values were evaluated using a one-way analysis of variance (ANOVA), followed by the Neuman-Keuls test for multiple comparisons. Differences were considered significant at P<0.05.
Results
OSU-CG5 causes greater cytotoxicity than resveratrol in the CRC cell lines
The dose-dependent cytotoxicity of OSU-CG5 was assessed in two CRC cell lines, HCT-116 and Caco-2, using MTT assays and was compared with that of resveratrol (Figure 1B). OSU-CG5 and resveratrol exhibited a differential, suppressive effect on the viability of these two cell lines, with the HCT-116 cell line being more susceptible than the Caco-2 cell line. The respective IC50 values of OSU-CG5 were 3.9 and 4.6 μmol/L in the HCT-116 and Caco-2 cells, respectively, while the IC50 values for resveratrol were 94 and 116 μmol/L in the HCT-116 and Caco-2 cells, respectively. The antiproliferative activities of OSU-CG5 against these two cell lines were 20–25-fold higher than that of resveratrol.
OSU-CG5 induces endoplasmic reticulum (ER) stress and apoptotic cell death in CRC cells
The caspase-3/7 assay indicated that treatment of the HCT-116 and Caco-2 cells with OSU-CG5 or resveratrol led to a dose-dependent increase in the proportion of activated caspase-3/7 (Figure 2A), suggesting that the OSU-CG5- or resveratrol-induced cell death was, at least in part, due to apoptosis. The effect of the test compounds on apoptosis induction was further confirmed by Western blot analysis of HCT-116 cells (Figure 2B). Both OSU-CG5 and resveratrol induced dose-dependent increases in the proteolytic cleavage of PARP, a hallmark of apoptosis. In addition, treating HCT-116 cells with OSU-CG5 or resveratrol induced ER stress, as indicated by the dose-dependent upregulation of ER stress response proteins, such as GRP78 and GADD153.
Figure 2.
OSU-CG5 inhibits CRC cell growth by the induction of ER stress and apoptosis. (A) Caspase-3/7 activities were measured using the Caspase-Glo Assay Kit. Mean±SD. n=6. bP<0.05, cP<0.01 compared to vehicle (DMSO)-treated cells. (B) Western blot analysis of the expression levels of PARP, GRP78, and GADD153 in HCT-116 cells after the indicated treatment for 48 h in RPMI-1640 medium supplemented with 10% FBS; 30 μg of total protein was loaded in each well.
OSU-CG5 inhibits glucose uptake in the CRC cell lines
To investigate the hypothesis that OSU-CG5 targets glucose utilization in CRC cells, the suppressive effects of OSU-CG5 on the uptake of the fluorescent glucose analog, 2-NBDG were examined in comparison to resveratrol (Figure 3). Both agents inhibited glucose uptake in the CRC cell lines in a dose-dependent manner. Furthermore, the glucose uptake assay indicated that the ability of OSU-CG5 or resveratrol to suppress the glucose uptake of the CRC cell lines paralleled their respective inhibitory activities on cell viability (Figure 1B), suggesting a potential causal link between these two cellular events.
Figure 3.
OSU-CG5 inhibits glucose uptake in CRC cells. Glucose uptake was measured using the Glucose Uptake Cell-Based Assay Kit after the indicated treatments for 48 h. Mean±SD. n=6. bP<0.05, cP<0.01 compared to vehicle (DMSO)-treated cells.
The antiproliferative activity of OSU-CG5 is associated with energy restriction cellular responses
Western blot analysis indicated that both OSU-CG5 and resveratrol shared the reported activities of glucose starvation in eliciting energy restriction cellular responses in CRC cell lines. These responses include β-TrCP-facilitated protein degradation, ER stress and adenosine monophosphate-activated protein kinase (AMPK) activation9,17. OSU-CG5 and resveratrol treatment led to a dose-dependent increase in β-TrCP expression, which led to the downregulation of its substrates, cyclin D1 and Sp1 (Figure 4). Furthermore, because AMPK inhibits mTOR-p70S6K signaling18, the increase in AMPK phosphorylation caused by OSU-CG5 and resveratrol was accompanied by a decrease in the levels of p-mTOR and p-p70S6K. The induction of ER stress by OSU-CG5 and resveratrol was demonstrated by the upregulation of two ER stress biomarkers, DNA damage- and growth arrest-inducible gene (GADD)153 and glucose-regulated protein (GRP)78 (Figure 2B). Moreover, OSU-CG5 inhibited Akt phosphorylation, which is known to trigger aerobic glycolysis through different mechanisms19,20. Akt inactivation might explain the enhanced inhibitory activity of OSU-CG5 on glucose utilization.
Figure 4.
The antiproliferative activity of OSU-CG5 in CRC cells is associated with energy restriction cellular responses. Western blot analysis of the expression levels of p-Akt, p-AMPK, β-TrCP, Sp1, Cyclin D1, p-mTOR, and p-p70S6K in HCT-116 cells after the indicated treatment for 48 h in RPMI-1640 medium supplemented with 10% FBS; 30 μg of total protein was loaded in each well.
Discussion
In the current study, we demonstrated the antitumor effects of OSU-CG5 in CRC cells through energy restriction. Compatible with its reported mode of action in prostate cancer cells21, OSU-CG5 mediates apoptosis in CRC cells through energy restriction and the subsequent induction of ER stress and apoptosis. Increasing knowledge of the pathogenesis of CRC has facilitated the identification of pathways that can be targeted by effective preventive and therapeutic strategies22,23,24. Among them, energy restriction represents a promising strategy due to the direct link between obesity and CRC25,26. Additionally, the efficacy of energy restriction as a promising chemotherapeutic strategy was supported by the finding that the inhibition of glycolysis by dietary caloric restriction or ERMAs, such as 2-DG, suppresses xenograft tumor growth in many animal models7,21.
Previous studies have suggested the importance of energy restriction employment in CRC25,26. Resveratrol is one of the compounds that have successfully changed the clinical course of patients with CRC through various mechanisms, including energy restriction27,28,29. On the other hand, OSU-CG5, by eliciting starvation-associated cellular responses through glucose uptake inhibition, has demonstrated a therapeutic value in targeting prostate cancer cells21.
Examination of the dose-dependent suppressive effects of OSU-CG5 compared to resveratrol on the viability of the CRC cell lines revealed differential antiproliferative potencies that paralleled the drug's inhibitory activities in glucose uptake (Figure 1B and 3). This OSU-CG5-induced cell death was, at least in part, attributable to apoptosis, as demonstrated by a dose-dependent increase in PARP cleavage. Both OSU-CG5 and resveratrol induced ER stress, and subsequently, apoptosis by eliciting starvation-associated cellular responses, such as the inhibition of Akt and the activation of AMPK; these results are in agreement with our previous finding that the ERMA OSU-CG12 suppressed prostate cancer and breast cancer cells through the induction of energy restriction9. ER stress, as indicated by the upregulation of GRP78 and GADD153, as well as the activation of AMPK, has been reported as a target for selective cancer cell killing during calorie restriction7,30. Additionally, the inhibition of the PI3K/Akt signaling pathway by OSU-CG5 was confirmed by its suppressive effect on Akt phosphorylation and its downstream targets, such as mTOR and p70S6K. This finding is in agreement with the reported inhibition of Akt phosphorylation by caloric restriction in Hi-Myc transgenic mice31.
Moreover, our results showed that OSU-CG5 can facilitate β-TrCP-mediated proteolysis, the hallmark of energy restriction execution in cells, similar to TZDs9. The activation of β-TrCP-mediated proteolysis of target proteins, including cyclin D1 and Sp1, leads to cell cycle arrest and the transcriptional repression of a series of genes involved in the oncogenic transformation in CRC32,33,34.
These data suggest that OSU-CG5 offers several advantages over resveratrol. First, it has a lower IC50 in suppressing the growth of CRC cells. Second, OSU-CG5 treatment in mice was not associated with any evidence of systemic toxicity21. In conclusion, OSU-CG5 has promising anti-tumor activities against CRC cells. This ERMA induces ER stress and apoptosis in CRC cells through energy restriction mimetic effects (Figure 5). These findings support further investigation to clinically validate the antitumor effects of OSU-CG5.
Figure 5.
Graphical abstract depicting the proposed anticancer mechanism of OSU-CG5 in colorectal cancer.
Author contribution
El-shaimaa A ARAFA and Hany A OMAR designed the research; El-shaimaa A ARAFA, Ahmed H ABDELAZEEM, Hany H ARAB, and Hany A OMAR performed the research; El-Shaimaa A ARAFA, Hany H ARAB, and Hany A OMAR analyzed the data; El-shaimaa A ARAFA, Hany H ARAB, and Hany A OMAR wrote the paper.
Abbreviations
2-DG, 2-deoxyglucose; CRC, colorectal cancer; DMSO, dimethyl sulfoxide; ERMAs, energy restriction mimetic agents; GADD153, growth arrest and DNA damage-inducible gene 153; GRP78, 78 kDa glucose-regulated protein; mTOR, mammalian target of rapamycin; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; PARP, poly (ADP-ribose) polymerase; TZDs, thiazolidinedione; β-TrCP, β-transducin repeat containing protein.
Acknowledgments
The current work was supported by grant No 1-434-2863 from the Deanship of Scientific Research, Taif University, Saudi Arabia. The authors would like to thank Dr Ching-shih CHEN at the Ohio State University for his insightful discussion and suggestions on the manuscript.
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