Abstract
Background/Aim: The aim of the present study was to evaluate the anti-cancer effect of magnolol in hepatocellular carcinoma (HCC) cells in vitro. Materials and Methods: HCC SK-Hep1 cells were treated with different concentrations of magnolol or PD98059 [extracellular-signal-regulated kinase (ERK) inhibitor] for 48 h, and then cell viability, apoptosis, signal transduction, expression of anti-apoptotic and metastasis-related proteins, and cell invasion were investigated by [3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] (MTT) assay, flow cytometry, nuclear factor kappa B (NF-ĸB) reporter gene, western blotting, and cell invasion assays. Results: Magnolol significantly induced accumulation of sub-G1 phase and caspase-3 activation and inhibited NF-ĸB activation, cell invasion, expression of phosphorylated ERK (pERK), anti-apoptotic and metastatic-related proteins. ERK inactivation was required for magnolol-induced inhibition of metastatic potential of SK-Hep1 cells. Conclusion: Taken together, these results indicated that magnolol not only induced apoptosis, but also inhibited ERK-modulated metastatic potential of HCC SK-Hep1 cells.
Keywords: Magnolol, extracellular-signal-regulated kinase, apoptosis, hepatocellular carcinoma
Hepatocellular carcinoma (HCC), a primary malignancy of the liver, is often diagnosed at an advanced stage resulting in poor prognosis (1). Active anti-apoptotic mechanisms and metastasis are contributed to treatment failure in HCC (2,3). However, HCC has been known to be resistant to conventional chemotherapy and radiotherapy (4). Multi-kinase inhibitors including sorafenib and regorafenib are used for the treatment of advanced HCC. Previous studies presented that both sorafenib and regorafenib not only induced apoptosis, but also inhibited the metastasic potential of HCC cells in vitro and in vivo (5,6). Therefore, development of novel agents that induce apoptosis and inhibit the metastatic potential may offer benefits for patients with HCC.
Herbal medicine has a long history in the treatment of liver disease. Many herbal compounds have been indicated to suppress HCC proliferation, survival, and metastasis through induction of apoptosis and inhibition of signaling transduction which participates in tumor progression (7-9). In addition, some studies reported herbal medicine combined with chemotherapy to improve survival and tumor response compared to chemotherapy alone in the treatment of patients with HCC (10). Shenqi mixture (SQM), a herbal composite formula obtained from Ginseng root and Mongolian milkvetch root, combined with microwave coagulation was also used for the treatment of HCC. The combination of SQM and microwave coagulation not only killed the tumor and prevented recurrence, but also promoted life quality and prolonged survival of patients (11).
Magnolol, a multifunctional component derived from Chinese herb Magnolia officinalis, has been shown to possess anti-viral, anti-inflammatory, anti-microbial, cardiovascular and neuroprotective effects (12,13). Magnolol-induced apoptosis in different types of cancer cells, including lung, colon, and prostate cancer cells was also presented (14). Magnolol triggers apoptosis by inducing extrinsic and intrinsic apoptotic pathways in HCC (15). However, the anti-metastatic effect of magnolol in HCC is ambiguous. Therefore, this study investigated whether magnolol induces apoptosis and inhibits metastatic potential in HCC.
Keywords: Magnolol, extracellular-signal-regulated kinase, apoptosis, hepatocellular carcinoma
Materials and Methods
Reagents. Magnolol, MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide) and dimethyl sulfoxide (DMSO) were purchased from Sigma-Aldrich (St. Louis, MO, USA). Magnolol was dissolved by DMSO and prepared as stock at 10 mM. Matrigel matrix was purchased from Corning Incorporated (Corning, NY, USA). Extracellular signal-regulated kinases (ERK) inhibitor PD98059 was bought from Selleckchem (Houston, TX, USA). jetPEI™ transfection agent was purchased from Polyplus Transfection (Illkirch, Bas-Rhin, France). D-luciferin was obtained from Promega (Madison, WI, USA).
Cell culture. Human hepatocellular carcinoma SK-Hep1 cells were given by professor Jing-Gung Chung at Department of Biological Science and Technology, China Medical University (Taichung, Taiwan). Cells were maintained in Dulbecco’s Modified Eagle Medium (DMEM) with 10% fetal bovine serum and 1% penicillin-streptomycin (100 μg/ml) at 37˚C under a humidified atmosphere of 95% air and 5% CO2. (Gibco™, Thermo Fisher Scientific Inc., Waltham, MA, USA).
Plasmid transfection and stable clone selection. NF-ĸB luciferase reporter vector (pNF-ĸB/luc2) was bought from Promega (Madison, WI, USA). 1×106 SK-Hep1 cells were seeded into 10 cm dish and incubated overnight. Cells were transfected with pNF-ĸB/luc2 using jetPEI™ transfection agent using a commercially available kit under the manufacturer’s instructions as described in our previous study (16). After transfection, cells were maintained in culture medium supplemented with 200 μg/ml of hygromycin B for two weeks. After hygromycin B selection, survival clones were maintained in culture medium containing 50 μg/ml of hygromycin B and the function of NF-ĸB reporter gene was monitored by using Xenogen IVIS imaging system 200 series (Xenogen, Alameda, CA, USA).
MTT assay. MTT was prepared as 50 mg/ml stock with phosphate-buffered saline (PBS). 3×104 SK-Hep1 cells were seeded in 96-well plates for 24 h, then 70% confluent cells were treated with various concentrations of magnolol (0-150 μM in 0.1% DMSO) for another 48 h. Medium of each well was then replaced by fresh medium with MTT reagents (DMEM medium:MTT=9:1) and incubated for 4 h. Before absorbance measurement, medium was replaced by DMSO and placed on a shaker for 10 min (3). The absorbance of each well was measured at 570 nm by using a Tecan Sunrise Absorbance Microplate Reader (Tecan Group Ltd., Männedorf, Switzerland).
Cell cycle analysis. 2×105 SK-Hep1 cells were cultured overnight in 12-well plates and then treated with 0, 50 and 100 μM of magnolol for 48 h. After magnolol treatment, cells were harvested by centrifugation, fixed with 75% ethanol and stored at –20˚C overnight. Cells were then stained by propidium iodide (PI) buffer (40 μg/ml PI, 100 μg/ml RNase and 1% Triton X-100 in PBS) for 30 min and analyzed by using flow cytometry (FACSCalibur; Becton-Dickinson, Franklin Lakes, NJ, USA) as previously described (16). The sub-G1 phase was defined as the apoptotic population of cells, and the quantification analysis was performed by FlowJo 7.6.1 system.
Caspase-3 activity assay. 2×105 SK-Hep1cells were seeded in 12-well plates and maintained overnight. Then, cells were administrated with 0, 50 and 100 μM magnolol, respectively, for 48 h and collected for evaluation of caspase-3 activity. Cells were resuspended and stained with FITC-DEVD-FMK buffer (1 μl (FITC-Asp(OCH3)-Glu(OCH3)-Val-Asp(OCH3)-fluoromethyl ketone (DEVD-FMK) antibody in 300 μl PBS) at 37˚C for 30 min. Cells were then washed with caspase-3 wash buffer provided from CaspGLOW™ Fluorescein Active Caspase-3 Staining Kit (BioVision Research Products, Palo Alto, CA, USA). Finally, the activation of caspase-3 was analyzed by flow cytometry as described by Chiang et al. (2).
NF-ĸB reporter gene assay. SK-Hep1/NF-ĸB/luc2 cells were seeded into 96-well plates with 2×104 cells/well and maintained overnight. Cells were treated with different concentrations of magnolol (0-150 μM) or PD98059 (0-20 μM) for 48 h. After drug administration, 100 μl of 500 μM D-luciferin was added to each well and plates were incubated in the dark for 5 min. The NF-ĸB activation of SK-Hep1/NF-ĸB/luc2 cells was finally determined by IVIS imaging system at an acquisition time of 1 min. Subsequently, cell viability in each well was evaluated with MTT assay and used to standardize relative NF-ĸB activity (5).
Western blot. 3×106 SK-Hep1 cells were grown overnight in 10 cm dishes and then treated with 0, 50 and 100 μM magnolol or 15 μM PD98059 for 48 h, respectively. After treatments, proteins from cells were extracted using lysis buffer (50 mM Tris- HCl pH 8.0, 120 mM NaCl, 0.5% NP-40, and 1 mM phenylmethanesulfonyl fluoride). Equal amount of proteins were separated by electrophoresis in 8-12% SDS-PAGE gels, transferred to PVDF membranes and blocked by 5% fat free milk. Membranes were probed with any of anti-survivin (ab76424, Abcam plc., Cambridge, UK), anti-X-linked inhibitor of apoptosis protein (XIAP) (PA5-29253, Thermo Fisher Scientific), anti-MMP2 antibody (ag0549, ProteinTech Group Inc., Chicago, IL, USA), anti-MMP-9 antibody (ab 19016, EMD Millipore Corporation, Burlington, MA, USA), anti-Erk1/2 antibody clone MK12 (sc-154, Santa Cruz Biotechnology, Inc. Dallas, TX, USA), anti-phospho-Erk1/2 antibody (Thr202/Tyr204, Thr185/Tyr187, Cell Signaling Technology, Inc., Danvers, MA, USA), anti-uPA antibody (ab169754, Abcam plc.), or anti-beta actin antibody (sc-47778, Santa Cruz Biotechnology, Inc.), washed, and incubated with secondary antibodies coupled to horseradish peroxidase. The PVDF membranes were interacted with Immobilon Western Chemiluminescent HRP Substrate kit (Pierce, Rockford, IL, USA), and protein bands were then visualized and quantified by ChemiDoc MP Imaging System (Bio-Rad Laboratories, Inc., Hercules, CA, USA) (17).
Transwell invasion assay. 8 μm pore size transwell insert was coated with 50 μl matrigel solution (matrigel diluted 1:1 with DMEM) and placed overnight at a 37˚C incubator. 3×106 SK-Hep1 cells were cultured overnight in 10 cm dishes and treated with 0, 50 and 100 μM magnolol or 15 μM PD98059 for 48 h. After treatments, trypan blue was used to rapidly evaluate cell viability and then 1×106 viable cells were collected by centrifugation and resuspended in 1 ml serum-free DMEM. The upper chamber of the transwell insert was filled with 100 μl cell suspension and the lower chamber with 200 μl DMEM containing 10% serum and incubated for another 48 h at 37˚C in a CO2 incubator. After incubation, cells that invaded the transwell membrane were fixed with a mixture of 3:1 methanol and acetic acid and stained with 3% crystal violate, air-dried for 15 min and then photographed with a microscope (Nikon ECLIPSE Ti-U) at ×100 and quantified by ImageJ software (version 1.50, National Institutes of Health, Bethesda, MD, USA) (18).
Statistical analysis. The individual comparison between groups was performed by Student’s t-test. Generally, graphs represent mean±SE with relevant p-values. p<0.05 was considered as significant, and where applicable, p<0.01 is denoted. Graphs and analyses were completed with Sigma plot software (version 10.0).
Results
Magnolol induced cytotoxicity, apoptosis, and diminished expression of anti-apoptotic proteins in SK-Hep1 cells. MTT assay, detection of cell-cycle distribution and caspase-3 activity, and western blotting were used to evaluate the effect of magnolol on cell viability and apoptosis in SK-Hep1 cells. In Figure 1A, the cytotoxicity of magnolol in SK-Hep1 cells was dose-dependently increased by 0-150 μM magnolol treatment. Both sub-G1 population and caspase-3 activity were significantly increased by 20-40% after magnolol treatment compared to control (vehicle treatment) (Figure 1B, C). Additionally, the protein levels of survivin and XIAP, which play critical roles in the anti-apoptotic mechanisms, were both significantly reduced by magnolol treatment (Figure 1D). It was shown that cytotoxicity and apoptosis activity were increased and expression of anti-apoptotic proteins was reduced by magnolol.
PD98059, ERK inhibitor reduced NF-ĸB activation and expression of metastasis related proteins in SK-Hep1 cells. In order to verify the role of ERK inactivation on anti-metastatic mechanisms in HCC, SK-Hep1 cells were treated with different concentrations (0-20 μM) of PD98059 for 48 h, and then NF-ĸB activation and expression of metastasis-related proteins were evaluated by NF-ĸB reporter gene assay and western blotting. As shown in Figure 2A, ERK inhibitor, PD98059 significantly induced dose-dependent cytotoxicity in SK-Hep1 cells. As shown by the NF-ĸB reporter gene assay, PD98059 markedly suppressed NF-ĸB activation by 20-50% as compared to control group (Figure 2B). Moreover, expression of metastatic related proteins, such as MMP-2, MMP-9 and uPA were all suppressed by PD98059 (Figure 2C). As expected, PD98059 also induced ERK dephosphorylation in SK-Hep1 cells.
Magnolol diminished NF-ĸB activation and expression of metastasis related proteins via ERK dephosphorylation in SK-Hep1 cells. Magnolol significantly decreased NF-ĸB activation by 16-43% compared to the control group (Figure 3A). Western blot was used to investigate the effect of magnolol on the expression of metastasis related proteins in SK-Hep1 cells. The protein levels of MMP2, MMP9 and uPA were significantly decreased by magnolol (Figure 3B). ERK phosphorylation was also reduced with magnolol by 40%. In sum, magnolol could inhibit the ERK-mediated NF-ĸB activation and expression of metastasis related proteins in HCC.
Magnolol suppressed the invasion ability of SK-Hep1 cells via blockage of ERK activation. To determine whether the invasion capacity of HCC was down-regulated by magnolol treatment, a transwell invasion assay was performed. In Figure 4A, the number of invading cells was noticeably decreased in the magnolol treated group. As displayed in Figure 4B, PD98059 also significantly suppresses the invasion capacity of SK-Hep1 cells. Here, magnolol diminished the invasion ability of HCC via blockage of ERK activation.
Discussion
Magnolol induces apoptosis through intracellular calcium accumulation, B-cell lymphoma 2 (BCL-2) down-regulation, and death receptor Fas-initiated extrinsic apoptotic pathway in HCC HepG2 cells (15). Both survivin and XIAP, member of the inhibitor of apoptosis protein (IAP) family, modulate anti-apoptotic response and contribute to anti-cancer drug resistance. XIAP directly binds to the active site of caspase-3 leading to inhibition of caspase-3-induced DNA fragmentation. Survivin plays a critical role in apoptosis inhibition and cell cycle progression (19-20). Overexpression of both XIAP and survivin correlates with poor prognosis in patients with HCC (21-22). As shown in Figure 1, magnolol significantly induced apoptosis and diminished protein levels of survivin and XIAP in SK-Hep1 cells. Magnolol not only induced apoptosis, but also inhibited the anti-apoptotic potential of HCC.
The overall survival of metastatic HCC patients is poor (23). Tumor metastasis is modulated by metastasis related proteins, such as matrix metalloproteinase-2 (MMP-2), matrix metalloproteinase-9 (MMP-9), and urokinase-type plasminogen activator (uPA). MMP-2 and MMP-9, 72 kDa type IV collagenase and 92 kDa type IV collagenase, elevate the invasive or metastatic ability of cancer cells through degradation of the basement membrane. uPA, a serine protease, activates conversion of plasminogen to protease plasmin which degrades extracellular matrix (ECM) and basement membrane (24). Overexpression of metastasis related proteins is associated with the invasiveness, metastasis, and prognosis of HCC (25-27). Magnolol inhibits cell invasion and protein levels of MMP-2 and MMP-9 in prostate cancer and cholangiocarcinoma (28-29). We also presented that magnolol decreased protein expression of MMP-2, MMP-9, and uPA and suppressed cell invasion in SK-Hep1 cells (Figure 3B and 4A).
NF-ĸB (p50/p65 transcription factor heterodimer) activation is essential for tumor metastasis because activated NF-ĸB up-regulates expression of metastasis related proteins encoded by NF-ĸB target genes (30). Extracellular signal-regulated kinase (ERK), mitogen-activated protein kinase, regulates NF-ĸB-modulated metastasis potential in HCC. Previous studies showed that ERK dephosphorylation inhibited NF-ĸB-modulated cell invasion and expression of metastasis-related proteins in HCC SK-Hep1 and Huh7 cells (5,31). Liu et al., found that magnolol suppressed NF-ĸB-modulated breast cancer cell invasion, but had no effect on ERK activation (32). Some studies presented magnolol to mediate cell cycle arrest through inducing ERK phosphorylation in bladder and colon cancer cells (33-34). High expression of pERK is linked to poor prognosis and may serve as a potential therapeutic target in HCC (35-36). In addition to inhibition of NF-ĸB-modulated metastatic potential, magnolol also induced ERK dephosphorylation in HCC SK-Hep1 cells (Figures 3A, B, 4A). In conclusion, this study demonstrated that magnolol could be a therapeutic adjuvant treatment, that induced apoptosis and inhibited ERK-modulated metastatic potential in HCC.
Conflicts of Interest
The Authors declare no competing financial interests regarding this study.
Acknowledgements
The present study was supported by the Taipei Cathay General Hospital (grant no. CGH-MR- A10330, CGH-MR- A106019, CGH-MR-A10407), the Yilan National Yang-Ming University Hospital (grant no. RD2018-019) The Authors acknowledge the technical services provided by Clinical Medicine Research Laboratory of National Yang-Ming University Hospital and Translational Laboratory.
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