Abstract
Pituitary tumors account for 10% of intracranial cancer, and are difficult to treat with chemotherapy. The aim of the present study was to explore the role of matrine on the proliferation of pituitary cancer cells, as well as the molecular mechanism of matrine in progression and development of pituitary tumors. Matrine significantly suppressed the proliferation of pituitary cancer cells in a dose- and time-dependent manner. Western blotting results showed that the phosphorylation levels of AKT serine/threonine kinase (Akt) and forkhead box O3A (Foxo3a) decreased as the concentration of matrine increased. Matrine increased the nuclear localization of Foxo3a and the expression of proapoptotic genes, such as BCL2 like 11 and BCL2 associated X apoptosis regulator, and inhibited the levels of cytoplasmic Foxo3a. In conclusion, matrine promoted cell death of pituitary cancer cells and was involved in Akt/Foxo3a signaling pathway.
Keywords: pituitary cancer, matrine, Akt, Foxo3a, nuclear localization
Introduction
Pituitary tumors account for 10% of intracranial cancer, which is derived from the remnant cells in anterior pituitary, posterior pituitary and craniopharyngeal epithelium, and represents 10–15% of all intracranial tumors. Each patient with pituitary cancers should be given individually selected treatment approach (1). Normally, pituitary surgery is one of the biggest series including transcranial, transsphenoidal, and endoscopic techniques. Transsphenoidal surgery is usually considered as the first-choice therapy for most patients with pituitary tumors, which is an effective and safe treatment (2). Comprehensive therapy is gradually important among endocrinologists, ophthalmologists, and radiologists (3). Thus, it is helpful to clarify the pathogenesis and progression of pituitary tumors. The newly discovered reports are important to give us a clue to clarify the molecular mechanism of pituitary tumors. For example, histone deacetylases (HDAC) 11 had a key function in multiple cellular activities and HDAC11 suppressed P53 expression in pituitary tumor cells. Inhibition of HDAC11 had a therapeutic potential in the treatment of pituitary tumors (4). MiRNAs were involved in regulating the progression of pituitary tumors. MiRNA153 inhibited MMQ cell growth and promoted cell apoptosis by down-regulating Skp protein (5). Enhancer of zeste homolog 2 (EZH2) levels were associated with the invasiveness, proliferation, angiogenesis, hormone function in pituitary adenomas, which could be a useful diagnostic marker and pharmacotherapeutic target for malignant pituitary tumors (6). Thus, it is important to demonstrate the pathogenesis and progression of pituitary tumors and find an effective antitumor drug candidate for pituitary tumors.
To date, Chinese herb are widely used for thousands of human cancers in clinical therapy. Matrine is a major active compound and extracted from the dry roots of Sophora flavescens, which has been reported to possess potent antitumor activity in various human cancer cells. Matrine inhibited cell proliferation and induced apoptosis of human colon cancer cells in vitro by upregulating Bax, and downregulating Bcl-2 and releasing Cyto C from the mitochondria to the cytosol and activating caspase-3 and caspase-9 (7). This was consistent with the founding in breast cancers, which was found that matrine inhibited the growth and induced apoptosis of breast carcinoma MCF-7 cells (8). Moreover, matrine showed the suppression activity in the proliferation and metastasis of highly-metastatic breast cancer MDA-MB-231 cells via EGF/VEGF-VEGFR1-Akt-NF-kappaB signaling pathway (9). Matrine suppressed gastric cancer cell line MNK45 in a dose-dependent manner and the anti-tumor activity was associated with the modulation of the NF-kappaB, XIAP, CIAP, and p-ERK proteins expression in MNK45 cells (10,11). Autophagy, a new identified programmed cell death, played an important role in tumor progression. Zhang, J. found that matrine suppressed the proliferation of SGC-7901 gastric cancer cells and induced G1-phase cell cycle arrest by activating both autophagy and apoptosis in the therapy of gastric cancers (12). The microRNAs, a class of small, non-coding, regulatory RNAs were reported to be involved in the tumorigenesis of human cancers. In gastric cancer cell line SGC7901, matrine treatment induced considerable changes in the miRNA expression profiles of SGC7901 cells, which was involved in 57 identified enrichment pathways in tumorigenesis (13). In non-small lung cancer cell lines, matrine induced the cell arrest at G1/G0 phase and cell apoptosis by uperegulating the expression of miR126 (14).
Matrine, an alkaloid extracted from the Chinese herb Sophora flavescens Ait, may be a promising candidate drug in the therapy of human various cancers. However, the molecular mechanisms of matrine in pituitary cancer cells was not clearly clarified and the involved anti-tumor mechanism need to be further explored.
Materials and methods
Cell lines and agents
The mouse pituitary tumor cell line AtT-20 (CRL1795, ATCC) and rat pituitary GH3 tumor cell line RC-4B/C (cat. no: JN-C0859; Rongbai biological corporation, Shanghai, China) were cultured in Ham's F-10 nutrient mixture containing with 15% horse serum (cat. no: 26050070) and 2.5% fetal bovine serum (cat. no: 10099141), which were purchased from Thermo Fisher Scientific, Inc., Waltham, MA, USA. Rat pituitary tumor cells (cat. no: GH3 FS-C-0014) was purchased from Fengshou biological corporation (Shanghai, China). The cells were cultured in DMEM medium (Invitrogen; Thermo Fisher Scientific, Inc.) with 10% fetal bovine serum (Trace Scientific Ltd., Melbourne, Australia) at 37°C in an atmosphere of 95% air and 5% CO2. Matrine (cat. no: HY-N0164) was obtained from MedChemExpress (Shanghai, China) with purity of more than 99.80%. MTT agent was obtained from Sigma-Aldrich; Merck KGaA (Darmstadt, Germany).
MTT assay
Cell viability was determined by MTT assay. Briefly, the pituitary tumor cells pituitary RC-4B/C and rat pituitary tumor cells GH3 were plated into 96-well plate and cultured for 6 h. The cells were treated with different dose of matrine for 24 h. The concentrations of matrine were 0.1, 0.5 and 2.5 mg/ml, respectively. Matrine was dissolved with DMSO and the final concentration of DMSO in medium was 0.1%. The cells treated with 0.1% DMSO were used as negative controls. In the other experiment, RC-4B/C cells and GH3 cells were treated with 1.0 mg/ml of matrine for 24, 48 and 72 h, respectively. The cell viability was determined MTT assay and the survival rate of matrine-treated pituitary cancer cells was calculated by graphpad 5.0.
Nuclear and cytoplasmic protein extraction
The RC-4B/C cells were treated with different concentrations of matrine for 24 h. The total cells in each group were collected. The nuclear and cytoplasmic proteins were extracted by nuclear and cytoplasmic protein extraction kit (cat. no: P0027), which was purchased from Beyotime Institute of Biotechnology, (Haimen, China). The levels of cytoplasmic and nuclear of Foxo3a was detected by western blotting. Here, β-tublin was used as the marker in cytoplasm and lamin B1 was used as the internal reference in nucleus.
Western blot analysis
The western blotting was performed as described (15,16). The levels of p-Akt, total Akt, p-FoxO3a, total Foxo3a, Bim, Bax and Bcl-2 were detected by western blotting analysis. The antibodies used here were shown as follows: FoxO3a (75D8; cat. no: #2497) was a rabbit monoclonal antibody for FoxO3a protein and purchased from Cell Signaling Technology, Inc., (Danvers, MA, USA). The p-Akt antibody (cat. no: sc-7985-R, a rabbit polyclonal IgG) and Akt antibody (BDI111, cat. no: sc-56878, a mouse monoclonal IgG1) was purchased from Santa Cruz Biotechnology, Inc., (Dallas, TX, USA). Anti-Bim antibody [Y36] (ab32158) was a rabbit monoclonal IgG and purchased from Abcam Corporation. Bax (D2E11) rabbit mAb no: 5023 was a rabbit IgG and detected endogenous levels of total Bax protein, which was obtained from Cell Signaling Technology, Inc. Anti-Bcl-2 antibody [E17] (ab32124) was a rabbit monoclonal antibody and purchased from Abcam corporation. β-actin Antibody (C4) (cat. no: sc-47778) was a mouse monoclonal IgG1 and purchased from Santa Cruz Biotechnology, Inc. The ‘grey values’ was determined from scans of western blots according to software protocols. The software used for densitometry is Image J (v1.48; National Institutes of Health, Bethesda, MD, USA).
Statistical analysis
The data was analyzed with SPSS software v13 (SPSS Inc., Chicago, IL, USA). In the present study, two sets of independent samples were analyzed with the student's t-test. The multiple comparisons were analyzed by using ANOVA and Tukey test. The data was analyzed with t-test. The results were shown as mean ± standard deviations. P<0.05 was considered to indicate a statistically significant difference.
Results
Matrine inhibits cell proliferation of pituitary cancer cells
Firstly, we wanted to test whether matrine had inhibitory effects on the proliferation of pituitary cancer cells. The pituitary cancer cells RC-4B/C and GH3 were treated with increasing concentrations of matrine for 24 h and MTT assay was performed to detect cell viability of matrine-treated pituitary cancer cells. As shown in Fig. 1A, the survival rates of RC-4B/C cells and GH3 cells were significantly decreased in matrine-treated cells than that of 0.1% DMSO-treated cells (*P<0.05, **P<0.01, compared with 0.1% DMSO treated pituitary RC-4B/C cells and GH3 cells). There was no statistical difference between the cells treated with 0.1 mg/ml of matrine and 0.1% DMSO. Next, 1.0 mg/ml of matrine were used to treat pituitary cancer cells for 24, 48 and 72 h, respectively. As shown in Fig. 1B, the survival rates of RC-4B/C cells and GH3 cells significantly decreased in a time-dependent manner (*P<0.05, **P<0.01, compared with the survival rate in 24 h). All the data revealed that matrine inhibited cell proliferation of pituitary cancer cells in a dose- and time-dependent manner.
Matrine inhibits the phosphorylation levels of Akt and Foxo3a in RC-4B/C cells
Next, we further investigated the molecular mechanism that how matrine possessed the anti-tumor effects in RC-4B/C cells. Western blotting analysis was used to test whether matrine affected Akt signaling pathway. Briefly, RC-4B/C cells were treated with 0.1, 0.5 and 2.5 mg/ml of matrine for 24 h and the cells treated with 0.1% DMSO were used as negative controls. The levels of phosphorylated Akt, total Akt, phosphorylated Foxo3a and total Foxo3a were tested by western blotting analysis. As shown in Fig. 2, as the concentration of matrine increased, the expression of p-Akt and p-Foxo3a significantly decreased, while the levels of total Akt and total Foxo3a were not obviously changed. All the data showed that matrine regulated the proliferation of pituitary cancer cells probably by Akt/Foxo3a signaling pathway.
Matrine promotes the nuclear Foxo3a localization and inhibits the levels of cytoplasmic Foxo3a
FOXO3A, a transcription factors of the forkhead family, was phosphorylated and inactivated via PI3K/Akt signaling pathway. Next, we detected whether matrine induced the re-localization of Foxo3a in RC-4B/C cells. The cytoplasmic and nuclear proteins were extracted in matrine-treated RC-4B/C cells, as shown in Fig. 3, the levels of Foxo3a in nucleus gradually increased as the concentration of matrine increased in RC-4B/C cells, while the cytoplasmic Foxo3a level significantly decreased, suggesting that matrine treatment promoted the nuclear localization of Foxo3a by inhibiting the phosphorylation of Foxo3a.
Matrine increases the expression of pro-apoptotic proteins in RC-4B/C cells
It has reported that activated Foxo3a promoted cell apoptosis through expression of genes for cell death, such as Fas ligand (FasL), Bim and tumor necrosis factor related apoptosis-inducing ligand (TRAIL) etc. Then, we tested the expression of apoptosis related proteins in matrine-treated pituitary cancer cells. As shown in Fig. 4, RC-4B/C cells were treated with 0.1, 0.5 and 2.5 mg/ml of matrine for 24 h, and the levels of Bim, Bax and Bcl-2 were determined by western blotting analysis. The results demonstrated that matrine promoted the expression of Bim and increased the ratio of Bax/Bcl-2.
Discussion
Pituitary cancer is one of the genitourinary malignancies with high mortality that seriously threatens human health. The new approaches and drugs are being developed to improve quality of pituitary cancer patients. One of the important way to concur pituitary cancers is to clarify the mechanism of tumorigenesis and proliferation of pituitary cancer cells. In the present study, we explored the molecular mechanism of matrine in pituitary cancer cells, which could be used as an effective drug candidate in the clinical therapy of pituitary cancers.
Firstly, the anticancer activity of matrine in pituitary cancer cells were tested by MTT assay. We found that matrine inhibited cell viability of RC-4B/C cells and GH3 cells in a time-dependent and dose-dependent manner. The results demonstrated that matrine had potent antitumor activity in pituitary cancer cells. This was consistent with the results that matrine suppressed bladder tumor invasion in a rat model, which could be primarily mediated by regulating the expression of COX-2 and cPLA2 in the bladder (17). Furthermore, we explored the molecular mechanism of matrine in pituitary cancer cells by western blotting analysis. It has been reported that matrine regulated the cell proliferation of cancer cells by suppressing PI3K/Akt signaling pathways (18,19), Akt/Foxo pathway (20), Akt/m TOR/S6K and ERK1/2 signaling (21), which was detected in pituitary cancer cells. Then, we tested whether matrine was involved in regulating Akt/Foxo3a signaling pathway in the cell proliferation of pituitary cancer cells. The phosphorylated Foxo3a was translocated into cytoplasm and inhibited the down-stream gene expression, which inhibited cell apoptosis in various cancer cells. Luckily, the results demonstrated that as the concentration of matrine increased, the levels of p-Akt significantly decreased, as well as the levels of pFoxo3a in matrine-treated RC-4B/C cells. Moreover, we extracted the total nuclear and cytoplasmic proteins of matrine-treated RC-4B/C cells and tested the levels of Foxo3a by western blotting analysis. This result revealed that as the concentration of matrine increased, the level of Foxo3a in cytoplasm significantly decreased and the level of foxo3a in nucleus obviously increased. This was consistent with the expression of the downstream gene, bim, which obviously increased as the concentration of matrine increased in RC-4B/C cells.
However, there was a limitation in our study that we did not successfully identify and isolate the normal counterpart of pituitary tumor cells. Thus, we does not evaluate the matrine on normal pituitary tissue, and it remains unclear whether normal and neoplastic pituitary cells show a differential sensitivity to matrine. But, we had tested the role of Matrine in ‘normal’ liver cell line-L02 cells. The results demonstrated that Matrine had showed a dual effect on the growth of normal cells L02. At a lower concentration (0.1~0.4 mg/ml) of Matrine, the proliferation of L02 cells were significantly increased, especially being treated for 72 h. However, higher concentration of Matrine (more than 0.8 mg/ml) showed an increasing dose-dependent cytotoxicity in L02 cells (the data was unpublished). All the data demonstrated that lower concentration of Matrine might promote the cell proliferation of normal cells and higher concentration of Matrine could kill normal cells as well. Thus, it is an interesting question that how to increase the sensitivity of tumor cells to matrine but decrease the cytotoxic effects on normal cells, that would be a perfect anti-tumor reagent in pituitary tumor therapy. Intracranial pituitary tumors are generally small in size, deep in position, and not easy to observe and measure; moreover, the variability of tumor growth and the large tumor often oppress the lower part of the hypothalamus, which usually causes sudden death of the animal. Therefore, next, we would construct animal model of human transplantable pituitary tumor in nude mice by subcutaneous transplantation and treat them with different doses of Matrine to observe the dynamic change of tumor volume, and take the tumor tissue for molecular In-depth study of mechanism. This would help to further prove the anti-tumor effects of matrine. In conclusion, matrine induced cell death of pituitary cancer cells and the molecular mechanism results showed that the inhibition of cell proliferation might be involved in Akt/Foxo3a signaling pathway. Matrine could be used as a novel agent in clinical therapy of pituitary cancer patients.
Acknowledgements
Not applicable.
Funding
No funding was received.
Availability of data and materials
All data generated or analyzed during the present study are included in this published article.
Authors' contributions
LL and PG performed the literature analysis and designed the experiment. LL and SC performed the experimental studies. YS and LK performed data analysis. GL and LK were involved in the acquisition and interpretation of data.
Ethics approval and consent to participate
Not applicable.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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Data Availability Statement
All data generated or analyzed during the present study are included in this published article.