Abstract
Melanoma is one of the most aggressive skin cancers. Hypoxia contributes to the aggressiveness of melanoma by promoting cancer growth and metastasis. Upregulation of cyclin D1 can promote uncontrolled cell proliferation in melanoma, whereas stimulation of cytotoxic T cell activity can inhibit it. Epithelial mesenchymal transition (EMT) plays a critical role in melanoma metastasis. Hypoxia-inducible factor-1α (HIF-1α) is a main transcriptional mediator that regulates many genes related to hypoxia. CoCl2 is one of the most commonly used hypoxia-mimetic chemicals in cell culture. In this study, inhibitory effects of IDF-11774, an inhibitor of HIF-1α, on melanoma growth and metastasis were examined using cultured B16F10 mouse melanoma cells and nude mice transplanted with B16F10 melanoma cells in the presence or absence of CoCl2-induced hypoxia. IDF-11774 reduced HIF-1α upregulation and cell survival, but increased cytotoxicity of cultured melanoma cells under CoCl2-induced hypoxia. IDF-11774 also reduced tumor size and local invasion of B16F10 melanoma in nude mice along with HIF-1α downregulation. Expression levels of cyclin D1 in melanoma were increased by CoCl2 but decreased by IDF-11774. Apoptosis of melanoma cells and infiltration of cytotoxic T cells were increased in melanoma after treatment with IDF-11774. EMT was stimulated by CoCl2, but restored by IDF-11774. Overall, IDF-11774 inhibited the growth and metastasis of B16F10 melanoma via HIF-1α downregulation. The growth of B16F10 melanoma was inhibited by cyclin D1 downregulation and cytotoxic T cell stimulation. Metastasis of B16F10 melanoma was inhibited by EMT suppression.
Keywords: HIF-1α inhibitor, Inhibition of melanoma growth and metastasis, IDF11774
INTRODUCTION
Melanoma is one of the most aggressive skin cancers with high mortality, which is usually related to tumor refractoriness to conventional therapies and tumor metastasis (Schadendorf et al., 2018; Rebecca et al., 2020). Hypoxia contributes to drug resistance and tumor aggressiveness by promoting growth and metastasis of melanoma (D’Aguanno et al., 2021; Dratkiewicz et al., 2021; Singh et al., 2021). Drug resistance also contributes to tumor metastasis. Melanoma adapts to hypoxic conditions via upregulation of hypoxia-inducible factor-1 (HIF-1), particularly subunit α (Malekan et al., 2021). HIF-1α is a main transcriptional mediator that regulates many genes related to hypoxia. HIF-1α has been suggested as a biomarker for prognosis prediction and therapeutic efficacy monitoring in melanoma based on the fact that its signalings are involved in melanoma development (Michaylira and Nakagawa, 2006; Malekan et al., 2021). In addition, a multicenter cohort study has suggested that expression level of intratumor HIF-1α is associated with the aggressiveness of melanoma (Martínez-García et al., 2017). IDF-11774 as an inhibitor of HIF-1 can inhibit HIF-1α accumulation by stimulating its degradation under hypoxic conditions in colorectal cancer cells (Ban et al., 2017). However, data about the role of IDF-11774 in melanoma growth and metastasis are currently unavailable.
Tumor growth is linked to cell proliferation and cell death. Cyclin D1 is a key component involved in regulation of cell cycle. Expression levels and activities of cyclin D1 are strictly regulated in normal cells. However, dysregulation such as upregulation of cyclin D1 can promote uncontrolled cell proliferation, which has been identified in various cancers including melanoma (Koch et al., 2020; Tchakarska and Sola, 2020; González-Ruiz et al., 2021). In contrast, tumor cell proliferation can be inhibited by anti-tumor effect of CD8-positive T cells and their activities (Mahmoud et al., 2017; Pio et al., 2019). The role of hypoxia in immune escape has been identified (Barsoum et al., 2014; Li et al., 2018; Zou et al., 2018; Liu and Curran, 2020; Tittarelli et al., 2020; Van Duijn et al., 2022). For metastasis, melanoma needs to adapt to microenvironmental changes. Phenotype switching such as epithelial mesenchymal transition (EMT), which is a process acquiring mesenchymal features in epithelial cells, can be a major mechanism of melanoma metastasis, participating in key steps of metastatic cascade such as tumor migration and invasion (Pearlman et al., 2017; Vandyck et al., 2021; Nam et al., 2022).
This study examined the anti-cancer effect of IDF-11774, an inhibitor of HIF-1, on the growth and metastasis of melanoma. To investigate the anti-tumor effect of IDF-11774 more clearly, nude mouse model transplanted with B16F10 murine melanoma cells has been used as a transplantation animal model for such research (Shrayer et al., 1994; Kedinger et al., 2013) . Thus, both cultured B16F10 melanoma cells and nude mice transplanted with B16F10 melanoma cells were used for this study.
MATERIALS AND METHODS
Cell culture
HS936T and B16F10 melanoma cells were purchased from ATCC (Manassas, VA, USA) and Korean Cell Line Bank (Seoul, Korea), respectively. MNT1 cells were given as a gift from professor Tae-Jin Yoon (Department of Dermatology, Gyeongsang National University, Jinju, Korea). B16F10 melanoma cells were cultured in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin antibiotics. For normal human melanocyte culture, individual epidermal cells prepared from circumcision adult skin specimens were suspended in Medium 254 supplemented with bovine pituitary extract, fetal bovine serum, bovine insulin, hydrocortisone, basic fibroblast growth factor, bovine transferrin, heparin, and phorbol 12-myristate 13-acetate (Invitrogen, Carlsbad, CA, USA). All cultures were maintained under standard conditions in a 5% CO2 incubator at 37°C. For experiments, cells were cultured in each culture medium containing supplements for 24 h. These cells were then incubated with basal growth medium containing various concentrations of IDF-11774 in the presence or absence of CoCl2 (Sigma-Aldrich, St Louis, MO, USA) for 48-72 h.
Melanoma formation in nude mouse model
All animal experimental protocols were approved by the Institutional Animal Care and Use Committee (IACUC) of Dongguk University Ilsan Hospital (Approval Number: 2021-04217). Twenty 4- to 6-week-old female Balb/c nude mice were subcutaneously injected with 2×105 B16F10 cells suspended in 0.1 mL HEPES buffered saline to generate melanomas. When tumors grew to 100 mm3, IDF-11774 was administered orally to four groups of mice at 0, 10, 30, and 60 mg/kg (five mice per group) for 14 days. Mice were then euthanized and tumors were excised for measuring their volumes and immunofluorescence studies. Tumor volumes (V) were determined using the following equation: V (mm3)=(length×width×height)×0.5.
Cell viability and cytotoxicity test
For cell viability test, cells were incubated with 3-(4,5-dimethylthiazol-2yl)-2,5-diphenyltetrazolium bromide (MTT; Sigma-Aldrich) for 4 h. Precipitated formazan was dissolved in dimethyl sulfoxide (DMSO). The optical density was measured using a spectrophotometer at 570 nm with background subtraction at 630 nm. For cytotoxicity test, lactate dehydrogenase (LDH) activity in the culture medium was measured using a cytotoxicity detection kit (Roche, Penzberg, Germany) according to the manufacturer’s instructions. LDH release in supernatants of experimental cultures was determined by measuring optical density at 490 nm and then subtracting the optical density at 620 nm.
Western blot analysis
Equal amounts of extracted proteins were resolved and transferred to nitrocellulose membranes. Each membrane was incubated with one of the following antibodies: HIF-1α (mouse monoclonal; Abcam, Cambridge, UK), N-CAD, E-CAD (mouse monoclonal; Santa Cruz Biotechnology, Dallas, TX, USA), CYCLIND1, active CAS3, SNAIL (rabbit polyclonal; Cell Signaling Technology, Beverly, MA, USA), and β-Actin (mouse monoclonal; Sigma-Aldrich). After incubating with appropriate horseradish peroxidase-conjugated anti-mouse or anti-rabbit IgG antibodies (Thermo Fisher Scientific, Pittsburgh, PA, USA) and enhanced chemiluminescence solution (Thermo Fisher Scientific), signals were captured with an image reader (LAS-3000; Fuji Photo Film, Tokyo, Japan). Protein bands were then analyzed by densitometry.
Immunofluorescence staining
Biopsied skin specimens were fixed with 4% paraformaldehyde (Sigma-Aldrich) at room temperature for 24 h, embedded in paraffin wax, and then sectioned into 4-μm thick samples. After deparaffinization and rehydration, samples were preincubated with 3% bovine serum albumin. Cultured cells were fixed with 2% paraformaldehyde at room temperature for 20 min. Tissue samples or fixed cells were reacted with anti-HIF-1α, CD8, N-CAD, or SNAIL antibody and then incubated with Alexa Fluor-labelled goat anti-mouse IgG (488; Molecular Probes, Eugene, OR, USA) or Alexa Fluor-labelled goat anti-rabbit IgG (488; Molecular Probes). Nuclei were counterstained with Hoechst 33258 (Sigma-Aldrich). Fluorescence images were evaluated using an image analysis system (Dp Manager 2.1; Olympus Optical Co., Tokyo, Japan) and a Wright Cell Imaging Facility (WCIF) ImageJ software (http://www.uhnresearch.ca/facilities/wcif/imagej).
TUNEL assay
Cell apoptosis was analyzed with a terminal deoxynucleotidyl transferase dUTP nick end-labeling (TUNEL) assay using a Click-iT® TUNEL Alexa Fluor Imaging Assay Kit (Thermo Fisher Scientific) according to the manufacturer’s instructions. Briefly, 4 μm sections of tumor masses extracted from melanoma-bearing mice in each treatment group were immersed in 0.25% Triton® X-100 phosphate-buffered saline (PBS) solution. After washing with PBS, sections were stained with terminal deoxynucleotidyl transferase reaction cocktail for 1 h at 37°C and then washed with PBS. After washing, Click-iT reaction cocktail and Hoechst 33342 were used to stain sections in the dark to label apoptotic cells. After staining, Hoechst 33342 and Alexa Fluor® 488 fluorescence were observed with a fluorescence microscope (Olympus Optical Co.). For quantitative measure of apoptosis, four random fields were photographed, and numbers of apoptotic cells and total cells were counted.
Statistical analysis
Data are presented as mean ± standard deviation (SD) from at least four independent experiments. Data were analyzed using the paired Student’s t-test. Differences were considered statistically significant when p value was less than 0.05.
RESULTS
IDF-11774 reduces CoCl2-induced HIF-1α upregulation in cultured B16F10 melanoma cells
Constitutional expression levels of HIF-1α protein in three kinds of melanoma cell lines and epidermal melanocytes from two different healthy individuals were examined. B16F10 melanoma cells expressed HIF-1α protein as other human melanoma cell lines, such as HS936T and MNT1 (Fig. 1A). On the other hand, there was negligible levels of HIF-1α protein expression in primary cultured normal human melanocytes (Fig. 1A). To estimate appropriate concentrations of IDF-11774 for this study, cell viability and cytotoxicity were examined using B16F10 melanoma cells treated with different concentrations of IDF-11774. MTT assay suggested that survival of B16F10 melanoma cells was reduced by IDF-11774 in a dose-dependent manner despite a significant reduction of survival by IDF-11774 at high concentrations of 7 mM and 10 mM (Fig. 1B). LDH assay showed that IDF-11774 had a significant cytotoxic effect at concentrations higher than 2.5 mM (Fig. 1B). Expression of HIF-1α protein was reduced by IDF-11774 in a dose-dependent manner (Fig. 1C). Based on these results, IDF-11774 concentrations of 2.5 mM and 5.0 mM were chosen for the following experiments. CoCl2 is one of the most commonly used hypoxia-mimic chemicals in cell culture (Muñoz-Sánchez and Chánez-Cárdenas, 2019; Nowak-Stępniowska et al., 2022). Therefore, hypoxic condition was prepared using CoCl2 in the present study. Western blot analysis showed that expression levels of HIF-1α were significantly increased by CoCl2. However, they were reduced by IDF-11774 treatment (Fig. 1D). Immunofluorescence staining also displayed that stronger staining intensities against anti-HIF-1α antibody induced by CoCl2 were restored by IDF-11774 in B16F10 melanoma cells (Fig. 1E). IDF-11774 decreased melanoma cell survival, but increased their cytotoxicity at lower concentrations in the presence of CoCl2-induced hypoxia than those in the absence of CoCl2-induced hypoxia (Fig. 1F).
IDF-11774 decreases size and local invasion of B16F10 melanoma in nude mice along with HIF-1α downregulation
IDF-11774 increased cytotoxicity but reduced cell survival and HIF-1α expression in cultured B16F10 melanoma cells (Fig. 1D-1F). Therefore, the anti-tumor effect of IDF-11774 was examined in a B16F10 melanoma-bearing animal model. Sizes of tumor masses in B16F10 melanoma-bearing nude mice, which were measured for two weeks, were decreased by IDF-11774 in a dose-dependent manner (Fig. 2A). Light microscopy after staining with hematoxylin and eosin (H&E) suggested that tumor was not circumscribed, but infiltrated neighboring tissues in untreated control melanoma, whereas it was circumscribed with numerous empty spaces in melanoma treated with IDF-11774 (Fig. 2B). Immunofluorescence staining showed much weaker staining intensities against anti-HIF-1α antibody after treatment with IDF-11774 (Fig. 2C).
IDF-11774 decreases cyclin D1 expression but increases apoptosis and cytotoxic T-cell infiltration in B16F10 melanoma
To examine the mechanism involved in the reduction of tumor size by IDF-11774 (Fig. 2A), the role of IDF-11774 in proliferation and apoptosis of B16F10 melanoma cells was examined using cultured cells and an animal model. Immunofluorescence staining using anti-cyclin D1 antibody showed weaker staining intensities in IDF-11774-treated melanoma than in untreated melanoma (Fig. 3A). Repression of cyclin D1 expression by IDF-11774 was also shown in cultured B16F10 melanoma cells, which was increased by CoCl2, in a dose-dependent manner (Fig. 3B). In contrast, the number of TUNEL-positive cells was increased in IDF-11774-treated melanoma (Fig. 3C). Levels of active caspase-3 were increased by CoCl2. They were also increased in cultured B16F10 by IDF-11774 in a dose-dependent manner (Fig. 3D). Immunofluorescence staining using anti-CD8 antibody suggested stronger staining intensities in IDF-11774-treated melanoma than in untreated melanoma (Fig. 3E).
IDF-11774 downregulates EMT in B16F10 melanoma
H&E staining of untreated B16F10 melanoma suggested local invasion of tumor cells (Fig. 2B). Invasion is considered as one of the key steps of cancer metastatic cascade (Vandyck et al., 2021). EMT has been regarded as a major event for metastasis (Pearlman et al., 2017; Vandyck et al., 2021; Nam et al., 2022). Therefore, the effect of IDF-11774 on expression of E-cadherin, N-cadherin, and SNAIL was examined. Western blot analysis showed that expression levels of N-cadherin and SNAIL proteins were increased, whereas those of E-cadherin were decreased by CoCl2. However, IDF-11774 restored expression levels of these proteins changed by CoCl2 (Fig. 4A). Immunofluorescence staining using anti-N-cadherin and SNAIL antibodies suggested similar changes in cultured B16F10 melanoma cells (Fig. 4B). Expression levels of N-cadherin and SNAIL were lower in IDF-11774-treated melanoma than in untreated melanoma (Fig. 4C, 4D).
DISCUSSION
Expression of HIF-1α was detected in all three melanoma cell lines examined in this study, either mouse (B16F10) or human (Hs936T and MNT1) origin. HIF-1α expression levels were much lower in normal human melanocytes (Fig. 1A). HIF-1α is a main transcriptional mediator in tissue hypoxia (Malekan et al., 2021). Higher constitutive expression of HIF-1α in melanoma cells suggests that melanoma cells can adapt to hypoxic conditions better than normal melanocytes. Hypoxic conditions can be prepared by decreasing oxygen concentrations in cell culture using hypoxia chambers and incubators. However, due to access difficulty to such equipment in many laboratories, hypoxia-mimetic agents have been used as alternative models. CoCl2 is one of the most commonly used hypoxia-mimetic chemicals in cell culture (Muñoz-Sánchez and Chánez-Cárdenas, 2019; Nowak-Stępniowska et al., 2022). Upregulation of HIF-1α in B16F10 melanoma cells induced by CoCl2 (Fig. 1D, 1E) indicates the remarkable adaptability of B16F10 melanoma cells to hypoxia. IDF-11774 decreased the survival but increased cytotoxicity of melanoma cells with or without CoCl2-induced hypoxic conditions (Fig. 1B, 1F). Because IDF-11774 reduced HIF-1α levels under the same conditions (Fig. 1C-1E), IDF-11774 might play a role in decreasing cell survival via HIF-1α downregulation. These in vitro effects of IDF-11774 on cell survival and cytotoxicity were also found in nude mice inoculated with B16F10 mouse melanoma cells. Oral administration of IDF-11774 recued the size of tumor mass and HIF-1α expression levels in nude mice in a dose-dependent manner (Fig. 2A, 2C).
Significant increases of cyclin D1 expression levels were paralleled with increased expression of HIF-1α in CoCl2-treated B16F10 melanoma cells (Fig. 3B). These results suggest that uncontrolled melanoma cell proliferation induced by cyclin D1 (Koch et al., 2020; González-Ruiz et al., 2021) can occur under hypoxic condition via HIF-1α. Correlation between cyclin D1 and HIF-1α target genes in melanoma (Koch et al., 2020) supports this result. Downregulated expression levels of CoCl2-upregulated cyclin D1 by IDF-11774 (Fig. 3A, 3B) also suggests an inhibitory effect of IDF-11774 on melanoma cell proliferation via cyclin D1 inhibition as a possible mechanism for its anti-tumor effect.
In addition, increased (despite not significant) number of TUNEL-positive cells (Fig. 3C) and increased expression levels of active caspase 3 (Fig. 3D) indicate stimulatory role of IDF-11774 in apoptosis of B16F10 melanoma cells. Tumor antigen-specific cytotoxic T cells play important role in cell apoptosis (Mahmoud et al., 2017; Pio et al., 2019). Immune escape from cytotoxic T cells is essential for survival and proliferation of melanoma cells. It is known that hypoxia contributes to immune escape of cancer cells including melanoma (Barsoum et al., 2014; Li et al., 2018; Liu and Curran, 2020; Van Duijn et al., 2022). The tumor nest was packed with melanoma cells in untreated melanoma, whereas melanoma treated with IDF-11774 had numerous clefts and fissures (Fig. 3E). In contrast, staining intensities against CD8+ T cells were weak in untreated melanoma, whereas they were distinct in melanoma treated with IDF-11774 (Fig. 3E). These results suggest contributory role of hypoxia but an inhibitory role of IDF-11774 in immune escape of melanoma cells from cytotoxic T cells.
EMT is one of the main mechanisms for melanoma invasion and metastasis. Epithelial markers such as cytokeratins, E cadherin, and occludins are downregulated, whereas mesenchymal markers such as N-cadherin, vimentin, and fibronectin are upregulated in EMT (Kim et al., 2015; Pearlman et al., 2017; Vandyck et al., 2021; Nam et al., 2022). Decreased E-cadherin expression levels but increased N-cadherin expression in B16F10 melanoma cells under CoCl2-induced hypoxic condition (Fig. 4A, 4B) indicate EMT stimulation by hypoxia. In fact, hypoxia can promote EMT in melanoma by upregulating EMT transcription factors including SNAIL (Cheli et al., 2012) as shown in cultured B16F10 melanoma cells under CoCl2-induced hypoxia (Fig. 4A-4D). Restoration of both upregulated and downregulated above-described markers by IDF-11774 suggests an inhibitory role of IDF-11774 in metastasis of melanoma cells via suppression of EMT. Distant metastasis was not examined in two weeks after inoculating cultured B16F10 melanoma cells into nude mice. However, histopathologic findings of more circumscribed tumor boundaries in IDF-11774-administered mice compared to untreated control (Fig. 2B) might support an inhibitory effect of IDF-11774 on local invasiveness of B16F10 melanoma via EMT suppression.
In summary, IDF-11774, an inhibitor of HIF-1, can inhibit the growth and metastasis of B16F10 melanoma via HIF-1α downregulation. The growth of B16F10 melanoma was inhibited by cyclin D1 downregulation and cytotoxic T cell stimulation. B16F10 melanoma metastasis was inhibited by EMT suppression.
ACKNOWLEDGMENTS
This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HP20C0131). This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. NRF 2018R1A5A2023127).
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