Abstract
Taurine displays anti-tumor activity in some kinds of human cancers. However, the underlying mechanisms are poorly understood. Epstein-Barr virus-related nasopharyngeal carcinoma (NPC) is a distinctive type of head and neck cancer in Southeast Asia with the highest incidence in South China. We examined an apoptosis-inducing effect of taurine against NPC cells (HK1 and HK1-EBV) to clarify the mechanisms of anti-tumor effects of taurine by immunocytochemical methods. We observed that taurine induced cleavage of caspase-9/3 in a concentration-dependent manner, suggesting the involvement of mitochondrial apoptotic signals. Both PTEN and p53 activation were detected in a dose-dependent manner after taurine treatment in NPC cells. In conclusion, taurine may play an anti-tumor role by activating tumor suppressor PTEN and p53.
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1 Introduction
Taurine (2-aminoethanesulfonic acid) is a natural amino acid, expressed widely in mammalian tissues (Schaffer and Kim 2018). Several studies have demonstrated that taurine possesses anti-tumor properties through inhibiting cell proliferation and inducing apoptosis in certain cancers by upregulating pro-apoptotic and downregulating anti-apoptotic proteins (Choi et al. 2015; Ibrahim et al. 2018; Tang et al. 2015; Tu et al. 2018; Zhang et al. 2014).
Nasopharyngeal carcinoma (NPC) is a distinctive type of head and neck malignancy, with the incidence rising to 15–50 cases per 100,000 in the southern regions of China (McDermott et al. 2001) while the frequency in Caucasians in other countries is less than one case per 100,000 person-years (Yao et al. 2017). The etiology of NPC is multifactorial. Latent Epstein–Barr virus (EBV) infection, environmental carcinogens, and genetic factors play important roles in the development of NPC (Tsao et al. 2014). There is an urgent need to develop novel preventive and therapeutic strategies.
Our recent study has demonstrated that taurine can inhibit the proliferation and induce apoptosis in NPC cell lines (HK1 and HK1-EBV) in a concentration-dependent manner, as detected by MTT assay and flow cytometer (He et al. 2018). More importantly, taurine exerts a significant suppression of cell proliferation in NPC cell lines without toxic effects on normal nasopharyngeal epithelial cells under 32 mM of taurine for 48 h. Therefore, we decided upon the conditions of taurine treatment (0–32 mM for 48 h) for the current experiments.
In this study, we investigated the effects of taurine on apoptosis in NPC cells by detecting cleaved caspase 9/3 by immunocytochemistry. Tumor suppressor proteins, such as phosphatase and tensin homolog (PTEN) and p53, are important in promoting apoptosis. To clarify the anti-cancer mechanism, we examined the protein levels of PTEN and p53 in taurine-treated cells.
2 Methods
2.1 Cell Lines
Human NPC cell lines (HK1 and HK1-EBV) were a kind gift from Professor Sai-Wah Tsao (Hong Kong University) (Li et al. 2006; Lo et al. 2006; Tsang et al. 2010). Cells were maintained at 37 °C in a 5% CO2 incubator. NPC cells were cultured in RPMI1640 medium (Gibco, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS, Gibco), 100 U/ml penicillin and 100 μg/ml streptomycin (Gibco). Taurine (purity ≥98.5%) was purchased from Nacalai Tesque Inc. (Kyoto, Japan). All cell lines were treated with taurine at various concentrations (0–32 mM, dissolved in medium) for 48 h.
2.2 Immunocytochemistry (ICC)
Cells were fixed on slides with 4% (v/v) formaldehyde in phosphate buffered saline (PBS) for 10 min at room temperature after the treatment of taurine and washed three times with PBS. The cells were treated with 1% (v/v) Triton X-100 for 10 min, and then incubated with 5% (w/v) skim milk for 60 min at room temperature. ICC was performed by incubation with rabbit monoclonal cleaved caspase-9 (1:100, Cell Signaling Technology Inc., 20750S, Dancers, MA, USA), cleaved caspase-3 (1:100, Cell Signaling Technology Inc., 9661S), anti-PTEN (1:100, Cell Signaling Technology Inc., 9188S), or mouse monoclonal anti-p53 (1:100, Santa Cruz Biotechnology, sc-47,698, San Diego, CA, USA) overnight at room temperature. Then, they were incubated with fluorescent secondary antibodies Alexa Fluor 594–labeled goat anti-rabbit IgG or Alexa Fluor 594-labeled goat anti-mouse IgG (1:400, Thermo Fisher Scientific, Massachusetts, USA) at room temperature for 2 h. Nuclei were stained with DAPI (Southern Biotech, Birmingham, USA), and the stained cells were examined under a fluorescence microscope (BX53, Olympus, Tokyo, Japan). The numbers of positively-staining cells were analyzed using the ImageJ software (ver. 1.48).
2.3 Statistic Analysis
Values were presented as means ± SD. Differences between groups were analyzed using one-way ANOVA followed by Tukey’s post hoc analysis using GraphPad Prism5 software (GraphPad Software, San Diego, CA, USA). A p-value <0.05 was considered to be statistically significant.
3 Results
3.1 Taurine Increases Cleaved Caspase-9/3 in HK1 and HK1-EBV Cells
To analyze taurine-induced apoptosis, caspase activation was assessed by ICC. Treatment of the cells with taurine showed a significant increase in the levels of cleaved caspase-9 (Fig. 1a–d) and caspase-3 (Fig. 1e–h), which suggested that taurine may enhance the apoptosis-inducing effect through the mitochondrial pathway.
3.2 Taurine Activates PTEN in HK1 and HK1-EBV Cells
To identify whether PTEN is involved in the anti-tumor effect on NPC, the levels of PTEN were assessed in HK1 and HK1-EBV cells incubated with different concentrations of taurine for 48 h by ICC (Fig. 2). Taurine dose-dependently increased the levels of PTEN compared with the control group. These results suggest that taurine may show an anti-tumor ability on NPC cells through PTEN activation.
3.3 Taurine Activates p53 in HK1 and HK1-EBV Cells
Studies have shown that p53 causes apoptosis in response to DNA damage, which can be induced by anti-cancer drugs or radiation. p53 plays a critical role in activating apoptosis via direct activation of transcription of proapoptotic genes, such as Bcl-xL (Dudgeon et al. 2006). We found that p53 was upregulated with increasing concentrations of taurine (Fig. 3).
4 Discussion
Apoptosis is an important homeostatic mechanism balancing cell division and cell death, which is a highly attractive and widely studied area to search for more effective agents for treatment of human cancers (Cheng et al. 2005). A wide variety of in vivo and in vitro studies published in recent years suggested that many chemotherapeutic agents could induce apoptosis in different cancer cells (Lian et al. 2018). Apoptosis is mainly divided into two pathways, one is the death receptor-dependent (external) pathway and the other is the mitochondrial-dependent (inner) pathway (Fulda and Debatin 2006). Additionally, a group of cell death enzymes, cysteine aspartases (caspase), which play an important role in apoptosis, has been intensively studied. Caspase-3 is involved in the terminal phase of apoptosis (Cryns and Yuan 1998), and caspase-9 is a key player of apoptosis in the mitochondrial pathway (Li et al. 2017). Our results demonstrated that taurine increased the levels of cleaved caspase-9 and cleaved caspase-3 in a dose-dependent manner (Fig. 1), suggesting that the taurine can induce apoptosis through a mitochondrial pathway. This result is consistent with the results in colon cancer cell lines (Zhang et al. 2014).
PTEN, identified in 1997 in chromosome 10q23, is a well-known tumor suppressor gene. PTEN is inactivated in patients with advanced cancers, and has gradually become a hot issue in cancer research in the past decades (Lee et al. 2018; Que et al. 2018). The main function of PTEN is negative regulation of PI3K/Akt/mTOR pathway, which plays an important role in the regulation of many important signaling pathways, including cell proliferation and metastasis (Chen et al. 2016; Jiang and Liu 2009). We evaluated PTEN expression after taurine treatment and found that PTEN was upregulated in a dose-dependent manner (Fig. 2). PTEN suppresses Akt activation, which inhibits pro-apoptotic molecules. Increases in PTEN leads to apoptosis. Taurine may induce apoptosis via the PTEN/Akt pathway.
p53 also known as TP53, is one of the most widely studied tumor suppressor genes and plays an important role in cell cycle regulation (Poon 2014). Inactivation or a mutation in p53 can damage its DNA-binding properties and transcription factor function, thereby driving tumorigenesis (Wang et al. 2017). Inhibition of the p53 pathway can accelerate cancer progression and cause resistance to chemotherapy and radiotherapy (Malkin et al. 1992; Wan et al. 2018). p53 generates multiple pro-apoptotic signals in its network, via regulation of target genes, such as PTEN (Freeman and Espinosa 2013). It is suggested that the accumulation of PTEN in the nucleus leads to p53 stabilization and p53-mediated apoptosis of liver cancer cells (Zhang et al. 2016). In this study, we demonstrated that taurine promoted an upregulation of both PTEN and p53 in a concentration-dependent manner (Figs. 2 and 3, respectively). Taurine may have an impact on the p53 network of pro-apoptotic signaling, including the PTEN/Akt pathway.
The results of the present study have provided novel evidence demonstrating that taurine can upregulate the expressions of PTEN and p53. Although further study is needed to clarify the activation pathway of PTEN and p53 by taurine, this study indicates that taurine may exert an anti-tumor effect by upregulating the expression of PTEN and p53 in NPC.
5 Conclusion
In summary, our current work demonstrates that taurine can induce apoptosis in nasopharyngeal carcinoma cells via a mitochondrial pathway through activation of PTEN and p53. These results may provide a new therapeutic strategy for patients with nasopharyngeal carcinoma.
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Acknowledgements
This work was supported in part by JSPS KAKENHI Grant Numbers JP16H05255 (MM).
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He, F. et al. (2019). Anti-Cancer Mechanisms of Taurine in Human Nasopharyngeal Carcinoma Cells. In: Hu, J., Piao, F., Schaffer, S., El Idrissi, A., Wu, JY. (eds) Taurine 11. Advances in Experimental Medicine and Biology, vol 1155. Springer, Singapore. https://doi.org/10.1007/978-981-13-8023-5_49
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