Abstract
In this study, Asc-s was evaluated for anti-cancer effect using cervical cancer cells (HeLa). Results determine that Asc-s treatment-induced dose-dependent inhibition of proliferation of HeLa cells and induced apoptosis. Flow-cytometry analysis shows Asc-s treatment-induced accumulation of cells at sub-G0/G1 stage of cell cycle and induced apoptosis as confirmed by DAPI, propodium iodide, and acridine staining in HeLa cells. Asc-s entered the cells and metabolized to ascorbate and stearate moieties, increased membrane permeability, and decreased membrane fluidity in HeLa cells. Asc-s treatment-induced dose-dependent increase in autophagy protein LC3-II, mRNA levels and decreased Nrf-2 levels in HeLa cells. It is hypothesized that both ascorbyl radical and stearoyl moieties of Asc-s induced cytotoxicity by generating reactive oxygen species (ROS) and modulating membrane fluidity/permeability leading to apoptosis/autophagy of HeLa cells. Thus, our findings demonstrate that Asc-s as anti-proliferative and apoptosis inducing compound in cervical cancer cells.
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Introduction
Cancer is one of the major disorder and a public health concern worldwide. Current data from the National Cancer Registry Program (NCRP) indicate that the most common sites of cancer among women are the breasts and the cervix (Nandakumar et al. 2009). Cervical cancer is the most common malignancy and second leading cause of death in women aged 19–39 years (Jemal et al. 2011). Every year in India, about 122,844 women are diagnosed with cervical cancer and 67,477 die from the disease (Bruni et al. 2015). Invasive cervical cancer incidence and mortality is one of the major issues in the developed and developing countries. Molecular studies have shown that HPV-16 and 18 are the two most common oncogenic types found in invasive cervical cancer, and out of these two HPV-16 have been found more commonly in cervical cancer patients (Bhatla et al. 2008). Cervical cancer patients (~ 35%) treated with radiation are likely to develop persistent and metastatic form of the disease (Mountzios et al. 2013).
l-Ascorbic acid as an anti-cancer agent was recognised long ago in 1970s; however, randomized controlled clinical trials produced inconsistent results due to poor bioavailability and reduced efficacy of ascorbic acid (Wilson et al. 2014). Despite the ambiguity on anti-cancer propensity of ascorbic acid, a number of studies were undertaken to study the effect of ascorbic acid on various malignant cell lines (Shibuya et al. 2012; Roberts et al. 2015). However, its susceptibility to thermal and oxidative degradation, together with its poor lipo-solubility and kidney excretion, makes it difficult to maintain milli molar concentrations in blood (Levine et al. 1996). To solve these issues, a number of novel ascorbic acid derivatives have been developed by modifying hydroxyl groups of vitamin C. Among them, fatty acid esters of ascorbic acid namely ascorbyl palmitate and ascorbyl stearate, have attracted considerable interest as anti-cancer compounds due to their lipophilic nature and easy passage across cell membranes and blood brain barrier (Sawant et al. 2011). We have earlier reported that ascorbyl stearate inhibits proliferation and induces apoptosis in human glioblastoma, pancreatic, and human ovarian cancer cells. Ascorbyl stearate treatment inhibited cancer cell growth by interfering with cell-cycle progression, clonogenicity, induced apoptosis by modulating signal transduction pathways of IGF-IR/p53/p21/cyclins (Naidu et al. 2007). In this study, we report the possible mechanism of cell death induced by ascorbyl stearate by interfering with cell cycle at sub-G0/G1 stage of cell cycle, modulating membrane permeability and fluidity, increasing ROS levels, decreasing Nrf-2 levels in HeLa cervical cancer cells.
Materials and methods
Chemicals
Ascorbyl stearate (Asc-s) was purchased from Tokyo Chemical Industry (TCI), Japan. Cell-culture grade plastic wares and chemicals such as enhanced chemiluminescence (ECL) kit were purchased from Himedia, Bangalore and Life technologies, Bangalore. Cell-culture grade chemicals such as dimethyl sulphoxide (DMSO), acridine orange (AO), propidium iodide (PI), boron trifluoride in methanol, 1,6-diphenyl-1,3,5-hexatriene (DPH), 4′,6-diaminidino-2-phenylindole (DAPI), and other analytical reagents were obtained from Sigma Chemicals, Bangalore. Carboxyfluoresceinsuccinimidyl ester (CFSE) cell proliferation kit was obtained from Thermo Fisher, Mumbai. HPLC grade chemicals were purchased from Sisco Research Laboratory, Bangalore. Cell permiable trolox (TRO) was procured from Calbiochem (USA). Halt protease inhibitor cocktail, Bicinchoninic acid (BCA) kit for protein assay was procured from Thermo Fisher Scientific, Bangalore. Rabbit anti—LC3 antibody and Rabbit anti—beta actin antibody as well as HRP—conjugated anti-rabbit, IgG antibody were purchased from Cell Signaling Technology, Bangalore and Abcam, Kolkata, respectively. Polyvinylidene fluoride (PVDF) membrane was purchased from Pall Corporation, Bangalore.
Cell culture
HeLa cells were obtained from national cell line repository at National Centre for Cell Science (NCCS), Pune. HeLa cells were cultured in Dulbecco’s modified eagle’s medium (DMEM) supplemented with 10% foetal bovine serum (FBS) at 37 °C in 5% CO2. Cells were plated at least 48 h before drug treatment.
Ascorbyl stearate (Asc-s) preparation
Asc-s was dissolved in DMSO and 1 mm stock DMEM/Asc-s concentration was prepared by adjusting the pH to 7 with 0.1 mM sodium hydroxide in sterilised Milli Q (MQ) water.
Effect of Asc-s on HeLa cell proliferation
The effect of Asc-s on HeLa cell growth was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenylltetrazolium bromide (MTT) assay (Naidu et al. 2007). In brief, 2 × 104 HeLa cells were seeded in 96 well plates in 0.15 ml DMEM. HeLa cells were treated with Asc-s at concentration of 0, 50, 100, 150, 200, 300 µM and DMSO as vehicle control. After 48 h, cell proliferation and viability was determined by MTT assay and absorbance was read at 570 nm using microplate reader (Biorad, California). A separate experiment showing linear relation between absorbance of MTT and HeLa cell was verified with a correlation coefficient of 0.99. The decrease in absorbance is commensurable with loss of cell viability.
Cell proliferation by CFSE labelling
The dye dilution method was adopted in determining cell proliferation by Flow cytometer (Sharma et al. 2010). HeLa cells were labelled with CFSE (20 µM, 5 min, 37 °C), washed three times with DMEM. The cells were plated and treated with Asc-s at concentration of 0, 50, 100, 150, 200 and 300 µM with DMSO as vehicle control. After 48 h of treatment, HeLa cells were harvested and cell proliferation was measured using flow cytometer (Partec, Germany). CFSE, a non-fluorescent dye, taken up by both live and dead cells is converted to fluorescent derivative carboxy fluorescein, an amino group binder in cellular proteins by the live cell’s esterase enzymes. Percent daughter cells were calculated by gating the cells with decreased CFSE fluorescence as compared to undivided cells using Flowjo software (treestarinc).
Cell-cycle analysis by flow cytometry
HeLa cells treated with 0, 50, 100, 150, 200, and 300 µM of Asc-s for 48 h were subjected to flow cytometry to detect cell cycle and measure apoptosis by analysing cells with a DNA content less than 2n (“sub-G1 cells”) (Trumpi et al. 2015). Cells harvested were incubated in PBS buffer + 0.1% Triton-X + 0.1% sodium citrate (pH 7.4), supplemented with 50 µg/ml PI overnight at 4 °C. Cell analysis was performed using Flow cytometer (Partec, Germany). The PI fluorescence signal at FL3-PI versus histogram was used to determine sub-G1 and cell-cycle distribution by Flowjo software.
Detection of apoptosis by DAPI, propidium iodide and acridine orange staining
HeLa cells were treated with Asc-s at 126 µM for 24 h and 48 h. After incubation period, cells were stained with DAPI for 30 min at 37 °C in dark. Cells were visualized under a fluorescent microscope. Cells with nuclei containing clearly condensed chromatin or cells with fragmented nuclei were inferred as apoptotic cells (Rabelo et al. 2012).
Apoptosis assay was performed by dual staining of PI and AO as described earlier (Wahab et al. 2009). In brief HeLa cells (1 × 104 cells/well) were treated with Asc-s at 126 µM for 24 h and 48 h. Asc-s and vehicle treated HeLa cells were incubated with AO followed by PI for 5 min. The cells were observed under the microscope, the cells stained green with AO were viable cells and the nuclei stained orange with PI were considered as apoptotic cells.
Measurement of ROS in HeLa cells
The dye dichlorofluorescein diacetate DCFH2-DA, which is oxidized to fluorescent DCF by hydroperoxides, was used to measure reactive oxygen species (ROS). Intracellular ROS in HeLa cells was measured by spectrofluorimetry method (Patwardhan et al. 2013). HeLa cells were incubated with 20 µM (DCF-DA) for 25 min at 37 °C, followed by treatment of cells with different concentrations of Asc-s (50–200 µM) for 15–60 min. ROS scavenger cell permeable trolox (100 µM) treated to cells with Asc-s 126 µM for 15–60 min was also used as control. The changes in fluorescence resulting from oxidation of H2DCF to DCF were measured at an excitation wavelength of 485 nm and an emission wavelength of 530 nm using a spectrofluorimeter.
Electrophoretic mobility-shift assay (EMSA)
HeLa cells were exposed to 25–200 µM Asc-s or 126 µM Asc-s for 0–6 h and were harvested after 4 h for nuclear pellets was preparation as described earlier (Patwardhan et al. 2013). EMSA was performed by Nrf-2 oligonucleotide (5′-TGGGGAACCTGTGCTGATCACT GGAG-3′) in the presence of 0.5 µg of poly(2′-deoxyinosinic–2′-deoxycytidylic acid) in binding buffer (25 mM Hepes, pH 7.9, 0.5 mM EDTA, 0.5 mM DTT, 1% NP-40, 5% glycerol, and 50 mM NaCl) for 30 min at 37 °C. The DNA–protein complex formed was separated from free oligonucleotide on 6.6% native polyacrylamide gels using buffer containing 50 mM Tris, 200 mM glycine, and 1 mM EDTA, pH 8.5. The dried gel was exposed to a phosphor image plate and the radioactive bands were visualized using a phosphor image plate scanner (Amersham Biosciences, USA).
Measurement of membrane permeability of HeLa cells
Measurement of membrane permeability of HeLa cells on treatment with Asc-s was carried out as per the method described (Lu et al. 2010). HeLa cells (0.1 × 106) were treated with different concentration of 0, 50, 100, 150, 200, and 300 µM of Asc-s and DMSO as vehicle control for 48 h, the cells were collected, counted and incubated with 100 ng PI for 30 min at 4 °C. Samples were washed in Dulbecco’s modified phosphate buffered saline (DPBS) and then resuspended for fluorescence analysis in fluorescence spectrophotometer (Shimadzu RF 5301, Japan). Fluorescence intensity was calculated as Fsample/FCK, where Fsample and FCK are the intensities of the sample and control, respectively.
Measurement of membrane fluidity of HeLa cells
Measurement of membrane fluidity of HeLa cells on treatment with Asc-s was carried out as per the method described (Lu et al. 2010), with slight modification. HeLa cells (0.1 × 106) treated with Asc-s at a concentration of 0, 50, 100, 150, 200, and 300 µM for 48 h along with DMSO as vehicle control were harvested, counted, and incubated with 1,6-diphenyl-1,3,5-hexatriene (DPH) for 15 min at room temperature in dark for incorporation of probe into membranes. Fluorescence measurements were acquired on fluorescence spectrophotometer (Shimadzu RF 5000, Japan) at 360 and 450 nm as excitation and emission wavelengths, respectively. The degree of fluorescence anisotropy (r) was estimated.
Estimation of Asc-s and its metabolites in HeLa cells
HeLa cells (1 × 106) were treated with 126 µM Asc-s for 12 h, 24 h, and 48 h, and the cells were homogenized and subjected to reverse phase HPLC to detect intracellular ascorbyl stearate (Cleaver 2015). The cell homogenate was centrifuged at 12,000 rpm for 15 min at 4 °C. An aliquot of filtrate was injected on octadecyl-silica column (Supelco, Sigma-Aldrich, US) (250 mm, 5-micron), and the mobile phase was methanol: acetonitrile: formic acid (1%) (50: 47.5: 2.5) with a flow rate of 1 ml/min. Asc-s was detected with evaporative light scattering detector (ELSD) (Waters, US). AA, Asc-s, and stearic acid (SA) were resolved with a retention time of 2.04 min, 4.3 min, and 5.59 min, respectively, under employed chromatographic conditions. The concentrations of AA, Asc-s, and SA were estimated by the standard plots developed using the standards.
Fatty acid analysis of HeLa cells
HeLa cells (1 × 106) treated with Asc-s at 126 µM for 12, 24, and 48 h were collected by centrifugation at 1500 × g for 5 min, and the total lipids were methylated with 40% boron trifluoride in methanol to obtain fatty acid methyl esters (FAMEs) (Folch et al. 1957; Morrison and Smith 1964). Fatty acid analysis was carried out in gas liquid chromatograph (Shimadzu GC-2010, Japan) with flame ionization detector (FID) in isothermal conditions. The operating conditions were as follows: column temperature 220 °C, injection temp 230 °C and detector temp 240 °C. Nitrogen was used as the carrier gas. Individual fatty acids were identified by comparing with the retention times of reference fatty acid standards (Nu-Check Prep, Inc., USA) quantified by Shimadzu inbuilt software. The results are presented as relative percentage peak area of individual fatty acids.
Immunoblot analysis of LC3 in HeLa cells
HeLa cells treated with Asc-s at a concentration of 0, 50, 100, 150, and 200 µM for 48 h along with DMSO as vehicle control were lysed in Radio-immunoprecipitation assay buffer (RIPA) buffer: 50 mM Tris–HCl, pH 7.4, 1% NP-40, 0.5% Sodium deoxycholate, 0.1% SDS, 150 mM NaCl, 2 mM EDTA with 1X protease inhibitor cocktail. Protein contents of cell lysates were determined by BCA kit and equal amount of protein (25 µg) were electrophoresed on 12% SDS-PAGE and wet transferred on methanol pre-activated PVDF membrane. Membranes were blocked with 5% non-fat milk powder and afterwards incubated for overnight at 4 °C with rabbit anti-LC3 antibody or rabbit anti-β-actin antibody as loading control and finally incubated with HRP-conjugated anti-rabbit, IgG antibody followed by exposure to ECL detection reagents and image capturing in Syngene G:Box unit. Densitometric analysis was performed using inbuilt syngene tools electrophoresis analysis software.
Quantitative reverse transcription-PCR (real-time RT-qPCR) of LC3-II and Nrf-2
Total RNA was purified from HeLa cells treated with Asc-s along with DMSO as vehicle control using RNA purification kit. Nrf-2 levels were investigated in HeLa cell treated with Asc-s (0–150 µM) for 6 h and HeLa cell treated with 126 µM Asc-s for 0–6 h to corroborate the results with Nrf-2 EMSA profile, whereas LC3 levels were determined in HeLa cell treated with 0–200 µM Asc-s at 48 h. A 1 µg was employed for cDNA synthesis using verso cDNA synthesis kit; reaction mixtures of 20 µL was prepared with SYBR green master mix using Biorad CFX real-time PCR with primers as: GAPDH: primer 1, 5′-ACAACTTTGGTATCGTGGAAGG-3′ and primer 2, 5′-GCCATCACGCCACAGTTTC-3′; MAP1 LC3A: primer 1, 5′-CGTCCTGGACAA GACCAAGT-3′ and primer 2, 5′-CTCGTCTTT CTCCTGCTCGT-3′ 22; (Kar et al. 2009) and Nrf2: primer 1, 5′-AGTGGATCTGCCAACTACTC-3′ and primer 2, 5′-CATCTACAAAC GGGAATGTCTG-3′ (Clements et al. 2006).
The amplification parameters were as follows: initial denaturation at 95 °C for 5 min prior to 39 thermal cycles of 95 °C for 15 s, 55 °C for 30 s, and 72 °C for 30 s, with the final extension of 65 °C for 5 min. Standard PCR reactions were performed with 39 cycles. The PCR products were analysed and calculated by inbuilt Biorad software for fold expression levels, normalized to GAPDH, respective to samples.
Effect of Asc-s on murine splenic lymphocytes
Effect of Asc-s was determined by treating murine splenic lymphocytes with Asc-s at concentration of 0–200 µM. In brief, splenic lymphocytes were isolated from C57BL/6 mice as mentioned by Checker et al. (2010). Cells were plated and incubated with Asc-s. After incubation of 24 h, cells were harvested and stained with 50 µg/ml PI (Lu et al. 2010) and acquired on high content screening instrument (Acumen Celista) from TTP Labtech, UK.
Statistical analysis
Statistical analysis was performed by one-way analysis of variance (ANOVA) and Dunnett test by comparing control with Asc-s-treated cells at different doses and time intervals using Graphpad statistical software (Graph pad instat).
Results
Asc-s inhibits proliferation of HeLa cells
HeLa cells incubated with different concentration of Asc-s (0, 50, 100, 150, and 200 µM) resulted in significant inhibition of cell growth. A dose-dependent inhibition curve was recorded, as shown in Fig. 1a (p < 0.001). The maximal inhibition of cell proliferation was noted at Asc-s concentration of 200 µM, where in only 10% viability was seen when compared to control HeLa cells. IC50 of Asc-s for 48 h was determined to be 126 µM by ED50 Plus v1.0, online software.
The anti-proliferative effect of Asc-s was also evinced from dose-dependent (0, 50, 100, 150, and 200 µM) inhibition of CFSE dye dilution in HeLa cells. The overlaid flow cytometric histograms were used to calculate percent daughter cells. Figure 1b–h shows per cent daughter cells when HeLa cells were exposed to different concentrations of Asc-s. Asc-s dose-dependently inhibited proliferation HeLa cells (% daughter cells 74.4 ± 0.7%, 62.8 ± 0.8%, 25.5 ± 0.9%, and 9.3 ± 0.8% at 50–200 µM of Asc-s treatment, respectively, as compared to 80.3 ± 0.6% daughter cells in control group).
Effect of Asc-s on cell cycle of HeLa cells
HeLa cells were cultured in the presence of Asc-s (0, 50, 100, 150, and 200 µM) for 48 h, stained with PI and cell cycle/apoptosis was measured by flow cytometry. As shown in Fig. 2a–e, a significant (p < 0.0001) accumulation of cells at sub-G0/G1 stage of cell cycle was observed in all doses of Asc-s treatment. Figure 2f shows the per cent cells in different phases of cell cycle at different doses of Asc-s treatment and apoptotic cells. HeLa cells showed a dose-dependent increase in percent apoptotic cells (sub G0/G1 peak) and a concomitant decrease in cells in G1 phase. The percentage of actively dividing cells in S/G2-M phases of cell cycle was also significantly suppressed by Asc-s in HeLa cells.
Asc-s treatment-induced apoptosis in HeLa cells
HeLa cells treated with 126 µM Asc-s for 24 and 48 h were stained with DAPI and photographed under a fluorescence microscope. The results indicated that untreated cells had homogeneous nuclei (Fig. 3a), whereas Asc-s-treated cells exhibit condensed nuclei and apoptotic bodies with increase in time intervals (Fig. 3b, c).
Cells stained with PI and AO showed distinct morphological changes as indicated by nuclear degradation and nuclear asymmetric distribution in cells (Fig. 3d, g). Nuclear fission and cell disruption were manifested in Asc-s treated cells implying cell death (Fig. 3e, f, h, i).
Asc-s modulates intracellular ROS levels
A significant in DCF (dichlorodihydrofluorescein) fluorescence was observed in 15 min of 150 and 200 µM of Asc-s treatment. The increase in ROS levels continued over 30 and 60 min, respectively, at higher doses of Asc-s treatment (Fig. 4). ROS levels were approximately the same when compared to untreated control and trolox treated control highlighting ROS generation by free oxygen radicals rather than reaction of Asc-s with DCF.
Electrophoretic mobility-shift assay (EMSA) and RT-qPCR for Nrf-2
Nuclear translocation of Nrf-2 was assessed by EMSA (Fig. 5) at concentration dependent and time-dependent manner. HeLa cells showed higher levels of Nrf-2 in nuclear extracts, suggesting that Nrf-2 is constitutively active. Incubation with Asc-s abrogated nuclear translocation of Nrf-2. RT-qPCR analysis of Asc-s treated HeLa cell lysate showed ~ 60–70% decrease in Nrf-2 mRNA expression with respect to control cells, in a dose-dependent and time-dependent experiments (p < 0.05).
Effect of Asc-s on cell-membrane permeability and membrane fluidity
Cell-membrane permeability reflects the degree of the cell-membrane injury, as indicated by corresponding PI permeability of cell membrane. A dose-dependent increase in PI uptake (p < 0.01) corresponding to Asc-s doses (0, 50, 100, 150, and 200 µM) was observed suggesting changes in permeability of HeLa cells for intracellular uptake of Asc-s (Fig. 6b). Furthermore, a dose-dependent increase in anisotrophy values (p < 0.001) was observed on treatment with Asc-s as suggesting a decrease in membrane fluidity of cells (Fig. 6a). These results clearly demonstrate that Asc-s treatment brought about alterations in membrane permeability and fluidity in HeLa cells.
Metabolism of Asc-s in HeLa cells
Exposure of HeLa cells to 126 µM Asc-s for 12, 24, and 48 h resulted in intracellular permeation of Asc-s. The intracellular Asc-s levels decreased with increase in exposure time period (Table 1). Simultaneously, there was the presence of ascorbate and stearate moieties at different time intervals in due metabolism of Asc-s by esterase of HeLa cells. The result clearly demonstrates that Asc-s enters HeLa cells and it was metabolized to ascorbate and stearate moieties by esterases present in HeLa cells.
Effect of Asc-s on fatty acid composition of HeLa cells
Fatty acid composition of HeLa cells at different time intervals of 12, 24, and 48 h after treatment with 126 µM Asc-s is presented in Table 2. Stearic acid content increased by 9.4-fold by 48 h of Asc-s treatment due to break down of Asc-s to stearic acid and ascorbate. Oleic acid content was also increased (3.37-fold) in HeLa on treatment with Asc-s for 48 h (p < 0.001). Furthermore, 3.3-fold increase in the ratio of saturated to unsaturated fatty acids was observed in HeLa cells by 48 h of Asc-s treatment.
Immunoblot and RT-qPCR analysis of LC3 and autophagy in Asc-s treated HeLa Cells
Immunoblot analysis of 0–200 µM Asc-s treated HeLa cell lysate showed a drastic ~ threefold dose-dependent decrease (p < 0.01) in LC3-I levels and profound ~ 200-fold increase (p < 0.01) in LC3-II level as compared to untreated HeLa cells control, which is an indication of autophagosomes formation on Asc-s treatment to HeLa cells (Fig. 7 a–c). RT-PCR analysis of 0–200 µM Asc-s-treated HeLa cell lysate showed ~ 4.3-fold increase in LC3 mRNA expression with respect to control cells, in a dose-dependent increase format (p < 0.05) (Fig. 7d).
Effect of Asc-s in splenic lymphocytes
Figure 8 depicts the effect of Asc-s on murine splenic lymphocytes. Lymphocytes on treatment with Asc-s were stained with PI to address toxicity of this compound. Results depict non-significant percentage of apoptosis and presence of healthy cells in G1 phase of cell cycle. The results show non-toxicity of Asc-s on splenic lymphocytes.
Discussion
Ascorbic acid (AA) an essential nutrient and antioxidant has diverse physiological functions. High doses of AA were advocated for treatment of cancer in 1970s. However, randomized controlled clinical trials produced inconsistent results due to poor bioavailability and efficacy of AA (Wilson et al. 2014). At physiological concentrations, AA do not have any effect on cancer cells, hence mega doses of AA was given to treat cancer patients (Chen et al. 2007). However, oral administration of high doses of AA compromised the absorption and plasma concentration due to elimination of excess AA by the kidney (Wilson et al. 2014). The clinical and pharmacokinetics studies showed that AA concentrations in plasma and tissues were tightly controlled (Graumlich et al. 1997). To overcome the poor absorption and bioavailability of AA during oral dosing, intravenous administration of high doses of AA was promoted as complimentary and alternate therapy to cure certain cancers (Padayatty et al. 2010). Despite the ambiguity on anti-cancer propensity of AA, a number of derivatives were being synthesized and their anti-cancer potential has been investigated in a number of malignant cell lines (Shibuya et al. 2012; Bordignon et al. 2013). This study reports the possible mechanism of action of Asc-s on anti-proliferative and apoptotic effect in human cervical cancer cells (HeLa). Few studies have been conducted on the anti-cancer effects of AA on human cervical cancer cells. A concentration of 7–10 mM of AA is reported to be effective in inducing cytotoxicity and cell death in cervical cancer cells (Roberts et al. 2015). In our study, Asc-s treatment dose-dependently inhibited the proliferation of HeLa cells at micro molar concentration (Fig. 1) with an IC50 value of 126 µM after 48 h of treatment. Cell-cycle analysis showed that Asc-s inhibited cell-cycle progression at sub-G0/G1 phase resulting in apoptosis of HeLa cells (Fig. 2). Furthermore, Asc-s treatment-induced apoptosis characterized by condensation of cytoplasm, loss of plasma membrane microvilli, fragmentation of nucleus, and extensive degradation of chromosomal DNA in HeLa cells, which were visualized by DAPI (Rabelo et al. 2012; Wahab et al. 2009), propidium, and acridine orange staining. HeLa cells stained with propidium iodide analysed with Partec flow cytometer showed DNA damage and cell death. An increase in cell-membrane permeability (Fig. 6a, b) and alteration in membrane fluidity observed due to Asc-s treatment might facilitate easy passage of Asc-s though the cell membrane and even intracellular membranes, such as the mitochondria (Rasmussen et al. 2010). The metabolism studies showed that Asc-s easily permeates through cell membrane and it is partially metabolized to ascorbyl radical and stearate moieties by intracellular esterases in HeLa cells (Tables 1 and 2). Our findings are in agreement with earlier reports that l-ascorbic acid 2-phosphate-6-palmitate (Asc2P6P) enter PC12 cells and converted to ascorbyl radical (Du et al. 2003). Ascorbyl radical thus formed might generate H2O2 by Fenton reaction in cells which can further induce cell death as reported earlier (Chen et al. 2007). The formation of H2O2 is further evidenced by decrease in Nrf-2 signalling during Asc-s treatment at concentration and time-dependent manner (Fig. 5). However, Asc-s treatment showed no significant toxicity to normal lymphocytes (Fig. 8). HeLa cells express higher level of Nrf-2 an oxidative stress responsive gene which regulates superoxide dismutase, γ-glutamylcysteine synthetase (γ-GCS), and cysteine membrane transport (system x-c), thus playing a role in the defence against oxidative stress by neutralizing compounds capable of generating ROS (Kotlo et al. 2003). In our study, Asc-s decreased the nuclear translocation of Nrf-2 and thus facilitated the formation of H2O2 (Kenific and Debnath 2015). Furthermore, the stearic acid formed by cleavage of Asc-s-induced cell death due to change in membrane fluidity. It is suggested that fatty acid moiety in monocylated ascorbic acid viz., ascorbyl stearate and ascorbyl palmitate might affect the balance in the hydrophobicity/hydrophilicity and enhance intracellular permeability of cell membrane leading to breakdown of cell membrane and cell death (Kageyama et al. 1991; Kato et al. 2011). Moreover, our observation is in agreement with reports that saturated fatty acid such as palmitate and stearate can induce cell death/apoptosis as suggested by Evans et al. 2009, indicating the role of the fatty acid moiety in inducing cell death of HeLa cells. In human cells, stearic acid is converted to monounsaturated fatty acid oleic acid by the enzyme stearoyl-CoA desaturase (Sampath and Ntambi 2005). In agreement with earlier reports, a significant increase in oleic acid content was observed in HeLa cells on treatment with Asc-s (Table 2). The cellular ratio of oleic to stearic acids has been reported to modulate membrane fluidity and signal transduction that can, in turn, trigger cell for apoptosis (Kasai et al. 1998; Sun et al. 2003). Furthermore, oleic acid is also reported to inhibit proliferation and induce apoptosis of different carcinoma cells. The oleic acid expression functioning as autophagosome marker present in autophagosomal membrane could be correlated to robust functioning of SCD1 (Ogasawara et al. 2014). Since SCD1 is a pre-requisite protein for autophagy, increase in oleic acid content might lead to over expression of SCD1 and hence triggering autophagy, which is in correlation with the earlier reports (Carrillo et al. 2012; Ogasawara et al. 2014). There is a link suggesting Nrf-2 promoting autophagy (Kenific and Debnath 2015), which further supports autophagy initiation resulting from reduced Nrf-2 nuclear translocation on Asc-s treatment. Thus, the cell death induced by Asc-s in HeLa cells could be attributed to increase in membrane permeability, decrease in membrane fluidity, and increase in ROS level and also due to autophagy in HeLa cells.
Finally, we hypothesize that there are two main pathways by which Asc-s may affect the cancer cells (i) the ascorbyl radical can cause cell death by forming H2O2 and (ii) saturated fatty acid stearic acid and monounsaturated fatty acid oleic acid moieties can also induce autophagy by altering cellular membrane permeability and fluidity in HeLa cancer cells. Furthermore, the propensity of Asc-s could be attributed to combined cytotoxic effect of ascorbyl radical and stearoyl moiety on HeLa cells.
Conclusion
In summary, our results clearly demonstrate that at micro-molar concentration Asc-s-induced cell death through modulation of membrane permeability, membrane fluidity, increase in ROS formation, and decrease in Nrf-2 nuclear translocation thereby formation of ROS in HeLa cells leading to autophagosomes formation and autophagy. To our knowledge, this first report on possible mechanism of action of Asc-s on HeLa cancer cells. Our findings suggest that Asc-s could be an effective anti-cancer compound in addition to being a food stabiliser. These assets could be useful in health foods/nutraceuticals to restraint the cancer growth. However, further studies are warranted to test its efficacy in human subjects.
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Acknowledgements
The authors thank Prof. Ram Rajshekaran, Director CSIR CFTRI., Mysore for encouragement in present study. The authors also thank Dr. S. Chattopadhyay, Associate Director, Bioscience group and Head, Radiation Biology Health Sciences Division, B.A.R.C., Mumbai for permitting to carry out flow-cytometry related analysis. The authors express gratitude to Dr. Deepak Sharma and Dr. Santosh Kumar Sandur for providing lab facilities at Radiation Biology Health Sciences Division, B.A.R.C., Mumbai for conducting experiments. Mr. Shirish D. Mane, UGC-CSIR JRF, gratefully acknowledges the financial assistance from University Grant Commission (U.G.C.), New Delhi, in carrying out the research.
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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Authors’ contributions. SDM and KAN conceived and designed the experiments, SDM performed the experiments, the data were analysed by SDM and KAN.
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Mane, S.D., Kamatham, A.N. Ascorbyl stearate stimulates cell death by oxidative stress-mediated apoptosis and autophagy in HeLa cervical cancer cell line in vitro. 3 Biotech 9, 115 (2019). https://doi.org/10.1007/s13205-019-1628-5
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DOI: https://doi.org/10.1007/s13205-019-1628-5