Abstract
Lupeol, a dietary triterpene, present in many fruits and medicinal plants, has been reported to possess many pharmacological properties including anti-cancer activities both in vitro and in vivo. However, the precise mechanism involved remains largely unknown. The present study is conducted to investigate the anti-cancer activity and the underlying mechanisms of lupeol on human pancreatic cancer proliferating cell nuclear antigen 1 (PCNA-1) cells in vitro and in vivo. Lupeol significantly inhibited the proliferation of the cells in dose- and time-dependent manners and induced apoptosis as well as cell cycle arrest in G0/G1 phase by upregulating P21 and P27 and downregulating cyclin D1. The expression of apoptosis-related proteins in cells was evaluated by western blot analysis, and we found that lupeol induced cell apoptosis by decreasing the levels of p-AKT and p-ERK. In addition, pretreatment with a specific PI3K/AKT activator (IGF-1) significantly neutralized the pro-apoptotic activity of lupeol in PCNA-1 cells, demonstrating the important role of AKT in this process. More importantly, our in vivo studies showed that administration of lupeol decreased tumor growth in a dose-dependent manner. Immunohistochemistry analysis demonstrated the downregulation of p-AKT and p-ERK in tumor tissues following lupeol treatment, consistent with the in vitro results. Therefore, these findings indicate that lupeol can inhibit cell proliferation and induce apoptosis as well as cell cycle arrest of PCNA-1 cells and might offer a therapeutic potential advantage for human pancreatic cancer chemoprevention or chemotherapy.
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Introduction
Pancreatic cancer is one of the most lethal of solid tumors and is the fourth leading cause of cancer-related mortality in the USA (Raimondi et al. 2009). At present, the only potentially curative therapy for pancreatic cancer is surgical resection (Sperker et al. 2000). Unfortunately, most patients with this type of cancer present with advanced and unresectable disease—only 15–20 % of patients can be considered for surgery on presentation (Vincent et al. 2011). Additionally, chemotherapy and other forms of treatment have limited efficacy on pancreatic cancer, which was evidenced by low response rates and no demonstrated survival benefit (Stathis and Moore 2010; Hidalgo 2010). Therefore, novel agents are urgently needed for the treatment of pancreatic cancer and improve its prognosis. Nowadays, growing evidences suggest that natural products might be a good source to develop next-generation anti-cancer drugs (Saleem et al. 2009). So aiming at discovering and developing novel anti-tumor drugs from natural plants with more effective effects and low toxicity has become an important tendency for cancer therapy (Yu et al. 2009).
Lupeol [Lup-20(29)-en-3b-ol] (Fig. 1), a triterpene found in several medicinal plants, various fruits such as olives, mangoes, strawberries, grapes, and figs, and in vegetables, is used for treatment of a number of ailments in North America, Japan, China, Latin America, and the Caribbean (Imam et al. 2007; Saleem 2009; You et al. 2003). Lupeol has attracted much attention because of its low toxicity and wide pharmacological effects. Extensive research over the past decades has revealed various important pharmacological activities of lupeol under in vitro and in vivo conditions, including anti-inflammation, anti-heart diseases, anti-arthritis, anti-hepatic toxicity, anti-diabetes, and anti-renal toxicity (Khan et al. 2008; Chaturvedi et al. 2008; Sudhahar et al. 2008; Ardiansyah et al. 2012). Recently, lupeol has been extensively studied, for their cancer chemopreventive potential against various cancers, for instance prostate cancer (Saleem et al. 2009), skin cancer (Saleem et al. 2004), hepatocellular carcinoma (Liu et al. 2013), epidermoid carcinoma (Prasad et al. 2009), and melanoma (Tarapore et al. 2010). However, there has been no research reported to date to evaluate the chemotherapeutic potential and mechanism of lupeol in the management of pancreatic cancer.
The goals of this study were to determine whether lupeol could inhibit the growth and induce apoptosis as well as cell cycle arrest in proliferating cell nuclear antigen 1 (PCNA-1) cells and, if so, to clarify the related mechanisms, which may offer a promising new approach in the effective treatment of pancreatic cancer.
Materials and methods
Reagents and antibodies
Lupeol was purchased from Sigma-Aldrich (St. Louis, MO, USA), and a stock solution of lupeol (30 mmol/L) was prepared by resuspension in warm alcohol and dilution in DMSO at 1:1 ratio. The final lupeol concentrations used for the different experiments were prepared by diluting the stock solution with a complete cell culture medium. Materials used included 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) (Sigma Chemical Company, St. Louis, CA, USA), Annexin V–fluorescein isothiocyanate (FITC) Apoptosis Detection Kit (MultiSciences Biotech, Shanghai, China), Hoechst 33342 staining assay kit (Molecular Probes, Beyotime Institute of Biotechnology, Shanghai, China), glyceraldehyde 3-phosphate dehydrogenase (GAPDH) antibodies (KangChen Bio-tech, Shanghai, China), total-AKT, phospho-AKT (Thr308), total-ERK, phospho-ERK, cyclin D1, cyclin E, p27, p21, horseradish peroxidase-conjugated sheep anti-mouse IgG, and sheep anti-rabbit IgG antibodies (Cell Signaling Technology, Danvers, MA, USA).
Cell lines and culture
Human pancreatic cancer cell line PCNA-1 was purchased from the Shanghai Cell Institute Country Cell Bank (Shanghai, China). The cells were maintained in DMEM (Gibco, Gaithersburg, MD, USA) supplemented with 10 % fetal bovine serum (Gibco, USA), 100 μg/mL streptomycin, and 100 units/mL penicillin (HyClone, USA) and incubated in a humidified atmosphere with 5 % CO2 at 37 °C. The cells were kept in an exponential growth phase during experiments.
Cell viability assay
The effect of lupeol on the viability of PCNA-1 cells was measured by MTT assay. Cells were trypsinized and seeded into 96-well plates at a density of 8 × 103 cells per well. The cells were cultured overnight and then replaced with fresh medium containing various concentrations (0–120 μM) of lupeol for 24, 36, and 48 h. Untreated cells served as control. Thereafter, 20 μL MTT (5 mg/mL) was added to each well followed by a 4-h incubation. Then, the medium was discarded, and 150 μL DMSO was added to each well to dissolve the resulting formazan crystals. The absorbance values at 492 nm were measured. Data were collected from three separate experiments, and the effect on cell growth inhibition was assessed as percent cell proliferation inhibition wherein vehicle-treated cells were taken as 0 % inhibition.
Hoechst 33342 staining
The apoptosis of PCNA-1 cells treated with lupeol was determined by Hoechst staining. Briefly, the cells were exposed to lupeol for 36 h and then stained with Hoechst 33342 (10 μg/mL) for 15 min. After being washed with phosphate-buffered saline (PBS), they were observed using an inverted fluorescence microscope. Live cell nuclei showed dispersion and uniform fluorescence, while dead cells were not stained with Hoechst. Following apoptosis, the nuclei underwent significant morphological changes, and blue fluorescent-stained compact particulates could be seen in the nucleus or cytoplasm. Cells from five randomly selected microscopic fields were counted. The apoptosis index (AI) of cells was calculated using the following formula: AI (%) = apoptotic cells/total cells × 100 %.
Annexin V–FITC/propidium iodide staining assay
To quantify the percentage of cells undergoing apoptosis, we used the Annexin V–FITC kit. PCNA-1 cells were seeded in six-well plates at 3 × 105 cells/well and exposed to lupeol (0, 15, 30, and 60 μM) for 36 h. The cells were then collected and stained using the Annexin V–FITC/propidium iodide (PI) double fluorescence apoptosis detection kit following the manufacturer’s instruction. After incubation for 15 min at room temperature in the dark, the cells were analyzed with flow cytometry (Becton Dickinson, Franklin Lakes, NJ, USA) within 1 h after the staining.
Cell cycle analysis
Cell cycle was measured by PI, which can label cellular nuclear DNA. After PCNA-1 cells were treated with lupeol (0, 15, 30, and 60 μM) for 36 h, they were harvested by centrifugation, rinsed three times with sterile PBS, and fixed in ice-cold 70 % ethanol at 4 °C overnight. After centrifugation at 1,500×g for 3 min, the cells were dyed with PI and incubated for 30 min in the dark. Cell cycle was analyzed by Becton Dickinson FACScan. The ratio of cells in the G0/G1, S, and M phases of the cell cycle was decided by their DNA content.
Western blot analysis
PCNA-1 cells were treated with lupeol (0, 15, 30, and 60 μM) for 36 h, respectively. Then, the cells were collected, washed twice with ice-cold PBS, and lysed on the culture dishes using RIPA lysis buffer (1 % NP-40, 0.1 % SDS, 0.5 % sodium deoxycholate, 150 mmol/L NaCl, and 10 mmol/L Tris–HCl) containing 1/100 phenylmethanesulfonyl fluoride solution (Beyotime Institute of Biotechnology, Shanghai, China). The total protein concentration was analyzed by the bicinchoninic acid (Beyotime Institute of Biotechnology) method, and 40 μg of each sample was separated by SDS-PAGE (8, 10, or 12 %) and then transblotted onto a PVDF membrane (Beyotime Institute of Biotechnology). Non-specific binding sites were blocked by incubating with Tris-buffered saline and Tween 20 (TBST) containing 5 % (w/v) non-fat dried milk for 2 h at room temperature. The membranes were incubated with primary antibodies overnight at 4 °C and then with appropriate secondary antibodies conjugated to horseradish peroxidase for 1 h at room temperature. After each incubation period, the membranes were washed thrice with TBST for 5 min each. Signals were visualized by ECL chemiluminescence. Equal protein loading was assessed by the expression of GAPDH. The bands were semi-quantified using ImageJ software.
In vivo efficacy of lupeol
Male BALB/c nude mice at 4 weeks of age (Shanghai SLAC Laboratory Animal Center of Chinese Academy of Sciences, Shanghai, China) were maintained throughout in specific pathogen-free (SPF) environment. Exponentially growing PCNA-1 cells (5 × 106) were suspended in 150 μL PBS and subcutaneously injected into the right axillary fossa of each nude mouse. On day 7, 32 nude mice whose tumors were similar in size (5–8 mm in diameter) were chosen and equal numbers were assigned to two groups (n = 8 per group). Then, the treatment groups were injected intravenously at two doses of lupeol (30 and 60 mg/kg) on alternative days, respectively. Positive and negative control group animals were given 5-fluorouracil (manufactured by Jiangsu Tongtai Pharmaceuticals Company, Rufu, China) 20 mg/kg and sterile physiological saline, respectively. All mice were sacrificed on day 25 after these drugs had been administered seven times, and tumors were dissected and weighed. The tumor volume was calculated using the formula 0.5 × a × b 2, in which a and b represent the maximal and minimal diameters. The tumor inhibition ratio was expressed according to the following formula: [(mean tumor weight of control group − mean tumor weight of treated group)/the mean tumor weight of control group] × 100 %. The animal studies were approved by the Wujiang No.1 People’s Hospital Ethics Committee, and the principles of laboratory animal care were followed in all animal experiments.
Then, formaldehyde-fixed, paraffin-embedded tissue blocks were prepared from xenograft tissue and cut into serial sections (3 μm) for examining the expression of p-AKT, p-ERK, and PCNA (mouse anti-PCNA antibody: GeneTex Inc., Irvine, CA, USA) by immunohistochemistry with the streptavidin–peroxidase (S–P) kit (Fuzhou Maixin Biotechnology Development Co., Fuzhou, China). Each slice was enumerated under five fields of medium magnification (×400) to determine the proportion of positive cells.
Statistical analysis
All experiments presented here derived from at least three independent experiments. All data are expressed as mean ± standard deviation (SD) and analyzed by the SPSS 17.0 software. A one-way analysis of variance (ANOVA) was used to establish whether significant differences existed among groups. The P value less than 0.05 was considered statistically significant.
Results
Lupeol inhibits the proliferation and growth of PCNA-1 cells
Within definite dose and time, we found that lupeol showed inhibitory effects on the growth and proliferation of PCNA-1 cells in both dose- and time-dependent manners (Fig. 2). The results showed that the inhibition rate sharply increased at the concentration of 0–60 μM of lupeol. However, a higher concentration of lupeol had a saturated inhibitory effect. During the following experiment at 36 h, lupeol showed a significantly higher inhibiting effect than that at 24 h. In contrast, there was no significant difference in cell inhibition rate among prolonged treatment for 48 h. The IC50 for lupeol was estimated to be 112, 52, and 47 μM after treatment for 24, 36, 48 h, respectively. Based on these observations, we selected a dose of 15–60 μM and a period of 36 h post-lupeol treatment for further mechanism studies.
Lupeol induces apoptosis in PCNA-1 cells dose dependently
Hoechst staining is one of the most common methods for chromatin staining which is used in many studies, and it is the fastest way to detect apoptosis. In the present study, morphological changes in the apoptotic cells were revealed by the Hoechst 33342 staining. In the untreated PCNA-1 cells, the nuclei were stained weakly homogeneously blue, whereas in the group treated with different concentrations of lupeol, the apoptotic bodies began to appear, revealing the typical apoptosis characteristics, and cell nuclei appeared to be highly condensed and crescent-shaped. Also, the apoptosis index (AI) significantly increased with the concentration gradient compared with that of the control group (Fig. 3). This phenomenon was confirmed by flow cytometry assay. After treatment with 15, 30, and 60 μM lupeol, the apoptotic rates of PCNA-1 cells were 19.15 ± 3.56, 35.87 ± 3.54, and 60.62 ± 2.76 %, respectively, which were all higher than those of PCNA-1 cells cultured under normal conditions (5.45 ± 1.44 %, P < 0.01; Fig. 4). The 60 μM lupeol group was the highest in all experiments. These data suggested that lupeol induced apoptosis in PCNA-1 cells dose dependently.
Lupeol induces cell cycle arrest in G1/G0 phase
We next investigated the cell cycle distribution of PCNA-1 cells treated with different concentrations of lupeol (0, 15, 30, and 60 μM) for 36 h using PI staining assay. We found that compared with untreated control, the fraction of cells at the G0/G1 phase was significantly increased (P < 0.01) in lupeol-treated cells in a dose-dependent manner (Fig. 5a, b). To elucidate the mechanisms accounting for the cell cycle arrest by lupeol, we examined the expression of regulators of the G1/S phase transition. The western blot analysis showed that the protein levels of cyclin D1 but not cyclin E were significantly downregulated (P < 0.01) after treatment with lupeol compared with those in the control group. In contrast, the levels of p21 and p27 were significantly upregulated (P < 0.05) in lupeol-treated cells compared with those in the control group (Fig. 6b, d). Furthermore, the change of protein levels of cyclin D1, p21, and p27 after treatment with lupeol showed a dose-dependent manner, and thus blocked the cells from G1 to S.
Lupeol induces apoptosis in PCNA-1 cells through AKT and ERK inactivation
To investigate whether the AKT pathway and the ERK pathway are involved in lupeol-induced apoptosis, PCNA-1 cells were treated with lupeol (15, 30, and 60 μM) for 36 h. Then, the expression levels of AKT, ERK, p-AKT, and p-ERK were analyzed using western blot. As shown in Fig. 6a, c, the expression level of AKT and ERK in the lupeol groups was not significantly different from that in the control group while the expression level of p-AKT and p-ERK was significantly reduced in a dose-dependent matter compared with that in the control group (P < 0.01). Furthermore, we investigated whether activation of AKT could neutralize the inhibitory effect of lupeol by using IGF-1, an activator of AKT. One hundred nanograms per milliliter of IGF-1 partially decreased the apoptosis of PCNA-1 cells, and the combination of IGF-1 and lupeol resulted in a significantly higher proliferation index than lupeol alone (P < 0.01), suggesting that the AKT pathway is involved in lupeol-induced apoptosis.
Lupeol inhibits the tumor growth in vivo
We next investigated the effects of lupeol on tumor cell growth in vivo. The xenograft model was established in BALB/c nude mice following subcutaneous transplantation of PCNA-1 cells. As shown in Fig. 7a, b, the weight and volume of transplanted tumors were significantly inhibited after administration of 30 and 60 mg/kg lupeol compared with the negative control group (P < 0.05), and the inhibitory rates were 37.71 and 58.25 %, respectively. The inhibition levels of tumor weight and volume between 30 and 60 mg/kg lupeol-treated groups are also statistically significant (P < 0.05). The 20 mg/kg 5-fluorouracil (5-Fu)-treated mice had the smallest tumor weight and volume among the four groups.
Further, the subcutaneous tumor tissues were examined by hematoxylin and eosin (H&E) staining. The tumor tissue from control mice showed disorganized arrangement and a high cell density of pancreatic cancer cells. The ratios of nucleus to cytoplasm were increased and nuclei showed clear signs of heteromorphism. In contrast, in tumor tissues from mice treated with lupeol or 5-Fu, the ratio of nucleus to cytoplasm was reduced and the nuclei were polygonal and lightly stained. The pancreatic cancer cells were loosely arranged, and there were marked signs of widespread tumor destruction: coagulation and apoptotic and necrotic cells were observed (Fig. 8a). In addition, the expression of p-AKT, p-ERK, and PCNA in lupeol-treated tumors was examined by immunohistochemistry. As shown in Fig. 8b–g, the mean areas that stained positively for p-AKT, p-ERK, and PCNA were all downregulated compared with those of the negative control group (P < 0.05). The result also confirmed the western blot analysis of p-AKT and p-ERK expressions.
Discussion
Lupeol has been shown to exhibit various pharmacological activities, and in recent years, studies have shown that lupeol can inhibit the growth and induce apoptosis of a variety of tumor cells. For instance, Saleem et al. (2009) found that lupeol could inhibit proliferation of human prostate cancer cells by targeting beta-catenin signaling. We also have shown that lupeol could induce apoptosis and inhibit invasion in gallbladder carcinoma GBC-SD cells by suppression of the EGFR/MMP-9 signaling pathway (Liu et al. 2014b). However, little is known about its effects on pancreatic cancer. Therefore, in this study, we proved the anti-cancer effects of lupeol on human pancreatic cancer PCNA-1 cells and explored the related molecular mechanisms. To the best of our knowledge, this is the first time to report the effect of lupeol on PCNA-1 cells in vitro and in vivo.
Apoptosis is a pivotal homeostatic mechanism that balances cell division and cell death to maintain the appropriate cell number in the body. During the process, apoptosis is characterized by cell shrinkage, chromatin condensation, blebbing of the plasma membrane, and nuclear condensation without cell lysis (Liu et al. 2014a; Buendia et al. 1999). Apoptosis plays a crucial role in protecting organisms against tumorigenesis (Liang et al. 2012). Since deregulation of apoptosis is the hallmark of all cancer cells (Kim et al. 2010), the induction of apoptosis has been described as the standard and best strategy in anti-cancer therapy (Kelly and Strasser 2011; Strasser et al. 2011). Therefore, we examined whether lupeol could induce apoptosis in PCNA-1 cells in this study. Results from MTT, Hoechst 33342 staining, Annexin V–FITC/PI staining, and western blot analysis suggested that lupeol inhibited the proliferation and induced the apoptosis of PCNA-1 cells in a dose-dependent manner in the range of 15–60 μM, and induced cell cycle arrest at G0/G1 phase by upregulating p27 and p21 and downregulating cyclin D1. Lupeol increased cell apoptosis through inhibition of the AKT and ERK pathways. Furthermore, specific activation of AKT (IGF-1) inhibited apoptosis and significantly neutralized the inhibitory effect of lupeol.
Some signaling pathways, such as PI3K/AKT and ERK/MAPK, play a critical role in the control of tumor cell growth, survival, progression, apoptosis, invasiveness, and metastasis formation (Courtney et al. 2010; Zhang et al. 2012a). AKT is the central mediator of the PI3K/AKT pathway with numerous downstream molecules, such as caspase, mTOR, p21, p27, p53, and cyclin D1, which regulate cell proliferation, apoptosis, and cycle (Manning and Cantley 2007). The activation of AKT was positively correlated with cancer stages, indicating that p-AKT is an independent prognostic maker for cancer patients (Zhang et al. 2012b). ERK is a subfamily of the MAPK family, which can be activated by many kinds of growth factors and cytokines, and participates in regulating proliferation and differentiation of the cells (Wang et al. 2014). Activated ERK causes activation of many kinds of genes, including cyclin D1, which results in malignant cell transformation (Wada and Penninger 2004). Blockage of the AKT or ERK signaling pathway results in programmed cell death and growth inhibition of tumor cells (Li et al. 2012; Degterev et al. 2003). In this study, we found that lupeol suppressed the phosphorylation of AKT and ERK in PCNA-1 cells. We combined the results of the treatments with lupeol and IGF-1 and further verified that lupeol-induced apoptosis can be attributed, at least partially, to AKT and ERK inactivation. Those results together with the present reports indicate that AKT and ERK play an important role in regulating proliferation and apoptosis of pancreatic cancer cells.
Cyclin D1 is an inhibitor of cell cycle and promotes progression from G1 to S. Its expression is elevated in tumor cells, and it is relevant with abnormal proliferation, invasion, and prognosis of tumor cells (Alao 2007). Conversely, P21 and p27 are implicated in the negative regulation of cell cycle progression from G1 to S phase by modulating the activity of CDKs (Lu and Hunter 2010). It is reported that AKT could positively regulate cyclin D1 expression and negatively regulate the expression of p21 and p27 (Manning and Cantley 2007; Liang et al. 2002). Therefore, in this study, we can draw that lupeol induced cell cycle arrest at G1 phase by decreasing cyclin D1 and increasing p21 and p27 through inactivation of AKT.
In addition, in our in vivo study, we found that lupeol (30, 60 mg/kg) and 5-Fu significantly inhibited the tumor weight and volume during the treatment period. H&E staining analyses of the tumors from mice treated with lupeol or 5-Fu revealed morphological features characteristic of apoptotic cells. Furthermore, immunohistochemical analysis confirmed the downregulation of p-AKT, p-ERK, and PCNA following treatment with lupeol or 5-Fu in vivo, which was consistent with our findings in vitro.
In conclusion, the present investigation confirms that lupeol exerts a significant anti-pancreatic cancer effect on PCNA-1 cells in vitro and in vivo. The anti-cancer activity of lupeol could be attributed to its inhibition of proliferation and induction of apoptosis as well as cycle arrest of PCNA-1 cells through inhibition of the AKT and ERK pathways. The dramatic effects of lupeol in PCNA-1 cells indicated that lupeol could be recognized to be a useful candidate as a chemotherapeutic agent against pancreatic cancer.
Change history
01 July 2021
A Correction to this paper has been published: https://doi.org/10.1007/s00210-021-02113-2
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Acknowledgements
This study was supported by the Program for Young Scientist in Science and Education of Suzhou City (No.KJXW2014053), the Program for Young Scientist in Science and Education of Wujiang District (No.WWK201415)
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The authors declare no conflict of interest.
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Yan Liu and Tingting Bi contributed equally to this work.
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Liu, Y., Bi, T., Wang, G. et al. RETRACTED ARTICLE: Lupeol inhibits proliferation and induces apoptosis of human pancreatic cancer PCNA-1 cells through AKT/ERK pathways. Naunyn-Schmiedeberg's Arch Pharmacol 388, 295–304 (2015). https://doi.org/10.1007/s00210-014-1071-4
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DOI: https://doi.org/10.1007/s00210-014-1071-4