Abstract
Hypoxia is a feature of all solid tumours, contributing to tumour progression. Activation of HIF-1α plays a critical role in promoting tumour angiogenesis and metastasis. Since its expression is positively correlated with poor prognosis for cancer patients, HIF-1α is one of the most convincing anticancer targets. BP-1T is a novel antiproliferative agent with promising antiangiogenic effects. In the present study, the molecular mechanism underlying cytotoxic/antiangiogenic effects of BP-1T on tumour/non-tumour angiogenesis was evaluated. Evidences show that BP-1T exhibits potent cytotoxicity with prolonged activity and effectively regressed neovessel formation both in reliable non-tumour and tumour angiogenic models. The expression of CoCl2-induced HIF-1α was inhibited by BP-1T in various p53 (WT)-expressing cancer cells, including A549, MCF-7 and DLA, but not in mutant p53-expressing SCC-9 cells. Mechanistically, BP-1T mediates the HIF-1α proteasomal degradation by activating p53/MDM2 pathway and thereby downregulated HIF-1α-dependent angiogenic genes such as VEGF-A, Flt-1, MMP-2 and MMP-9 under hypoxic condition of in vitro and in vivo solid tumour, eventually leading to abolition of migration and invasion. Based on these observations, we conclude that BP-1T acts on HIF-1α degradation through p53/MDM2 proteasome pathway.
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Introduction
The hypoxic microenvironment occurs in tumours, which is most frequently due to the oxygen deprivation and tumour outgrowing the existing vasculature. Cancer cells recognize this microenvironment as an important module to promote angiogenesis, cell proliferation and invasive metastasis [1, 2]. The key molecule expressed under hypoxia is hypoxia-inducible factor-1 (HIF-1), a heterodimeric transcription factor, that consists of the oxygen-sensitive HIF-1α subunit and constitutively expressed HIF-1β subunit [3–5]. Under normoxia, HIF-1α protein is rapidly degraded by protein Von Hippel Lindau (pVHL)-mediated ubiquitin-proteasome pathway, whereas hypoxia blocks this degradation leading to nuclear accumulation of HIF-1α, which induces the expression of many genes including vascular endothelial growth factor (VEGF), fms-related tyrosine kinase 1 (Flt-1), foetal liver kinase 1(Flk-1), matrix metalloproteinase (MMPs) which are predominantly involved in neovessel formation and metastasis [6–8].
HIF-1α is overexpressed in many solid tumours which includes breast, lung, ovarian, pancreatic, prostate, renal carcinomas, etc., where pVHL is mutated or silenced [5, 6]. Inactivation of pVHL pathway results in upregulation and nuclear accumulation of HIF-1α. Alternatively, HIF-1α ubiquitination and stability is regulated by tumour suppressor proteins p53 and E3 ubiquitin ligase murine double minute 2 (MDM2) [9, 10]. This collection of facts explains the ineffectiveness of targeting pVHL-dependent pathway and urges to target the alternative pVHL-independent p53/MDM2 pathway for proteasomal degradation of HIF-1α. Recently, the molecular interaction among HIF-1α, p53 and MDM2 has been well studied and it has been suggested that p53 acts as a molecular chaperone that facilitates recruitment of HIF-1α for ubiquitination by MDM2 under hypoxic conditions in a proteasome-dependent manner [11–14]. Moreover, MDM2 expression can significantly enhance the interaction between p53 and HIF-1α, indicating that MDM2 may act as a bridge and mediate the indirect interaction between HIF-1α and p53 in tumour hypoxia [15] suggesting both p53 and MDM2 act as a potent negative regulator for HIF-1α protein. These studies open the new gateway to overcome the HIF-1α accumulation through the activation of p53/MDM2-mediated proteasome pathway.
Benzophenones are well known for their potent pharmacological activity including antitumour potentials. Considering benzophenone as parental skeleton, various active analogues were synthesized targeting angiogenic signalling [16–20]. Efforts have been made to improve the potentiality of the molecule based on structure activity relationship to identify gene specific targets. One such target, benzophenone coupled with thiazole moiety, BP-1T (2-[4-(4-fluoro-benzoyl)-2-methyl-phenoxy]-N-[4-(4-methoxy-phenyl)-thiazol-2-yl]-acetamide) with the methyl group in the phenoxy ring, fluoro group in the benzoyl ring and methoxy group in the phenyl ring in thiazole (Fig. 1a) has turned out to have cytotoxicity of IC50 ~ 5 µM against murine cancer cells. It is known to target angiogenic signalling by downregulating VEGF [21]. In the current investigation, the molecular mechanism underlying inhibition of VEGF gene expression was investigated and here we reporting that BP-1T effectively targets p53/MDM2 pathway for HIF-1 proteasomal degradation which reflecting in modulation of HIF-1α transcribed gene expression, eventually leading to improving the pathophysiology of the solid tumour.
Materials and methods
Materials
Cobalt chloride (CoCl2), 3-(4,5-dimethylthiazole-2-yl)-2,5- diphenyltetrazolium bromide (MTT), TRI reagent, sodium bicarbonate (NaHCO3), extracellular matrix (ECM) gel, hydron polymer (poly-hydroxyethyl-methacrylate (poly HEMA), primers, Annexin-V-FITC apoptosis detection kit, propidium iodide (PI), Anti-VEGF-A and anti mouse/rabbit IgG antibodies, protease inhibitor cocktail, human umbilical vascular endothelial cells (HUVEC), endothelial cell growth media (EGM) were obtained from Sigma Aldrich, USA. Anti-HIF-1α, anti-flt-1, anti-MMP-2 and MMP-9, and anti-MDM2 antibodies, p53-siRNA and transfection kit were obtained from Santa Cruz, USA. Anti-p53, anti-β-actin and anti-lamin B from BD bioscience, USA. RNA isolation kit from Zymo research (Epigenetics), USA, Superscript first strand synthesis and PCR supermix for semi-quantitative (RT)-PCR, DMEM medium, antibiotic-antimycotic solution, foetal bovine serum (FBS) were obtained from Invitrogen, USA. Anti CD-31 antibody, immunostaining kit from Leica Biosystems, Germany. All the other chemicals used were of analytical grade. All the photographs were taken using Canon power shot Sx500 IS camera, and all angiogenesis assay results were assessed by ImageJ software.
Cell culture and in vitro treatment
The A549, MCF-7 and SCC-9 cells were cultured, and cytotoxic effect of BP-1T was tested using trypan blue dye exclusion, MTT assay and lactate dehydrogenase (LDH) release assay as described earlier and IC50 values were calculated. In brief, the cells were grown in DMEM medium, supplemented with 10 % FBS, antibiotic-micotics and NaHCO3 (0.37 %) and incubated at 37 °C in 5 % CO2, with 98 % humidity. The cells were treated using increasing concentrations of BP-1T (0, 2, 5, 10, 25, 50 μM in DMSO) for 48 h, and each experiment was repeated a minimum of 3 independent times [17, 21].
Hypoxic condition, treatment and cell lysate preparations
A549, MCF-7, SCC-9 and DLA cells were cultured and exposed with CoCl2 (100 μM) to mimic hypoxia and then treated with BP-1T at the concentration of 0, 3, 5 μM for 48 h. RNA was isolated as per manufacturer instructions from A549 cells, and whole-cell lysates from all cell lines were prepared using RIPA buffer (100 mM Tris pH-7.5, 1 % Triton X-100, 0.1 % SDS, 140 mM NaCl, 0.5 % sodium deoxycholate, 5 mM EDTA, 0.5 mM phenylmethylsulfonyl fluoride (PMSF) and protease inhibitor cocktail) [22].
A549 cells were cultured, exposed to plus or minus CoCl2 (100 μM), treated with BP-1T (0, 3, 5 μM) in plus or minus MG132 (10 µM, 26 S proteasome inhibitor for 2 h) or p53-siRNA-transfected cells. Conditioned media were used for gelatin zymogram, ELISA and whole-cell lysates for immunoblot analysis. Cytosolic fractions were separated by centrifuging the cells lysed in buffer A (10 mM HEPES, 1.5 mM MgCl2, 10 mM KCl, 0.5 mM DTT, 0.05 % NP40, 0.5 mM PMSF and protease inhibitors) at 14,000 rpm for 1 min, and nuclear fractions were prepared by centrifuging the residual pellets resuspended in buffer B (5 mM HEPES, 1.5 mM MgCl2, 0.2 mM EDTA, 0.5 mM DTT, 26 % glycerol (v/v), 0.5 mM PMSF and protease inhibitors) at 14,000 rpm for 1 min for determining the HIF-1α nuclear translocation [23].
Clonogenic assay
The clonogenic assay has been performed with minor modification for determining the prolonged anti-neoplastic effects of BP-1T against A549, MCF-7 and SCC-9 cell proliferation in vitro [24]. In brief, the cells were cultured, exposed with BP-1T for 6 h, rinsed with fresh medium and cultured further for 12 days. Colonies were fixed with methanol, stained with crystal violet (0.4 g/L), counted and photographed.
Endothelial cell migration and tube formation assay
The HUVECs were cultured in 96-well plate containing EGM medium to form monolayer, and 1-mm size wounds were made by scratching with a microtip and exposed with recombinant VEGF165 (rVEGF165) (30 ng/ml) and BP-1T (0, 3, 5 μM) for 48 h. Endothelial cell migrations were photographed at identical locations. The effect of BP-1T on HUVECs migration was analysed by comparing final gap width to initial gap width. ECM gel was polymerized for 30 min at 37 °C for coating 96-well plate. HUVECs (2.5 × 105 cells/ml) suspended in EGM medium was added to each well coated with ECM gel and treated with or without rVEGF165 and BP-1T (0, 3, 5 μM) for 24 h. Inhibition of the tube formation and tube lengths were observed under a phase-contrast microscope and photographed. Viability of HUVECs was assessed after exposure with rVEGF165 and BP-1T at varying concentrations by MTT assay.
Migration assay
A monolayer of A549 cells were scratched to form a wound and treated with BP-1T (0, 3 and 5 μM), incubated for 48 h, fixed with methanol and stained in crystal violet (0.4 g/L). Randomly chosen fields were photographed at 10× magnification at identical locations using Olympus inverted microscope. Percentage of cell migration was calculated by comparing final gap width to initial gap width [25].
Matrigel transwell invasion assay
The A549 cells (5 × 104) in 0.5 ml of serum-free medium containing BP-1T (0, 3 and 5 μM) were seeded onto top of invasion chamber coated with ECM gel and 0.75 ml of complete medium containing 10 % FBS was added to each well in the lower chamber. Following incubation for 24 h at 37 °C, non-invasive cells were removed from the invasion chamber by wet cotton swab and the cells attached to the lower chamber were fixed with methanol, stained with crystal violet (0.4 g/L) and invaded cells were counted in Olympus inverted microscope at 10× magnification and images were documented [26].
FACS analysis
For the determination of cell proliferation and cell death, A549, A549 (p53 silenced), SCC-9 and MCF-7 cells with CoCl2 and BP-1T (0, 3, 5 µM) for 48 h. The cells were harvested by trypsinization and washed with ice-cold PBS, stained with appropriate dyes using apoptosis detection kit and subjected for FACS analysis, and the cells undergoing apoptosis were analysed by using WinMDI version 2.9 software.
CAM xenograft model
In vivo CAM xenograft model was performed to evaluate angiogenesis with slight modification as described previously [27]. In brief, fertilized eggs were incubated, windows were made on 8th day, and cultured A549 cells (1 × 106 cells) suspended in 100 μl of ECM gel/DMEM (1:1) with rVEGF165 and BP-1T (0, 3 and 5 μM) were placed on CAMs. Eggs were reincubated after proper sealing for 6 days. Tumours were separated from CAM, photographed and histological sections were processed for microvessel density (MVD) count.
In vivo and ex vivo CAM assays
The rVEGF165 (10 ng/CAM)-induced angiogenesis of in vivo and ex vivo CAMs treated with BP-1T (0, 3, 5 μg/CAM) was performed as reported earlier [18, 28]. Angiogenic modulation of BP-1T was assessed and photographed.
Animals and ethics
Swiss albino mice (27–30 g) and Swiss albino rats (150–155 g) were used throughout the study, were maintained as per CPCSEA guidelines and were reviewed and approved by National College of Pharmacy Ethical Committee, Shimoga, India. (NCP/IAEC/CL/101/05/2012-13).
Rat corneal micropocket assay
The rVEGF165 (10 ng/pellet)-induced neovascularization in rat cornea exposed with BP-1T (0, 3, 5 μg/pellet) using formulated poly HEMA into rat corneas was performed as mentioned earlier [29]. Corneal remodelling was photographed, and the number of blood vessels (MVD) was quantified by haematoxylin and eosin (H&E) staining.
Rat aortic ring assay
One- to two-millimetre aortic rings from rat thoracic aortas were isolated in sterile condition and sandwiched between ECM gel in 96-well plate, supplemented with DMEM, 20 % FBS, BP-1T (0, 3 and 5 μM) in plus or minus rVEGF165 and incubated for 6 days. Sprouting neovessels from aorta were photographed and counted [30].
Peritoneal angiogenesis
Tumour-induced peritoneal angiogenesis was measured as reported earlier [24]. In brief, ascitic lymphomas were treated with BP-1T (0, 30, 50 mg/kg body weight) for three doses intraperitoneally (ip). On 10th day, tumour-induced neovessel formation of peritoneum lining was opened and documented. Corresponding peritoneum tissue sections were processed for H&E staining. Microvessel density/high power field (MVD/HPF) was manually quantified. Ascites tumour growth parameters including tumour volume, ascites secretion, percentage of tumour inhibition and survivability were noticed [20, 31].
Tumour models and treatment
Solid tumour model was developed by adopting reported procedure with minor modification [20, 32]. In brief, the DLA cells were cultured in peritoneum cavity of mice to develop murine ascites tumour. After tumour establishment, DLA cells were withdrawn from donor mice and re-injected (5 × 106 cells/thigh) into the right thigh of the mice subcutaneously (s.c) to develop DL solid tumour (DLS). Mice were grouped separately (n = 6 each group) and administered with BP-1T (0, 30, 50 mg/kg body weight (b.w), i.p for 6 doses) after the onset of visible solid tumour (~100 mm3) on every alternate days. The tumour growth of the mice was monitored, and the tumour volume was measured using vernier caliper. At the end of 35th day (after 6 doses), mice were killed and serum was prepared for VEGF quantification. The tumour tissues were separated and photographed; then, total RNA and whole-cell lysates prepared for reverse transcriptase (RT)-PCR & immunoblot, gelatin zymogram analysis respectively and tumour tissues were fixed with 10 % formaldehyde, processed for H&E staining and immunohistochemistry (IHC) analysis. For survivability, mice bearing DLS tumour of BP-1T (0, 30, 50 mg/kg) treated (n = 10 each group) was monitored separately and documented. Livers and Spleens were isolated from BP-1T treated and untreated groups for toxic and histological analysis.
Semi-quantitative (RT)-PCR
Semi-quantitative-PCR was performed by following the manufacturer’s recommendation and amplified up to 30 cycles using HIF-1α fwd: 5′-TTCACTGCACGGGCCATATT-3′ and rev: 5′-TCCACCTCTTTTGGCAAGCA-3′, VEGF-A fwd: 5′-GGGGTGTCCCATAGGGGTAT-3′ and rev: 5′-CGCCTTGGCTTGTCACATTTT-3′, Flt-1 fwd: 5′-TGGGCAGTCAAGTCCGAATC-3′ and rev: 5′-GTGCAAACTCCCACTTGCTG-3′, and GAPDH fwd: 5′-CGCTCATGTACCCGCTGTAT-3′ and rev: 5′-TGTCTGCCGGACTCAAAGAC-3′. PCR product was resolved by using 1.2–1.5 % agarose gel and documented by Bio-Rad gel documentation™ XR + imaging system.
Immunohistochemistry (IHC)
The DL tumour tissue sections (5 μm) were deparaffinised, rehydrated and boiled in citrate buffer (pH-6.0) for antigen retrieval. Immunostaining of the tumour sections was performed using Leica Biosystems kit as per the manufacturer’s instructions provided for CD31, HIF-1α, p53, MMP-2 and MMP-9 with appropriate negative control [33]. The slides were independently evaluated by two pathologists and photographed.
Immunoblots
Immunoblot analysis was carried out for HIF-1α, p53, MDM2, VEGF, Flt-1, MMP-2 and MMP-9, LaminB and β-actin proteins as mentioned earlier [18, 19].
VEGF-ELISA
The in vitro and in vivo secretion of VEGF levels were quantified by using anti-VEGF antibody by ELISA [19].
Gelatin zymogram
Gelatin zymogram was performed to quantify the MMP-2 and MMP-9 activity. Proteins of conditioned media and whole-cell lysate were resolved in 8 % SDS-PAGE gels containing 0.1 % (w/v) gelatin type A. zymogram was developed [31, 34], and results were documented using Bio-Rad gel documentation™ XR + imaging system.
Statistical analysis
Values were expressed as mean ± standard error (SEM). Statistical significance was evaluated by one-way analysis of variance (ANOVA) followed by Student’s t test. Statistical significant values were expressed as *p < 0.05 and **p < 0.01.
Results
BP-1T exhibits potent cytotoxic activity with long term effect
Antiproliferative effect of BP-1T molecule with IC50 value of ~ 5 μM against the murine neoplastic cells such as EAC and DLA has been reported earlier by our group [21]. The cytotoxicity effect of BP-1T against human cancer cell lines was extended to determine IC50 values by performing MTT, trypan blue and LDH release assays which inferred cytotoxic values 4.4 ± 0.6, 6.8 ± 0.7 and 28.1 ± 1.4 μM for A549, MCF-7 and SCC-9 cells, respectively (Fig. 1b) (Table 1). Eventual cytotoxic effect resulted in inhibition of colony formation at 3 and 5 μM concentration with 77.8 and 94.2 % for A549 (Fig. 1c, d) and 72.8 and 92.4 % for MCF-7 cells (Fig. 1e, f), respectively, but SCC-9 cells showed less sensitivity to BP-1T on clonogenesis (Supplementary Fig. 1A & B). The reticence in colony formation is due to prolonged cytotoxic effect of BP-1T molecule.
BP-1T inhibits the neovessel formation in non-tumourigenic angiogenesis models
To examine the effect of BP-1T on angiogenesis, specific reliable rVEGF165-induced non-tumourigenic angiogenic models were used. Neovascularization induced by rVEGF165 on CAMs was regressed with 55.6–76.3 % in ex vivo (Fig. 2a, b) and 52.8–78.3 % in in vivo (Fig. 2c, d) by BP-1T without any sign of thrombosis and haemorrhage in concentration-dependent manner. Similar results were observed in rat corneal micropocket assay with decreased sprouting neovasculature with MVD count of 71.2 and 84.4 % in BP-1T treated cornea compared to unexposed. The corneal histology depicted improved corneal gesture after BP-1T treatment (Fig. 2e, h). Additionally, BP-1T proved its efficacy by pruning sprouting neovessels from rat aortic endothelial cells up to 78.3 and 86.7 % decrease of MVD (Fig. 2i, j). Further, BP-1T potentiality validated on human endothelial cells by HUVECs viability, migration and capillary tube formation assays. Result postulates that viability of HUVECs by BP-1T was markedly decreased (Fig. 3a). The HUVECs migration was retarded noticeably with 73–86 % by BP-1T at different concentration (Fig. 3b, c). HUVECs are capable of forming tubes via linking to adjacent cells in ECM gel but BP-1T treatment restricted the capillary tube formation and tube length with irregular cell morphology compared to rVEGF165 treated and untreated (Fig. 3d). Tube length and branch number were significantly reduced by BP-1T up to 82.3 and 87.1 % at two different concentrations (Fig. 3e).
BP-1T shows the antiangiogenesis effect in tumourigenic angiogenesis models
To re-evaluate the effect of BP-1T on neovascularization on angiogenesis dependent tumour progression, CAM xenograft was performed by using A549 cells with rVEGF165. Results unveil that BP-1T visibly reduced 1.7- and 4.0-fold of tumour progression (Fig. 4a, b) by lessening the rVEGF165 induced MVD/HPF with 12.1 ± 2.5 (54.8 %) and 4.1 ± 1.6 (84.9 %) compared to 26.8 ± 4.7 of untreated, in concentration-dependent manner (Fig. 4c, d). Antiangiogenic efficacy of BP-1T reconfirmed with DLA induced peritoneal angiogenesis revealed remarkable decrease in neovessel formation (Fig. 4e, f) with 2.75-and 5.93-fold decrease compared to control on varying concentration (Fig. 4g, h). The CD31 counts further inferred that BP-1T restricted the MVD/HPF to 13.8 ± 2.1 and 6.4 ± 2.3 in 30 and 50 mg/kg treated sections respectively, as compared to control 38 ± 5.7 (Fig. 4i, j). As a result, angiogenesis-dependent tumour development was inhibited up to 61.4 and 77.8 % with decreased ascites secretion and tumour growth, which eventually leading to significant difference in the survival rate compared to the untreated mice (Supplementary Fig. 2A-D).
BP-1T mediates HIF-1α inhibition by p53/MDM2 proteasomal pathway
To investigate the molecular mechanism underlying inhibition of tumour angiogenesis by BP-1T, hypoxic signalling pathway was evaluated since solid tumour microenvironment has hypoxic condition [35]. As an approach, multiple cancer cells were exposed to CoCl2 to mimic hypoxic environment and treated with BP-1T for HIF-1α expression assessment. Semi-quantitative PCR results exhibit no transcriptional alteration of HIF-1α (Supplementary Fig. 3A) but significantly diminished the translational HIF-1α expression in A549, MCF-7 and DLA cells and not in SCC-9 cells due to mutant p53 gene (Fig. 5a). To check the p53 involvement in HIF-1α inhibition by BP-1T, p53 was knockdown in A549 cells and efficiency was evaluated in immunoblot analysis. The p53 knockout cells were treated in presence of CoCl2 either with or without BP-1T. The results displayed that in the absence of p53, HIF-1α was accumulated and MDM2 level was downregulated (Fig. 5b). The p53 induction by BP-1T without CoCl2 hypoxic condition validated in A549 cells postulates the significant role of BP-1T on p53 expression (Supplementary Fig. 4A), which also reflected in significant level of apoptosis in p53 WT-expressing cells not in p53 silenced or mutant cells (Supplementary Fig. 5A-D). Involvement of p53/MDM2-mediated proteasomal degradation of HIF-1α by BP-1T was reconfirmed by treating the cells with or without MG132 where HIF-1α degradation was reversed in the presence of MG132 (Fig. 5c) which validates involvement of MDM2 on ubiquitination of HIF-1α. MDM2 expression quantified in SCC-9 (p53 mutant) cells evaluated that although MDM2 is higher, HIF-1α proteasomal degradation is p53-dependent (Supplementary Fig. 6A). Cell fractionation studies further authenticated that BP-1T inhibits nuclear accumulation of HIF-1α (Fig. 5d). Together, these results indicate that BP-1T might promote HIF-1α proteasomal degradation through the activation of p53/MDM2 ubiquitination pathway.
BP-1T counteracts the HIF-1α targeted genes
Inhibition of HIF-1α and nuclear accumulation by BP-1T lead to downregulation of HIF-1α-dependent genes in A549 cells such as MMP-2 and MMP-9 as studied by gelatin zymogram and immunoblot analysis, VEGF-A, Flt-1 expression as verified by immunoblots and 3.4- to 5.8-fold reduced secretion of VEGF-A as assessed by ELISA, in a concentration-dependant manner (Fig. 6a–c). As a consequence, sequential pathophysiological process leading to angiogenesis was significantly altered as observed in migration and invasion assays. BP-1T treatment decreases the cancer cell migration up to 79.7 and 85.5 % (Fig. 6d, e), eventually impairing the invasiveness of A549 cells with 82.8 and 87.3 %, when untreated showed maximum migration and invasion (Fig. 6f, g). But no MMP-2 and MMP-9 expressional alteration was found in SCC-9 cells (Supplementary Fig. 6A). These collections of results suggested the repression of HIF-1α by BP-1T cause the inhibition of downstream angiogenic genes.
BP-1T regresses solid tumour progression targeting angiogenesis in vivo
Solid tumour model is most reliable model for angiogenesis studies, and Dalton’s lymphoma (DL) cells were used to develop solid tumour (DLS) [20, 32]. After onset of tumour development up to 100 mm3 size, 6 doses of BP-1T at 30 and 50 mg/kg (b.w) on every alternate days reduced the tumour growth in dose-dependent manner with notable reduction in physical morphology of tumour-bearing animals as measured by vernier caliper (Fig. 7a, b). The dissected tumour size depicted the tumour regression with 2.57- to 4.5-folds inhibition (Fig. 7c, d) which resulted in >2.3-fold increased survivability (Fig. 7e). BP-1T is known for the less or no toxic effects [21] which was re-assessed in liver and spleen morphology and histological studies, illustrating no significant changes (Supplementary Fig. 7A–D). Regression of the tumour volume counteracted with reduced neovascular density with MVD/HPF of 10.4 ± 2.4 and 5.7 ± 1.2 compared to 21.6 ± 2.8 of control as verified by histopathological and IHC analysis (Fig. 8a–d).
BP-1T inhibits the HIF-1α signalling in hypoxic solid tumour in vivo
The effect of BP-1T on in vitro studies was re-evaluated in in vivo HIF-1α signalling in hypoxic solid tumour (DLS). BP-1T is not affecting the mRNA expression of HIF-1α as studied by semi-quantitative-PCR (Fig. 9a) but negatively regulated HIF-1α protein accumulation by immunoblot and IHC in concentration-dependent manner (Fig. 9b). Diminished HIF-1α expression is due to overexpression of p53 and MDM2 as illustrated in immunoblot and IHC (Fig. 9b, c). Resulted HIF-1α degradation eventually abrogated its downstream genes such as MMP-2 and MMP-9 as assessed by zymogram, immunoblots and IHC (Fig. 9d–f), VEGF-A, Flt-1 by RT-–PCR, immunoblots (Fig. 9g, h) and serum VEGF-A by ELISA (Fig. 9i) which is concurrent with in vitro results. Altogether, the current study results conclude that BP-1T counteracts HIF-1 signalling through the activation of p53/MDM2-mediated HIF-1α degradation (Fig. 10).
Discussion
Our research is focused in searching new active cytotoxic and target-specific small molecule targeting tumour angiogenesis. In cancer therapy, though a noticeable number of novel anti-neoplastic cytotoxic molecules have been introduced, they have failed to reach the bedside due to their non-specificity and adverse effects [36]. A design of molecule which overcomes such problems is necessary for considering as a potent cancer inhibitor [37]. Earlier, we have made an effort for designing a benzophenone derivatives with target specific action and subjected them for high-throughput cell-based screening system and revealed there molecular targets [16–20, 38, 39]. BP-1T emerged as putative role in inhibition of tumour angiogenesis in preliminary pilot screening [21]. In current study, we have expanded to validate BP-1T-mediated mechanism.
In a course of drug development process, it is always been suggested to screen against multiple cancer cell line with different origin for better assessment [40]. Drawing such an action BP-1T turned out has persuasive cytotoxic and prolonged effect against various cancer types including A549, MCF-7 and SCC-9 cells (Table 1) (Fig. 1b–f and Supplementary Fig. 1A & B).
VEGF being a predominant player in induction of angiogenesis is used in reliable non-tumour angiogenesis assay models which is very well authenticated for its target action on neovascularization. [41, 42]. The rVEGF165-induced angiogenesis in ex vivo and in vivo CAM assays, rat corneal micropocket and aortic ring assay models was drastically reduced by BP-1T inferring its explicit in action (Fig. 2a–d). The induction of functional endothelial cell death can restrict redundant neovascularization of tumours by altering endothelial cell density, migration and tube remodelling [8, 35, 42–44]. More importantly, BP-1T markedly retarded the human functional endothelial cell migration, adjacent cell linking and capillary tube forming efficiency of HUVECs with irregular/apoptotic cell morphology (Fig. 3b–e) which indicates the apoptogenic and toxic effect of BP-1T on endothelial cell proliferation (Fig. 3a). BP-1T on apoptotic signalling cascade modulation needs further validation.
Tumour angiogenesis is the proliferation of existing blood vessels penetrating into the tumours to supply nutrients, oxygen and is essentially required for the growth and metastasis of solid tumours [43]; therefore, inhibition of microvascular density in tumour is an important aspect in cancer prevention [44, 45]. Studies on xenograft models are crucial in validating the drug potentiality which mimics in vivo physiological environment [27]. Antiangiogenic effect of BP-1T was reproduced in CAM xenograft of human lung adenocarcinoma (A549) tumour model, resulting regressed tumour growth (Fig. 4a–d). To strengthen the results, secreted VEGF of ascites tumour-induced peritoneal angiogenesis [45, 46] in in vivo DLA model was evaluated for BP-1T efficacy resulting in repressed MVD to be more specific in CD31 counts, expressed only on endothelial cells which is diagnostic marker (Fig. 4e–j). As consequences, the tumour growth parameters were also altered which relied on neovascularization. Moreover, BP-1T exhibited no or very negligible adverse effects [21] with no modulation in histopathology of liver and spleen (Supplementary. 7A-D). Collected evidences display that BP-1T has a strong antiangiogenic potentiality.
Pathophysiology of tumour angiogenesis is a consequence of hypoxic microenvironment in solid tumours due to inadequate vascularization which results in poor prognosis and therapeutic resistance due to HIF-1α activation which transcribes set of angiogenic gene [5, 8, 47]. During normal physiological process, existence of normoxic condition regulates HIF-1α expression by prolyl hydroxylating through hydroxylase (PHD) which is required for pVHL and E3 ubiquitin-mediated proteasomal degradation. But under hypoxia, the absence of oxygen blocks the PHD which facilitates the HIF-1α to escape from pVHL-mediated proteasomal degradation [3–5, 48]. On the other side, half of the tumours types are pVHL mutated which eases the HIF-1α accumulation [49]. Considering the profound impacts of HIF-1α on angiogenesis and cancer progression via microenvironment and unsatisfactory efficacy of targeting pVHL pathway, our research focused on the identification of novel HIF-1α inhibitor which targets the pVHL-independent pathway.
The relationship between HIF-1α, p53 and MDM2 has a pivotal role in the regulation of HIF-1α. In response to hypoxia, HIF-1α is highly expressed and interacts with p53; therefore, HIF-1α stabilizes and protects the p53 from MDM2-mediated degradation [50], but p53 negatively regulates HIF-1α and provides the HIF-1α to MDM2 for ubiquitination process, subsequently HIF-1α gets degraded by proteasome [11–13, 51]. Nevertheless, MDM2 has a negative role in p53 regulation during normal conditions, but it enhances the p53 stabilization by associating with unacetylated HIF-1α during hypoxia and acts as a bridge between HIF-1α and p53 thereby facilitates the ubiquitination of HIF-1α [11–15]. Moreover, loss of p53 (WT) and MDM2 during hypoxia enormously increased the HIF-1α expression and stability in p53−/− and MDM2−/− cells [11, 14, 51]. In our study, CoCl2 was used to mimic hypoxia condition since it blocks the activity of PHD [52], which facilitates cellular HIF-1α accumulation. Results are consistent with experimental observations that BP-1T is found to effectively inhibit the HIF-1α expression in A549, MCF-7 and DLA cells but not in SCC-9 cells (Fig. 5a). Interpreting our results A549, MCF-7 and DLA exhibits wild-type (WT) p53 and mutant p53 in SCC-9 inferring the role of p53 (WT) in BP-1T-mediated HIF-1α inhibition. The silencing of p53 in A549 cells supported our results (Fig. 5b). Since MDM2 involved in p53-mediated ubiquitination of HIF-1α, MDM2 levels were assessed and found that induced MDM2 expression eventually promotes HIF-1α degradation by BP-1T (Fig. 5b, c). Proteasome inhibition assay using MG132 further validated the results. In the absence of MG132, BP-1T promotes the proteasomal degradation of HIF-1α through the mediation of p53/MDM2 but is reversible in the presence of MG132 (Fig. 5c).
While induction of p53 will occur only during severe hypoxia (very low O2) or anoxia conditions [53], but BP-1T treatment was able to induce p53 in normoxia (Supplementary Fig. 4 or CoCl2 conditions (Fig. 5b). This result authenticates the activity of BP-1T on p53 induction and stabilization. There are several reports highlighting the overexpression of p53 (WT) decreases the HIF-1α but not with mutant p53 in both in vitro and in vivo [54–56]. The p53 and MDM2 interaction causes the loss of p53 [56]. However, our data show that BP-1T mediates accumulation of both p53 and MDM2 (Fig. 5b, c) which indicates that BP-1T blocks the p53–MDM2 interaction which leads to HIF-1α downregulation. HIF-1α is targeted by proteasome mediation through either VHL or p53/MDM2 pathway, but our experimental data show that HIF-1α is regulated by proteasome-dependent manner (Fig. 5c) when CoCl2 is used for blocking VHL pathway. This effect validates the ubiquitinating activity of MDM2 on HIF-1α stabilization with support of p53 (Fig. 5c), and also MDM2 expression was found significantly in SCC-9 (p53 mutant) cells (Supplementary Fig. 6) where HIF-1α is not altered (Fig. 5a), which makes clear that p53/MDM2 involvement in HIF-1α proteasomal degradation. Since p53 has a critical role in apoptosis, induction of p53 by BP-1T (Supplementary Fig. 4A) leads to considerable apoptotic cell death (not in BP-1T untreated) in p53 WT-expressing cells but not in p53 silenced or mutant cells (Supplementary Fig. 5A-D).
Nuclear HIF-1α accumulations mediate the transcriptional activation of VEGF-A, Flt-1, MMP-2 and MMP-9 expressions which plays an important role in the formation of novel blood vessels and metastasis [3, 5, 57]. Inhibition of HIF-1α expression by BP-1T eventually leads to abridged nuclear translocation of HIF-1α (Fig. 5d), resulting in altered expression of downstream target genes such as MMP-2 and MMP-9, VEGF-A and Flt-1 in in vitro (Fig. 6a–c). Nevertheless, SCC-9 (p53 mutant) exhibited no alteration in downstream target genes of HIF-1α (Supplementary Fig. 6A). MMPs play an important role in degradation of extracellular matrix leading to migration and invasion of tumour cells [58]. BP-1T intermediates this process thereby completely blocking the process of angiogenesis (Fig. 6d–g).
Validation of in vitro results is crucial only when results were able reproduced in in vivo physiological system and is an important step in pharmacophore development. Hypoxia is best characterized as an HIF activator. When intensively proliferating cells form a solid tumour, the balance between oxygen supply and demand is impaired; consequently, microenvironment, (intratumoural hypoxia) prevailed in growing cell masses to facilitate the tumour neovasculature [35, 43]. In vivo solid tumour microenvironment is purely hypoxic in nature and suitable model for antiangiogenic drug development process [31, 43, 59]. BP-1T treatment induces the expression of p53 and MDM2, by which targets the HIF-1α for proteasomal degradation (Fig. 9a–c), which is synchronized with in vitro results (Fig. 5a–c). Further findings on HIF-1α downstream signalling concluded that BP-1T downregulates the VEGF-A, Flt-1, MMP-2 and MMP-9 which are predominant in tumour angiogenesis (Fig. 9d–i). The inhibition of angiogenesis (MVD) (Fig. 8a–d) by BP-1T resulted in the reduction of tumour progression and extended survivalism in solid tumour model (Fig. 7a–e).
By considering the above observations and results, this present investigation involving in vitro and in vivo experimentations of BP-1T on hypoxia provides strong evidences that BP-1T enhances HIF-1α proteasomal degradation by activating p53/MDM2 ubiquitination pathway and thereby subsequently downregulating the angiogenic genes (Fig. 10), by which BP-1T inhibits the cancer cell proliferation which could be developed as a small molecule inhibitor for cancer therapeutics.
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Acknowledgments
B.T. Prabhakar gratefully acknowledges the grant extended by DBT (6242-P37/RGCB/PMD/DBT/PBKR/2015), UGC (F.No.41-507/2012 (SR) and VGST (VGST/GRD231/CISEE/2013-14). B.T. Prabhakar expresses sincere thanks to UGC, Government of India for Raman post doctoral research internship at Medical University South Carolina (MUSC), Charleston, USA. Prabhu Thirusangu acknowledges the Lady Tata Memorial Trust (LTMT) (JRS/2014-15/LTMT dated 11-08-2014), Mumbai, for financial assistance and support. Shaukath Ara Khanum expresses their sincere gratitude to VGST [VGST/CISEE/2012-13/2882], Government of Karnataka for the financial assistance and support.
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Thirusangu, P., Vigneshwaran, V., Prashanth, T. et al. BP-1T, an antiangiogenic benzophenone-thiazole pharmacophore, counteracts HIF-1 signalling through p53/MDM2-mediated HIF-1α proteasomal degradation. Angiogenesis 20, 55–71 (2017). https://doi.org/10.1007/s10456-016-9528-3
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DOI: https://doi.org/10.1007/s10456-016-9528-3