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Introduction

Colorectal cancer (CRC) is a common malignancy worldwide, associated with a high incidence and a high rate of mortality (1). In particular, the number of patients diagnosed with the disease continues to rise in urban areas of China. Surgery is the most effective method for the treatment of CRC, whereas chemotherapy is also essential for achieving an improved prognosis (2). However, only a few drugs have been identified to have an active effect on CRC. The resistance of CRC to current chemotherapeutic strategies often leads to unsatisfactory outcomes, therefore, there is an urgent requirement for the development of effective drugs against CRC.

Abnormal apoptosis is a feature of cancer cells. It provides them with a means to escape regulatory checks on cell growth, and to mediate resistance to chemotherapy (3). B-cell leukemia/lymphoma 2 (Bcl-2) family proteins exert important roles in the regulation of cell apoptosis (4). Members of the Bcl-2 protein family are divided into antiapoptotic proteins and proapoptotic proteins. Their functions differ according to their structural features. The Bcl-2 family proteins share the same four conservative sequences, termed Bcl-2 homology domains (BH1-BH4). Usually, the antiapoptotic Bcl-2 proteins feature a hydrophobic groove formed by BH1-3. They can bind to the BH3 domain of a proapoptotic member, and inhibit its proapoptotic function (5). Previous studies have identified that the antiapoptotic members of the protein family (Bcl-2, Bcl-XL and Mcl-1) are widely overexpressed in a number of cancer types (6–7). Therefore, the development of drugs which mimic BH3 structure and inhibit the activity of antiapoptotic proteins of the Bcl-2 family provides the basis of a feasible strategy for cancer therapy.

Gossypol is a polyphenolic compound, which occurs naturally in cotton seeds and roots. It was identified as having antiproliferative activity in vitro and in vivo against several cancer types (8,9). The isolated active component of gossypol, (-)-gossypol, has been assessed in phase II human clinical trials for a variety of cancer types, including chronic lymphocytic leukemia and B-cell malignancies (10–12). Apogossypolone (ApoG2) is a novel derivative of gossypol, which is synthesized by removing two aldehyde groups to achieve superior anticancer activity with less toxicity (13). ApoG2 has been reported to greatly suppress the growth of nasopharyngeal carcinoma (14), breast cancer (15), gastric carcinoma (16), hepatocellular carcinoma cells (17), prostate cancer cells (18) and lymphoma cells (19); however, the activity of ApoG2 against CRC remains to be fully elucidated.

In the present study, the antiproliferative effects of ApoG2 in CRC cells, and the ability of the compound to induce cell apoptosis, were investigated. Furthermore, the possible mechanism by which ApoG2 may induce apoptosis in CRC cells was also investigated.

Materials and methods

Cells and reagents

The human HT29, HCT116 and SW480 CRC cell lines were donated by the State Key Laboratory of Oncology in South China (Guangzhou, China). The cells were cultured in RPMI-1640 medium (Invitrogen Life Technologies, Carlsbad, CA, USA), supplemented with 10% fetal bovine serum (Invitrogen Life Technologies) and incubated at 37°C with 5% CO2. ApoG2 was synthesized by Professor Dajun Yang (Ascenta Therapeutics, Inc.,Malvern, PA, USA) and dissolved in pure dimethyl sulfoxide (DMSO; MP Biomedicals, Solon, OH, USA) with a stock concentration of 20 mmol/l, prior to storage at −20°C. The 3-[4,5-dimethyl-thiazol-2-thiazolyl]-2,5-diphenyltetrazolium bromide (MTT) reagent, for use in subsequent assays, was purchased from MP Biomedicals.

MTT assay

The antiproliferative effects of ApoG2 on the three CRC cell lines (HT29, HCT116 and SW480) were determined using an MTT assay. A total of 104 cells were seeded into 96-well plates and were incubated overnight. The cells were treated with ApoG2 at concentrations of 1.25, 2.5 or 5 µM for durations of 24, 48 or 72 h. Subsequently, 20 µl 5 mg/ml MTT was added to each well and incubated for a further 4 h. The supernatant was carefully discarded and 200 µl DMSO was added to dissolve the formazan sediment. The absorbance was measured using a microplate reader (V-530; JASCO International, Co., Ltd., Tokyo, Japan) at a wavelength of 490 nm. All experiments were replicated in triplicate. Tumor cells, which were cultured in the complete medium with 0.1% DMSO, were used as a control, and wells containing only complete medium with 0.1% DMSO served as a blank control. The inhibition of cell growth was measured as the percentage of viable cells relative to the control, and calculated as: [Optical density (OD)treated − ODblank]/(ODcontrol − ODblank)] × 100.

Western blot assay

The total cell lysates were harvested and electrophoresed in 10% or 15% sodium dodecyl sulfate (SDS)-polyacrylamide gels (Sigma-Aldrich, St. Louis, MO, USA). The proteins were transferred onto polyvinylidene difluoride (PVDF) membranes (Roche, Basel, Switzerland). The transferred PVDF membranes were subsequently blocked with 5% non-fat milk for 1 h at room temperature. Western blotting was performed with primary antibodies raised against Bcl-2 (cat. no. #2870; Cell Signaling Technology, Inc., Beverly, MA, USA), Bcl-XL (cat. no. #2762; Cell Signaling Technology, Inc.), Mcl-1 (cat. no. #5354; Cell Signaling Technology, Inc.), Bax (cat. no. sc-23959; Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA), Bak (cat. no. #6947; Cell Signaling Technology, Inc.), cytochrome c (cat. no. #4272; Cell Signaling Technology, Inc.) and glyceraldehyde-3-phopsphate dehydrogenase (GAPDH; cat. no. #2118; Cell Signaling Technology, Inc.), followed by incubation with secondary antibodies conjugated to horseradish peroxidase (cat. nos. #7074 and #7076; Cell Signaling Technology, Inc.). The proteins were detected through film development using a clarity-enhanced chemiluminescence reagent (cat. no. #170-5056; Bio-Rad Laboratories, Hercules, CA, USA).

Immunoprecipitation analysis

Protein immunoprecipitation was performed to determine protein interactions among the Bcl-2 family members. The cell lysates were initially incubated with antibodies raised against Bax (cat. no. sc-23959; Santa Cruz Biotechnology, Inc.) for 1 h at 4°C, prior to mixing with protein A/G agarose beads (sc-2001, Santa Cruz Biotechnology, Inc.) and agitating the solution overnight at 4°C. The proteins bound to the beads were collected by centrifugation (2,000 × g, 10 sec, 4°C) and subsequently eluted using denaturing loading buffer (Pierce 26149, Co-Immunoprecipitation kit; Pierce Biotechnology, Rockford, IL, USA). The antiapoptotic proteins, which had interacted with Bax were identified by western blotting using antibodies against antiapoptotic proteins, according to the method described previously (14).

Detection of cells undergoing apoptosis

A total of 105 cells were plated into six-well plates and were cultured overnight. The cells were subsequently incubated with 0.1% DMSO and 1.25, 2.5 or 5 µmol/l ApoG2 for 48 h. Following treatment, the cells were fixed in mounting medium (P0126, Beyotime Institute of Biotechnology, Haimen, China) for 10 min at room temperature, rinsed twice with phosphate-buffered saline (PBS; 3 min each wash) and subsequently stained with 5 µg/ml Hoechst 33258 for 5 min. The cells were rinsed twice with PBS and any nuclei changes resulting from apoptosis were observed by fluorescence microscopy (DFC480; Leica Microsystems CMS GmbH, Mannheim, Germany).

Flow cytometric analysis

Cell apoptosis was also assessed by flow cytometry (Beckman Coulter, Fullerton, CA, USA) using annexin V-fluorescein isothiocyanate (FITC) and propidium iodide stain (PI) (cat. no. 556405, Apoptosis Detection kit; BD Biosciences, Franklin Lakes, NJ, USA). ApoG2-treated cells were harvested, centrifuged at 800 × g for 5 min at room temper ature, washed with PBS, centrifuged as before and resuspended in 500 µl binding buffer, containing 5 µl annexin V-FITC and 5 µl PI. The cells were incubated in the dark in staining solution (cat. no. C0003, Beyotime Institute of Biotechnology) for 15 min. The level of apoptosis of the cells was analyzed using the flow cytometric system with ModFit LT for windows Trial and Reader Version 3.2 (Verity Software House, Topsham, ME, USA).

Cytochrome c release assay

To assess the release of cytochrome c from mitochondria into the cytoplasm, the cytosolic and mitochondrial fractions were isolated using a mitochondria/cytosol fractionation kit (cat. no. #K256-25; Biovision, Tuczon, AZ, USA), according to the manufacturer's instructions. The cells were collected, washed with PBS and suspended in 1 ml 5X dilution of cytosolic extraction solution (K256-100; BioVision Inc., Milpitas, CA, USA) on ice for 10 min, prior to repeatedly beating the cells with a syringe to destroy the cytomembranes. The cellular and nuclear debris were removed by centrifuging the homogenates twice at 700 × g for 10 min at 4°C. The supernatants were pelleted again at 10,000 × g for 30 min at 4°C, and the supernatants were subsequently collected as the cytosolic fraction. The quantity of cytochrome c in the cytosolic fraction was determined by western blotting, as described above.

Detection of the cleavage of caspases 3 and 7

Western blotting was used to identify the cleavage of the caspase family proteins, caspase 3 and 7. The total cell proteins were extracted and separated by electrophoresis on 15% SDS-polyacrylamide gels and transferred onto PVDF membranes. Following blocking in 5% non-fat milk, the PVDF membranes were incubated with primary antibodies raised against caspase 3 (cat. no. #9665; Cell Signaling Technology, Inc.), caspase 7 (cat. no. #9492; Cell Signaling Technology, Inc.) and GAPDH (cat. no. #2118; Cell Signaling Technology, Inc.), prior to an incubation with secondary antibodies conjugated to horseradish peroxidase. The procaspase and cleaved caspase protein bands were detected using the clarity-enhanced chemiluminescence reagent (Bio-Rad Laboratories), as described previously.

Statistical analysis

All data are expressed as the mean ± standard error of mean for three independent experiments. The mean was compared with the one-way analysis of variance using SPSS 17.0 software (SPSS, Inc., Chicago, IL, USA). P<0.05 was considered to indicate a statistically significant difference.

Results

ApoG2 inhibits the proliferation of the different CRC cell lines

An MTT assay was performed to investigate the growth-inhibitory effects of ApoG2 on the three CRC cell lines. As shown in Fig. 1, ApoG2 inhibited the growth of the HT29, SW480 and HCT116 cells in a time- and a dose-dependent manner. ApoG2 exerted a more pronounced effect on the SW480 and HCT116 cells compared with the HT29 cells. The concentration of ApoG2 required for a half maximal inhibitory concentration (IC50) of the HT29 cells at 48 and 72 h was 3.12 and 2.57 µmol/l, respectively. The HT29 cells failed to respond to ApoG2 treatment following a period of 24 h. By contrast, the IC50 values of ApoG2 for the SW480 cells at 24, 48 and 72 h were 4.04, 1.44 and 0.75 µmol/l, respectively, and those for the HCT116 cells were 3.46, 0.77 and 0.57 µmol/l, respectively.

Figure 1 Growth-inhibitory effects of ApoG2 on the human (A) HT29, (B) SW480 and (C) HCT116 CRC lines. The growth-inhibitory effect of ApoG2 on the three human CRC cell lines was determined using an MTT assay. Cell viability data are expressed as the mean ± standard error of the mean for three independent experiments. (D) The IC50 values are shown as predictive values, with a 95% confidence interval for three independent experiments. ApoG2, apogossypolone; IC50, concentration of inhibitor required to effect 50% inhibition; CRC, colorectal cancer.

Protein expression levels for the Bcl-2 family members in the CRC cells

Since the Bcl-2 family proteins are possible targets of ApoG2, the protein expression levels of the Bcl-2 family proteins (Bcl-2, Bcl-XL, Mcl-1, Bax and Bak) in CRC cells were investigated. The nasopharyngeal cancer cell line, CNE-1, in which Bcl-2 family proteins are highly expressed, was used as a positive control. As shown in Fig. 2, high protein expression levels of the antiapoptotic proteins, Bcl-2 and Bcl-XL, were obtained in the HT29, HCT116 and SW480 cell lines, whereas the expression of the antiapoptotic protein, Mcl-1, differed among these three CRC cell lines. The proapoptotic proteins, Bax and Bak, were only highly expressed in HT29 cells compared with CNE-1.

Figure 2 Protein expression levels of the Bcl-2 protein family members in human CRC cells. The total cell protein was extracted from the human HT29, HCT116 and SW480 CRC cell lines, and from CNE-1 cells, as a positive control. Western blotting revealed the protein expression levels of Bcl-2, Bcl-XL, Mcl-1, Bax and Bak. GAPDH was used as a loading control. GAPDH, glyceraldehyde-3-phosphate dehydrogenase; CRC, colorectal cancer.

ApoG2 affects the protein expression levels of the Bcl-2 family

Western blot analysis was performed to observe the changes in the protein expression levels of Bcl-2 family members following treatment with serial concentrations of ApoG2 for 48 h. As shown in Fig. 3A, the protein expression levels of the antiapoptotic protein, Mcl-1, were markedly decreased upon treatment with ApoG2, and the effect observed was more pronounced in the SW480 and HCT116 cells compared with the HT29 cells. The relative protein expression levels compared with the control group following quantification are shown in Fig. 3B.

Figure 3 Effects of ApoG2 on the expression levels and function of the Bcl-2 family proteins in human CRC cell lines. (A) Western blot analysis was performed using specific antibodies against Bcl-2, Bcl-XL, Mcl-1, Bax and Bak. GAPDH was used as a control to normalize each lane as the loading control. (B) Densitometric quantitative results of the protein expression levels of the target proteins normalized against GAPDH. The effect of ApoG2 on target protein levels is presented as the fold of protein expression compared with the control vehicle-treated cells, which are expressed as 1-fold. The height of the bars indicate the mean of three independent experiments, while the error bars indicate the standard error of mean (*P<0.05, compared with the control). (C) Cell lysates were immunoprecipitated with primary anti-Bax antibodies. Western blots were performed to detect the quantity of Mcl-1 protein binding to Bax. GAPDH, glyceraldehyde-3-phosphate dehydrogenase; ApoG2, apogossypolone; IP, immunoprecipitate; IB, immunoblot; CRC, colorectal cancer.

ApoG2 disrupts the interactions between the Bcl-2 family proteins

To further assess whether the binding of the Mcl-1 protein to Bax was altered by treatment with ApoG, immunoprecipitation assays were performed. As shown in Fig. 3C, in the untreated CRC cells, Mcl-1 and Bax, were bound to each other (lane 1); however, when the cells were treated with 2.5 µmol/l ApoG2 for 48 h, the Mcl-1/Bax binding in all three CRC cells was completely disrupted (lane 2). Lane 3 was loaded with homologous immunoglobulin G and the anti-Bax antibody as a negative control.

ApoG2 induces apoptosis in the CRC cells

Hoechst 33258 staining and flow cytometry were used to assess ApoG2-induced apoptosis in the CRC cells. The nuclear morphological changes of the cells exposed to ApoG2, as revealed by Hoechst 33258 staining and observed by fluorescence microscopy, is shown in Fig. 4A. ApoG2-treated cells exhibited clear apoptotic characteristics, including cell shrinkage and nuclear fragmentation. The results of the flow cytometric analysis shown in Fig. 4B also indicated that ApoG2 promoted cell apoptosis at 48 h. The percentages of apoptotic cells increased with the concentration of ApoG2. The level of apoptosis induced by ApoG2 was also assessed over time. As shown in Fig. 4C, apoptosis occurred as early as 24 h following the treatment with ApoG2, and the apoptotic rate increased concomitantly with the duration of the treatment. The percentages of the cells undergoing apoptosis for the three cell lines, and at the different time points following treatment with ApoG2, are shown in Table I.

Figure 4 Cell apoptosis of the human CRC cell lines induced by ApoG2. (A and B) The cells were treated with the indicated concentrations of ApoG2 for 48 h, (A) The fluorescence microscopic observation of the Hoechst 33258-stained cells. (B) The apoptotic levels of the cells was analyzed by flow cytometry following labeling of the cells with annexin V/FITC and PI as markers for apoptosis. (C) The cells were stained with annexin V/FITC and PI, and were analyzed by flow cytometry following treatment with 2.5 µmol/l ApoG2 for 24, 48 and 72 h. ApoG2, apogossypolone; FITC, fluorescein isothiocyanate; PI, propidium iodide; CRC, colorectal cancer.

Table I Percentage of apoptotic cells induced by treatment with ApoG2.

Table I

Percentage of apoptotic cells induced by treatment with ApoG2.

A, Cells treated with ApoG2 at different concentrations
Cell line	Control	Concentration of ApoG2 (µM)
		1.25	2.5	5
HT29	14.80±1.33	15.27±0.50	25.06±1.16a	67.97±4.54b
SW480	11.31±0.52	17.41±0.80	22.65±1.34a	55.88±3.01b
HCT116	7.13±0.93	7.46±0.56	24.65±2.27b	32.14±0.93b

B, Cells treated with ApoG2 for different durations
Cell line	Control	Duration of treatment (h)
		24	48	72
HT29	6.40±1.13	10.67±0.92	16.83±1.11a	18.27±1.36b
SW480	8.26±0.92	18.58±0.99	20.63±1.34a	56.38±2.93b
HCT116	13.72±1.94	21.95±5.58	31.05±2.31a	57.11±2.18b

{ label (or @symbol) needed for fn[@id='tfn1-mmr-12-05-6976'] } Quantification of the apoptotic cells, as analyzed by flow cytometric analyses. The proportions of apoptotic cells undergoing apoptosis were measured as the accumulations of cells distributed in the lower right and upper right quadrants, representing early apoptotic and necrotic/late apoptotic cells, respectively. The data are expressed as the mean ± standard error of the mean of three independent experiments.

a P<0.05 and

b P<0.01, compared with the control group. ApoG2, apogossypolone.

ApoG2 promotes cytochrome c release

Since the release of cytochrome c from the mitochondria into the cytosol is usually indicative of apoptosis, whether ApoG2-induced apoptosis of the CRC cells involved the release of cytochrome c was investigated. As shown in Fig. 5A, an investigation of the levels of cytochrome c in the cytosol revealed that cytochrome c was almost undetectable in the cytosol of untreated CRC cells (leftmost lane in each gel). Following treatment of the cells with ApoG2 at the indicated concentrations for 48 h, cytochrome c was translocated into the cytosol in a concentration-dependent manner (lanes 2–4 of each gel).

Figure 5 Activation of apoptosis mediated by the mitochondrial signaling pathway by ApoG2 in human colorectal cancer cell lines. The cells were treated with control vehicle 0.1% dimethyl sulfoxide) and the indicated concentrations of ApoG2 for 48 h. (A) The proteins obtained from the cytosolic fractions were separated by 15% SDS-PAGE and detected using an anti-cytochrome c antibody. (B) The cell lysates were subjected to 15% SDS-PAGE gel electrophoresis and detected using caspase-3 and caspase-7 antibodies. GADPH, glyceraldehyde-3-phosphate dehydrogenase.

ApoG2 induces the activation of caspase 3 and 7

Caspase 3 is one of the executioners of apoptosis, and it is the first caspase to be activated by initiator cleavage. The activation of caspase 3 provides a marker of cell apoptosis. To confirm that ApoG2-promoted apoptosis signaling was occurring in CRC cells, the activation of caspase 3 and caspase 7 was investigated. Caspase 7 is normally activated subsequently to caspase 3. As shown in Fig. 5B, the levels of the cleaved caspases 3 and 7 increased significantly following treatment of ApoG2 at the indicated concentrations at 48 h.

Discussion

The absence of effective chemotherapeutic drugs often leads to a poor prognosis of CRC. It is a major concern that CRC is becoming resistant to treatment with the drugs currently used, including 5-fluorouracil and oxaliplatin. Members of the Bcl-2 protein family are considered to be associated with tumorigenesis and the resistance of CRC to chemotherapy. Prabhudesai et al (20) revealed that increased expression levels of the antiapoptotic proteins, and reduced expression levels of Bax, are associated with poor responses to chemotherapy and shorter overall survival rates in CRC, indicating that the Bcl-2 protein family is involved in tumorigenesis and the resistance of CRC to chemotherapies.

ApoG2 is a non-peptide molecular inhibitor of the antiapoptotic Bcl-2 family of proteins, derived from gossypol. Compared with gossypol, ApoG2 retains the identical antitumor effects, while having less toxicity. As previously reported, ApoG2 was well tolerated by healthy mice, and caused no toxic side-effects when administered to normal tissues, to gastric xenografts or to hepatocellular carcinoma xenografts at antitumor doses (16,21). ApoG2 exhibits a similar action to cis-platinum in cancer cells in nasopharyngeal carcinoma (14), or to CHOP chemotherapy (cyclophosphamide, hydoxydaunorubicin, Oncovin® and prednisone in combination) in large-cell lymphoma and prednisolone in combination] (22). Numerous previous studies have confirmed the antitumor effects of ApoG2 and its safe administration in a variety of cancer models (14–19).

It was reported that gossypol exerts a cytotoxic effect on CRC cells (23). Furthermore, CRC cells were more sensitive to gossypol compared with other human cancer cell lines, including erythroleukemia and mammary adenocarcinoma (24). Consequently, it may be surmised that anti-Bcl-2 agents may provide an alternative to well-established CRC therapies. As an inhibitor of the Bcl-2 family proteins, ApoG2 is therefore a promising candidate.

Three CRC cell lines, which exhibit different degrees of differentiation (HT29, HCT116 and SW480), were selected as models to investigate CRC in vitro. The results of the MTT assay revealed that the poorly differentiated cell lines, HCT116 and SW480, were markedly more sensitive to ApoG2 compared with the highly differentiated cell line, HT29, suggesting that ApoG2 may be more effective as a therapy for poorly differentiated cancers. As observed in the western blot analysis, the HT29 cells expressed higher levels of the antiapoptotic proteins, Bcl-2, Bcl-XL and Mcl-1, compared with the HCT116 and SW480 cell lines, consistent with a previous study, which reported the association of the protein expression of Bcl-2 with the degree of tumor differentiation (25).

ApoG2 is reported to be a pan-inhibitor of the Bcl-2 family of antiapoptotic proteins, including Bcl-2, Bcl-XL and Mcl-1 (26). ApoG2 binds to recombinant Bcl-2, Bcl-XL and Mcl-1 proteins with Ki values of 35, 660 and 25 nmol/l, respectively, suggesting that ApoG2 has the highest affinity for Mcl-1 among the anti-apoptotic Bcl-2 family proteins (22). Antiapoptotic proteins of the Bcl-2 family are therefore potential targets of ApoG2, as demonstrated in other cancer models. In the present study, the effects of ApoG2 on the expression and interaction of Bcl-2 protein family members in CRC cells was investigated. ApoG2 disrupted the binding of Mcl-1 to Bax in all three CRC cell lines investigated. The sensitivity of the CRC cell lines to ApoG2 correlated with the extent to which Mcl-1 was inhibited, indicating that the anti-CRC effect of ApoG2 may be associated with its antagonism to Mcl-1. ApoG2 treatment also led to a reduction in the protein expression level of Mcl-1, concomitantly with an increased protein expression of Bax, suggesting that the antagonistic effects of ApoG2 on Mcl-1 released Bax protein from the suppressive action of Mcl-1. Differently from the effects of ApoG2 reported previously in other types of cancer cells, Mcl-1 protein, and not Bcl-2 or Bcl-XL, appears to be the predominant target of ApoG2 in CRC cells.

The apoptosis-inducing effects of ApoG2 in CRC cells were investigated in the present study. As expected, CRC cells treated with ApoG2 exhibited clear apoptotic characteristics, including cell shrinkage and nuclear fragmentation. The flow cytometric analysis also revealed higher percentages of cells undergoing apoptosis upon treatment with ApoG2. In addition, the ApoG2-inducing apoptosis effects were investigated over time. As determined from the viability of the cells using an MTT assay, the number of apoptotic cells increased upon treatment with higher concentrations of ApoG2 or for a prolonged time period, suggesting that ApoG2 inhibited the proliferation of CRC cells by inducing cell apoptosis.

In the present study, ApoG2 inhibited Mcl-1/Bax binding and led to an increase in the protein expression of Bax. Cell apoptosis was also observed following ApoG2 treatment. It is well established that the Bcl-2 protein family regulates cell apoptosis predominantly through the mitochondrial pathway. The antagonistic action of antiapoptotic proteins of the Bcl-2 family facilitates the penetration of proapoptotic proteins into the mitochondrial membrane, and the subsequent release of cytochrome c into the cytoplasm, in order to activate caspase family proteins and to initiate cell apoptosis (5). Since ApoG2 disrupted Mcl-1/Bax binding in the CRC cells, it was surmised that ApoG2 may stimulate the release of cytochrome c to initiate cell apoptosis. As expected, higher levels of cytochrome c in the cytoplasm were observed following ApoG2 treatment. The release of cytochrome c into the cytoplasm is a common feature of mitochondrial-dependent apoptosis. The results in the present study indicated that ApoG2 may induced apoptosis in CRC cells through the mitochondrial signaling pathway. Subsequently, the activation of the caspase proteins was assessed. Caspase 3 is one of the key executioners of apoptosis activated by upstream apoptotic signaling molecules, including cytochrome c. Caspase 7 is another executioner of apoptosis, activated after caspase 3. The activation of caspases 3 and 7 by ApoG2 in confirmed that cell apoptosis was induced by ApoG2. In addition to the disruption of the activity of Mcl-1, the protein expression levels of Mcl-1 were decreased upon ApoG2 treatment in CRC cells. A previous study reported that the Mcl-1 protein was downregulated by caspase 3 in response to tumor necrosis factor-related apoptosis-inducing ligand-induced apoptosis in leukemic T cells (27). Since the present study revealed that ApoG2 activated caspase 3 in CRC cells, this may offer an explanation for the decreased expression of Mcl-1 following ApoG2 treatment. An accumulating body of evidence supports that Mcl-1 is associated with colorectal carcinogenesis (28-29), whereas the role of Bcl-2 in colorectal carcinoma remains controversial, and remains to be fully elucidated (30). Since ApoG2 inhibited the protein expression and the function of Mcl-1, it may potentially be of use in colorectal cancer therapy.

In conclusion, the present study identified that ApoG2 exerts marked antiproliferative effects on human colorectal cancer cells, which is at least partly dependent on preventing the Bcl-2 family protein member, Mcl-1, from binding to the proapoptotic protein, Bax, resulting in the induction of mitochondrial signaling pathway-dependent apoptosis.

References