Downregulation of type I collagen expression in silibinin-treated human skin fibroblasts by blocking the activation of Smad2/3-dependent signaling pathways: Potential therapeutic use in the chemoprevention of keloids

Introduction

Silibinin is a natural polyphenolic flavanoid extracted from the fruit and seeds of milk thistle (Silybum marianum). It has been reported that silibinin possesses antioxidant, anti-apoptotic, anti-inflammatory and anti-fibrotic properties (1–3). However, the effects of silibinin on type I collagen expression in human skin fibroblasts (HSFs) and the related signaling pathways remain unclear.

Type I collagen is a major extracellular matrix component in the dermis. It is synthesized and secreted in a soluble form by skin fibroblasts and deposited extracellularly. It is believed that transforming growth factor-β1 (TGF-β1)/Smad pathways play key roles in type I collagen synthesis (4–6).TGF-β1 is known to exert a promoting effect on the extracellular matrix in a variety of cells by stimulating the synthesis of matrix proteins. An important physiological feature of TGF-β1 includes the de novo synthesis of extracellular matrix proteins and the inhibition of the expression of matrix metalloproteinases (MMPs). Receptor-activated Smads (R-Smads; Smad2 and Smad3) are the key intracellular components in the TGF-β1 signaling pathway involved in the production of type I collagen. Thus, the dysregulation of the TGF-β1/Smad pathway is crucial for the pathogenesis of hypertrophic and keloid scar formation (7,8).

In this study, the anti-fibrogenic effects of silibinin were investigated by inhibiting the expression of type I collagen through the modulation of TGF-β1/Smad signaling pathways in HSFs.

Materials and methods

Materials

Antibodies against type I collagen, MMP-1, MMP-2, tissue inhibitor of metalloproteinase-1 (TIMP-1), Smad2 and Smad3 were obtained from Santa Cruz Biotechnology, Inc., (Santa Cruz, CA, USA). TGF-β1 was purchased from Sigma-Aldrich (St. Louis, MO, USA). Smad2, Smad3, phosphorylated Smad2 (p-Smad2) and phosphorylated Smad3 (p-Smad3) were obtained from Cell Signaling Technologies (Beverly, MA, USA).

Cell culture

HSFs were maintained at 37°C in a humidified atmosphere of 95% air and 5% CO2 in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% heat-inactivated FBS, 2 mM glutamine, 100 U/ml penicillin and 100 μg/ml streptomycin. For the experiments, the cells (5×104 cells/ml) were seeded in culture dishes, and maintained in a tissue culture incubator. The cells were treated with TGF-β1 (5 ng/ml) or silibinin (0–200 μM) for 48 h.

Cell counting kit-8 (CCK-8) assay

The cells were cultured in 96-well plates containing silibinin (0–200 μM) with 3 replicate wells for each concentration. Following incubation for 48 h, cell viability was measured by CCK-8 assay (Dojindo, Kumamoto, Japan), according to the manufacturer’s instructions.

Western blot analysis

Whole cell extracts were prepared in lysis buffer [10 mM Tris (pH 7.4), 5 mM EDTA, 130 mM NaCl, 1% Triton X-100, phenylmethylsulphonyl fluoride (PMSF, 10 μg/ml), aprotinin (10 μg/ml), leupeptin (10 μg/ml), 5 mM phenanthroline and 28 mM benzamidine-HCl]. The protein concentration of the extracts was estimated with Bradford reagent (Bio-Rad, Hercules, CA, USA) using bovine serum albumin as the standard. Equal amounts of protein (40 μg/lane) were resolved by 6.5–12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and transferred onto a nitrocellulose membrane. The membrane was then washed with Tris-buffered saline (10 mM Tris, 150 mM NaCl) containing 0.05% Tween-20 (TBST) and blocked in TBST containing 5% non-fat dried milk. The membrane was further incubated with respective specific antibodies. The membrane was continuously incubated with appropriate secondary antibodies coupled to horseradish peroxidase, and blots were developed in the ECL Western blotting detection reagents (Amersham Pharmacia Biotech, Piscataway, NJ, USA).

Chloramphenicol acetyltransferase (CAT) assay

The construct containing the 3.5-kb COL1A2 promoter fused to the CAT gene (pMS 3.5/CAT) was derived from a 3.5-kb EcoRI/SphI genomic subclone that spans the region from position -3500 to +58 of the COL1A2 promoter. After conversion of the EcoRI site to BamHI, the eukaryotic insert was excised with BamHI and HindIII, and was subcloned into a similarly digested polylinker of the expression vector p8-CAT, a derivative of the pEMBL plasmid. Thereafter, deletion mutants were generated in the parental pUC18 subclones and subsequently transferred to the expression vector. The transfections were carried out using the calcium phosphate/DNA co-precipitation method followed by a 1-min (15%) glycerol shock. Four hours after transfection, the cells were treated with silibinin. After a total of 48 h of incubation, the cells were harvested. CAT activity was determined by incubating cell extracts with [14C]chloramphenicol, followed by separation of its acetylated and non-acetylated forms by thin-layer chromatography. CAT activity in the cell extracts was calculated as radioactivity in the acetylated forms as a percentage of the total radioactivity in each sample.

Immunofluorescence analysis

To detect the intracellular localization of Smad2 and Smad3, skin fibroblasts were grown on slides in 24-well plates and then treated under the indicated conditions. After fixing with 4% paraformaldehyde for 30 min, the cells were permeabilized and blocked with 0.1% saponin and 0.5% bovine serum albumin in phosphate-buffered saline (PBS) for 30 min at 4°C. Subsequently, the samples were incubated with each primary antibody (1:50) overnight at 4°C, then the cells were incubated with fluorescein isothiocyanate (FITC)-conjugated goat anti-rabbit IgG (1:100) for 2 h at room temperature. The slides were then mounted with 80% phosphoglycerol, viewed and photographed under a fluorescence microscope (Olympus, Tokyo, Japan). In a single experiment, at least 100 stained cells were analyzed per sample.

Results

Effect of silibinin on cell proliferation rates in HSFs

To determine the effect of silibinin on the proliferation rates of HSFs, cells were exposed to silibinin (0–200 μM) for 2 days. As shown in Fig. 1, the proliferation rates were not markedly decreased following silibinin treatment. In addition, no cytotoxic effects of silibinin were observed in the cells (data not shown). These data indicate that a concentration of silibinin under 200 μM does not exert any cytotoxic effects on HSFs.

Figure 1 Non-cytotoxic effect of silibinin on human skin fibroblasts. Cells were plated at a density of 4×103/cm2 in 96-well plates. Cells were cultured with or without silibinin for 2 days. Viable cells were counted using the CCK-8 assay kit. Notably, the viability of the cells was not markedly suppressed by treatment with silibinin at a concentration of 200 μM.

Effect of silibinin on type I collagen and MMPs in HSFs

We analyzed the effect of silibinin on the expression of type I collagen, MMP-1 and MMP-2 in cultured fibroblasts. As shown in Fig. 2, silibinin clearly induced the decreased expression of type I collagen and the increased expression of MMP-1 and MMP-2 proteins in a dose-dependent manner; however, the expression of TIMP-1 was not markedly altered. The decreased expression of MMP-1 was clearly observed at 6 h and the increased expression of MMP-1 was observed at 24 h following treatment (Fig. 3). The enzymatic activity of MMP-1 was increased in the silibinin-treated cultured fibroblasts, as shown by zymography using casein (data not shown). Furthermore, the markedly decreased promoter activity of type I collagen was confirmed by CAT assay (Fig. 4). We found that silibinin induced the decreased expression of type I collagen, as well as the increased expression of MMP-1 and MMP-2 in the HSFs, demonstrating the anti-fibrotic effects of silibinin on skin. Thus, we focused on the role of silibinin in Smad2 and Smad3 in cultured HSFs.

Figure 2 Silibinin induced the decreased expression of type I collagen and tissue inhibitor of metalloproteinase-1 (TIMP-1), and increased the expression of matrix metalloproteinase (MMP)-1 and MMP-2 in human skin fibroblasts. Expression levels of type I collagen, MMP-1, MMP-2 and TIMP-1 were analyzed by western blot analysis in cultured human skin fibroblasts treated with silibinin at concentrations of 50, 100, 150 and 200 μM for 48 h.

Figure 3 Silibinin induced the decreased expression of type I collagen and tissue inhibitor of metalloproteinase-1 (TIMP-1), and increased the expression of matrix metalloproteinase (MMP)-1 and MMP-2 in human skin fibroblasts. Expression levels of type I collagen, MMP-1, MMP-2 and TIMP-1 were also analyzed by western blot analysis in cultured human skin fibroblasts treated with silibinin at 200 μM each for 6, 24 and 48 h. Similar results were obtained from 2 different experiments.

Figure 4 Decreased activity of the α1(I) procollagen promoter in silibinin-treated fibroblasts. Confluent fibroblasts were transfected with chloramphenicol acetyltransferase (CAT) constructs containing the proximal region of the human α1(I) procollagen promoter. CAT activity was determined by autoradiography in the acetylated and unacetylated forms of [14C]chloramphenicol. Similar results were obtained from 2 different experiments.

Effect of silibinin on Smad2 and Smad3 expression in HSFs

We analyzed the effect of silibinin on the expression of Smad2 and Smad3 in cultured skin fibroblasts. As shown in Fig. 5, at a concentration of >150 μM, silibinin did not alter the basal expression level of Smad2, but induced the decreased expression level of Smad3. Of note, silibinin clearly inhibited the TGF-β1-induced phosphorylation levels of Smad2 and Smad3 (Fig. 6).

Figure 5 Effect of silibinin on the expression of Smad proteins. Cells were treated with various concentrations of silibinin for 48 h. Whole cell lysates were prepared and used for western blot analysis with respective antibodies. The basal expression levels of Smad proteins were not markedly altered by silibinin treatment. Similar results were obtained from 2 different experiments.

Figure 6 Inhibition of TGF-β1-induced phosphorylation of Smad3 and Smad2 in human skin fibroblasts by treatment with silibinin. Cells were treated with TGF-β1 (5 ng/ml) or silibinin (200 μM) and co-treated with TGF-β1 and silibinin for 6 h. Whole cell lysates were prepared and used for western blot analysis with respective antibodies. Similar results were obtained from 2 different experiments.

Effects of silibinin on TGF-β1-induced nuclear translocation of Smad2

We further investigated whether silibinin inhibits the nuclear translocation of Smad2 in TGF-β1-treated fibroblasts. The intracellular localization of p-Smad2 was examined by immunofluorescence microscopy using anti-p-Smad2 antibody. At least 100 stained cells were analyzed per sample. As shown in Fig. 7, Smad2 was scarcely phosphorylated in the absence of exogenous TGF-β1. The majority of Smad2 proteins that were phosphorylated at the C-terminal region following TGF-β1 treatment translocated to the nuclei. Treatment with silibinin (200 μM) interrupted the TGF-β1-mediated nuclear translocation of p-Smad2 in the cells. The nuclear translocation of p-Smad3 was also attenuated by silibinin treatment in the fibroblasts (data not shown).

Figure 7 Attenuation of TGF-β1-induced nuclear translocation of phosphorylated Smad2 (p-Smad2) in silibinin-treated human skin fibroblasts. Cells were treated with TGF-β1 (5 ng/ml) or silibinin (200 μM) and co-treated with TGF-β1 and silibinin for 3 h. After the cells were fixed, permeabilized and blocked, they were incubated with each primary antibody followed by fluorescein isothiocyanate-conjugated secondary antibody, and then viewed and photographed under a fluorescence microscope.

Discussion

The investigation of the molecular mechanisms underlying fibrosis or hypertrophic scar formation has attracted considerable attention in recent years. It has been widely accepted that the dysregulation of the TGF-β/Smad pathway plays a key role in hypertrophic or keloid scar formation in human skin tissues. A number of studies have clearly demonstrated that the increased expression of TGF-β receptors (types I and II) and the increased phosphorylation of Smad3 in keloid fibroblasts compared to normal HSFs, as well as the suppression of the TGF-β1/Smad pathway by certain chemicals such as curcumin, may exert chemopreventive effects, thus preventing keloid formation (7–9).

In the current study, we demonstrated that silibinin induced the decreased expression of type I collagen at both the protein and mRNA levels in cultured skin fibroblasts. In addition, the silibinin-induced downregulation of type I collagen expression was partly mediated by the inhibition of the phosphorylation and nuclear translocation of Smad2 and Smad3. In accordance with our findings, silibinin has been shown to attenuate cardiac hypertrophy and fibrosis by blocking epidermal growth factor receptor (EGFR)-dependent signaling, as well as the nuclear factor-κB (NF-κB) and TGF-β1/Smad signaling pathways (10). These findings suggest that silibinin may be an effective therapeutic candidate against hypertrophic or keloid scarring through the downregulation of type I collagen expression.

The phosphorylation and nuclear translocation of Smad2, Smad3 with Smad4 in response to TGF-β1 stimulation are critical for the activation of the TGF-β1/Smad signaling pathway (11–13). TGF-β1 induces a complex formation between p-Smad2 and p-Smad3 at the C-terminal and linker region with Smad4. The Smad2/3/4 complex translocates to the nucleus to regulate the expression of target genes, such as type I collagen. Namely, TGF-β-stimulated α2(I)-collagen expression occurs via the cooperation between Smad3 and Smad4, Sp1, CBP/p300 and Egr-1 (14–16). Our results demonstrated that silibinin attenuated the nuclear translocation of Smad2 and Smad3, as well as the inhibition of the TGF-β-induced phosphorylation of Smad2 and Smad3. It was observed that the signaling activity of Smad was modulated through phosphorylation and cytosol-nucleus translocation. Our data suggest that silibinin may be an effective therapeutic candidate against hypertrophic or keloid scarring through the inhibition of the nuclear translocation and phosphorylation of Smad2 and Smad3.

TGF-β represses the expression of MMP-1 via Smad3 and Smad4 with dominant-negative Smad3 or Smad4 mutants abrogating this response (17). If the imbalance of MMP-1 activity occurs in type I collagen synthesis during the wound healing process, the excessive accumulation of the extracellular matrix may result in hypertrophic scarring or keloid formation. In this study, we found that silibinin-treated fibroblasts showed increased MMP-1 and MMP-2 expression levels, as well as a decreased type I collagen expression level. These results suggest that silibinin positively regulates the expression of MMP-1 and MMP-2 through the partial suppression of Smad2/3 activation.

In conclusion, the data from the present study suggest that silibinin has the potential to prevent fibrotic skin changes by inducing the downregulation of type I collagen expression; this effect is is partly mediated by blocking the Smad2/3-dependent signaling pathway in HSFs.

Acknowledgements

This study was supported by a research promotion grant from the Keimyung University Dongsan Medical Center in 2012.

References