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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title>International Journal of Oncology</journal-title>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2012.1664</article-id>
<article-id pub-id-type="publisher-id">ijo-41-06-2191</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Wedelolactone, a medicinal plant-derived coumestan, induces caspase-dependent apoptosis in prostate cancer cells via downregulation of PKC&#x003B5; without inhibiting Akt</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SARVESWARAN</surname><given-names>SIVALOKANATHAN</given-names></name><xref rid="af1-ijo-41-06-2191" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>GAUTAM</surname><given-names>SUBHASH C.</given-names></name><xref rid="af2-ijo-41-06-2191" ref-type="aff"><sup>2</sup></xref><xref rid="af3-ijo-41-06-2191" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>GHOSH</surname><given-names>JAGADANANDA</given-names></name><xref ref-type="corresp" rid="c1-ijo-41-06-2191"/><xref rid="af1-ijo-41-06-2191" ref-type="aff"><sup>1</sup></xref><xref rid="af3-ijo-41-06-2191" ref-type="aff"><sup>3</sup></xref></contrib></contrib-group>
<aff id="af1-ijo-41-06-2191">
<label>1</label>Vattikuti Urology Institute</aff>
<aff id="af2-ijo-41-06-2191">
<label>2</label>Department of Surgery and</aff>
<aff id="af3-ijo-41-06-2191">
<label>3</label>Josephine Ford Cancer Center, Henry Ford Health System, Detroit, MI 48202, 
<country>USA</country></aff>
<author-notes>
<corresp id="c1-ijo-41-06-2191">Correspondence to: Dr Jagadananda Ghosh, Henry Ford Health System, 1 Ford Place, 2D, Detroit, MI 48202, USA, E-mail: <email>jghosh1@hfhs.org</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2012</year></pub-date>
<pub-date pub-type="epub">
<day>16</day>
<month>10</month>
<year>2012</year></pub-date>
<volume>41</volume>
<issue>6</issue>
<fpage>2191</fpage>
<lpage>2199</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>07</month>
<year>2012</year></date>
<date date-type="accepted">
<day>17</day>
<month>08</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2012, Spandidos Publications</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</p></license></permissions>
<abstract>
<p>Emerging studies indicate that metabolism of arachidonic acid through the 5-lipoxygenase (5-Lox) pathway plays a critical role in the survival of prostate cancer cells raising the possibility that 5-Lox can be targeted for an effective therapy of prostate cancer. Wedelolactone (WDL), a medicinal plant-derived natural compound, is known to inhibit 5-Lox activity in neutrophils. However, its effect on apoptosis in prostate cancer cells has not been addressed. Thus, we tested the effects of WDL on human prostate cancer cells <italic>in vitro</italic>. We observed that WDL kills both androgen-sensitive as well as androgen-independent prostate cancer cells in a dose-dependent manner by dramatically inducing apoptosis. We also found that WDL-induced apoptosis in prostate cancer cells is dependent on c-Jun N-terminal Kinase (c-JNK) and caspase-3. Interestingly, WDL triggers apoptosis in prostate cancer cells via downregulation of protein kinase C&#x003B5; (PKC&#x003B5;), but without inhibition of Akt. WDL does not affect the viability of normal prostate epithelial cells (PrEC) at doses that kill prostate cancer cells, and WDL-induced apoptosis is effectively prevented by 5-oxoETE, a metabolite of 5-Lox (but not by 15-oxoETE, a metabolite of 15-Lox), suggesting that the apoptosis-inducing effect of WDL in prostate cancer cells is mediated via inhibition of 5-Lox activity. These findings indicate that WDL selectivity induces caspase-dependent apoptosis in prostate cancer cells via a novel mechanism involving inhibition of PKC&#x003B5; without affecting Akt and suggest that WDL may emerge as a novel therapeutic agent against clinical prostate cancer in human.</p></abstract>
<kwd-group>
<kwd>wedelolactone</kwd>
<kwd>5-lipoxygenase</kwd>
<kwd>protein kinase C&#x003B5;</kwd>
<kwd>prostate cancer</kwd>
<kwd>apoptosis</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Wedelolactone (7-methoxy-5,11,12-trihydroxy-coumestan) is a plant-derived natural product synthesized mainly by members belonging to the Asteraceae family (<xref rid="b1-ijo-41-06-2191" ref-type="bibr">1</xref>,<xref rid="b2-ijo-41-06-2191" ref-type="bibr">2</xref>). A major source of WDL is the plant genus <italic>Eclipta</italic> (or Bhringaraj) which is an acrid, bitter herb medicine traditionally used extensively for hair and skin health and for preventing liver damage due to alcohol overdose and jaundice (<xref rid="b1-ijo-41-06-2191" ref-type="bibr">1</xref>&#x02013;<xref rid="b5-ijo-41-06-2191" ref-type="bibr">5</xref>). This herb expels intestinal worms, cures cough, prevents inflammation, reduces symptoms of bronchitis and asthma, and is used to alleviate uterine pain after delivery. In addition to its use as folk medicine, it has also been used in the treatment of infective hepatitis in India (<xref rid="b2-ijo-41-06-2191" ref-type="bibr">2</xref>&#x02013;<xref rid="b4-ijo-41-06-2191" ref-type="bibr">4</xref>), snake venom poisoning in Brazil (<xref rid="b6-ijo-41-06-2191" ref-type="bibr">6</xref>&#x02013;<xref rid="b9-ijo-41-06-2191" ref-type="bibr">9</xref>) and septic shock in China (<xref rid="b10-ijo-41-06-2191" ref-type="bibr">10</xref>). Active compounds in <italic>Eclipta</italic> were observed to inhibit protease activity as well as the activity of phospholipase A2 (<xref rid="b11-ijo-41-06-2191" ref-type="bibr">11</xref>&#x02013;<xref rid="b14-ijo-41-06-2191" ref-type="bibr">14</xref>). The coumestan compounds wedelolactone and demethyl-wedelolactone were tested to show anti-hepatotoxic effect in liver cells (<xref rid="b2-ijo-41-06-2191" ref-type="bibr">2</xref>,<xref rid="b3-ijo-41-06-2191" ref-type="bibr">3</xref>). WDL and other compounds from the plant <italic>Wedelia sinensis</italic> have also been reported to block androgen receptor function (<xref rid="b15-ijo-41-06-2191" ref-type="bibr">15</xref>), and to inhibit polymerase activity of hepatitis C virus (<xref rid="b16-ijo-41-06-2191" ref-type="bibr">16</xref>). Interestingly, the coumestan derivative, wedelolactone, has been found to be a potent and selective inhibitor of 5-Lox (IC<sub>50</sub> &#x0223C;2.5 <italic>&#x003BC;</italic>M) which inhibits 5-Lox activity by an oxygen radical scavenging mechanism (<xref rid="b17-ijo-41-06-2191" ref-type="bibr">17</xref>,<xref rid="b18-ijo-41-06-2191" ref-type="bibr">18</xref>). Thus, WDL has emerged as a candidate drug for prevention as well as treatment of inflammatory diseases and cancer.</p>
<p>Emerging evidence from several studies has revealed that prostate cancer cells continuously generate 5-Lox metabolites and inhibition of 5-Lox by specific inhibitors induces apoptosis both in androgen-sensitive as well as androgen-independent prostate cancer cells (<xref rid="b19-ijo-41-06-2191" ref-type="bibr">19</xref>&#x02013;<xref rid="b25-ijo-41-06-2191" ref-type="bibr">25</xref>). Apoptosis is prevented by metabolites of 5-Lox, but not by 12-Lox or 15-Lox, suggesting that 5-Lox activity plays an essential role in the viability of prostate cancer cells (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>). Inhibition of 5-Lox activates caspases and blocking caspase activity by specific inhibitors prevents induction of apoptosis suggesting that this type of apoptosis is caspase-dependent. It was also observed that inhibition of 5-Lox triggers rapid activation of c-Jun N-terminal kinase (JNK) in prostate cancer cells which is detectable within 1&#x02013;2 h post-treatment (<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>). Blocking JNK activity by specific chemical inhibitors prevent 5-Lox inhibition-induced caspase activation as well as apoptotic degradation of nuclear DNA to nucleosomal fragments, suggesting that JNK plays an important role in the apoptosis process. JNK has already been reported to play an important role in apoptosis in various types of cells (<xref rid="b27-ijo-41-06-2191" ref-type="bibr">27</xref>&#x02013;<xref rid="b31-ijo-41-06-2191" ref-type="bibr">31</xref>). In regard to downstream signaling, recently we found that 5-Lox metabolites signal via an Akt-independent, PKC&#x003B5;-dependent mechanism (<xref rid="b32-ijo-41-06-2191" ref-type="bibr">32</xref>,<xref rid="b33-ijo-41-06-2191" ref-type="bibr">33</xref>). Altogether, these findings demonstrated that 5-Lox activity plays a critical role in the survival of prostate cancer cells and suggested that 5-Lox may be used as a molecular target for prevention and treatment of prostate cancer.</p>
<p>Alongside the use of synthetic inhibitors, screening and testing of compounds from natural sources are becoming more and more popular for obtaining improved solubility, potency, and cancer selectivity. We sought to test natural compound inhibitors of 5-Lox activity for their effects on induction of apoptosis in prostate cancer cells with an intention to find novel agents for prostate cancer therapy. Though the 5-Lox inhibitory effect of WDL is known for a while, its effect on induction of apoptosis in prostate cancer cells and the underlying mechanisms have not been addressed before. Thus, we examined the <italic>in vitro</italic> effects of WDL on a range of human prostate cancer cells. Our results show that WDL strongly affects the viability of both androgen-sensitive (LNCaP) as well as androgen-independent (PC3, DU145) human prostate cancer cells with minimal effect on the viability of normal, non-tumor prostate epithelial cells (PrEC). Moreover, WDL was observed to induce caspase-dependent apoptosis in prostate cancer cells which was associated with dramatic inhibition of PKC&#x003B5; but no inhibition of Akt. Apoptosis was effectively prevented by exogenous metabolites of 5-Lox. These findings indicate that WDL selectivity induces caspase-dependent apoptosis in prostate cancer cells via a novel mechanism involving inhibition of PKC&#x003B5; but without inhibition of Akt and suggest that WDL should be tested further as a novel candidate drug for development of an effective therapy against clinical prostate cancer.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and reagents</title>
<p>Human prostate cancer cells (LNCaP, PC3 and DU145) were purchased from American Type Culture Collection (Manassas, VA, USA). Cells were grown in RPMI-1640 medium (Invitrogen, Carlsbad, CA, USA) as described before (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>). Normal prostate epithelial cells (PrEC) and the growth medium (PrEGM complete) were purchased from Lonza (Walkersville, MD, USA), polyclonal antibodies against histone H2A.X, phosphohistone H2A.X, c-JNK, phospho-JNK, Akt and phospho-Akt were purchased from Cell Signaling (Danvers, MA, USA). Antibodies against PARP, cyclin D1 and PKC&#x003B5; were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Anti-&#x003B2;-actin antibody, WDL and ibuprofen were purchased from Sigma Chemical Co. (St. Louis, MO, USA). 5-Oxoeicosatetraenoid (5-oxoETE) and 15-oxoETE were purchased from Cayman Chemicals (Ann Arbor, MI, USA).</p></sec>
<sec>
<title>Measurement of cell viability</title>
<p>Prostate cancer cells (4&#x000D7;10<sup>3</sup> per well) were plated in 96-well plates overnight in RPMI-1640 medium supplemented with 10&#x00025; FBS. PrEC cells were plated in PrEGM complete medium supplemented with 1&#x00025; FBS. Then the cells were treated with varying doses of WDL or solvent vehicle (0.2&#x00025; DMSO) and the plates were incubated for 72 h at 37&#x000B0;C in the CO<sub>2</sub> incubator. Cell viability was measured using One Solution Cell Titer AQ Assay kit following a protocol supplied by the manufacturer (Promega Corp., Madison, WI, USA).</p></sec>
<sec>
<title>Microscopy</title>
<p>LNCaP prostate cancer cells (&#x0223C;3&#x000D7;10<sup>5</sup>) were plated in RPMI-1640 medium supplemented with 10&#x00025; FBS overnight onto 60-mm diameter tissue culture plates (Falcon) and allowed to grow for 48 h. On the day of experiment, the spent culture medium was replaced with 2 ml fresh RPMI-1640 medium and the cells were treated with inhibitors. Control cells were treated with solvent only (0.2&#x00025; DMSO). Photographs were taken with a Nikon digital camera attached to a LEICA fluorescence microscope at magnification, &#x000D7;400. Image acquisition and data processing were done with a Dell computer attached to the microscope using SPOT-Advanced software.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>LNCaP cells (&#x0223C;3&#x000D7;10<sup>5</sup>) were plated and allowed to grow for 48 h. The old medium was then replaced with 2 ml fresh RPMI-1640 medium and the cells were treated with inhibitors. After treatment, cells were harvested, washed and lysed in lysis buffer (50 mM HEPES buffer, pH 7.4, 150 mM NaCl, 1 mM EDTA, 1 mM orthovanadate, 10 mM sodium pyrophosphate, 10 mM sodium fluoride, 1&#x00025; NP-40, and a cocktail of protease inhibitors). Proteins were separated by 12&#x00025; SDS-PAGE and transferred to nitrocellulose membranes. Membranes were blocked with 5&#x00025; non-fat milk solution and then blotted with appropriate primary antibody followed by peroxidase-labeled secondary antibody. Bands were visualized by enhanced chemiluminescence (Amersham, Rockford, IL, USA).</p></sec>
<sec>
<title>Annexin V binding</title>
<p>LNCaP cells (&#x0223C;3&#x000D7;10<sup>5</sup>) were plated in RPMI-1640 medium and allowed to grow for 48 h. The spent culture medium was replaced with fresh 2 ml RPMI-1640 medium and the cells were treated with WDL or ibuprofen for 24 h at 37&#x000B0;C. Then the cells were treated with FITC-labeled Annexin V and propidium iodide for 15 min in the dark using Annexin V-Binding Detection kit following a protocol supplied by the manufacturer (BD Biosciences, San Jose, CA, USA). After washing, cells were photographed with a Nikon digital camera attached to a LEICA fluorescence microscope at magnification, &#x000D7;200. Image acquisition and data processing were done with a Dell computer attached to the microscope using SPOT-Advanced software.</p></sec>
<sec>
<title>Measurement of caspase activity</title>
<p>LNCaP cells (&#x0223C;3&#x000D7;10<sup>5</sup> per plate) were plated in 60-mm diameter plates and treated with inhibitors or solvent vehicle for varying periods of time. Then the cells were lysed in lysis buffer containing 0.2&#x00025; CHAPS as detergent. Enzymatic activity of caspase-3 in cell lysates was measured colorimetrically by a commercially available kit following methods supplied by the manufacturer (Biomol, Plymouth Meeting, PA, USA).</p></sec>
<sec>
<title>DNA fragmentation</title>
<p>Apoptosis was quantitatively measured by detecting degradation of nuclear DNA by sandwich-ELISA. LNCaP cells (&#x0223C;3&#x000D7;10<sup>5</sup>) were plated in 60-mm diameter tissue culture plates and allowed to grow for 48 h. Cells were then treated either with the experimental agents or solvent vehicle for 24 h. At the end of incubation period, cells were lysed and the degradation of nuclear DNA to nucleosomal fragments was measured by Cell Death Detection ELISA<sup>plus</sup> as described before (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>,<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>), following instructions supplied by the manufacturer (Roche, Indianapolis, IN, USA).</p></sec>
<sec>
<title>Mitochondrial permeability transition (MPT)</title>
<p>LNCaP cells (&#x0223C;3&#x000D7;10<sup>5</sup>) were plated in RPMI-1640 medium and allowed to grow for 48 h. The spent culture medium was replaced with fresh 2 ml RPMI-1640 medium and the cells were treated with WDL or ibuprofen for 8 h at 37&#x000B0;C. Permeability transition of mitochondria was detected using a kit following manufacturer&#x02019;s protocol (BD Biosciences) by treating cells with 40 nM Mitotracker red for 30 min at 37&#x000B0;C in the incubator. Hoechst dye 33342 was used to stain the nuclei. After washing, cells were photographed with a Nikon digital camera attached to a Leica fluorescence microscope at magnification, &#x000D7;400. Image acquisition and data processing were done with a Dell computer attached to the microscope using SPOT-Advanced software.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>WDL reduces viability of prostate cancer cells in a dose-dependent manner</title>
<p>Since the role of 5-Lox in the survival and growth of prostate cancer cells has been observed in various laboratories (<xref rid="b19-ijo-41-06-2191" ref-type="bibr">19</xref>&#x02013;<xref rid="b25-ijo-41-06-2191" ref-type="bibr">25</xref>), we wanted to examine the effect of WDL on the viability of prostate cancer cells, because WDL is known to be a potent inhibitor of 5-Lox activity (<xref rid="b17-ijo-41-06-2191" ref-type="bibr">17</xref>,<xref rid="b18-ijo-41-06-2191" ref-type="bibr">18</xref>). We observed that WDL dose-dependently reduced the viability of both androgen-sensitive (LNCaP) as well as androgen-independent (PC3, DU145) prostate cancer cells with IC<sub>50</sub>s between 8&#x02013;12 <italic>&#x003BC;</italic>M (<xref rid="f1-ijo-41-06-2191" ref-type="fig">Fig. 1</xref>). The effect of WDL was observed to be strongly cancer-specific when compared to its effect on the viability of normal, non-cancerous prostate epithelial cells (PrEC).</p></sec>
<sec>
<title>WDL induces severe morphological alteration in prostate cancer cells</title>
<p>Earlier, we reported that prostate cancer cells show pronounced alteration in their morphology forming numerous membrane blebs when treated with synthetic inhibitors of 5-Lox (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>). We examined whether WDL also exerts similar effects on prostate cancer cells. We observed that prostate cancer cells treated with WDL show a dramatic alteration in their membrane morphology in a dose-dependent manner. Well-spread adherent cells gradually withdraw their processes, become round and eventually detach and float in the growth medium (<xref rid="f2-ijo-41-06-2191" ref-type="fig">Fig. 2</xref>). Similar effects of WDL were also observed in PC3 and DU145 cells (not shown). Ibuprofen, an inhibitor of cyclooxygenase, did not show any appreciable effect on the morphology of prostate cancer cells in the same experimental conditions, suggesting a selective action of WDL on these cells. Morphological change of cells with WDL treatment was reminiscent of cells undergoing apoptosis.</p></sec>
<sec>
<title>WDL induces apoptosis in prostate cancer cells</title>
<p>WDL-induced morphological alteration in prostate cancer cells prompted us to investigate whether these cells are undergoing death via induction of apoptosis. Apoptosis-associated formation of membrane blebs is characterized by cleavage of cortical cytoskeleton and externalization of phosphatidylserine to the outer leaflet of plasma membrane. Externalization of phosphatidylserine can be assessed by its high-affinity binding with dye-labeled Annexin V. We observed that cells with altered morphology upon WDL treatment bind with fluorescein isothiocyanate-labeled Annexin V (Annexin V-FITC), confirming externalization of phosphatidylserine in these cells after treatment (<xref rid="f3-ijo-41-06-2191" ref-type="fig">Fig. 3A</xref>).</p>
<p>Ibuprofen did not induce any appreciable effect on externalization of phosphatidylserine in the same experimental conditions. We observed that WDL dose-dependently induced phosphorylation of the DNA damage-indicator histone H2A.X at Serine<sup>139</sup> (<xref rid="f3-ijo-41-06-2191" ref-type="fig">Fig. 3B</xref>), suggesting occurrence of DNA strand breaks. Cleavage of poly-ADP ribose polymerase (PARP) is an indicator of advanced stage of apoptosis. PARP is a protein substrate which is cleaved to generate particular peptide fragments by activated caspases. We observed that when prostate cancer cells are treated with WDL, the intact form of PARP protein (molecular weight 116 kDa) is cleaved to generate a characteristic smaller species of &#x0223C;89 kDa which was detectable at doses 10 <italic>&#x003BC;</italic>M and above (<xref rid="f3-ijo-41-06-2191" ref-type="fig">Fig. 3C</xref>). Degradation of DNA to nucleosomal fragments is an indicator and a well characterized late event in apoptotic cell death. We observed that treatment with WDL induces fragmentation of chromatin DNA to nucleosomes in prostate cancer cells in a dose-dependent manner (<xref rid="f3-ijo-41-06-2191" ref-type="fig">Fig. 3D</xref>). Ibuprofen did not show any appreciable effect on phosphorylation of H2A.X, cleavage of PARP or degradation of DNA.</p></sec>
<sec>
<title>WDL-induced apoptosis in prostate cancer cells is dependent on activation of c-Jun N-terminal kinase (JNK)</title>
<p>We previously reported that 5-Lox inhibition induces apoptosis in prostate cancer cells via rapid activation of c-Jun N-terminal kinase (<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>). We examined whether WDL induces apoptosis in prostate cancer cells via activation of JNK. We observed that when prostate cancer cells are treated with WDL a rapid and strong activation of JNK occurs and that inhibition of JNK blocks induction of apoptosis, suggesting that WDL-induced apoptosis in prostate cancer cells is dependent on JNK activity (<xref rid="f4-ijo-41-06-2191" ref-type="fig">Fig. 4A and B</xref>). We also observed that WDL damages mitochondrial integrity by inducing permeability transition and loss of membrane potential-sensitive dye (<xref rid="f4-ijo-41-06-2191" ref-type="fig">Fig. 4C</xref>).</p></sec>
<sec>
<title>Induction of apoptosis in prostate cancer cells by WDL treatment is caspase-dependent</title>
<p>Both caspase-dependent and caspase-independent apoptosis are known to occur depending on cell types and apoptotic trigger (<xref rid="b27-ijo-41-06-2191" ref-type="bibr">27</xref>). Though we observed cleavage of PARP (a caspase substrate) after WDL treatment, we wanted to examine the status and role of caspase-3 activation in WDL-induced apoptosis in prostate cancer cells. We observed that treatment with WDL induces activation of caspase-3 in a dose-dependent manner (<xref rid="f5-ijo-41-06-2191" ref-type="fig">Fig. 5A</xref>). Moreover, we observed that inhibition of caspase-3 by specific inhibitor (DEVD-FMK) significantly prevents apoptotic DNA degradation, suggesting that WDL-induced apoptosis in prostate cancer cells is caspase-dependent (<xref rid="f5-ijo-41-06-2191" ref-type="fig">Fig. 5B</xref>).</p></sec>
<sec>
<title>WDL-induced apoptosis in prostate cancer cells occurs via downregulation of PKC&#x003B5; without inhibiting Akt</title>
<p>We recently reported that 5-Lox inhibition-induced apoptosis in prostate cancer cells occurs via inhibition of PKC&#x003B5; without inhibition of Akt (<xref rid="b32-ijo-41-06-2191" ref-type="bibr">32</xref>,<xref rid="b33-ijo-41-06-2191" ref-type="bibr">33</xref>). Thus, we wanted to test whether WDL-induced apoptosis is also independent of Akt inhibition. We observed that treatment with WDL downregulates PKC&#x003B5; in a dose-dependent manner, but does not decrease phosphorylation of Akt in the same experimental conditions (<xref rid="f6-ijo-41-06-2191" ref-type="fig">Fig. 6A and B</xref>) which suggests that WDL induces apoptosis in prostate cancer cells via downregulation of PKC&#x003B5; but not via inhibition of Akt.</p>
<p>Though it is known that inhibition of 5-Lox induces apoptosis in prostate cancer cells (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>&#x02013;<xref rid="b25-ijo-41-06-2191" ref-type="bibr">25</xref>), and that WDL inhibits the activity of 5-Lox (<xref rid="b17-ijo-41-06-2191" ref-type="bibr">17</xref>), WDL is not a specific inhibitor of 5-Lox because at higher doses it inhibits IKK&#x003B1;, topoisomerase II&#x003B1;, trypsin and PLA2 (<xref rid="b8-ijo-41-06-2191" ref-type="bibr">8</xref>&#x02013;<xref rid="b13-ijo-41-06-2191" ref-type="bibr">13</xref>,<xref rid="b34-ijo-41-06-2191" ref-type="bibr">34</xref>). Thus, we wanted to verify whether the apoptosis-inducing effect of WDL in prostate cancer cells occurs via inhibition of 5-Lox activity. Results are depicted in <xref rid="f6-ijo-41-06-2191" ref-type="fig">Fig. 6C</xref> showing that WDL-induced apoptosis in prostate cancer cells is effectively prevented by 5-oxoETE, a metabolic product of 5-Lox, whereas 15-oxoETE, a product of 15-lipoxygenase, was without effect. These findings suggest that the apoptosis-inducing effect of WDL in prostate cancer cells is mediated (at least partially) via inhibition of 5-Lox activity.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>We observed that the natural compound WDL reduces viability of both androgen-sensitive (LNCaP) as well as androgen-independent (PC3, DU145) human prostate cancer cells, whereas it exerts only marginal effect on normal, non-cancer prostate epithelial cells (PrEC) in the same culture conditions (<xref rid="f1-ijo-41-06-2191" ref-type="fig">Fig. 1</xref>). These observations document for the first time that WDL possesses significant cancer-selective action, and suggest that WDL may be effective as a small molecule agent against prostate cancer. Our observation is of particular significance because it shows that WDL affects the viability of both androgen receptor-positive LNCaP (<xref rid="b35-ijo-41-06-2191" ref-type="bibr">35</xref>), and androgen receptor-negative PC3 and DU145 (<xref rid="b36-ijo-41-06-2191" ref-type="bibr">36</xref>,<xref rid="b37-ijo-41-06-2191" ref-type="bibr">37</xref>) human prostate cancer cells with similar potency (IC<sub>50</sub>s of &#x0223C;8&#x02013;12 <italic>&#x003BC;</italic>M), suggesting that this effect of WDL is independent of androgen receptor status of these cancer cells. Herbal formulations of the source plants <italic>Eclipta alba</italic> and <italic>Eclipta prostrata</italic> have been used in India for centuries against liver damage caused by various hepatotoxins, for hair re-growth, for bronchitis and asthma, and for general well being as a rejuvenator (<xref rid="b1-ijo-41-06-2191" ref-type="bibr">1</xref>&#x02013;<xref rid="b5-ijo-41-06-2191" ref-type="bibr">5</xref>). Crude extracts of plants contain numerous compounds, and the composition varies from sample to sample and on growth conditions of plants. However, WDL and demethylwedelolactone were identified as major components after fractionation of crude plant extracts, and are now available in pure forms for testing and mechanistic understanding (<xref rid="b1-ijo-41-06-2191" ref-type="bibr">1</xref>&#x02013;<xref rid="b5-ijo-41-06-2191" ref-type="bibr">5</xref>,<xref rid="b12-ijo-41-06-2191" ref-type="bibr">12</xref>,<xref rid="b18-ijo-41-06-2191" ref-type="bibr">18</xref>). Both PC3 and DU145 cells were isolated from distant metastatic sites (bone and brain, respectively) and are androgen-independent (<xref rid="b35-ijo-41-06-2191" ref-type="bibr">35</xref>&#x02013;<xref rid="b38-ijo-41-06-2191" ref-type="bibr">38</xref>). Thus, our observations open up the possibility of using WDL against deadly diseases such as androgen-independent metastatic prostate cancer for which currently there is no cure available.</p>
<p>A major advancement in our understanding about WDL as a pure compound is that it severely alters morphology and induces apoptosis in prostate cancer cells (<xref rid="f2-ijo-41-06-2191" ref-type="fig">Figs. 2</xref> and <xref rid="f3-ijo-41-06-2191" ref-type="fig">3</xref>). This apoptosis is associated with externalization of phosphatidylserine, cleavage of PARP, phosphorylation of H2A.X, and degradation of chromatin DNA to nucleosomal fragments. Cells undergoing apoptosis externalize phosphatidylserine which is characterized as a signal from dying cells for macrophage engulfment and clearance from the system (<xref rid="b39-ijo-41-06-2191" ref-type="bibr">39</xref>). PARP is a protein substrate of executioner caspases and its characteristic cleavage is considered as an indicator of caspase-mediated apoptotic cell death (<xref rid="b40-ijo-41-06-2191" ref-type="bibr">40</xref>). Degradation of chromatin DNA to nucleosomal fragments is considered as a hallmark of advanced stage of programmed cell death (<xref rid="b41-ijo-41-06-2191" ref-type="bibr">41</xref>,<xref rid="b42-ijo-41-06-2191" ref-type="bibr">42</xref>). Induction of apoptosis in cancer cells has been recognized as an effective approach to limit cancer growth because cancer cells are often observed to be endowed with increased capacity to prevent apoptosis, and pose resistance to chemo- and radiation-therapy (<xref rid="b43-ijo-41-06-2191" ref-type="bibr">43</xref>&#x02013;<xref rid="b45-ijo-41-06-2191" ref-type="bibr">45</xref>). This is particularly important for prostate cancer because clinically prostate cancer is often characterized as slow-growing where anti-mitogenic therapies are not much effective. Thus, our observation of the induction of apoptosis not only adds a new dimension to the pharmacological properties of WDL but also opens up a possibility of using this agent to sensitize prostate cancer cells to undergo apoptosis.</p>
<p>Activation of the stress-activated protein kinase SAPK/JNK is a common, well-characterized cellular process for induction of apoptosis in various types of cells, and it was previously reported that 5-Lox inhibition induces apoptosis in prostate cancer cells via rapid activation of c-Jun N-terminal kinase (<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>&#x02013;<xref rid="b31-ijo-41-06-2191" ref-type="bibr">31</xref>). Thus, we examined whether WDL induces apoptosis in prostate cancer cells via activation of JNK. When prostate cancer cells were treated with WDL a rapid and strong activation of JNK occurred which was inhibited when cells were treated with inhibitors of JNK which also blocked induction of apoptosis, suggesting that WDL-induced apoptosis in prostate cancer cells is dependent on JNK activity (<xref rid="f4-ijo-41-06-2191" ref-type="fig">Fig. 4A and B</xref>). JNK modulates the function of mitochondrial apoptosis-regulating proteins and in turn induces permeability transition to release apoptosis-inducing factors (<xref rid="b46-ijo-41-06-2191" ref-type="bibr">46</xref>,<xref rid="b47-ijo-41-06-2191" ref-type="bibr">47</xref>). Our observation of WDL-induced damage of mitochondria which resulted in permeability transition and loss of membrane potential-sensitive dye suggests that WDL-induced apoptosis in prostate cancer cells involves JNK activation as well as loss of mitochondrial function (<xref rid="f4-ijo-41-06-2191" ref-type="fig">Fig. 4C</xref>).</p>
<p>Caspases are activated by both the mitochondrial and cell death receptor-mediated apoptosis pathways and play a causal role in the apoptosis process (<xref rid="b48-ijo-41-06-2191" ref-type="bibr">48</xref>). Caspase-3 is one of the executioner caspases that is activated by upstream caspases, caspase-8 and -9. Numerous intracellular peptide substrates of the executioner caspases have been characterized including PARP, gelsolin, cytokeratin and endonuclease (<xref rid="b49-ijo-41-06-2191" ref-type="bibr">49</xref>&#x02013;<xref rid="b51-ijo-41-06-2191" ref-type="bibr">51</xref>). As a first time report of apoptosis induction by WDL, we wanted to know whether activation of caspase-3 occurs in this type of apoptosis process, and whether caspase-3 activation plays any role in WDL-induced apoptosis in prostate cancer cells. Our analysis revealed that WDL treatment increases the enzymatic activity of caspase-3 in a dose-dependent manner (<xref rid="f5-ijo-41-06-2191" ref-type="fig">Fig. 5A</xref>). Moreover, it was observed that inhibition of caspase-3 by specific chemical inhibitor significantly prevents induction of apoptosis, suggesting that WDL-induced apoptosis in prostate cancer cells is caspase-dependent (<xref rid="f5-ijo-41-06-2191" ref-type="fig">Fig. 5B</xref>). This finding is similar to our previous observations of caspase-dependent apoptosis in prostate cancer cells induced by other 5-Lox inhibitors (<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>).</p>
<p>How WDL can induce apoptosis in prostate cancer cells is an intriguing question. A notable feature of WDL as a pure compound is that it is a potent inhibitor of 5-Lox (IC<sub>50</sub>&#x0003D;2.5 <italic>&#x003BC;</italic>M) which inhibits 5-Lox activity by an oxygen radical scavenger mechanism (<xref rid="b17-ijo-41-06-2191" ref-type="bibr">17</xref>,<xref rid="b18-ijo-41-06-2191" ref-type="bibr">18</xref>). However, WDL is not a specific inhibitor of 5-Lox because it also inhibits other molecules at various concentrations (<xref rid="b8-ijo-41-06-2191" ref-type="bibr">8</xref>&#x02013;<xref rid="b13-ijo-41-06-2191" ref-type="bibr">13</xref>,<xref rid="b34-ijo-41-06-2191" ref-type="bibr">34</xref>). Previous studies have demonstrated an essential role of 5-Lox in the regulation of survival of both androgen-sensitive as well as androgen-independent prostate cancer cells (<xref rid="b19-ijo-41-06-2191" ref-type="bibr">19</xref>&#x02013;<xref rid="b25-ijo-41-06-2191" ref-type="bibr">25</xref>), because inhibition of 5-Lox induces apoptosis in prostate cancer cells which is prevented by exogenous metabolites of 5-Lox (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>,<xref rid="b26-ijo-41-06-2191" ref-type="bibr">26</xref>,<xref rid="b32-ijo-41-06-2191" ref-type="bibr">32</xref>,<xref rid="b33-ijo-41-06-2191" ref-type="bibr">33</xref>). Thus, 5-Lox has emerged as a potential molecular target for therapeutic development against prostate cancer. However, potency, solubility, and cancer selectivity of several available 5-Lox inhibitors have limited their use for prostate cancer therapy. Based on published reports on the 5-Lox inhibitory effect of WDL, we expected that WDL, like other 5-Lox inhibitors, will decrease viability and induce apoptosis in prostate cancer cells via inhibition of PKC&#x003B5; (<xref rid="b33-ijo-41-06-2191" ref-type="bibr">33</xref>) but without inhibition of Akt (<xref rid="b32-ijo-41-06-2191" ref-type="bibr">32</xref>). Indeed we observed that WDL induced-apoptosis in prostate cancer cells is associated with dramatic inhibition of PKC&#x003B5;, whereas no inhibition of Akt was observed (<xref rid="f6-ijo-41-06-2191" ref-type="fig">Fig. 6A and B</xref>). Our observations of the induction of apoptosis in prostate cancer cells by WDL, and the prevention of apoptosis by 5-oxoETE (a metabolite of 5-Lox), but not by 15-oxoETE (a metabolite of 15-Lox) are consistent with the idea that the apoptosis-inducing effect of WDL in prostate cancer cells is mediated, at least partially, via inhibition of 5-Lox activity (<xref rid="f6-ijo-41-06-2191" ref-type="fig">Fig. 6C</xref>). Altogether, these findings indicate that WDL, a plant-derived coumestan compound, possesses significant anticancer properties, and suggest that it is possible to find newer 5-Lox-targeting agents from natural sources for development of effective therapy against prostate cancer.</p>
<p>Prostate cancer is the most common form of malignancy and second leading cause of cancer-related deaths in men in the United States (<xref rid="b52-ijo-41-06-2191" ref-type="bibr">52</xref>). Though prostate cancer initially responds to anti-androgenic therapy, androgen-refractory disease almost always develops (<xref rid="b53-ijo-41-06-2191" ref-type="bibr">53</xref>,<xref rid="b54-ijo-41-06-2191" ref-type="bibr">54</xref>). Development of hormone-independent metastatic prostate cancer always ends up with a fatal outcome because currently there is no treatment available for this type of prostate cancer (<xref rid="b54-ijo-41-06-2191" ref-type="bibr">54</xref>). Thus, novel agents and strategies are urgently needed to improve treatment options for androgen-independent prostate cancer. Based on the potency, solubility, and selectivity profile of WDL against metastatic prostate cancer cells <italic>in vitro</italic>, it appears that WDL is a novel, promising candidate drug and should be tested further for the treatment of both androgen-sensitive as well as androgen-independent prostate cancers.</p></sec></body>
<back>
<glossary>
<title>Abbreviations:</title>
<def-list>
<def-item>
<term>WDL</term>
<def>
<p>wedelolactone;</p></def></def-item>
<def-item>
<term>5-Lox</term>
<def>
<p>5-lipoxygenase;</p></def></def-item>
<def-item>
<term>PKC&#x003B5;</term>
<def>
<p>protein kinase C &#x003B5;;</p></def></def-item>
<def-item>
<term>5-oxoETE</term>
<def>
<p>5-oxoeicosatetraenoid;</p></def></def-item>
<def-item>
<term>PARP</term>
<def>
<p>poly-ADP ribose polymerase;</p></def></def-item>
<def-item>
<term>IAP</term>
<def>
<p>inhibitors of apoptosis;</p></def></def-item>
<def-item>
<term>ELISA</term>
<def>
<p>enzyme-linked immunosorbent assay;</p></def></def-item>
<def-item>
<term>FITC</term>
<def>
<p>fluorescein isothiocyanate</p></def></def-item></def-list></glossary>
<ack>
<p>Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under award number RO1 CA 152334, the Department of Defense Prostate Cancer Research Program W81-XWH-05-1-0022 and the Henry Ford Health System internal grant A10203 to JG.</p></ack>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-ijo-41-06-2191" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of WDL on the viability of prostate epithelial cells. Cancer and normal prostate epithelial cells (&#x0223C;4&#x000D7;10<sup>3</sup> per well) were plated in 96-well plates overnight in complete medium, and treated with varying doses of WDL. Plates were incubated further for 72 h at 37&#x000B0;C and cell viability was measured by Cell Titer assay as described in the Materials and methods section (<xref rid="b20-ijo-41-06-2191" ref-type="bibr">20</xref>,<xref rid="b33-ijo-41-06-2191" ref-type="bibr">33</xref>). Results are shown as mean value of each data point &#x000B1; SE (n&#x0003D;6). WDL selectively affects the viability of prostate cancer cells sparing normal cells.</p></caption>
<graphic xlink:href="IJO-41-06-2191-g00.gif"/></fig>
<fig id="f2-ijo-41-06-2191" position="float">
<label>Figure 2</label>
<caption>
<p>Morphological alteration of LNCaP cells by WDL. LNCaP prostate cancer cells (3&#x000D7;10<sup>5</sup> per plate) were plated overnight in 60-mm diameter plates as described in the Materials and methods section (Microscopy) and treated either with doses of WDL or ibuprofen for 24 h at 37&#x000B0;C in the incubator. Control cells were treated with the vehicle only (0.2&#x00025; DMSO). At the end of treatment period, cells were photographed at magnification, &#x000D7;200. Data show a representative of three experiments with similar results.</p></caption>
<graphic xlink:href="IJO-41-06-2191-g01.gif"/></fig>
<fig id="f3-ijo-41-06-2191" position="float">
<label>Figure 3</label>
<caption>
<p>Induction of apoptosis by WDL LNCaP cells (3&#x000D7;10<sup>5</sup> per plate) were plated as in <xref rid="f2-ijo-41-06-2191" ref-type="fig">Fig. 2</xref> above and treated either with WDL or ibuprofen for 24 h. Control cells were treated with 0.2&#x00025; DMSO. (A) At the end of incubation period, cells were stained with FITC-labeled Annexin V and propidium iodide, and observed under fluorescence microscope at &#x000D7;200. A representative of two independent experiments is shown here with similar results. (B) At the end of incubation period, cells were lysed and phosphorylation of histone H2A.X at serine-139 was detected by western blot analysis. (C) Cleavage of PARP is shown as detected by western blot analysis. (D) Degradation of chromatin DNA to nucleosomal fragments was detected by Cell Death Detection ELISA. Results are shown as mean values of each data point &#x000B1; SE (n&#x0003D;4).</p></caption>
<graphic xlink:href="IJO-41-06-2191-g02.gif"/></fig>
<fig id="f4-ijo-41-06-2191" position="float">
<label>Figure 4</label>
<caption>
<p>Activation of c-Jun N-terminal Kinase (JNK) and mitochondrial permeability transition by WDL. LNCaP cells (3&#x000D7;10<sup>5</sup> per plate) were plated as in <xref rid="f2-ijo-41-06-2191" ref-type="fig">Fig. 2</xref> and treated with varying doses of WDL or ibuprofen (30 <italic>&#x003BC;</italic>M) at 37&#x000B0;C for 24 h. (A) Cell lysates were analyzed by western blot analysis with an antibody against phosphorylated-JNK. Antibodies against pan-specific JNK and &#x003B2;-actin were used as controls. A representative of three experiments with similar results is shown here. (B) Role of JNK in apoptosis was tested by pre-treating cells with specific inhibitor, SP600125. U0126, an inhibitor MAPK kinase, was used as negative control. Results are shown as mean values of each data point &#x000B1; SE (n&#x0003D;4). (C) LNCaP cells were treated with WDL for 8 h and permeability transition of mitochondria was detected by treating cells with 40 nM Mitotracker red for 30 min at 37&#x000B0;C in the incubator. Hoechst dye 33342 was used to stain the nuclei. After washing, cells were photographed with a Nikon digital camera attached to a Leica fluorescence microscope at magnification, &#x000D7;400.</p></caption>
<graphic xlink:href="IJO-41-06-2191-g03.gif"/></fig>
<fig id="f5-ijo-41-06-2191" position="float">
<label>Figure 5</label>
<caption>
<p>Activation and role of caspase in WDL-induced apoptosis. (A) LNCaP cells (3&#x000D7;10<sup>5</sup> per plate) were plated as in <xref rid="f2-ijo-41-06-2191" ref-type="fig">Fig. 2</xref> above and treated with varying doses of WDL as indicated for 24 h. At the end of incubation period, enzymatic activities of caspase-3 in cell lysates were measured by colorimetric caspase-3 Cellular Activity Assay kit (no. AK-703) using DEVD-pNa as substrate (Biomol). (B) Cells were pretreated for 30 min with specific caspase-3 inhibitor (DEVD-FMK) before treatment with WDL (20 <italic>&#x003BC;</italic>M) for 24 h. Control cells were treated with the vehicle only (0.2&#x00025; DMSO). Apoptosis was measured by detecting DNA degradation to nucleosomal fragments by Cell Death Detection ELISA<sup>plus</sup> (Roche). Data represent mean values of quadruplicate determination of each point &#x000B1; SE.</p></caption>
<graphic xlink:href="IJO-41-06-2191-g04.gif"/></fig>
<fig id="f6-ijo-41-06-2191" position="float">
<label>Figure 6</label>
<caption>
<p>Effect of WDL on Akt and PKC&#x003B5;. (A) LNCaP cells (3&#x000D7;10<sup>5</sup> per plate) in 60-mm diameter plates were treated with varying doses of WDL for 24 h. Control cells were treated with the solvent vehicle only (0.2&#x00025; DMSO). Phosphorylation of Akt (at Serine 473) was detected by western blot analysis. LY294002 (LY) and ibuprofen (Ibu) were used as positive and negative controls, respectively. (B) Effect of WDL on the protein level of PKC&#x003B5; was detected by western blot analysis. &#x003B2;-actin was used as loading control. (C) Prevention of WDL-induced apoptosis by 5-oxoETE. LNCaP cells (3&#x000D7;10<sup>5</sup> per plate) were plated in 60-mm diameter plates and treated with WDL (20 <italic>&#x003BC;</italic>M) with or without the addition of exogenous 5-oxoETE or 15-oxoETE. Plates were incubated at 37&#x000B0;C for 24 h in the CO<sub>2</sub> incubator. Apoptosis was measured by Cell Death ELISA. Results show mean values of each data point &#x000B1; SE (n&#x0003D; 4).</p></caption>
<graphic xlink:href="IJO-41-06-2191-g05.gif"/></fig></sec></back></article>
