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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<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.2013.2024</article-id>
<article-id pub-id-type="publisher-id">ijo-43-04-1160</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Novel methylsulfonyl chalcones as potential antiproliferative drugs for human prostate cancer: Involvement of the intrinsic pathway of apoptosis</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ISMAIL</surname><given-names>BASSEL</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>GHEZALI</surname><given-names>LAMIA</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>GUEYE</surname><given-names>ROKHAYA</given-names></name><xref rid="af2-ijo-43-04-1160" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LIMAMI</surname><given-names>YOUNESS</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>POUGET</surname><given-names>CHRISTELLE</given-names></name><xref rid="af2-ijo-43-04-1160" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LEGER</surname><given-names>DAVID Y.</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>MARTIN</surname><given-names>FREDERIQUE</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>BENEYTOUT</surname><given-names>JEAN-LOUIS</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>DUROUX</surname><given-names>JEAN-LUC</given-names></name><xref rid="af3-ijo-43-04-1160" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>DIAB-ASSAF</surname><given-names>MONA</given-names></name><xref rid="af4-ijo-43-04-1160" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>FAGNERE</surname><given-names>CATHERINE</given-names></name><xref rid="af2-ijo-43-04-1160" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LIAGRE</surname><given-names>BERTRAND</given-names></name><xref rid="af1-ijo-43-04-1160" ref-type="aff"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-ijo-43-04-1160"/></contrib></contrib-group>
<aff id="af1-ijo-43-04-1160">
<label>1</label>Biochemistry and Molecular Biology Laboratory, University of Limoges, FR 3503 GEIST, EA1069, GDR CNRS 3049, Limoges, 
<country>France</country>;</aff>
<aff id="af2-ijo-43-04-1160">
<label>2</label>Organic Chemistry and Therapeutic Laboratory, University of Limoges, FR 3503 GEIST, EA1069, GDR CNRS 3049, Limoges, 
<country>France</country>;</aff>
<aff id="af3-ijo-43-04-1160">
<label>3</label>Biophysical Laboratory, Faculty of Pharmacy, University of Limoges, FR 3503 GEIST, EA1069, GDR CNRS 3049, Limoges, 
<country>France</country>;</aff>
<aff id="af4-ijo-43-04-1160">
<label>4</label>Biochemistry Department, TM-PAC Team, Faculty of Science - Section II, Lebanese University, Jdeidet, 
<country>Lebanon</country></aff>
<author-notes>
<corresp id="c1-ijo-43-04-1160">Correspondence to: Dr Bertrand Liagre, Biochemistry and Molecular Biology Laboratory, Faculty of Pharmacy, University of Limoges, FR 3503 GEIST, EA1069, GDR CNRS 3049, 2 rue du Docteur Marcland, 87025 Limoges Cedex, France, E-mail: <email>bertrand.liagre@unilim.fr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>10</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>07</month>
<year>2013</year></pub-date>
<volume>43</volume>
<issue>4</issue>
<fpage>1160</fpage>
<lpage>1168</lpage>
<history>
<date date-type="received">
<day>29</day>
<month>04</month>
<year>2013</year></date>
<date date-type="accepted">
<day>03</day>
<month>06</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-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.</license-p></license></permissions>
<abstract>
<p>Limited success has been achieved in extending the survival of patients with metastatic and hormone-refractory prostate cancer (HRPC). There is a strong need for novel agents in the treatment and prevention of HRPC. In the present study, the apoptotic mechanism of action of RG003 (2&#x02032;-hydroxy-4-methylsulfonylchalcone) and RG005 (4&#x02032;-chloro-2&#x02032;-hydroxy-4-methylsulfonylchalcone) in association with intracellular signalling pathways was investigated in the hormone-independent prostate carcinoma cells PC-3 and DU145. We showed that these compounds induced apoptosis through the intrinsic pathway but not through the extrinsic one. We showed that synthetic chalcones induced an activation of caspase-9 but not caspase-8 in PC-3 cells. Even if both chalcones induced apoptosis in PC-3 cells, a dominant effect of RG003 treatment was observed resulting in a disruption of &#x00394;&#x003C8;m, caspase-9 and caspase-3 activation, PARP cleavage and DNA fragmentation. Furthermore, in regard to our results, it is clear that the simultaneous inhibition of Akt and NF-&#x003BA;B signalling can significantly contribute to the anticancer effects of RG003 and RG005 in PC-3 prostate cancer cells. NF-&#x003BA;B inhibition was correlated with the reduction of COX-2 expression and induction of apoptosis. Our results clearly indicate for the first time that RG003 and RG005 exert their potent anti-proliferative and pro-apoptotic effects through the modulation of Akt/NF-&#x003BA;B/COX-2 signal transduction pathways in PC-3 prostate cancer cells with a dominant effect for RG003.</p></abstract>
<kwd-group>
<kwd>chalcones</kwd>
<kwd>apoptosis</kwd>
<kwd>prostate cancer</kwd>
<kwd>cyclooxygenase-2</kwd>
<kwd>NF-&#x003BA;B</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer (PCa) is the most common malignant cancer in men and the second leading cause of cancer deaths (<xref rid="b1-ijo-43-04-1160" ref-type="bibr">1</xref>). As in other tumor entities, curative therapy such as prostatectomy is limited to the organ-localized stage of PCa. PCa is initially responsive to hormonal therapy; however, in most cases, it becomes androgen-independent, evolving into more aggressive androgen refractory disease. At present, the treatment modality for patients with hormonal refractory PCa is chemotherapy (<xref rid="b2-ijo-43-04-1160" ref-type="bibr">2</xref>), and this treatment is currently associated with significant side-effects and a reduced quality of life. Therefore, there is a need to develop novel approaches for this malignancy.</p>
<p>Chalcones are organic compounds that have an enone moiety between two aromatic rings. The development of these structures as potential drugs with biological properties has led to the discovery that these substances have antimalarial, anti-inflammatory and antitumor activities (<xref rid="b3-ijo-43-04-1160" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-ijo-43-04-1160" ref-type="bibr">5</xref>). Targeting apoptosis is a good strategy for cancer prevention and treatment, since many anticancer drugs induce apoptosis in cancer cells (<xref rid="b6-ijo-43-04-1160" ref-type="bibr">6</xref>). Apoptosis occurs after a cascade of cell signalling that regulates proapoptotic and anti-apoptotic proteins by two major pathways: the mitochondrial and the death receptor pathways (<xref rid="b7-ijo-43-04-1160" ref-type="bibr">7</xref>). The antitumor activity of chalcones is mostly related to modulation of the expression of proapoptotic and anti-apoptotic Bcl-2 family members and subsequent activation of the mitochondrial apoptotic pathway (<xref rid="b8-ijo-43-04-1160" ref-type="bibr">8</xref>).</p>
<p>Several studies reported a role for arachidonic acid (AA) metabolism in many biological processes including cell proliferation, apoptosis and differentiation in many cancer types. Once released from phospholipid membranes, AA is converted into various prostanoids by cyclooxygenases (COX) (<xref rid="b9-ijo-43-04-1160" ref-type="bibr">9</xref>). Two isoforms of COX, COX-1 and COX-2, have been identified: COX-1 has been purported to be a constitutive enzyme expressed in different tissues and maintains the physiological level of prostaglandins while modulating diverse cell processes such as cell proliferation, angiogenesis and platelet aggregation whereas COX-2 has been considered as inducible by different agents like proinflammatory cytokines, hormones and tumor promoters (<xref rid="b10-ijo-43-04-1160" ref-type="bibr">10</xref>). COX-2 is overexpressed in some cancers, including PCa (<xref rid="b11-ijo-43-04-1160" ref-type="bibr">11</xref>). Currently many compounds identified from plants were reported to inhibit cancer cell proliferation and COX-2 expression (<xref rid="b12-ijo-43-04-1160" ref-type="bibr">12</xref>).</p>
<p>In the present study, apoptotic mechanism of RG003 (2&#x02032;-hydroxy-4-methylsulfonylchalcone) and RG005 (4&#x02032;-chloro-2&#x02032;-hydroxy-4-methylsulfonylchalcone) (<xref rid="f1-ijo-43-04-1160" ref-type="fig">Fig. 1</xref>) in hormone-independent prostate carcinoma cells was investigated in association with COX-2 expression. Then, to understand the mechanisms implicated in the effect of RG003 and RG005, we studied intracellular signalling pathways.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell lines, cell culture, treatment and light microscopy</title>
<p>The PC-3 and DU145 cell lines were purchased from the American Type Culture Collection (LGC Standards, Middlesex, UK). Cells were, respectively, seeded at 1.3&#x000D7;10<sup>6</sup> and 2&#x000D7;10<sup>6</sup> cells/well in 60-cm<sup>2</sup> tissue culture dishes and grown in RPMI-1640 medium supplemented with 10&#x00025; fetal calf serum (FCS), 100 U/ml penicillin and 100 <italic>&#x003BC;</italic>g/ml streptomycin (all from Gibco-BRL, Cergy-Pontoise, France). Cultures were maintained in a humidified atmosphere with 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C. Cells were grown for 24 h in culture medium prior to exposure or not to RG003 (2&#x02032;-hydroxy-4-methylsulfonylchalcone) and RG005 (4&#x02032;-chloro-2&#x02032;-hydroxy-4-methylsulfonylchalcone), compounds synthesized by our research team. A stock solution of 10<sup>&#x02212;2</sup> M RG003 and RG005 was prepared in dimethyl sulfoxide (DMSO), and diluted in culture medium to give the appropriate final concentration. The same amount of vehicle (percentage of DMSO did not exceed 0.20&#x00025;) was added to control cells. Cell viability was determined by the trypan blue dye exclusion method. For light microscopy, after treatment, cultured cells were examined under phase-contrast microscopy (magnification, &#x000D7;200), and pictures were taken with an image acquisition system (Nikon, Champigny sur Marne, France).</p></sec>
<sec>
<title>Cell proliferation assay and viability assessment</title>
<p>Measurement of cell proliferation was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. PC-3 and DU145 cells were cultured and plated, respectively, at 5.6&#x000D7;10<sup>3</sup> and 8.5&#x000D7;10<sup>3</sup> cells/well in 10&#x00025; FCS medium in 96-well culture plates and grown 24 h before treatment or not (time 0) with 5&#x02013;40 <italic>&#x003BC;</italic>M RG003 and RG005 for 24&#x02013;72 h. MTT tests were carried out daily as previously described (<xref rid="b13-ijo-43-04-1160" ref-type="bibr">13</xref>) and experiments were performed in three independent assays.</p>
<p>PC-3 and DU145 cells were grown for 24 h then treated with RG003 and RG005 at 15 and 20 <italic>&#x003BC;</italic>M. After 24 and 48 h RG003 and RG005 treatment, cells were trypsinized and resuspended in complete medium. Each sample was mixed with trypan blue solution (0.14&#x00025; in HBSS). Colored (non-viable) and dye-excluding (viable) cells were counted on a Malassez hemocytometer. Controls were done with the same final DMSO concentration in the medium as samples.</p></sec>
<sec>
<title>Mitochondrial membrane potential (&#x00394;&#x003C8;m)</title>
<p>&#x00394;&#x003C8;m was estimated using 5,5&#x02032;,6,6&#x02032;-tetrachloro-1,1&#x02032;,3,3&#x02032;-tetraethylbenzimidazole carbocyanide iodide (JC-1, Molecular Probes). JC-1 is a fluorescent compound that exists as a monomer at low concentrations. At higher concentrations, it forms aggregates. Fluorescence of the JC-1 monomers is green, whereas that of aggregates is red. Mitochondria with intact membrane potential concentrate JC-1 into aggregates, which fluoresces red, whereas de-energized mitochondria cannot concentrate it and are stained green (<xref rid="b13-ijo-43-04-1160" ref-type="bibr">13</xref>,<xref rid="b14-ijo-43-04-1160" ref-type="bibr">14</xref>).</p>
<p>PC-3 and DU145 cells were grown for 24 h before treatment with 15 and 20 <italic>&#x003BC;</italic>M of RG003 and RG005, respectively, for 24 and 48 h. Control cells were grown in medium containing the same amount of vehicle as treated cells. Then cells were incubated in 1 ml of medium containing JC-1 (1 <italic>&#x003BC;</italic>g/ml) for 30 min at 37&#x000B0;C and pictures were taken with a fluorescence microscope.</p></sec>
<sec>
<title>Protein expression</title>
<p>After 15 <italic>&#x003BC;</italic>M RG003 and RG005 treatment, PC-3 cells were washed and lysed in RIPA lysis buffer (50 mM HEPES pH 7.5, 150 mM NaCl, 1&#x00025; deoxycholate, 1&#x00025; NP-40, 0.1&#x00025; SDS, 20 <italic>&#x003BC;</italic>g/ml aprotinin) containing protease inhibitors (Complete&#x02122; Mini, Roche Diagnostics, Meylan, France). Briefly, as previously described (<xref rid="b15-ijo-43-04-1160" ref-type="bibr">15</xref>), proteins (10&#x02013;100 <italic>&#x003BC;</italic>g) were separated by electrophoresis on SDS-polyacrylamide gels, transferred to PVDF membranes (Amersham Pharmacia Biotech, Saclay, France) and probed with respective human antibodies against Bax, caspase-8, caspase-9 and phospho-Akt (Ser 473) (Cell Signalling Technology, Ozyme, France), Bcl-2 and poly-ADP-ribose polymerase (PARP) (Santa Cruz Biotechnology, Tebu-Bio, Le Perray en Yvelines, France), and COX-2 (Cayman Chemical, Bertin Pharma, Montigny-le-Bretonneux, France). After incubation with secondary antibodies (Dako France SAS., Trappes, France), blots were developed using the ECL Plus Western Blotting Detection System (Amersham Pharmacia Biotech) and G:BOX system (Syngene, Ozyme, Saint Quentin en Yvelines, France). Membranes were then reblotted with anti-&#x003B2;-actin (Sigma Aldrich, Saint Quentin Fallavier, France) used as a loading control.</p></sec>
<sec>
<title>Caspase-3 activity</title>
<p>Caspase-3 activity was assayed using Quantikine<sup>&#x000AE;</sup> human active caspase-3 (R&#x00026;D Systems) as previously described (<xref rid="b16-ijo-43-04-1160" ref-type="bibr">16</xref>). PC-3 cells were treated or not with 15 <italic>&#x003BC;</italic>M of RG003 and RG005 for 24 and 48 h, and then incubated with 10 <italic>&#x003BC;</italic>M biotin-ZVKD-fmk inhibitor for 1 h at 37&#x000B0;C. Caspase-3 activity was measured in accordance with the manufacturer&#x02019;s protocol (R&#x00026;D Systems). Briefly, cells were harvested, washed in PBS and resuspended in extraction buffer containing protease inhibitors. Standards and sample extracts containing covalently linked active caspase-3-ZVKD-biotin were added to a microplate pre-coated with monoclonal antibody specific for caspase-3. Then, streptavidin conjugated to horseradish peroxidase was added to the wells. The amount of active caspase-3 was quantified by colorimetry at 450 nm after addition of HRP substrate.</p></sec>
<sec>
<title>Apoptosis quantification: DNA fragmentation</title>
<p>PC-3 cells were seeded at 1.3&#x000D7;10<sup>6</sup> cells in 60-cm<sup>2</sup> tissue culture dishes and then treated or not with 15 <italic>&#x003BC;</italic>M of RG003 and RG005 for 24 and 48 h. Apoptosis was quantified on pooled cells (floating and adherent) using &#x02018;cell death&#x02019; enzyme-linked immunosorbent assay (ELISA) (Cell Death Detection ELISA<sup>PLUS</sup>, Roche Diagnostics). Cytosol extracts were obtained according to the manufacturer&#x02019;s protocol and apoptosis was measured as previously described (<xref rid="b17-ijo-43-04-1160" ref-type="bibr">17</xref>).</p></sec>
<sec>
<title>Subcellular protein fractionation</title>
<p>PC-3 cells were incubated alone or with 15 <italic>&#x003BC;</italic>M of RG003 and RG005 for 24 and 48 h. Cytosolic and nuclear fractions were obtained using the Subcellular Protein Fractionation Kit according to the manufacturer&#x02019;s protocol (Thermo Fischer Scientific, Rockford, IL, USA) as previously described (<xref rid="b13-ijo-43-04-1160" ref-type="bibr">13</xref>).</p></sec>
<sec>
<title>Electromobility shift assay (EMSA)</title>
<p>EMSA experiments were performed using DIG Gel Shift kit (Roche Diagnostics) (<xref rid="b18-ijo-43-04-1160" ref-type="bibr">18</xref>). Briefly, nuclear extracts were prepared from PC-3 cells treated or not with 15 <italic>&#x003BC;</italic>M of RG003 and RG005 for 24 and 48 h. NF-&#x003BA;B binding reactions were carried out with 10 <italic>&#x003BC;</italic>g nuclear proteins incubated with digoxigenin (DIG) labeled NF-&#x003BA;B probe according to the manufacturer&#x02019;s protocol. The samples were loaded on a 5&#x00025; native polyacrylamide gel in Tris-Borate-EDTA buffer. After transfer to nylon membranes and incubation with anti-DIG antibody conjugated with alkaline phosphatase, gel mobility shift was visualized by incubation with CSPD<sup>&#x000AE;</sup> chemiluminescence reagent and G:BOX system (Syngene, Ozyme, Saint Quentin en Yvelines, France). Quantification of each band was performed by densitometry analysis software in respect of band intensity and band area. Results are expressed relative to controls in arbitrary units.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as the arithmetic means &#x000B1; standard deviation (SD) of separate experiments. The statistical significance of results obtained from <italic>in vitro</italic> studies was evaluated by the two tailed unpaired Student&#x02019;s t-test, with p&#x0003C;0.05 being considered as significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Chalcone effect on PC-3 and DU145 cell proliferation and morphological modifications</title>
<p>Cells were cultured in 10&#x00025; FCS-medium with or without chalcones (5&#x02013;40 <italic>&#x003BC;</italic>M) for 24&#x02013;72 h and cell proliferation was evaluated by the MTT test (<xref rid="f2-ijo-43-04-1160" ref-type="fig">Fig. 2</xref>). Under our experimental conditions, a decrease in proliferation was observed as early as 24 h after chalcone treatment in a dose- and time-dependent manner. To confirm these results, relative cell viability was assessed by trypan blue dye exclusion with, respectively, 15 and 20 <italic>&#x003BC;</italic>M chalcone treatment for PC-3 and DU145 cells (<xref rid="f3-ijo-43-04-1160" ref-type="fig">Fig. 3A</xref>). Trypan blue dye proved the antiproliferative effect of the two chalcones by decreasing percentage of living cells with significative dominant effect for RG003 treatment in both cell lines (33&#x00025; of living cells versus 55&#x00025; for RG003 and RG005, respectively, for PC-3 cells after 48-h treatment, p&#x0003C;0.05; 17&#x00025; versus 32&#x00025; for RG003 and RG005, respectively, for DU145 cells after 48-h treatment, p&#x0003C;0.05). For following experiments, we used both compounds at 15 and 20 <italic>&#x003BC;</italic>M for PC-3 and DU145 cells, respectively.</p>
<p>Direct observation with phase-contrast microscopy demonstrated that cells treated with compounds showed numerous morphological differences compared to control cells (<xref rid="f3-ijo-43-04-1160" ref-type="fig">Fig. 3B</xref>). Indeed, cell shrinkage, cytoplasm condensation and formation of cytoplasmic filaments appeared after compound treatment. Furthermore, the pictures of treated cells confirmed that antiproliferative effect was more important with RG003 than RG005 treatment.</p></sec>
<sec>
<title>Chalcone induces disruption of &#x00394;&#x003C8;m in PC-3 and DU145 cell lines</title>
<p>To determine potential mechanisms by which chalcone inhibited the human PC-3 and DU145 cell proliferation, we analyzed the effect of RG003 and RG005 on &#x00394;&#x003C8;m, because alterations in mitochondrial structure and function have been shown to play a crucial role at early stages of apoptosis (<xref rid="b19-ijo-43-04-1160" ref-type="bibr">19</xref>).</p>
<p>&#x00394;&#x003C8;m was analyzed after 24 and 48-h treatment with chalcones using JC-1. We found that compounds decreased &#x00394;&#x003C8;m in both PC-3 and DU145 cells in a time-dependent manner (<xref rid="f4-ijo-43-04-1160" ref-type="fig">Fig. 4</xref>), shown by the incorporation of JC-1 monomers into mitochondria (green fluorescence), compared with cytosolic JC-1 aggregate formation at high membrane potentials in control cells (red fluorescence). Furthermore, this assay showed a dominant effect of RG003 on early intrinsic apoptosis compared to RG005.</p></sec>
<sec>
<title>Chalcones induce apoptosis with activation of intrinsic pathway</title>
<p>The process of apoptosis is tightly regulated by a large variety of proteins that promote or block cell death at different stages of apoptosis. The regulatory role of Bcl-2 family proteins is now well established. The Bax/Bcl-2 ratio, which is a critical determinant of apoptosis (<xref rid="b20-ijo-43-04-1160" ref-type="bibr">20</xref>), was determined after western blot analysis. Apoptotic ratio (Bax/Bcl-2) obtained with western blot analysis indicated that after 24 h 15 <italic>&#x003BC;</italic>M RG003 treatment increased the apoptotic ratio (1.5-fold versus control, <sup>&#x0002A;</sup>p&#x0003C;0.05) whereas RG005 treatment had no effect on PC-3 cells (<xref rid="f5-ijo-43-04-1160" ref-type="fig">Fig. 5A</xref>). After 48-h treatment, RG003 and RG005 both increased the Bax/Bcl-2 ratio (2.4- and 1.6-fold, respectively, versus control, <sup>&#x0002A;&#x0002A;</sup>p&#x0003C;0.01 and <sup>&#x0002A;</sup>p&#x0003C;0.05) and our results showed again a dominant effect of RG003 treatment. In fact, the increase in the Bax/Bcl-2 ratio seems to be mainly due to a decline in Bcl-2 expression during RG003 and RG005 chalcone treatment.</p>
<p>Apoptosis induction requires activation of specific proteins. It is well known that apoptosis is characterized by chromatin condensation and DNA fragmentation, and is mediated by the cysteine protease family called caspases. Caspase activation can be regulated through an extrinsic or intrinsic signalling pathway. The extrinsic pathway, which involves Fas and tumor necrosis factor receptor stimulation, activates caspase-8. The intrinsic pathway, which may be the primary means of activating apoptotic caspase in mammals, triggers the mitochondrial release of cytochrome <italic>c</italic>, which oligomerizes with Apaf-1 and procaspase-9 to form the apoptosome complex. Activated caspase-9 in this complex activates caspase-3 which is the major executioner of apoptosis (<xref rid="b21-ijo-43-04-1160" ref-type="bibr">21</xref>). PARP is one of the best known caspase substrates and its inactivation by cleavage is now an apoptosis hallmark. DNA fragmentation occurs simultaneously with this phenomenon and is now considered as a major marker of apoptotic cells.</p>
<p>In our study, we showed that intrinsic apoptosis pathway was implicated in contrast to extrinsic apoptosis pathway. Indeed, we showed that chalcones induced an activation of caspase-9 but not caspase-8 in PC-3 cells as shown in <xref rid="f5-ijo-43-04-1160" ref-type="fig">Fig. 5A and B</xref>, respectively. RG005 and RG003 induced a cleavage of caspase-9 at 24 and 48 h but the expression of cleaved fragment of caspase-9 after RG003 treatment is more important than RG005 treatment. Consequently, RG005 induced only a slight activation of executive caspase-3 activity (&#x0002B;1.2-fold versus control at 24 and 48 h, p&#x0003C;0.05). On the contrary, caspase-3 activity was greater after RG003 treatment (&#x0002B;1.4-and &#x0002B;1.6-fold at 24 and 48 h, respectively, versus control, p&#x0003C;0.05) (<xref rid="f6-ijo-43-04-1160" ref-type="fig">Fig. 6A</xref>). These observations were directly correlated with PARP cleavage because western blot analysis detected the native form of PARP but not a significant cleaved fragment in RG005 treated PC-3 cells. In contrast, cleaved fragment of PARP was strongly expressed starting at 24-h RG003 treatment and maintained after 48-h treatment (<xref rid="f6-ijo-43-04-1160" ref-type="fig">Fig. 6B</xref>).</p>
<p>DNA fragmentation, considered as a major marker of apoptotic cells, was observed in PC-3 cells after chalcone treatment. Quantitative determination of cytoplasmic histone-associated-DNA-fragments (mono and oligonucleosomes) was performed by ELISA in our study. Results showed that DNA fragmentation was induced in PC-3 cells after 24-h RG005 and RG003 treatment (&#x0002B;2.3- and &#x0002B;2.8-fold, respectively, versus control, p&#x0003C;0.05) whereas DNA fragmentation was markedly enhanced after 48-h RG003 treatment compared to RG005 tretament (&#x0002B;6.5-and &#x0002B;3.5-fold, respectively, versus control, p&#x0003C;0.05) (<xref rid="f6-ijo-43-04-1160" ref-type="fig">Fig. 6C</xref>).</p>
<p>In summary, even if both chalcones induced apoptosis of PC-3 cells, a dominant effect of RG003 treatment was observed resulting in activation of the intrinsic pathway with disruption of &#x00394;&#x003C8;m, caspase-9 and caspase-3 activation, PARP cleavage and DNA fragmentation.</p></sec>
<sec>
<title>Downregulation of survival pathways after chalcone treatment in PC-3 cells</title>
<p>Nuclear factor-&#x003BA;B (NF-&#x003BA;B) is a ubiquitous transcription factor that has been shown to promote cell survival by initiating the transcription of genes involved in cell proliferation or encoding anti-apoptotic proteins (<xref rid="b22-ijo-43-04-1160" ref-type="bibr">22</xref>). Akt promotes cell survival by phosphorylating substrates that decrease the activity of pro-apoptotic proteins or increase the activity of anti-apoptotic proteins (<xref rid="b23-ijo-43-04-1160" ref-type="bibr">23</xref>). We analyzed the effect of RG005 and RG003 on two survival pathways: Akt and NF-&#x003BA;B. Western blot analysis showed that both chalcone markedly inhibited Akt phosphorylation in PC-3 cells (<xref rid="f7-ijo-43-04-1160" ref-type="fig">Fig. 7A</xref>). Since NF-&#x003BA;B activation is critical for apoptosis resistance, we examined the effect of RG005 and RG003 on nuclear activation of NF-&#x003BA;B. Our results showed that chalcone treatment inhibited NF-&#x003BA;B activation. Furthermore, this inhibition was stronger with RG003 treatment (<xref rid="f7-ijo-43-04-1160" ref-type="fig">Fig. 7B</xref>).</p></sec>
<sec>
<title>Effect of RG005 and RG003 on COX-2 expression in PC-3 cells</title>
<p>It is well known that COX-2 expression is correlated with the activities of intracellular signalling proteins such as NF-&#x003BA;B (<xref rid="b24-ijo-43-04-1160" ref-type="bibr">24</xref>). Furthermore, we showed recently that COX-2 positively regulated Akt signalling and enhanced survival of cancer cells exposed to anticancer agents (<xref rid="b17-ijo-43-04-1160" ref-type="bibr">17</xref>). Numerous studies have shown that COX-2 expression prevents apoptosis in cancer cells, especially in colon (<xref rid="b25-ijo-43-04-1160" ref-type="bibr">25</xref>) and prostate cancer (<xref rid="b26-ijo-43-04-1160" ref-type="bibr">26</xref>,<xref rid="b27-ijo-43-04-1160" ref-type="bibr">27</xref>). Here, we showed that both chalcones reduced significantly expression of COX-2 by 24-h treatment in PC-3 cells. RG003 was the more effective in decreasing COX-2 expression (<xref rid="f8-ijo-43-04-1160" ref-type="fig">Fig. 8</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In light of the reported chemopreventive and chemosensitive effects of chalcones on various tumor cells and animal models, we postulated that our new methylsulfonyl chalcones may mediate their effects through apoptosis induction with suppression of cell survival pathways. Here, we observed that RG003 and RG005 could indeed suppress Akt/NF-&#x003BA;B/COX-2 activation and exert significant anti-proliferative and apoptotic effects in androgen-independent PCa cells. We also clearly demonstrated that RG003 and RG005 induce apoptosis through mitochondrial pathway in human PCa PC-3 cells.</p>
<p>PCa is very uncommon in men younger than 45 years, but becomes more common with advancing age (<xref rid="b28-ijo-43-04-1160" ref-type="bibr">28</xref>). Many of the risk factors for prostate cancer are more prevalent in the developed world, including longer life expectancy, alcohol/tobacco intake, and diets high in red meat (<xref rid="b29-ijo-43-04-1160" ref-type="bibr">29</xref>). Interestingly, the American Dietetic Association and Dieticians of Canada report a decreased risk of developing prostate cancer for those following a vegetarian diet (<xref rid="b30-ijo-43-04-1160" ref-type="bibr">30</xref>). However, the specific causes of prostate cancer still remain unknown (<xref rid="b31-ijo-43-04-1160" ref-type="bibr">31</xref>).</p>
<p>Researchers have established a few PCa cell lines to investigate the mechanism involved in the progression of PCa. Androgen-independent PC-3 and DU145 cells are commonly used. Although previous studies have shown that chalcones can inhibit the cell proliferation in these human prostate cancer cells including PC-3 (<xref rid="b32-ijo-43-04-1160" ref-type="bibr">32</xref>&#x02013;<xref rid="b34-ijo-43-04-1160" ref-type="bibr">34</xref>) and DU145 (<xref rid="b33-ijo-43-04-1160" ref-type="bibr">33</xref>,<xref rid="b35-ijo-43-04-1160" ref-type="bibr">35</xref>) cells, our study is the first report on the specific examination of intrinsic apoptosis and Akt/NF-&#x003BA;B/COX-2 pathways in human PCa cells upon synthetic chalcones exposure.</p>
<p>Apoptosis is characterized by chromatin condensation and DNA fragmentation, and is mediated by caspases (<xref rid="b36-ijo-43-04-1160" ref-type="bibr">36</xref>). Mitochondria are involved in a variety of key events, including release of caspase activators, changes in electron transport, loss of mitochondrial membrane potential (&#x00394;&#x003C8;m), and participation of both pro- and anti-apoptotic Bcl-2 family proteins (<xref rid="b37-ijo-43-04-1160" ref-type="bibr">37</xref>). Alterations in mitochondrial structure and function have been shown to play a crucial role in caspase-9-dependent apoptosis (<xref rid="b38-ijo-43-04-1160" ref-type="bibr">38</xref>). Caspase-9 cleaves and activates caspase-3, the executioner caspase, which cleaves PARP and activates endonucleases leading to DNA fragmentation (<xref rid="b38-ijo-43-04-1160" ref-type="bibr">38</xref>). To analyze the effect of RG003 and RG005 on induction of apoptosis in PCa cells, apoptosis was evaluated on pooled cell fractions (floating and adherent). Mitochondria have, apart from their function in respiration, an important role in the apoptotic-signalling pathway. It is well known that the modification of &#x00394;&#x003C8;m depends on the nature of the stimulus and the cell system and the collapse of &#x00394;&#x003C8;m is an early step in the apoptotic cascade (<xref rid="b39-ijo-43-04-1160" ref-type="bibr">39</xref>). We showed that RG003 and RG005 decreased &#x00394;&#x003C8;m in both PC-3 and DU145 cells in a time-dependent manner.</p>
<p>Moreover, the Bax/Bcl-2 ratio, which is a critical determinant of apoptosis (<xref rid="b20-ijo-43-04-1160" ref-type="bibr">20</xref>), was determined after western blot analysis. In our study, the increase in the Bax/Bcl-2 ratio seems to be mainly due to a decline in Bcl-2 expression during RG003 and RG005 chalcone treatment, with a dominant effect of RG003 treatment. Since Bcl-2 protects human prostate cancer cells from the induction of apoptosis (<xref rid="b40-ijo-43-04-1160" ref-type="bibr">40</xref>), its downregulation could contribute to the capability of RG003 and RG005 to induce apoptosis in PCa PC-3 cells.</p>
<p>Caspase-3 is a key executioner of apoptosis, its activation is mediated by the initiator caspases such as caspase-8 and caspase-9 (<xref rid="b41-ijo-43-04-1160" ref-type="bibr">41</xref>). We showed that the intrinsic apoptosis pathway was implicated but not the extrinsic apoptosis pathway. We showed that chalcones induced activation of caspase-9 but not caspase-8 in PC-3 cells. Consequently, RG005 induced only a slight activation of executive caspase-3 activity compared to RG003 treatment. These observations were directly correlated with PARP cleavage because western blot analysis detected the native form of PARP but not the significant cleaved fragment in RG005 treated PC-3 cells. In contrast, cleaved fragment of PARP was strongly detected with RG003 treatment. PARP is a nuclear enzyme involved in the repair of DNA damage (<xref rid="b42-ijo-43-04-1160" ref-type="bibr">42</xref>). Moreover, it is known that PARP is a substrate for caspases such as caspase-3 and is typically cleaved and inactivated during the apoptotic process (<xref rid="b43-ijo-43-04-1160" ref-type="bibr">43</xref>). DNA fragmentation occurs simultaneously with this phenomenon and is considered as a major marker of apoptotic cells. Apoptosis quantification was performed by ELISA, and results showed that DNA fragmentation was induced in PCa PC-3 cells by 24-h chalcone treatment. In our study, chalcone treatment in PCa PC-3 cells induces a disruption of &#x00394;&#x003C8;m, caspase-9 and -3 activation, PARP cleavage (only after RG003 treatment) and DNA fragmentation. Furthermore, we demonstrated a dominant effect of RG003 treatment versus RG005 one.</p>
<p>Among the cell signalling pathways that promote cell survival, Akt is one of the most important (<xref rid="b44-ijo-43-04-1160" ref-type="bibr">44</xref>). It has been previously reported that the level of Akt activation is drastically enhanced in androgen-independent PC-3 cells as compared with the androgen-dependent cells (<xref rid="b45-ijo-43-04-1160" ref-type="bibr">45</xref>). Activated Akt can also exert anti-apoptotic effects, positively regulate NF-&#x003BA;B transcription, modulate angiogenesis, promote tumor invasion/metastasis and antagonize cell cycle arrest (<xref rid="b46-ijo-43-04-1160" ref-type="bibr">46</xref>). Hence, in the present report, we investigated the effects of RG003 and RG005 on Akt pathway in androgen-independent PCa PC-3 cells. We found that chalcones inhibited the expression of phospho-Akt (Ser 473) in PC-3 cells. Akt is also reported to modulate the NF-&#x003BA;B transcription factor through the phosphorylation of p65 to enhance the transcriptional activity of NF-&#x003BA;B (<xref rid="b47-ijo-43-04-1160" ref-type="bibr">47</xref>). NF-&#x003BA;B activation is also known to regulate the expression of various cell survival, proliferative, metastatic and angiogenic gene products (<xref rid="b48-ijo-43-04-1160" ref-type="bibr">48</xref>). Our results showed that RG003 and RG005 treatment inhibited NF-&#x003BA;B activation. In regard to these results, it is clear that the simultaneous inhibition of Akt and NF-&#x003BA;B signalling can significantly contribute to the anticancer effects of RG003 and RG005 in PCa PC-3 cells.</p>
<p>Recent studies on the relationship between the arachidonic acid (AA) cascade and carcinogenesis revealed novel molecular targets for cancer treatment (<xref rid="b49-ijo-43-04-1160" ref-type="bibr">49</xref>). It has been demonstrated that the metabolism of AA, a polyunsatured fatty acid, by either the COX or lipoxygenase (LOX) pathway, generates a host of proinflammatory metabolites known to modulate diverse physiological and pathological responses such as angiogenesis, apoptosis and hyperproliferation (<xref rid="b50-ijo-43-04-1160" ref-type="bibr">50</xref>,<xref rid="b51-ijo-43-04-1160" ref-type="bibr">51</xref>). COX-2 has been demonstrated to play an important role in apoptosis resistance and carcinogenesis, particularly in colon carcinogenesis (<xref rid="b25-ijo-43-04-1160" ref-type="bibr">25</xref>,<xref rid="b52-ijo-43-04-1160" ref-type="bibr">52</xref>). Previous studies from our laboratory reported a role for COX-2 in resistance to apoptosis in colorectal and prostate cancer cells (<xref rid="b53-ijo-43-04-1160" ref-type="bibr">53</xref>,<xref rid="b54-ijo-43-04-1160" ref-type="bibr">54</xref>). Here, we demonstrated that RG003 and RG005 reduced COX-2 expression in PCa PC-3 cells. We demonstrated that NF-&#x003BA;B activation was inhibited after chalcone treatment. Its inhibition was correlated with reduction of COX-2 expression and induction of apoptosis. NF-&#x003BA;B activation signalling pathway was reported to regulate COX-2 expression and to promote cell survival (<xref rid="b24-ijo-43-04-1160" ref-type="bibr">24</xref>).</p>
<p>Our results clearly indicate for the first time that RG003 and RG005 exert their potent anti-proliferative and pro-apoptotic effects through the modulation of Akt/NF-&#x003BA;B/COX-2 signal transduction pathways in PCa PC-3 cells and do not act specifically on any one cellular signalling cascade. It is obvious that RG003 and RG005 are not active against a specific signalling cascade but they can interfere with a multitude of targets in PCa PC-3 cells. This is quite relevant to the changing paradigm in cancer therapy, as increasing evidence indicates that the mono-targeted drugs, once called smart drugs, have not had a significant impact on cancer treatment and the use of multi-targeted drugs has become increasingly accepted, as it is obvious that cancer is caused by dysregulation of multiple pathways (<xref rid="b55-ijo-43-04-1160" ref-type="bibr">55</xref>).</p>
<p>Our results show that RG003 has a dominant effect compared to RG005 treatment on apoptosis of PCa cells. The only structural difference is the presence of one chlorine atom in the A cycle at 4&#x02032; position for RG005. To understand the difference of their biological activities, two major characteristics could be implicated: spatial conformation and redox reactivity. Both characteristics can be examined by molecular modeling as previously used by our team (<xref rid="b56-ijo-43-04-1160" ref-type="bibr">56</xref>). Furthermore, the significance of our <italic>in vitro</italic> study between RG003 and RG005 effects in PCa cells is very encouraging suggesting the relevance of testing these compounds in xenograft animal models.</p></sec></body>
<back>
<ack>
<p>The authors are grateful to Claire Carrion for help in performing mitochondrial membrane potential assays. This research was supported by grants from the French Ministry of Education and Research and from the Lebanese National Council for Scientific Research (CNRS-L, doctoral scholarship to B.I.).</p></ack>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-ijo-43-04-1160" position="float">
<label>Figure 1.</label>
<caption>
<p>Chemical structures of RG003 (2&#x02032;-hydroxy-4-methylsulfonylchalcone) and RG005 (4&#x02032;-chloro-2&#x02032;-hydroxy-4-methylsulfonylchalcone). MW, molecular weight.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g00.tif"/></fig>
<fig id="f2-ijo-43-04-1160" position="float">
<label>Figure 2.</label>
<caption>
<p>Effect of RG005 and RG003 on PC-3 and DU145 cell growth. Cells were cultured in 10&#x00025; FCS medium during 24 h and treated or not with 5&#x02013;40 <italic>&#x003BC;</italic>M RG005 or RG003 for 24&#x02013;72 h. Cell proliferation was followed by MTT test.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g01.tif"/></fig>
<fig id="f3-ijo-43-04-1160" position="float">
<label>Figure 3.</label>
<caption>
<p>Effect of RG005 and RG003 on PC-3 and DU145 cell viability. PC-3 and DU145 cells were grown for 24 h then treated with RG003 and RG005 at 15 or 20 <italic>&#x003BC;</italic>M for 24 and 48 h. (A) Relative cell viability was assessed by trypan blue dye exclusion method. Results are presented as percentage of living cells compared to control (n&#x0003D;3, <sup>&#x0002A;</sup>p&#x0003C;0.05). (B) Morphologic changes in prostate cancer cells. Original magnification, &#x000D7;200.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g02.tif"/></fig>
<fig id="f4-ijo-43-04-1160" position="float">
<label>Figure 4.</label>
<caption>
<p>Effect of RG005 and RG003 on PC-3 and DU145 cell mitochondrial membrane potential. Cells were cultured in 10&#x00025; FCS medium for 24 h and treated or not with RG003 or RG005 at 15 or 20 <italic>&#x003BC;</italic>M for 24 and 48 h, respectively. After treatment, cells were incubated with medium containing JC-1 (1 <italic>&#x003BC;</italic>g/ml) for 30 min at 37&#x000B0;C. Red fluorescence represents mitochondria with intact membrane potential whereas green fluorescence represents de-energized mitochondria. Pictures were taken with a Nikon microscope Eclipse E800 (&#x000D7;100). The pictures are representative of three separate experiments.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g03.tif"/></fig>
<fig id="f5-ijo-43-04-1160" position="float">
<label>Figure 5.</label>
<caption>
<p>Effect of RG005 and RG003 on (A) Bcl-2, Bax, caspase-9 and (B) caspase-9 expression in PC-3 cells. Cells were cultured in 10&#x00025; FCS medium for 24 h and treated or not with 15 <italic>&#x003BC;</italic>M RG003 or RG005 for 24 and 48 h, respectively. Protein expression was analyzed by western blotting. &#x003B2;-actin was used as a loading control. Blots are representative of three separate experiments. Results of Bax/Bcl-2 ratio are presented as n-fold increase compared to control (<sup>&#x0002A;</sup>p&#x0003C;0.05, <sup>&#x0002A;&#x0002A;</sup>p&#x0003C;0.01).</p></caption>
<graphic xlink:href="IJO-43-04-1160-g04.tif"/></fig>
<fig id="f6-ijo-43-04-1160" position="float">
<label>Figure 6.</label>
<caption>
<p>Effect of RG005 and RG003 on caspase-3 activity, PARP cleavage and DNA fragmentation in PC-3 cells. Cells were cultured in 10&#x00025; FCS medium for 24 h and treated or not with 15 <italic>&#x003BC;</italic>M RG003 or RG005 for 24 and 48 h, respectively. (A) Caspase-3 activity was assayed using Quantikine human active caspase-3 (R&#x00026;D Systems). Following treatment, cells were incubated with 10 <italic>&#x003BC;</italic>M biotin-ZVKD-fmk inhibitor for 1 h at 37&#x000B0;C. The amount of active caspase-3 was quantified by colorimetry at 450 nm; values are expressed as mean &#x000B1; SD of three separate experiments and reported as n-fold (<sup>&#x0002A;</sup>p&#x0003C;0.05) compared to control. (B) PARP cleavage was analyzed by western blotting. PARP cleavage was assessed by detection of a 85 kDa band (cleaved PARP) after probing with a mouse anti-human PARP antibody. &#x003B2;-actin was used as a loading control. Blots are representative of three separate experiments. (C) DNA fragmentation was quantified from cytosol extracts according to the manufacturer&#x02019;s instructions (Cell Death Detection ELISAplus, Roche Diagnostics). Results were reported as n-fold compared to control. Values are expressed as mean &#x000B1; SD (p-value relative to control group, <sup>&#x0002A;</sup>p&#x0003C;0.05).</p></caption>
<graphic xlink:href="IJO-43-04-1160-g05.tif"/></fig>
<fig id="f7-ijo-43-04-1160" position="float">
<label>Figure 7.</label>
<caption>
<p>Effect of RG005 and RG003 on Akt and NF-&#x003BA;B activation. PC-3 cells were cultured in 10&#x00025; FCS medium for 24 h and treated or not with 15 <italic>&#x003BC;</italic>M RG003 or RG005 for 24 and 48 h, respectively. (A) Akt phosphorylation was determined by western blot analysis. &#x003B2;-actin was used as a loading control. Blots are representative of three separate experiments. (B) EMSA experiments were performed using DIG Gel Shift Kit (Roche Diagnostics) on nuclear extracts. Blots are representative of three separate experiments.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g06.tif"/></fig>
<fig id="f8-ijo-43-04-1160" position="float">
<label>Figure 8.</label>
<caption>
<p>Effect of RG005 and RG003 on COX-2 expression. PC-3 cells were cultured in 10&#x00025; FCS medium for 24 h and treated or not with 15 <italic>&#x003BC;</italic>M RG003 or RG005 for 24 and 48 h, respectively. COX-2 protein expression was determined by western blot analysis. &#x003B2;-actin was used as a loading control. Blots are representative of three separate experiments.</p></caption>
<graphic xlink:href="IJO-43-04-1160-g07.tif"/></fig></sec></back></article>
