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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<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.2016.3790</article-id>
<article-id pub-id-type="publisher-id">ijo-50-01-0283</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>2&#x02032;-Hydroxycinnamaldehyde induces apoptosis through HSF1-mediated BAG3 expression</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Nguyen</surname><given-names>Hai-Anh</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Soo-A</given-names></name><xref ref-type="corresp" rid="c1-ijo-50-01-0283"/></contrib>
<aff id="af1-ijo-50-01-0283">Department of Biochemistry, Dongguk University College of Oriental Medicine, Gyeongju 780-714, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-50-01-0283">Correspondence to: Dr Soo-A Kim, Department of Biochemistry, Dongguk University College of oriental Medicine, 707 Seokjangdong, Gyeongsangbuk-do, Gyeongju 780-714, Republic of Korea, E-mail: <email>ksooa@dongguk.ac.kr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>01</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>06</day>
<month>12</month>
<year>2016</year></pub-date>
<volume>50</volume>
<issue>1</issue>
<fpage>283</fpage>
<lpage>289</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>09</month>
<year>2016</year></date>
<date date-type="accepted">
<day>29</day>
<month>11</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year></permissions>
<abstract>
<p>BAG3, a member of BAG co-chaperone family, is induced by stressful stimuli such as heat shock and heavy metals. Through interaction with various binding partners, BAG3 is thought to play a role in cellular adaptive responses against stressful conditions in normal and neoplastic cells. 2&#x02032;-Hydroxycinnamaldehyde (HCA) is a natural derivative of cinnamaldehyde and has antitumor activity in various cancer cells. In the present study, for the first time, we identified that HCA induced BAG3 expression and BAG3-mediated apoptosis in cancer cells. The apoptotic cell death induced by HCA was demonstrated by caspase-7, -9 and PARP activation, and confirmed by Annexin V staining in both SW480 and SW620 colon cancer cells. Notably, both the mRNA and protein levels of BAG3 were largely induced by HCA in a dose- and time-dependent manner. By showing transcription factor HSF1 activation, we demonstrated that HCA induces the expression of BAG3 through HSF1 activation. More importantly, knockdown of BAG3 expression using siRNA largely inhibited HCA-induced apoptosis, suggesting that BAG3 is actively involved in HCA-induced cancer cell death. Considering the importance of the stress response mechanism in cancer progression, our results strongly suggest that BAG3 could be a potential target for anticancer therapy.</p></abstract>
<kwd-group>
<kwd>BAG3</kwd>
<kwd>HSF1</kwd>
<kwd>apoptosis</kwd>
<kwd>stress</kwd>
<kwd>cinnamaldehyde</kwd>
<kwd>2&#x02032;-hydroxycinnamaldehyde</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Various pathophysiological stresses can disrupt essential cellular signaling pathways and increase the concentration of unfolded or misfolded proteins. A cellular defense mechanism induces the expression of heat shock proteins (Hsps), which serve as molecular chaperones to refold the damaged proteins and protect native proteins (<xref rid="b1-ijo-50-01-0283" ref-type="bibr">1</xref>,<xref rid="b2-ijo-50-01-0283" ref-type="bibr">2</xref>). The induction of stress-responsive genes is mainly regulated by heat shock transcription factor 1 (HSF1). Upon exposure to stressful stimuli, HSF1 translocates to the nucleus, where it binds to heat shock elements (HSEs) to induce the expression of Hsps (<xref rid="b3-ijo-50-01-0283" ref-type="bibr">3</xref>,<xref rid="b4-ijo-50-01-0283" ref-type="bibr">4</xref>).</p>
<p>Bcl2-associated athanogene (BAG) 3 (also known as CAIR-1 or Bis) is a member of the BAG co-chaperone family. BAG family members share a conserved BAG domain in their C-terminal region, through which this family members interact with the ATPase domain of Hsp70 (<xref rid="b5-ijo-50-01-0283" ref-type="bibr">5</xref>,<xref rid="b6-ijo-50-01-0283" ref-type="bibr">6</xref>). In addition to the BAG domain, BAG3 has a WW domain, two IPV motifs and a proline-rich (PXXP) motif. Through these motifs, BAG3 interacts with other binding partners such as Hsp22 and phospholipase C and participates in a wide variety of cellular processes including apoptosis, proliferation, migration and autophagy (<xref rid="b6-ijo-50-01-0283" ref-type="bibr">6</xref>&#x02013;<xref rid="b11-ijo-50-01-0283" ref-type="bibr">11</xref>).</p>
<p>Among the six BAG family members, BAG3 is the only member induced by various cellular stresses such as oxidative stress, heat shock, heavy metals and HIV-1 infection (<xref rid="b12-ijo-50-01-0283" ref-type="bibr">12</xref>&#x02013;<xref rid="b14-ijo-50-01-0283" ref-type="bibr">14</xref>). It has been reported that activated HSF1 induced the expression of BAG3 upon heat stress (<xref rid="b15-ijo-50-01-0283" ref-type="bibr">15</xref>). Recently, we reported that BAG3 is a nuclear-cytoplasmic shuttling protein that interacts with HSF1 under both normal and heat-stressed conditions through its BAG domain. We also demonstrated that BAG3 affects HSF1 nuclear translocation and subsequent expression of target genes (<xref rid="b16-ijo-50-01-0283" ref-type="bibr">16</xref>). HSF1 plays a central role in the cellular defense mechanism and Hsp70, a major stress-inducible protein, is elevated in many human cancers. Moreover, recent studies have shown that BAG3 levels are also elevated in various human cancers such as glioblastoma, leukemia, prostate and pancreatic cancer, suggesting the possibility that BAG3 may actively be involved in the initiation and progression of cancer (<xref rid="b17-ijo-50-01-0283" ref-type="bibr">17</xref>&#x02013;<xref rid="b20-ijo-50-01-0283" ref-type="bibr">20</xref>).</p>
<p>Cinnamon, which is obtained from the stem bark of <italic>Cinnamomum cassia</italic>, has been widely used as flavoring and as a traditional medicine. Cinnamaldehyde is the major compound (45&#x02013;65% of the essential oil from bark) of cinnamon (<xref rid="b21-ijo-50-01-0283" ref-type="bibr">21</xref>). As a major active compound, cinnamaldehyde has been well investigated and its diverse biological activities against bacteria, fungi, inflammation and tumor have been reported (<xref rid="b22-ijo-50-01-0283" ref-type="bibr">22</xref>&#x02013;<xref rid="b25-ijo-50-01-0283" ref-type="bibr">25</xref>). 2&#x02032;-Hydroxycinnamaldehyde (HCA), one of the natural derivatives of cinnamaldehyde, was reported to exert antitumor activity by inhibiting cell proliferation and inducing cell death in TNF-&#x003B1;-treated colon cancer cells through the inactivation of NF-&#x003BA;B and AP-1 (<xref rid="b26-ijo-50-01-0283" ref-type="bibr">26</xref>&#x02013;<xref rid="b28-ijo-50-01-0283" ref-type="bibr">28</xref>). Recently, we also demonstrated that HCA effectively induces apoptosis in human head and neck cancer cells in a p53-independent manner (<xref rid="b29-ijo-50-01-0283" ref-type="bibr">29</xref>,<xref rid="b30-ijo-50-01-0283" ref-type="bibr">30</xref>). These previous reports suggest HCA as an effective therapeutic agent for treating cancer.</p>
<p>In the present study, we investigated the role of co-chaperone BAG3 on HCA-induced apoptosis in SW480 colon cancer cells and demonstrated the novel role of BAG3 on chemotherapy-induced cancer cell death.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and reagents</title>
<p>SW480 and SW620 human colon carcinoma cell lines were cultured in Dulbecco's modified Eagle's medium (DMEM; HyClone Laboratories, Inc., Logan, UT, USA) supplemented with 10% fetal bovine serum (FBS), 100 units/ml penicillin, and 100 <italic>&#x000B5;</italic>g/ml streptomycin (Gibco-BRL, Grand Island, NY, USA). Cells were maintained at 37&#x000B0;C in a humidified atmosphere with 5% CO<sub>2</sub>. HCA was purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA) and dissolved in 0.1% dimethyl sulfoxide (DMSO).</p></sec>
<sec>
<title>Cell viability assay</title>
<p>The effect of HCA on cell viability was assessed using the trypan blue exclusion assay. SW480 and SW620 cells were seeded on a 12-well plate at a density of 3&#x000D7;10<sup>5</sup> cells/ml. The cells were cultured overnight and then treated with various concentrations of HCA. After 24 h, the cells were trypsinized and stained with trypan blue dye (Sigma-Aldrich, St. Louis, MO, USA). The number of viable cells was counted using a hemocytometer.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>SW480 and SW620 cells were treated with various concentrations of HCA for the indicated time periods. The cells were then washed with ice-cold phosphate-buffered saline (PBS) twice and lysed in RIPA buffer (PBS supplemented with 1% NP-40, 0.5% sodium deoxycholate, 1 mM phenylmethylsulfonyl fluoride, 1 <italic>&#x000B5;</italic>g/ml aprotinin and 1 mM sodium orthovanadate). Alternatively, the cytoplasmic and nuclear fractions were obtained according to the previously described method (<xref rid="b16-ijo-50-01-0283" ref-type="bibr">16</xref>). The protein samples were resolved by SDS-polyacrylamide gel electrophoresis and then transferred onto nitrocellulose membranes. The membranes were blocked and then incubated with antibodies. Antibodies against PARP (sc-7150) and HSF1 (sc-9144) were purchased from Santa Cruz Biotechnology. The caspase-7 (#9492), caspase-9 (#9502), p38 (#9212), ERK (#4695), JNK (#9258), phospho-p38 (#9211), phospho-ERK (#4370) and phospho-JNK (#4668) antibodies were from Cell Signaling Technology (Danvers, MA, USA). Antibodies against BAG3 (ab47124) and TBP (ab818) were purchased from Abcam (Cambridge, UK), and antibodies against actin (A1978) were purchased from Sigma-Aldrich. Antibodies for BAG3 and actin were diluted 1:10,000 and all other antibodies were diluted 1:5,000. The immunoreactive bands were detected using the SuperSignal West Pico Chemiluminescent Substrate (Thermo Fisher Scientific, Rockford, IL, USA). All the experiments were performed at least 3 times.</p></sec>
<sec>
<title>RNA isolation and RT-PCR</title>
<p>SW480 cells were treated with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods. Total RNA was isolated using TRIzol<sup>&#x000AE;</sup> reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's instructions. Semi-quantitative RT-PCR was conducted using the One Step RT-PCR PreMix kit (iNtRON Biotechnology, Seongnam, Korea) according to the manufacturer's instructions. The specific primers used for RT-PCR were as follows: BAG3, forward primer (5&#x02032;-GAAAGTGGAAGCCATCCTGGA-3&#x02032;) and reverse primer (5&#x02032;-CCCAAGTTACTGCATACCAAG CG-3&#x02032;); GADPH, forward primer (5&#x02032;-CCAAGGTCATCCATGACAACTTTG-3&#x02032;) and reverse primer (5&#x02032;-GTCATACCAGGAAATGAGCTTGACA-3&#x02032;). RT-PCR was performed under the following conditions: 1 cycle of 30 min at 45&#x000B0;C; 1 cycle of 5 min at 94&#x000B0;C; and 27 cycles of 30 sec at 94&#x000B0;C, 30 sec at 56&#x000B0;C, and 40 sec at 72&#x000B0;C; with a final extension at 72&#x000B0;C for 5 min. The PCR products were then electrophoresed on a 1.7% agarose gel and visualized by ethidium bromide staining.</p></sec>
<sec>
<title>siRNA experiment</title>
<p>SW480 cells were seeded in a 12-well plate at a density of 1.5&#x000D7;10<sup>5</sup> cells/ml and then transfected with 1.5 <italic>&#x000B5;</italic>g/ml of either siGENOME BAG3 siRNA or HSF1 siRNA (Dharmacon, Lafayette, CO, USA) using the DharmaFECT transfection reagent (Dharmacon) according to the manufacturer's instructions. A siGENOME non-targeting siRNA pool (Dharmacon) was used as a control. After 24 h, the cells were treated with 50 <italic>&#x000B5;</italic>M HCA and incubated for an additional 24 h. The cells were harvested, and the expression levels of BAG3 and HSF1 were analyzed by western blot analysis as described above.</p></sec>
<sec>
<title>Luciferase reporter gene assay</title>
<p>To assess the effects of HCA on HSF1 activity, SW480 cells were co-transfected with pGL3-Hsp70-Luc and pCH110 using FuGENE<sup>&#x000AE;</sup> HD (Promega, Madison, WI, USA) according to the manufacturer's instructions. After 8 h, the cells were treated with various concentrations of HCA and incubated for an additional 24 h. The cells were lysed with the reporter lysis buffer (Promega), and luciferase activity was measured using a Luciferase activity assay kit (Promega) according to the manufacturer's instructions. &#x003B2;-galactosidase activity was determined to normalize the luciferase activities.</p></sec>
<sec>
<title>Annexin V staining</title>
<p>SW480 cells were seeded on eight-chamber slides at a density of 1.5&#x000D7;10<sup>5</sup> cells/ml. Cells were cultured overnight and transfected with 1.5 <italic>&#x000B5;</italic>g/ml of either siGENOME BAG3 siRNA or a non-targeting siRNA pool as described above. Twelve hours after transfection, the cells were treated with 50 <italic>&#x000B5;</italic>M HCA. After 24 h, the cells were washed with PBS and stained using the Annexin V-Fluos staining kit (Roche Molecular Biochemicals, Indianapolis, IN, USA) according to the manufacturer's instructions. Cell nuclei were stained with DAPI (Molecular Probes, Eugene, OR, USA). The apoptotic cells were analyzed by conventional fluorescence microscopy (Axio observer D1; Carl Zeiss, Oberkochen, Germany).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are expressed as the means &#x000B1; SD. ANOVA and the Student's t-test were applied to determine the statistical significance. P&lt;0.01 were considered to be significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>HCA induces the apoptotic cell death on SW480 and SW620 colon cancer cells</title>
<p>We first evaluated the effect of HCA on the viability of SW480 and SW620 colon cancer cells. The cells were treated with various concentrations of HCA for 24 h and the trypan blue exclusion assay was performed. As shown in <xref rid="f1-ijo-50-01-0283" ref-type="fig">Fig. 1A</xref>, cell viability was decreased depending on the HCA concentration in both SW480 and SW620 cells with IC<sub>50</sub> values 18.7 and 16.5 <italic>&#x000B5;</italic>M, respectively. To address whether HCA induces apoptotic cell death in both cell lines, the cells were treated with HCA and examined for the levels of cleaved PARP. As shown in <xref rid="f1-ijo-50-01-0283" ref-type="fig">Fig. 1B and C</xref>, the levels of cleaved PARP were largely induced by HCA in a dose- and time-dependent manner. Consistent with the changes in the cleaved PARP levels, caspase-7 and caspase-9 were also increased depending on the HCA concentration (<xref rid="f1-ijo-50-01-0283" ref-type="fig">Fig. 1D</xref>). By staining SW480 cells with Annexin V-FITC, we confirm the role of HCA in caspase-mediated apoptosis (<xref rid="f1-ijo-50-01-0283" ref-type="fig">Fig. 1E</xref>).</p></sec>
<sec>
<title>HCA induces the expression of BAG3</title>
<p>Previous studies have shown that the BAG3 expression can be induced by cellular insults such as heat shock, heavy metals and oxidative stress (<xref rid="b12-ijo-50-01-0283" ref-type="bibr">12</xref>,<xref rid="b13-ijo-50-01-0283" ref-type="bibr">13</xref>). Therefore, we investigated whether HCA, a chemotherapeutic agent, can induce BAG3 expression. Notably, HCA largely increased the protein level of BAG3 in a dose- and time-dependent manner in both SW480 and SW620 cells (<xref rid="f2-ijo-50-01-0283" ref-type="fig">Fig. 2A and B</xref>). To investigate whether the increased protein levels of BAG3 are caused by increased BAG3 gene transcription, SW480 cells were treated with 50 <italic>&#x000B5;</italic>M HCA for various times, and semi-quantitative RT-PCR was performed. As shown in <xref rid="f2-ijo-50-01-0283" ref-type="fig">Fig. 2C</xref>, HCA largely increased the level of BAG3 mRNA between 3 and 6 h of treatment. By showing that cycloheximide, an inhibitor of protein synthesis, effectively inhibited the HCA-induced levels of BAG3 protein expression, we confirmed that HCA promotes BAG3 gene expression (<xref rid="f2-ijo-50-01-0283" ref-type="fig">Fig. 2D</xref>).</p></sec>
<sec>
<title>HCA induces HSF1 transcriptional activity and subsequent BAG3 expression</title>
<p>Our new finding that HCA induces BAG3 expression leads us to investigate the signaling pathway involved in BAG3 expression. Previously, we and others have shown that the stress-responsive induction of BAG3 occurs mainly through the activation of HSF1 (<xref rid="b15-ijo-50-01-0283" ref-type="bibr">15</xref>,<xref rid="b16-ijo-50-01-0283" ref-type="bibr">16</xref>). To address the signaling mechanism responsible for HCA-induced BAG3 expression, we performed a reporter gene assay to evaluate the effect of HCA on the transcriptional activity of HSF1. SW480 cells were transfected with a pGL3-Hsp70-Luc luciferase reporter vector and then treated with various concentrations of HCA. Interestingly, HCA markedly promoted HSF1 transcriptional activity in a dose-dependent manner (<xref rid="f3-ijo-50-01-0283" ref-type="fig">Fig. 3A</xref>). As shown in <xref rid="f3-ijo-50-01-0283" ref-type="fig">Fig. 3B</xref>, HCA treatment resulted in rapid nuclear translocation of HSF1, suggesting that HCA effectively induced the transcriptional activity of HSF1. To further confirm the HSF1-mediated expression of BAG3 by HCA, the cells were transfected with HSF1-specific siRNA. As shown in <xref rid="f3-ijo-50-01-0283" ref-type="fig">Fig. 3C</xref>, the level of HSF1 was reduced by HSF1 siRNA. Consistent with the result shown in <xref rid="f2-ijo-50-01-0283" ref-type="fig">Fig. 2</xref>, HCA increased the level of BAG3. However, knockdown of HSF1 effectively inhibited the induction of BAG3 by HCA, confirming that HCA activates the transcription factor HSF1 and subsequent BAG3 expression.</p></sec>
<sec>
<title>Role of BAG3 on HCA-induced cell death</title>
<p>To investigate the role of BAG3 on the HCA-induced apoptotic cell death, SW480 cells were transfected with BAG3-specific siRNA. As shown in <xref rid="f4-ijo-50-01-0283" ref-type="fig">Fig. 4A</xref>, HCA-induced BAG3 levels were dose-dependently decreased by the BAG3 siRNA. Interestingly, the increased level of cleaved PARP by HCA was also decreased in BAG3 siRNA-transfected cells, suggesting that BAG3 is actively involved in the HCA-induced apoptosis (<xref rid="f4-ijo-50-01-0283" ref-type="fig">Fig. 4A</xref>). To further confirm this role of BAG3, cells were transfected with BAG3 siRNA and stained with Annexin V-FITC. As shown in <xref rid="f4-ijo-50-01-0283" ref-type="fig">Fig. 4B</xref>, HCA largely increased the number of apoptotic cells. However, BAG3 knockdown effectively decreased apoptotic cells, suggesting that BAG3 is actively involved in HCA-induced apoptosis.</p></sec>
<sec>
<title>MAPK signaling pathways are not relevant to the induction of BAG3 expression</title>
<p>We next examined the MAPK signaling pathways in the HCA-treated SW480 cells to verify the involvement of MAPKs in HCA-induced BAG3 expression and/or apoptosis. HCA treatment had no detectable effect on the level of phosphorylated ERK. However, the levels of phosphorylated p38 and JNK were increased depending on the HCA concentration (<xref rid="f5-ijo-50-01-0283" ref-type="fig">Fig. 5A</xref>). Similarly, phosphorylated p38 and JNK were increased in a time-dependent manner, suggesting that p38 and/or JNK signaling pathways may be involved in HCA-induced BAG3 expression and/or apoptosis (<xref rid="f5-ijo-50-01-0283" ref-type="fig">Fig. 5B</xref>). To confirm this possibility, cells were treated with either SB202190 or SP600125, which are specific inhibitors against p38 and JNK, respectively. As shown in <xref rid="f5-ijo-50-01-0283" ref-type="fig">Fig. 5C</xref>, SB202190 effectively inhibited phosphorylated p38; however, it did not affect HCA-induced BAG3 expression, suggesting that the p38 signaling pathway is not relevant to the HCA-induced BAG3 expression. Consistent with the level of BAG3, HCA-induced increases in cleaved PARP was not affected by SB202190, confirming that BAG3 is a major player in HCA-induced apoptosis. Similarly, although SP600125 effectively inhibited JNK phosphorylation, BAG3 induction was unaffected (<xref rid="f5-ijo-50-01-0283" ref-type="fig">Fig. 5D</xref>). The levels of HCA-induced cleaved PARP was also largely unaffected by SP600125, which supported the role of BAG3 on HCA-induced apoptosis.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Heat shock response is one of the most evolutionary conserved cell protective mechanisms. Environmental insults induce various responses to help cells adapt to stressful conditions. HSF1 is placed in a center of the control of cellular responses to stress. In stressful conditions, HSF1 induces expression of Hsps, which are molecular chaperones that prevent protein aggregation and promote the refolding of misfolded proteins. If the cellular stress is too severe and misfolding exceeds a certain threshold, a signal that leads to apoptosis is activated thereby providing a balance between survival and death (<xref rid="b1-ijo-50-01-0283" ref-type="bibr">1</xref>&#x02013;<xref rid="b4-ijo-50-01-0283" ref-type="bibr">4</xref>,<xref rid="b31-ijo-50-01-0283" ref-type="bibr">31</xref>).</p>
<p>Due to high levels of proteotoxic stress, the stress responsive pathway is important for cancer cell survival and proliferation. In this regard, it is not surprising that elevated levels of Hsps are commonly observed in a wide range of human tumors and that heat shock response is considered as a potential target for anticancer therapies (<xref rid="b31-ijo-50-01-0283" ref-type="bibr">31</xref>,<xref rid="b32-ijo-50-01-0283" ref-type="bibr">32</xref>). However, the multifaceted outcomes of the HSF1-mediated stress response hinders the understanding of which stress-related signaling pathways are activated under certain circumstances, with regard to whether HSF1 plays a supportive or inhibitory role in cancer progression.</p>
<p>We demonstrated that HCA strongly induces apoptotic cell death in both SW480 and SW620 colon cancer cells. Interestingly, HCA largely increased both protein and mRNA levels of BAG3 in a dose- and time-dependent manner. This induction of BAG3 expression led us to investigate the involvement of the HSF1-mediated signaling pathway. Our data showed that HCA increased target gene promoter activity and nuclear translocation of HSF1. Furthermore, by showing that knockdown of HSF1 inhibited HCA-induced BAG3 expression, we verified that HCA strongly induced HSF1-mediated BAG3 expression. Considering the role of HSF1 in cellular protection and the elevated level of Hsp70 in many human cancers, our results suggest that BAG3 may be actively involved in cancer progression.</p>
<p>Importantly, BAG3 knockdown clearly verified that HCA promoted apoptosis via BAG3 expression. BAG3 is a stress-inducible co-chaperone protein, and its expression level is elevated in several human cancers (<xref rid="b12-ijo-50-01-0283" ref-type="bibr">12</xref>,<xref rid="b13-ijo-50-01-0283" ref-type="bibr">13</xref>,<xref rid="b17-ijo-50-01-0283" ref-type="bibr">17</xref>&#x02013;<xref rid="b20-ijo-50-01-0283" ref-type="bibr">20</xref>). Previously, Liu and colleagues (<xref rid="b33-ijo-50-01-0283" ref-type="bibr">33</xref>) have shown that apoptosis induced by bortezomib, a proteasome inhibitor, is greatly potentiated by BAG3 silencing in leukemic cells. Mani <italic>et al</italic> (<xref rid="b34-ijo-50-01-0283" ref-type="bibr">34</xref>) also showed that BAG3 knockdown sensitized bladder cancer cells to apoptosis induced by ABT-737, a BH3 mimetic. These reports characterized BAG3 as an anti-apoptotic protein. However, contrary to the above, we showed that HCA induced apoptosis by increasing BAG3 expression.</p>
<p>Normally, HSF1-mediated cellular defense mechanisms protect the cells under stressful conditions. However, if the cellular stress is too severe to overcome, the cell undergoes apoptotic cell death. It is difficult to conclude whether the cellular defense mechanism plays a supportive or inhibitory role in cancer progression because this mechanism appears to have cell specificity. Even within the same cell type, cells can respond differently depending on its placed circumstances. BAG3 has many functional domains through which BAG3 interacts with other proteins (<xref rid="b6-ijo-50-01-0283" ref-type="bibr">6</xref>&#x02013;<xref rid="b11-ijo-50-01-0283" ref-type="bibr">11</xref>). our result showed that BAG3 critically participated in HCA-induced apoptosis and suggests the possible role of BAG3 as a key player in orchestrating the role of interacting protein(s) under given cell conditions.</p>
<p>In the present study, we verified that HCA induces apoptotic cell death in SW480 colon cancer cells. To the best of our knowledge, this is the first report describing that HCA induces apoptosis through the activation of HSF1 and subsequent BAG3 expression (<xref rid="f6-ijo-50-01-0283" ref-type="fig">Fig. 6</xref>). Further studies on BAG3 and its interacting proteins under stress conditions will reveal the role of BAG3 as a co-chaperone. Considering the importance of the stress defense mechanism on cancer progression, our results suggest that BAG3 is a potential target for development in cancer therapy.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0023366).</p></ack>
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<floats-group>
<fig id="f1-ijo-50-01-0283" position="float">
<label>Figure 1</label>
<caption>
<p>HCA induces apoptosis on human colon cancer cells. (A) SW480 and SW620 cells were treated with various concentrations of HCA for 24 h and the cell viability was assessed by the trypan blue exclusion assay. The data are expressed as the means &#x000B1; SD of three individual experiments. (B and C) SW480 and SW620 cells were treated either with the indicated concentrations of HCA for 24 h (B) or with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods (C). Total cell extracts were prepared, and the levels of cleaved PARP were detected by western blot analysis. (D) SW480 cells were treated with various concentrations of HCA for 24 h. Total cell extracts were prepared, and the levels of caspase-7 and caspase-9 were detected by western blot analysis. (E) SW480 cells were treated with the indicated concentrations of HCA for 24 h and stained with Annexin V-FITC. The cells were observed by fluorescence microscopy.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g00.tif"/></fig>
<fig id="f2-ijo-50-01-0283" position="float">
<label>Figure 2</label>
<caption>
<p>HCA induces the expression of BAG3. SW480 and SW620 cells were treated either with the indicated concentrations of HCA for 24 h (A) or with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods (B). Total cell lysates were prepared and the expression level of BAG3 was detected by western blot analysis. (C) SW480 cells were treated with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods. Total RNA was isolated, and semi-quantitative RT-PCR was performed. GAPDH was used as an internal control. (D) SW480 cells were pretreated with cycloheximide for 4 h followed by treatment with 50 <italic>&#x000B5;</italic>M HCA for 24 h. Total cell lysates were prepared and the levels of BAG3 were detected by western blot analysis. Actin was used as a loading control.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g01.tif"/></fig>
<fig id="f3-ijo-50-01-0283" position="float">
<label>Figure 3</label>
<caption>
<p>HCA promotes the activation of HSF1. (A) SW480 cells were transfected with a pGL3-Hsp70-Luc reporter vector. After 8 h, cells were treated with various concentrations of HCA for 24 h. Total cell extracts were subjected to the luciferase assay. Luciferase activities were normalized for transfection efficiency by co-transfection with the &#x003B2;-galactosidase-expressing vector pCH110. The data were expressed as the means &#x000B1; SD of three individual experiments. &#x0002A;P&lt;0.01 compared with HCA-untreated control cells. (B) The cells were treated with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods. Cytoplasmic and nuclear fractions were prepared, and the levels of HSF1 were detected by western blot analysis. The band densities were quantified by densitometry. The data are expressed as the means &#x000B1; SD of three individual experiments. Actin and TBP were used as loading controls. (C) The cells were transfected with the HSF1 siRNA constructs. After 24 h, the cells were treated with 50 <italic>&#x000B5;</italic>M HCA for 24 h. The total cell lysates were prepared, and the levels of HSF1 and BAG3 were detected by western blot analysis.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g02.tif"/></fig>
<fig id="f4-ijo-50-01-0283" position="float">
<label>Figure 4</label>
<caption>
<p>BAG3 is actively involved in HCA-induced apoptosis. SW480 cells were transfected with the indicated concentrations of BAG3 siRNA constructs. After 24 h, the cells were treated with 50 <italic>&#x000B5;</italic>M of HCA for 24 h. (A) Total cell lysates were prepared and the levels of BAG3 and cleaved PARP were detected by western blot analysis. (B) The cells were stained with Annexin V-FITC and DAPI and observed by fluorescence microscopy. The data were expressed as the means &#x000B1; SD of three individual experiments. <sup>&#x0002A;</sup>P&lt;0.01 compared with HCA-treated cells.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g03.tif"/></fig>
<fig id="f5-ijo-50-01-0283" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of HCA on the MAPK signaling pathway. (A and B) SW480 cells were treated either with the indicated concentrations of HCA for 24 h (A) or with 50 <italic>&#x000B5;</italic>M HCA for the indicated time periods (B). The levels of p38, ERK, JNK, p-p38, p-ERK and p-JNK were detected in total cell lysates by western blot analysis. (C and D) The cells were pretreated with either SB202190 for 2 h (C) or SP600125 for 1 h (D) followed by the addition of 50 <italic>&#x000B5;</italic>M HCA for 24 h. Total cell lysates were prepared and the levels of p-p38, p-JNK, BAG3 and cleaved PARP were detected by western blot analysis. Actin was used as a loading control.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g04.tif"/></fig>
<fig id="f6-ijo-50-01-0283" position="float">
<label>Figure 6</label>
<caption>
<p>Schematic representation of the anticancer mechanisms of HCA in human colon cancer cells. HCA induces rapid nuclear translocation of HSF1 which lead to the expression of BAG3. Induced BAG3 is actively involved in caspase-dependent apoptotic cell death.</p></caption>
<graphic xlink:href="IJO-50-01-0283-g05.tif"/></fig></floats-group></article>
