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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.2017.4091</article-id>
<article-id pub-id-type="publisher-id">ijo-51-04-1169</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Luteolin induces apoptotic cell death via antioxidant activity in human colon cancer cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Kang</surname><given-names>Kyoung Ah</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Piao</surname><given-names>Mei Jing</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ryu</surname><given-names>Yea Seong</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hyun</surname><given-names>Yu Jae</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Park</surname><given-names>Jeong Eon</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Shilnikova</surname><given-names>Kristina</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhen</surname><given-names>Ao Xuan</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Kang</surname><given-names>Hee Kyoung</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Koh</surname><given-names>Young Sang</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Jeong</surname><given-names>Yong Joo</given-names></name><xref rid="af2-ijo-51-04-1169" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hyun</surname><given-names>Jin Won</given-names></name><xref rid="af1-ijo-51-04-1169" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-51-04-1169"/></contrib></contrib-group>
<aff id="af1-ijo-51-04-1169">
<label>1</label>Department of Biochemistry, School of Medicine and Jeju Research Center for Natural Medicine, Jeju National University, Jeju 63243</aff>
<aff id="af2-ijo-51-04-1169">
<label>2</label>Department of Bio and Nanochemistry, Kookmin University, Seoul 02707, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijo-51-04-1169">Correspondence to: Professor Jin Won Hyun, Department of Biochemistry, School of Medicine, Jeju National University, Jeju 63243, Republic of Korea, E-mail: <email>jinwonh@jejunu.ac.kr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>10</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>08</month>
<year>2017</year></pub-date>
<volume>51</volume>
<issue>4</issue>
<fpage>1169</fpage>
<lpage>1178</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>04</month>
<year>2017</year></date>
<date date-type="accepted">
<day>30</day>
<month>06</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year></permissions>
<abstract>
<p>The present study determined whether luteolin induces HT-29 colon cancer cell death through an antioxidant effect such as the activation of antioxidant enzymes. Luteolin decreased cell viability in human colon cancer cells (HT-29), whereas it had no effect on normal colon cells (FHC). Luteolin induced apoptosis by activating the mitochondria-mediated caspase pathway in HT-29 cells. Luteolin caused loss of the mitochondrial membrane action potential, increased mitochondrial Ca<sup>2+</sup> level, upregulated Bax, downregulated Bcl-2, induced the release of cytochrome <italic>c</italic> from mitochondria to the cytosol, and increased the levels of the active forms of caspase-9 and caspase-3. Luteolin-induced apoptosis was accompanied by the activation of intracellular and mitochondrial reactive oxygen species scavenging through the activation of antioxidant enzymes, such as superoxide dismutase and catalase in HT-29 cells. Luteolin increased the level of reduced glutathione (GSH) and the expression of GSH synthetase, which catalyzes the second step of GSH biosynthesis. The apoptotic effect of luteolin was mediated by the activation of the mitogen-activated protein kinase signaling pathway. The present results indicate that luteolin induces apoptosis by promoting antioxidant activity and activating MAPK signaling in human colon cancer cells.</p></abstract>
<kwd-group>
<kwd>luteolin</kwd>
<kwd>colon cancer</kwd>
<kwd>antioxidant</kwd>
<kwd>apoptosis</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Approximately 1.4 million new cases of colon cancer are diagnosed each year worldwide. Colon cancer is the third most common cancer in Korea, and its incidence is increasing in Asian countries, including Korea (<xref rid="b1-ijo-51-04-1169" ref-type="bibr">1</xref>,<xref rid="b2-ijo-51-04-1169" ref-type="bibr">2</xref>). Intensive efforts have been made to identify a causative factor for this major cancer, and epidemiologic studies indicate that a western style diet is associated with a high incidence of colon cancer (<xref rid="b3-ijo-51-04-1169" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-ijo-51-04-1169" ref-type="bibr">5</xref>).</p>
<p>Reactive oxygen species (ROS) modulate growth signals and activate gene expression, leading to sustained proliferation of cancer cells (<xref rid="b6-ijo-51-04-1169" ref-type="bibr">6</xref>&#x02013;<xref rid="b8-ijo-51-04-1169" ref-type="bibr">8</xref>). In cancer cells, ROS-induced phosphorylation of c-Jun N-terminal kinase (JNK) translates oncogenic signals, supporting cellular proliferation through the activation of activating protein-1, in addition to the proliferation signals mediated by extracellular regulated kinase (ERK) (<xref rid="b9-ijo-51-04-1169" ref-type="bibr">9</xref>). Therefore, ROS likely play an important role in promoting tumor development.</p>
<p>Flavonoids are biologically active polyphenolic compounds widely distributed in plants, and luteolin, 3&#x02032;,4&#x02032;,5,7-tetrahydroxyflavone, is rich in vegetables and flowers. Flavonoids including luteolin have been focused on anticancer properties via various anticancer mechanisms (<xref rid="b10-ijo-51-04-1169" ref-type="bibr">10</xref>&#x02013;<xref rid="b13-ijo-51-04-1169" ref-type="bibr">13</xref>). Luteolin have anti-inflammatory, antiallergic, anticancer, antioxidant and ROS scavenging activities (<xref rid="b14-ijo-51-04-1169" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-ijo-51-04-1169" ref-type="bibr">16</xref>). Luteolin acts as an antimetastatic agent via decrease of MMP-2 and MMP-9, iNOS and COX-2 (<xref rid="b17-ijo-51-04-1169" ref-type="bibr">17</xref>,<xref rid="b18-ijo-51-04-1169" ref-type="bibr">18</xref>). Luteolin enhanced the expression of Nrf2 and activates glutathione-S-transferase (GST)-&#x003B1; and GST-<italic>&#x003BC;</italic> (<xref rid="b19-ijo-51-04-1169" ref-type="bibr">19</xref>). Luteolin induces growth arrest by inhibiting Wnt/&#x003B2;-catenin/GSK-3&#x003B2; signaling pathway and induces apoptosis by caspase-3 in human colon cancer cells (<xref rid="b20-ijo-51-04-1169" ref-type="bibr">20</xref>&#x02013;<xref rid="b23-ijo-51-04-1169" ref-type="bibr">23</xref>).</p>
<p>Thus, the objective was to determine whether luteolin induces HT-29 cell death through an antioxidant effect.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec sec-type="materials">
<title>Materials</title>
<p>Luteolin was obtained from Professor Sam Sik Kang of Seoul National University (Seoul, Republic of Korea). The xanthine, xanthine oxidase, 5,5-dimethyl-1-pyrroline-N-oxide (DMPO), propidium iodide, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), 2&#x02032;,7&#x02032;-dichlorofluorescein diacetate (DCF-DA), dihydrorhodamine (DHR) 123, N-acetyl-L-cysteine (NAC), reduced glutathione (GSH), buthionine sulfoximine (BSO), diethyldithiocarbamate (DEDTC), 3-amino-1,2,4-triazole (ATZ), epinephrine, and L-ascorbic acid (vitamin C) were purchased from Sigma-Aldrich (St. Louis, MO, USA); 7-amino-4-chloromethylcoumarin (CMAC) was obtained from Invitrogen (Poole, Dorset, UK). 5,5&#x02032;,6,6&#x02032;-Tetrachloro-1,1&#x02032;,3,3&#x02032;-tetraethylbenzimidazolylcarbocyanine chloride (JC-1) and Rhod2-AM were purchased from Molecular Probes (Eugene, OR, USA). Primary antibodies against manganese superoxide dismutase (MnSOD), catalase (CAT), cytochrome <italic>c</italic>, and &#x003B2;-actin were purchased from Santa Cruz Biotechnology (Dallas, TX, USA), and primary antibodies against Bcl-2, Bax, caspase-3, caspase-9, phospho-ERK, ERK, phospho-JNK, JNK, phospho-p38, and p38 were purchased from Cell Signaling Technology (Beverly, MA, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>Human colorectal cancer (HT-29) and normal human colon (FHC) cells were obtained from the American Type Culture Collection (Rockville, MD, USA) and maintained at 37&#x000B0;C in an incubator with a humidified atmosphere of 5% CO<sub>2</sub>. HT-29 cells were cultured in Dulbecco's modified Eagle's medium (DMEM) containing 10% heat-inactivated fetal calf serum (FCS), streptomycin (100 <italic>&#x003BC;</italic>g/ml), and penicillin (100 U/ml). Normal human colon FHC cells were cultured in a 1:1 mixture of Ham's F12 and DMEM containing HEPES (25 mM), cholera toxin (10 ng/ml, Calbiochem-Novabiochem Corp., La Jolla, CA, USA), insulin (5 <italic>&#x003BC;</italic>g/ml), transferrin (5 <italic>&#x003BC;</italic>g/ml), hydrocortisone (100 ng/ml), and 10% FCS.</p></sec>
<sec>
<title>Cell viability</title>
<p>The effect of luteolin on the viability of cells was determined using the MTT assay, which is based on the reduction of a tetrazolium salt by mitochondrial dehydrogenase in viable cells (<xref rid="b24-ijo-51-04-1169" ref-type="bibr">24</xref>). Cells were treated with luteolin at various concentrations. After 48 h, 50 <italic>&#x003BC;</italic>l MTT stock solution (2 mg/ml) was added to each well to obtain a total reaction volume of 200 <italic>&#x003BC;</italic>l. After incubation for 4 h, the plate was centrifuged at 800 &#x000D7; g for 5 min followed by aspiration of the supernatants. Formazan crystals present in each well were dissolved in 150 <italic>&#x003BC;</italic>l DMSO and the absorbance at 540 nm was measured on a scanning multi-well spectrophotometer.</p></sec>
<sec>
<title>Detection of superoxide radical</title>
<p>Superoxide radical was produced by the reaction of the xanthine/xanthine oxidase system and reacted with spin trap DMPO. The DMPO-&#x000B7;OOH adduct was detected using electron spin resonance (ESR) spectroscopy (<xref rid="b25-ijo-51-04-1169" ref-type="bibr">25</xref>). The ESR spectrum was recorded at 2.5 min after mixing in a phosphate buffered solution (pH 7.4) with 20 <italic>&#x003BC;</italic>l of 6 M DMPO, 20 <italic>&#x003BC;</italic>l xanthine oxidase (0.25 U/ml), 20 <italic>&#x003BC;</italic>l xanthine (5 mM), and 20 <italic>&#x003BC;</italic>l luteolin (final 50 <italic>&#x003BC;</italic>g/ml) using the JES-FA ESR spectrometer (JEOL, Tokyo, Japan). The parameters of the ESR spectrometer were set at the following conditions: magnetic field, 336.5 mT; power, 1.00 mW; frequency, 9.4380 GHz; modulation amplitude, 0.2 mT; gain, 500; scan time, 0.5 min; scan width, 10 mT; time constant, 0.03 sec; and temperature, 25&#x000B0;C.</p></sec>
<sec>
<title>Detection of hydroxyl radical</title>
<p>Hydroxyl radical was generated by the Fenton reaction. Hydroxyl radical reacted with DMPO and the resultant DMPO-&#x000B7;OH adduct was detected using an ESR spectrometer (<xref rid="b25-ijo-51-04-1169" ref-type="bibr">25</xref>). The ESR spectrum was recorded 2.5 min after mixing in a phosphate buffered solution (pH 7.4) with 0.2 ml of 0.3 M DMPO, 0.2 ml of 10 mM FeSO<sub>4</sub>, 0.2 ml of 10 mM H<sub>2</sub>O<sub>2</sub>, and luteolin using an ESR spectrometer. The parameters of the ESR spectrometer were set at the following conditions: magnetic field, 336.5 mT; power, 1.00 mW; frequency, 9.4380 GHz; modulation amplitude, 0.2 mT; gain, 200; scan time, 0.5 min; scan width, 10 mT; time constant, 0.03 sec; and temperature, 25&#x000B0;C.</p></sec>
<sec>
<title>Intracellular ROS measurement</title>
<p>Image analysis for the generation of intracellular ROS was achieved by seeding cells on a coverslip-loaded 6-well plate at a density of 2&#x000D7;10<sup>5</sup> cells/well. At 16 h after plating, cells were treated with luteolin at a concentration of 50 <italic>&#x003BC;</italic>g/ml. After 24 h, 100 <italic>&#x003BC;</italic>M DCF-DA was added to each well and cells were incubated for an additional 30 min at 37&#x000B0;C. After washing with phosphate buffered saline (PBS), the stained cells were mounted onto a microscope slide in mounting medium (Dako, Carpinteria, CA, USA). Microscopic images were collected using the Laser Scanning Microscope 5 PASCAL program (Carl Zeiss, Jena, Germany) on a confocal microscope. In addition, cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and incubated for an additional 48 h at 37&#x000B0;C. After addition of 25 <italic>&#x003BC;</italic>M DCF-DA solution, the fluorescence signal of 2&#x02032;, 7&#x02032;-dichlorofluorescein was detected using a Perkin Elmer LS-5B spectrofluorometer (<xref rid="b26-ijo-51-04-1169" ref-type="bibr">26</xref>).</p></sec>
<sec>
<title>Mitochondrial ROS measurement</title>
<p>The cells were seeded in a 96-well plate at a density of 2&#x000D7;10<sup>4</sup> cells/well. At 16 h after plating, the cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and incubated for 24 h. After addition of 20 <italic>&#x003BC;</italic>M DHR 123 solution for 10 min, fluorescence was detected using a Perkin Elmer LS-5B spectrofluorometer. For image analysis of the generation of mitochondrial ROS, cells were seeded on a coverslip-loaded six-well plate at a density of 2&#x000D7;10<sup>5</sup> cells/well. At 16 h after plating, cells were treated with luteolin at a concentration of 50 <italic>&#x003BC;</italic>g/ml. After 24 h, the medium was changed, 20 <italic>&#x003BC;</italic>M DHR 123 was added to each well, and the plate was incubated for an additional 30 min at 37&#x000B0;C. After washing with PBS, the stained cells were mounted onto a microscope slide in mounting medium. Images were acquired using the Laser Scanning Microscope 5 PASCAL program (Carl Zeiss) on a confocal microscope.</p></sec>
<sec>
<title>Measurement of superoxide dismutase (SOD) activity</title>
<p>Cells were seeded in a culture dish at a density of 1&#x000D7;10<sup>5</sup> cells/ml, and at 16 h after plating they were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and incubated for additional times as indicated. The cells were then washed with cold PBS and scraped. The harvested cells were suspended in 10 mM phosphate buffer (pH 7.5) and lysed on ice by sonicating twice for 15 sec. Triton X-100 (1%) was then added to the lysates and incubated for 10 min on ice. The lysates were clarified by centrifugation at 5000 &#x000D7; g for 10 min at 4&#x000B0;C to remove cellular debris, and the protein content of the supernatant was determined. SOD activity was assessed by detecting the inhibition of auto-oxidation of epinephrine (<xref rid="b27-ijo-51-04-1169" ref-type="bibr">27</xref>) as follows: 50 <italic>&#x003BC;</italic>g protein was added to 50 mM phosphate buffer (pH 10.2) containing 0.1 mM EDTA and 0.4 mM epinephrine. Epinephrine rapidly undergoes auto-oxidation at pH 10 to produce adrenochrome, a pink colored product that can be measured at 480 nm using a UV/VIS spectrophotometer in kinetic mode. SOD inhibits the auto-oxidation of epinephrine. The rate of inhibition was monitored at 480 nm. SOD activity was expressed as units/mg protein, and one unit of enzyme activity was defined as the amount of enzyme required for 50% inhibition of auto-oxidation of epinephrine.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Harvested cells were lysed on ice for 30 min in 100 <italic>&#x003BC;</italic>l lysis buffer &#x0005B;120 mM NaCl, 40 mM Tris (pH 8.0), and 0.1% NP 40&#x0005D; and centrifuged at 13,000 &#x000D7; g for 15 min. Supernatants were collected from the lysates and protein concentrations were determined. Aliquots of the lysates (40 <italic>&#x003BC;</italic>g of protein) were boiled for 5 min, electrophoresed on a 10% SDS-polyacrylamide gel, and transferred onto nitrocellulose membranes, which were subsequently incubated with primary antibodies. The membranes were further incubated with secondary anti-immunoglobulin-G-horseradish peroxidase conjugates (Pierce, Rockford, IL, USA). Protein bands were detected using an enhanced chemiluminescence western blotting detection kit (Amersham, Little Chalfont, Buckinghamshire, UK).</p></sec>
<sec>
<title>Measurement of catalase activity</title>
<p>Aliquots containing 50 <italic>&#x003BC;</italic>g protein were added to 50 mM phosphate buffer (pH 7.0) containing 100 mM H<sub>2</sub>O<sub>2</sub>. The reaction mixture was incubated for 2 min at 37&#x000B0;C and the absorbance was monitored at 240 nm for 5 min. The change in absorbance with time was proportional to the breakdown of H<sub>2</sub>O<sub>2</sub> (<xref rid="b27-ijo-51-04-1169" ref-type="bibr">27</xref>). Catalase activity was expressed as units/mg protein and one unit of enzyme activity was defined as the amount of enzyme required to break down 1 <italic>&#x003BC;</italic>M H<sub>2</sub>O<sub>2</sub>.</p></sec>
<sec>
<title>Detection of GSH level</title>
<p>Intracellular GSH content was measured with a commercial colorimetric assay kit (GSH-400) from Oxis International (Portland, OR, USA). After treatment with luteolin for 24 h, cells were harvested and homogenized in a metaphosphoric working solution. After centrifugation, 50 <italic>&#x003BC;</italic>l R1 solution (a solution of a chromogenic reagent in HCl) was added to 900 <italic>&#x003BC;</italic>l supernatant, followed by gentle vortex mixing. Following the addition of 50 <italic>&#x003BC;</italic>l R2 solution (30% NaOH), the mixtures were incubated at 25&#x000B1;3&#x000B0;C for 10 min. After centrifugation, the absorbance of the clear supernatant was measured at 400 nm. The intracellular GSH level was also determined using CMAC, a GSH-sensitive fluorescence dye. Cells were incubated with 5 <italic>&#x003BC;</italic>M CMAC for 30 min in the dark and CMAC fluorescence images were analyzed with a Zeiss Axiovert 200 inverted microscope at an excitation wavelength of 351 nm and an emission wavelength of 380 nm (<xref rid="b28-ijo-51-04-1169" ref-type="bibr">28</xref>).</p></sec>
<sec>
<title>Nuclear staining with Hoechst 33342</title>
<p>Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and the mixture was incubated for 48 h. Hoechst 33342 (1.5 <italic>&#x003BC;</italic>l of a 10 mg/ml stock solution), a DNA-specific fluorescent dye, was added to each well and incubated for 10 min at 37&#x000B0;C. The stained cells were then observed under a fluorescent microscope equipped with a CoolSNAP-Pro color digital camera to examine the degree of nuclear condensation (<xref rid="b29-ijo-51-04-1169" ref-type="bibr">29</xref>).</p></sec>
<sec>
<title>DNA fragmentation</title>
<p>Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and the mixture was incubated for 48 h. Cellular DNA fragmentation was assessed using a cytoplasmic histone-associated DNA fragmentation kit from Roche Diagnostics (Mannheim, Germany) according to the manufacturer's instructions.</p></sec>
<sec>
<title>Detection of sub-G<sub>1</sub> populations</title>
<p>Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and the mixture was incubated for 48 h. Flow cytometry was performed to determine the content of apoptotic sub-G<sub>1</sub> hypodiploid cells (<xref rid="b30-ijo-51-04-1169" ref-type="bibr">30</xref>). The cells were harvested, fixed in 1 ml of 70% ethanol for 30 min at 4&#x000B0;C, washed twice with PBS, and then incubated in 1 ml PBS containing 100 <italic>&#x003BC;</italic>g propidium iodide and 100 <italic>&#x003BC;</italic>g RNase A for 30 min in the dark at 37&#x000B0;C. Flow cytometric analysis was performed and the proportion of sub-G<sub>1</sub> hypodiploid cells was assessed by the histograms generated using the computer programs Cell Quest and Mod-Fit (Becton-Dickinson, Mountain View, USA).</p></sec>
<sec>
<title>Detection of mitochondrial membrane potential</title>
<p>Mitochondrial membrane potential (&#x00394;&#x003C8;) was analyzed using JC-1, a lipophilic cationic fluorescence dye. Cells were harvested, and after changing the media, JC-1 (10 <italic>&#x003BC;</italic>g/ml) was added to each well and incubated for an additional 30 min at 37&#x000B0;C. After washing with PBS, the stained cells were assayed using flow cytometer.</p></sec>
<sec>
<title>Determination of mitochondrial Ca<sup>2+</sup> level</title>
<p>Mitochondrial Ca<sup>2+</sup> levels were determined by Rhod2-AM (250 nM), a mitochondrial Ca<sup>2+</sup> sensitive fluorescence dye. Cells were incubated with 250 nM Rhod2-AM in PBS including Ca<sup>2+</sup> for 30 min in the dark. Rhod2-AM fluorescence images were analyzed with a Zeiss Axiovert 200 inverted microscope at an excitation wavelength of 552 nm and an emission wavelength of 581 nm (<xref rid="b31-ijo-51-04-1169" ref-type="bibr">31</xref>). In addition, cells incubated with 250 nM Rhod2-AM in PBS including Ca<sup>2+</sup> for 30 min in the dark were detected using a flow cytometer (Becton-Dickinson).</p></sec>
<sec>
<title>Transient transfection and small interfering RNA (siRNA) treatment</title>
<p>Overnight-seeded cells at 1.0&#x000D7;10<sup>5</sup> cells/ml were transfected for 4 h with 10 nM specific siRNAs or equal molar amounts of mismatched siRNA controls. Control siRNA (sc-37007, Santa Cruz Biotechnology). ERK-1, JNK, and p38 knockdown was performed using siRNAs against ERK-1 (sc-29308, Santa Cruz Biotechnology), JNK (5&#x02032;-AAAAAGAA TGTCCTACCTTCT-3&#x02032;), and p38 (5&#x02032;-AGC CCA GCA ACC TAG CTG T-3&#x02032;), respectively, which were transfected into cells using Lipofectamine&#x02122; 2000 (Invitrogen, Carlsbad, CA, USA) following the manufacturer's instructions. At 24 h after transfection, the cells were treated with 50 <italic>&#x003BC;</italic>g/ml luteolin for 24 h and examined by immunoblotting.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All measurements were performed in triplicate and all values represent the mean &#x000B1; standard error of the mean (SEM). The results were subjected to analysis of variance (ANOVA) using Tukey's test to analyze differences. P&lt;0.05 was considered significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Luteolin inhibits the growth of human colon cancer cells</title>
<p>The effects of luteolin on the proliferation of HT-29 cells were assessed at 48 h using the MTT assay, and IC<sub>50</sub> (50% growth inhibitory concentration) value was determined. At 48 h, luteolin had cytotoxic effects at different concentrations. As shown in <xref rid="f1-ijo-51-04-1169" ref-type="fig">Fig. 1A</xref>, cell viability was inhibited by luteolin in a dose-dependent manner as follows: 79% at 5 <italic>&#x003BC;</italic>g/ml, 70% at 10 <italic>&#x003BC;</italic>g/ml, 60% at 25 <italic>&#x003BC;</italic>g/ml, 50% at 50 <italic>&#x003BC;</italic>g/ml, and 42% at 100 <italic>&#x003BC;</italic>g/ml. Among the tested concentrations, 50 <italic>&#x003BC;</italic>g/ml luteolin was selected for further investigations. The cytotoxicity of luteolin in normal colon cells (FHC) was investigated using the MTT assay. As shown in <xref rid="f1-ijo-51-04-1169" ref-type="fig">Fig. 1B</xref>, the viability of luteolin-treated FHC cells was higher than that of luteolin-treated HT-29 cells. Since luteolin is an antioxidant compound, the effect of known antioxidant agents on HT-29 cell viability was determined. As shown in <xref rid="f1-ijo-51-04-1169" ref-type="fig">Fig. 1C</xref>, vitamin C and NAC, which are antioxidant agents, decreased cell viability compared with that in untreated cells.</p></sec>
<sec>
<title>Luteolin shows ROS scavenging activity</title>
<p>To determine the ROS scavenging effects of luteolin, the production of super-oxide and hydroxyl radical was assessed. The superoxide radical produced via reaction of the xanthin/xanthin oxidase system and the hydroxyl radical generated via the Fenton reaction (FeSO<sub>4</sub>+H<sub>2</sub>O<sub>2</sub>) in a cell-free system were detected by ESR spectrometry. The ESR results revealed that a specific signal was not clearly detected in the control and in the 50 <italic>&#x003BC;</italic>g/ml luteolin-treated group; however, the superoxide radical signal increased to up to 1036 in the xanthin/xanthin oxidase system, and luteolin treatment decreased the superoxide radical signal to 489 (<xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2A</xref>). The hydroxyl radical signal increased to up to 3879 in the FeSO<sub>4</sub>+H<sub>2</sub>O<sub>2</sub> system, and luteolin treatment decreased the hydroxyl radical signal to 1461 (<xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2B</xref>). The scavenging effect of luteolin on intra cellular ROS in HT-29 cells was measured. As shown in <xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2C</xref>, 50 <italic>&#x003BC;</italic>g/ml luteolin significantly decreased the intensity of the DCF signal compared with that in the control. Consistently, antioxidant agents significantly decreased the intensity of the DCF signal. The red fluorescence intensity of ROS measured using a confocal microscope was decreased in luteolin-treated cells at 50 <italic>&#x003BC;</italic>g/ml. In addition, ROS levels detected with a spectrofluorometer were significantly lower in luteolin-treated than in untreated cells (<xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2D</xref>). To examine the scavenging effect of luteolin on mitochondrial ROS in HT-29 cells, the DHR 123 fluorescence dye was used to detect mitochondrial ROS in cells treated with or without luteolin. Confocal microscopy revealed that luteolin reduced the red fluorescence intensity of mitochondrial ROS in untreated cells (<xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2E</xref>). Fluorescence spectrometric data revealed that luteolin treatment decreased the level of mitochondrial ROS compared with that in untreated cells (<xref rid="f2-ijo-51-04-1169" ref-type="fig">Fig. 2F</xref>).</p></sec>
<sec>
<title>Effects of luteolin on antioxidant enzymes in HT-29 cells</title>
<p>Assessment of the effect of luteolin on the activity of antioxidant enzymes showed that luteolin increased SOD and CAT activity in a time-dependent manner until 24 h (<xref rid="f3-ijo-51-04-1169" ref-type="fig">Fig. 3A</xref>). The protein levels of MnSOD and CAT increased in response to treatment with 50 <italic>&#x003BC;</italic>g/ml luteolin for 24 h (<xref rid="f3-ijo-51-04-1169" ref-type="fig">Fig. 3B</xref>). To determine whether MnSOD activity was related to luteolin-induced cytotoxicity, cells were treated with the MnSOD inhibitor DEDTC and subjected to the MTT assay. As shown in <xref rid="f3-ijo-51-04-1169" ref-type="fig">Fig. 3C</xref>, DEDTC treatment attenuated the cytotoxic effect of luteolin. To examine the effect of CAT on luteolin-induced cytotoxicity, cells were pretreated with the CAT inhibitor ATZ (<xref rid="b32-ijo-51-04-1169" ref-type="bibr">32</xref>). As shown in <xref rid="f3-ijo-51-04-1169" ref-type="fig">Fig. 3D</xref>, ATZ treatment attenuated the cytotoxic effect of luteolin.</p></sec>
<sec>
<title>Effect of luteolin on glutathione</title>
<p>GSH is one of the most abundant intracellular antioxidants, and determination of changes in the level of GSH provides a method to monitor oxidative stress within cells. The GSH-sensitive fluorescent dye, CMAC, can be used as a probe to evaluate the level of intracellular GSH (<xref rid="b28-ijo-51-04-1169" ref-type="bibr">28</xref>). As shown in <xref rid="f4-ijo-51-04-1169" ref-type="fig">Fig. 4A</xref>, cells treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and stained with CMAC showed higher blue fluorescence intensity of cellular GSH measured using a confocal microscope than untreated cells. This pattern was confirmed by measurement of the cellular GSH level. Cellular GSH level was significantly higher in luteolin-treated than in control cells (<xref rid="f4-ijo-51-04-1169" ref-type="fig">Fig. 4B</xref>). To determine whether GSH was related to luteolin-induced cytotoxicity, cells were treated with the glutathione synthesis inhibitor BSO and subjected to the MTT assay. As shown in <xref rid="f4-ijo-51-04-1169" ref-type="fig">Fig. 4C</xref>, BSO treatment attenuated the cytotoxic effect of luteolin.</p></sec>
<sec>
<title>Luteolin induces apoptosis by the mitochondrial pathway</title>
<p>To study the cytotoxic effect of luteolin via apoptotic cell death, cell nuclei were stained with Hoechst 33342 and assessed by microscopy. The microscopic images in <xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5A</xref> show that control cells had intact nuclei, whereas luteolin-treated cells had significant nuclear fragmentation, which is characteristic of apoptosis. In addition, the levels of DNA fragmentation were higher in the luteolin-treated group than in the control group (<xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5B</xref>). In addition to the morphological evaluation, the effect of luteolin on apoptosis in HT-29 cells was confirmed by apoptotic sub-G<sub>1</sub> DNA analysis. As shown in <xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5C</xref>, luteolin-treated cells were 25% in the apoptotic sub-G<sub>1</sub> DNA content compared with 4% of the apoptotic sub-G<sub>1</sub> DNA content in control group. During the apoptotic process, the mitochondrial membrane pore opening induces the loss of mitochondrial &#x02206;&#x003C8;, which induces the release of cytochrome <italic>c</italic> from mitochondria. Luteolin treatment resulted in the loss of &#x02206;&#x003C8;, as measured with the JC-1 dye (<xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5D</xref>). The effect of luteolin on apoptosis-related protein expression was determined by western blot analysis of the antiapoptotic and proapoptotic proteins Bcl-2 and Bax. As shown in <xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5E</xref>, luteolin upregulated Bax but downregulated Bcl-2 expression. The loss of &#x02206;&#x003C8; induces the release of cytochrome <italic>c</italic> from mitochondria. As shown in <xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5E</xref>, luteolin induced the release of cytochrome <italic>c</italic> from mitochondria to the cytosol. The level of active (cleaved) caspase-9 was examined by western blotting because this enzyme is activated in response to mitochondrial membrane disruption (<xref rid="b33-ijo-51-04-1169" ref-type="bibr">33</xref>). As shown in <xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5E</xref>, luteolin upregulated the active form of caspase-9 and caspase-3. Excessive Ca<sup>2+</sup> within mitochondria can induce apoptosis by opening the mitochondrial permeability transition pore (<xref rid="b34-ijo-51-04-1169" ref-type="bibr">34</xref>); therefore, we investigated whether mitochondrial Ca<sup>2+</sup> changes occurred in response to luteolin. Our data demonstrated that luteolin at 50 <italic>&#x003BC;</italic>g/ml caused a sustained elevation of mitochondrial Ca<sup>2+</sup> compared with that in the control. These data were determined by confocal (<xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5F</xref>) imaging and FACS (<xref rid="f5-ijo-51-04-1169" ref-type="fig">Fig. 5G</xref>) analysis using Rhod2-AM.</p></sec>
<sec>
<title>Effect of luteolin on the MAPK signaling pathway</title>
<p>The MAPK signaling pathway is activated in response to certain cellular stress conditions, and it is implicated in cellular death or survival signaling (<xref rid="b35-ijo-51-04-1169" ref-type="bibr">35</xref>,<xref rid="b36-ijo-51-04-1169" ref-type="bibr">36</xref>). To investigate whether the MAPK pathway is involved in luteolin-induced apoptosis, the activity of MAPK was assessed in luteolin-treated cells. Control cells showed low or undetectable levels of phosphorylated MAPK, whereas luteolin at 50 <italic>&#x003BC;</italic>g/ml increased the phosphorylation of all three MAPK in a time-dependent manner (<xref rid="f6-ijo-51-04-1169" ref-type="fig">Fig. 6A</xref>). Next, the effects of the specific ERK, JNK, and p38 MAP kinase inhibitors U0126, SP600125, and SB203580 on luteolin-induced apoptosis were examined by the MTT assay. As shown in <xref rid="f6-ijo-51-04-1169" ref-type="fig">Fig. 6B</xref>, luteolin significantly reduced the cell viability, whereas pretreatment with SP600125 and SB203580 except U0126 attenuated the cytotoxic effect of luteolin. Similar results were obtained in response to transfection with MAPK-specific siRNAs (<xref rid="f6-ijo-51-04-1169" ref-type="fig">Fig. 6C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Cancer cells need an increased energy supply to support high rates of metabolism. Normally, ATP is produced with high efficiency through oxidative phosphorylation in mitochondria. An alternative metabolic pathway is adopted (enhanced glycolysis) when mitochondrial ATP production is compromised. The enhanced oxidative stress observed in cancer cells can result not only from ROS overproduction but also from low levels or inactivation of antioxidant mechanisms (<xref rid="b37-ijo-51-04-1169" ref-type="bibr">37</xref>). The enhanced constitutive oxidative stress renders tumor cells highly dependent on endogenous antioxidants to protect them from continuous intracellular ROS injury (<xref rid="b38-ijo-51-04-1169" ref-type="bibr">38</xref>).</p>
<p>Luteolin has anticancer activity mediated by its role as a DNA topoisomerase II poison, its inhibition of invasive activity, and the induction of cell cycle arrest and apoptosis (<xref rid="b39-ijo-51-04-1169" ref-type="bibr">39</xref>&#x02013;<xref rid="b41-ijo-51-04-1169" ref-type="bibr">41</xref>).</p>
<p>The present data indicated that luteolin induced apoptosis in HT-29 cells by a caspase-dependent pathway with mitochondrial involvement. In the present study, we used a direct approach to examine the scavenging activity of luteolin with hydroxyl and superoxide radical, and the results suggested that luteolin has strong antioxidant activity. To examine the role of ROS in luteolin-induced apoptosis, ROS production was examined using an intracellular oxidant-sensitive fluorescent probe, DCF-DA, and a mitochondrial oxidant-sensitive fluorescent probe, DHR123. The results showed that treatment with luteolin had ROS scavenging effect compared with that in the control, indicating that antioxidant effect of luteolin induced cell death in HT-29 cells.</p>
<p>Polyphenolic antioxidants are scavengers of free radicals and modifiers of various enzymatic functions. Luteolin is a flavonoid that contains two phenolic structures. To determine whether luteolin-induced HT-29 cell apoptosis was associated with the antioxidant properties of luteolin, we examined the antioxidant activity of luteolin. Decreased activity and expression of mitochondrial MnSOD was reported in certain colorectal carcinomas, probably accounting for increased superoxide radical production (<xref rid="b42-ijo-51-04-1169" ref-type="bibr">42</xref>). Accumulation of superoxide radical stimulates cell growth by altering the redox status of transcriptional factors and cell cycle regulatory proteins (<xref rid="b43-ijo-51-04-1169" ref-type="bibr">43</xref>). Moreover, induced overexpression of MnSOD suppresses malignant phenotypes in experimental <italic>in vitro</italic> model. Therefore, MnSOD is considered to be a tumor suppressor that acts indirectly via ROS. In the present study, we examined the expression of the MnSOD and CAT proteins during luteolin-induced apoptosis. Our results showed that the MnSOD and CAT inhibitors DEDTC and ATZ attenuated luteolin-induced apoptosis. MnSOD and CAT act as tumor suppressor genes in several human cancer cells (<xref rid="b44-ijo-51-04-1169" ref-type="bibr">44</xref>). The mechanism by which MnSOD suppresses cancer development remains unknown. However, the expression of this antioxidant enzyme may play a significant role in maintaining cellular redox status. The tumor suppressor effects of MnSOD overexpression are mediated in part by the modulation of specific oncogenes. The relationship between MnSOD expression, the modulation of DNA-binding activity, and the transcriptional activation of redox-sensitive oncoproteins and tumor suppressor proteins was reported recently (<xref rid="b45-ijo-51-04-1169" ref-type="bibr">45</xref>&#x02013;<xref rid="b48-ijo-51-04-1169" ref-type="bibr">48</xref>). The present data indicated that luteolin increased GSH levels in HT-29 cells. This was confirmed by experiments using the glutathione synthesis inhibitor BSO, which indicated that GSH was related to luteolin-induced apoptosis. In addition, the present study demonstrated that JNK and p38 MAPK pathway was involved in apoptosis induced by luteolin. Taken together, the results of the present study suggest that luteolin-induced apoptosis is associated with the antioxidant properties of luteolin.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This work was supported by grant from the Basic Science Research Program (NRF-2016R1A6A3A11932235) through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology, and by grant from the Basic Research Laboratory Program (NRF-2017R1A4A1014512) by NRF grant funded by the Korea government (MSIP).</p></ack>
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<floats-group>
<fig id="f1-ijo-51-04-1169" position="float">
<label>Figure 1</label>
<caption>
<p>Cytotoxic effects of luteolin on human colon cancer cells. (A) HT-29 cells were incubated for 48 h in the presence of various amounts of luteolin, and cell growth rates were investigated using the MTT assay. IC<sub>50</sub> values were defined by the concentration that inhibited growth by 50%. <sup>&#x0002A;</sup>Significantly different from luteolin non-treated cells (P&lt;0.05). (B) The cell viability of luteolin-treated (50 <italic>&#x003BC;</italic>g/ml) HT-29 and FHC cells were evaluated at 48 h using the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). (C) The cell viability of antioxidant agents in HT-29 cells were investigated using the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-51-04-1169-g00.tif"/></fig>
<fig id="f2-ijo-51-04-1169" position="float">
<label>Figure 2</label>
<caption>
<p>ROS scavenging activity of luteolin in HT-29 cells. (A) Superoxide radical was generated by xanthine/xanthine oxidase and reacted with DMPO; the resultant DMPO-&#x000B7;OOH adduct was detected using an ESR spectrometer. (B) Hydroxyl radical was generated by the Fenton reaction (H<sub>2</sub>O<sub>2</sub>/FeSO<sub>4</sub>) and reacted with DMPO; the resultant DMPO-&#x000B7;OH adduct was detected using an ESR spectrometer. Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml and incubated for 24 h, and intracellular ROS were detected using a (C) confocal microscope and (D) fluorescence spectrophotometer after DCF-DA staining. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml. After 24 h, mitochondrial ROS were detected using (E) confocal microscope and (F) a fluorescence spectrophotometer after DHR 123 treatment. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-51-04-1169-g01.tif"/></fig>
<fig id="f3-ijo-51-04-1169" position="float">
<label>Figure 3</label>
<caption>
<p>Effects of luteolin on antioxidant enzymes. Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml for 24 h. (A) SOD and CAT activities are expressed as average enzyme units per mg protein &#x000B1; SEM. <sup>&#x0002A;,#</sup> Significantly different from non-treated cells (P&lt;0.05). (B) Western blot analysis was performed using anti-MnSOD and anti-CAT antibodies. (C) The viability of HT-29 cells after pretreatment with the MnSOD inhibitor DEDTC and treatment with luteolin was determined by the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). <sup>#</sup>Significantly different from luteolin-treated cells (P&lt;0.05). (D) The viability of HT-29 cells after pretreatment with the CAT inhibitor ATZ (3-amino-1, 2, 4 triazole) and treatment with luteolin was determined by the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05); <sup>#</sup>significantly different from luteolin-treated cells (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-51-04-1169-g02.tif"/></fig>
<fig id="f4-ijo-51-04-1169" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of luteolin on cellular GSH amount. Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml for 24 h and cellular GSH levels were detected using (A) confocal microscope after CMAC staining and (B) a colorimetric assay kit. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). (C) The viability of HT-29 cells after pretreatment with the glutathione synthesis inhibitor BSO and treatment with luteolin was determined by the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05); <sup>#</sup>significantly different from luteolin-treated cells (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-51-04-1169-g03.tif"/></fig>
<fig id="f5-ijo-51-04-1169" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of luteolin on mitochondria-mediated apoptosis. (A) Apoptotic body formation was observed under a fluorescence microscope after Hoechst 33342 staining and arrows indicate apoptotic bodies. (B) The apoptotic effect of luteolin was measured by the ELISA kit-based quantification of cytoplasmic histone-associated DNA fragmentation. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). (C) The apoptotic sub-G<sub>1</sub> DNA content was detected by flow cytometry after propidium iodide staining. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05). (D) The &#x02206;&#x003C8;m was analyzed by flow cytometry after staining cells with JC-1. (E) Cell lysates were electrophoresed and Bax, Bcl-2, cytochrome <italic>c</italic>, active caspase-9, and active caspase-3 proteins were detected by their specific antibodies. Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml for 48 h and mitochondrial &#x0005B;Ca<sup>2+</sup>&#x0005D; level was detected using (F) a confocal microscope and (G) flow cytometry after Rhod2-AM treatment.</p></caption>
<graphic xlink:href="IJO-51-04-1169-g04.tif"/></fig>
<fig id="f6-ijo-51-04-1169" position="float">
<label>Figure 6</label>
<caption>
<p>Effect of luteolin on the MAPK signaling pathway. Cells were treated with luteolin at 50 <italic>&#x003BC;</italic>g/ml for 24 h to detect the expression of MAPK signaling proteins. (A) Cell lysates were electrophoresed and immunoblotted using anti-ERK2, anti-phospho-ERK1/2, anti-JNK, anti-phospho-JNK, anti-p38, and anti-phospho-p38 antibodies. (B) The cell viability after pretreatment with the ERK, JNK, and p38 MAPK inhibitors U0126, SP600125, and SB203580 and treatment with luteolin was determined by the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05); <sup>#</sup>significantly different from luteolin-treated cells (P&lt;0.05). (C) The viability of HT-29 cells after transfection with siRNAs against ERK, JNK, and p38 and treatment with luteolin was determined by the MTT assay. <sup>&#x0002A;</sup>Significantly different from control cells (P&lt;0.05); <sup>#</sup>significantly different from luteolin-treated cells (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-51-04-1169-g05.tif"/></fig></floats-group></article>
