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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="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2014.2281</article-id>
<article-id pub-id-type="publisher-id">mmr-10-02-1103</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Bafilomycin A1 inhibits autophagy and induces apoptosis in MG63 osteosarcoma cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>XIE</surname><given-names>ZONGGANG</given-names></name><xref rid="fn1-mmr-10-02-1103" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIE</surname><given-names>YE</given-names></name><xref rid="fn1-mmr-10-02-1103" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>YOUJIA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ZHOU</surname><given-names>HAIBIN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>WEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>DONG</surname><given-names>QIRONG</given-names></name><xref ref-type="corresp" rid="c1-mmr-10-02-1103"/></contrib>
<aff id="af1-mmr-10-02-1103">Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215004, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-mmr-10-02-1103">Correspondence to: Dr Qirong Dong, Department of Orthopedics, The Second Affiliated Hospital of Soochow University, 1055 Sanxiang Street, Suzhou, Jiangsu 215004, P.R. China, E-mail: <email>dqr@szgk.net</email></corresp><fn id="fn1-mmr-10-02-1103">
<label>*</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>05</month>
<year>2014</year></pub-date>
<volume>10</volume>
<issue>2</issue>
<fpage>1103</fpage>
<lpage>1107</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>05</month>
<year>2013</year></date>
<date date-type="accepted">
<day>03</day>
<month>04</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</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>The purpose of the present study was to investigate the effects of bafilomycin A1 (BafA1) on proliferation, apoptosis and autophagy in MG63 osteosarcoma cells. The growth rate of MG63 cells was determined using a Cell Counting Kit-8 assay. The mitochondrial membrane potential (&#x00394;&#x003C8;) was measured using a fluorescent probe, JC-1, and the inhibition of autophagy and apoptosis was monitored by transmission electron microscopy. In addition, the inhibition of autophagy was monitored by western blot analysis of microtubule-associated protein 1 light chain 3 (LC3), and the ratio of LC3-II/LC3-I protein levels was calculated as an indicator of the extent of autophagy. Furthermore, the expression levels of specific proteins associated with autophagy, including p53, Beclin1 and p62, were detected in cultured MG63 cells by western blotting. It was shown that the viability of MG63 cells was inhibited following the use of BafA1, and an induction in the expression levels of the apoptosis-related protein p53 and the autophagic protein Beclin1 was detected. Furthermore, a collapse in &#x00394;&#x003C8; was observed, together with an induction of apoptotic cell death, following treatment with BafA1. Therefore, following BafA1-mediated inhibition of autophagy, the inhibition of MG63 cell proliferation and induction of apoptosis were observed.</p></abstract>
<kwd-group>
<kwd>MG63</kwd>
<kwd>bafilomycin A1</kwd>
<kwd>apoptosis</kwd>
<kwd>autophagy</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteosarcoma is one of the most common malignant tumors of the musculoskeletal system (<xref rid="b1-mmr-10-02-1103" ref-type="bibr">1</xref>,<xref rid="b2-mmr-10-02-1103" ref-type="bibr">2</xref>) with a survival rate of &lt;20&#x00025; when solely treated by surgical intervention (<xref rid="b3-mmr-10-02-1103" ref-type="bibr">3</xref>). Combinatory therapeutic approaches, such as surgery together with systemic chemotherapy, are therefore required for the effective treatment of this cancer (<xref rid="b1-mmr-10-02-1103" ref-type="bibr">1</xref>,<xref rid="b4-mmr-10-02-1103" ref-type="bibr">4</xref>). Previous research (<xref rid="b5-mmr-10-02-1103" ref-type="bibr">5</xref>) has shown that osteoclasts can be used as a potential therapeutic target in osteosarcoma, due to their prominence within the tumor and their critical function in bone resorption at sites of microfracture or bone destruction. Osteosarcoma cells originate from cells of an osteoblastic lineage, which is characterized by cell secretion of receptor activator of nuclear factor-&#x003BA;B ligand, a surface bound molecule that induces osteoclast activation. Osteosarcoma may therefore be a suitable candidate for osteoclast-targeted therapy, with osteosarcoma cells being used as a cellular model in which novel therapeutic methods and molecular mechanisms may be researched (<xref rid="b5-mmr-10-02-1103" ref-type="bibr">5</xref>).</p>
<p>Autophagy is central to the pathogenesis of numerous conditions, including aging, cancer, myopathies, neuronal degeneration and microbial infection (<xref rid="b6-mmr-10-02-1103" ref-type="bibr">6</xref>,<xref rid="b7-mmr-10-02-1103" ref-type="bibr">7</xref>). Therefore, an increasing number of novel therapeutic strategies for osteosarcoma are focusing on the modulation of dysregulated autophagy (<xref rid="b8-mmr-10-02-1103" ref-type="bibr">8</xref>,<xref rid="b9-mmr-10-02-1103" ref-type="bibr">9</xref>).</p>
<p>Bafilomycin A1 (BafA1), a macrolide antibiotic, is a known inhibitor of the latter stages of autophagy, inhibiting fusion between autophagosomes and lysosomes by inhibiting vacuolar H<sup>+</sup> ATPase (<xref rid="b10-mmr-10-02-1103" ref-type="bibr">10</xref>). This has been demonstrated to result in a marked accumulation of autophagosomes, concomitant with apoptotic cell death (<xref rid="b11-mmr-10-02-1103" ref-type="bibr">11</xref>,<xref rid="b12-mmr-10-02-1103" ref-type="bibr">12</xref>).</p>
<p>Since the discovery of BafA1 and the identification of its molecular effects <italic>in vitro</italic> on autophagy-mediated cell death, BafA1 may be considered to be a central modulator of both apoptosis and autophagy. The present study aimed to detect the effects of BafA1 on cell growth and apoptosis in MG63 cells <italic>in vitro</italic>.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>The MG63 osteosarcoma cell line was purchased from the Shanghai Institute of Cell Biology, Chinese Academy of Sciences (Shanghai, China). RPMI-1640 medium was purchased from Gibco-BRL (Rockville, MD, USA); BafA1 was purchased from Biovision (Shanghai, China); L-glutamine was obtained from Sigma (St. Louis, MO, USA); and antibodies against p53, p62, Beclin1 and microtubule-associated protein 1 light chain 3 (LC3) were purchased from Cell Signaling Technology, Inc. (Beverly, MA, USA).</p></sec>
<sec>
<title>Drug preparation</title>
<p>BafA1 was diluted in dimethylsulfoxide (DMSO) to a final working concentration of 1 &#x003BC;mol/l and DMSO was used as the vehicle control.</p></sec>
<sec>
<title>Cell culture and viability assay</title>
<p>MG63 cells were cultured in RPMI-1640 with 10&#x00025; fetal bovine serum and 4 mmol/l L-glutamine. For all assays, the cells were cultured at 37&#x000B0;C in humidified incubators with 5&#x00025; CO<sub>2</sub> and 95&#x00025; air. The cell viability was assessed using the Cell Counting Kit-8 (CCK-8; Dojindo Labotatories, Kumamoto, Japan) assay. Cells were plated in 96-well plates at a density of 7&#x000D7;10<sup>4</sup> cells/well and treated with BafA1 for 6, 12 or 24 h. Cell viability was subsequently assessed by the addition of 10 &#x003BC;l CCK-8 solution to each well, 24 h after BafA1 treatment. Following incubation with CCK-8 for 4 h, the optical absorbance at 570 nm was measured. Each experiment was performed in triplicate (<xref rid="b13-mmr-10-02-1103" ref-type="bibr">13</xref>).</p></sec>
<sec>
<title>Detection of mitochondrial potential (&#x00394;&#x003A6;)</title>
<p>The &#x00394;&#x003A6; was determined using the KeyGEN Mitochondrial Membrane Sensor kit (KeyGEN, Nanjing, China) according to the manufacturer&#x02019;s instructions. Cells were first treated with BafA1, harvested and then washed three times with 5 ml phosphate-buffered saline (PBS), prior to centrifugation and aspiration. The cells were then re-suspended in 0.5 ml diluted MitoSensor reagent (1 &#x003BC;mol/m1 in incubation buffer; Becton-Dickinson, Heidelberg, Germany). Following incubation with the fluorescent probe JC-1 for 20&#x02013;30 min, the cells were washed in 0.2 ml incubation buffer and resuspended in 40 &#x003BC;l incubation buffer, prior to re-washing and re-suspension in 1 ml PBS. The cells were then analyzed by flow cytometry (FACScan; Becton-Dickinson).</p></sec>
<sec>
<title>Detection of apoptosis</title>
<p>Cells treated with BafA1 for 6&#x02013;24 h were harvested and washed three times with 5 ml PBS/0.1&#x00025; fetal calf serum wash buffer, centrifuged and aspirated. The cells were then re-suspended in wash buffer containing 20 &#x003BC;g/ml propidium iodide (PI), 500 &#x003BC;g/ml RNase and 0.03&#x00025; Nonidet P-40 and subsequently analyzed by flow cytometry. The percentage of apoptotic cells was taken as the percentage of cells with a lower DNA content than that of cells in the G<sub>0</sub>-G<sub>1</sub> phase in the PI intensity-area histogram plot (<xref rid="b14-mmr-10-02-1103" ref-type="bibr">14</xref>).</p></sec>
<sec>
<title>Total cell protein extraction and western blotting</title>
<p>Cells were cultured for 24&#x02013;48 h prior to lysis in buffer containing 50 mmol/l Tris-HCl (pH 8.0), 150 mmol/l NaCl, 1&#x00025; (v/v) Triton X-100 and a protease inhibitor cocktail (1:100 dilution; Sigma, Shanghai, China). The protein concentration was determined using Bradford reagent. The proteins were then separated by electrophoresis using 8.5&#x00025; polyacrylamide gels and transferred onto nitrocellulose membranes. The membranes were subsequently exposed to anti-Beclin 1 (1:1,000), -p53 (1:2,000), -p62 (1:1,000) and -LC3 (1:1,000) antibodies and incubated at 4&#x000B0;C overnight, prior to exposure to horseradish peroxidase-conjugated secondary antibody (1:3,000) for 1 h at room temperature. &#x003B2;-actin (1:5,000; Sigma) was used as a loading control. Membranes were developed using an enhanced chemiluminescence detection system (Denville Scientific, Inc., Plainfield, NJ, USA) and exposed to X-ray films (<xref rid="b15-mmr-10-02-1103" ref-type="bibr">15</xref>).</p></sec>
<sec>
<title>Transmission electron microscopy</title>
<p>Following treatment with BafA1, the cells were fixed in ice-cold 2.5&#x00025; glutaraldehyde in 0.1 M PBS and stored at 4&#x000B0;C, prior to further processing. The cells were post-fixed in 1&#x00025; osmium tetroxide in ice-cold 2.5&#x00025; glutaraldehyde in 0.1 M PBS and then dehydrated through an alcohol series prior to embedding in Epon&#x02122; 812 (Electron Microscopy Sciences, Hatfield, PA, USA). The cells were next sectioned using an ultramicrotome (Leica, Wetzlar, Germany). Finally, the sections (500 nm) were stained with uranyl acetate and lead citrate and examined by transmission electron microscopy (Philips CM120; Philips, Eindhoven, The Netherlands).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are presented as the mean &#x000B1; standard deviation. A Student&#x02019;s t test was used for statistical analysis and a P-value of &lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>BafA1 inhibits MG63 cell viability</title>
<p>The CCK-8 assay revealed that the inhibition rate of MG63 cells treated with BafA1 (1 &#x003BC;mol/l) was significant1y higher than that of the controls (only vehicle used) (P&lt;0.05). BafA1 inhibited the proliferation of the MG63 cells, with the rate of inhibition reaching 18&#x000B1;0.57&#x00025; after 6 h of incubation. The inhibition rate increased to 39&#x000B1;2.82 and 56&#x000B1;3.91&#x00025; by 12 and 24 h, respectively (<xref rid="f1-mmr-10-02-1103" ref-type="fig">Fig. 1</xref>).</p></sec>
<sec>
<title>BafA1 induces mitochondrial dysfunction</title>
<p>MG63 cells showed a collapse in the &#x00394;&#x003C8; after 6 h of exposure to BafA1 (1 &#x003BC;mol/l), with a maximum being reached by 24 h (<xref rid="f2-mmr-10-02-1103" ref-type="fig">Fig. 2</xref>). These data therefore indicated that BafA1 could induce mitochondrial dysfunction and apoptosis in MG63 cells.</p></sec>
<sec>
<title>BafA1 induces apoptosis in MG63 cells</title>
<p>The rate of apoptosis in MG63 cells was assessed by flow cytometry at 6, 12 and 24 h after exposure to BafA1 (1 &#x003BC;mol/l). BafA1-induced cellular apoptosis was evident after 6, 12 and 24 h of treatment (<xref rid="f3-mmr-10-02-1103" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>BafA1 increases Beclin 1 and p53 protein expression levels in MG63 cells</title>
<p>Western blot analysis was used to assess the effect of BafA1 on the expression of the apoptosis-related proteins Beclin 1 and p53. The results showed that the basal level of p53 protein in the untreated MG63 cells was low. Following incubation with BafA1 (1 &#x003BC;mol/l), the protein expression level of p53 and Beclin 1 was significantly increased 6&#x02013;24 h after exposure (<xref rid="f4-mmr-10-02-1103" ref-type="fig">Fig. 4</xref>).</p></sec>
<sec>
<title>BafA1 downregulates the expression of p62 and LC3-I</title>
<p>Western blot analysis was used to assay whether BafA1 (1 &#x003BC;mol/l) affected the expression of the autophagy-related proteins LC3-I, LC3-II and p62. The results showed that, prior to exposure of MG63 cells to BafA1, the basal levels of p62 and LC3 protein in MG63 cells were high. Following incubation for 6&#x02013;24 h with BafA1 (1 &#x003BC;mol/l), the expression levels of p62 and LC3-I were significantly decreased, whereas the protein levels of LC3-II were increased (<xref rid="f5-mmr-10-02-1103" ref-type="fig">Fig. 5</xref>).</p></sec>
<sec>
<title>Autophagic activation of lysosomes and impairment of mitochondria with BafA1 treatment</title>
<p>As shown in <xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6</xref>, transmission electron microscopy was used to identify the ultrastructural changes in MG63 cells following BafA1 (1 &#x003BC;mol/l) treatment. The control cells showed a round shape and the organelles, nuclei and chromatin had a normal appearance (<xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6A</xref>). By contrast, the BafA1-treated cells exhibited typical signs of apoptosis (<xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6B&#x02013;D</xref>). The mitochondria exhibited vacuolization and swelling with a complete loss of cristae (<xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6C</xref>). Numerous isolated membranes, likely deriving from ribosome-free endoplasmic reticulum, were observed. These isolated membranes were elongated and curved, engulfing the cytoplasmic fraction and organelles (<xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6C</xref>). Prolongation of BafA1 treatment (1 &#x003BC;mol/l) resulted in apoptosis, as well as the loss of organelles and cytoplasm vacuolization (<xref rid="f6-mmr-10-02-1103" ref-type="fig">Fig. 6C and D</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>BafA1 was shown <italic>in vitro</italic> to significantly induce &#x00394;&#x003C8; collapse. It has been reported that the mitochondrial permeability transition represents an important cellular event, initiating apoptotic cell death (<xref rid="b16-mmr-10-02-1103" ref-type="bibr">16</xref>). These observations were confirmed by flow cytometry. Taken together, these data indicate that BafA1 can trigger apoptosis in MG63 cells.</p>
<p>Western blot analysis was used to elucidate the possible mechanisms underlying BafA1-mediated apoptosis. It was observed that p53 protein expression levels were increased following BafA1 treatment in MG63 cells. In addition, levels of other indicators of autophagy, including LC3-II and Beclin1, were increased, whereas those of p62 were decreased, similar to the results of Paglin <italic>et al</italic> (<xref rid="b17-mmr-10-02-1103" ref-type="bibr">17</xref>). Due to the toxic cellular stress imposed by ectopic BafA1 application, p53 was observed to become activated; activated p53 may be hypothesized to subsequently act as a transcription factor to regulate downstream genes and promote apoptosis. It is therefore concluded that BafA1 can inhibit autophagy and enhance p53 expression in MG63 cells, resulting in the promotion of MG63 cell apoptosis.</p>
<p>In summary, the present study revealed a new mechanism associated with autophagy inhibition-induced impairment of cell proliferation and induction of cell death of cancer cells. Further investigation of the association between autophagy and apoptosis may unveil novel strategies for tumor therapy.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported in part by a grant from the National Science Foundation of China (no. 81171730).</p></ack>
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<floats-group>
<fig id="f1-mmr-10-02-1103" position="float">
<label>Figure 1</label>
<caption>
<p>Reduced viability of MG63 cells following BafA1 treatment. MG63 cells (7&#x000D7;10<sup>4</sup> cells/ml) were cultured with BafA1 (1 &#x003BC;mol/l) for 6, 12 and 24 h and cell viability was analyzed by Cell Counting Kit-8 assay. Values are presented as the mean &#x000B1; standard deviation of three independent experiments. <sup>*</sup>P&lt;0.05 as compared with the control group. BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g00.gif"/></fig>
<fig id="f2-mmr-10-02-1103" position="float">
<label>Figure 2</label>
<caption>
<p>Flow cytometric analysis of mitochondrial membrane potential in the control and BafA1-treated MG63 cells. The cells were treated with 1 &#x003BC;mol/l BafA1 for 6, 12 and 24 h and were stained with 5 &#x003BC;mol/l JC-1 for 30 min. (A) Control; (B) 6, (C) 12 and (D) 24 h after BafA1 treatment. (N=3). PI, propidium iodide; FITC, fluorescein isothiocyanate; BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g01.gif"/></fig>
<fig id="f3-mmr-10-02-1103" position="float">
<label>Figure 3</label>
<caption>
<p>Induction of apoptosis following BafA1 treatment. The MG63 cells were incubated with 1 &#x003BC;mol/l BafA1 for the indicated time periods. (A) Control; (B) 6, (C) 12 and (D) 24 h after BafA1 treatment. (N=3). PI, propidium iodide. BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g02.gif"/></fig>
<fig id="f4-mmr-10-02-1103" position="float">
<label>Figure 4</label>
<caption>
<p>Effects of BafA1 on Beclin 1 and p53 protein expression in MG63 cells. MG63 cells were treated with BafA1 (1 &#x003BC;mol/l) for 6&#x02013;24 h then harvested for extraction of total proteins. BafA1 was observed to upregulate the expression of Beclin 1 and p53. kDa, kilodaltons; Cont, control; BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g03.gif"/></fig>
<fig id="f5-mmr-10-02-1103" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of BafA1 on LC3 and p62 protein expression in MG63 cells. MG63 cells were treated with BafA1 (1 &#x003BC;mol/l) for 6&#x02013;24 h then harvested for extraction of total proteins. BafA1 downregulated the expression of LC3 and p62 protein. LC3, microtubule-associated protein 1 light chain 3; kDa, kilodaltons; Cont, control; BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g04.gif"/></fig>
<fig id="f6-mmr-10-02-1103" position="float">
<label>Figure 6</label>
<caption>
<p>Ultrastructure of MG63 cells undergoing autophagy, apoptosis and necrosis following BafA1 treatment. (A) Untreated MG63 control cells; (B&#x02013;D) cells treated with BafA1 for (B) 6, (C) 12 and (D) 24 h. Magnification, &#x000D7;10,000. BafA1, bafilomycin A1.</p></caption>
<graphic xlink:href="MMR-10-02-1103-g05.gif"/></fig></floats-group></article>
