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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2016.5251</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-5251</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Chrysin induces cell apoptosis in human uveal melanoma cells via intrinsic apoptosis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Xue</surname><given-names>Chunyan</given-names></name>
<xref rid="af1-ol-0-0-5251" ref-type="aff">1</xref>
<xref rid="fn1-ol-0-0-5251" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Yueqin</given-names></name>
<xref rid="af1-ol-0-0-5251" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-5251" ref-type="aff">2</xref>
<xref rid="fn1-ol-0-0-5251" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Hu</surname><given-names>Dan-Ning</given-names></name>
<xref rid="af2-ol-0-0-5251" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Iacob</surname><given-names>Codrin</given-names></name>
<xref rid="af3-ol-0-0-5251" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Chengwei</given-names></name>
<xref rid="af4-ol-0-0-5251" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Huang</surname><given-names>Zhenping</given-names></name>
<xref rid="af1-ol-0-0-5251" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-5251" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-5251"><label>1</label>Department of Ophthalmology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210002, P.R. China</aff>
<aff id="af2-ol-0-0-5251"><label>2</label>Tissue Culture Center, The New York Eye and Ear Infirmary of Mount Sinai, New York, NY 10003, USA</aff>
<aff id="af3-ol-0-0-5251"><label>3</label>Department of Pathology, The New York Eye and Ear Infirmary of Mount Sinai, New York, NY 10003, USA</aff>
<aff id="af4-ol-0-0-5251"><label>4</label>Department of Ophthalmology, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-5251"><italic>Correspondence to</italic>: Dr Zhenping Huang, Department of Ophthalmology, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu 210002, P.R. China, E-mail: <email>hzpjlyy@hotmail.com</email></corresp>
<fn id="fn1-ol-0-0-5251"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>10</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>6</issue>
<fpage>4813</fpage>
<lpage>4820</lpage>
<history>
<date date-type="received"><day>24</day><month>06</month><year>2015</year></date>
<date date-type="accepted"><day>22</day><month>09</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<p>Uveal melanoma is the most common intraocular malignant tumor in adults. Chrysin is a flavonoid present in honey, propolis, various plants and herbs. In the present study, the cytotoxic effects of chrysin were investigated on human uveal melanoma cell lines (M17 and SP6.5) and associated signaling pathways, and a comparison to the effects on normal ocular cells [scleral fibroblasts and retinal pigment epithelial (RPE) cells] was performed. The effects of chrysin on cell viability were assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Cell apoptosis was determined by using terminal deoxynucleotidyl transferase mediated dUTP nick end-labeling assay. Mitochondrial permeability was determined by JC-1 fluorescein analysis. Cytosol cytochrome <italic>c</italic> levels, and the activities of caspase-3, &#x2212;8 and &#x2212;9 were measured by enzyme-linked immunosorbent assay or colorimetric assay. Chrysin reduced the viability of cultured human melanoma cells in a dose-dependent manner (0, 10, 30 and 100 &#x00B5;M) with IC<sub>50</sub> at 28.3 and 35.8 &#x00B5;M in SP6.5 and M17 cell lines, respectively. Chrysin at 30&#x2013;100 &#x00B5;M levels selectively reduced the viability of melanoma cells without affecting the viability of scleral fibroblasts and RPE cells. Chrysin increased mitochondrial permeability, the levels of cytosol cytochrome <italic>c</italic>, and caspase-9 and &#x2212;3 activities, but not capase-8 activity in uveal melanoma cells. The results of the present study indicate that chrysin induces apoptosis of human uveal melanoma cells via the mitochondrial signaling pathway and suggest that chrysin may be a promising agent in the treatment of uveal melanoma.</p>
</abstract>
<kwd-group>
<kwd>chrysin</kwd>
<kwd>apoptosis</kwd>
<kwd>uveal melanoma</kwd>
<kwd>cytochrome <italic>c</italic></kwd>
<kwd>caspase-3</kwd>
<kwd>caspase-9</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Uveal melanoma, with an incidence of 6&#x2013;7 cases per million individuals annually in the United States, is the most common intraocular malignant tumor in adults (<xref rid="b1-ol-0-0-5251" ref-type="bibr">1</xref>). It develops in one of the most capillary-rich tissues of the body and has a high mortality due to a strong preference for metastases in the liver (<xref rid="b2-ol-0-0-5251" ref-type="bibr">2</xref>). Uveal melanoma responds poorly to chemotherapy (<xref rid="b2-ol-0-0-5251" ref-type="bibr">2</xref>). Therefore, the mortality of uveal melanoma is high, at 31&#x0025; within 5 years of diagnosis, 45&#x0025; within 15 years and 49&#x0025; within 25 years (<xref rid="b2-ol-0-0-5251" ref-type="bibr">2</xref>). The majority of uveal melanoma patients die within 6 months of liver metastasis, with a median survival time of 3.6 months (<xref rid="b2-ol-0-0-5251" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-5251" ref-type="bibr">3</xref>). Therefore, it is urgently required to identify a novel treatment to inhibit the proliferation, migration, invasion and metastasis of uveal melanoma cells.</p>
<p>Flavonoids are a family of polyphenolic compounds synthesized by plants with a similar structure, which are categorized into anthocyanidins, flavanols, flavanones, flavonols, flavones and isoflavones according to their functional groups (<xref rid="b4-ol-0-0-5251" ref-type="bibr">4</xref>). Chrysin, a naturally active compound of the flavone group, shares a common flavone structure with additional hydroxyls at positions 5 and 7 of the A ring (<xref rid="f1-ol-0-0-5251" ref-type="fig">Fig. 1A and B</xref>), and the presence of at least two hydroxyl groups in positions 3, 5 and 7 of the A ring is reported to be necessary to confer pro-apoptotic activity (<xref rid="b4-ol-0-0-5251" ref-type="bibr">4</xref>). Chrysin is present in honey, propolis, and other plants and herbs (<xref rid="b5-ol-0-0-5251" ref-type="bibr">5</xref>). Chrysin was initially identified for its anti-oxidant effects and has been shown to possess cancer chemopreventive and anti-tumor effects (<xref rid="b6-ol-0-0-5251" ref-type="bibr">6</xref>&#x2013;<xref rid="b8-ol-0-0-5251" ref-type="bibr">8</xref>). It inhibits proliferation and induces apoptosis in a variety of cancer cells <italic>in vitro</italic>, including cells from the prostate, skin, breast, lung, cervix, thyroid cancer and leukemia (<xref rid="b5-ol-0-0-5251" ref-type="bibr">5</xref>,<xref rid="b8-ol-0-0-5251" ref-type="bibr">8</xref>&#x2013;<xref rid="b22-ol-0-0-5251" ref-type="bibr">22</xref>). However, to the best of our knowledge, the effects of chrysin on uveal melanoma cells have not been previously studied.</p>
<p>The purpose of the present study was to investigate the cytotoxic effects of chrysin on human uveal melanoma cells <italic>in vitro</italic> and compare to those on normal human scleral fibroblasts and retinal pigment epithelial (RPE) cells. The effects of chrysin on mitochondrial permeability, cytochrome <italic>c</italic>, and the activities of caspase-3, &#x2212;8 and &#x2212;9 were also studied to elucidate the signaling pathway involved in chrysin-induced apoptosis of human uveal melanoma cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Reagents</title>
<p>Chrysin, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and dimethyl sulfoxide (DMSO) were purchased from Sigma-Aldrich (EMD Millipore, Billerica, MA, USA). Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM), fetal bovine serum (FBS), phosphate-buffered saline (PBS), 0.05&#x0025; trypsin-0.02&#x0025; EDTA solution, and gentamicin were purchased from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Cytochrome <italic>c</italic> enzyme-linked immunosorbent assay (ELISA) and caspase-3 colorimetric assay kits were purchased from EMD Millipore. Caspase-8 and &#x2212;9 colorimetric activity assay kits were purchased from R&#x0026;D Systems, Inc. (Minneapolis, MN, USA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The effects of chrysin were investigated in two human uveal melanoma cell lines (SP6.5 and M17) and compared to the effects on two distinct normal cell lines [human retinal pigment epithelial (RPE) cells and scleral fibroblasts]. The human M17 melanoma cell line, RPE cells and scleral fibroblasts were established in the Tissue Culture Center of the New York Eye and Ear Infirmary (New York, NY, USA) as previously reported (<xref rid="b23-ol-0-0-5251" ref-type="bibr">23</xref>). The SP6.5 melanoma cell line was isolated from a primary choroidal melanoma patient and was provided by Dr. Guy Pelletier (Research Center of Immunology, Quebec, Canada) (<xref rid="b24-ol-0-0-5251" ref-type="bibr">24</xref>). All melanoma cells, RPE cells and fibroblasts were cultured with DMEM, supplemented with 10&#x0025; FBS and gentamicin (50 &#x00B5;g/ml). Cells were incubated at 37&#x00B0;C in a CO<sub>2</sub> regulated incubator in a humidified 95&#x0025; air/5&#x0025; CO<sub>2</sub> atmosphere. When cultures reached confluence, cells were detached with trypsin-EDTA solution and passaged. All tissues were obtained with premortem consent in accordance with the laws and regulations in place in the various jurisdictions.</p>
</sec>
<sec>
<title>MTT assay for cell viability</title>
<p>MTT assay was performed as previously described (<xref rid="b25-ol-0-0-5251" ref-type="bibr">25</xref>). Cells (6&#x00D7;10<sup>3</sup> cells/well) were plated into 96-well plates. Cells were incubated overnight at 37&#x00B0;C in a CO<sub>2</sub> regulated incubator in a humidified 95&#x0025; air/5&#x0025; CO<sub>2</sub> atmosphere. Chrysin was dissolved in DMSO at a concentration of 20 mM (stock solution). In dose-response studies, 24 h following plating, chrysin was applied to the cultures at final concentrations of 0, 10, 30 and 100 &#x00B5;M and cultured for 48 h. A total of 50&#x00B5;l of MTT solution at a concentration of 1 mg/ml was added to each well. MTT solution was aspirated following 4 h of incubation at 37&#x00B0;C and the produced formazan blue was dissolved in 100 &#x00B5;l of DMSO. Absorbance at 540 nm was measured using a microplate reader (Multiskan MCC/340; Thermo Fisher Scientific, Inc.). The control group measurement was standardized as 100&#x0025; viability. The concentration at which cell growth was inhibited by 50&#x0025; (the 50&#x0025; inhibitory concentration, IC<sub>50</sub>) was determined by linear interpolation. Experiments were performed in triplicate.</p>
<p>To investigate the time-effect of chrysin on uveal melanoma cells, melanoma cells (SP6.5 cell line, 6&#x00D7;10<sup>3</sup> cells/well) were plated into 96-well plates and divided into two groups: Chrysin-treated group and untreated group (control group). Subsequently, chrysin was added to the cultures in the treated groups at the concentrations of 30 &#x00B5;M following 24 h of incubation at 37&#x00B0;C. MTT assay was subsequently performed in treated and untreated groups at 0, 6, 12, 24 and 48 h following the addition of chrysin. The results of each treated group were compared to the controls at the identical time point. All measurements were performed in three independent experiments, and each time point was performed in triplicate.</p>
</sec>
<sec>
<title>Apoptotic cells detection assay</title>
<p>Cell apoptosis was determined by the terminal deoxynucleotidyl transferase (TdT) mediated dUTP nick end-labeling (TUNEL) assay (<xref rid="b26-ol-0-0-5251" ref-type="bibr">26</xref>,<xref rid="b27-ol-0-0-5251" ref-type="bibr">27</xref>) using a TACS.XL In Situ Apoptosis Detection kit (cat. no. 4828-30-DK; R &#x0026; D Systems, Inc.). The assay was performed according to the manufacturer&#x0027;s protocol. Briefly, cells were cultured on chamber slides and analyzed 48 h following treatment with 10, 30 and 100 &#x00B5;M chrysin. Cells were fixed, incubated with 3&#x0025; H<sub>2</sub>O<sub>2</sub>/methanol and permeabilized. Slides were covered by Labeling Reaction mix (R &#x0026; D Systems, Inc.) and incubated for 1 h at 37&#x00B0;C in a dark humidified chamber, followed by incubation with anti-BrdU antibody (1:50; cat. no. 4828-30-DK; TACS.XL In Situ Apoptosis Detection kit; R &#x0026; D Systems, Inc.) at 37&#x00B0;C for 1 h. The slides were treated with streptavidin-horseradish peroxidase solution(R &#x0026; D Systems, Inc.) for 10 min, followed by staining with 3,3&#x2032;-diaminobenzidine (DAB) substrate for 5 min. The samples were mounted and analyzed under a light microscope, where the apoptotic cells could be detected as highly condensed shrunken dark brown cells. A total of 200 cells were counted in each group (0, 10, 30 and 100 &#x00B5;M chrysin treatment groups). The experiment was repeated independently a total of three times.</p>
</sec>
<sec>
<title>Mitochondrial transmembrane potential assessment (MTP) by JC-1 staining</title>
<p>MTP was measured by a Mitochondria Staining kit (cat. no. T4069; Sigma-Aldrich; EMD Millipore), which employed JC-1 (5,5&#x2032;,6,6&#x2032;-tetrachloro-1,1&#x2032;,3,3&#x2032;-etraethylbenzimidazol-carbocyanine iodine), a sensitive fluorescent dye, as the probe. Uveal melanoma cells (SP6.5 cell line) were plated into 96-well plates with black wells (Corning Incorporated, Corning, NY, USA) at a density of 8&#x00D7;10<sup>3</sup> cells/well. Following 24 h of incubation at 37&#x00B0;C, cells were treated with chrysin at various concentrations (0, 10, 30 and 100 &#x00B5;M) at 37&#x00B0;C for 48 h. JC-1 (at final concentration 12.5 &#x00B5;g/ml) was added and incubated at 37&#x00B0;C in the dark for 15 min. JC-1 and culture medium were aspirated and cells were washed three times with PBS. Cells were immediately observed by fluorescence microplate reader (Spectraflour Plus; Tecan Group Ltd., M&#x00E4;nnedorf, Switzerland). Settings of 485-nm (excitation) and 590-nm (emission) were used to measure red fluorescence; 485-nm (excitation) and 535-nm (emission) were used to measure green fluorescence. The detection is based on the accumulation of the dye and its fluorescence in the mitochondria. The accumulated dye appears as red fluorescence located in the undamaged mitochondria, whereas the dye remains as monomers in the cytoplasm with diffuse green fluorescence in cells with damaged MTP (<xref rid="b28-ol-0-0-5251" ref-type="bibr">28</xref>). The results (red fluorescence/green fluorescence ratio, R/G ratio) were expressed as a percentage of the controls (cells not treated with chrysin). This experiment was performed a total of three independent times.</p>
</sec>
<sec>
<title>Cytochrome c release assay</title>
<p>To detect the release of mitochondrial cytochrome <italic>c</italic>, uveal melanoma cells (SP6.5 cell line, 4&#x00D7;10<sup>5</sup> cells/well) were plated into 6-well plates. A total of 24 h later, chrysin was added at various concentrations (0, 10, 30 and 100 &#x00B5;M). Following 2 h of incubation at 37&#x00B0;C, the cells were harvested. The cells were washed with cold PBS three times, treated with 0.02&#x0025; EDTA solution and scraped from the well. Subsequently, cells were counted and centrifuged at 400 &#x00D7; <italic>g</italic> at 4&#x00B0;C for 5 min, and the cell pellets were collected. Following cell lysis and centrifugation at 1,000 &#x00D7; <italic>g</italic> at 4&#x00B0;C for 10 min, the supernatant (cytosol and mitochondria) was collected and centrifuged at 10,000 &#x00D7; <italic>g</italic> at 4&#x00B0;C for 20 min. The pellets (mitochondria) and the supernatant (cytosol) were then collected separately. A cytochrome <italic>c</italic> ELISA kit (EMD Millipore) was used to measure the level of cytochrome <italic>c</italic> in the cytosol and the procedure was performed according to the manufacturer&#x0027;s protocol. The cytochrome <italic>c</italic> level was demonstrated as a percentage of the controls (cells not treated with chrysin).</p>
</sec>
<sec>
<title>Caspase-3, caspase-8 and caspase-9 colorimetric assay</title>
<p>Melanoma cells (SP6.5 cell line, 4&#x00D7;10<sup>5</sup> cells/well) were plated into 6-well plates, and chrysin was added at various concentrations (0, 10, 30 and 100 &#x00B5;M) following 24 h of incubation at 37&#x00B0;C. A total of 2 h later, cells were washed with cold PBS and collected. Subsequently, the cells were counted and centrifuged at 400 &#x00D7; <italic>g</italic> at 4&#x00B0;C for 5 min, and the cell pellets were collected. The cells were lysed using cell extraction buffer (BioSource; Thermo Fisher Scientific, Inc.) with protease inhibitor cocktail (Sigma-Aldrich; EMD Millipore) and phenylmethane sulfonyl fluoride (BioSource; Thermo Fisher Scientific, Inc.), incubated on ice for 30 min, and vortexed for 30 sec. The lysates were centrifuged at 15,000 &#x00D7; <italic>g</italic> for 10 min at 4&#x00B0;C. The supernatant was stored at &#x2212;70&#x00B0;C until analysis. The levels of caspase-3, &#x2212;8,and &#x2212;9 in cell lysates were measured by specific colorimetric kits in accordance with the manufacturer&#x0027;s protocol. A microplate reader at 405 nm was used to measure the optical density. Caspase-3, caspase-8 and caspase-9 activities were demonstrated as a percentage of the controls (cells not treated with chrysin). This measurement was performed independently three times.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data was analyzed using SPSS version 17.0 (SPSS Inc., Chicago, IL, USA). Significance was evaluated using one-way analysis of variance and the least significant difference method in comparison of data of more than two groups and Student&#x0027;s <italic>t</italic>-test for of comparison data between two groups. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effects of chrysin on viability of melanoma and normal cells</title>
<p>Chrysin induced cell death in cultured human uveal melanoma cells in a dose-dependent manner (<xref rid="f2-ol-0-0-5251" ref-type="fig">Figs. 2</xref> and <xref rid="f3-ol-0-0-5251" ref-type="fig">3</xref>). There was a significant difference in cell viability between melanoma cells (M17 and SP6.5) treated or untreated with chrysin (P&#x003C;0.001) at 30&#x2013;100 &#x00B5;M levels. The IC<sub>50</sub> dose of chrysin for M17 and SP6.5 at 48 h was 35.8 and 28.3 &#x00B5;M, respectively. Chrysin at 10&#x2013;100 &#x00B5;M levels did not affect the cell viability of cultured human RPE cells or fibroblasts. These results demonstrated that chrysin at 30&#x2013;100 &#x00B5;M selectively reduced the viability of melanoma cells without affecting RPE cells or fibroblasts.</p>
<p>Time-effect study demonstrated that chrysin at 30 &#x00B5;M decreased the viability of uveal melanoma cells (SP6.5) in a time-dependent manner from 6 to 48 h (data not shown). There was a significant difference in cell viability at various time points between the treated and untreated group (P&#x003C;0.001).</p>
</sec>
<sec>
<title>Chrysin induced apoptosis of melanoma cells</title>
<p>TUNEL analysis was used for the detection of cell apoptosis. Normal cells were stained by methyl green and were green in color. The nuclei of apoptotic cells were stained by DAB and were dark-brown in color. Chrysin significantly increased the apoptotic rate of uveal melanoma cells in all treated cultures compared to the control (P&#x003C;0.001; <xref rid="f4-ol-0-0-5251" ref-type="fig">Fig. 4</xref>).</p>
</sec>
<sec>
<title>Effects of chrysin on MTP in melanoma cells</title>
<p>For cells cultured with JC-1, red fluorescence was due to a potential-dependent aggregation of JC-1 in the mitochondria. Green fluorescence observed in the cytosol following mitochondrial membrane depolarization reflected the monomeric form of JC-1. Chrysin significantly decreased the R/G ratio in a dose-dependent manner (compared to the control; P&#x003C;0.001 at all tested levels), which revealed that chrysin caused damage to the MTP in uveal melanoma cells (<xref rid="f5-ol-0-0-5251" ref-type="fig">Fig. 5</xref>).</p>
</sec>
<sec>
<title>Effects of chrysin on the release of cytochrome c in cytosol</title>
<p>Chrysin caused an increase of cytosol cytochrome <italic>c</italic> levels in melanoma cells in a dose-dependent manner (compared to the control; P=0.25 at the levels of 10 &#x00B5;M; P&#x003C;0.001 at the levels of 30&#x2013;100 &#x00B5;M) (<xref rid="f6-ol-0-0-5251" ref-type="fig">Fig. 6</xref>).</p>
</sec>
<sec>
<title>Effects of chrysin on caspase-3, caspase-8 and caspase-9 activities in melanoma cells</title>
<p>Chrysin increased the activities of caspase-3 and &#x2212;9 in melanoma cells in a dose-dependent manner (<xref rid="f7-ol-0-0-5251" ref-type="fig">Fig. 7A and B</xref>). Chrysin at 30&#x2013;100 &#x00B5;M levels resulted in a significant increase of caspase-3 and &#x2212;9 activities in melanoma cells (P&#x003C;0.001). In uveal melanoma cells treated with 100 &#x00B5;M chrysin, an ~4.11-fold and 4.58-fold increase in caspase-3 and caspase-9 activities was noted, respectively. There was no significant change in caspase-8 activity following treatment with chrysin at 10&#x2013;100 &#x00B5;M levels (<xref rid="f7-ol-0-0-5251" ref-type="fig">Fig. 7C</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Chrysin has been demonstrated to possess cancer chemopreventive activity through inhibition of cell proliferation (<xref rid="b10-ol-0-0-5251" ref-type="bibr">10</xref>,<xref rid="b18-ol-0-0-5251" ref-type="bibr">18</xref>), and induce apoptosis in various malignant cancer cells (<xref rid="b5-ol-0-0-5251" ref-type="bibr">5</xref>,<xref rid="b11-ol-0-0-5251" ref-type="bibr">11</xref>,<xref rid="b15-ol-0-0-5251" ref-type="bibr">15</xref>&#x2013;<xref rid="b17-ol-0-0-5251" ref-type="bibr">17</xref>,<xref rid="b20-ol-0-0-5251" ref-type="bibr">20</xref>&#x2013;<xref rid="b22-ol-0-0-5251" ref-type="bibr">22</xref>).</p>
<p>It has been reported that chrysin is cytotoxic in murine and human cutaneous melanoma cells <italic>in vitro</italic> (<xref rid="b9-ol-0-0-5251" ref-type="bibr">9</xref>,<xref rid="b10-ol-0-0-5251" ref-type="bibr">10</xref>). However, to the best of our knowledge, the effect of chrysin on uveal melanoma cells has not been previously reported. Cutaneous melanomas differ from uveal melanomas not only in the etiologic and epidemiologic aspects, but also in their molecular biological patterns. The majority of cutaneous melanomas occur in areas exposed to sun radiation, whereas the majority of uveal melanomas occur in the posterior segment of the eye, which is not exposed to significant sun radiation. Chromosomal assessment and molecular biological and epidemiological studies demonstrate that cutaneous melanomas differ from uveal melanomas (<xref rid="b29-ol-0-0-5251" ref-type="bibr">29</xref>&#x2013;<xref rid="b34-ol-0-0-5251" ref-type="bibr">34</xref>), whereas conjunctival melanomas appear to have more similarities to cutaneous than uveal melanomas (<xref rid="b32-ol-0-0-5251" ref-type="bibr">32</xref>,<xref rid="b34-ol-0-0-5251" ref-type="bibr">34</xref>). The primary underlying biological differences between uveal and cutaneous melanomas may be associated with various gene mutations and differing microenvironments. Therefore, uveal melanomas and cutaneous melanomas should be considered as two distinct types of cancer, and each disease has a unique oncogenetic signaling pathway for the development of the tumor. Additional studies are required to investigate the pathogenesis and relevant novel treatments for each type of melanoma.</p>
<p>In the present study, chrysin caused a significant decrease in the viability of human melanoma cell lines (M17 and SP6.5) at concentrations of 30&#x2013;100 &#x00B5;M in a dose- and time-dependent manner, whereas viability of normal cells (scleral fibroblasts and RPE cells) was not affected. The results of the present study suggested that chrysin may have specific anticancer activity in uveal melanoma cells.</p>
<p>In the present study, cell apoptosis was determined by TUNEL analysis. Apoptosis is characterized by a number of intracellular phenomena, including membrane blebbing, chromatin condensation and nuclear DNA fragmentation. Detection of DNA fragmentation is a widely accepted method to assay for apoptosis (<xref rid="b26-ol-0-0-5251" ref-type="bibr">26</xref>,<xref rid="b27-ol-0-0-5251" ref-type="bibr">27</xref>). Fragmentation may be visualized by and detected <italic>in situ</italic> by incorporating labeled nucleotides onto the free 3&#x2032;OH ends of the fragments using TdT enzyme followed by detection of the labeled molecules. This assay allows distinction between apoptotic cells (with brown colored nuclei) and normal cells (non-specific stained green colored nuclei). For the cells treated with chrysin, cells stained with DAB (indicating apoptotic changes) were significantly increased compared to the controls. This is consistent with previous studies, which have reported an apoptosis-induction effect of chrysin in prostate cancer, lung cancer, leukemia and cutaneous melanoma cells (<xref rid="b4-ol-0-0-5251" ref-type="bibr">4</xref>,<xref rid="b5-ol-0-0-5251" ref-type="bibr">5</xref>,<xref rid="b9-ol-0-0-5251" ref-type="bibr">9</xref>,<xref rid="b12-ol-0-0-5251" ref-type="bibr">12</xref>).</p>
<p>There are two distinct apoptosis signaling pathways: Intrinsic and extrinsic pathways (<xref rid="b35-ol-0-0-5251" ref-type="bibr">35</xref>). For the intrinsic apoptosis signaling pathway, loss of MTP, which may be recognized in living cells using JC-1, is an early event (<xref rid="b28-ol-0-0-5251" ref-type="bibr">28</xref>). Loss of MTP induces the increase of mitochondrial membrane permeability, which leads to the release of cytochrome <italic>c</italic> from the mitochondria to the cytoplasm (<xref rid="b36-ol-0-0-5251" ref-type="bibr">36</xref>). When cytochrome <italic>c</italic> is released to the cytoplasm, caspase-9 is activated. Subsequently, the activated caspase-9 in turn promotes activation of caspase-3, resulting in apoptosis of the tumor cells (<xref rid="b36-ol-0-0-5251" ref-type="bibr">36</xref>). Therefore, the intrinsic signaling pathway is also called the mitochondrial apoptotic pathway. For the extrinsic apoptosis signaling pathway, various cell death surface receptors are activated following binding to the relevant ligands (<xref rid="b35-ol-0-0-5251" ref-type="bibr">35</xref>). Following this, the activated death receptors activate caspase-8 by binding to the secondary adaptor protein, which results in the cleavage of caspase-3 and cell apoptosis (<xref rid="b35-ol-0-0-5251" ref-type="bibr">35</xref>).</p>
<p>Previous studies have revealed that chrysin induces apoptosis of malignant cells through the mitochondrial signaling pathway (<xref rid="b9-ol-0-0-5251" ref-type="bibr">9</xref>,<xref rid="b12-ol-0-0-5251" ref-type="bibr">12</xref>). However, Monasterio <italic>et al</italic> (<xref rid="b4-ol-0-0-5251" ref-type="bibr">4</xref>) reported that chrysin induced human leukemia U937 cell apoptosis in a manner that required the activation of caspase-8 instead of caspase-9, which is the extrinsic signaling pathway. This indicates that the apoptotic signaling pathway involved in chrysin-induced apoptosis may be cell-type specific.</p>
<p>In the present study, chrysin caused the loss of MTP, increased the levels of cytosol cytochrome <italic>c</italic> and the activities of caspase-9 and &#x2212;3 in a dose-dependent manner. However, the activities of caspase-8 were not altered following treatment with chrysin. These observations are consistent with previous reports (<xref rid="b9-ol-0-0-5251" ref-type="bibr">9</xref>,<xref rid="b12-ol-0-0-5251" ref-type="bibr">12</xref>), that suggested that chrysin induced apoptosis in cutaneous melanoma cells and lung adenocarcinoma epithelial cells primarily via the intrinsic mitochondrial signaling pathway.</p>
<p>Two uveal melanoma cell lines were investigated in the present study (M17 and SP6.5 cell lines). Both cell lines were isolated from Caucasian primary choroidal melanoma patients, and have comparable growth capacity and pigmentation. However, epigenetic studies observed that the SP6.5 cell line differed from the M17 cell line in that the decrease of miR-137 expression was more pronounced in SP6.5 than in M17 (<xref rid="b37-ol-0-0-5251" ref-type="bibr">37</xref>).</p>
<p>In summary, chrysin significantly decreased cell viability and induced apoptosis of human uveal melanoma cells without affecting normal cell viability, which suggested that chrysin had a selective and potent pro-apoptotic effect on human uveal melanoma cells <italic>in vitro</italic>. This effect was primarily through the intrinsic mitochondrial signaling pathway. These encouraging <italic>in vitro</italic> findings suggest that chrysin may be a promising agent worthy of being investigated for the treatment of uveal melanoma.</p>
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<title>Acknowledgments</title>
<p>The authors thank Dr. Guy Pelletier (Research Center of Immunology, Quebec, Canada) for providing the SP6.5 melanoma cell line.</p>
</ack>
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<floats-group>
<fig id="f1-ol-0-0-5251" position="float">
<label>Figure 1.</label>
<caption><p>Chemical structures of flavones and chrysin. (A) Common chemical structure of flavones. Flavones have a common chemical structure consisting of fused A and C rings, and a phenyl B ring attached to position 2 of the C ring. (B) Chrysin is one of the flavones and shares a common flavone structure with hydroxyls at position 5 and 7 of the A ring.</p></caption>
<graphic xlink:href="ol-12-06-4813-g00.jpg"/>
</fig>
<fig id="f2-ol-0-0-5251" position="float">
<label>Figure 2.</label>
<caption><p>Effect of chrysin on the viability of uveal melanoma cells, human RPE cells and scleral fibroblasts. Phase-contrast photomicrograph of uveal melanoma cells, human RPE cells and fibroblasts treated with various concentrations of chrysin. Human uveal melanoma cells (SP6.5 and M17), human RPE cells and scleral fibroblasts were seeded into 24-well plates at density of 8&#x00D7;10<sup>4</sup>/well and treated with chrysin at 10, 30 and 100 &#x00B5;M for 48 h. Chrysin at 30 and 100 &#x00B5;M significantly decreased the number of viable melanoma cells, whereas did not affect the viability of human RPE cells and scleral fibroblasts. RPE, retinal pigment epithelial.</p></caption>
<graphic xlink:href="ol-12-06-4813-g01.jpg"/>
</fig>
<fig id="f3-ol-0-0-5251" position="float">
<label>Figure 3.</label>
<caption><p>Dose effect of chrysin on the viability of uveal melanoma cells, human RPE cells and scleral fibroblasts. Uveal melanoma cells (A) SP6.5, (B) M17, (C) human RPE cells (D) and scleral fibroblasts were seeded into 96-well plates and treated with chrysin at various doses for 48 h, and cell survival was determined by MTT assay. Data are presented as the mean &#x00B1; standard deviation (percentage of the controls) from three independent experiments, each in triplicate. Chrysin at 30&#x2013;100 &#x00B5;M levels selectively reduced the viability of uveal melanoma cells, without affecting the viability of uveal melanocytes and fibroblasts. &#x002A;P&#x003C;0.05 vs. the control (cells cultured without chrysin). RPE, retinal pigment epithelial.</p></caption>
<graphic xlink:href="ol-12-06-4813-g02.jpg"/>
</fig>
<fig id="f4-ol-0-0-5251" position="float">
<label>Figure 4.</label>
<caption><p>Effect of chrysin on melanoma cell apoptosis measured by TUNEL assay. Melanoma cells (SP6.5) were treated by chrysin at 0&#x2013;100 &#x00B5;M for 48 h, and the extent of apoptosis was determined by TUNEL assay. Chrysin significantly increased the rate of apoptosis in three independent experiments. Data are presented as the mean &#x00B1; standard deviation from three independent experiments. &#x002A;P&#x003C;0.05 vs. the control (cells cultured without chrysin). TUNEL, terminal deoxynucleotidyl transferase mediated dUTP nick end labeling.</p></caption>
<graphic xlink:href="ol-12-06-4813-g03.jpg"/>
</fig>
<fig id="f5-ol-0-0-5251" position="float">
<label>Figure 5.</label>
<caption><p>Effect of chrysin on melanoma cell mitochondrial membrane potential. Melanoma cells (SP6.5) were treated by chrysin at 0, 10, 30 and 100 &#x00B5;M for 48 h, and the MTP was determined by JC-1 staining. The results (R/G ratio) were expressed as the percentage of cells not treated with chrysin (mean &#x00B1; standard deviation from three independent experiments). Chrysin reduced the R/G ratio and decreased the MTP in uveal melanoma cells in a dose-dependent manner. &#x002A;P&#x003C;0.05 vs. the control (cells cultured without chrysin). R/G ratio, red fluorescence/green fluorescence ratio; MTP, mitochondrial transmembrane potential.</p></caption>
<graphic xlink:href="ol-12-06-4813-g04.jpg"/>
</fig>
<fig id="f6-ol-0-0-5251" position="float">
<label>Figure 6.</label>
<caption><p>Effect of chrysin on melanoma cell cytosol cytochrome <italic>c</italic> levels. Uveal melanoma cells (SP6.5) were treated with chrysin at 0, 10, 30 and 100 &#x00B5;M for 2 h. Cells were collected and lysed, and the cytosol was extracted. The cytochrome <italic>c</italic> level in the cytosol was measured using a cytochrome <italic>c</italic> enzyme-linked immunosorbent assay kit. Cytosol cytochrome <italic>c</italic> level in chrysin-treated cells at various concentrations was expressed as a percentage of the controls (mean &#x00B1; standard deviation from three independent experiments). Chrysin increased the level of cytosol cytochrome <italic>c</italic> in a dose-dependent manner. &#x002A;P&#x003C;0.05 vs. the control (cells cultured without chrysin).</p></caption>
<graphic xlink:href="ol-12-06-4813-g05.jpg"/>
</fig>
<fig id="f7-ol-0-0-5251" position="float">
<label>Figure 7.</label>
<caption><p>Effects of chrysin on the activation of caspase-3, &#x2212;8 and &#x2212;9 in human uveal melanoma cell lines. Uveal melanoma cells (SP6.5) were treated with various concentrations of chrysin (0&#x2013;100 &#x00B5;M) for 2 h. Cells were collected and lysed. The caspase-3, &#x2212;8 and &#x2212;9 in the lysates was measured using relevant caspase colorimetric assay kits. Caspase-3, &#x2212;8 and &#x2212;9 levels in chrysin-treated cells at various concentrations were expressed as a percentage of the controls (mean &#x00B1; standard deviation) from three independent experiments. Chrysin significantly increased the activities of (A) caspase-3 and (B) caspase-9 at 30&#x2013;100 &#x00B5;M levels, but not (C) caspase-8. &#x002A;P&#x003C;0.05 vs. the control (cells cultured without chrysin).</p></caption>
<graphic xlink:href="ol-12-06-4813-g06.jpg"/>
</fig>
</floats-group>
</article>
