OL Oncology Letters 1792-1074 1792-1082 D.A. Spandidos 10.3892/ol.2019.10813 OL-0-0-10813 Articles Anticancer effect of XAV939 is observed by inhibiting lactose dehydrogenase A in a 3-dimensional culture of colorectal cancer cells KimDahee 1 2 * KohByumseok 1 * KimKwang Rok 1 KimKi Young 1 JungWon Hoon 1 KimHi Youn 1 KimSungsub 2 Dal RheeSang 1 2 Therapeutics and Biotechnology Division, Korea Research Institute of Chemical Technology, Yuseong-gu, Daejeon 34114, Republic of Korea Graduate School of New Drug Discovery and Development, Chungnam National University, Yuseong-gu, Daejeon 34134, Republic of Korea Correspondence to: Dr Sang Dal Rhee, Therapeutics and Biotechnology Division, Korea Research Institute of Chemical Technology, 141 Gajeong-Ro, Yuseong-gu, Daejeon 34114, Republic of Korea, E-mail: sdrhee@krict.re.kr

Contributed equally

 11 2019 05 09 2019 18 5 4858 4864 08042019 05082019 Copyright: © Kim et al. 2019 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

XAV939, a tankyrase inhibitor, exerts an anticancer effect in 3-dimensional (3D) cultured SW480 cells, however this is not exhibited in 2-dimensional (2D) cultured SW480 cells. In the current study, XAV939 induced a 3.7-fold increase in cellular apoptosis in 3D culture but not in the 2D culture. However, no significant changes were indicated in cell cycle distribution in the 2D or 3D culture. Based on the observation that protein expression, which was associated with the glycolytic pathway, was increased in the 3D culture, the effect of XAV939 on the patterns of glycolytic protein expression was assessed. XAV939 was revealed to decrease lactose dehydrogenase A (LDHA) expression in 3D cultured SW480 cells, but only exerted a small effect in the 2D culture. The coadministration of XAV939 with the LDHA inhibitor FX11 decreased proliferation in 3D cultured SW480 cells compared with the single administration of FX11, while there was no additive effect in the 2D culture. The lactate assay also indicated that XAV939 decreased lactate secretion in the 3D cell culture but not in the 2D culture. These results suggest that XAV939 exerts an anticancer effect through inhibition of LDHA in the 3D culture.

 3D culture XAV939 lactose dehydrogenase A FX11 synergistic effect Introduction

There has been growing interest in targeting the Wnt signaling pathway to treat colorectal cancer in the last two decades (1–3). Several anticancer agents that control the Wnt signaling pathway have been reported, including small molecules, antibodies and peptides (4–6); however, there is no Wnt inhibitor approved by the FDA. Chen and colleagues found that tankyrase inhibitors have an antagonistic effect on the Wnt signaling pathway and inhibit colon cancer cell proliferation (7). Tankyrase mediates the poly-ADP-ribosylation of AXIN1 and AXIN2, which are important components of the beta-catenin destruction complex and induce subsequent results in freeing beta-catenin (8–10). Later studies reported that XAV939 inhibits both tankyrase-1 and tankyrase-2, thereby retaining AXIN protein expression (5). In addition, XAV939 inhibits the Wnt signaling pathway in adenomatous polyposis coli (APC)-mutated colon cancer cell lines, COLO-320DM and SW403 (11).

However, our recent study showed that XAV939 is effective in treating SW480 grafted in vivo mouse models and 3-dimensional (3D) cultured models but not monolayer cultures (12,13). Quantitative proteomic analyses of 2-dimensional (2D) and 3D SW480 cultured cells after treatment with XAV939 revealed that the expression levels of glycolytic pathway-related proteins were upregulated in 3D culture compared to 2D culture, while proteins involved in oxidative phosphorylation were downregulated (12). This is one of the hallmarks of metabolic reprogramming, specifically anaerobic glycolysis (Warburg metabolism) (14–16). The study also showed that the expression level of lactose dehydrogenase A (LDHA) is significantly increased in 3D culture compared to 2D culture (12). Because LDHA is also closely related to glycolytic processes (17–19), it would be intriguing to find a relationship between the different anticancer effects of XAV939 on 2D/3D cell culture and changes in glycolytic metabolism. Here, we report systematic comparison studies of 2D and 3D SW480 cell culture focusing on glycolytic pathways in each culture system to determine the mechanism behind this different response against XAV939.

 Materials and methods <sec> <title>Reagents

The SW480 colon cancer cell line was obtained from the American Type Culture Collection (ATCC, VA, USA). RPMI-1640 medium powder, penicillin-streptomycin and protease inhibitor cocktail were purchased from Thermo Fisher Scientific, Inc. (MA, USA). XAV939 (98%, HPLC) as purchased from Sigma-Aldrich (MO, USA). FX11 was purchased from Merck Millipore (MA, USA).

 2D and 3D culture

SW480 cells were cultured in RPMI-1640 medium supplemented with 10% FBS and 100 U/ml penicillin and 100 µg/ml streptomycin at 37°C in a 5% CO2 incubator. Cells from passage numbers <15 were used throughout the experiment. For. 3D culture, a Cytoselect 96-well transformation assay kit (Cell Biolabs, Inc., CA, USA) was used. After agar layer solidification, RPMI-1640 medium was placed on top of the 3D culture and cultured for 6–8 days. XAV939 (20 µM) in DMSO was added to cells after 24 h of stabilization. Then, RPMI-1640 medium containing XAV939 was replaced every 48 h.

 Western blot analyses

Cells were lysed in ice-cold whole-cell extract buffer (pH 7.4) containing protease inhibitors. The protein concentrations were determined by a BCA protein assay kit (Pierce, IL, USA). Equal amounts of protein were subjected to electrophoresis using 10% sodium dodecyl sulfate-polyacrylamide gels (Bio-Rad Laboratories, Inc., CA, USA). After transfer to polyvinylidene fluoride membranes (Bio-Rad Laboratories, Inc.), proteins were sequentially hybridized with a primary antibody (AXIN2, cyclin D1, CDK2, CDK4, p21, p27, PGK1, GAPDH, LDHA and c-Myc, Cell Signaling Technology, MA, USA) followed by an HRP-conjugated second antibody (Thermo Fisher Scientific, Inc.). Protein bands were visualized by ImageQuant LAS500 (GE Healthcare, IL, USA). β-Actin (Sigma-Aldrich) was used as the protein loading control.

 Effect of XAV939 on 2D/3D SW480 cell proliferation

For 2D culture, 2×105 cells/well were seeded into a 6-well plate, and XAV939 was added after 24 h. Two hundred microliters of CCK-8 (Dojindo Laboratories, Japan) was added to the cell culture after 0, 1, 2 and 3 days of XAV939 treatment. Absorbance at 450 nm from formazan byproducts was measured using a SpectraMax MiniMax 300 imaging cytometer (Molecular Devices, CA, USA). For 3D cell culture, mixture of agar/SW480 cells were seeded into 96-well plates, and XAV939 was added after 24 h. RPMI-1640 medium was replaced every 48h and incubated for 2, 4 and 6 days. After incubation, the 3D agar cell layer was solubilized with the addition of 50 µl of agar solubilization solution, and cell proliferation was quantified using CyQuant dye and fluorescence at 520 nm. To measure apoptosis, a Muse Annexin V and Dead Cell Assay Kit was used and analyzed with a Muse cell analyzer (Merck Millipore, MA, USA).

 XAV939 on the 2D/3D SW480 cell cycle

To determine the effect of XAV939 on the cell cycle in 2D and 3D culture, assays were performed using the Muse cell cycle kit. In brief, cells were fixed with 70% ethanol and stored at −20°C. Fixed cells were centrifuged, and cell cycle reagent was added and incubated for 30 min at room temperature and quantified using a Muse cell analyzer. To determine the effect of XAV939 on glycolytic protein expression, 2D/3D cells after XAV939 treatment were solubilized with cell lysis buffer (8M urea, 50 mM Tris-HCl (pH 8.0), 75 mM NaCl, and protease inhibitor). Solubilized proteins were loaded onto precast SDS-PAGE gels and detected with ECL reagent on an ImageQuant™ LAS 500 imager (GE Healthcare, IL, USA).

 FX11 and XAV939 on 2D/3D SW480 cell growth

2D/3D cell cultures were prepared as described above. Various concentrations (1, 5, 10, 20, 50, and 100 µM) of FX11 or FX11 together with 20 µM XAV939 were administered to the 2D/3D cell culture, and cell culture media containing FX11 or FX11/XAV939 was replaced every 48 h. Growth inhibition of the 2D/3D culture was measured with CCK-8.

 Lactate assay

Lactate concentration was measured using an EZ-Lactate Assay Kit (DogenBio, Korea). In brief, 8×103 2D/3D cells were treated with 20 µM XAV939, and LDH was removed from the supernatant using a deproteinizing sample preparation kit (BioVision, CA, USA). LDH-removed supernatant was reacted with water-soluble tetrazolium salts (WST) for 30 min at room temperature. Absorbance at 450 nm was measured using SpectraMax.

 Statistical analyses

Statistical analysis was performed using GraphPad Prism (version 6, GraphPad Software, Inc., CA, USA). Each experiment was performed in triplicate, and values are expressed as the mean ± standard deviation (SD). Statistical significance were examined by Student's t-test, one-way ANOVA, and two-way ANOVA. After completing ANOVAs, Tukey's post-hoc test was conducted for pairwise comparisons. Statistical significance is denoted as * for P<0.05, ** for P<0.01, and *** for P<0.001.

 Results <sec> <title>Effect of XAV939 on 2D/3D SW480 cell proliferation and apoptosis

To confirm the different anticancer abilities of XAV939 on 2D/3D SW480 cell culture, the time-dependent effect of XAV939 on 2D/3D cell growth and apoptosis was monitored. XAV939 did not induce an antiproliferative effect on 2D culture, as cell proliferation was 96.6±1.1, 93.0±3.3 and 102.9±0.8% at 1, 2 and 3 days after the addition of 20 µM XAV939 compared to the control (Fig. 1A). In contrast, 20 µM XAV939 induced a 15.7±1.4 (P<0.05), 26.6±4.3 (P<0.001) and 32.2±3.9% (P<0.001) decrease in 3D cell proliferation compared to the control (Fig. 1B). The % of apoptotic cells in 3D culture showed that the apoptotic rate of SW480 cells increased by 3.7±0.4 (P<0.01)-fold upon the addition of 20 µM XAV939 (Fig. 1C), while the apoptotic rate in 2D culture was increased by 0.8±0.2 (P<0.01)-fold with the same concentration of XAV939 (Fig. 1D). Western blot analysis showed an increase in AXIN2 expression in 2D/3D culture while demonstrating a decrease in β-catenin expression in 2D/3D culture upon 20 µM XAV939 treatment, indicating inhibition of the Wnt signaling pathway (Fig. 1E).

 Effect of XAV939 on cell cycle protein expression in 2D/3D SW480 cell culture

To determine whether XAV939 exerts an effect on the cell cycle of 2D/3D cultured SW480 cells, the expression levels of proteins related to the cell cycle were monitored upon the addition of XAV939. No significant changes in the cell cycle of 2D or 3D cultured cells were observed after XAV939 treatment (Fig. 2A). XAV939 does not induce significant changes in cell cycle-related protein levels, as the expression of cyclin D1, CDK2, p21 and p27 does not differ upon the addition of XAV939 in either 2D or 3D culture (Fig. 2B). Only a 1.8±0.2- and a 2.2±0.8-fold increase in CDK4 and p21 expression levels in the 3D cultured control was observed compared to the 2D cultured control.

 Effect of XAV939 on glycolytic enzyme expression in 2D/3D SW480 cell culture

When the expression levels of glycolysis-associated proteins were examined, the levels of GAPDH, PGK1 and LDHA were increased in 3D culture compared to 2D culture (Fig. 3A-D). In 2D culture, no significant changes in glycolysis-related protein expression level were observed upon XAV939 treatment; however, in 3D culture, the expression level of LDHA was decreased by 34.7±7.1% (P<0.05) compared to the control. Although the expression of c-Myc was decreased in both 2D and 3D culture, the expression level decreased by 8.3±0.5% in 2D culture (P>0.05), while 3D cultured cells showed a 28.9±2.1% (P<0.05) decrease upon the addition of XAV939 (Fig. 4A and B).

 Effects of LDHA inhibition on the proliferation of SW480 cells

Various concentrations (1–100 µM) of the LDHA inhibitor FX11 were applied to examine the effect on LDHA inhibition in 2D/3D cultured SW480 cells. An FX11 concentration-dependent decrease in proliferation was observed in 2D/3D culture at FX11 concentrations greater than 20 µM (Fig. 5A). The IC50 of FX11 in the 2D and 3D cultures was 67.5 and 65.3 µM, respectively, and the effect of FX11 on 2D/3D cultured cell growth only differed by 4.2±0.4%. Based on the effect of FX11 on 2D/3D cultured cell growth, various concentrations of FX11 were coadministered with 20 µM XAV939 to determine the effect of XAV939 on LDHA inhibition. The coadministration of 20 µM XAV939 with FX11 did not induce changes in 2D cultured cell proliferation compared to FX11 single administration (Fig. 5B). However, XAV939 induced additive inhibition in 3D cultured cell proliferation when cotreated with FX11. For an effective comparison, 20 µM XAV939 and FX11 were added to the 2D/3D culture, and cell proliferation was monitored. In the 2D culture, 20 µM FX11 induced a 14.7±2.3% decrease, while the coadministration of 20 µM XAV939/FX11 induced a 14.2% decrease in proliferation (Fig. 5C). In contrast, 20 µM FX11 induced a 23.8±2.9% decrease, while the coadministration of 20 µM XAV939/FX11 induced a 51.5±4.0% (P<0.001) decrease in 3D culture proliferation (Fig. 5C). We also confirmed that 5 µM of FX11 induce little or no decrease in LDHA expression level of 2D and 3D SW480 (Fig. S1A). We also conduct experiment of lactation secretion and same concentration of FX11 induces only 2.3 and 8.7% decrease in lactation secretion in 2D and 3D SW480 culture respectively (Fig. S1B). Cell viability of 2D and 3D SW480 were not significantly decrease upon addition of 1–20 µM FX11 (Fig. S1C).

 Effects of XAV939 on lactate secretion

To examine the relationship between the effect of XAV939 on LDHA inhibition and lactate secretion, a lactate assay was performed. In the 2D culture system, lactation secretion after 20 µM XAV939 administration was 106.3±10.4 nmol, while that of the control was 107.5±6.1 nmol (Fig. 6). In contrast, lactation secretion after 20 µM XAV939 treatment was 130.3±2.8 nmol (P<0.05 compared to the 3D non-XAV939-treated control), while that of the non-XAV939-treated control was 161.7±10.4 nmol in 3D culture (Fig. 6).

 Discussion

Previous studies have shown that the tankyrase inhibitor XAV939 is potent in inhibiting 3D but not 2D cultured SW480 cells (12). This study focused on the mechanism behind the different anticancer effects of XAV939 on 2D/3D cultured SW480 cells. We first confirmed the effect of XAV939 on SW480 cell viability in 2D and 3D cultures. We specifically used 20 µM XAV939, because our previous study shows that at this concentration, protein expression pattern changed most drastically (12). In 2D culture, 20 µM XAV939 induced no significant decrease in cell viability until day 3. However, the same concentration of XAV939 induced a decrease in 3D cultured cell viability beginning on day 1 (Fig. 1A and B). This result provides evidence that the different effects of XAV939 on SW480 cells are not due to the culturing period difference between 2D and 3D cell culture. As Kim et al showed that the protein expression level of AXIN2 increased and the expression level of β-catenin decreased in 2D and 3D cultured cells upon XAV939 treatment (12), we concluded that XAV939 is effective in inhibiting the Wnt signaling pathway in both 2D and 3D culture. To determine other possible mechanisms involved, we examined the effect of XAV939 on apoptosis and the cell cycle in 2D/3D culture. The apoptotic ratio of 2D cultured cells increased ~1%, while the apoptotic ratio of 3D cultured cells increased by ~5% upon XAV939 treatment (Fig. 1C and D). XAV939 does not induce significant changes in the 2D/3D cell cycle, as the data show only a slight increase in the G0/G1 phase and a slight decrease in the S phase in 3D culture (Fig. 2A). A study by Wu et al suggests that XAV939 does not change the cell cycle (4), while other studies show that XAV939 induces apoptosis in cancer cells (20,21). Based on these results, we presumed that XAV939 decreases 3D cultured SW480 cell viability by inducing apoptosis independent of the Wnt signaling pathway.

Our previous proteomic analysis of SW480 cells after XAV939 treatment showed that proteins related to glycolysis are upregulated and proteins related to oxidative phosphorylation are downregulated in 3D culture compared to 2D culture, which is genotypically representative of Warburg metabolism (22,23). In addition, 2D and 3D cell culture showed different expression patterns of LDHA after XAV939 treatment. Because LDHA is one of the key enzymes in Warburg metabolism that is involved in the conversion of pyruvate into lactic acid (24,25), we assumed that XAV939 exerts its effect by manipulating anaerobic glycolysis in 3D culture, thus inducing apoptosis and inhibiting cancer cell growth. In Warburg metabolism, adenosine triphosphate (ATP) is produced through anaerobic glycolysis. Therefore, the abnormal expression of proteins related to glycolysis is often observed (26). We examined the expression levels of proteins involved in glycolysis, and the expression levels of GAPDH and PGK1 were increased in 3D culture compared to 2D culture; however, no significant changes in those proteins after XAV939 treatment were observed in either 2D or 3D culture (Fig. 3A-C). In contrast, the expression level of LDHA was significantly decreased in 3D culture but only after XAV939 treatment (Fig. 3D). As studies by other groups also suggest no changes in the LDHA level upon XAV939 treatment in 2D cell culture, we concluded that this decrease in LDHA expression level is 3D culture-specific (27,28). Next we examine the expression level of c-myc, which is an upstream protein together with LDHA in the glycolysis pathway and Wnt signaling target gene to figure out the relationship with XAV939 (29). The protein expression level of c-myc was also significantly decreased in 3D culture but only after XAV939 treatment (Fig. 4). SW480 cells were treated with the LDHA selective inhibitor FX11 to observe an effect of LDHA inhibition on cell growth (Fig. 5). The viability of both 2D and 3D cultured cells decreased with increasing FX11 concentrations; however, we observed an additive effect when cotreated with XAV939 in 3D culture (Fig. 5B and C). Co-administration of XAV939 and FX11 on LDHA expression and lactate secretion suggesting that although FX11 induce small decrease in LDHA expression and lactate secretion, combination with XAV939 shows synergistic effect (Fig. S1). A previous study showed that XAV939 induces a decrease in pyruvate dehydrogenase kinase (PDK) and inhibits the metabolic process of cancer, which heavily relies on anaerobic glycolysis (30). Le et al also suggested that the inhibition of LDHA induces oxidative stress in cancer cells, resulting in apoptosis and cell death (18). We observed a statistically significant decrease in lactate production in 3D culture but only after XAV939 treatment (Fig. 6), which can be correlated with a decrease in LDHA expression level upon XAV939 treatment in 3D culture. However, the detailed mechanism of XAV939 and LDHA downregulation needs to be elucidated. In addition, only MDA-MB-468 cell line was used in the present study and we are currently investigating additional cell lines to verify the findings.

In summary, our results suggest that XAV939 specifically inhibits LDHA and decreases lactate secretion in 3D SW480 cell culture. The inhibition of glycolytic metabolism increases apoptosis and decreases cell viability in 3D culture upon XAV939 treatment.

 Supplementary Material Supporting Data Acknowledgements

The authors would like to thank Dr Young Eun Kim and Dr Dukjin Kang (both from the Korea Research Institute of Standards and Science, Daejeon, Republic of Korea) for aiding in proteomic data acquisition.

 Funding

The present study was financially supported by the R&D Convergence Program (grant no. CAP1510KRICT), the DRC program (grant no. DRC 15-01-KRICT) of the National Research Council of Science and Technology and the core project (grant no. KK1703-F00) of the Korea Research Institute of Chemical Technology.

 Availability of data and materials

The datasets used during the present study are available from the corresponding author upon reasonable request.

 Authors' contributions

DK, KYK, KRK, SK and SDR conceived and designed the study. DK, BK, WHJ and HYK performed the experiments. DK and BK wrote the manuscript. DK, BK and SDR reviewed and edited the manuscript. All authors read and approved the manuscript and agree to be accountable for all aspects of the research in ensuring that the accuracy or integrity of any part of the report are appropriately investigated and resolved.

 Ethics approval and consent to participate

Not applicable.

 Patient consent for publication

Not applicable.

 Competing interest

The authors declare that they have no competing interests.

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Effects of XAV939 on the growth of SW480 cells. Time-dependent effect of XAV939 on (A) 2D and (B) 3D cultured SW480 cell proliferation. Effect of XAV939 on the apoptosis of (C) 2D and (D) 3D SW480 cells. (E) Protein expression of AXIN2 and β-catenin were examined using western blot analysis in 2D and 3D SW480 cells. The quantification of band intensities was performed using ImageJ. The amount of proteins (AXIN2 and β-catenin) on the x-axis was calculated relative to the β-actin protein level. The results are expressed as the mean±standard deviation from triplicate experiments. Data were statistically analyzed using a two-way ANOVA and a t-test. **P<0.01, ***P<0.001 vs. the control group. 2D, 2-dimensional; 3D, 3-dimensional.

Effects of XAV939 on the cell cycle. (A) Cell cycle assay in the 2D and 3D SW480 cell culture. (B) The expression of proteins associated with the cell cycle were examined using western blot analysis in 2D and 3D cultured SW480 cells after XAV939 treatment. The quantification of band intensities was performed using ImageJ. The amount of proteins on the x-axis was calculated relative to the β-actin protein level. The results are expressed as the mean ± SD from triplicate experiments. Data were statistically analyzed by two-way ANOVA. **P<0.01 vs. 2D the control group. 2D, 2-dimensional; 3D, 3-dimensional.

Effects of XAV939 on glycolytic protein expression. (A) The protein expression of GAPDH, PGK1 and LDHA were examined using western blot analysis in 2D and 3D cultured SW480 cells. The quantification of band intensities was performed using ImageJ. (B) GAPDH protein expression. (C) PGK1 protein expression. (D) LDHA protein expression. The amount of proteins on the x-axis was calculated relative to the β-actin protein level. The results are expressed as the mean ± standard deviation from triplicate experiments. Data were statistically analyzed using a one-way ANOVA. ***P<0.001 vs. the 2D control group. #P<0.01 vs. the 3D control group. LDHA, lactose dehydrogenase A; 2D, 2-dimensional; 3D, 3-dimensional.

Effects of XAV939 on c-Myc protein expression. (A) The protein expression of c-Myc were examined using western blot analysis in 2D and 3D cultured SW480 cells. (B) The quantification of band intensities was performed using ImageJ. The amount of proteins on the x-axis was calculated relative to the β-actin protein level. The results are expressed as the mean ± standard deviation from triplicate experiments. Data were statistically analyzed using a one-way ANOVA. *P<0.05 vs. the 2D control group. #P<0.05 vs. the 2D control group. 2D, 2-dimensional; 3D, 3-dimensional.

Effects of LDHA inhibition on the growth of SW480 cells. (A) Effect of indicated concentrations of FX11 on 2D and 3D cultured SW480 viability. (B) Effect of the combination of 20 µM XAV939 and the indicated concentrations of FX11 on cell growth. (C) Effect of combined treatment of 20 µM FX11 and 20 µM XAV939 on viability of 2D and 3D cultured SW480. The results are expressed as the mean ± standard deviation from triplicate experiments. Data were statistically analyzed using a two-way ANOVA. *P<0.05 and ***P<0.001 vs. the 2D group. ###P<0.001 vs. the 3D FX11 group. +P<0.05 vs. the 3D XAV939 group. LDHA, lactose dehydrogenase A; 2D, 2-dimensional; 3D, 3-dimensional.

Effects of XAV939 on lactate secretion. Effects of XAV939 on lactate secretion in culture media. ***P<0.001 vs. the 2D control group. #P<0.05 vs. the 3D control group. The results are expressed as the mean ± standard deviation from triplicate experiments. Data were statistically analyzed using a two-way ANOVA. 2D, 2-dimensional; 3D, 3-dimensional.