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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">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2012.2170</article-id>
<article-id pub-id-type="publisher-id">or-29-02-0613</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Triptolide induced DNA damage in A375.S2 human malignant melanoma cells is mediated via reduction of DNA repair genes</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>CHUEH</surname><given-names>FU-SHIN</given-names></name><xref rid="af1-or-29-02-0613" ref-type="aff">1</xref><xref rid="fn1-or-29-02-0613" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>YUNG-LIANG</given-names></name><xref rid="af2-or-29-02-0613" ref-type="aff">2</xref><xref rid="fn1-or-29-02-0613" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>HSU</surname><given-names>SHU-CHUN</given-names></name><xref rid="af3-or-29-02-0613" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>JAI-SING</given-names></name><xref rid="af4-or-29-02-0613" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>HSUEH</surname><given-names>SHU-CHING</given-names></name><xref rid="af5-or-29-02-0613" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>JI</surname><given-names>BIN-CHUAN</given-names></name><xref rid="af6-or-29-02-0613" ref-type="aff">6</xref></contrib>
<contrib contrib-type="author">
<name><surname>LU</surname><given-names>HSU-FENG</given-names></name><xref rid="af7-or-29-02-0613" ref-type="aff">7</xref><xref rid="af8-or-29-02-0613" ref-type="aff">8</xref><xref ref-type="corresp" rid="c1-or-29-02-0613"/></contrib>
<contrib contrib-type="author">
<name><surname>CHUNG</surname><given-names>JING-GUNG</given-names></name><xref rid="af9-or-29-02-0613" ref-type="aff">9</xref><xref rid="af10-or-29-02-0613" ref-type="aff">10</xref><xref ref-type="corresp" rid="c1-or-29-02-0613"/></contrib></contrib-group>
<aff id="af1-or-29-02-0613">
<label>1</label>Departments of Health and Nutrition Biotechnology, Asia University, Taichung 413</aff>
<aff id="af2-or-29-02-0613">
<label>2</label>Department of Medical Laboratory Science and Biotechnology, Yuanpei University, Hsinchu 300</aff>
<aff id="af3-or-29-02-0613">
<label>3</label>Departments of Nutrition, China Medical University, Taichung 404</aff>
<aff id="af4-or-29-02-0613">
<label>4</label>Departments of Pharmacology, China Medical University, Taichung 404, Taiwan, R.O.C.</aff>
<aff id="af5-or-29-02-0613">
<label>5</label>Department of Clinical Pathology, Cheng Hsin General Hospital, Taipei 112, Taiwan, R.O.C.</aff>
<aff id="af6-or-29-02-0613">
<label>6</label>Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan, R.O.C.</aff>
<aff id="af7-or-29-02-0613">
<label>7</label>Department of Clinical Pathology, Cheng Hsin General Hospital, Taipei 112, Taiwan, R.O.C.</aff>
<aff id="af8-or-29-02-0613">
<label>8</label>Department of Restaurant, Hotel and Institutional Management, Fu-Jen Catholic University, Taipei 510, Taiwan, R.O.C.</aff>
<aff id="af9-or-29-02-0613">
<label>9</label>Departments of Biological Science and Technology, China Medical University, Taichung 404, Taiwan, R.O.C.</aff>
<aff id="af10-or-29-02-0613">
<label>10</label>Departments of Biotechnology, Asia University, Taichung 413, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-or-29-02-0613"><italic>Correspondence to:</italic> Professor Jing-Gung Chung, Department of Biological Science and Technology, China Medical University, No. 91 Hsueh-Shih Road, Taichung 404, Taiwan, R.O.C., E-mail: <email>jgchung@mail.cmu.edu.tw</email>. Dr Hsu-Feng Lu, Department of Clinical Pathology, Cheng-Hsin General Hospital, No. 45 Cheng Hsin Street, Taipei 112, Taiwan, R.O.C., E-mail: <email>ch1835@chgh.org.tw</email></corresp><fn id="fn1-or-29-02-0613">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>12</month>
<year>2012</year></pub-date>
<volume>29</volume>
<issue>2</issue>
<fpage>613</fpage>
<lpage>618</lpage>
<history>
<date date-type="received">
<day>01</day>
<month>09</month>
<year>2012</year></date>
<date date-type="accepted">
<day>14</day>
<month>11</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</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>Numerous studies have demonstrated that triptolide induces cell cycle arrest and apoptosis in human cancer cell lines. However, triptolide-induced DNA damage and inhibition of DNA repair gene expression in human skin cancer cells has not previously been reported. We sought the effects of triptolide on DNA damage and associated gene expression in A375.S2 human malignant melanoma cells <italic>in vitro</italic>. Comet assay, DAPI staining and DNA gel electrophoresis were used for examining DNA damage and results indicated that triptolide induced a longer DNA migration smear based on single cell electrophoresis and DNA condensation and damage occurred based on the examination of DAPI straining and DNA gel electrophoresis. The real-time PCR technique was used to examine DNA damage and repair gene expression (mRNA) and results indicated that triptolide led to a decrease in the ataxia telangiectasia mutated (ATM), ataxia-telangiectasia and Rad3-related (ATR), breast cancer 1, early onset (BRCA-1), p53, DNA-dependent serine/threonine protein kinase (DNA-PK) and O<sup>6</sup>-methylguanine-DNA methyltransferase (MGMT) mRNA expression. Thus, these observations indicated that triptolide induced DNA damage and inhibited DNA damage and repair-associated gene expression (mRNA) that may be factors for triptolide-mediated inhibition of cell growth <italic>in vitro</italic> in A375.S2 cells.</p></abstract>
<kwd-group>
<kwd>triptolide</kwd>
<kwd>DNA damage</kwd>
<kwd>Comet assay</kwd>
<kwd>DNA repair</kwd>
<kwd>A375.S2 cells</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Of the skin cancers, melanoma is the leading cause of death and the mortality rate is increasing (<xref rid="b1-or-29-02-0613" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-or-29-02-0613" ref-type="bibr">3</xref>). Thus, for all ages, melanoma is the primary focus of early detection campaigns. Sun UV has been recognized to cause skin cancer (<xref rid="b4-or-29-02-0613" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-or-29-02-0613" ref-type="bibr">6</xref>). UV can cause DNA damage of skin cells (<xref rid="b4-or-29-02-0613" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-or-29-02-0613" ref-type="bibr">6</xref>). DNA damage is involved in neurodegeneration in age-related disease, cerebral ischemia, and brain trauma including DNA damage (<xref rid="b7-or-29-02-0613" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-or-29-02-0613" ref-type="bibr">9</xref>). It was reported that in anticancer therapy, irradiation and DNA-damaging chemotherapeutic drugs play an important key role based on their ability to induce DNA double-strand breaks leading to cancer cell death (<xref rid="b10-or-29-02-0613" ref-type="bibr">10</xref>&#x02013;<xref rid="b12-or-29-02-0613" ref-type="bibr">12</xref>). Thus, if agents can block DNA repair proteins it may lead to increase in the sensitivity of DNA damaging chemotherapeutic agents (<xref rid="b13-or-29-02-0613" ref-type="bibr">13</xref>&#x02013;<xref rid="b16-or-29-02-0613" ref-type="bibr">16</xref>).</p>
<p>Triptolide (diterpenoid triepoxide; PG490) extracted from <italic>Tripterygium wilfordii Hook F</italic> (TWHF) has been shown to present anti-fertility function (<xref rid="b17-or-29-02-0613" ref-type="bibr">17</xref>), anti-neoplastic activity such as anti-leukemia (<xref rid="b18-or-29-02-0613" ref-type="bibr">18</xref>&#x02013;<xref rid="b25-or-29-02-0613" ref-type="bibr">25</xref>), anti-human hepatocellular carcinoma cells (<xref rid="b25-or-29-02-0613" ref-type="bibr">25</xref>), colon cancer cells (<xref rid="b23-or-29-02-0613" ref-type="bibr">23</xref>,<xref rid="b26-or-29-02-0613" ref-type="bibr">26</xref>,<xref rid="b27-or-29-02-0613" ref-type="bibr">27</xref>) and cervical cancer cells (<xref rid="b28-or-29-02-0613" ref-type="bibr">28</xref>). Furthermore, evidence has been shown that triptolide inhibited the growth and metastasis of various solid tumors and has been suggested capable of acting synergistically with conventional chemotherapeutic drugs (<xref rid="b29-or-29-02-0613" ref-type="bibr">29</xref>,<xref rid="b30-or-29-02-0613" ref-type="bibr">30</xref>).</p>
<p>Substantial evidence has been demonstrated that triptolide induced cytotoxic effects in many human cancer cell lines but no available information exists to show triptolide-induced DNA damage in human skin cancer cells. Therefore, we investigated the effects of triptolide on DNA damage associated DNA repair genes expression (mRNA) in A375.S2 human malignant melanoma cells <italic>in vitro</italic>. Our findings demonstrated that triptolide induced DNA damage and also inhibited the expression of DNA repair genes in A375.S2 cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals and reagents</title>
<p>Triptolide, dimethyl sulfoxide (DMSO), ethidium bromide, propidium iodide (PI), Tris-HCl and Triton X-100 were purchased from Sigma-Aldrich. RPMI-1640 medium, fetal bovine serum (FBS), L-glutamine, penicillin-streptomycin and trypsin-EDTA were purchased from Gibco<sup>&#x000AE;</sup>/Invitrogen (Grand Island, NY, USA).</p></sec>
<sec>
<title>Cell culture and chemical treatment</title>
<p>The human malignant melanoma cell line (A375.S2) was purchased from the Food Industry Research and Development Institute (Hsinchu, Taiwan). Cells were cultured with minimum essential medium (MEM) supplemented with 10&#x00025; fetal bovine serum, 100 U/ml of penicillin, 100 &#x003BC;g/ml of streptomycin, and 2 mmol/l of L-glutamine in 75 cm<sup>2</sup> tissue culture flasks and grown in a humidified 5&#x00025; CO<sub>2</sub> and 95&#x00025; air at 37&#x000B0;C (<xref rid="b31-or-29-02-0613" ref-type="bibr">31</xref>,<xref rid="b32-or-29-02-0613" ref-type="bibr">32</xref>).</p></sec>
<sec>
<title>Flow cytometric assay for percentage of viable cells</title>
<p>Equal numbers of cells (2&#x000D7;10<sup>5</sup> cells/well) were seeded in 12-well plates and allowed to attach overnight. The cells were treated with 0.1&#x00025; DMSO or triptolide (0, 15, 20, 25 and 30 nM) diluted in MEM with 5&#x00025; FBS for 24 h. Cells from each treatment were stained with PI (5 &#x003BC;g/ml) and were analyzed for percentage of viable cells by using flow cytometry (Becton-Dickinson, San Jose, CA, USA) and cell viability was calculated as previously described (<xref rid="b33-or-29-02-0613" ref-type="bibr">33</xref>,<xref rid="b34-or-29-02-0613" ref-type="bibr">34</xref>).</p></sec>
<sec>
<title>Comet assay and DAPI staining for DNA damage</title>
<p>A375.S2 cells at the density of 2&#x000D7;10<sup>5</sup> cells/well in 12-well plates were incubated with triptolide at final concentrations of 0, 15, 20, 25 and 30 nM, vehicle (1 &#x003BC;l DMSO) and 0.1&#x00025; of H<sub>2</sub>O<sub>2</sub> (positive control) for 24 h or the cells were treated with 20 nM triptolide for 0, 6, 12, 24 and 48 h in MEM medium grown at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub> and 95&#x00025; air. Cells were harvested for the measurement of DNA damage using the Comet assay as described previously (<xref rid="b33-or-29-02-0613" ref-type="bibr">33</xref>,<xref rid="b35-or-29-02-0613" ref-type="bibr">35</xref>,<xref rid="b36-or-29-02-0613" ref-type="bibr">36</xref>). Comet tail length was calculated and quantified by using the TriTek CometScore&#x02122; software image analysis system (TriTek Corp., Sumerduck, VA, USA) as described previously (<xref rid="b33-or-29-02-0613" ref-type="bibr">33</xref>,<xref rid="b35-or-29-02-0613" ref-type="bibr">35</xref>,<xref rid="b36-or-29-02-0613" ref-type="bibr">36</xref>). Harvested cells were stained by DAPI then examined and photographed by using fluorescence microscopy as described elsewhere (<xref rid="b33-or-29-02-0613" ref-type="bibr">33</xref>,<xref rid="b35-or-29-02-0613" ref-type="bibr">35</xref>,<xref rid="b37-or-29-02-0613" ref-type="bibr">37</xref>).</p></sec>
<sec>
<title>DNA gel electrophoresis for DNA damage</title>
<p>A375.S2 cells at the density of 2&#x000D7;10<sup>5</sup> cells/well in 12-well plates were incubated with triptolide at final concentrations of 0, 15, 20, 25 and 30 nM for 48 h in MEM medium grown in 5&#x00025; CO<sub>2</sub> and 95&#x00025; air at 37&#x000B0;C. Cells in each well were individually isolated by using DNA isolation kit. The isolated DNA (2 &#x003BC;g) from each treatment was examined for DNA damage by using DNA electrophoresis which was carried out in 0.5&#x00025; agarose gel in Tris/acetate buffer at 15 V for 2 h. At the end of electrophoresis the DNA was stained with ethidium bromide then examined and photographed under a fluorescence microscope as previously described (<xref rid="b38-or-29-02-0613" ref-type="bibr">38</xref>&#x02013;<xref rid="b40-or-29-02-0613" ref-type="bibr">40</xref>).</p></sec>
<sec>
<title>Real-time PCR assay for examining the expression of DNA repair genes</title>
<p>A375.S2 cells at the density of 1&#x000D7;10<sup>6</sup> cells/well in 6-well plates were incubated with or without 20 nM of triptolide for 24 h in MEM medium grown at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub> and 95&#x00025; air. The cells from each treatment were collected and total RNA was individually extracted by using the Qiagen RNeasy mini kit (Qiagen, Inc, Valencia, CA, USA) as previously described (<xref rid="b41-or-29-02-0613" ref-type="bibr">41</xref>&#x02013;<xref rid="b43-or-29-02-0613" ref-type="bibr">43</xref>). Isolated RNA samples were individually reverse-transcribed for 30 min at 42&#x000B0;C with High Capacity cDNA Reverse Transcription kit according to the standard protocol of the supplier (Applied Biosystems, Carlsbad, CA, USA). Quantitative PCR from each sample was conducted as follows: 2 min at 50&#x000B0;C, 10 min at 95&#x000B0;C, and 40 cycles of 15 sec at 95&#x000B0;C, 1 min at 60&#x000B0;C using 1 &#x003BC;l of the cDNA reverse-transcribed as described above, 2X SYBR Green PCR Master Mix (Applied Biosystems) and 200 nM of forward and reverse primers as shown in <xref rid="tI-or-29-02-0613" ref-type="table">Table I</xref>, and previously described (<xref rid="b41-or-29-02-0613" ref-type="bibr">41</xref>,<xref rid="b43-or-29-02-0613" ref-type="bibr">43</xref>,<xref rid="b44-or-29-02-0613" ref-type="bibr">44</xref>). Each assay was run on an Applied Biosystems 7300 Real-time PCR system in triplicate. The expression fold-changes were performed by using the comparative CT method.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All studies were performed in duplicate. Results are presented as mean &#x000B1; standard deviation. One-tailed Student&#x02019;s t-test was used to analyze the difference between control and triptolide treated groups. Significance was defined as p&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of triptolide on the percentage of viable A375.S2 cells</title>
<p>A375.S2 cells were incubated with 15, 20, 25 and 30 nM of triptolide for 24 h. At the end of incubation, all samples were collected for determining the percentage of viable cells and the results are presented in <xref rid="f1-or-29-02-0613" ref-type="fig">Fig. 1</xref>, which indicated that triptolide decreased the percentage of viable cells at the concentration of 15&#x02013;30 nM.</p></sec>
<sec>
<title>Effects of triptolide on DNA in A375.S2 cells examined by Comet assay and DAPI staining</title>
<p>To confirm whether triptolide can induce DNA damage in A375.S2 cells, after cells were treated with triptolide DNA damage was examined by Comet assay and the results are presented in <xref rid="f2-or-29-02-0613" ref-type="fig">Fig. 2</xref>. Triptolide induced DNA damage in A375.S2 cells and these effects were dose-dependent (<xref rid="f2-or-29-02-0613" ref-type="fig">Fig. 2B</xref>) and time-dependent (<xref rid="f2-or-29-02-0613" ref-type="fig">Fig. 2D</xref>). The higher concentration of triptolide led to a longer DNA migration smear (Comet tail). H<sub>2</sub>O<sub>2</sub> is known to be a highly reactive oxygen species, in the present studies, 0.1&#x00025; H<sub>2</sub>O<sub>2</sub> induced Comet tails. <xref rid="f3-or-29-02-0613" ref-type="fig">Fig. 3</xref> shows DNA damage by DAPI stain and the effects based on the mean fluorescence intensity (<xref rid="f3-or-29-02-0613" ref-type="fig">Fig. 3A</xref>) are dose-dependent (<xref rid="f3-or-29-02-0613" ref-type="fig">Fig. 3B</xref>).</p></sec>
<sec>
<title>Effects of triptolide on DNA in A375.S2 cells examined by DNA gel electrophoresis</title>
<p>To confirm whether or not triptolide can induced DNA damage in A375.S2 cells, DNA gel electrophoresis was used and results are shown in <xref rid="f4-or-29-02-0613" ref-type="fig">Fig. 4</xref>. The results show that triptolide induced DNA damage and fragments in A375.S2 cells (<xref rid="f4-or-29-02-0613" ref-type="fig">Fig. 4</xref>). The higher dose of triptolide (30 nM) led to more DNA damage and fragments than that of low dose (15 nM) incubation in A375.S2 cells.</p></sec>
<sec>
<title>Effects of triptolide on DNA damage and of repair gene expression in A375.S2 cells measured by real-time PCR</title>
<p><xref rid="f2-or-29-02-0613" ref-type="fig">Figs. 2</xref> and <xref rid="f3-or-29-02-0613" ref-type="fig">3</xref> results show that triptolide induced DNA damage and fragments in A375.S2 cells. We investigated whether or not triptolide affects the gene expression of DNA damage and repair in A375.S2 cells. We used DNA agarose gel electrophoresis for examining the products from real-time PCR and results are shown in <xref rid="f5-or-29-02-0613" ref-type="fig">Fig. 5</xref>. The results indicated that all examined gene expression including ATM, ATR, BRCA-1, DNA-PK, MGMT and p53 mRNA were decreased in 24 h treatment with triptolide. ATM and BRCA-1 gene were more sensitive than the other genes (ATR, DNA-PK, MGMT and p53). P53 was the least sensitive compared to the other genes.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Numerous experiments have shown that triptolide induces cell death via induction of apoptosis in human cancer cell lines (<xref rid="b26-or-29-02-0613" ref-type="bibr">26</xref>,<xref rid="b45-or-29-02-0613" ref-type="bibr">45</xref>,<xref rid="b46-or-29-02-0613" ref-type="bibr">46</xref>), but no available information exists to demonstrate triptolide induced DNA damage and affected DNA repair gene expression in human skin cancer cells. We found that A375.S2 cells treated with various concentrations of triptolide led to decreased percentage of viable cells (<xref rid="f1-or-29-02-0613" ref-type="fig">Fig. 1</xref>) and it also induced DNA damage (<xref rid="f2-or-29-02-0613" ref-type="fig">Figs. 2</xref> and <xref rid="f3-or-29-02-0613" ref-type="fig">3</xref>) and inhibited gene expression of DNA repair genes (<xref rid="f5-or-29-02-0613" ref-type="fig">Fig. 5</xref>) in A375.S2 cells. These findings are based on the observations from i) flow cytometric assay showing the decrease of percentage of viable cells (<xref rid="f1-or-29-02-0613" ref-type="fig">Fig. 1</xref>); ii) Comet assay and DAPI staining, the longer comet tail means higher DNA damage (<xref rid="f2-or-29-02-0613" ref-type="fig">Fig. 2</xref>); the light of fluorescence means higher DNA condensation (<xref rid="f3-or-29-02-0613" ref-type="fig">Fig. 3</xref>); iii) DNA fragments in DNA gel electrophoresis indicate high dose of triptolide treatment led to high DNA damage and fragments (<xref rid="f4-or-29-02-0613" ref-type="fig">Fig. 4</xref>) and iv) RT-PCR showed that triptolide inhibited the gene expression (mRNA) of DNA associated repair genes (<xref rid="f5-or-29-02-0613" ref-type="fig">Fig. 5</xref>).</p>
<p>It is well documented that Comet assay is a highly sensitive technique for DNA damage examination (<xref rid="b47-or-29-02-0613" ref-type="bibr">47</xref>,<xref rid="b48-or-29-02-0613" ref-type="bibr">48</xref>) and trend-break formation during the process of excision repair of DNA in cells (<xref rid="b49-or-29-02-0613" ref-type="bibr">49</xref>,<xref rid="b50-or-29-02-0613" ref-type="bibr">50</xref>). Herein, our results showed triptolide-induced DNA damage, which was examined by Comet assay and DAPI staining. The DNA damage of A375.S2 cells from triptolide treatment was also confirmed by DNA gel electophoresis (<xref rid="f4-or-29-02-0613" ref-type="fig">Fig. 4</xref>).</p>
<p>It was reported that agent-induced DNA damage can be reduced in cells via the DNA repair system through eliminating DNA lesions (<xref rid="b49-or-29-02-0613" ref-type="bibr">49</xref>,<xref rid="b50-or-29-02-0613" ref-type="bibr">50</xref>). Thus, we further investigated whether or not triptolide can affect the DNA repair gene expression in A375.S2 cells and results indicated that triptolide inhibit the expression of mRNA such as ataxia telangiectasia mutated (ATM), ataxia-telangiectasia (ATR), breast cancer gene 1 (BRCA-1), p53, DNA-dependent protein kinase (DNA-PK) and O<sup>6</sup>-methylguanine DNA methyltransferase (MGMT) in the examined A375.S2 cells. The results in <xref rid="f5-or-29-02-0613" ref-type="fig">Fig. 5</xref> indicate that p53 gene has the lowest sensitivity to triptolide when compared to the other examined genes.</p>
<p>It was reported that DNA damage responses of cells could lead to p53 activation and activated p53 regulates the cell cycle arrest, DNA repair and apoptosis (<xref rid="b51-or-29-02-0613" ref-type="bibr">51</xref>,<xref rid="b52-or-29-02-0613" ref-type="bibr">52</xref>). The role of p53 in skin cancer cell response to triptolide-induced DNA damage and repair is unclear. Our results show that triptolide inhibited p53 gene expression in A375.S2 cells. In response to DNA damage, DNA damage checkpoints associate with cell cycle for maintaining genomic integrity (<xref rid="b53-or-29-02-0613" ref-type="bibr">53</xref>&#x02013;<xref rid="b55-or-29-02-0613" ref-type="bibr">55</xref>). It was reported that both ATM and ATR are master checkpoint kinases which can be activated by double-stranded DNA breaks (<xref rid="b52-or-29-02-0613" ref-type="bibr">52</xref>,<xref rid="b56-or-29-02-0613" ref-type="bibr">56</xref>). Our results also show that triptolide inhibited the ATM and ATR gene expression in A375.S2 cells.</p>
<p>DNA-PK plays an important role in DNA damage repair (<xref rid="b52-or-29-02-0613" ref-type="bibr">52</xref>) and the deficiency in DNA-PK activity of human glioblastoma cells can lead to a slow, error prone repair process causing increased formation of chromosome aberrations (<xref rid="b52-or-29-02-0613" ref-type="bibr">52</xref>). BRCA1 plays and important roles in DNA damage and repair response, homologous recombination, cell cycle regulation, protein ubiquitination and apoptosis (<xref rid="b57-or-29-02-0613" ref-type="bibr">57</xref>,<xref rid="b58-or-29-02-0613" ref-type="bibr">58</xref>) and loss of BRCA1 causes a defective DNA repair response and G<sub>2</sub>/M cell cycle checkpoint in breast cancer cells (<xref rid="b57-or-29-02-0613" ref-type="bibr">57</xref>,<xref rid="b59-or-29-02-0613" ref-type="bibr">59</xref>). MGMT reduces cytotoxicity of therapeutic or environmental alkylating agents (<xref rid="b60-or-29-02-0613" ref-type="bibr">60</xref>,<xref rid="b61-or-29-02-0613" ref-type="bibr">61</xref>). Our results showed that triptolide inhibited the gene expression (mRNA) of DNA-PK, MGMT and BRCA-1.</p>
<p>In conclusion, A375.S2 cells were exposed to various concentrations of triptolide and DNA damage occurred. Moreover, the proposed flow chart for triptolide effect on DNA in A375.S2 human malignant melanoma cells is summarized in <xref rid="f6-or-29-02-0613" ref-type="fig">Fig. 6</xref>. Triptolide induces DNA damage in a dose response followed by inhibition of DNA repair-associated gene expression including ATM, ATR, BRCA-1, p53, DNA-PK and MGMT, then leading to DNA damage (<xref rid="f6-or-29-02-0613" ref-type="fig">Fig. 6</xref>).</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the grant CMU-100-ASIA-4 from China Medical University.</p></ack>
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<floats-group>
<fig id="f1-or-29-02-0613" position="float">
<label>Figure 1</label>
<caption>
<p>Triptolide decreased the viability of A375.S2 human malignant melanoma cells <italic>in vitro</italic>. A375.S2 cells (5&#x000D7;10<sup>5</sup> cells/well) were maintained in 12-well plates and were incubated with 0, 10, 15, 25 and 30 nM of triptolide, vehicle (1 &#x003BC;l DMSO) as control 24 h. Cells were harvested and stained with PI (5 &#x003BC;g/ml) and then were analyzed by flow cytometry as previously described. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001.</p></caption>
<graphic xlink:href="OR-29-02-0613-g00.gif"/></fig>
<fig id="f2-or-29-02-0613" position="float">
<label>Figure 2</label>
<caption>
<p>Differential concentration of triptolide-induced DNA damage in A375.S2 cells examined by Comet assay. The A375.S2 cells (5&#x000D7;10<sup>5</sup> cells/well) were maintained in 12-well plates incubated with 0, 15, 20, 25 and 30 nM of triptolide, and 0.1&#x00025; of H<sub>2</sub>O<sub>2</sub> (positive control) for 24 h (A and B) or cells were incubated with 20 nM of triptolide for 0, 6, 12, 24 and 48 h (C and D) and DNA damage was determined by Comet assay as described in Materials and methods. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-29-02-0613-g01.gif"/>
<graphic xlink:href="OR-29-02-0613-g02.gif"/></fig>
<fig id="f3-or-29-02-0613" position="float">
<label>Figure 3</label>
<caption>
<p>Triptolide-induced DNA damage in A375.S2 cells examined by DAPI staining. The A375.S2 cells (5&#x000D7;10<sup>5</sup> cells/well) were maintained in 12-well plates and incubated with 0, 15, 20, 25 and 30 nM of triptolide, and 0.1&#x00025; of H<sub>2</sub>O<sub>2</sub> (positive control) for 24 h and DNA damage was determined by DAPI staining as described in Materials and methods. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-29-02-0613-g03.gif"/></fig>
<fig id="f4-or-29-02-0613" position="float">
<label>Figure 4</label>
<caption>
<p>Triptolide-induced DNA damage in A375.S2 cells examined by DNA gel electrophoresis. The A375.S2 cells (1&#x000D7;10<sup>6</sup> cells/well) were placed in 12-well plates were incubated with 0, 15, 20, 25 and 30 nM of triptolide for 48 h. Cells were collected and DNA were isolated for DNA gel electrophoresis as described in Materials and methods.</p></caption>
<graphic xlink:href="OR-29-02-0613-g04.gif"/></fig>
<fig id="f5-or-29-02-0613" position="float">
<label>Figure 5</label>
<caption>
<p>Triptolide-inhibited DNA damage and expression of repair genes in A375.S2 cells determined by real-time PCR. The total RNA was extracted from the A375.S2 cells after incubation with 0 and 20 nM triptolide for 24 h, RNA samples were reverse-transcribed, and cDNA used for real-time PCR as described in Materials and methods. The ratios of ATM, ATR, BRCA-1, p53, DNA-PK and MGMT mRNA/GAPDH are presented. Data represents mean &#x000B1; SD of three experiments. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-29-02-0613-g05.gif"/></fig>
<fig id="f6-or-29-02-0613" position="float">
<label>Figure 6</label>
<caption>
<p>Proposed flow chart for triptolide-induced DNA damage and inhibition of gene expression, DNA damage and repair in A375.S2 human malignant melanoma cells.</p></caption>
<graphic xlink:href="OR-29-02-0613-g06.gif"/></fig>
<table-wrap id="tI-or-29-02-0613" position="float">
<label>Table I</label>
<caption>
<p>The DNA sequence was evaluated using the Primer Express software and each assay was run on an Applied Biosystems 7300 Real-time PCR system.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Primer name</th>
<th align="left" valign="bottom">Sequences</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Human BRCA1</td>
<td align="left" valign="top">F: CCAGGGAGTTGGTCTGAGTGA<break/>R: ACTTCCGTAAGGCATCGTAACAC</td></tr>
<tr>
<td align="left" valign="top">Human DNA-PK</td>
<td align="left" valign="top">F: CCAGCTCTCACGCTCTGATATG<break/>R: CAAACGCATGCCCAAAGTC</td></tr>
<tr>
<td align="left" valign="top">Human MGMT</td>
<td align="left" valign="top">F: CCTGGCTGAATGCCTATTTCC<break/>R: TGTCTGGTGAACGACTCTTGCT</td></tr>
<tr>
<td align="left" valign="top">Human p53</td>
<td align="left" valign="top">F: GGGTTAGTTTACAATCAGCCACATT<break/>R: GGGCCTTGAAGTTAGAGAAAATTCA</td></tr>
<tr>
<td align="left" valign="top">Human ATM</td>
<td align="left" valign="top">F: TTTACCTAACTGTGAGCTGTCTCCAT<break/>R: ACTTCCGTAAGGCATCGTAACAC</td></tr>
<tr>
<td align="left" valign="top">Human ATR</td>
<td align="left" valign="top">F: GGGAATCACGACTCGCTGAA<break/>R: CTAGTAGCATAGCTCGACCATGGA</td></tr>
<tr>
<td align="left" valign="top">Human GAPDH</td>
<td align="left" valign="top">F: ACACCCACTCCTCCACCTTT<break/>R: TAGCCAAATTCGTTGTCATACC</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-or-29-02-0613">
<p>Each assay was performed in triplicate to ensure reproducibility. BRCA1, breast cancer gene 1; DNA-PK, DNA-dependent serine/threonine protein kinase; MGMT, O<sup>6</sup>-methylguanine-DNA methyltransferase; ATM, ataxia telangiectasia mutated; ATR, ataxia-telangiectasia and Rad3-related; GAPDH, glyceraldehydes-3-phosphate dehydrogenase.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
