OR Oncology Reports 1021-335X 1791-2431 D.A. Spandidos 10.3892/or.2013.2369 or-29-06-2473 Articles Embelin-induced brain glioma cell apoptosis and cell cycle arrest via the mitochondrial pathway WANGAIPING1 ZHANGBAOCHAO1 ZHANGJIANDANG2 WUWEI3* WUWEI4* Department of Internal Medicine-Neurology, Central Hospital of Nanyang, Nanyang 473009, P.R. China Department of Neurosurgery, Central Hospital of Nanyang, Nanyang 473009, P.R. China Department of Neurovascular Surgery, The First Hospital of Jilin University, Changchun 130021, P.R. China The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, P.R. China Correspondence to: Dr Wei Wu, Department of Neurovascular Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, P.R. China, E-mail: wubccjldu@163.com. Dr Wei Wu, The Second Affiliated Hospital of Wenzhou Medical College, 109 West Xueyuan Road, Wenzhou 325027, P.R. China, E-mail: wuweiyxy@163.com

Contributed equally

 6 2013 29 03 2013 29 6 2473 2478 14 01 2013 20 02 2013 Copyright © 2013, Spandidos Publications 2013 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.

Brain glioma is the most common malignant intracranial tumor and has become the focus of research on diseases of the central nervous system due to its high incidence and poor prognosis. As a small-molecule inhibitor of X-linked inhibitor of apoptosis protein (XIAP), embelin has the ability to specifically inhibit XIAP to control and regulate the apoptosis of various types of tumor cells. However, to date, the mechanism of action for this effect is not well understood. The aim of this study was to investigate the role that the mitochondrial pathway plays in embelin-induced brain glioma cell apoptosis and the effect of embelin on the cell cycle. Brain glioma cells were treated with different doses of embelin. The MTT method was used to determine cell proliferation, and flow cytometry was used to determine apoptosis, as well as changes in the cell cycle and cell mitochondrial membrane potential. Western blot analysis was performed to determine the expression levels of apoptosis-associated proteins, Bcl-2, Bcl-xL, Bax and Bak as well as cytochrome c. We found that embelin induced a time- and dose-dependent apoptosis of brain glioma cells, and that it could arrest the cell cycle in the G0/G1 phase. Embelin also caused changes in brain glioma cell mitochondrial membrane potential. Additionally, embelin regulated the shifting of Bax and Bcl-2 to promote the mitochondrial release of cytochrome c, thus activating the caspase proteins to cause apoptosis. Thus, embelin induces apoptosis in brain glioma cells which is closely associated with the mitochondrial pathway.

 embelin XIAP glioma mitochondria cell apoptosis Introduction

Brain glioma is a tumor originating from neuroepithelial tissue and is the most common malignant intracranial tumor accounting for 70% of human primary malignant brain tumors (1,2). Brain glioma has become the focus of research on diseases of the central nervous system due to its high incidence and poor treatment outcome (3,4). At present, brain glioma is mainly treated with surgery, radiotherapy and chemotherapy, but the curative effect and prognosis are far from optimistic particularly for tumors of higher pathological grade. The treatment results of such diseases have not improved significantly in recent years. The median survival time of patients with brain glioma is approximately one year (5,6). Thus, it has become an urgent research aim to identify the mechanisms promoting brain glioma apoptosis and to search for therapeutic targets with breakthrough effects.

X-linked inhibitor of apoptosis protein (XIAP) is the main member of the inhibitor of apoptosis proteins (IAPs) that regulate apoptosis via various processes (7,8). Previous studies have demonstrated antitumor effects achieved via the inhibition of XIAP expression. As a specific inhibitor of XIAP, embelin inhibits the action of XIAP inside cells through binding with the Smac binding site in the BIR3 domain in the XIAP protein molecule (9–11). Previous studies have demonstrated that embelin exhibits antitumor effects, and embelin at therapeutic dose can restrain the growth of various types of tumor cells including prostate cancer, pancreatic cancer, breast cancer and colon cancer (12–15). According to another report, apoptosis of brain glioma cells is closely related to the mitochondrial pathway (16–18). The inter-shifting of Bcl-2 and Bax proteins releases cytochrome c and activates the caspase family to finally induce apoptosis (19,20).

Despite the above advances, most of the detailed mechanisms of embelin against brain glioma still remain unknown. The purpose of this study was to investigate the impacts of embelin in vitro on the apoptosis of brain glioma cells and the cell cycle and to explore the relevant signaling pathway, so as to provide effective targets and approaches for the clinical therapy of brain glioma.

 Materials and methods Cell culture

Human brain glioma U87 cells (American Type Culture Collection, Manassas, VA, USA), after cell passaging, were incubated in Dulbecco's modified Eagle's medium (DMEM) containing 10% fetal calf serum, 100 U/ml penicillin and 100 U/ml streptomycin, and were then cultured in an incubator containing 5% CO2 and 95% oxygen at 37°C.

 Cell viability

The cells were cultured in a 96-well culture plate at a density of 1×105 cells/ml. Different doses of embelin (Sigma, St. Louis, MO, USA) were administered and all the cells were cultured in a 5% CO2 incubator for a further 24, 48 and 72 h. Twenty micrograms of MTT (5 mg/ml) was added to each well followed by incubation in a CO2 incubator for 4 h before the culture solution was disposed of, and 200 μl of DMSO was added to each well at room temperature for oscillation for 15 min. A microplate reader was used for analysis.

 Analysis of apoptosis using Annexin V-FITC/PI staining and flow cytometry

Trypsin was digested to collect the cells of all the experimental groups and the cell density was adjusted to 1×106 cells/ml. Five microliters of Annexin V-FITC and 5 ml of propidium iodide (PI) were added to the cell culture followed by a 20-min incubation at 4°C prior to flow cytometric analysis.

 Cell cycle analysis using flow cytometry

The cells of all the experimental groups were collected using the trypsin method. Consequently, the cells were fixed at 4°C with 75% cold ethanol overnight; ethanol was disposed and the cells were washed with phosphate-buffered saline (PBS). The cell density was adjusted to 1×106 cells/ml. Addition of 500 ml of DNA stain to the cells at room temperature, in a dark for 20 min, was carried out before analysis with flow cyto-metry.

 Flow cytometric analysis of the mitochondrial membrane potential

Change in the mitochondrial membrane potential was analyzed with JC-1 staining and flow cytometry, as previously described (21). The fluorescence signal of JC-1 monomer and polymer were measured using FL1 and FL2 probes, respectively. FL1-H indicated green fluorescence intensity and FL2-H red fluorescence intensity. Quantitative analysis was performed using CellQuest analysis software.

 Western blot analysis

The cells of all the experimental groups were collected, and 2 ml of lysis solution (50 mM of Tris-HCl, 137 mM of Nacl, 10% glycerin, 100 mM of sodium vanadate, 1 mM of PMSF, 10 mg/ml of aprotinin, 10 mg/ml of peptide, 1% NP-40 and 5 mM of cocktail; pH 7.4) were added with the cell lysis to obtain the proteins. The concentration of the lysates was determined using the BCA method. The proteins were separated by SDS-PAGE. Subsequently, the proteins were transfered to PVDF membranes using a semi-dry method and sealed with 5% skim mild powder at 4°C overnight. The membranes were washed with TBST and the first antibody was added at 37°C for hybridization for 1 h prior to bleaching with TBST. The secondary antibody was added at 37°C for hybridization for 1 h prior to bleaching with TBST and color reaction for 5 min with autoradiography. Quantity One was used for optical density value analysis and measurement. The results are indicated as: the optical density value/β-actin optical density value of the samples.

 Caspase activity analysis

A Perkin-Elmer LS-50B fluorospectrophotometer was used to measure the alterations in fluorescence intensity when the excitation wavelength was 380 nm and emission wavelength was 460 nm. Previously described methods were used (19).

 Results Embelin-induced inhibition of brain glioma cell proliferation

In order to investigate the effects of embelin on brain glioma cell growth, U87 cells were cultured with different concentrations of embelin (0, 10, 50, 100 and 150 μg/ml) for 24, 48 and 72 h prior to determination of the cell proliferation rate using the MTT method. We found that the optical density values of the cells decreased gradually when increasing concentrations of embelin were used; this decrease was most significant when 100 μg/ml of embelin were used (Fig. 1). Thus, embelin had an inhibition effect on the growth of brain glioma U87 cells.

 Embelin induces apoptosis of brain glioma cells

Brain glioma U87 cells were treated with different doses of embelin for 48 h and flow cytometry was used to determine cell apoptosis. It was found that the number of brain glioma U87 cells that underwent apoptisis significantly increased when treated with increasing doses of embelin in a dose-dependent manner (Fig. 2).

 Embelin induces activation of caspase proteins in brain glioma cells

Brain glioma U87 cells were treated with different doses of embelin followed by measurement of the alterations in caspase protein activity. We found that the activity of caspases-3, −8 and −9 increased significantly with increasing doses of embelin. The most significant increase in caspase-3, −8 and −9 activity was observed when 100 μg/ml of embelin was used (Fig. 3). These results indicate that embelin induces the activation of caspase proteins in brain glioma cells leading to caspase-dependent apoptosis.

 Embelin-induced brain glioma cell apoptosis and its association with the mitochondrial membrane potential

To further investigate the signaling pathway of embelin-induced brain glioma cell apoptosis, JC-1 staining and flow cytometry were used to assess the changes in the mitochondrial membrane potential. Moreover, western blot analysis was used to analyze the changes in the expression levels of relevant proteins such as Bax, Bcl-2, Bcl-xL, Bak and cytochrome c. We found that the therapeutic dose of embelin resulted in a decrease in the mitochondrial membrane potential (Fig. 4A). We also found that embelin downregulated the expression levels of Bcl-2 and Bcl-xL in a dose-dependent manner, while the expression levels of Bax and Bak proteins were increased (Fig. 4B-E). These results indicate that embelin changes the mitochondrial membrane potential to induce an increase in Bax and Bcl-2 expression as well as the release of cytochrome c into the cytoplasm, resulting in brain glioma cell apoptosis.

 Embelin-induced brain glioma cell cycle arrest

In order to investigate the effect of embelin on brain glioma cell cycle, flow cytometry was used for cell cycle analysis. The results showed that 48 h following treatment of U87 cells with different doses of embelin, the number of U87 cells in the G0/G1 phase was significantly increased (Fig. 5). We also found that there was a significant decrease in the expression levels of proteins such as CDK4, CDK6 and cyclin D1 that are known to control the cell cycle (Fig. 6). Thus, embelin treatment results in an increased number of brain glioma cells in the G0/G1 phase, leading to inhibiton of brain glioma cell proliferation.

 Discussion

The occurrence of ubiquitous apoptosis has been widely recognized, and apoptosis has been shown to play an important role in the genesis and progression of tumors (22,23). Previous studies have demonstrated that most of the available antitumor drugs inhibit tumor growth through the induction of tumor cell apoptosis. Therefore, the intervention of apoptosis to treat tumors has become a novel target of research in terms of antitumor drugs and a new direction for the development for current tumor pharmacology.

The aim of the present study was to investigate the role that embelin, as an XIAP inhibitor, plays in brain glioma treatment and its application values. We found that embelin inhibits the proliferation of brain glioma cells in a dose- and time-dependent manner. This indicates that embelin is closely related to the generation and development of brain glioma and is a potential new target for drugs with which to treat brain glioma. Danquah et al(12) found that embelin suppressed the growth of prostate cancer cells. Dai et al(15) demonstrated that embelin inhibited the proliferation of colon cancer cells and promoted apoptosis. Moreover, Heo et al(24) found that embelin inhibited multiple myeloma cell proliferation and extended patient survival via the STAT3 signal transduction pathway. These findings are basically identical to those of the present study, which suggest that embelin inhibits the proliferation of various types of tumor cells.

In order to further explore the specific action mechanism of embelin in brain glioma, brain glioma cells were treated with different doses of embelin, and flow cytometry was used to determine the biological changes in the brain glioma cells. We found that, after brain glioma cells were treated with various doses of embelin, the positive rate of Annexin V staining increased in a dose-dependent manner, indicating that embelin induced the apoptosis of brain glioma cells. However, to date, studies concerning the the possible role of embelin in apoptosis are scarce. Hu et al(25) found that embelin induced human leukemia apoptosis via downregulation of XIAP. Allensworth et al(26) found that embelin at a therapeutic dose increased the sensitivity of breast cancer cells to TRAIL so as to promote breast cancer apoptosis. These results are essentially identical to ours. We found that brain glioma cell growth inhibited by embelin was associated with apoptosis. Joy et al(27) found that embelin arrested the cell cycle of colon cancer cells at phase G1 via downregulation of the p21 gene. Our findings are fundamentally identical to theirs. We found that embelin downregulated the expression of cyclin D1, CDK4 and CDK6 and obviously inhibited the progression of the cell cycle of brain glioma cells arresting it at phase G0/G1.

There are two main signaling pathways that trigger apoptosis. These are the endogenous mitochondrial pathway and the exogenous death receptor pathway (28). We found that after human brain glioma cells were treated with different doses of embelin for 48 h, Bax and Bcl-2 shifted, the mitochondrial membrane potential decreased and cytochrome c was released. These results indicate that the induction of brain glioma cell apoptosis by embelin was closely related with the mitochondria pathway. The Bcl-2/Bax family is a key factor for regulation of the endogenous mitochondrial apoptosis pathway (29). With the pro-apoptosis effect, the Bax gene shifts from the cytoplasm to the mitochondrial outer membrane, altering the permeability of the mitochondrial membrane to promote the release of cytochrome c from mitochondria into the cytoplasm (30,31). This initiates the apoptosis cascade, finally resulting in apoptosis. The activation of the caspase family is an important prerequisite for apoptosis since the caspase family activates apoptosis-related proteases when apoptosis occurs (32,33). We analyzed changes in the activation of caspases-9, −8 and −3 following treatment with embelin and found a significant increase in the activation of caspase-9, −8 and −3 with the occurrence of brain glioma apoptosis. These results indicate that embelin induced brain glioma cell apoptosis via the mitochondrial pathway.

In conclusion, the present study revealed that embelin induced brain glioma apoptosis via regulation of the Bcl-2/Bax family to act on the mitochondria pathway. As a new intervention factor, embelin is an excellent prospect for use in the clinical therapy of brain glioma.

 Acknowledgements

We thank Professor Zhenran Wang from the First Hospital of Jilin University and Professor Wenhai Fan from the College of Medicine of Jilin University for their guidance in this study.

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Inhibitory effect of embelin on brain glioma cell proliferation. Cell viability was measured using the MTT method following incubation of brain glioma U87 cells with different concentrations of embelin for 24, 48 and 72 h (n=6).

Embelin-induced brain glioma cell apoptosis. (A) Flow cytometry was used to determine brain glioma U87 cell apoptosis following treatment with different doses of embelin (0, 50 and 100 μg/ml) for 48 h. (B) The histogram shows the apoptosis rate (%); *P<0.05 when compared with the control group (n=3).

Embelin induces activation of the caspase family in brain glioma cells. Following treatment of brain glioma U87 cells with different doses of embelin for 48 h, a fluorospectrophotometer was used to measure the alterations in caspase-3, −8 and −9 activity. *P<0.05 when compared with the control group (n=3).

Embelin induces apoptosis of brain glioma cells through a decrease in the mitochondrial membrane potential. Following treatment of U87 cells with different doses of embelin (0, 50 and 100 μg/ml) for 48 h, (A) flow cytometry was used to analyze the changes in the mitochondrial membrane potential. (B) Western blot analysis was used to analyze the expression levels of Bax, Bcl-2, Bcl-xL and Bak proteins. (C) The histogram shows quantification (%) of the western blot presented in B. (D) Western blot analysis was used to analyze the change in the expression level of cytochrome c. (E) The histogram shows quantification (%) of the western blot presented in D. *P<0.05 when compared with the control group (n=3). CytC, cytochrome c.

Effect of embelin treatment on brain glioma cell cycle. Following treatment of U87 cells with different doses of embelin (0, 50 and 100 μg/ml) for 48 h, flow cytometry was used to analyze the cell cycle. When compared with the control group, the number of the cells that entered the G0/G1 phase was significantly increased.

Effect of embelin on the expression of proteins that regulate the cell cycle of brain glioma cells. Following treatment of U87 cells with different doses of embelin (0, 50 and 100 μg/ml) for 48 h, (A) western blot analysis was used to analyze changes in the expression levels of CDK4, CDK6 and cyclin D1 proteins. (B) The histogram shows the quantification (%) of the western blot presented in A. *P<0.05 when compared with the control group (n=3).