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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.2015.4102</article-id>
<article-id pub-id-type="publisher-id">or-34-03-1487</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Tanshinone IIA enhances bystander cell killing of cancer cells expressing <italic>Drosophila melanogaster</italic> deoxyribonucleoside kinase in nuclei and mitochondria</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>JIANG</surname><given-names>HAIYANG</given-names></name><xref rid="af1-or-34-03-1487" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHAO</surname><given-names>LEI</given-names></name><xref rid="af2-or-34-03-1487" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>DONG</surname><given-names>XIAOSHEN</given-names></name><xref rid="af1-or-34-03-1487" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>ANNING</given-names></name><xref rid="af3-or-34-03-1487" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHENG</surname><given-names>CAIWEI</given-names></name><xref rid="af4-or-34-03-1487" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>JOHANSSON</surname><given-names>MAGNUS</given-names></name><xref rid="af5-or-34-03-1487" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>KARLSSON</surname><given-names>ANNA</given-names></name><xref rid="af5-or-34-03-1487" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHENG</surname><given-names>XINYU</given-names></name><xref rid="af1-or-34-03-1487" ref-type="aff">1</xref><xref rid="af3-or-34-03-1487" ref-type="aff">3</xref><xref ref-type="corresp" rid="c1-or-34-03-1487"/></contrib></contrib-group>
<aff id="af1-or-34-03-1487">
<label>1</label>Department of Breast surgery, The First Affiliated Hospital, China Medical University, Shenyang, Liaoning, P.R. China</aff>
<aff id="af2-or-34-03-1487">
<label>2</label>Center of Experiment Technology and Medical Research, China Medical University, Shenyang, Liaoning, P.R. China</aff>
<aff id="af3-or-34-03-1487">
<label>3</label>Laboratory 1, Cancer Institute, China Medical University, Shenyang, Liaoning, P.R. China</aff>
<aff id="af4-or-34-03-1487">
<label>4</label>Brandeis University, Waltham, MA, USA</aff>
<aff id="af5-or-34-03-1487">
<label>5</label>Department of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden</aff>
<author-notes>
<corresp id="c1-or-34-03-1487">Correspondence to: Professor Xinyu Zheng, Department of Breast surgery, The First Affiliated Hospital, China Medical University, 155 North Nanjing Street, Shenyang, Liaoning 110001, P.R. China, E-mail: <email>xyzheng126@126.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>9</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>07</month>
<year>2015</year></pub-date>
<volume>34</volume>
<issue>3</issue>
<fpage>1487</fpage>
<lpage>1493</lpage>
<history>
<date date-type="received">
<day>06</day>
<month>05</month>
<year>2015</year></date>
<date date-type="accepted">
<day>15</day>
<month>06</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</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>Heterologous expression of the <italic>Drosophila melanogaster</italic> multi-substrate deoxyribonucleoside kinase (<italic>Dm</italic>-dNK) increases the sensitivity of cancer cells to several cytotoxic nucleoside analogs. Thus, it may be used as a suicide gene in combined gene/chemotherapy treatment of cancer. To further characterize this potential suicide gene, we constructed two retroviral vectors that enabled the expression of <italic>Dm</italic>-dNK in cancer cells. One vector harbored the wild-type enzyme that localized to the nucleus. The other vector harbored a mitochondrial localized mutant enzyme that was constructed by deleting the nuclear localization signal and fusing it to a mitochondrial import signal of cytochrome <italic>c</italic> oxidase. A thymidine kinase-deficient osteosarcoma cell line was transduced with the recombinant viruses. The sensitivity and bystander cell killing in the presence of pyrimidine nucleoside analogs (E)-5-(2-bromovinyl)-2&#x02032;-deoxyuridine and 1-&#x003B2;-D-arabinofuranosylthymine were investigated. Tanshinone IIA is a constituent of Danshen; a traditional Chinese medicine used in the treatment of cardiovascular diseases. This study also looked at the influence of Tanshinone IIA on the bystander effect and the underlying mechanisms. We showed that sensitivity of the osteosarcoma cell line to the nucleoside analogs and the efficiency of bystander cell killing were independent of the subcellular localization of <italic>Dm</italic>-dNK. The enhanced effect of tanshinone IIA on the bystander effect was related to the increased expression of Cx43 and Cx26.</p></abstract>
<kwd-group>
<kwd>tanshinone IIA</kwd>
<kwd>nucleoside kinase</kwd>
<kwd>nucleoside analog</kwd>
<kwd>bystander effect</kwd>
<kwd>suicide gene</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>In suicide gene therapy, a foreign gene is introduced into tumor cells and the expression of the gene converts a non-toxic prodrug into a lethal drug, such as nucleoside kinases that phosphorylate cytotoxic nucleoside analogs (<xref rid="b1-or-34-03-1487" ref-type="bibr">1</xref>). The most extensively studied suicide genes include the herpes simplex virus type-1 thymidine kinase (HSV-1 TK) with ganciclovir (GCV) as a prodrug, and the cytosine deaminase (CD) of <italic>Escherichia coli</italic>, which converts the non-toxic antifungal agent fluorocytosine (5-FC) into 5-fluorouracil (5-FU) (<xref rid="b2-or-34-03-1487" ref-type="bibr">2</xref>,<xref rid="b3-or-34-03-1487" ref-type="bibr">3</xref>). Cells expressing HSV-1 TK phosphorylate GCV, which is then incorporated into nuclear DNA during DNA replication and repair. The incorporation of GCV terminates DNA elongation and causes cell death (<xref rid="b4-or-34-03-1487" ref-type="bibr">4</xref>). The killing of adjacent cells due to the transportation of phosphorylated GCV via gap junctions, known as the 'bystander effect', is important for successful suicide gene therapies (<xref rid="b5-or-34-03-1487" ref-type="bibr">5</xref>,<xref rid="b6-or-34-03-1487" ref-type="bibr">6</xref>).</p>
<p>Previously, we identified a multi-substrate deoxyribonucleoside kinase (<italic>Dm</italic>-dNK) from the fruit fly <italic>Drosophila melanogaster</italic> and evaluated the possible use of this enzyme as a suicide gene <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b7-or-34-03-1487" ref-type="bibr">7</xref>&#x02013;<xref rid="b11-or-34-03-1487" ref-type="bibr">11</xref>). <italic>Dm</italic>-dNK phosphorylates a broad range of substrates including analogs of both purine and pyrimidine nucleosides, and exhibits a higher activity than previously studied nucleoside kinases (<xref rid="b12-or-34-03-1487" ref-type="bibr">12</xref>,<xref rid="b13-or-34-03-1487" ref-type="bibr">13</xref>). When expressed in human cells, <italic>Dm</italic>-dNK localizes to the nucleus through a C-terminal nuclear localization signal (<xref rid="b8-or-34-03-1487" ref-type="bibr">8</xref>). We previously performed mutagenesis of the nuclear localization signal and investigated the effect of heterologous expression of a cytosolic <italic>Dm</italic>-dNK on cancer cells (<xref rid="b10-or-34-03-1487" ref-type="bibr">10</xref>). There were no differences between cytosolic <italic>Dm</italic>-dNK and nuclear <italic>Dm</italic>-dNK in regards to enzyme activity, cellular sensitivity to nucleoside analogs, or bystander cell killing.</p>
<p>Tanshinone (Tan) IIA is a fat-soluble and pharmacologically active ingredient of Danshen; a traditional Chinese medicine used in the treatment of cardiovascular diseases. It is isolated from the rhizome of a Chinese herb <italic>Salvia miltiorrhiza</italic> (<xref rid="b10-or-34-03-1487" ref-type="bibr">10</xref>,<xref rid="b14-or-34-03-1487" ref-type="bibr">14</xref>). Previous studies have shown that Tan IIA possessed not only anti-inflammatory (<xref rid="b15-or-34-03-1487" ref-type="bibr">15</xref>) and antioxidant properties, but also anticancer activities in cell culture and animal carcinogenesis models (<xref rid="b16-or-34-03-1487" ref-type="bibr">16</xref>,<xref rid="b17-or-34-03-1487" ref-type="bibr">17</xref>). Tan IIA can restore connexin (Cx) 43 by inhibiting the elevated miR-1 expression in ischemic and hypoxic cardiomyocytes (<xref rid="b18-or-34-03-1487" ref-type="bibr">18</xref>,<xref rid="b19-or-34-03-1487" ref-type="bibr">19</xref>). Connexins constitute a family of structurally related transmembrane proteins, including Cx43 and Cx26, which connect two adjacent cells via gap junctional intercellular communication (GJIC) (<xref rid="b20-or-34-03-1487" ref-type="bibr">20</xref>). Dysfunction of connexins may lead to defects in cell proliferation, differentiation and localization, which may be correlated with tumorigenesis (<xref rid="b21-or-34-03-1487" ref-type="bibr">21</xref>&#x02013;<xref rid="b23-or-34-03-1487" ref-type="bibr">23</xref>). Some studies have shown that GJIC is directly involved in the bystander effect, by which adjacent cells are sensitized to drug treatment during gene therapy (<xref rid="b24-or-34-03-1487" ref-type="bibr">24</xref>&#x02013;<xref rid="b27-or-34-03-1487" ref-type="bibr">27</xref>). Considering all these facts, Tan IIA may influence the bystander effect of cancer cells expressing <italic>Dm</italic>-dNK by regulating the expression of Cx43 and Cx26.</p>
<p>In the present study, we further characterized <italic>Dm</italic>-dNK as a suicide gene when the enzyme was expressed in different subcellular compartments. We compared the cytotoxicity and the bystander effects of the nucleoside analogs (e)-5-(2-bromovinyl)-2&#x02032;-deoxyuridine (BVDU) and 1-&#x003B2;-D-arabinofuranosylthymine (araT) when the enzyme was expressed in either the nuclei or the mitochondria. We showed that a recombinant <italic>Dm</italic>-dNK with a mitochondrial targeting signal localized to the mitochondria, retained high enzymatic activity. The cells expressing mitochondrial <italic>Dm</italic>-dNK and nuclear <italic>Dm</italic>-dNK had similar sensitivities to the nucleoside analogs and similar bystander effects. The subcellular localization of <italic>Dm</italic>-dNK did not affect the sensitivity of the cells to the nucleoside analogs or the efficiency of bystander cell killing. We also investigated the influence of Tan IIA on the bystander effect of cells expressing <italic>Dm</italic>-dNK, and whether there were any statistical differences between the <italic>Dm</italic>-dNK expression in nuclei and in mitochondria. Furthermore, the present study, examined the relationship between Tan IIA and the expressions of Cx43 and Cx26 in order to elucidate the primary mechanism of the anticancer activities of Tan IIA.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>RetroPack PT67 packaging cells (Clontech, Palo Alto, CA, USA) and thymidine kinase (TK)-deficient osteosarcoma cells (a gift from Professor Jan Balzarini, Rega Institute, Leuven, Belgium) were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% (v/v) fetal calf serum (Gibco-BRL, Gaithersburg, MD, USA), 100 U/ml penicillin, and 0.1 mg/ml streptomycin. Cells were grown at 37&#x000B0;C in a humidified incubator with a gas phase of 5% CO<sub>2</sub>.</p></sec>
<sec>
<title>Construction of retroviral vectors and subcellular localization of Dm-dNK</title>
<p>We used the pLEGFP-N1 retroviral vector (Clontech) to express the <italic>Dm</italic>-dNK cDNA in fusion with the green fluorescent protein (dNK-GFP) (<xref rid="f1-or-34-03-1487" ref-type="fig">Fig. 1</xref>). The pLEGFP-N1 with wild-type <italic>Dm</italic>-dNK was constructed as previously described (<xref rid="b10-or-34-03-1487" ref-type="bibr">10</xref>) and cloned into the <italic>XhoI-Bam</italic>HI site of the pLEGFP-N1 vector. The cDNA sequence encoding the 31-amino acid N-terminal mitochondrial import signal of cytochrome <italic>c</italic> oxidase subunit VIII was cloned upstream of <italic>Dm</italic>-dNK, and C-terminal deletions (20 amino acids deleted) were made using the primer 5&#x02032;-TCGTCGACTTATG GATGGCGTCGAATATGCTGCT-3&#x02032;. Plasmids were purified using the NucleoBond plasmid purification kit (Clontech). The DNA sequences of the constructed plasmids were verified using an ABI 310 automated DNA sequencer (Applied Biosystems, Foster City, CA, USA). The constructed pLEGFP-N1 plasmids were transfected into the PT67 packaging cells using Lipofectamine (Life Technologies, Inc., Grand Island, NY, USA) according to the protocol provided by the supplier. The medium from the transfected cells was collected 48 h after transfection, filtered through a 0.45-mm filter, and diluted 2-fold with fresh medium. The osteosarcoma cells were incubated with the virus-containing medium for 48 h and cultured continuously for 3 weeks in the presence of 1.0 mg/ml Geneticin (Gibco-BRL). The cell nuclei were counterstained with 4&#x02032;,6-diamidino-2-phenylindole (DAPI) and the mitochondria were counterstained with MitoTracker (Invitrogen, Ltd., Paisley, UK). GFP, DAPI and MitoTracker fluorescence was observed using a Nikon Eclipse E600 microscope (Nikon, Tokyo, Japan) equipped with a SPOTRT digital camera (Diagnostic Instruments, Inc., Sterling Heights, MI, USA).</p></sec>
<sec>
<title>Western blot analysis and enzymatic assays</title>
<p>Nuclear extracts were prepared as previously described (<xref rid="b8-or-34-03-1487" ref-type="bibr">8</xref>). The mitochondrial fractions were isolated from transduced osteosarcoma cells as previously described (<xref rid="b28-or-34-03-1487" ref-type="bibr">28</xref>) by differential centrifugation in lysis buffer (0.3 M mannitol, 0.1% bovine serum albumin, 2 mM EDTA, 10 mM HEPES, pH 7.4). After cell homogenization with a glass homogenizer, the suspension was centrifuged for 10 min at 1,000 &#x000D7; g at 4&#x000B0;C (the supernatant contained cellular fractions). The supernatant was centrifuged again at 14,000 &#x000D7; g for 15 min at 4&#x000B0;C. To pellet the mitochondrial fraction, the supernatant was ultra-centrifuged at 100,000 &#x000D7; g for 60 min. The concentration of the extracted protein was measured using a BCA protein assay (Kaiji, China). The protein extracts were separated on a 12% SDS-PAGE gel and electro-transferred to a nitrocellulose membrane. The membrane was probed for 1 h at room temperature with a polyclonal anti-GFP antibody (Invitrogen, Ltd.). Binding of the primary antibody was detected using a secondary mouse anti-rabbit immunoglobulin (Ig) conjugated to horseradish peroxidase (Amersham, Arlington Heights, IL, USA). ECL reagents were used to detect the signals according to the manufacturer's instructions (Amersham). The enzymatic assays were performed as previously described (<xref rid="b8-or-34-03-1487" ref-type="bibr">8</xref>). For the reaction, 3 mM &#x0005B;methyl-3H&#x0005D;dThd (Moravek Biochem, Burlington, Ontario Canada) and 2 mM unlabeled dThd (Sigma-Aldrich, Beijing, China) were used.</p>
<p>For the analysis of connexin expression, cells were seeded at 1&#x000D7;10<sup>4</sup> cells/well in 6-well plates. After 24 h, the medium was removed and replaced with complete medium containing Tan IIA (Xi'an Guanyu Bio-tech Co., Ltd., China) at 0, 5, 10 and 20 <italic>&#x003BC;</italic>M, respectively. After 3 days, cells were washed twice with PBS and lysed in RIPA buffer (8% SDS, 0.25 m Tris-HCl, pH 6.8, 1 mM phenylmethylsulfonyl fluoride, 1.0 mg/ml leupeptin, and 10 mg/ml aprotinin). Total cell extracts were separated on 10% SDS-PAGE gels. Then western blot analyses were performed using anti-Cx43 (71-0700) and anti-Cx26 (CX-12h10) (both from Zymed, San Francisco, CA, USA) or anti-actin (ms-1295-po; NeoMarkers, Fremont, CA, USA) antibodies.</p></sec>
<sec>
<title>Cell proliferation and bystander killing assays</title>
<p>araT was obtained from Lilly Research Laboratories. BVDU was a gift from Professor Jan Balzarini (Rega Institute, Leuven, Belgium). Cells were plated at 3,000 cells/well in 96-well plates. Nucleoside analogs were added 24 h after plating and the medium containing the nucleoside analogs was changed once during the 4-day incubation. Cell survival was assayed using a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay (Boehringer Mannheim, Welwyn Garden City, UK) after 4 days of drug exposure. Each experiment was performed in triplicate.</p>
<p>The assay for bystander cell killing was performed as previously described (<xref rid="b9-or-34-03-1487" ref-type="bibr">9</xref>). Tumor cells expressing <italic>Dm</italic>-dNK were mixed at different ratios with their respective parental cell lines. To promote cell contacts, the mixed cells were plated in 24-well plates at 3&#x000D7;10<sup>5</sup> cells/well. The following day, confluent cells were treated with BVDU. After 24 h of incubation, cells were trypsinized and a 1:100 dilution of the cells was distributed into 96-well plates in five replicates. Cells were cultured subsequently in the presence of BVDU for 2&#x02013;3 days until the cells without BVDU treatment reached confluence. Cell survival was determined as described above. Each experiment was performed in triplicate.</p></sec>
<sec>
<title>Effects of Tan IIA and BVDU on the growth of mixed cells</title>
<p>Cells expressing dNK-GFP or mito-dNK-GFP were mixed at a ratio of 1:9 with untransduced cells. For the measurement of cell viability, the mixtures were seeded at 3&#x000D7;10<sup>3</sup> cells/well in 96-well plates. After 24 h, the medium was removed and replaced with complete medium with or without Tan IIA (5, 10, 20 and 40 <italic>&#x003BC;</italic>M) for another 24 h. Cells were incubated with BVDU (0.1 <italic>&#x003BC;</italic>M) for 48 h in the presence of Tan IIA. Then MTT analysis was performed as described above. Each assay was repeated 3 times.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as the mean value &#x000B1; standard deviation. All experiments were performed in triplicate. All statistical analyses were performed using SPSS version 11.0. Comparisons among all groups were performed with one-way analysis of variance (ANOVA) and the Student-Newman-Keuls method. Statistical significance was indicated by a p-value &lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of Dm-dNK in nuclei or mitochondria in a cancer cell line</title>
<p>To study the effects of phosphorylated nucleoside analogs in the mitochondria matrix and to compare the sensitivities of the cells to nucleoside analogs and the efficiency of bystander cell killing when the enzyme was located in either of the two subcellular compartments, we aimed to express <italic>Dm</italic>-dNK targeted to the mitochondria in TK-deficient osteosarcoma cancer cell lines. We fused the mitochondrial import signal of cytochrome <italic>c</italic> oxidase subunit VIII to the N-terminus of <italic>Dm</italic>-dNK. For easy visualization of the subcellular localization of the protein, we also fused GFP to the C-terminus of <italic>Dm</italic>-dNK, as we did with wild-type <italic>Dm</italic>-dNK using the pLEGFP-N1 retroviral vector.</p>
<p>To achieve this, vectors harboring replication deficient retroviral elements were constructed to express either the wild-type nuclear <italic>Dm</italic>-dNK (dNK-GFP) or the mitochondrial targeted <italic>Dm</italic>-dNK mutant (mito-dNK-GFP) (<xref rid="f1-or-34-03-1487" ref-type="fig">Fig. 1A</xref>). A TK-1-deficient osteosarcoma cell line was transduced with the recombinant retroviruses. After selection of stably transfected cells, 90% of the cells exhibited green fluorescence (<xref rid="f1-or-34-03-1487" ref-type="fig">Fig. 1B</xref>). The cells transduced with the virus encoding dNK-GFP exhibited fluorescence in the nucleus, whereas the cells transduced with the virus encoding mito-dNK-GFP had a dotted fluorescence pattern. These results were further confirmed by counterstaining with DAPI and MitoTracker (<xref rid="f1-or-34-03-1487" ref-type="fig">Fig. 1B</xref>), respectively. A co-localization of GFP and DAPI fluorescence indicated that the protein was located in the nuclei, and a co-localization of GFP and MitoTracker fluorescence indicated that the protein was located in the mitochondria. Western blot analyses with anti-GFP antibodies also detected the dNK-GFP and mito-dNK-GFP fusion proteins (60 kDa) in the nuclei and the mitochondria, respectively (<xref rid="f2-or-34-03-1487" ref-type="fig">Fig. 2A</xref>).</p>
<p>To measure the enzymatic activities of the <italic>Dm</italic>-dNK-GFP fusion proteins, we assayed the dThd phosphorylation activities in the cell extracts (<xref rid="f2-or-34-03-1487" ref-type="fig">Fig. 2B</xref>). The dThd kinase activities increased ~40-fold in the cells expressing the nuclear dNK-GFP and ~35-fold in the cells expressing the mitochondrial mito-dNK-GFP, compared with the untransduced parent cells (p&lt;0.01). There was no significant difference in <italic>Dm</italic>-dNK activity between the cells expressing dNK-GFP in the mitochondria or in the nuclei.</p></sec>
<sec>
<title>Nucleoside analog sensitivity and bystander cell killing</title>
<p>We determined the sensitivities of the transduced cells to the pyrimidine nucleoside analogs BVDU and araT (<xref rid="f3-or-34-03-1487" ref-type="fig">Fig. 3</xref>). The two <italic>Dm</italic>-dNK-GFP-expressing osteosarcoma cell lines were more sensitive to the nucleoside analogs than untransduced cells. The cells expressing <italic>Dm</italic>-dNK in either the nuclei or in the mitochondria exhibited 100- to 500-fold lower IC<sub>50</sub> values to araT and BVDU than the untransduced cells (p&lt;0.01). There were no differences in sensitivity to the nucleoside analogs between the cells expressing <italic>Dm</italic>-dNK in the nuclei or in the mitochondria.</p>
<p>The cells expressing dNK-GFP or mito-dNK-GFP were mixed at different ratios (0, 10, 25, 50, 75 and 100%) with the untransduced cells. BVDU was added to the mixed cells at concentrations from 0.01 to 100 <italic>&#x003BC;</italic>M and cells were incubated for 4 days. A bystander effect was observed in the osteosarcoma cell lines expressing dNK-GFP or mito-dNK-GFP (<xref rid="f4-or-34-03-1487" ref-type="fig">Fig. 4</xref>). For example, we found that 10% of the cells expressing dNK-GFP and 25% of the cells expressing mito-dNK-GFP induced 70% cell death in the presence of 100 <italic>&#x003BC;</italic>M BVDU (<xref rid="f4-or-34-03-1487" ref-type="fig">Fig. 4</xref>). There were no differences in bystander killing between the cells expressing <italic>Dm</italic>-dNK in the nuclei or in the mitochondria, in the presence of BVDU.</p></sec>
<sec>
<title>Tan IIA enhances the bystander effect by increasing the expression of Cx43 and Cx26 in TK-deficient osteosarcoma cell lines</title>
<p>Previous studies have shown that Tan IIA possessed not only anti-inflammatory (<xref rid="b15-or-34-03-1487" ref-type="bibr">15</xref>) and antioxidant properties (<xref rid="b29-or-34-03-1487" ref-type="bibr">29</xref>), but also anticancer activities through its influence on GJIC, in cell experiments and animal carcinogenesis models (<xref rid="b16-or-34-03-1487" ref-type="bibr">16</xref>,<xref rid="b17-or-34-03-1487" ref-type="bibr">17</xref>). To confirm the bystander effect of Tan IIA on cancer cells, we performed an MTT assay to assess the viability of a combination of cells expressing dNK-GFP or mito-dNK-GFP and untransduced cells at a ratio of 1:9. After BVDU treatment alone, there was a slight inhibition of viability, and there was no significant difference in the cells expressing <italic>Dm</italic>-dNK in the nuclei and in the cells expressing <italic>Dm</italic>-dNK in the mitochondria (<xref rid="f5-or-34-03-1487" ref-type="fig">Fig. 5</xref>). Tan IIA and BVDU treatment induced significantly greater inhibition of viability in mixed cells compared with BVDU treatment alone (p&lt;0.01). There was no significant difference between the cells expressing dNK-GFP and the cells expressing mito-dNK-GFP.</p>
<p>To further ascertain the effect of Tan IIA on GJIC in TK-deficient osteosarcoma cells, we examined the influence of Tan IIA on the expression of connexins Cx43 and Cx26. Cells were cultured and treated with Tan IIA at different concentrations (0, 5, 10 and 20 mM) for 72 h. The results of western blot analysis showed that the expression levels of Cx43 and Cx26 were significantly upregulated (p&lt;0.05; <xref rid="f6-or-34-03-1487" ref-type="fig">Fig. 6</xref>). Thus the exposure of TK-deficient osteosarcoma cells to Tan IIA upregulated the expression of the important gap junction proteins Cx43 and Cx26.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p><italic>Dm</italic>-dNK localizes to cell nuclei when expressed in human cell lines and this localization is mediated by a nuclear localization signal in the C-terminal region of the protein (<xref rid="b8-or-34-03-1487" ref-type="bibr">8</xref>). It is likely that the nuclear localization signal traps the protein in the nuclei and prevents it from importing to the mitochondria (<xref rid="b30-or-34-03-1487" ref-type="bibr">30</xref>). We used a mutant and fused the mitochondrial import signal to its N-terminus and GFP to the C-terminus (mito-dNK-GFP), and deleted 20 C-terminal amino acid residues that contained the nuclear localization signal. An osteosarcoma cell line stably expressing the mitochondrial <italic>Dm</italic>-dNK was generated and exhibited green fluorescence. Our data showed that <italic>Dm</italic>-dNK retained its activity when expressed in the mitochondria, and that the cell lines expressing the enzyme exhibited increased sensitivity to the tested nucleoside analogs. These results were the same as those obtained with a mutant of <italic>Dm</italic>-dNK generated by cloning a mitochondrial import signal before <italic>Dm</italic>-dNK into the pEGFP-N1 vector but with a mutation of the arginine residue to serine in position 247, to destroy the nuclear localization signal (<xref rid="b30-or-34-03-1487" ref-type="bibr">30</xref>).</p>
<p>Mitochondrial DNA is replicated independently of nuclear DNA and the dNTP precursor pool is also separated (<xref rid="b31-or-34-03-1487" ref-type="bibr">31</xref>,<xref rid="b32-or-34-03-1487" ref-type="bibr">32</xref>) due to the inner mitochondrial membrane between the mitochondrial matrix and the cytosol (<xref rid="b33-or-34-03-1487" ref-type="bibr">33</xref>). Studies suggest that the majority of deoxyribonucleotides in the mitochondrial matrix may be trapped and are incorporated into mitochondrial DNA directly (<xref rid="b32-or-34-03-1487" ref-type="bibr">32</xref>,<xref rid="b34-or-34-03-1487" ref-type="bibr">34</xref>). The enzymes involved in mitochondrial DNA replication differ from those catalyzing nuclear DNA replication, and several features of DNA replication in these two compartments are also different. Unlike the replication of nuclear DNA, mitochondrial DNA replication is independent of the cell cycle and lacks efficient repair mechanisms (<xref rid="b35-or-34-03-1487" ref-type="bibr">35</xref>,<xref rid="b36-or-34-03-1487" ref-type="bibr">36</xref>). These features may be beneficial when the enzymes/nucleoside analogs involved in mitochondrial DNA replication are used in suicide gene therapies.</p>
<p>We previously found that there are no differences in enzyme activity, cellular sensitivity to nucleoside analogs, and bystander cell killing whether the enzyme is expressed in the cytosol or in the nucleus (<xref rid="b10-or-34-03-1487" ref-type="bibr">10</xref>). In the present study, we showed that whether the <italic>Dm</italic>-dNK-GFP was expressed in the nuclei or in the mitochondria also did not affect cellular sensitivity to cytotoxic nucleoside analogs or the bystander effect. Our data also showed that the cellular sensitivity to cytotoxic nucleoside analogs and to bystander cell killing were not dependent on the subcellular localization of the enzyme. However, previous results have suggested that due to the compartmentalized dNTP pools, nucleoside analogs phosphorylated in the mitochondrial matrix do not induce bystander cell killing (<xref rid="b37-or-34-03-1487" ref-type="bibr">37</xref>). There are important differences between mitochondrial and nuclear DNA physiology. These include the non-S-phase restricted replication of mitochondrial DNA and the less efficient DNA repair systems in mitochondria compared with nuclear DNA replication (<xref rid="b35-or-34-03-1487" ref-type="bibr">35</xref>,<xref rid="b36-or-34-03-1487" ref-type="bibr">36</xref>). These differences suggest that nucleoside analogs targeting nuclear or mitochondrial DNA may exhibit different pharmacological profiles. The nucleoside analogs may accordingly, primarily affect mitochondrial DNA. Bystander cell killing is mediated by the intercellular transport of phosphorylated nucleoside analogs via gap junctions in the cell membrane, and gap junctions may also exist in the inner mitochondrial membrane. An alternative explanation for this, is that a small amount of phosphorylated nucleoside analogs are transported from the mitochondrial matrix to the cytosol and nucleus. Previous studies have suggested that nucleoside analogs phosphorylated within the mitochondrial matrix are trapped and fail to be exported to the cytosol or nucleus (<xref rid="b31-or-34-03-1487" ref-type="bibr">31</xref>,<xref rid="b34-or-34-03-1487" ref-type="bibr">34</xref>). Certain nucleosides and nucleoside analogs seem to be preferentially incorporated into both mitochondrial and nuclear DNA, and there is strong evidence supporting the communication between the mitochondrial and cytosolic/nuclear dNTP pools (<xref rid="b38-or-34-03-1487" ref-type="bibr">38</xref>). We cannot presently distinguish between these mechanisms based on the results obtained. To develop novel treatment strategies, the cell culture model system described herein will be used to further study the pharmacological effects of nucleoside analog phosphorylation in the mitochondria.</p>
<p>Previous studies have shown that Tan IIA has anticancer activities and can influence the bystander effect, which is mediated by gap junctional intercellular communication (GJIC) (<xref rid="b16-or-34-03-1487" ref-type="bibr">16</xref>,<xref rid="b17-or-34-03-1487" ref-type="bibr">17</xref>). We found that Tan IIA and BVDU significantly enhanced the bystander cell killing compared with BVDU treatment alone, and that there was no significant difference between cells expressing <italic>Dm</italic>-dNK in nuclei or in mitochondria. Tan IIA was found to increase the expression of Cx43 by inhibiting the elevated miR-1 expression in ischemic and hypoxic cardiomyocytes (<xref rid="b18-or-34-03-1487" ref-type="bibr">18</xref>,<xref rid="b19-or-34-03-1487" ref-type="bibr">19</xref>). We also found in this study that Tan IIA increased the expression of Cx43 and Cx26. The aberrant expression and downregulation of Cx43 and Cx26 may lead to the progression of various cancers (<xref rid="b39-or-34-03-1487" ref-type="bibr">39</xref>&#x02013;<xref rid="b41-or-34-03-1487" ref-type="bibr">41</xref>). The present results revealed the primary mechanism involved in the enhanced effect of Tan IIA on the bystander effect in cells expressing <italic>Dm</italic>-dNK in nuclei and mitochondria. Our study showed that a safe dosage of Tan IIA exhibited a strong cancer cell killing effect. However, further studies are needed to examine the substantial clinical benefit of Tan IIA for clinical practice in the future.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by grants from the Hi-Tech Research Development Program of China (863 Program, 2006AA02Z493) and the National Natural science Foundation of China (no. 81071900, 81172199 and 81272920).</p></ack>
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<floats-group>
<fig id="f1-or-34-03-1487" position="float">
<label>Figure 1</label>
<caption>
<p>Expression of <italic>Dm</italic>-dNK in the nuclei or mitochondria of osteosarcoma cells. (A) Retroviral vector construct harboring the wild-type nuclear <italic>Dm</italic>-dNK (dNK-GFP) or the mitochondrial-targeted mutant mito-dNK-GFP. (B) Fluorescence microscopy of osteosarcoma cells transduced with the retroviruses. The GFP fluorescent signal and DAPI nuclear counterstain showed that the wild-type dNK-GFP was located in the nuclei, and the GFP fluorescent signal and Mitotracker counterstain showed that the mutant mito-dNK-GFP was expressed in the mitochondria. COX8, cytochrome <italic>c</italic> oxidase subunit VIII mitochondrial targeting sequence; P<sub>CMV</sub>, cytomegalovirus promoter; LTR, long terminal repeats; Neo<sup>R</sup>, neomycin resistance gene; <italic>Dm</italic>-dNK, <italic>Drosophila melanogaster</italic> multi-substrate deoxyribonucleoside kinase.</p></caption>
<graphic xlink:href="OR-34-03-1487-g00.tif"/></fig>
<fig id="f2-or-34-03-1487" position="float">
<label>Figure 2</label>
<caption>
<p>Expression and activities of dNK-GFP/Mito-dNK-GFP in the transduced cells. (A) Western blot analysis of cell extracts and mitochondrial fractions with an anti-GFP antibody. (B) <italic>Dm</italic>-dNK activity, determined as dThd phosphorylation, in crude extracts of the untransduced and transduced osteosarcoma cells (<sup>&#x0002A;</sup>p&lt; 0. 01). <italic>Dm</italic>-dNK, <italic>Drosophila melanogaster</italic> multi-substrate deoxyribonucleoside kinase.</p></caption>
<graphic xlink:href="OR-34-03-1487-g01.tif"/></fig>
<fig id="f3-or-34-03-1487" position="float">
<label>Figure 3</label>
<caption>
<p>Sensitivities of untransduced osteosarcoma cells (&#x025A0;) and the cells expressing wild-type (wt) dNK-GFP (&#x025CF;) or mitochondrial mito-dNK-GFP (&#x025CB;) to BVDU and araT (&#x0002A;p&lt;0.01, &#x0002A;&#x0002A;p&lt;0.001). BVDU, (E)-5-(2-bromovinyl)-2&#x02032;-deoxyuridine; araT, 1-&#x003B2;-D-arabinofuranosylthymine.</p></caption>
<graphic xlink:href="OR-34-03-1487-g02.tif"/></fig>
<fig id="f4-or-34-03-1487" position="float">
<label>Figure 4</label>
<caption>
<p><italic>In vitro</italic> bystander cell killing of untransduced osteosarcoma cells mixed in different ratios with dNK-GFP (A) or mito-dNK&#x02013;GFP (B). The cells were incubated with 0.01, 0.1, 1, 10, or 100 <italic>&#x003BC;</italic>M BVDU. The cell survival (mean of five experiments &#x000B1; standard deviation) is expressed relative to cells incubated without BVDU. Dashed line indicates the calculated cell survival if only <italic>Dm</italic>-dNK-expressing cells have been killed and if no bystander effect has occurred. BVDU, (e)-5-(2-bromovinyl)-2&#x02032;-deoxyuridine.</p></caption>
<graphic xlink:href="OR-34-03-1487-g03.tif"/></fig>
<fig id="f5-or-34-03-1487" position="float">
<label>Figure 5</label>
<caption>
<p>Tan IIA in combination with BVDU causes greater growth inhibition of the cells expressing dNK-GFP or mito-dNK-GFP mixed at the ratio of 10% with untransduced cells. The mixture of cells was untreated or treated with Tan IIA (5, 10, 20 and 40 <italic>&#x003BC;</italic>M) for 24 h. Then they were cultured with BVDU (0.1 <italic>&#x003BC;</italic>M) for 48 h followed by MTT assay. <sup>&#x0002A;</sup>p&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01 compared with control or BVDU alone. Tan IIA, tanshinone IIA; BVDU, (E)-5-(2-bromovinyl)-2&#x02032;-deoxyuridine.</p></caption>
<graphic xlink:href="OR-34-03-1487-g04.tif"/></fig>
<fig id="f6-or-34-03-1487" position="float">
<label>Figure 6</label>
<caption>
<p>Tan IIA treatment of osteosarcoma cells results in the upregulation of Cx43 and Cx26 proteins. Cells were treated with Tan IIA (0, 5, 10 or 20 mM) for 72 h. (B) Densitometric quantitation of independent western blot experiments performed as in (A). Western blot results from Cx43 and Cx26 were scanned and quantitated using Image Quant 5.0 software. Values are mean arbitrary units &#x000B1; SE from three independent experiments (<sup>&#x0002A;</sup>p&lt;0.05). Tan IIA, tanshinone IIA.</p></caption>
<graphic xlink:href="OR-34-03-1487-g05.tif"/></fig></floats-group></article>
