Molecular targets for the protodynamic action of cis-urocanic acid in human bladder carcinoma cells
- Emilia Peuhu†1, 2,
- Aura Kaunisto†1, 2,
- Jarmo K Laihia3,
- Lasse Leino3Email author and
- John E Eriksson1, 2Email author
© Peuhu et al; licensee BioMed Central Ltd. 2010
Received: 9 April 2010
Accepted: 3 October 2010
Published: 3 October 2010
cis-urocanic acid (cis-UCA) is an endogenous amino acid metabolite capable of transporting protons from the mildly acidic extracellular medium into the cell cytosol. The resulting intracellular acidification suppresses many cellular activities. The current study was aimed at characterizing the molecular mechanisms underlying cis-UCA-mediated cytotoxicity in cultured cancer cells.
5367 bladder carcinoma cells were left untreated or treated with cis-UCA. Cell death was assessed by measuring caspase-3 activity, mitochondrial membrane polarization, formation and release of cytoplasmic histone-associated DNA fragments, and cellular permeabilization. Cell viability and metabolic activity were monitored by colorimetric assays. Nuclear labelling was used to quantify the effects of cis-UCA on cell cycle. The activity of the ERK and JNK signalling pathways was studied by immunoblotting with specific antibodies. Phosphatase activity in cis-UCA-treated cells was determined by assay kits measuring absorbance resulting from the dephosphorylation of an artificial substrate. All statistical analyses were performed using the two-way Student's t-test (p < 0.05).
Here we report that treatment of the 5637 human bladder carcinoma cells with 2% cis-UCA induces both apoptotic and necrotic cell death. In addition, metabolic activity of the 5637 cells is rapidly impaired, and the cells arrest in cell cycle in response to cis-UCA. Importantly, we show that cis-UCA promotes the ERK and JNK signalling pathways by efficiently inhibiting the activity of serine/threonine and tyrosine phosphatases.
Our studies elucidate how cis-UCA modulates several cellular processes, thereby inhibiting the proliferation and survival of bladder carcinoma cells. These anti-cancer effects make cis-UCA a potential candidate for the treatment of non-muscle invasive bladder carcinoma.
cis-urocanic acid [cis-UCA; 3-(1H-imidazol-4-yl)prop-2-enoic acid] is an endogenous metabolite of amino acid histidine found in the mammalian skin after exposure to ultraviolet radiation. cis-UCA is known to induce immunosuppression in animals [1, 2]. We have recently discovered that cis-UCA is capable of transporting protons from the mildly acidic extracellular medium into the cytosol of cancer cells, thereby inhibiting the proliferation of several human tumour cell lines [3, 4], and inducing apoptosis in vitro and in tumour xenografts in vivo . Intracellular acidification is known to affect cell proliferation [5, 6] and to promote apoptosis [7, 8]. This new mode of action of cis-UCA, which we have named as the protodynamic action, constitutes a novel concept of anticancer therapy. The transportation and release of protons into the cytosol is based on the unique second acid dissociation constant (pKa2) of cis-UCA , and it is inherently independent of enzymes and membrane receptors.
The use of cis-UCA as an anticancer agent against non-muscle-invasive bladder cancer has previously been evaluated in cultured moderately and poorly differentiated human transitional bladder cancer cells using a short term (up to 2 h) pulse treatment model in vitro, which mimics the clinical intravesical chemotherapy regimen . In the current study, we aimed at characterizing the molecular mechanisms underlying cis-UCA-mediated cytotoxicity to cultured cancer cells. Here we show that cis-UCA extends a wide range of effects on bladder carcinoma cells. Treatment of 5637 bladder carcinoma cells with 2% cis-UCA induced a combination of apoptotic and necrotic cell death. In addition, metabolic activity of the 5637 cells was rapidly impaired, and cell cycle arrest was induced at 1-3% cis-UCA. Importantly, we were able to show that cis-UCA promotes the ERK and JNK signalling pathways. Rather than due to increased kinase activation, the observed effect seemed to be caused by a decrease in both tyrosine and serine/threonine phosphatase activities that act as critical regulators of the ERK and JNK signalling pathways. Within the scope of the protodynamic therapy concept, our study suggests a novel mechanism for cis-UCA-induced inhibition of cancer cell survival, based upon compromised signalling and metabolic functions and cell cycle arrest leading to apoptotic and necrotic cell death. Our observations give incentive to further studies addressing the efficacy of cis-UCA in intravesical treatment of bladder carcinoma.
Cell culture and treatments
5637 bladder carcinoma cell were cultured as monolayers in logarithmic growth phase in Dulbecco's Modified Eagle medium (Invitrogen, Paisley, UK) supplemented with 10% fetal bovine serum (Invitrogen) and penicillin-streptomycin (Sigma-Aldrich, St. Louis, MO, USA) in a humidified incubator at 37°C and 5% CO2. The medium was adjusted to pH 6.5 or 7.4 with NaOH after the addition of cis-UCA (BioCis Pharma, Turku, Finland)  or PIPES (Sigma-Aldrich) as osmotic control. For inhibition of the JNK and ERK kinase pathways, the cells were incubated with the JNK inhibitor SP600125 (10 μM; Sigma-Aldrich) or the MAPKK inhibitor PD98059 (40 μM; Sigma-Aldrich) for 40 min before cis-UCA treatment. In the protein phosphatase activity measurements, calyculin A (Calbiochem/Merck, Darmstadt, Germany) was used at 20 nM and sodium orthovanadate (New England Biolabs) at 1 mM for 2 h during the cis-UCA pulse to inhibit phosphatases.
Measurement of intracellular pH
Two million cells were incubated in 1 ml of Hank's balanced salt solution (HBSS; Sigma-Aldrich), pH 7.4, containing 0.35 μM 2',7'-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein (BCECF, acetoxymethyl ester; Molecular Probes) at room temperature for 30 min, washed twice in HBSS, and resuspended in 0.5 ml of physiological saline. Various concentrations of cis-UCA were added to HBSS buffer, the solutions were adjusted to pH 6.5 or 7.4 and 300 μl of each solution was mixed with 15 μl of the BCECF-labelled cell suspension. The cells were analysed by flow cytometry (FACScan, BD Pharmingen) within 1 h. Fluorescence intensities were calibrated by analysing BCECF-labelled cells in 50 mM potassium phosphate buffers, pH 6.2-7.8, containing 43 mM KCl and 10 μM nigericin (Molecular Probes).
Detection of cell death
After the 2-h cis-UCA pulse in indicated concentrations and a subsequent recovery time of 20 h without cis-UCA, both the floating and attached cells were collected by trypsinization. Caspase-3 activation was detected according to manufacturer's protocol (BD Pharmingen). Briefly, the cells were washed, fixed, permeabilized and labelled with phycoerythrin-conjugated anti-active caspase-3 antibody. After labelling, the cells were washed and analysed by flow cytometry (FacsCalibur, BD Pharmingen). Mitochondrial membrane potential was measured by sequestering of tetramethyl rhodamine methyl ester (TMRM) to cells. The cells were incubated in 50 nM TMRM (Invitrogen) in PBS for 15 min at 37°C, washed and analysed by flow cytometry. The TMRM-negative population was gated as cells with lost mitochondrial membrane potential. Formation of cytoplasmic and released histone-associated DNA fragments was assayed in triplicate cell lysates and cell culture supernatants, respectively, with a photometric enzyme immunoassay (Cell Death Detection ELISAPLUS, Roche, Mannheim, Germany) according to the manufacturer's instructions. Background absorbance of the reaction buffers at the corresponding pH without cells and the absorbance values of each well at a non-specific reference wavelength were subtracted. For detection of necrotic cell death, the cells were placed on ice and incubated with 50 μg/ml propidium iodide (PI; Sigma-Aldrich) in PBS for 10 min. The samples were analysed directly by flow cytometry for PI labelling indicative of cellular permeabilization. Nuclear morphology of the cells was investigated by labelling with DAPI. The cells were fixed with 3% paraformaldehyde for 15 min at room temperature and resuspended in PBS. Cytospin preparates were made and the samples were mounted with DAPI Vectashield (Vector Laboratories). The samples were analysed with Zeiss LSM confocal microscope (405 nm excitation, 420 nm long-pass emission filtering, 40× oil immersion objective).
Detection of cell survival and metabolic activity
The survival of cells was quantified as the number of viable cells by using a colorimetric method (CellTiter 96 AQueous One Solution Cell Proliferation Assay; Promega) that quantifies the formation of a formazan product from 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) in live cells. The absorbance at 490 nm was read in flat-bottom 96-well plates at 4 h after the addition of the assay reagent. Background absorbance (medium without cells) was subtracted from the measurements.
For measurement of metabolic activity, the MTS assay was done in triplicate samples on 24-well plates. After a 2-h cis-UCA pulse at pH 6.5, the cell medium was changed and the assay reagent was added. The absorbance was measured hourly at 490 nm up to 4 h of incubation at 37°C. Background absorbance (medium without cells) was subtracted from the measurements.
Cell cycle analysis
For cell cycle analysis, the cells were synchronized by serum starvation for 48 h, treated with cis-UCA for 2 h and let to recover for the next 24 h. After collection, the cells were disrupted and the nuclei labelled for DNA content with PI by resuspension to sodium citrate buffer (40 mM Na-citrate, 0.3% Triton X-100, 50 μg/ml PI). After incubation at room temperature for 10 min, the samples were immediately analysed by flow cytometry.
Whole-cell lysates were prepared by lysing the cells in Laemmli sample buffer and boiling for 10 minutes after which proteins were separated by SDS-PAGE. Western blotting was performed using antibodies against p44/42 ERK1/2, phosphorylated Thr202/Tyr204 ERK1/2, p46/54 JNK1/2, phosphorylated Thr183/Tyr185 JNK1/2 (all from Cell Signaling Technologies), and actin (Sigma-Aldrich). Secondary antibodies were purchased from Promega.
Measurement of phosphatase activity
Analysis of serine/threonine phosphatase 2A and tyrosine phosphatase activity was conducted with assay kits (product no. V2460 and V2471, respectively; Promega) according to manufacturer's protocol. In this assay, cell lysate is added on artificial phosphorylated substrates, and the generation of free phosphate is determined by measuring the absorbance of a complex formed by phosphate, molybdate, and malachite green [10–12].
The statistical significance of differences in the data was calculated with a two-way Student's t-test, with p < 0.05 considered to indicate significant differences.
cis-UCA induces intracellular acidification in 5637 bladder carcinoma cells
cis-UCA induces both apoptotic and necrotic cell death in 5637 bladder carcinoma cells
To further analyse the biochemical events that take place after 2% cis-UCA treatment, the nuclei were labelled with DAPI and imaged by confocal microscopy (Additional file 1: Figure S1). The results showed that a large fraction of the cis-UCA-exposed 5637 cells displayed nuclei with characteristic apoptotic features, including nuclear condensation and fragmentation. To investigate caspase signalling upstream of caspase-3, the activation-induced cleavage of caspase-8 was monitored by Western blotting. Interestingly, we were unable to detect caspase-8 cleavage, indicating that caspase-8 is not activated in response to cis-UCA (data not shown). This suggests that the extrinsic apoptotic pathway is probably not involved in cis-UCA-induced cell death. A modest cleavage of poly(ADP-ribose) polymerase-1 (PARP1) after treatment with 2% cis-UCA was detected (data not shown), suggesting that in our experimental setup, the cleavage of PARP1 is more likely to indicate general cellular stress than progression of classical apoptotic cell death.
5637 bladder carcinoma cells enter cell cycle arrest in response to cis-UCA
cis-UCA reduces metabolic activity and promotes ERK and JNK signalling in 5637 bladder carcinoma cells
It is well known that the small-molecule inhibitors SP600125 and PD98059 are able to prevent the activity of JNK and ERK, respectively. To investigate if we could counteract the effect of cis-UCA on cell viability by inhibiting JNK and ERK1/2, the 5637 cells were incubated with cis-UCA in the presence of SP600125 and PD98059, after which cellular viability was measured by MTS assay. Surprisingly, the inhibitors were unable to prevent cis-UCA-mediated loss of cellular viability (Figure 4C). The inhibitors alone were non-toxic to the cells (Figure 4C and data not shown). Moreover, SP600125 and PD98059 did not affect the cis-UCA-mediated increase in phosphorylation of ERK and JNK (data not shown). Together, these data indicate that cis-UCA is not capable of directly activating these signalling pathways.
cis-UCA inhibits cellular phosphatase activity in 5637 bladder carcinoma cells
In the present study, we aimed at characterizing the cell signalling processes that contribute to the previously reported cytotoxic effects of cis-UCA in cultured bladder cancer cells . The 2-h pulse treatment model in the moderately differentiated human transitional bladder cancer cells was chosen to mimic conventional clinical intravesical instillation chemotherapy treatment of patients with non-muscle-invasive bladder cancer. We found that the protodynamic use of cis-UCA initiates intracellular acidification in bladder carcinoma cells, followed by modulation of several key processes including cell cycle, metabolic activity, and cell death. A 2-h pulse with 2% cis-UCA approximately triples the amount of apoptosis of the control level, but also promotes non-apoptotic cell death. The continuum between cell death responses can be both a consequence of secondary necrosis due lost selective membrane permeability in apoptotic cells (upon prolonged incubation), as well as the triggering of unspecific cell death within the cell population. When we analysed caspase activity and other markers of apoptosis, we found that cis-UCA induces the activation of caspase-3, causes mitochondrial depolarization and formation of cytoplasmic DNA-histone complexes, while caspase-8 activation is not affected. In addition, 2-3% cis-UCA treatment results in PARP1 cleavage. These data suggest that cis-UCA-mediated apoptosis occurs via the intrinsic apoptotic pathway, concurring with the idea of the mitochondrial pathway as the major mediator of stress-induced apoptosis.
Importantly, cis-UCA not only caused cell death, but also had cytostatic effects. We found that 2-3% cis-UCA severely impaired the metabolic activity of the 5637 bladder carcinoma cells. This effect could be detected already 1 h after the cis-UCA pulse, and the relative difference compared to the untreated cells grew over time. The induction of both apoptotic and partly necrotic responses in the bladder carcinoma cells reflect the effects of cis-UCA treatment on cellular metabolism, as mitochondrial functions play a central role in triggering of both apoptotic and necrotic cell death. Moreover, cell cycle progression was disturbed by cis-UCA, but it did not seem to be mediated by p53-dependent mechanisms, as we found that the compound had no effect on the cyclin-dependent kinase inhibitors p27 and p21, both of which are important mediators of p53-dependent cell cycle arrest. However, as the untreated 5637 bladder carcinoma cells expressed high levels of the p27 and p21 in the absence of cell cycle arrest, these inhibitory pathways may be impaired in this cancer cell type.
In addition to clarifying which cellular processes are targeted by cis-UCA, we were also interested in analysing the signalling pathways contributing to these effects. We discovered that the 5637 bladder carcinoma cells show very low endogenous activities of ERK, JNK, and Akt. Interestingly, cis-UCA remarkably increased the activity of both ERK and JNK, whereas the levels of phosphorylated Akt remained unchanged. This suggests that ERK and JNK pathways may mediate some of the cytotoxic effects of cis-UCA. However, inhibitors of the ERK and JNK pathways failed to block the effect of cis-UCA on cell viability. This indicated that cis-UCA might not promote ERK and JNK by activating their upstream regulators, but indirectly by inhibiting the phosphatases that inactivate these kinases. Remarkably, our measurements showed that the activity of protein tyrosine phosphatases and type 2A serine/threonine phosphatases was significantly decreased by 1-2% cis-UCA. Therefore, inhibition of phosphatase activity represents a novel mechanism for cis-UCA-mediated, intracellular acidification-dependent cytotoxic effects.
The idea of using a phosphatase-inhibiting agent as a means to kill cancer cells is relatively uncommon, as synthetic phosphatase inhibitors are known for their high, unspecific toxicity and tumour-promoting potential . Nevertheless, natural products such as the protein phosphatase 2A inhibitor cantharidin have been shown to display anti-tumour effects . Mutations of the H-Ras proto-oncogene increase phosphatase 2A activity and sensitize cancer cells to okadaic acid-induced apoptosis , the effects of cis-UCA might not be linked to these mutations, as the H-Ras mutation seems to be rather rare in bladder cancer . However, transitional cell carcinoma of human urinary bladder has been reported to harbour H-Ras mutations , leaving the potential role of H-Ras in this context open.
In this study, we have characterized the molecular mechanisms underlying the anticancer effects of cis-UCA. In addition to causing apoptotic and necrotic cell death, cis-UCA also interferes with the metabolic activity and cell cycle progression of cancer cells. It is evident that the protodynamic action of cis-UCA has no selectivity against tumour cells versus normal cells. Instead, the potential of cis-UCA as an anticancer drug is based on the fact that solid tumour cells typically form a transmembrane pH gradient by acidifying the extracellular microenvironment, usually to around pH 6.7, while maintaining normal, slightly alkaline intracellular pH . In these conditions, the tumour can be killed by intracellular acidification-induced injury caused by a protodynamic agent transporting hydrogen ions into the cytosol in a pH-sensitive manner. In the normal tissues, including the blood, the cytotoxicity of cis-UCA would be "neutralized", because no hydrogen ion transportation would occur in the absence of the transmembrane pH gradient.
Extensive preclinical evidence has confirmed that cis-UCA is neither mutagenic nor locally irritating. A single intravesical dose of up to high concentrations of 6% (60 mg/ml; 19) and 12% (120 mg/ml; Laihia et al. unpublished) cis-UCA instilled in the rat urinary bladder for 1 or 2 h, respectively, is well tolerated with no signs of clinical abnormality or macroscopic bladder damage. In addition, there is no apparent local or systemic toxicity in dogs treated with 2-12% cis-UCA intravesically twice a week for 1 h per instillation for 4 weeks (Laihia et al. unpublished). In light of the insignificant toxicity of cis-UCA, our cellular data, demonstrating marked cytotoxicity in bladder carcinoma cells, suggest that protodynamic therapy with cis-UCA could be a feasible intravesical treatment for bladder cancer. To conclude, our results elucidate how cis-UCA modulates numerous key cellular processes, thereby compromising the viability of bladder carcinoma cells. The detailed mechanisms behind phosphatase inactivation and mitochondrial permeabilization by cis-UCA treatment will be topics of our future studies.
In conclusion, our study describes the cytotoxic and cytostatic effects of cis-UCA in bladder carcinoma cells, and elucidates the underlying molecular mechanisms. The protodynamic action of cis-UCA leads to decreased intracellular pH, impaired metabolic activity and increased in cell death. Importantly, cis-UCA inhibits the activity of serine/threonine and tyrosine phosphatases, thereby indirectly promoting ERK and JNK activity. In the future, the protodynamic action of cis-UCA could be utilized in intravesical therapy to compromise the viability of bladder carcinoma cells.
extracellular signal-regulated kinase
c-Jun N-terminal kinase
mitogen-activated protein kinase
Ms. Katarina Himberg is thanked for valuable technical assistance.
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