- Research article
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GABAB receptor regulates proliferation in the high-grade chondrosarcoma cell line OUMS-27 via apoptotic pathways
BMC Cancer volume 18, Article number: 263 (2018)
High-grade chondrosarcoma, which has a high incidence of local recurrence and pulmonary metastasis despite surgical resection, is associated with poor prognosis. Therefore, new and effective adjuvant therapies are urgently required for this disease. Gamma-aminobutyric acid (GABA), which acts as a neurotrophic factor during nervous system development, is related to the proliferation and migration of certain cancer cells. The GABAergic system, which is composed of GABA, the GABA-synthesizing enzyme glutamic acid decarboxylase (GAD), and GABA receptors, has an important function in nerve growth and development of neural crest. Therefore, the GABAergic system may play important functional roles in the proliferation of chondrosarcoma cells, which are derived from neural crest cells. We examined the anti-tumor effects of the GABAergic system on a chondrosarcoma cell line.
We evaluated the underlying mechanisms of the anti-tumor effects of the GABAergic system, such as the involvement of different signaling pathways, apoptosis, and cell cycle arrest, in the high-grade chondrosarcoma cell line OUMS-27. In addition, we performed whole-cell patch-clamp recordings for Ca2+ currents and evaluated the changes in intracellular Ca2+ concentration via Ca2+ channels, which are related to the GABAB receptor in high-grade chondrosarcoma cells.
The GABAB receptor antagonist CGP had anti-tumor effects on high-grade chondrosarcoma cells in a dose-dependent manner. The activities of caspase 3 and caspase 9 were significantly elevated in CGP-treated cells compared to in untreated cells. The activity of caspase 8 did not differ significantly between untreated cells and CGP-treated cells. However, caspase 8 tended to be up-regulated in CGP-treated cells. The GABAB receptor antagonist exhibited anti-tumor effects at the G1/S cell cycle checkpoint and induced apoptosis via dual inhibition of the PI3/Akt/mTOR and MAPK signaling pathways. Furthermore, the changes in intracellular Ca2+ via GABAB receptor-related Ca2+ channels inhibited the proliferation of high-grade chondrosarcoma cells by inducing and modulating apoptotic pathways.
The GABAB receptor antagonist may improve the prognosis of high-grade chondrosarcoma by exerting anti-tumor effects via different signaling pathways, apoptosis, cell cycle arrest, and Ca2+ channels in high-grade chondrosarcoma cells.
Chondrosarcoma can be defined as a malignant chondrogenic tumor characterized by the formation of cartilaginous neoplastic tissue and accounts for 20% of all malignant bone tumors . The prognoses are strongly correlated with histologic grading. Generally, chondrosarcoma is considered as relatively resistant to conventional chemotherapy and radiation therapy, and adequate surgical resection is effective for low-grade chondrosarcoma. In contrast, high-grade chondrosarcoma is associated with poor prognosis because it has a high incidence of local recurrence and metastasis to the lung, despite surgical resection. Recently, gene therapy with a Bcl inhibitor  and tyrosine kinase inhibitor  and knockdown of genes encoding metalloproteinases or regulators of histone acetylation/deacetylation  were performed in chondrosarcoma. Further, prognostic improvement in high-grade chondrosarcoma is expected when using a combination of these anti-tumor immunotherapeutic approaches and surgical treatment. GABA, the principal inhibitory neurotransmitter in the central nervous system, acts as a neurotrophic factor during embryonic development of the nervous system [5,6,7]. For example, GABA plays important roles in proliferation, migration, and differentiation during nervous system development [8,9,10,11]. Previous studies showed that embryonic neural cells and neural crest cells produce GABA and the GABA-synthesizing enzyme GAD during embryonic development [12,13,14]. GABA and GABA receptors have also been detected in numerous peripheral non-neuronal tissues, including cartilaginous tissue. Rat growth plate chondrocytes express GABA receptors, and activation of GABA receptors promotes the proliferation of mouse chondrogenic ATDC5 cells [10, 15]. The physiological effects of GABA are exerted via GABA receptors . There are three types of GABA receptors: ionotropic GABAA, and GABAC receptors and metabotropic G protein-coupled GABAB receptors [16, 17].
Chondrosarcoma has embryonic origin from neural crest cells outside the mesoderm [18, 19]. Expression of the GABAergic system, composed of GABA, GAD, and GABA receptors, was observed in certain cancers such as human colon cancer, breast cancer, gastric cancer, and prostate cancer, among others . These reports indicated a relationship between the GABAergic system and oncogenesis in cancer cell proliferation. GABA is an important nerve growth factor required for the development of neural crest cells and may also affect chondrosarcoma proliferation. Therefore, we examined the anti-tumor effects of the GABAergic system in a chondrosarcoma cell line. Further, we evaluated the involvement of various mechanisms of anti-proliferation, such as signaling pathways, apoptosis, and cell cycle arrest, in a chondrosarcoma cell line. Elucidation of the relationship between the GABAergic system and high-grade chondrosarcomas can aid in the development of new therapies for high-grade chondrosarcoma.
The human high-grade chondrosarcoma cell line OUMS-27 , characterized by short tandem repeat analysis (access code; CVCL_3090), was obtained from Okayama University.
Cells were grown in supplemented Dulbecco’s modified Eagle medium with 10% (v/v) heat inactivated fetal bovine serum and 1% antibiotic-antimycotic (100×, Thermo Fisher Scientific, Waltham, MA, USA) under an atmosphere of 95% air and 5% CO2 at 37 °C. Cells were confirmed to be free of mycoplasma infection using an e-Myco Mycoplasma PCR Detection Kit (iNtRON Biotechnology, Gyeonggi-do, Korea).
Immunohistochemical and fluorescence analyses
OUMS-27 cells were harvested by low speed centrifugation at 800 rpm and washed twice in phosphate-buffered saline (PBS) without trypsin. The harvested cells were fixed with 50 mL 4% (w/v) paraformaldehyde and 0.05% glutaraldehyde in 0.1 M phosphate buffer (PB, pH 7.4). Following brief rinsing with PBS, the cells were blocked with 3% bovine serum albumin/PBS. Immunohistochemistry was performed for the GABAA receptor and its subunits, GAD, and GABA using a goat polyclonal antibody directed against the GABAA receptor subunits α2, α3, β1, and γ3 and GABAB receptor R1 subunit (diluted 250×; Santa Cruz Biotechnology, Inc., Dallas, TX, USA), rabbit polyclonal antibodies directed against GAD65 (diluted 1000×; Chemicon International, Temecula, CA, USA) and GABA (diluted 250×; Chemicon International), mouse monoclonal antibody directed against GAD67 (diluted 1000×; Chemicon International), and guinea pig polyclonal antibody directed against the GABAB receptor R2 subunit (diluted 1500×; Chemicon International). The specificity of these antibodies has been reported previously [22,23,24]. Briefly, sections pre-washed with PBS were incubated with normal donkey or goat serum (diluted 50×) for 30 min at room temperature (RT), followed by overnight incubation with each primary antibody at 4 °C. The sections were rinsed with PBS and incubated with Alexa Fluor™ 488 donkey anti-goat IgG secondary antibody (diluted 300×; Molecular Probes, Eugene, OR, USA) for the GABAA receptor subunits and GABAB receptor R1 subunit, Alexa Fluor™ 488 goat anti-rabbit IgG (diluted 300×; Molecular Probes) for GABA and GAD65, Alexa Fluor™ 488 goat anti-mouse IgG (diluted 300×; Molecular Probes) for GAD67, and Alexa FluorR 546 goat anti-guinea pig IgG (diluted 300×; Molecular Probes) for the GABAB receptor R2 subunit for 60 min at RT in the dark. Subsequently, the sections were rinsed with PBS. The sections, except those used for double-staining, were treated with 100 μg/mL RNase A in PBS for 1 h at 37°C and counterstained with 10 μg/mL of propidium iodide (PI, Molecular Probes) diluted in phosphoric and citric acid buffer for 3 min at RT. After several rinses with PBS, immunoreactivity was examined using a confocal laser microscope (LSM510, Zeiss Co., Ltd., Oberkochen, Germany) equipped with a 488-nm argon laser. Sections incubated with non-immune sera from the same species as the primary antibody served as negative controls.
RNA isolation and reverse transcription-polymerase chain reaction (RT-PCR) of chondrosarcoma cells
OUMS-27 cells were harvested by low speed centrifugation at 800 rpm and washed three times in PBS without enzyme. Total RNA was extracted from the harvested cells using the RNeasy mini kit (Qiagen GmbH, Hilden, Germany). cDNA was synthesized using Omniscript reverse transcriptase (Qiagen GmbH) according to the manufacturer’s instructions. The reverse transcription reaction mixture contained 1 μM oligo-d (T)12–18 primer, 10 U RNase inhibitor, 0.5 mM of each dNTP, and 4 U Omniscript reverse transcriptase. PCR was performed in a GeneAmp PCR System 9700 thermal cycler (Applied Biosystems, Foster, CA, USA). The PCR reaction mixture (25 μL) contained 1× GoTaq Green Master Mix reaction buffer (pH 8.5), 400 μM dNTPs, 3 mM magnesium chloride, (Promega, Madison, WI, USA), 2 μL cDNA solution, and 0.2 μM of each primer. The primer sequences used for GAD65, GAD67, the GABAA α1–6, β1–3, γ1–3, δ, π, θ, and ε subunits, and GABAB R1a, R1a/b, and R2 are shown in Table 1. The PCR products were separated on 1.5% agarose gels, followed by staining with 0.1% ethidium bromide solution for 10 min and illuminated using an ultraviolet transilluminator.
Cell viability assays
OUMS-27 cells were plated at a concentration of 1 × 104 cells/well on 96-well plates one day before each drug treatment. They were subsequently incubated for 48 h in culture medium containing one of the following GABA receptor ligands: 100 μM GABA and GABAA receptor agonist, 50 μM Muscimol(MUS) GABAB receptor agonists, 100 μM R-(+)-Baclofen(BFN)or 10 μM SKF 97541 [3-aminopropyl (methyl) phosphine acid] (SKF), 100 μM GABA+ GABAA receptor antagonist, 100 μM (−)-bicuculline methochloride(BMC)or GABAB receptor antagonist, 1 μM CGP54626(CGP). After seeding the cells, 5-bromo-2′- deoxyuridine (BrdU) was added to a final concentration of 1 μM in each sample and incubated for 2 h. Thereafter, DNA synthesis was assayed by cell proliferation enzyme-linked immunosorbent assay (ELISA) and BrdU (Roche Molecular Biochemicals, Basel, Switzerland) was estimated by colorimetric detection according to the manufacturer’s instructions. Colorimetric analysis was performed using an ELISA plate reader (VersaMax, Molecular Devices, Sunnyvale, CA, USA).
Flow cytometric analysis of apoptosis
First, 1 × 106 OUMS-27 cells, both adherent and suspended, harvested after 24 h treatment with various concentrations of CGP or dimethyl sulfoxide (DMSO) (10, 100, 250, 500 μM CGP), were fixed in 1% (w/v) paraformaldehyde in PBS (pH 7.4). The APO-DIRECT™ apoptosis detection kit (BD Biosciences, San Jose, CA, USA) was used according to the manufacturer’s protocol. The APO-DIRECT™ assay is a single-step method for labeling DNA breaks with FITC-dUTP. Cells isolated from each step were incubated at − 20 °C in 70% (v/v) ethanol for 30 min. Apoptotic cells were analyzed by FACScan flow cytometry and BD Diva Software Version 4.1 (BD Biosciences).
OUMS-27 cells were plated at concentration of 1 × 104 cells/well on a 96-well plate one day before CGP treatment. Cell viability was measured after treatment with 10 μM CGP or DMSO for 24 h using the Cell Titer-Blue cell viability assay (Promega). The activities of caspase-3, caspase-8, and caspase-9 were measured using the Caspase-Glo™ Assay luminescence kit (Promega). The fluorescent intensities for the cell viability assay and luminescent intensities for caspase activity were measured using the GloMax-Multi detection system (Promega). The activity of each caspase was adjusted to account for the corresponding cell viability data as described previously .
Flow cytometric analysis of cell cycle
OUMS-27 cells were grown in each well with various concentrations of CGP or DMSO for 24 h. Harvested cells were fixed in cold 70% (v/v) ethanol. CycleTEST™ PLUS DNA reagent kit (BD Biosciences) was used according to the manufacturer’s protocol. The cell cycle distribution in all sample cells was measured by flow cytometry (EPICS Elite ESP; Beckman Coulter Co., Brea, CA, USA) and the percentage of cells in each phase of the cell cycle was analyzed using a Multi Cycle for Windows Version 3.0 (PHOENIX, San Diego, CA, USA).
Western blot analysis
After treatment with 10 μM CGP or control for 24 h, OUMS-27 cells were harvested and proteins were extracted. The cells were homogenized in 1 mM Tris-HCl (pH 7.5) containing 150 mM sodium chloride, 5 mM EDTA, 1% (w/v) sodium dodecyl sulfate (SDS), 1 mM phenylmethane sulfonyl fluoride, 1% (w/v) sodium deoxycholate, and 0.5% (w/v) protease inhibitor cocktail (Sigma Aldrich, St. Louis, MO, USA). After centrifugation, the protein concentration in the cell supernatants was determined using the Qubita protein assay kit (Molecular Probe) and a Qubita.2.0 fluorometer. Aliquots containing 2.5 or 5 μg protein were then boiled in loading buffer containing 50 mM Tris (pH 6.8), 6% 2-mercaptoethanol, 2% SDS, 10% glycerol, and 0.004% bromophenol blue. Each aliquot was loaded onto an 8% polyacrylamide gel. After electrophoresis, the gels were transferred to polyvinylidene fluoride membranes (Bio-Rad Laboratories, Hercules, CA, USA). The membranes were incubated with 1% bovine serum albumin in TBS containing 0.1% Tween-20 overnight to block non-specific binding, followed by incubation with GAD65, GAD67, total Akt, phospho-Akt-Ser473, phospho-Akt-Thr308, ERK 1/2, phospho-ERK1/2, JNK, phospho-JNK, p38 (diluted 1000×, Cell Signaling Technology, Danvers, MA, USA), phospho-p38 (diluted 2500×, BD Biosciences) or anti-GAPDH antibodies (diluted 3200×, MAb 6C5, HyTest, Turku, Finland). After rinsing the membranes, horseradish peroxidase (HRP)-linked anti-rabbit IgG and HRP-linked anti-mouse IgG (Cell Signaling) secondary antibodies were applied and the chemiluminescent reaction was performed using ECL Plus western blotting detection reagents (GE Healthcare, Little Chalfont, UK). Protein expression was detected using the LAS-3000 Lumio image analyzer (Fuji Photo Film, Tokyo, Japan). Signal intensities were further analyzed using Multi Gauge software (version 3.0; Fuji Photo Film).
Comprehensive cell cycle mRNA expression analysis by real-time PCR
OUMS-27 cells were treated with 10 μM CGP or DMSO for 24 h. Total RNA was extracted from each cell using the RNeasy mini kit (QIAGEN, Hilden, Germany), and cDNA was synthesized using QuantiTect reverse transcription kit (QIAGEN). Primers in the Human PrimerArray Cell Cycle series (Takara Bio, Inc., Shiga, Japan) were used to amplify loci involved in cell cycle regulation. Real-time PCR was performed with the Thermal Cycler Dice Real Time system (Takara Bio, Inc.) according to the manufacturer’s instructions. Data were normalized to the expression of glyceraldehyde-3- phosphate dehydrogenase and expressed as the mean ± standard deviation (SD).
Ca2+ channel current recording
Whole-cell patch-clamp recordings for Ca2+ currents in OUMS-27 cells treated with 100 μM GABA and 1 μM CGP were conducted as previously described [26,27,28]. Patch pipettes were pulled from borosilicate glass capillary tubes (GC120F15, Clark Electromedical Instruments, Pangbourne, UK) using a vertical electrode puller (PP-83, Narishige Scientific Instrument Laboratories, Tokyo, Japan), which exhibited resistance between 4 and 6 MΩ. The filling solution of the patch-pipettes contained 80 mM cesium chloride, 65 mM cesium-methane sulfate, 2 mM EGTA, 10 mM HEPES, 4 mM ATP-Mg, and 0.2 mM GTP-Tris (pH 7.3). The bath solution for recording consisted of 135 mM tetraethylammonium chloride, 10 mM barium chloride, 10 mM HEPES, 10 mM D-glucose, and 20 mM sucrose (pH 7.3 adjusted with 1 N hydrochloric acid). Ca2+ channel currents were routinely evoked with a 100 ms voltage step from − 60 to 0 mV in increments of 10 mV. GABA-induced Ca2+ channel currents were measured using a patch-clamp amplifier (EPC-9, HEKA Elektronik, Lambrecht, Germany) which was controlled by a Macintosh computer (Power Macintosh G3, Apple Computer, Cupertino, CA, USA) and control software (Pulse + PulseFit, HEKA Elektronik, Lambrecht/Pfatz, Germany).
Measurement of Ca2+ concentration in chondrosarcoma cells
The intracellular Ca2+ concentration, [Ca2+]I, in drug-treated OUMS-27 cells, was measured by Fura-2 AM, a calcium-sensitive dye (Dojindo, Kumamoto, Japan). Briefly, OUMS-27 cells were loaded with 5 μM Fura-2 AM in loading buffer containing 0.01% pluronic F-127 (Dojindo) for 30 min at 37 °C. After washing Fura-2 AM out of the loading buffer, the relative transient calcium concentration (OD340nm/OD380nm excitation ratio) was recorded before and after the addition of 10 mM GABA (Sigma-Aldrich) in a perfusion chamber using the AQUACOSMOS/RATIO, C7773 (Hamamatsu photonics, Hamamatsu, Japan). Recording was continued after washing the 10 mM GABA out of the buffer. [Ca2+]I after pretreatment with 1 μM CGP and application of 10 mM GABA was recorded using a similar method.
The results are shown as the mean ± standard deviation (SD) and P values less than 0.05*, 0.01**, or 0.001*** were considered statistically significant using Student’s t-tests. Each experiment was performed at least three times under identical conditions.
Expression of the GABAergic system in high-grade chondrosarcoma cells
We detected specific mRNA expression of GAD65, but not GAD67, in OUMS-27 cells. The mRNA expression of GABAA receptor subunits α1, α2, α3, α5, β1, β3, γ1–3, δ, θ, and ε and the GABAB receptor subunits R1 and R2, were also detected (Fig. 1a). In addition, immunohistochemistry revealed that GABA, GAD65, α2, α3, β1, and γ3 subunits of the GABAA receptor, and the R1 and R2 subunits of the GABAB receptor were expressed in the OUMS-27 cells (Fig. 1b).
Incorporation of BrdU by chondrosarcoma cells treated with agonists and antagonists of GABA receptors
BrdU incorporation into OUMS-27 cells treated with 100 μM GABA, the GABAA receptor agonist, 50 μM MUS and the GABAB receptor agonists, 100 μM BFN and 10 μM SKF were significantly increased. However, the proliferation of the OUMS-27 cells treated with 100 μM GABA was significantly inhibited by the GABAA receptor antagonist, 100 μM BMC and the GABAB receptor antagonist, 1 μM CGP (Fig. 1c).
Flow cytometric analysis quantitatively assessed apoptosis in CGP-treated chondrosarcoma cells
We performed flow cytometric analysis to quantitatively assess apoptosis in the OUMS-27 cells treated with CGP. The percentage of apoptotic (TUNEL- positive) cells significantly increased in response to CGP treatment in a dose-dependent manner (Fig. 2a).
Activities of caspase 3, caspase 8, and caspase 9 in CGP-treated chondrosarcoma cells
To clarify the mechanism by which apoptosis was induced by CGP, we examined the activities of caspase 3, caspase 8, and caspase 9 in CGP-treated OUMS-27 cells using a cell viability assay and caspase luminescent assay. The activities of caspase 3 and caspase 9 were significantly elevated in cells treated with CGP for 24 h compared to in control cells. The activity of caspase 8 did not differ significantly between control and CGP-treated cells. However, caspase 8 tended to be up-regulated in CGP-treated cells (Fig. 2b). These results indicate that the GABAB receptor antagonist inhibited cell proliferation via apoptotic pathways.
Flow cytometric analysis of cell cycle in CGP-treated chondrosarcoma cells
We performed flow cytometric analysis to determine the percentage of OUMS-27 cells in each phase of the cell cycle after CGP treatment. The percentage of cells in G1 phase increased and those in S phase decreased significantly in a CGP dose-dependent manner (Fig. 2c). These results indicate that the GABAB receptor antagonist induced G1 phase arrest and S phase suppression in the cell cycle.
Western blot analysis of AKT/PI3K and mitogen-activated protein kinase (MAPK) levels in CGP-treated chondrosarcoma cells
The activation of MAPKs such as ERK, p38, and JNK, and PI3K/AKT/mTOR was examined by western blot analysis using antibodies that specifically recognize the phosphorylated forms of these proteins. The activities of ERK and phospho-ERK did not change after CGP or BFN treatment (Fig. 3a). However, MAPKs such as p38 and JNK were activated after CGP treatment (Fig. 3b). There were no apparent differences in total Akt levels between CGP-treated and control cells. The activities of both phospho-Akt-Thr308 and phospho-Akt-Ser473 in CGP-treated OUMS-27 cells were suppressed compared to in control cells (Fig. 3c).
Real time PCR analysis of cell cycle-related genes
We investigated the mRNA levels of cell cycle-regulatory genes in OUMS-27 cells treated with CGP and control cells, as CGP treatment induced cell cycle arrest in the previous experiment. Real-time analysis revealed that the expression of p21 and p53 was significantly higher and that of cyclin–dependent kinase (CDK)6 and CDK2 was significantly lower in OUMS-27 cells treated with CGP compared to in control cells (Fig. 4).
Ca2+ channel current recording
We performed whole-cell patch-clamp recordings of membrane Ca2+ channel currents in drug-treated OUMS-27 cells. The application of 100 μM GABA to the bath inhibited the Ca2+ currents. The Ca2+ currents were reproducibly regained after washing away the GABA. Additionally, the inhibitory effect of GABA on Ca2+ currents was attenuated by 1 μM CGP, which is a GABAB receptor antagonist (Fig. 5).
Intracellular Ca2+ measurement in chondrosarcoma cells
[Ca2+]I decreased immediately after inhibition of Ca2+ influx in response to 10 mM GABA in OUMS-27 cells. However, the [Ca2+]I level increased with Ca2+ influx after washing. [Ca2+]I did not change following application of 10 mM GABA after pretreatment with 1 μM CGP (Fig. 6).
Functional GABAA receptors are composed of five types of subunits, and the subunit composition determines the properties of the receptors . For example, functional GABAB receptors require heterodimerization of the R1 and R2 subunits . We first examined the expression of various components of the GABAergic system in the high-grade chondrosarcoma cell line OUMS-27. The RT-PCR results showed that OUMS-27 cells expressed GAD65 (Fig. 1a). GABA is synthesized from glutamate by GAD, which exists as two isoforms in mammals, with molecular weights of 65 kDa (GAD65) and 67 kDa (GAD67). GAD65 and GAD67 are encoded by two distinct genes located on human chromosomes 10 and 12, respectively . We also detected the GABAA receptor α1, α2, α3, α5, β1, β3, γ1–3, and δ, θ, ε subunits, as well as the GABAB receptor R1 and R2 subunits (Fig. 1a). Immunohistochemical analyses revealed that GABA, GAD65, the α2, α3, β1 and γ 3 subunits of the GABAA receptor, and the R1 and R2 subunits of the GABAB receptor were expressed in OUMS-27 cells (Fig. 1b). Immunohistochemical analyses indicated that functionally active GABAA and GABAB receptors were present in OUMS-27 cells.
The effects of GABAA receptor agonists [20, 30] and antagonists  reportedly vary in different types of cancer cells. Similarly, several reports indicated that GABAB receptor agonists and GABA inhibited cell proliferation and migration in gastric cancer , colon cancer , and malignant hepatocytes [34, 35]. However, other reports showed that a GABAB receptor antagonist inhibited cell proliferation and migration in breast cancer metastasis , renal cell carcinoma , and prostate cancer metastasis [31, 38]. Next, we examined the in-vitro effects of the GABAergic system in OUMS-27 cells. OUMS-27 cells treated with GABA, GABAA, and GABAB receptor agonists showed significantly high BrdU incorporation. However, the proliferation of GABA-treated OUMS-27 cells was significantly inhibited by GABAA and GABAB receptor antagonists (Fig. 1c), demonstrating that GABA receptor antagonists inhibited the proliferation of OUMS-27 cells. These present data suggest that GABAA and GABAB receptors have physiologically distinct effects in different cancer cells. However, the mechanisms of these differential effects are unclear .
Here, we focused on the GABAB receptor and its antagonists as GABAB receptors participate in the signal transduction system  involving Ca2+ channels . To investigate the underlying mechanisms by which tumor proliferation was inhibited by CGP, a GABAB receptor antagonist, we performed a flow cytometric analysis of apoptosis. The percentage of apoptotic (TUNEL-positive) cells increased significantly after CGP treatment in a dose-dependent manner (Fig. 2a). To determine the mechanism by which CGP induced apoptosis, we analyzed caspase 3, caspase 8, and caspase 9 activities in OUMS-27 cells after CGP treatment in a cell viability assay and caspase luminescent assay. The activities of caspase 3 and 9 were significantly elevated in cells treated with CGP for 24 h compared to in control cells. However, caspase 8 tended to be up-regulated in CGP-treated cells, but the difference was not significant (Fig. 2b). These results suggest that both the mitochondria and death receptor pathways or mitochondria pathway alone are involved in CGP-induced apoptosis [39,40,41]. Cell cycle analyses showed that the percentage of cells in G1 phase increased, while that in S phase decreased significantly in CGP-treated cells in a dose-dependent manner (Fig. 2c). These results indicate that the GABAB receptor antagonist inhibited cell proliferation via apoptotic pathways  and induced G1 phase arrest and S phase suppression [42,43,44]. An anti-proliferative effect via blocking of cell cycle progression has been observed in other cancer cells [39, 43, 44]. For example, treatment with a new bisphosphonate drug known as minodronate inhibited cell proliferation and induced S phase arrest in the chondrosarcoma cell line SW1353 [4, 40]. Furthermore, proline-rich polypeptide 1 cytokine of hypothalamic cytokines inhibited cell proliferation in the chondrosarcoma cell line JJ012 by suppressing cell cycle progression .
Signal transduction involving MAPK pathway components such as ERK, p38, and JNK and the PI3K/AKT/mTOR pathway contribute to the oncogenic process of the induction of apoptotic cell death and cell cycle entry [42, 43, 46]. In the present study, ERK and phospho-ERK activities were not changed in CGP-treated cells. However, p38 and JNK were activated. There were no apparent differences in total Akt levels in CGP-treated cells. The activities of both phospho-Akt-Thr308 and phospho-Akt-Ser473 in CGP-treated cells were suppressed compared to in controls (Fig. 3). The resistance of cells to targeted inhibition of either the MAPK or the PI3K/AKT/mTOR pathway can be partially explained as follows. Because the MAPK and PI3K/AKT/mTOR pathways are regulated by various feedback loops and cross-talk in the network, inhibition of one pathway results in activation of the other pathway via a compensatory mechanism. However, combination therapy using dual inhibitors of the MAPK and PI3K/AKT/mTOR pathways will be more effective for inhibiting proliferation and differentiation of tumor cells [47,48,49].
CGP-induced cell cycle arrest results from the activation of MAPK pathway members such as p38-and JNK [50, 51] and suppression of the PI3K/AKT/mTOR pathway. The MAPK and PI3K/AKT/mTOR pathways regulate the cell cycle by phosphorylating CDKs [50, 52,53,54]. Because CGP treatment induced cell cycle arrest, we investigated the mRNA levels of certain cell cycle-regulatory genes in CGP-treated cells. Real-time analysis revealed that the levels of CDKs such as CDK2 and CDK6 were reduced, while those of CDK inhibitors such as p21Cip1 and p53 were increased significantly in CGP-treated cells (Fig. 4). p53 is a tumor suppressor gene that is essential for inducing apoptosis and regulating cell cycle progression and DNA repair . Many tumors exhibit mutations and deficiencies of p53 . p53, which modulates the mitochondrial apoptotic pathway, plays important roles in regulating cell cycle progression, DNA repair, and cell death [42, 46, 56]. The importance of the p53 pathway in cell cycle progression in chondrosarcoma cells has been described in several reports [57, 58]. The high-grade chondrosarcoma cell line OUMS-27 with p-53 mutation was established by Kunisada et al. . In the present study, in OUMS-27 cells with p-53 mutation, p-53 was activated by administration of CGP. Our results suggested that p53-related genes besides p53 gene were activated instead of mutated p53 [56, 59] or p53 wild-type allele affected p53 activation [56, 60]. However, the precise mechanism that p-53 was activated by administration of CGP was unclear . Overall, these findings indicate that CGP administration induces cell cycle arrest in G1/G0 phase by increasing the levels of CDK inhibitors such as p21Cip1 and p53 [42, 43].
In the central nervous system, GABAB receptors modulate Ca2+ channel currents via G-protein-coupled mechanisms. The Ca2+ channel currents were inhibited by baclofen, a GABA and GABAB receptor agonist, and are involved changes in voltage dependence [61, 62]. In articular cartilage and chondrosarcoma, free Ca2+ or Ca2+ channels play important roles in the proliferation and differentiation of chondrocytes [63, 64].
Generally, there are various types of Ca2+-permeable channels such as transient receptor potential (TRP) channels, voltage-gated channels, and ligand-gated channels. In the present study, only GABAB receptor operated-Ca2+ channels were closed by administration of GABA from compared to its normal state, influx of extracellular Ca2+ was stopped and intracellular Ca2+ concentration was expected to decrease (Fig. 5 and Fig. 6). Furthermore, addition of the GABAB receptor antagonist maintained Ca2+ influx because inactivation of the GABAB receptor ligand-operated channels did not occur (Fig. 6). The concentration of intracellular Ca2+ affects the influx of extracellular Ca2+ via GABAB receptor-related Ca2+ channels in the plasma membrane and release of Ca2+ from intracellular stores such as the mitochondria and endoplasmic reticulum in response to stimulation of the cell death process [65,66,67]. However, we did not differentiate between Ca2+ channels related to the GABAB receptors and other ligand-operated Ca2+ channels. The Ca2+ release mechanism from intracellular stores was unclear in the present study. Weak apoptosis occurred in glutamate-injured hippocampal neurons through inhibition of Ca2+ influx and caspase 3 activity after pyrroloquinoline quinone treatment . Furthermore, the role of Ca2+ channels such as the TRPC Ca2+ channels and voltage-dependent Ca2+ channels in tumor cell growth in glioblastoma and prostate cancers has been described previously [50, 69,70,71]. In addition, Ca2+ channels regulate cartilage proliferation via influx of Ca2+ [63, 64]. Intracellular Ca2+ initiates various signaling pathways associated with cellular processes such as proliferation, differentiation, and apoptosis . Changes in the concentration of intracellular Ca2+ activate cell proliferation, differentiation, and migration in certain tumor cells [50, 71]. Free intracellular Ca2+ regulates the MAPK and PI3K/AKT/mTOR pathways as a second messenger, and thereby affects cell death and the cell cycle in tumor cells . Our results indicate that changes in intracellular Ca2+ levels via GABAB receptor-related Ca2+ channels induces and modulates apoptotic signaling pathways in high-grade chondrosarcoma cells .
Chondrosarcoma originate from neural crest cells outside the mesoderm during embryogenesis [18, 19]. The GABAergic system is thought to play important roles in proliferation, migration, and differentiation during nervous system development. The response of the neurotrophic factors to GABA appears to act via the three GABA receptors. These findings suggest that the GABAergic system, which is an important nerve growth factor in neural crest development, may play important functional roles in the proliferation of chondrosarcoma. The GABAergic system can be utilized to develop new therapies for high-grade chondrosarcoma.
Our study revealed that the GABAB receptor antagonist had anti-tumor effects in OUMS-27 cells, a high-grade chondrosarcoma cell line, through cell cycle arrest at G1/S phase and induced apoptosis via dual inhibition of the PI3/Akt/mTOR and MAPK signaling pathways. In addition, changes in intracellular Ca2+ via the GABAB receptor lead to inhibition of tumor proliferation in OUMS-27 cells by inducing and modulating apoptotic signaling pathways. The poor prognosis of patients with high-grade chondrosarcoma is expected to improve with this promising new therapy.
enzyme-linked immunosorbent assay
glutamic acid decarboxylase
mitogen activated protein kinase
sodium dodecyl sulfate
terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling
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We thank Dr. Kunisada for providing human chondrosarcoma OUMS-27 cells (Okayama University Medical School, Okayama, Japan). We are grateful to Ms. Seki for her valuable cooperation in the experiments (Department of Orthopedics, Osaka Medical College). We would like to thank Editage (https://www.editage.jp) for English language editing.
KK carried out cell biology experiments such as immunohistochemistry and fluorescent analyses, PCR, cell viability assays, western blot analysis, caspase activity assays, and cell cycle analysis. MA and SY performed measurement of Ca2+ concentration. YM and KK performed Ca2+ channel current. YO participated in the study design. MW and MN conceived the study, participated study design and coordination, and drafted the manuscript. All authors have read and approved the final submitted manuscript.
This study was supported by a Grant-in-Aid for Scientific Research from Japan Society for the promotion of Science, Japan (Grant No. 20591768).
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About this article
- GABAB receptor
- Akt signaling
- Whole cell patch clamp
- Ca2+ channel
- MAPK pathway
- Cell cycle arrest
- OUMS-27 cells