Purine nucleoside analog--sulfinosine modulates diverse mechanisms of cancer progression in multi-drug resistant cancer cell lines.

Achieving an effective treatment of cancer is difficult, particularly when resistance to conventional chemotherapy is developed. P-glycoprotein (P-gp) activity governs multi-drug resistance (MDR) development in different cancer cell types. Identification of anti-cancer agents with the potential to kill cancer cells and at the same time inhibit MDR is important to intensify the search for novel therapeutic approaches. We examined the effects of sulfinosine (SF), a quite unexplored purine nucleoside analog, in MDR (P-gp over-expressing) non-small cell lung carcinoma (NSCLC) and glioblastoma cell lines (NCI-H460/R and U87-TxR, respectively). SF showed the same efficacy against MDR cancer cell lines and their sensitive counterparts. However, it was non-toxic for normal human keratinocytes (HaCaT). SF induced caspase-dependent apoptotic cell death and autophagy in MDR cancer cells. After SF application, reactive oxygen species (ROS) were generated and glutathione (GSH) concentration was decreased. The expression of key enzyme for GSH synthesis, gamma Glutamyl-cysteine-synthetase (γGCS) was decreased as well as the expression of gst-π mRNA. Consequently, SF significantly decreased the expression of hif-1α, mdr1 and vegf mRNAs even in hypoxic conditions. SF caused the inhibition of P-gp (coded by mdr1) expression and activity. The accumulation of standard chemotherapeutic agent--doxorubicin (DOX) was induced by SF in concentration- and time-dependent manner. The best effect of SF was obtained after 72 h when it attained the effect of known P-gp inhibitors (Dex-verapamil and tariquidar). Accordingly, SF sensitized the resistant cancer cells to DOX in subsequent treatment. Furthermore, SF decreased the experssion of vascular endothelial growth factor (VEGF) on mRNA and protein level and modulated its secretion. In conclusion, the effects on P-gp (implicated in pharmacokinetics and MDR), GSH (implicated in detoxification) and VEGF (implicated in tumor-angiogenesis and progression) qualify SF as multi-potent anti-cancer agent, which use must be considered, in particular for resistant malignancies

SF induces caspase activation, apoptosis and autophagy in MDR cancer cell lines.

<p>Cell death analysis of NCI-H460/R (<b>A</b>) and U87-TxR (<b>C</b>) cells untreated and treated with 5 µM SF (<b>B</b>, <b>D</b>) for 72 h. The samples were analyzed for green fuorescence (Annexin-V-FITC) and red fluorescence (Propidium Iodide) by flow-cytometry. The assay distinguishes viable cells (AV− PI−), apoptotic cells (AV+ PI−), late apoptotic and necrotic cells (AV+ PI+) and secondary necrotic or dead cells (AV− PI+). Pancaspase activation in NCI-H460/R (<b>E</b>) and U87-TxR (<b>F</b>) cells untreated and treated with 10 µM SF was assessed after 72 h by flow-cytometry. The cells were labelled with a cell-permeable, FITC-conjugated pan-caspases inhibitor (ApoStat). Western blot analysis of procaspase-3, p17 cleaved caspase-3 and β-actin in NCI-H460/R (<b>G</b>) and U87-TxR (<b>H</b>) cells. (<b>I</b>) The autophagy in NCI-H460/R and U87-TxR cell lines assessed after 144 h incubation period (72 h of SF treatment followed by next 72 h of cell recovery in fresh medium). Fold of increase in red vs. green (FL3/FL1) fluorescence ratio after acridine orange-staining was determined using a FacsCalibur flow cytometer and Cell Quest Pro software. The statistical significance between the controls and treatments is presented as p<0.01 (**) and p<0.001 (***).</p

SF inhibits P-gp expression and increases DOX accumulation.

<p>P-gp expression was detected after 24 h, 48 h and 72 h in NCI-H460/R (<b>A</b>) and U87-TxR (<b>B</b>) cells untreated and treated with 5 and 10 µM SF. The percentage of P-gp positive cells (stained with FITC-labeled direct antibody) was determined after elimination of the cells that were stained with FITC-labeled isotypic antibody. The corresponding flow-cytometric histograms illustrate the effect of 10 µM SF after 72 h in NCI-H460/R (<b>C</b>) and U87-TxR (<b>D</b>) cells. DOX accumulation in NCI-H460/R (<b>E</b>) and U87-TxR (<b>F</b>) cells untreated and pretreated with, 5 and 10 µM SF. DOX accumulation was assessed at each time point (24 h, 48 h and 72 h) after 120 min of 20 µM DOX treatment. Flow cytometric profiles after 72 h pretratment compare the effects of 10 µM SF, 50 nM TQ and 10 µM Dex-VER in NCI-H460/R (<b>G</b>) and U87-TxR (<b>H</b>) cells Three independent experiments were performed (a minimum of 10,000 events were collected for each experimental sample). Statistical significance between treated and untreated cells is presented as p<0.05 (*), p<0.01 (**) and p<0.001 (***).</p

SF increases ROS concentration and inhibits GSH detoxification in MDR cancer cell lines.

<p>Flow-cytometric measurements of dihydroethidium (DHE)-fluorescence correspond to cellular ROS levels (<b>A</b>). Mean fluorescence intensity (MFI) calculated after correction for autofluorescence is presented. The data indicate the average ± S.D. of three experiments carried out in triplicate. Statistical significance of SF treatment compared to untreated control: p<0.01 (**) and p<0.001 (***). Detection of GSH concentration (<b>B</b>) for each sample was performed at least six times. The data indicate the average ± S.D. Statistical significance of SF treatment compared to untreated control: p<0.01 (**). The expression of <i>gst-π</i> mRNA in NCI-H460/R (<b>C</b>) and U87-TxR cells (<b>D</b>) was evaluated relative to the internal control - <i>β-actin</i>. The PCR products were separated on agarose gels beside a 100 bp DNA ladder. Statistical significance between treated and untreated cells is presented as p<0.001 (***).The decreases in γGCS expression in NCI-H460/R (<b>E</b>) and U87-TxR cells (<b>F</b>) after SF treatments were calculated relative to β-actin expression and untreated samples. Statistical significance between treated and untreated cells is presented as p<0.01 (**).</p

SF modulates VEGF₁₆₅ expression and secretion in MDR cancer cell lines.

<p>The amplified NCI-H460/R (<b>A</b>) and U87-TxR samples (<b>B</b>) of the <i>vegf</i> gene (four splicing products of <i>vegf</i> mRNA) were visualized with ethidium-bromide in agarose gel next to a DNA ladder (100 bp). The PCR product of <i>β-actin</i> was co-amplified with <i>vegf</i>. The relative expression of <i>vegf165</i> was calculated in relation to <i>β-actin</i> expression. Statistical significance between treated and untreated cells is presented as p<0.05 (*) and p<0.001 (***). VEGF expression was detected after 24 h, 48 h and 72 h in NCI-H460/R (<b>C</b>) and U87-TxR (<b>D</b>) cells untreated and treated with 10 µM SF. The mean fluorescence of VEGF (PE-labeled direct antibody) was determined after elimination of the signal obtained with PE-labeled isotypic antibody. The corresponding flow-cytometric histograms illustrate the effect of 10 µM SF after 24 h in NCI-H460/R (<b>E</b>) and 48 h in U87-TxR (<b>F</b>) cells. VEGF secretion levels in culture medium were evaluated after 24 h, 48 h, and 72 h using Human VEGF Immunoassay Kit. NCI-H460/R (<b>G</b>) and U87-TxR cells (<b>H</b>) were treated with 10 µM SF. The data indicate the average ± S.D. of four experiments carried out in triplicate. Statistical significance of SF treatment compared to untreated control when the secretion levels were normalized based on the same amount of cells analyzed in untreated and treated samples, grey bars: p<0.05 (*) and p<0.01 (**). Statistical significance of SF treatment compared to untreated control when the secretion levels of treated cells were not normalized, black bars: p<0.05 (*) and p<0.01 (**).</p

Chemical structure of purine nucleoside analog – sulfinosine (SF).

<p>Chemical structure of purine nucleoside analog – sulfinosine (SF).</p

SF decreases the expression of mRNAs involved in tumor progression.

<p>The expression of <i>gst-π</i>, <i>hif-1α</i>, <i>mdr1</i> and <i>vegf</i> mRNAs in NCI-H460/R (<b>A</b>) and U87-TxR cells (<b>B</b>) after 10 µM SF treatment was evaluated relative to the internal control – <i>gapdh</i> and <i>β-actin</i>, and calculated in relation to the untreated control. Statistical significance between treated and untreated cells is presented as p<0.05 (*) and p<0.01 (**). Relative <i>hif-1α</i> (<b>C</b>), <i>mdr1</i> (<b>D</b>) and <i>vegf</i> (<b>E</b>) mRNAs expression after 10 µM SF treatment in normoxic (absence of CoCl₂) and hypoxic (presence of 50 µM CoCl₂) conditions studied in NCI-H460/R cells. Statistical significance between SF treated and SF untreated cells is presented as p<0.05 (*) and p<0.01 (**).Statistical significance between CoCl₂ treated and CoCl₂ untreated cells is presented as p<0.01 (##) and p<0.001 (###).</p