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Department of Chemoprevention, Roswell Park Cancer Institute, Buffalo, NY 14263
2To whom correspondence should be addressed. E-mail: yuesheng.zhang{at}roswellpark.org.
| ABSTRACT |
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KEY WORDS: isothiocyanate bladder cancer chemoprevention chemopreventive mechanisms of isothiocyanates
Isothiocyanates (ITCs)3 are a family of small molecules characterized by the presence of an N = C = S group (see Fig. 1 for chemical structures of selected ITCs). Cruciferous vegetables are rich sources of ITCs (13). There is strong evidence that many such compounds, both naturally occurring and synthetic, inhibit carcinogen-induced tumorigenesis in a variety of animal organs (47). Moreover, several epidemiological studies also have reported an inverse association between human consumption of dietary ITCs and the cancer risk of lung, breast, and colon (812).
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Although why ITCs exert both anticarcinogenic and carcinogenic effects in the urinary bladder is not fully understood, it may be related to the metabolism and disposition of ITCs in vivo. ITCs are metabolized principally via the mercapturic acid pathway. Ingested ITCs undergo a rapid conjugation reaction with glutathione (GSH), which takes place spontaneously but which also is enhanced by glutathione transferase (GST) (2022). The resultant dithiocarbamate conjugates then undergo successive enzymatic modifications to yield N-acetylcysteine conjugates (NAC-ITCs; also called the mercapturic acids), which are disposed of in the urine (23). A considerable body of evidence shows that orally ingested ITCs are efficiently absorbed and then are mainly disposed of and concentrated as NAC-ITCs in the urine of both humans and rats (7,2431). For example, in one study, when 96.5 µmol BITC was administered orally to each person, 54% of the dose was excreted in the urine as N-acetylcysteine conjugate of BITC (NAC-BITC) within 10 h (25). Should 1 L of urine be produced in 10 h, urinary NAC-BITC concentration would be 52 µmol/L. Although precise information on ITC intake in humans is not available, daily intake of total ITCs, based on a measurement of urinary metabolites or a dietary questionnaire, may commonly be about 10100 µmol per person (2,32,33), which is 0.141.42 µmol/kg body weight, assuming a body weight of 70 kg. However, the ITC doses given to the rodents in the aforementioned experiments were much higher. Akagi et al. (34) estimated that daily ITC intake is 80 mg/kg body weight when rats are fed a diet supplemented with 1 g ITC per 1 kg diet, which is equal to consuming 537 µmol BITC or 491 µmol PEITC per 1 kg body weight daily. These levels of ITC intake may be 2 to 3 orders of magnitude higher than what humans are normally exposed to, suggesting that urinary concentrations of NAC-ITC in these animals may be constantly maintained far beyond 1 mmol/L. Although several NAC-ITCs are known anticarcinogens in a number of rodent organs (3537), excessive doses of these compounds could be potentially toxic to the bladder epithelium, which is directly exposed to urine and is the site where the bladder tumors originate. NAC-ITCs are unstable and readily dissociate to parent ITCs (38), which are electrophilic and reactive. Indeed, chronic irritation and inflammation induced by urinary ITCs stored in the bladder appear to play very important roles in the development of hyperplasia and neoplasia in the bladder (34,39).
The present study was performed to examine whether ITCs at low concentrations show chemopreventive potential in the bladder. Two human bladder cancer carcinoma cell lines, UM-UC-3 and T24, were used as model cells to evaluate selected ITCs, particularly those shown to induce or to promote carcinogenesis in animal studies. Both cell lines were originally derived from high-grade (G3 and G4) transitional carcinomas. We found that all tested ITCs displayed potent antiproliferative activity in these cells at concentrations < 30 µmol/L. The effects of ITCs on Phase 2 detoxification enzymes, including GST, NAD(P)H:quinone oxidoreductase 1 (NQO1), and UDP-glucuronosyltransferase (UGT) [deficiencies of which were shown to increase the risk of human bladder cancer (26)], as well as the effects of ITCs on GSH, were also examined.
| MATERIALS AND METHODS |
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Cell culture. Human bladder cancer UM-UC-3 and T24 cells were purchased from the American Type Culture Collection and were grown in McCOYs 5A medium with L-glutamine, supplemented with 10% fetal bovine serum (v:v, FBS). The medium and FBS were purchased from Cellgro and Omega Scientific, respectively. All cells were maintained in 75-cm2 flasks in a humidified incubator at 37°C with 5% CO2. Except for the cytotoxicity experiment, which is described below, in all other experiments, 3 x 106 cells were grown in a 10-cm plate with 10 mL medium for 24 h and then were treated with an ITC for 24 h. Each ITC was dissolved in acetonitrile (ACN); the final ACN concentration in the medium was 0.1% (v:v).
GSH level and the activities of GST, NQO1, and UGT. Cells were treated with an ITC at 1, 3, 7.5, and 15 µmol/L for 24 h. At the end of the ITC treatment, cells were trypsinized and were harvested by centrifugation (500 x g for 5 min at 4°C). The cell pellet from 1 plate was washed with 10 mL ice-cold Dulbeccos phosphate-buffered saline and was centrifuged again. Each pellet then was lysed by treatment with 200 µL of 0.8 g/L digitonin and 2 mmol/L EDTA (pH 7.8) for 10 min at 37°C, followed by gentle shaking for 10 min at room temperature. The lysates were centrifuged at 10,000 x g for 5 min at 4°C. The supernatant fractions were used for the determination of GSH levels and enzymatic activities. Protein concentration of each sample was quantified by a Pierces BCA assay kit.
The GSH level was measured by the GSH reductase-coupled 5,5'-dithiobis-2-nitrobenzoic acid assay (40), by using a 96-well-plate-based procedure (41). The activities of UGT (
-nitrophenol as substrate), GST (1-chloro-2,4-dinitrobenzene as substrate), and NQO1 (menadione as substrate) also were determined as previously described (41,42).
Cytotoxicity assay. A total of 5 x 103 cells were seeded in each well of a 96-well plate with 150 µL medium for 24 h. An ITC in 50 µL medium then was added to each well. The final concentrations of the ITC in each well were 0.39100 µmol/L (1-fold serial dilutions). All ITCs were originally dissolved in ACN. After serial dilution, the final ACN concentrations were 0.025% (v:v) or less. For each ITC, 1 set of plates was incubated for 72 h without medium replacement, whereas another set of plates was incubated for only 3 h, followed by incubation of the cells in an ITC-free medium for 69 h (aspirating the original medium and adding back an equal volume of fresh medium). These ITC treatment schedules were selected based on a previous finding that ITCs could rapidly induce cell-growth arrest in a number of human and animal cells of nonbladder origin (43). At the end of the incubation, the cell density in each well was measured by 3-(4,6-dimethylthiazol-2-yl)-2,5-diphenyltetrazolim bromide assay (44). The growth curve of ITC-treated cells then was constructed to determine the ITC concentration required to inhibit cell growth by 50% (IC50).
Analysis of apoptosis. Apoptotic cells were detected by the terminal deoxynucleotide transferase dUTP nick end labeling assay, by using a flow cytometry-based detection kit (APO-DIRECT) from Phoenix Flow Systems. Cells were plated and were treated as described above, and then were processed with the assay kit and were examined by flow cytometry (10,000 cells from each sample) for apoptotic cells.
The APO-ONE homogeneous caspase-3/7 assay kit from Promega was used to measure the activity of caspase 3/7. After ITC treatment, cells in each plate were pelletized as described above. Each pellet was then suspended in 200 µL of cell lysis buffer from Cell Signaling Technology, was supplemented with 1 mmol/L phenylmethylsulfonyl fluoride, and was sonicated by a Bransons Model 450 sonifier. The lysates were centrifuged at 10,000 x g for 5 min at 4°C, and the supernatant fractions were used for analysis.
The same supernatant was also used for Western blot analysis. Each sample (50 µg protein) was resolved by SDS-PAGE (815%) and was transferred to polyvinylidene difluoride membranes. The membranes were probed by antibodies, and the band of interest was visualized by using an ECL chemiluminescence system from Amersham Biosciences. The antibodies were those specific for the uncleaved and cleaved caspase-3, -7, -8, -9, -12, and poly(ADP-ribose)-polymerase (PARP), purchased from Cell Signaling Technology. An antibody against tubulin from Santa Cruz Biotechnology was used for loading control.
Analysis of cell-cycle arrest. Cell-cycle arrest was determined by a flow-cytometry-based procedure. After ITC treatment, cells were pelletized as described above. For each sample, 1 x 106 cells were suspended in 1 mL modified Krishan buffer containing 1 g/L sodium citrate, 20 mg/L RNase, 0.3% NP40, and 50 mg propidium iodide (PI) per 1 L (45), and incubated on ice in the dark for at least 1 h, followed by flow-cytometry determination (10,000 cells per sample).
Selected cell-cycle regulators were examined by Western blot analysis by using the same procedure as described above. The antibodies were those specific to cyclin B1, cyclin A, cdc-2, and cdk-2. All the antibodies were purchased from Santa Cruz Biotechnology.
Statistics. Results are expressed as means ± SD (at least 3 determinations). Data were analyzed by 1-way ANOVA, followed by Dunnetts t test for separate comparisons with the control group (46). When the comparison involved only 2 groups, the data were analyzed by the Students t test. Differences were considered significant at P < 0.05.
| RESULTS |
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Induction of apoptosis by ITCs in human bladder cancer cells. When UM-UC-3 cells were treated with an ITC at 15 µmol/L for 24 h, cellular activity of caspase 3/7 (the executioner caspases) was significantly elevated by all ITCs tested (Fig. 3A), although a higher ITC concentration (30 µmol/L) was uniformly less effective. PEITC was more potent than BITCs (P < 0.05), elevating the caspase activity 5.3- and 4.7-fold, respectively. Apoptotic cells were counted after treatment with PEITC, BITC, AITC, and SF. Treatment of UM-UC-3 cells with 15 µmol/L BITC or PEITC for 24 h significantly increased the number of apoptotic cells (Fig. 3B). Again, PEITC appeared to be more efficacious, increasing the number of apoptotic cells 5.9-fold at 15 µmol/L. Moreover, the rank order of the ITCs in increasing apoptotic cells correlated well with that of their effects on caspase 3/7 activity (Fig. 3A and B). When individual caspases, as well as PARP (the downstream target of activated caspase-3 and -7), were analyzed by a Western blot, cleavage of caspase 3, caspase 8 (death receptor mediated), caspase 9 (mitochondria mediated), and PARP were detected in cells treated with 15 µmol/L BITC or PEITC, while the changes in cells treated with AITC and SF were less clear (Fig. 3C). The ITC-induced caspase cleavage also correlated well with increases of caspase activity and apoptotic cells with respect to the relative potencies of the ITCs. However, our Western blot analysis did not detect the activation of caspase-7 and -12 (endoplasmic reticulum mediated) in cells treated by any ITC. Although the results shown in Figure 3C suggest that the ITCs may be more potent in activating caspase 9 than caspase 8, cleavage of the 2 caspases was similar in ITC-treated T24 cells (results not shown).
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| DISCUSSION |
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Ingested ITCs are rapidly disposed of and concentrated in the urine as NAC-ITCs, several of which are known anticarcinogens in animal studies (nonbladder organs). However, NAC-ITCs are thought to be mere carriers of ITCs, since they are unstable and readily dissociate to parent ITCs (half-life of dissociation of
3 h, under physiological conditions) (38). Furthermore, unlike ITCs, which rapidly accumulate in cells 100- to 200-fold over the extracellular concentrations (56), including UM-UC-3 cells (our unpublished results), there is little indication that NAC-ITCs themselves could accumulate in cells (57). Therefore, we have focused, in the current study, on the effects of free ITCs. Nevertheless, our preliminary study with synthetic NAC-ITCs indicated that the IC50 values of these conjugates in both UM-UC-3 and T24 cells are close to those of the free ITCs (results not shown).
Exposure of cells to the ITCs for only 3 h subsequently inhibited the growth of the tested cells. The ITCs are potent inducers of apoptosis and cell-cycle arrest (Fig. 3 and Table 2). Caspase-9 and -8 were activated by the ITCs, both of which may be responsible for the activation of caspase 3. Also, multiple cell-cycle regulators, including cyclin B1, cyclin A, and cdc2, appear to be downregulated by ITCs. In contrast, the effect of ITCs on the Phase 2 enzymes examined was limited. There was no change in the activity of Phase 2 enzymes when the cells were treated by an ITC for only 3 h (results not shown). Even when the ITC exposure was continued for 24 h, only NQO1 was induced to some extent, little increase in the activities of GST and UGT. There were some increases in GSH levels in AITC-, BITC-, and PEITC-treated cells, likely due to induction of glutamate cysteine ligase (58) but, surprisingly, not in SF-treated cells (Fig. 2). These results contrasted with previous observations, as described below. Many ITCs are inducers of various carcinogen-detoxifying Phase 2 enzymes in a variety of cells and animal organs of nonbladder origin (4,7,59). Recently, it was reported that oral administration of AITC to Sprague-Dawley rats at 5200 µmol/kg body weight daily for 5 d elevated NQO1 and GST activities in the bladder up to 4.5- and 2.1-fold, respectively (60). It would be of interest to find out if ITCs are better inducers of these enzymes in normal bladder epithelial cells than these human bladder cancer cell lines.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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3 Abbreviations used: ACN, acetonitrile; AITC, allyl ITC; BBN, N-butyl-N-(4-hydroxybutyl)nitrosamine; BITC, benzyl ITC; FBS, fetal bovine serum; GSH, glutathione; GST, glutathione transferase; IC50, inhibit cell growth by 50%; ITC, isothiocyanate; NAC-ITC, N-acetylcysteine conjugate of ITC; NAC-BITC, N-acetylcysteine conjugate of BITC; PARP, poly(ADP-ribose)polymerase; PBITC, phenylbutyl ITC; PEITC, phenethyl ITC; PHITC, phenylhexyl ITC; PPITC, phenylpropyl ITC; NQO1, NAD(P)H:quinone oxidoreductase 1; SF, sulforaphane (1-isothiocyanato-[4R,S]-[methylsulfinyl]butane); TBITC, thienylbutyl ITC; TMITC, thienylmethyl ITC; UGT, UDP-glucuronosyltransferase. ![]()
Manuscript received 19 March 2004. Initial review completed 14 April 2004. Revision accepted 28 May 2004.
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