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Bioactive Constituents, Metabolites, and Functions
Nutritional Available Seleno-amino Acid Derivative Antagonizes Cisplatin-induced Nephrotoxicity Through Inhibition of ROS-mediated Signaling Pathways Xiaoling Li, Haobin Zhang, Leung Chan, Chang Liu, and Tianfeng Chen J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.8b01876 • Publication Date (Web): 20 May 2018 Downloaded from http://pubs.acs.org on May 20, 2018
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Journal of Agricultural and Food Chemistry
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Nutritional Available Selenocysteine Derivative Antagonizes
2
Cisplatin-induced Toxicity in Renal Epithelial Cell Through
3
Inhibition of ROS-mediated Signaling Pathways
4 5
Xiaoling Liab, Haobin Zhang c, Leung Chan c, Chang Liuc, Tianfeng Chen bc*
6 7
a
Institute of Food Safety and Nutrition, Jinan University, Guangzhou, China
8
b
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
9 10
c
Department of Chemistry, Jinan University, Guangzhou 510632, China.
11 12
* Corresponding authors. Department of Chemistry, Jinan University, Guangzhou
13
510632, China. Tel.: +86 20 85225962.
14
E-mail addresses:
[email protected].
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ABSTRACT:
24
Discovery of nutritionally available agents that could antagonize cisplatin-induced
25
nephrotoxicity is of great significance and clinical application potential.
26
3,3′-Diselenodipropionic acid (DSePA) is a seleno-amino acid derivative that exhibits
27
strong antioxidant activity. Therefore, this study aimed to examine the protective
28
effects of DSePA on cisplatin-induced renal epithelial cell as well as the molecular
29
mechanisms. The results revealed that DSePA effectively inhibited cell apoptosis
30
induced by cisplatin, through suppressing the caspases activation and PARP cleavage.
31
In addition, DSePA blocked the cisplatin-induced mitochondrial dysfunction, as
32
evidenced by loss of mitochondrial membrane potential and reduction of
33
mitochondrial mass. The results of Western blot analysis showed that DSePA reversed
34
the expression level of Bcl-2 family proteins altered by cisplatin. Cisplatin-activated
35
AKT pathway was also modulated by DSePA. Moreover, these results indicate that
36
DSePA could protect HK-2 cells from cisplatin-induced toxicity in renal epithelial cell
37
by inhibiting intracellular ROS-mediated apoptosis, while showed un-obvious effect
38
on its anticancer efficacy. Taken together, this study demonstrates that selenocysteine
39
could be further developed as novel nutritionally available agents to antagonize
40
cisplatin-induced nephrotoxicity during cancer therapy.
41 42
KEYWORDS: Selenium, Cisplatin, 3,3′-Diselenodipropionic acid, Nephrotoxicity,
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Mitochondria
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INTRODUCTION
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Cisplatin is one of the most potent chemotherapeutic drugs, which is widely used for
47
treatment of many cancers, including testicular, head and neck, ovarian, cervical,
48
non-small cell lung carcinoma, and many other types of cancer1, 2. However, its
49
clinical use has been limited by serious side effects and toxicity, especially
50
nephrotoxicity. Studies have showed that, about 30% of the patients administered with
51
cisplatin developed a mild and partly reversible decline in renal function3, 4. Although
52
the underlying mechanisms of cisplatin-induced nephrotoxicity are still not clear, it
53
has been suggested that oxidative stress injury and apoptosis probably explain part of
54
this injury. Previous studies also indicated that cytochrome P450 2E1 (CYP2E1), an
55
active producer of reactive oxygen species (ROS), can enhance cisplatin-induced
56
cytotoxicity5. ROS influence the function of cells by directly affecting cell
57
components, including lipids, proteins, and DNA, and destroy their structure6. Also,
58
several studies have demonstrated that antioxidants have benefit in preventing the
59
cisplatin-induced
60
N-acetylcysteine, glutathione and ebselen7-12. Therefore, the search for novel
61
nutritionally available antioxidants could be a good way to discover nephroprotective
62
agents.
nephrotoxicity,
such
as
melatonin,
vitamin
C
and
E,
63
The trace element selenium (Se) is an essential nutrient of fundamental importance
64
to human and animal13. A variety of Se-enriched biological products, such as garlic,
65
yeast, and Se-containing protein have been developed and commercialized as diet
66
supplements. A lot of potent organoselenium compounds, such as seleno-amino acids, 3
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ebselen, selenocyanate, selenobetaine, have been found and identified to show
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effective chemopreventive and antioxidant activities with minimal side effects14-17.
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Several mechanisms have been postulated to elucidate the function of Se, which
70
includes induction of cell apoptosis, maintenance of glutathione peroxidase activity,
71
modulation
72
3,3′-Diselenodipropionic acid (DSePA, Figure 1A), a simple, stable and water-soluble
73
derivative of selenocystine, has been synthesized and examined for antioxidant
74
activity, glutathione peroxidase (GPx) activity, and cytotoxicity18. Previously, DSePA
75
has also been reported to protect human red blood cells (RBCs) from
76
free-radical-induced hemolysis19,
77
suggests a potential application in antagonism of cisplatin-induced nephrotoxicity.
of
redox
state
and
stimulation
of
the
immune
system.
20
. The strong antioxidant activity of DSePA
78
ROS is actively involved in the pathogenesis of cisplatin-induced acute kidney
79
injury. PI3K/AKT pathway is the major oxidative stress sensitive signal transduction
80
pathways in most cell types21,
81
PI3K/AKT pathway lessens apoptosis and plays a critical role in the maintenance of
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renal function in cisplatin-induced acute kidney injury23. Therefore, in the present
83
study, human proximal tubular epithelial (HK-2) cells have been used as an
84
experimental model to investigate the protective effects of DSePA against
85
cisplatin-induced damage, and the underlying molecular mechanisms were also
86
elucidated. The results showed that cisplatin significantly inhibited the growth of
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HK-2 cells through induction of ROS-mediated apoptosis, while DSePA could
88
effectively reverse the damage caused by cisplatin through inhibition of ROS
22
. Recent study suggests that the activation of
4
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generation, caspase activation and modulation of mitochondrial-mediated and AKT
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pathway. Taken together, this study demonstrates that seleno-amino acid could be
91
further
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cisplatin-induced nephrotoxicity.
developed
as
novel
nutritionally
available
agents
to
antagonize
93 94
MATERRIALS AND METHODS
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Materials and Reagents. Cisplatin, 3,3′-Diselenodipropionic acid (DSePA),
96
propidium
97
2′,7′-dichlorofluorescein diacetate (DCF-DA) and 5-chloromethylfluorescein diacetate
98
(CMFDA ) were purchased from Sigma-Aldrich (Sigma-Aldrich, St. Louis, MO)..
99
DMEM medium and fetal bovine serums (FBS) were purchased from Hyclone (Logan, US).
iodide
(PI),
Caspase-3
thiazolyl
substrate
blue
tetrazolium
(Ac-DEVD-AMC),
bromide
100
Utah,
101
(Ac-IETD-pNA) and Caspase-9(Ac-LEHD-AFC) substrate were purchased from
102
Biomol(Germany). MitoTracker Red CMXRos, 10-n-nonyl acridine 104 orange
103
(NAO) and tetramethylrhodamine methyl ester (TMRM) 105 were purchased from
104
Invitrogen, Molecular Probes (Eugene, OR, 106 USA), AKT inhibitor (LY 294002)
105
were obtained from Calbiochem (San Diego,CA). All of the antibodies used in this
106
study were purchased from Cell Signaling Technology (Beverly, MA), and
107
bicinchoninic acid kit for protein concentration measurement was purchased from
108
Beyotime (Shanghai, China). The water used for all experiments was ultrapure,
109
supplied by a Milli-Q water purification system from Millipore.
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ABTS•+ Free Radical Scavenging Assay. ABTS•+ free radical scavenging activities 5
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Caspase-8
(MTT),
substrate
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of antioxidants were measured according to the method previously described24.
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Briefly, 20 µL of the tested samples mixed with 200 µL of ABTS reagent with
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absorbance of 0.40 ± 0.02 at 734 nm, and then the mixture was measured at the
114
absorbance of 734 nm in the followed 30 min.
115
Plasma Oxidation Assay. Plasma samples were obtained after centrifugation of the
116
heparinized blood from healthy volunteers at 1500 rpm for 10 min. Aliquots were
117
stored at 4 °C until used. Lipid oxidation was carried out at 37 °C by treated plasma
118
samples with 200 µM CuCl2 as oxidant for the indicated time. To evaluate the
119
protective role of the DSePA, samples were pre-incubated with DSePA at different
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concentrations (0- 30 µM) for 15 min. The copper-induced oxidation in 40-fold
121
diluted plasma samples was monitored by recording the formation of diene at 245 nm
122
for 2 h at 37 °C.
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Cell Culture and Drug Treatment. HK-2 (human kidney proximal tubular) and
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HepG2 (human liver hepatocellular carcinoma) cell lines were obtained from
125
American Type Culture Collection (ATCC, Manassas, VA). Cells were cultured in
126
Dulbecco's modified Eagle's medium (DMEM), supplemented with 10% fetal bovine
127
serum (FBS), 100 U/mL penicillin and 100 µg/mL of streptomycin in a humidified
128
incubator (5% CO2, 37 °C). The numbers of living or dead cells were counted under
129
microscopy by staining trypan blue solution. And then, for the drug treatments, HK-2
130
cells and HepG2were seeded at 6×104 cells/mL and cultured for 12, and then
131
pretreated with15 µM of DSePA for 12 h,after that treated with 8 µg/mL of cisplatin
132
for a period of time.
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MTT Assay. Cell viability was determined by measuring the ability of the cells 6
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transform MTT to a purple formazan dye25, 26. HK-2 and HepG2 cells were seeded in
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96-well microplate and cultured at 37 °C in a humidified atmosphere for 12 h, and
136
then the cells were exposed to different treatments for different periods of time. After
137
incubation, 20 µL/well of MTT solution (5 mg/mL in PBS buffer) was added and then
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incubated for 5 h. The medium was aspirated and replaced with 150 µL/well of
139
DMSO to dissolve the formazan salt. The color intensity of the formazan solution,
140
which reflects the cell growth condition, was measured at 570 nm using a microplate
141
spectrophotometer (Moleclure Devices).
142
Detection of Intracellular GSH. Cellular GSH levels were analyzed using CMFDA
143
(Molecular Probes Ex/Em = 522 nm/595 nm) as previously described27. In brief,
144
treated cells were washed with PBS and incubated with 5 µM of CMFDA at 37 ℃
145
for 30 min according to the instructions of the manufacturer. Cytoplasmic esterases
146
convert nonfluorescent CMFDA to fluorescent 5-chloromethylfluorescein, which can
147
then reacted with the thiol group of GSH. CMF fluorescence intensity was determined
148
using a FACStar flow cytometer (Becton Dickinson). And 10,000 events per sample
149
were recorded for each experiment.
150
Flow Cytometric Analysis. Flow cytometric analysis was carried out according to
151
our previous method28-30. Briefly, after exposed to the complexes, the cells were
152
harvested by centrifugation and washed with PBS. Cells were stained with PI (1.21
153
mg/mL of Tris, 700 U/mL of RNase, 50.1 µg/mL of PI, pH 8.0) for 30 min in
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darkness and then fixed with 70% ethanol at - 20 ◦C overnight. The analysis of DNA
155
content was accomplished by flow cytometer. Apoptotic cells with hypodiploid DNA 7
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contents were measured by quantifying the sub-G1 peak. And 10,000 events per
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sample were recorded for each experiment.
158
Determination of Caspase Activity. After exposed to the complexes the HK-2 cells
159
were harvested. Total cellular proteins were extracted by incubating cells in lysis
160
buffer. For determination of caspase-3/8/9 activity, cell lysates were placed in 96-well
161
plates and then added specific caspase substrate (Ac-DEVD-AMC for caspase-3,
162
Ac-IETD-AMC for caspase-8 and Ac-LEHD-AMC for caspase-9, respectively).Then
163
the 96-well plates were incubated at 37 ◦C for 1 h and caspase activity was determined
164
by fluorescence intensity with appropriate excitation and emission wavelengths.
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Measurement of ROS and O2− Generation. A fluorometric assay (DCFH-DA assay)
166
was used to determine the relative levels of ROS25, 29. Treated cells were harvested
167
washed, and then incubated with 10 µM of DCFH-DA at 37 ◦C for 30 min.
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Intracellular ROS generation was monitored by measuring the fluorescence intensity
169
of cells with a BioTek microplate reader, with excitation and emission wavelengths
170
set at 488 and 525 nm, respectively. The superoxide anion radicals were generated by
171
the
172
2,4-iodiphenyl-3,4-nitrophenyl-5-phenyltetrazolium chloride to form formazan, a
173
colored compound which can be spectrophotometrically quantified at 300 nm. The
174
production of formazan is proportional to the level of superoxide anion radicals in the
175
tested samples.
176
Determination of ∆ψm. The ∆ψm was determined using TMRM fluorescent probe in
177
this assay and TMRM assay was performed as described previously31. Briefly, cells
xanthine/xanthine
oxidase
system
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reacted
with
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were plated in a 6-well plate, the treated cells were incubated with 50 nM of TMRM.
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After incubated for 30 min in the dark at 37 ◦C, the staining solution was removed and
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the cells were re-suspended in PBS and then examined with fluorescence microscope
181
immediately (Nikon Eclipse 80i).
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Measurement of Mitochondrial Mass. The mitochondrial mass was determined
183
using the fluorescent dye NAO as described previously31. Briefly, the treated cells
184
were trypsinized and re-suspended in PBS buffer containing 10 µM of NAO for 15
185
min in the darkness at 37 ◦C. After washed with PBS for three times, the number of
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viable staining cells was counted with a hemocytometer. The intensity of NAO in
187
staining cells was then analyzed by fluorescence intensity with appropriate excitation
188
and emission wavelengths.
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Western Blot Analysis. Cytosolic extracts were prepared by incubating the cells on
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ice in hypotonic buffer (20 mM of Hepes, 10 mM of KCl, 1.5 mM of MgCl2, 1mM of
191
EDTA, 1 mM of EGTA, 250 of mM sucrose, 1 mM of dithiothreitol, 2 mg/mL of
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aprotinin, leupeptin and pepstatin, respectively, pH = 7.5) for 30 min32. The
193
homogenates were collected and centrifuged at 12 000 g for 30 min at 4 ◦C to separate
194
the mitochondria and cytosol fraction. Total cellular proteins were extracted by
195
incubating cells in lysis buffer obtained from Cell Signaling Technology. SDS-PAGE
196
was done in 10% tricine gels, each lane was loading equal amount of proteins. After
197
electrophoresis, separated proteins were transferred to nitrocellulose membrane and
198
then blocked with 5% non-fat milk in TBS buffer for 1 h. After that, the membranes
199
were incubated with primary antibodies at 1:1000 dilutions in 5% BSA overnight at 4 9
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◦
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temperature. Secondary antibodies could conjugate with horseradish peroxidase.
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Protein bands were visualized on X-ray film using an enhanced chemiluminescence
203
system (Kodak). To assess the presence of a comparable amount of proteins in each
204
lane, the membranes were stripped finally to detect the β-actin.
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Statistical Analysis. Experiments were carried out at least in triplicate, and results
206
were expressed as means ± SD. Statistical analysis was performed using SPSS
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statistical package (SPSS 13.0 for Windows; SPSS, Inc., Chicago, IL). The difference
208
between two groups was analyzed by two-tailed Student’s t-test, and that between
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three or more groups was analyzed by one-way analysis of variance multiple
210
comparisons. Differences with P < 0.05 (*) were considered statistically significant.
C, and then the membranes were incubated with secondary antibodies for 1 h at room
211 212
RESULTS
213
ABTS•+ Free Radical Scavenging Activity of DSePA. The antioxidant activity
214
of DSePA was evaluated by ABTS•+ free radical scavenging assay. In this assay, the
215
radicals produced by the relatively long-lived ABTS•+ free radicals and the direct
216
oxidation of manganese dioxide could be decolorized upon reaction with antioxidants.
217
As shown in Figure 1B, concentration response curves were obtained at
218
concentrations ranging from 0 to 30 µM of DSePA, and the results showed that
219
DSePA efficiently inhibited ABTS oxidation, suggesting the strong antioxidant
220
activity of DSePA under the hydrophilic condition. For instance, after incubation for 5
221
min, the OD734 decreased from 0.40 to 0.39, 0.31, 0.30 and 0.25 at 0, 7.5, 15, 30 µM 10
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of DSePA, respectively. Correspondingly, the OD734 decreased from 0.40 to 0.39, 0.18,
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0.16 and 0.11 after incubation for 20 min, respectively. These results suggested that
224
DSePA could scavenge ABTS•+ free radical in a time and concentration depend way.
225
DSePA inhibited AAPH-Induced Oxidative Hemolysis. The inhibition effect of
226
DSePA on AAPH-induced hemolysis was examined in erythrocytes. Intracellular ROS
227
was detected by using a fluorescein-labeled dye, DCF-DA. As shown in Figure 1C,
228
the hemolysis inhibition rate of erythrocytes was 42.9%. Whereas, pre-incubated with
229
DSePA, the inhibition rate was increased in a dose dependence way. The inhibition
230
rate increased to 79.8% when pre-incubated with 30 µM of DSePA. Furthermore, no
231
significant differences were found in erythrocytes treated with 30 µM of DSePA
232
compared with control erythrocytes. These results indicated that DSePA protected
233
human erythrocytes from AAPH-induced hemolysis through inhibition of ROS
234
generation.
235
DSePA Reversed Cisplatin-induced Cytotoxicity in HK-2. The protective effects of
236
DSePA against cisplatin-induced cytotoxicity in HepG2 cells and HK-2 cells were
237
measured by MTT reduction assay, respectively. As shown in Figure 2B, cisplatin
238
alone showed significant antitumor effect on HepG2 cells. When pretreated with 15
239
µM of DSePA, the anticancer effect on HepG2 cells was not changed when treated
240
with 16 µg/mL or 32 µg/mL of cisplatin. Interestingly, the cell viability was decrease
241
to 66% when treated with 8 µg/mL of cisplatin, while the viability of HepG2 cells was
242
82% when treated with 8 µg/mL of cisplatin alone. Furthermore, Vitamin E, as a
243
negative control, was used to treat HepG2 cells combined with cisplatin, and the 11
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anticancer activity of cisplatin was significantly decreased with the cell viability
245
increased to 74.1%.
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Furthermore, HK-2 cells treated with 8 µg/mL of cisplatin for 12 h reduced cell
247
viability to approximately 72% relative to control cells as Figure 2A shown. However,
248
this cytotoxic effect was significantly attenuated by pretreatment with 15µM of
249
DSePA for 12 h, with the cell viability increased to 89.7%. Moreover, 15 µM of
250
DSePA alone showed no cytotoxicity on HK-2 cells. These data suggested that DSePA
251
could reduce cisplatin-induced nephrotoxicity while didn’t affect the antitumor
252
activity of cisplatin.
253
Detection of Intracellular GSH. Intracellular glutathione (GSH) plays an
254
important role in the regulation of redox reactions. As shown in Figure 2C&E, the
255
GSH level in HepG2 cells was increased when treated with cisplatin. Meanwhile, the
256
GSH level was also significantly increased when HepG2 cells pretreatment with
257
DSePA compared with cisplatin group. However, as shown in Figure 2D&F, the GSH
258
level was increased when treated with cisplatin for HK-2 cells, while it was
259
significantly decreased when pretreated with 15µM of DSePA for 12 h. Besides,
260
DSePA alone did not alter GSH levels in HepG2 or HK-2 cells. All these indicated
261
that DSePA could protect HK-2 cells from cisplatin-induced toxicity by reducing the
262
level of GSH.
263
DSePA Decreased Cisplatin-induced Apoptosis. The protective effects of
264
DSePA against cisplatin-induced apoptosis in HK-2 cells were further examined by
265
optical microscope and flow cytometric analysis. As shown in Figure 3A, DSePA 12
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effectively attenuated cisplatin-induced cell morphological changes, such as cell
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shrinkage, cell rounding, and the appearance of apoptotic bodies. Furthermore, flow
268
cytometric analysis showed that cisplatin increased the HK-2 cell number in sub-G1,
269
which reflected that cisplatin could induce apoptosis. However, proportion of sub-G1
270
significantly decreased after pretreatment with 15µM of DSePA. Moreover, HK-2
271
cells treated with 15µM of DSePA alone had no effect on the sub-G1 peak or cell
272
cycle distribution of HK-2 cells.
273
DSePA Suppresses Cisplatin-induced Caspase Activation and PARP
274
Cleavage. Caspases, a family of cysteine acid proteases, are known to act an essential
275
role in apoptosis regulation. PARP is also a maker of apoptosis, which is a
276
downstream of caspase-3 in the apoptosis pathways. From the results of flow
277
cytometric analysis, cisplatin-induced cell apoptosis was the major mode of HK-2 cell
278
death. To investigate the underlying mechanisms of protective function of DSePA
279
against cisplatin-induced apoptosis, we examined whether activation of caspases and
280
cleavage of PARP were involved in this process. Based on the results of fluorescence
281
and Western blotting analysis, it was found that treatments of HK-2 cells with
282
cisplatin caused activation of caspase-3, caspase-8, caspase-10, and cleavage of PARP
283
(Figure 3C, D&E). Interestingly, cisplatin-induced activation of caspase-10 was
284
effectively attenuated by pretreatment with DSePA. However, the protein expression
285
of caspase-3 and caspase-8 was cleaved after pre-treatment and quantified in Figure
286
3D at 19/17 and 18 kD, respectively. For instance, the activity of caspase-3 decreased
287
from 1285% to 791%, and the activity of caspase-8 decreased from 295% to 211% 13
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when HK-2 cells were pretreated with 15 µM of DSePA, respectively. These results
289
were further confirmed by Western blot analysis. As shown in Figure 3D, it was able
290
to attenuate cisplatin-induced activation of caspase-3, caspase-8, caspase-10, and
291
cleavage of PARP when HK-2 cells pretreated with DSePA. These results clearly
292
demonstrated that DSePA could protect HK-2 cells against cisplatin-induced death by
293
suppressing caspase-mediated apoptosis.
294
DSePA Prevented Cisplatin-induced Cytotoxicity by Inhibiting ROS Generation.
295
ROS generation is a biomarker of oxidative stress. Intracellular ROS was detected by
296
using a fluorescein-labeled dye, DCFH-DA. As show in Figure 4A, compared with
297
control group, the ROS of HK-2 cells showed a significant increase when treated with
298
cisplatin. However, pretreatment with DSePA significantly reduced the ROS
299
generation in HK-2 cells before exposed to cisplatin. For instance, 15 µM of DSePA
300
reduced the intracellular ROS from 144 % to 109 % of control cells. Furthermore,
301
there was no significant difference in HK-2 cells treated with 15 µM of DSePA alone
302
compared with control.
303
Treatment with cisplatin also increased the level of O2− in HK-2 cells in a
304
time-dependent manner (Figure 4B). Pretreatment with DSePA significant reduced
305
the levels of O2− in cells treated with cisplatin. DSePA had no effect on the free radical
306
accumulation in HK-2 cells.
307
DSePA Prevented
Cisplatin-induced
DNA Damage.
Generally,
excess
308
intracellular ROS could cause DNA damage and evidences have been shown that
309
cisplatin could defect DNA and arrest the synthesis of DNA33. To confirm this 14
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hypothesis, the p53 expression and phosphorylation in HK-2 cells treated with
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cisplatin or DSePA and cisplatin. As shown in Figure 4C, Western-blot showed that
312
DNA damage marker Ser139-Histone H2A was up-regulated in HK-2 cells treated
313
with DSePA. Furthermore, p-H2A up-regulated the expression of total and
314
phosphorylated p53 gene (Figure 4C), which is a tumor suppressor gene that can
315
directly or indirectly induce cell apoptosis through both the extrinsic and intrinsic
316
apoptosis pathways.
317
To further examine the important role of DSePA on decrease cisplatin-induced ROS
318
generation, we next investigate the effects of GSH on overall apoptotic cell death.
319
Data shown in Figure 4D revealed that individual GSH has un-obvious cytotoxicity
320
to HK-2 cells, but 4 mM of GSH blocked the decrease of cell viability induced by
321
cisplatin (Figure 4E and F). These results showed that the role of GSH was quite
322
consistent with that of DSePA. All these indicated that DSePA protected HK-2 cells
323
from cisplatin-induced cell apoptosis through inhibition of ROS generation.
324
DSePA Inhibits Cisplatin-induced Mitochondrial Dysfunction. Mitochondria
325
play an important role in the regulation of apoptosis, in which mitochondrial mass and
326
∆Ψm are important indexes. In this section we studied whether cisplatin-induced
327
apoptosis occurred with the involvement of mitochondrial dysfunction. Cisplatin
328
markedly reduced intracellular TMRM fluorescence intensity as Figure 5A shown.
329
On the other hand, cisplatin-induced decrease in TMRM fluorescence intensity was
330
effectively attenuated by pretreatment with DSePA. Moreover, the results of NAO
331
fluorescence analysis also revealed that DSePA could prevent cisplatin-induced 15
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mitochondrial mass reduction in HK-2 cells (Figure 5B).
333
Mitochondria could integrate the apoptotic signals originating from both the
334
extrinsic and intrinsic apoptosis pathways34. Bcl-2 family members have been
335
described as the central regulator of mitochondrial permeability and caspase
336
activation. Therefore, the effects of cisplatin on the expression levels of pro-survival
337
and pro-apoptotic Bcl-2 family proteins and activation of caspase in HK-2 cells were
338
examined by Western blotting. As shown in Figure 5C, 8 µg/mL of cisplatin
339
incubation up-regulated the expression of pro-apoptosis protein, such as Bax, but
340
down-regulated the expression of pro-survival proteins, such as Bcl-2 and Bcl-xl.
341
However, the expression levels of Bcl-2 family proteins were obviously reversed after
342
pretreatment with DSePA for 12 h. Furthermore, we demonstrated that cisplatin
343
induced the truncation of Bid in HK-2 cells. Moreover, cleaved caspase-7/-9 were
344
increased after incubated with 8 µg/mL of cisplatin for 12 h (Figure 5D &E),
345
indicating that cisplatin induced the activation of initiated caspase of intrinsic
346
mitochondrial apoptosis pathway. On the other hand, the expression levels of
347
caspase-7/-9 were suppressed by pretreatment of 15 µM of DSePA for 12 h. Taken
348
together, these results confirmed that DSePA protected HK-2 cells against
349
cisplatin-induced apoptosis through inhibition of mitochondrial-mediated apoptosis
350
and caspases activation.
351
DSePA Regulated Cisplatin-induced AKT Inhibition. ERK and AKT signaling
352
pathways have been confirmed to paly important role in cell apoptosis and cell
353
proliferation. AKT promotes growth and proliferation of cancer cells by inhibiting the 16
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expression of pro-apoptosis proteins, such as caspases-9 and p5335,17. Therefore, in
355
this study, we tried to elucidate whether DSePA regulate cisplatin-induced AKT
356
inhibition or not. As shown in Figure 6A, there was a decrease in the expression of
357
phosphorylated AKT in HK-2 cells which exposed to 8 µg/mL cisplatin. However, the
358
pretreatment of HK-2 cells with DSePA restored cisplatin-induced decease in
359
expression phosphorylated AKT and the protein expression level significantly
360
decreased compared with control group. In contrast, the phosphorylation of AKT was
361
significantly increased after treatment with DSePA compared with control group (3.5
362
times). Moreover, the phosphorylation of AKT was decreased remarkably when HK-2
363
cells treated with cisplatin after pretreated with DSePA compared with the group
364
treated with DSePA alone. To further determine whether AKT was important for
365
cisplatin-induced apoptosis, specific inhibitor of AKT was used to examine their
366
effects on cisplatin-induced cytotoxicity. The cells were pretreated with LY294002
367
(PI3K inhibitor) before addition of cisplatin and then the cell viability was measured
368
by MTT assay. As shown in Figure 6B, LY294002 significantly decreased the cell
369
viability of HK-2 cells exposed to cisplatin. Besides, LY294002 also decrease the cell
370
viability to 89% contrast to control. These results indicated the important roles of
371
AKT pathways in cisplatin-induced apoptosis.
372 373
DISCUSSION
374
3,3’-Diselenodipropionic acid (DSePA), a derivative of selenocystine, has been
375
synthesized and examined for antioxidant activity, glutathione and glutathione 17
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376
peroxidase (GPx) activity. Kunwar A et.al studied the cytotoxicity of DSePA in
377
lymphocytes and mouse lymphoma EL4 tumor cells and the results showed that
378
DSePA was not nontoxic to these cells at the concentration of 125 µM18. Kunwar A
379
et.al also studied the in vivo radioprotection effect of DSePA against whole-body
380
γ-radiation and the probable mechanisms of action involve the maintenance of
381
antioxidant enzymes, prophylactic action through the attenuation of the DNA damage,
382
and the inhibition of apoptosis36.
383
In the present study, we demonstrated the protective effects of DSePA on HK-2
384
proximal tubular cells against cisplatin-induced apoptosis through inhibition of ROS
385
generation and modulation of AKT pathway for the first time. Our results showed that
386
cisplatin inhibited HK-2 cell growth through induction of apoptosis, with the
387
involvement of caspase activation, PARP cleavage and reduction of mitochondrial
388
mass, mitochondrial fragmentation and loss of ∆Ψm and changes in expressions of
389
Bcl-2 family members. Additionally, there was cross-talk between the extrinsic and
390
intrinsic apoptotic pathways as demonstrated by cleavage of Bid by caspase-8 in the
391
apoptotic process triggered by cisplatin. Especially cisplatin would induce ROS
392
overproduction, p53 phosphorylation and AKT phosphorylation. Interestingly, these
393
cisplatin-induced changes were significantly blocked by pre-treatment with DSePA.
394
The hypothetical mechanisms were mainly due to attenuation of oxidative stress,
395
reduction of p53 induction and modulation of the AKT signaling pathways.
396
Importantly, DSePA didn’t affect the effect of cisplatin on cancer cells, while the
397
actual mechanism is still not clear. 18
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Glutathione redox cycle is the most important intracellular antioxidant system
399
which maintains cell integrity and participation in the cell metabolism37. The role of
400
glutathione in cisplatin-induced nephrotoxicity is not clear. Some investigators have
401
indicated that nephrotoxicity of cisplatin is not necessarily associated with depletion
402
in renal glutathione38, 39. However, there was an increase in glutathione level of
403
HepG2 and HK-2 cells treated with cisplatin compared to control group in our study,
404
which was similar to previous study40. The cisplatin-induced glutathione up regulation
405
might be due to the enhancement of GSH synthesis under conditions of oxidative
406
stress or glutathione depletion. In our study, DSePA pretreatment produced a
407
significant increase in GSH levels in HepG2 cells and a significant decrease in GSH
408
levels in HK-2 cells compared to cisplatin group. According to the results, we
409
supposed that DSePA may amplify the oxidative stress in cisplatin treated HepG2
410
cells and attenuate the oxidative stress in cisplatin treated HK-2 cells, but the
411
underlying mechanism was not clear.
412
During the past few decades, emerging evidences demonstrated that apoptosis is
413
one of the major mechanisms of nephrotoxicity induced by cisplatin. Generally,
414
apoptosis consists of two major pathways, the extrinsic pathway mediated by death
415
receptors with the involvement of caspase-8 activation and the intrinsic pathway
416
centered on mitochondria with the participation of caspase-9 activation41. Moreover,
417
the intrinsic mitochondrial pathway displays central role in integrating the apoptotic
418
signals originated from both the intrinsic and extrinsic apoptosis pathways. Evidence
419
demonstrated that intrinsic or mitochondrial pathway exerted as the major apoptotic 19
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pathway in cisplatin-induced nephrotoxicity42. In this present study, we found that
421
cisplatin exerted significant suppression effects towards HK-2 cells, as indicated by
422
the MTT assay and flow cytometry assay (Figure 2). Further investigation
423
demonstrated that the proliferation inhibition effect of HK-2 induced by cisplatin was
424
the results of apoptosis, as revealed by the accumulation of sub-G1 peaks population,
425
which is further confirmed by caspase-8/-9 and caspasr-3 activation and PARP
426
cleavage. Moreover, these results also were confirmed by the morphology of cell
427
shrinkage and appearance of apoptotic bodies (Figure 3). These results suggested that
428
apoptosis was the major mechanism induced by cisplatin in HK-2 cells. However,
429
pretreatment with DSePA dramatically attenuated the apoptosis inducing capacity of
430
cisplatin. Taken together, our results suggest that the anti-apoptotic effects of DSePA
431
involve the suppression of both extrinsic and intrinsic apoptosis pathways.
432
Oxidative stress injury is actively involved in the pathogenesis of cisplatin-induced
433
kidney injury, ROS directly act on cell components, including lipids, proteins, and
434
DNA, and destroy their structure. Oxidative stress injury is actively involved in the
435
pathogenesis of cisplatin-induced kidney injury43. Excess intracellular ROS may
436
attack cellular, and which leads to the generation of a variety of ROS-mediated
437
modified products like DNA strand breaks and DNA-protein crosslink. The
438
phosphorylation of histone H2A is a very early cellular event induced by DNA strand
439
breaks. In this study, we found that cisplatin significantly increased the level of
440
phosphorylated H2A and p53. The activation of p53 has been demonstrated to be
441
involved in cisplatin-induced nephrotoxicity44. However, the activation of p53 was 20
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suppressed by pre-treatment with DSePA. Therefore, it was suggested that DSePA
443
decreased cisplatin-induced apoptosis through the inhibition of ROS-mediated p53
444
pathway in HK-2 cells. Furthermore, we found that GSH, which have been reported to
445
act not only as free radical scavengers, but also by replenish-intracellular stores of
446
endogenous antioxidants, or as thiol-reducing agents45, effectively reduced
447
cisplatin-induced apoptotic cell death, activation of caspase-3 and cleavage of PARP
448
in HK-2 cells. Taken together, these results suggest the possibility that DSePA
449
effectively scavenged free radical and protect HK-2 cells from cell apoptosis induced
450
by cisplatin.
451
Mitochondrial pathway has emerged as the major apoptotic pathway in cisplatin
452
nephrotoxicity46, 47. Our results showed that cisplatin-induced HK-2 cells apoptosis
453
was associated with disruption of mitochondrial function, as evidenced by reduction
454
of mitochondrial mass, mitochondrial fragmentation and loss of ∆Ψm. Moreover,
455
changes in expressions of Bcl-2 family members, activation of caspase-7/-9 were
456
observed in HK-2 cells after cisplatin treatment. Intriguingly, pre-treatment of DSePA
457
significantly attenuated these changes induced by cisplatin, which suggested the
458
capacity of DSePA to prevent cisplatin triggered mitochondrial dysfunction and
459
modulate mitochondria-mediated apoptotic pathways. Additionally, there was
460
crosstalk between the extrinsic and intrinsic apoptotic pathways as demonstrated by
461
cleavage of Bid by caspase-8 in the apoptotic process triggered by cisplatin. The
462
extrinsic cell apoptosis pathway induced by cisplatin was also blocked by DSePA.
463
These results suggested that DSePA exhibited protective effect on HK-2 cells through 21
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464
reversing extrinsic apoptosis and intrinsic apoptosis inducing capability of cisplatin by
465
protecting the integrity of mitochondria membrane.
466
PI3K/AKT pathways are the major oxidative stress-sensitive signal transduction
467
pathways in most cell types48. The phosphorylation of AKT showed a marked
468
induction in both time- and dose-dependent manner during the course of cisplatin
469
injury49. In agreement with these findings, our results showed that exposure of HK-2
470
cells cisplatin resulted in a decrease of phosphorylated AKT. Furthermore, we found
471
that DSePA was able to restore cisplatin-induced decease in expression
472
phosphorylated AKT. To further determine the role of AKT for cisplatin-induced
473
apoptosis, specific inhibitor of PI3K (LY294002), one upstream kinase for AKT
474
kinase activation, was used to examine the effects on cisplatin-induced cytotoxicity.
475
The results of MTT assay showed that LY294002 significantly decreased the cell
476
viability of HK-2 cells exposed to cisplatin. These data indicated that AKT pathway
477
played an important role in cisplatin-induced cytotoxicity.
478
Overall, the results showed that cisplatin significantly inhibited the growth of HK-2
479
cells through induction of ROS-mediated apoptosis, while DSePA could effectively
480
reverse the damage caused by cisplatin through inhibition of ROS generation, caspase
481
activation and modulation of mitochondrial-mediated and AKT pathway. Taken
482
together, this study demonstrates that seleno-amino acid could be further developed as
483
novel nutritionally available agents to antagonize cisplatin-induced nephrotoxicity.
484 485
AUTHOR INFORMATION 22
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Corresponding Authors
487
Funding
488
This work was supported by National High-level personnel of special support
489
program (W02070191), YangFan Innovative & Entepreneurial Research Team Project
490
(201312H05), Fundamental Research Funds for the Central Universities, National
491
Key Scientific Instrument and Equipment Development Project (2017YFF0104904)
492
and Natural Science Foundation of Guangdong Province (2017A030313091).
493 494
Notes
495
The authors declared no competing financial interest.
496 497
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Figure Legends
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Figure 1. The structure and Antioxidant activities of DSePA. (A) The chemical
665
structure of DSePA. (B) The antioxidant activities of DSePA determined by ABTS
666
assay. (C) The antioxidant activities of DSePA determined by erythrocyte hemolysis
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assay at different concentration. n=3, P < 0.05.
668 669
Figure 2. DSePA suppressed cisplatin-induced toxicity and GSH depletion. (A)
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DSePA attenuated cisplatin-induced cytotoxicity in HK-2 cell by MTT assay. (B)
671
DSePA showed no effect on the anticancer efficacy of cisplatin against HepG2 cells
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by MTT assay. (C, E) Flow cytometry-based GSH profiles and quantification of
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intracellular GSH intensity in HepG2 cells. (D, F) Flow cytometry-based GSH
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profiles and quantification of intracellular GSH intensity in HK-2 cells. Cells were
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pretreated with or without DSePA for 12 h and then cultured in the presence or
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absence of 8 mg/mL of cisplatin for 12 h. n=3, P < 0.05.
677 678
Figure 3. DSePA protected HK-2 cells from cisplatin-induced apoptosis. (A)
679
Morphology of HK-2 cells under different treatments. (B) Cell apoptosis was
680
determined by flow cytometry analysis. (C) Caspase-3 activity and (E) Caspase-8
681
activity were measured by specific fluorescent substrates, respectively. (D) Inhibition
682
of caspases and PARP cleaved in the apoptosis pathway by Western blot analysis. n=3,
683
P < 0.05. 31
ACS Paragon Plus Environment
Journal of Agricultural and Food Chemistry
684
Figure 4. (A) ROS generation was determined by fluorescence intensity of
685
DCFH-DA. Cells pretreated with or without DSePA for different time before treated
686
with cisplatin, and then cytosol fraction were collected by centrifuged at 12 000 g for
687
30 min at 4 °C.. (B) DSePA suppressed cisplatin-induced accumulation of superoxide
688
radicals in HK-2 cells. (C) Western blot analysis of expression levels of p53,
689
phosphorylation of p53 and histone H2A in HK-2 cells. (D) Effects of GSH on
690
cisplatin-induced cytotoxicity in HK-2 cells. (E) Western blot analysis of protein
691
levels of activated caspase-3 and cleavaed PARP in HK-2 cells. (F) GSH prevented
692
cisplatin-induced activation of caspase in HK-2 cells. Cells were pretreated with or
693
without DSePA for 12 h, and cells were treated with 4 mM of GSH for 2 h followed
694
by cultured in the presence or absence of 8µg /mL of cisplatin for 12 h in D, E and F.
695
n=3, P < 0.05.
696 697
Figure 5. DSePA suppressed cisplatin-induced mitochondrial dysfunction. (A)
698
Depletion of ∆Ψm as monitored by fluorescence microscopy. The cells treated with
699
DSePA and cisplatin were stained with 50 nM TMRM, and then examined under a
700
fluorescence microscope. (B) DSePA prevented cisplatin-induced mitochondrial mass
701
reduction in HK-2 cells. Mitochondrial mass was determined by Fluorescence
702
Microplate after staining the cells with NAO. (C) The expression of Bcl-2 protein
703
family. (D) Activation of caspase-7/-9 in cisplatin-induced apoptosis. (E) Caspase-9
704
activity was measure by fluorescent substrate for caspase-9. Cells were pretreated
705
with or without DSePA for 12 h and then cultured in the presence or absence of 8µg 32
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Journal of Agricultural and Food Chemistry
706
/mL of cisplatin for 12 h, and then mitochondria were collected by centrifuged at 12
707
000 g for 30 min at 4 °C. n=3, P < 0.05.
708 709
Figure 6. DSePA and cisplatin impacted on AKT signaling pathway. (A) DSePA
710
blocked cisplatin-induced decease in expression phosphorylated AKT. (B) Effect of
711
AKT inhibitors on cell viability of cisplatin-treated HK-2 cells. Cells were pretreated
712
with or without DSePA for 12 h, and cells were treated with 10 µM of LY294002
713
(PI3K inhibitor) for 2 h followed by cultured in the presence or absence of 8 µg/mL of
714
cisplatin for 12 h, and then cytosol fraction were collected by centrifuged at 12 000 g
715
for 30 min at 4 °C. n=3, P < 0.05.
716 717
Figure 7. Signaling pathways regulated by DSePA and cisplatin in HK-2 cells. Cisplatin
718
directly act on cell DNA, leading to the phosphorylation of Histone H2A and
719
activation of p53. P53 regulates the expression of Bcl-2 family proteins, resulting in
720
mitochondrial dysfunction and finally cell apoptosis. P53 also regulates death receptor
721
pathway and finally results in apoptotic cell death. Excess intracellular ROS generated
722
from mitochondrial may attack cellular DNA and modulation of AKT pathway.
723
However, DsePA pretreatment inhibited the cisplatin-induced caspase-8/-10 activation
724
in HK-2, and blocked mitochondrial membrane potential depletion by suppressing the
725
truncation of Bid translocated to mitochondria. Additionally, DsePA activated AKT
726
pathway and inhibited cisplatin-induced nephrotoxicity by inhibiting intracellular
727
ROS-mediated apoptosis, while showed un-obvious effect on its anticancer efficacy. 33
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Journal of Agricultural and Food Chemistry
Page 34 of 41
728 729
Figure 1
A
O Se HO
OH
Se
O
DSePA
B
C 100 0.4 0.3 0.2 ABTS ABTS + 30 uM DSePA ABTS + 15 uM DSePA ABTS + 7.5 uM DSePA
0.1 0
730
Inhibition (%)
Absorbance 734 nm
0.5
10
Time
20
30
a
a d
75 50
b
e
c
25 0
AAPH (100 mM) DSePA (μM) -
+ -
+ 7.5
+ 15
+ 30
30
731
Figure 1. The structure and Antioxidant activities of DSePA. (A) The chemical
732
structure of DSePA. (B) The antioxidant activities of DSePA determined by ABTS
733
assay. (C) The antioxidant activities of DSePA determined by erythrocyte hemolysis
734
assay at different concentration. n=3, P < 0.05.
735 736 737 738 739 740 34
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Journal of Agricultural and Food Chemistry
741
Figure 2
742 743
Figure 2. DSePA suppressed cisplatin-induced toxicity and GSH depletion. (A)
744
DSePA attenuated cisplatin-induced cytotoxicity in HK-2 cell by MTT assay. (B)
745
DSePA showed no effect on the anticancer efficacy of cisplatin against HepG2 cells
746
by MTT assay. (C, E) Flow cytometry-based GSH profiles and quantification of
747
intracellular GSH intensity in HepG2 cells. (D, F) Flow cytometry-based GSH
748
profiles and quantification of intracellular GSH intensity in HK-2 cells. Cells were
749
pretreated with or without DSePA for 12 h and then cultured in the presence or
750
absence of 8 mg/mL of cisplatin for 12 h. n=3, P < 0.05.
751 752 35
ACS Paragon Plus Environment
Journal of Agricultural and Food Chemistry
753
Figure 3.
754 755
Figure 3. DSePA protected HK-2 cells from cisplatin-induced apoptosis. (A)
756
Morphology of HK-2 cells under different treatments. (B) Cell apoptosis was
757
determined by flow cytometry analysis. (C) Caspase-3 activity and (E) Caspase-8
758
activity were measured by specific fluorescent substrates, respectively. (D) Inhibition
759
of caspases and PARP cleaved in the apoptosis pathway by Western blot analysis. n=3,
760
P < 0.05.
761 762 763 36
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Journal of Agricultural and Food Chemistry
764
Figure 4
765 766
Figure 4. DSePA prevents cisplatin-induced ROS-mediated cell apoptosis. (A)
767
ROS generation was determined by fluorescence intensity of DCFH-DA. Cells
768
pretreated with or without DSePA for different time before treated with cisplatin, and
769
then cytosol fraction were collected by centrifuged at 12 000 g for 30 min at 4 °C. (B)
770
DSePA suppressed cisplatin-induced accumulation of superoxide radicals in HK-2
771
cells. (C) Western blot analysis of expression levels of p53, phosphorylation of p53
772
and histone H2A in HK-2 cells. (D) Effects of GSH on cisplatin-induced cytotoxicity
773
in HK-2 cells. (E) Western blot analysis of protein levels of activated caspase-3 and
774
cleavaed PARP in HK-2 cells. (F) GSH prevented cisplatin-induced activation of
775
caspase in HK-2 cells. Cells were pretreated with or without DSePA for 12 h, and
776
cells were treated with 4 mM of GSH for 2 h followed by cultured in the presence or
777
absence of 8µg /mL of cisplatin for 12 h in D, E and F. n=3, P < 0.05. 37
ACS Paragon Plus Environment
Journal of Agricultural and Food Chemistry
778
Figure 5
779 780
Figure 5. DSePA suppressed cisplatin-induced mitochondrial dysfunction. (A)
781
Depletion of ∆Ψm as monitored by fluorescence microscopy. The cells treated with
782
DSePA and cisplatin were stained with 50 nM of TMRM, and then examined under a
783
fluorescence microscope. (B) DSePA prevented cisplatin-induced mitochondrial mass
784
reduction in HK-2 cells. Mitochondrial mass was determined by Fluorescence
785
Microplate after staining the cells with NAO. (C) The expression of Bcl-2 protein
786
family. (D) Activation of caspase-7/-9 in cisplatin-induced apoptosis. (E) Caspase-9
787
activity was measure by fluorescent substrate for caspase-9. Cells were pretreated
788
with or without DSePA for 12 h and then cultured in the presence or absence of 8µg
789
/mL of cisplatin for 12 h, and then mitochondria were collected by centrifuged at 12
790
000 g for 30 min at 4 °C. n=3, P < 0.05.
791 38
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Journal of Agricultural and Food Chemistry
792
Figure 6
793 794
Figure 6. DSePA and cisplatin impacted on AKT signaling pathway. (A) DSePA
795
blocked cisplatin-induced decease in expression phosphorylated AKT. (B) Effect of
796
AKT inhibitors on cell viability of cisplatin-treated HK-2 cells. Cells were pretreated
797
with or without DSePA for 12 h, and cells were treated with 10 µM of LY294002
798
(PI3K inhibitor) for 2 h followed by cultured in the presence or absence of 8 µg/mL of
799
cisplatin for 12 h, and then cytosol fraction were collected by centrifuged at 12 000 g
800
for 30 min at 4 °C. n=3, P < 0.05.
801 802 803 804 805 806 807 808 809 39
ACS Paragon Plus Environment
Journal of Agricultural and Food Chemistry
810
Figure 7
811
812 813
Figure 7. Signaling pathways regulated by DSePA and cisplatin in HK-2 cells. Cisplatin
814
directly act on cell DNA, leading to the phosphorylation of Histone H2A and
815
activation of p53. P53 regulates the expression of Bcl-2 family proteins, resulting in
816
mitochondrial dysfunction and finally cell apoptosis. P53 also regulates death receptor
817
pathway and finally results in apoptotic cell death. Excess intracellular ROS generated
818
from mitochondrial may attack cellular DNA and modulation of AKT pathway.
819
However, DsePA pretreatment inhibited the cisplatin-induced caspase-8/-10 activation
820
in HK-2, and blocked mitochondrial membrane potential depletion by suppressing the
821
truncation of Bid translocated to mitochondria. Additionally, DsePA activated AKT
822
pathway and inhibited cisplatin-induced nephrotoxicity by inhibiting intracellular
823
ROS-mediated apoptosis, while showed un-obvious effect on its anticancer efficacy. 40
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Page 41 of 41
Journal of Agricultural and Food Chemistry
824 825
TOF graphic
826
827 828
41
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