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ORIGINAL ARTICLE Chelerythrine chloride from Macleaya cordata induces growth inhibition and apoptosis in human gastric cancer BGC-823 cells Zhengfu Zhang a,b , Ying Guo c , Lingwei Zhang a , Jianbin Zhang a , Xionghui Wei a,n a Department of Applied Chemistry, College of Chemistry & Molecular Engineering, Peking University, Beijing 100871, China b Center for Drug Certification, State Food and Drug Administration, Beijing 100061, China c Department of Chemical Biology, School of Pharmaceutical Sciences, Peking University, Beijing 100083, China Received 23 November 2011; revised 5 December 2011; accepted 23 December 2011 KEY WORDS Macleaya cordata; Chelerythrine chloride; BGC-823 cells; Apoptosis Abstract This study aimed to investigate the ability of chelerythrine chloride (CHE), the main active ingredient of Macleaya cordata, to induce apoptosis in human gastric cancer BGC-823 cells. The results demonstrate that CHE inhibits cell proliferation in a time- and dose-dependent manner with accompanying S phase arrest. It also induces apoptosis by a mechanism involving a reduction in the mitochondrial membrane potential, the release of cytochrome c, activation of caspase 3 and cleavage of poly-ADP-ribose polymerase. In addition, CHE-induced apoptosis is accompanied by down-regulation of Bcl-xl and Bcl-2 proteins with no change in the levels of Bax proteins. Taken together, the results support the development of CHE as a potentially useful anticancer drug for the treatment of gastric cancer. & 2012 Institute of Materia Medica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical Association. Production and hosting by Elsevier B.V. All rights reserved. Institute of Materia Medica, Chinese Academy of Medical Sciences Chinese Pharmaceutical Association www.elsevier.com/locate/apsb www.sciencedirect.com Acta Pharmaceutica Sinica B 2211-3835 & 2012 Institute of Materia Medica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical Association. Production and hosting by Elsevier B.V. All rights reserved. http://dx.doi.org/10.1016/j.apsb.2011.12.013 n Corresponding author. Tel./fax: þ86 10 62751529. E-mail address: [email protected] (Xionghui Wei). Peer review under responsibility of Institute of Materia Medica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical Association. Acta Pharmaceutica Sinica B 2012;2(5):464–471 CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector

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  • CORE Metadata, citation and similar papers at core.ac.uk

    Provided by Elsevier - Publisher Connector

    Chinese Pharmaceutical Association

    Institute of Materia Medica, Chinese Academy of Medical Sciences

    Acta Pharmaceutica Sinica B

    Acta Pharmaceutica Sinica B 2012;2(5):464–471

    2211-3835 & 2012 In

    hosting by Elsevier B

    http://dx.doi.org/10.1

    nCorresponding au

    E-mail address:

    Peer review under r

    www.elsevier.com/locate/apsbwww.sciencedirect.com

    ORIGINAL ARTICLE

    Chelerythrine chloride from Macleaya cordata inducesgrowth inhibition and apoptosis in human gastric cancerBGC-823 cells

    Zhengfu Zhanga,b, Ying Guoc, Lingwei Zhanga, Jianbin Zhanga, Xionghui Weia,n

    aDepartment of Applied Chemistry, College of Chemistry & Molecular Engineering, Peking University, Beijing 100871, ChinabCenter for Drug Certification, State Food and Drug Administration, Beijing 100061, ChinacDepartment of Chemical Biology, School of Pharmaceutical Sciences, Peking University, Beijing 100083, China

    Received 23 November 2011; revised 5 December 2011; accepted 23 December 2011

    KEY WORDS

    Macleaya cordata;

    Chelerythrine chloride;

    BGC-823 cells;

    Apoptosis

    stitute of Materia M

    .V. All rights rese

    016/j.apsb.2011.12

    thor. Tel./fax: þ[email protected]

    esponsibility of Inst

    Abstract This study aimed to investigate the ability of chelerythrine chloride (CHE), the main

    active ingredient of Macleaya cordata, to induce apoptosis in human gastric cancer BGC-823 cells.

    The results demonstrate that CHE inhibits cell proliferation in a time- and dose-dependent manner

    with accompanying S phase arrest. It also induces apoptosis by a mechanism involving a reduction

    in the mitochondrial membrane potential, the release of cytochrome c, activation of caspase 3 and

    cleavage of poly-ADP-ribose polymerase. In addition, CHE-induced apoptosis is accompanied by

    down-regulation of Bcl-xl and Bcl-2 proteins with no change in the levels of Bax proteins. Taken

    together, the results support the development of CHE as a potentially useful anticancer drug for the

    treatment of gastric cancer.

    & 2012 Institute of Materia Medica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical

    Association. Production and hosting by Elsevier B.V. All rights reserved.

    edica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical Association. Production and

    rved.

    .013

    10 62751529.

    (Xionghui Wei).

    itute of Materia Medica, Chinese Academy of Medical Sciences and Chinese Pharmaceutical Association.

    https://core.ac.uk/display/82389255?utm_source=pdf&utm_medium=banner&utm_campaign=pdf-decoration-v1www.elsevier.com/locate/apsbwww.sciencedirect.comdx.doi.org/10.1016/j.apsb.2011.12.013dx.doi.org/10.1016/j.apsb.2011.12.013dx.doi.org/10.1016/j.apsb.2011.12.013mailto:[email protected]/10.1016/j.apsb.2011.12.013

  • Ability of chelerythrine chloride in human gastric cancer BGC-823 cells 465

    1. Introduction

    Cancer is a universal public health problem because of its high

    incidence and mortality rate. Currently, gastric carcinoma is

    the second leading cause of cancer-related deaths in the

    world1, accounting for about 23.2% of all cancer deaths2.

    This is despite recent advances in the development of new

    diagnostic and therapeutic tools. Consequently, it remains of

    some urgency to identify new and better therapeutic agents

    and regimes for gastric cancer.

    Natural products, including plants, microorganisms and the

    halobios provide a rich resource for the discovery of cytotoxic

    agents3. Recently, much effort has been directed towards the

    search for new plant sources of anticancer drugs. One plant

    receiving attention is Macleaya cordata, a wild plant growing

    in Shanxi, Guizhou and Yunnan provinces of China. It is

    extensively used in traditional Chinese medicine for the

    treatment of wounds, arthritis, rheumatic arthralgia and

    trichomonas vaginalis4. Of particular relevance is that the

    roots of Macleaya cordata have been applied in folk medicine

    for the treatment of cancer5.

    CHE (Fig. 1), a benzophenanthridine alkaloid, is the major

    active ingredient of Macleaya cordata. It is reported to

    mediate diverse biological and pharmacological effects

    through its antimicrobial, antifungal, and anti-inflammatory

    properties6,7. It also significantly inhibits HaCaT keratinocytes

    and exerts cytotoxic effects on various human normal and

    cancer cell lines8–10. For instance CHE shows high cytotoxicity

    against isolated rat hepatocytes and primary hepatocyte

    cultures11. Induction of apoptosis has been mooted as a

    possible mechanism of the anticancer activity of CHE12–15.

    Recently, a differential induction of apoptosis was demon-

    strated in cancer cells and normal cells in vitro, suggesting

    CHE has potential as an effective anticancer drug10. To

    confirm the ability of CHE to induce apoptosis and to

    investigate the exact mechanism of apoptosis induction, we

    investigated the effect of CHE on gastric carcinoma BGC-823

    cells in vitro.

    2. Materials and methods

    2.1. Chemicals

    CHE (purityZ99%) was provided by Yongfeng BoyuanIndustry Co. Ltd. (Jiangxi Province, China). RPMI-1640

    medium were obtained from HyClone Laboratories Inc.

    (Logan, UT, USA). A stock solution of CHE in DMSO was

    diluted with RPMI-1640 medium to prepare standards with

    concentrations of 1.25, 2.5, 5.0 and 10.0 mg/mL. The final

    Figure 1 Structure of chelerythrine chloride.

    concentration of DMSO was less than 0.1%. DNase free

    RNase A and propidium iodide (PI) were purchased from

    Sigma (St. Louis, MO, USA). Cytochrome c antibody and

    goat anti-rabbit-HRP were obtained from Santa Cruz Bio-

    technology, Inc. (Santa Cruz, CA). Bid, Bax, Bcl-2, Bcl-xl,

    caspase-3, b-actin and poly-ADP-ribose polymerase (PARP)antibodies were purchased from Cell Signaling Technology

    (Andover, MA, USA). All other chemicals were of the highest

    grade available from commercial sources.

    2.2. Cell culture

    The human gastric carcinoma cell line BGC-823 was pur-

    chased from the Institute of Basic Medical Sciences, Chinese

    Academy of Medical Sciences, and cultured in complete

    RPMI-1640 medium supplemented with 10% v/v fetal bovine

    serum (FBS), 100 units/mL penicillin and 100 mg/mL strepto-mycin at 37 1C in a 5% CO2 incubator. Exponentially growingcultures at 80% confluence were used in all experiments.

    2.3. MTT assay

    The cytotoxicity of CHE on BGC-823 cells was determined

    using the [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium]

    bromide (MTT) assay. The cells (2� 105/mL) were seeded in a96-well plate and, after 24 h, were treated with CHE solutions

    and vehicle controls containing equivalent amounts of DMSO.

    After incubation for 24, 36, and 48 h, 20 mL MTT solution(5 mg/mL in PBS) was added to each well and incubated for an

    additional 4 h. The plate was then centrifuged at 1000 rpm for

    5 min, the supernatants were aspirated and the formazan

    crystals in each well were dissolved in 100 mL aliquots ofDMSO. Finally, the plate was shaken and the optical density

    was determined at 570 nm using a Model 680 Microplate

    Reader (Bio-Rad, Bath, UK). Cell survival was expressed as

    the ratio of viable cells in treated samples to viable cells in

    control samples expressed as a percentage. All doses were tested

    in triplicate and experiments were repeated at least three times.

    2.4. Annexin V-FITC/PI staining

    Annexin V-FITC/PI double labeling was used for the detec-

    tion of phosphatidylserine (PS) externalization, a hallmark of

    the early phase of apoptosis. PS exposure on the outer layer of

    cell membranes was measured using the annexin V-FITC

    apoptosis detection kit (Biovision, USA) according to the

    manufacturer’s instructions. Briefly, after treatment with

    different concentrations of CHE for 24 h, cells were harvested,

    washed twice with cold PBS and resuspended in 200 mLannexin V-FITC binding buffer. To this, 5 mL recombinantannexin V-FITC was added and the mixture was incubated at

    room temperature for 10–15 min in the dark. Following this,

    5 mL 20 mg/mL PI solution was added and a total of 2� 104cells was analyzed using a BD FACSCalibur flow cytometer

    (Beckton–Dickinson, San Jose, CA, USA). Cells stained with

    annexin V-FITC and PI were considered as late apoptotic or

    necrotic cells while cells stained with annexin V-FITC alone

    were considered as early apoptotic cells. All samples were

    assayed in duplicate and experiments were repeated three

    times.

  • Figure 2 Effect of CHE on BGC-823 cell viability as determined

    by the MTT assay. Inhibition is expressed as cell viability relative

    to control without CHE treatment. The cells (2� 104/well) weretreated with different concentrations of CHE for 24, 36 and 48 h.

    Data are means7S.D. of three independent experiments.

    Zhengfu Zhang et al.466

    2.5. DNA fragmentation assay

    After treatment with different concentrations of CHE for 24 h,

    cells were harvested and washed twice with cold PBS. Total

    DNA was isolated using a DNA extraction kit (Applygen,

    China), analyzed by electrophoresis on 1% agarose gel

    containing ethidium bromide and photographed by Bio-Rad

    GD2000 (Bio-Rad, Hercules, CA, USA).

    2.6. Cell cycle analysis

    Cells in log-phase growth were treated with different concen-

    trations of CHE for 24 h, trypsinized, resuspended, and fixed

    with cold 70% ethanol at 4 1C overnight. Fixed cells weresubsequently washed in PBS, resuspended in 1.0 mL PBS

    containing 50 mg/mL RNase and 50 mg/mL PI and incubatedfor 30 min at 37 1C. DNA content was then determined usinga BD FACSCalibur flow cytometer. The percentage of cells in

    G0/G1, S and G2/M phases was determined using Cellquest

    3.0 software measuring 10,000 events in each case.

    2.7. Mitochondrial membrane potential (Dcm)

    Dcm was determined by 5,50,6,60-tetrachloro-1,103,30-tetraethyl-benzimidazol-carbocyanine iodide (JC-1) staining using the

    mitochondrial membrane potential detection kit (Mountain

    View, CA) according to the manufacturer’s instructions. Briefly,

    after treatment with different concentrations of CHE for 24 h,

    cells were harvested, washed, resuspended in 5 mg/mL JC-1solution (500 mL) and incubated at 37 1C for 20 min. Cells werewashed, resuspended in cold PBS (500 mL) and fluorescence of10,000 cells per sample was measured by flow cytometry using

    excitation at 488 nm with emission at 525 nm for the green JC-1

    monomers (FL1) and at 575 nm for the red JC-1 aggregates

    (FL2). Data were analyzed using a FACSCalibur flow cyto-

    meter equipped with Cellquest 3.0 software. All samples were

    assayed in duplicate and experiments were repeated three times.

    2.8. Protein and Western blot analyses

    After treatment with different concentrations of CHE for 24 h,

    106 cells were harvested, washed, and lysed for 15 min on ice in

    100 mL SDS lysis buffer (containing final concentrations of2% SDS, 10% glycerol and 62.5 mmol/L Tris, pH 6.8). The

    protein concentration in the lysates was measured using the

    BCA protein assay (Pierce Chemical Co., Rockford, USA)

    according to the manufacturer’s protocol. For Western blot

    analysis, protein samples (50 mg) from each cell lysate wereseparated on SDS–PAGE gels (10% for all proteins except

    cytochrome c where a 15% gel was used) and then electro-

    transferred onto immobilon membranes (Millipore, Waltham,

    Massachusetts, USA). Blots were blocked using 5% nonfat

    milk in TBST buffer (25 mM Tris HCl, 0.2 M NaCl, 0.1%

    Tween 20) for 2 h at room temperature and then incubated

    overnight at 4 1C with primary antibodies (200 mg/mL anddilutions of 1:1000 for Bax, Bad, Bcl-2, Bcl-XL, cytochrome c,

    caspase-3 and PARP 1 mg/mL and dilution of 1:2500 for

    b-actin). Blots were washed with TBST buffer (3� 5 min) andincubated with goat anti-rabbit antibodies conjugated with

    horseradish peroxidase (1 mg/mL and dilution at 1:2000) for

    1 h at room temperature. Blots were developed by enhanced

    chemiluminescence (ECL Kits; Amersham Life Science) fol-

    lowed by exposure to X-ray film using b-actin as loadingcontrol. Protein expression in treated cells was compared to

    untreated controls.

    2.9. Release of cytochrome c

    After treatment with different concentrations of CHE for 7 h,

    106 cells were harvested, washed twice with ice-cold PBS and

    then resuspended in 100 mL buffer (50 mM Tris–HCl pH 7.4,1 mM NaF, 150 mM NaCl, 1 mM EGTA, 1 mM PMSF, 1%

    v/v Nonidet P 40 (NP-40) and 10 mg/mL leupeptin). Sampleswere centrifuged at 10,000� g for 30 min at 4 1C and thesupernatant (cytosolic fraction) was used to assess release of

    cytochrome c. The remainder of the procedure was the same

    as that for other Western blot analysis.

    2.10. Statistical analysis

    Results are expressed as means7S.D. of three independentexperiments. Differences in mean values were analyzed by the

    Student’s t-test with a value of Po0.05 considered statisticallysignificant.

    3. Results

    3.1. Effect of CHE on cell viability

    As shown in Fig. 2, cell growth inhibition by CHE was both

    dose- and time-dependent. Cell growth inhibition increased

    notably with increasing CHE concentration and decreased

    with time with IC50 values of 2.42, 1.90, and 1.28 mg/mL for24, 36, and 48 h, respectively.

    3.2. CHE-induced apoptosis and cell cycle arrest

    As shown in Fig. 3A, treatment with CHE for 24 h caused

    the percentage of early apoptotic cells (annexin V-FITC

    positive, and PI negative) significantly increase from 4.7 to

    27.7%. At the same time, the percentage of late apoptotic or

  • Figure 3 (A) Flow cytometric analysis of apoptosis with annexin-V/PI staining. Cells were treated with different concentrations of CHE

    for 24 h and then labeled with a combination of annexin V-FITC/PI. Lower left quadrant (LL; annexin V and PI negative) represents

    viable cells; Lower right quadrant (LR; annexin V positive and PI negative) represents apoptotic cells in early stage; Upper right quadrant

    (UR; annexin V and PI positive) represents late apoptotic or necrotic cells; Upper left quadrant (UL; annexin V negative and PI positive)

    represents necrotic cells or cellular debris. Numbers refer to the percentage of annexin-V and/or PI-labeled cells. (B) Agarose gel

    electrophoresis of DNA ladders in BGC-823 cells. After treatment with CHE for 24 h, DNA in BGC-823 cells was extracted and loaded

    on agarose gel. After electrophoresis, DNA ladders were photographed by BioRad GD2000 (bp). A: DNA marker; B: Control;

    C: 1.25 mg/mL; D: 2.5 mg/mL; E: 5.0 mg/mL; F: 10.0 mg/mL.

    Table 1 The relative proportion of cells (%) in the

    G0/G1, S, and G2/M phases after treatment with CHE

    for 24 h. Data are means7S.D. of three independentexperiments.

    CHE

    (mg/mL)Cell cycle distribution (%)

    G0/G1 S G2/M

    Control 67.5377.65 15.273.43 17.6772.081.25 62.0875.29 21.372.97 15.1573.162.5 53.1173.85 29.677.11 15.6172.985.0 52.9578.98 37.478.27 12.6070.7710.0 52.5277.34 39.6710.02 10.5272.63

    Ability of chelerythrine chloride in human gastric cancer BGC-823 cells 467

    necrotic cells (annexin V-FITC and PI positive) increased in a

    dose-dependent manner. Degradation of DNA into a specific

    fragmentation pattern (consisting of DNA ladders) is a

    characteristic feature of apoptosis16. Agarose gel electrophor-

    esis of the DNA from BGC-823 cells exposed to CHE revealed

    formation of clear DNA fragmentation ladders in a dose-

    dependent manner (Fig. 3B).

    It has been previously demonstrated that CHE can induce

    G1 phase arrest in cancer cells17. In the present study, the

    effect of CHE on the cell cycle was determined by flow

    cytometry of PI stained BGC-823 cells. As shown in Table 1

    and Fig. 4, treatment with CHE for 24 h resulted in an

    accumulation of cells in the S phase of the cell cycle from

    15.2 to 39.6% while the number of cells in the G0/G1 and

    G2/M phases decreased in a dose-dependent manner. The

  • Figure 4 Representative histograms of flow cytometric analysis of cell cycle phase distribution in BGC-823 cells after treatment with

    CHE. Cells were treated for 24 h with 1.25, 2.5, 5.0 and 10.0 mg/mL CHE, harvested, fixed and stained for their DNA content with PI.Results are based on three independent experiments.

    Zhengfu Zhang et al.468

    results demonstrate that CHE inhibits BGC-823 cell growth

    through S phase arrest.

    3.3. Mitochondrial membrane potential and cytochrome c

    release

    The results show that CHE treatment of BGC-823 cells leads

    to a dramatic shift in fluorescence (Fig. 5A) and increase in

    mitochondrial membrane depolarization from 34.4 to 98.4%

    in a dose-dependent manner (Fig. 5B). In addition, cyto-

    chrome c is released from mitochondria into the cytosol in a

    dose-dependent manner (Fig. 6A). These observations suggest

    CHE-induced apoptosis in BGC-823 cells involves cytochrome

    c release from mitochondria and possibly mitochondrial

    disruption.

    3.4. Activation of caspase 3 and PARP cleavage

    A role for caspase 3 in CHE-mediated induction of apoptosis

    in BGC-823 cells is shown by formation of the cleaved forms

    of caspase 3 (19 and 17 kDa fragments) in a dose-dependent

    manner (Fig. 6A). Similarly, a role for the cleavage of PARP is

    shown by the gradual increase in PARP fragments in the CHE

    treated samples (Fig. 6A). These results confirm the involve-

    ment of caspase 3 activation and PARP cleavage in CHE-

    induced apoptosis of BGC-823 cells.

    3.5. Expression of Bcl-2 family proteins

    To further elucidate the molecular mechanism of CHE-

    mediated apoptosis induction, the expression of several mem-

    bers of the Bcl-2 family was examined by Western blot

    analysis. As shown in Fig. 6B, the expressions of Bcl-xl and

    Bcl-2 are down-regulated in a dose-dependent manner while

    the expression of Bax is unchanged. The results reveal that

    dysregulation of Bcl-2 family proteins is involved in CHE-

    mediated apoptosis of BGC-823 cells.

    4. Discussion

    Apoptosis, also known as programmed cell death, is closely

    related to the initiation, progression and metastasis of tumors18,19

    and its induction is a basic strategy in the treatment of malignant

    tumors. In fact, most of the available chemotherapeutic agents

    work by destroying tumor cells through inducing apoptosis20.

    Cellular growth and proliferation are closely related to apopto-

    sis21,22 which is characterized by distinct morphological changes

    including plasma membrane bleb, cell shrinkage, PS translocation

    and DNA fragmentation23,24.

    During a cellular screening of benzophenanthridine alka-

    loids, we found that CHE, the major active ingredient in

    Macleaya cordata, interacts with DNA bases25–27, inhibits

    proliferation of human gastric carcinoma BGC-823 cells and

  • Figure 5 Induction of mitochondrial depolarization of BGC-823 cells treated with CHE at 1.25, 2.5, 5.0 and 10.0 mg/mL for 24 h. (A)representative histograms stained with the fluorescent probe JC-1; (B) percentage of cells with low mitochondrial potential. Data are

    means7S.D. of three independent experiments.

    Ability of chelerythrine chloride in human gastric cancer BGC-823 cells 469

    induces apoptosis in vitro. As stated earlier, the mechanism of

    apoptosis induction by CHE seems to be complex10,14,15, and

    the molecular mechanism of its anticarcinogenic effect is not

    fully understood. In this study, we evaluated the ability of

    CHE to induce apoptosis in BGC-823 cells and investigated

    how it occurs.

  • Figure 6 (A) Expression of cytochrome c, caspase-3 and PARP

    in CHE-treated BGC-823 cells. Cells were treated with different

    concentrations of CHE for 24 h followed by Western blot analysis

    for detection of cytochrome c, caspase-3 and PARP proteins.

    b-Actin was used as an equal loading control. Results are basedon three independent experiments. (B) Expression of Bcl-2 family

    proteins including Bcl-2, Bcl-xl and Bax in CHE-treated BGC-823

    cells. Cells were treated with different concentrations of CHE for

    24 h followed by Western blot analysis for detection of Bcl-2, Bcl-

    xl and Bax proteins. b-Actin was used as an equal loading control.Results are based on three independent experiments.

    Zhengfu Zhang et al.470

    The MTT assay showed CHE inhibited the proliferation of

    BGC-823 cells in a dose- and time-dependent manner (Fig. 2)

    consistent with previous studies in various cell types9–11.

    Contrary to previous studies14,17, we observed positive

    annexin V-FITC/PI staining (Fig. 3A) and DNA ladder

    formation (Fig. 3B) indicating that CHE efficiently inhibits

    BGC-823 cell growth through apoptosis with no change in cell

    viability leading to necrosis of BGC-823 cells. There are two

    key checkpoints that regulate the cell cycle, the G1/S and

    G2/M transitions28,29. Anticancer drugs can disturb cell cycle

    progression, arrest cells in a particular phase and induce

    apoptosis. Despite the fact that CHE was shown to induce

    G1 cell cycle arrest in human leukemia HL-60 cells17, our

    results suggest that CHE causes significant cell cycle arrest in

    the S phase (Table 1 and Fig. 4).

    As regards the mechanism of apoptosis induction, it is

    known that apoptosis is regulated by two major signaling

    pathways, namely the death receptor pathway and the mito-

    chondrial pathway30,31. In the former, the binding of death

    receptors with ligands such as Fas or cross-linking antibodies

    results in initiation of the caspase cascade32. In the latter,

    mitochondria are involved in a variety of key events leading to

    apoptosis33,34. These include the collapse of Dcm and the

    subsequent release of cytochrome c, both of which are

    generally considered to play a central role in the early phase

    of the mitochondrial pathway35,36. Cytochrome c is released

    from mitochondria into the cytosol and forms the apoptosome

    with Apaf-1 and procaspase 9, leading to activation of

    executioner caspases including caspase 3. The activated cas-

    pase 3 can cleave PARP which is an early and specific

    indicator of apoptosis37.

    As shown in Fig. 5A and 5B, CHE decreased Dcm in adose-dependent manner and CHE effectively induced cyto-

    chrome c release from mitochondria into the cytosol. This

    then activated caspase-3 to cleave PARP protein as shown in

    Fig. 6A. These data are consistent with previous studies in

    various cell types15. Bcl-2 family proteins have been reported

    to regulate caspase activation by controlling mitochondrial

    permeability and cytochrome c release36,38. The Bcl-2 family

    includes anti-apoptotic proteins such as Bcl-2 and Bcl-xL and

    pro-apoptotic proteins such as Bak and Bax39. It was reported

    that changes in the ratio of pro- to anti-apoptotic members of

    the Bcl-2 family, rather than the absolute expression level of

    any single Bcl-2 member protein, determined apoptotic sensi-

    tivity40. A study has shown that CHE can induce apoptosis by

    influencing the balance of pro- and anti-apoptotic signaling

    pathways41. In this investigation, the data show that down-

    regulation of Bcl-xl and Bcl-2 proteins is involved in CHE-

    induced apoptosis of BGC-823 cells (Fig. 6B).

    Taken together, the results of this study clearly reveal that

    induction of apoptosis by CHE involves multiple cellular and

    molecular pathways. These include cell cycle arrest, reduction

    in mitochondrial membrane potential, release of cytochrome c,

    activation of caspase 3, PARP cleavage and dysregulation of

    Bcl-2 family proteins. The present findings provide further

    impetus to development of CHE as an effective agent for the

    treatment of gastric cancer.

    Acknowledgments

    This work was supported by grant 20080430283 from the

    China Postdoctoral Science Foundation and Jiangxi Yongfeng

    Boyuan Industry Co., Ltd. (Jiangxi, China). We also thank the

    following professors of Peking University: Wenting Hua and

    Hongcheng Gao for suggestions and helpful discussions;

    Ronghua Sun and Shouying Sun for experimental assistance.

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    Chelerythrine chloride from Macleaya cordata induces growth inhibition and apoptosis in human gastric cancer BGC-823 cellsIntroductionMaterials and methodsChemicalsCell cultureMTT assayAnnexin V-FITC/PI stainingDNA fragmentation assayCell cycle analysisMitochondrial membrane potential (Deltapsim)Protein and Western blot analysesRelease of cytochrome cStatistical analysis

    ResultsEffect of CHE on cell viabilityCHE-induced apoptosis and cell cycle arrestMitochondrial membrane potential and cytochrome c releaseActivation of caspase 3 and PARP cleavageExpression of Bcl-2 family proteins

    DiscussionAcknowledgmentsReferences