Background. Manganese superoxide dismutase (MnSOD) has been reported to promote stemness of lung cancer stem-like cells (LCSLCs) which had higher glycolytic rates compared with non-CSLCs. Isovitexin exhibited an inhibitory effect on the stemness of hepatocellular carcinoma cells. However, whether isovitexin could inhibit the promotion of stemness of LCSLCs mediated by MnSOD through glycolysis remains unclear. Objective. Our study was aimed at investigating whether isovitexin inhibits lung cancer stem-like cells (LCSLCs) through MnSOD signaling blockage and glycolysis suppression. Methods. Sphere formation and soft agar assays were conducted to determine self-renewal ability. The migration and invasion of LCSLCs were determined by wound healing and transwell assay. The glycolytic activity was assessed by determination of L-lactate metabolism rate. The influences of isovitexin on MnSOD, CaMKII, and AMPK activations as well as the metabolic shift to glycolysis were determined by manipulating MnSOD expression. Results. It was found that MnSOD and glycolysis enhanced simultaneously in LCSLCs compared with parental H460 cells. Overexpression of MnSOD activated CaMKII/AMPK signaling and glycolysis in LCSLCs with increased self-renewal, migration, invasion, and expression of stemness-associated markers in vitro and elevated carcinogenicity in vivo. Knockdown of MnSOD induced an inverse effect in LCSLCs. Isovitexin blocked MnSOD/CaMKII/AMPK signaling axis and suppressed glycolysis in LCSLCs, resulting in inhibition of stemness features in LCSLCs. The knockdown of MnSOD significantly augmented isovitexin-associated inhibition of CaMKII/AMPK signaling, glycolysis, and stemness in LCSLCs. However, the overexpression of MnSOD could attenuate the inhibition of isovitexin on LCSLCs. Importantly, isovitexin notably suppressed tumor growth in nude mice bearing LCSLCs by downregulation of MnSOD expression. Conclusion. MnSOD promotion of stemness of LCSLCs derived from H460 cell line is involved in the activation of the CaMKII/AMPK pathway and induction of glycolysis. Isovitexin-associated inhibition of stemness in LCSLCs is partly dependent on blockage of the MnSOD/CaMKII/AMPK signaling axis and glycolysis suppression.
1. Introduction
Non-small-cell lung cancer (NSCLC) has a relatively poor prognosis and is a leading cause of cancer-related death worldwide. The treatment failure and low survival rates of patients with NSCLC are mainly due to drug resistance, metastasis, and recurrence of tumor [1]. Recently, a small subpopulation of lung cancer stem-like cells (LCSLCs), characterized by expression of stem cell markers, self-renewing ability, multidifferentiating potential, and high tumorigenicity in vivo, were identified and considered to be responsible for drug resistance, metastasis, and recurrence of cancers [2]. However, the molecular mechanisms of LCSLCs maintaining stemness are not fully understood.
Manganese superoxide dismutase (MnSOD), as a mitochondrial-resident enzyme, plays a vital role in cellular energy metabolism and regulation of cell proliferation and apoptosis [3]. MnSOD can protect cells against the harmful effects of reactive oxygen species (ROS), which may induce the development of numerous diseases including cancers [4]. MnSOD acts as a tumor suppressor during early stages of carcinogenesis but facilitates cancer progression at later stages of development [5]. MnSOD was reported to upregulate in malignant lung cancer tissues [6]. Hart et al. found that MnSOD could increase sustained Warburg effect in breast cancers by H2O2 production that sustained AMP-activated kinase (AMPK) activation [7]. Many studies demonstrated that CSLCs had higher glycolytic rates compared with non-CSLCs [8]. The Warburg effect is important for CSLCs keeping bioenergetic metabolism [9]. MnSOD increase may promote the stemness of LCSLCs [10] and liver cancer stem-like cells. However, whether glycolysis is involved in the process of MnSOD promoting stemness of LCSLCs remains unclear.
Isovitexin (apigenin-6-C-glucoside) is an active component of various medicinal plants and traditional Chinese medicines [11]. Isovitexin has diverse biological activities including antioxidant, anticancer, and anti-inflammatory effects [11, 12]. It has been reported that isovitexin can suppress growth of large lung carcinoma cells, amelanotic melanoma cells [13], prostate cancer cells [14], and liver cancer cells by induction of apoptosis or autophagy through the mitochondrial pathway [15]. Recently, increasing researches attempted to find a strategy to eliminate cancer stem cells using the natural products. Our recent study indicated that isovitexin could suppress self-renewal capacity of spheres from human hepatocellular carcinoma MHCC97H cells [16]. Although recent findings imply that isovitexin may be a potential candidate for the prevention of lung cancer, the effects of isovitexin on LCSLCs and its molecular mechanisms remain unclear. Therefore, the present study was aimed at clarifying whether isovitexin suppresses stemness of LCSLCs and exploring the potential molecular mechanisms.
2. Materials and Methods
2.1. Cell Culture and Sphere Formation Assay
NSCLC cell lines H460 and A549 (Chinese Academy of Sciences, China) and HBE normal human bronchial epithelial cell line (ATCC) were cultured in DMEM containing 10% FBS and penicillin/streptomycin (Invitrogen, Carlsbad, CA, USA). Sphere formation assay was carried out according to the methods and procedures in a previous study by our team [10]. The 2nd-generation spheroids were used as LCSLCs in this study. The single cells after treatment with the indicated concentrations of isovitexin in primary sphere culture were cultured at a cell density of 1000 cells/well in the absence of isovitexin in a 24-well plate to generate new spheroids. , in 6-day cultures.
2.2. Colony Formation Assay
Colony formation assay was performed according to the methods and procedures in the previous study by our team [16]. .
2.3. Cell Proliferation Assay
Cell proliferation was assessed using the Cell Counting Kit-8 (CCK-8; Sigma) assay. The cells were treated with isovitexin (0.0, 5.0, 10.0, 20.0, 40.0, 80.0, 160.0 μg/mL) for 48 h before adding 10 μL of CCK-8 solution to each well and incubated at 37°C for 2 h. The optical density (OD) was measured at a wavelength of 450 nm. .
2.4. Western Blot
Western blot assay was performed according to the classical experimental protocols [17]. Primary antibody information was as follows: anti-MnSOD (ab13533), anti-FoxM1 (ab175798) obtained from Abcam, anti-β-actin (A5441) obtained from Sigma-Aldrich, anti-p-AMPK (8324), anti-AMPKα (2532), anti-CaMKII (4436S), anti-p-CaMKII (12716S), anti-CD44 (3570S), anti-CD133 (5860S), anti-Bmi1 (12035S), anti-ALDH (112035S), anti-Oct4 (2788S), and anti-Nanog (5855S) obtained from Cell Signaling Technology. After incubation with secondary antibodies for 1 hour, visualization of specific bands was performed by enhanced chemiluminescence; β-actin was used as internal reference.
2.5. Glycolysis Assay
Cells grown in media in a 96-well plate were transferred to serum-free media for another 24 hours before being analyzed for glycolytic activity, by the Glycolysis Cell-Based Assay Kit (Cayman Chemical).
2.6. Wound Healing Assay
Cell migration was evaluated with a wound healing assay as provided by Saadoun et al. [18]. Briefly, cells were transfected with shRNAs or cDNA plasmid and cultured to 90% confluence. 1 mm width wounds were created and incubated in a serum-free medium for 24 hours. Then, cells were cultured with a medium including 10% fetal bovine serum. And cultures at 0 and 24 hours were fixed and photographed under a microscope.
2.7. Transwell Assay
Cells () were placed in the upper compartment of the chambers. DMEM containing 10% fetal bovine serum was added in the lower chambers. Cells were incubated for 24 hours at 37°C. And the cells on the upper face of the membrane were scraped. Then, cells on the lower face were fixed, stained, and photographed under a microscope.
2.8. Knockdown or Overexpression of MnSOD
Transduction of MnSOD-targeted shRNAs (Ad-sh MnSOD) or overexpressed plasmids (Lent-MnSOD) was performed as previously described [10]. H460 cells or LCSLCs with 40-50% confluence were incubated overnight. Then, cells were transfected with Ad-sh MnSOD plasmid or control plasmid Ad-sh GFP packaging adenoviral particles and Lent-MnSOD plasmid or control plasmid Lent-GFP packaging lentivirus particles. The infection efficiency was calculated through counting GFP-positive and living cells.
2.9. In Vivo Tumorigenicity Assay
Four-week-old Balb/c-nude mice (obtained from Animal Institute of the Chinese Academy of Medical Science) were used in this research. And in vivo experiments were carried out as described in a previous study by our team [10], according to the institutional guidelines of the Hunan Normal University (Approval No. 2015-146).
Mice were randomly divided into 3 groups () according to standard protocols for in vivo tumorigenicity assay. Each mouse was inoculated with , , and parental H460 cells in one flank subcutaneously and LCSLCs in another side, respectively. After 1 month, tumors and tumor tissue sections were prepared for histopathology analysis.
For the sake of estimating the effects of isovitexin in vivo, 100 μL suspension (/mL) was injected into each mouse subcutaneously. The mice bearing LCSLC xenograft tumor (volume about 200 mm³) were administered 200 μL of vehicle control or isovitexin (12.5, 25, and 50 mg/kg body weight, respectively) through gavage every second day for 7 times.
2.10. Immunohistochemistry Assay
5 μm sections of tissues were prepared according to standard protocols. Immunostaining was carried out using the Elivision plus kit obtained from Maixin-Bio. Primary anti-MnSOD antibodies were applied at 1 : 200 dilution. Images were shot under a microscope.
2.11. Statistical Analysis
Statistical analysis was performed by the SPSS 20.0 software and presented as . The comparisons with the control groups were performed using a two-tailed Student -test. All the pairwise comparisons between the groups were analyzed by the Tukey post hoc test using one-way ANOVA. was considered to have significant difference.
3. Results
3.1. Identification of LCSLCs Derived from NSCLC H460 Cells
The tumor sphere-forming cells (SFCs) are generally identified as cancer stem-like cells [10]. Here, human non-small-lung cancer H460 and A549 cells were cultured as suspension in stem cell-conditioned suspension medium and its stem-like features were identified. As shown in Figure 1(a), the sphere-forming ability of generations 2-4 of H460 SFCs was significantly stronger than that in the first-generation SFCs. The 2nd-generation SFCs of H460 cells were then used for establishment of a model of LCSLCs, and some important experimental results were verified in the 2nd-generation SFCs of A549 cells (LCSLCs-A549). Then, its stem-like features were further detected. The soft agar assay showed that the colony-forming rate of LCSLCs was significantly higher than that in parental H460 cells (Figure 1(b)). The results of wound healing assay and transwell assay indicated that the LCSLCs had more powerful migratory and invasive capabilities compared with parental cells (Figures 1(c) and 1(d)). Furthermore, the western blot results demonstrated that the CD133, CD44, ALDH1, Nanog, and Bmi1 protein expression levels were increased in LCSLCs compared with parental cells (Figures 1(e) and 1(f)). These results confirmed that LCSLCs derived from the 2nd-generation SFCs of the H460 cell line had cancer stem-like cell features including self-renewal ability, highly migratory and invasive potentials, and increased cancer stem cell biomarkers.
(a)