Capstone Research Journal Article (This manuscript fulfills the requirements for the North Carolina Agricultural and Technical State University Department of Biology Senior Project BIOL 501) Title of Article A Literary Review of Stilbenoids’ Chemopreventative Effects Author’s Full Name Annie Jovita McPherson Semester and Year Spring 2012 Signature of Student Author: _________________________ Date: _____________ Signature of Faculty Advisor: _________________________ Date:______________ Student Demographics My name is Annie J. McPherson, and I was raised in High Point NC. For as long as I can remember, I have had a passion for experiments. I would ask what would happen if I did this, or that, and what changed. I even went as far as taking my little sister as a test subject, with her permission. When I entered high school, The Early College at Guilford College, I loved and excelled in my science classes. This inspired me to become a biology major at North Carolina Agricultural and Technical State University. I knew I wanted to teach biology, but not how to achieve this goal. As luck would have it, the summer before I entered university, I participated in the Research Initiative for Scientific Enhancement (RISE) Pre—matriculation program. It was here that I learned what qualification I needed to have to teach at the college level, a Ph.D. Since then, with the guidance of the RISE program and my many mentors, I have been preparing myself, with numerous research experiences, for this next step. After graduation, I will be enrolling in Emory University’s Genetics and Molecular Biology Ph.D. program. One day I will be a university professor, sharing my love and enthusiasm of science with young students. Table of Content Description I. Title page II. Student Demographics i III. Table of Content ii IV. Abstract 1 V. Chapters 1. Introduction 2 2. Review of Literature 4 3. Presentation of Research (Novel Stilbene-based Compound Demonstrates an Anti-migratory Effect Against Glioblastoma Cells.) 4. Conclusion 14 VI. References 16 VII. Appendix A Abstract Glioblastoma multiforme (GBM), the most common type of brain tumor, is highly aggressive and malignant. The migratory nature of these tumor cells inside a delicate organ such as the brain leads to poor prognosis. Despite great advances in other cancer areas, GBM remains one of the most difficult to treat because of the sensitivity of the brain, its limited capacity to repair itself, and the difficulty of getting drugs across the blood brain barrier to the tumor. Therefore, discovering natural compounds, or chemicals that produce the same effect while reducing the negative side effects, is a growing field. Phytochemicals, or chemicals that are found in plants, have become a popular area of research One photochemical discovered to have a variety of therapeutic effects is called Resveratrol. It is found in plants, specifically grape skins, blueberries, and peanuts1. Resveratrol is a stilbenoid and has become known as a cancer preventative that can cross the blood brain barrier2. This review article will investigate the stilbene Resveratol’s ability to prevent cancer formation and cancer progression. Then it will discuss a newly synthesized Resveratrol derivative’s anti-tumor effect on brain tumor cell lines. 1. Introduction 1.1 Glioblastoma Multiforme Glioblastoma multiforme (GBM), the most common type of brain tumor, is highly aggressive and malignant. GBM accounts for about 52% of all primary brain tumors. While it only appears in 2-3 individuals out of 100,000, prognosis is usually low, with patients only surviving 3 months without treatment and about 14 month with treatment. Treatments include surgery, radiation, and chemotherapy, but Temozolomide and Avastin are currently the only FDA approved therapeutics for brain tumors. Despite great advances in other cancer areas, GBM remains one of the most difficult to treat because of the sensitivity of the brain, its limited capacity to repair itself, and the difficulty of getting drugs across the blood brain barrier to the tumor. Common symptoms are nausea, headaches, and seizures, along with memory loss and personality changes. Unfortunately, the cause of glioblastoma is still unknown and appears to be random. The group most affected by this cancer is 45 to 70 years old males. GBM is derived from the glial cells in the brain. Normally, glial cells are known as supportive tissues because they maintain homeostasis and protect neurons in the brain. Once the cells become cancerous, they begin dividing rapidly forming a mass. These cells invade the surrounding brain tissue and induce angiogenesis. The migratory nature of these tumor cells inside a delicate organ, such as the brain, makes complete removal of the tumor during surgery difficult. Thus, even with radiation and chemotherapeutics, recurrence is common. 1.2 Photochemicals Many chemotherapeutic drugs used today have harmful side effects at effective doses levels 3. Temozolomide (TMZ), for example, targets rapidly dividing cells. While TMZ is effective in cause apoptosis in tumor cells, there are other normal cells in the body that also divide quickly, such as the lining of the stomach, skin, and hair cells, that are also affected. Treatments may have harsh side effects such as difficulty eating and swallowing, inability to retaining food, and hair loss, making chemotherapy an unpleasant experience. Therefore, discovering natural compounds, or chemicals that produce the same effect while reducing the negative side effects, is a growing field. Phytochemicals, or chemicals that are found in plants, have become a popular area of research. Scientists have discovered many phytochemicals that exhibit beneficial effects in a variety of areas, such as stroke recovery, diabetes prevention, and decrease inflammation. Some have even been found to be useful in treating and preventing cancer. One advantage to some of these compounds is that therapeutic levels can be achieved through diet, or consumption of foods. These can be found in a variety of fruits and vegetables. Once discovered, synthetic derivatives are created with the intention of enhancing the abilities of these compounds. 1.3 Resveratrol One photochemical discovered to have therapeutic effects is called Resveratrol. It is found in plants, specifically grape skins, blueberries, and peanuts 1. Resveratrol is a stilbenoid, or stilbene compound, consisting of two aromatic rings attached by a styrene double bond (see Figure 1). It exists in both cis and trans isoforms4. Stilbenes are synthesized by plants under conditions of stress5. It has been shown to have cardio-protective, anti-diabetic, and life extending properties. More importantly, Resveratrol has become known as a cancer preventative that can cross the blood brain barrier2. This review article will investigate the stilbene Resveratol’s ability to prevent cancer formation and cancer progression. Then it will discuss a newly synthesized Resveratrol derivative’s anti-tumor effect on brain tumor cell lines. 2. Review of Literature Cell cycle inhibition Unregulated cell cycle progression is a hallmark of cancer. Unchecked, tumor cells can grow to form large masses. Even after removal of over 98% of the tumor, the left over cells can still grow into another mass. Therefore preventing proliferation in GBM is fundamental. Gao, et al. 6 found that Resveratrol prevents proliferation in GBM cells through histone modifications. This occurs by preventing the ubiquitination, or signal for destruction, of histone H2B that helps hold the DNA tightly wound. Without the release of H2B, DNA polymerase cannot access the DNA, preventing cells from exiting G1 and entering S phase, ultimately halting the cell cycle in G0. Another study shows that Resveratrol induces dose dependent inhibition of the cell cycle at S phase in GBM7. Leone, et al. 7 reported that cells accumulated in the S phase at doses under 80 µM of Resveratrol. They also found that Resveratrol induces DNA double stranded breaks, leading to expression H2AX phosphorylation7. H2AX are proteins that hold and repair double stranded breaks. Leone, et al. 7 believe that Resveratrol can also inhibit topoisomerase IIa, which is found at replication forks, and is necessary for survival of growing cells. This is known as a TOPO poison, and kills the cells by eliminating the activities of topoisomerase. Gagliano, et al. 2 also reported that, especially after 72 hours of Resveratrol treatment, in a dose dependent manner, there is reduction in proliferation. Resveratrol as an antioxidant Because the brain requires large amounts of oxygen to operate, reactive oxygen species (ROS) occur readily. In combination with that fact that the brain does not have many antioxidant compounds to combat ROS, it is highly vulnerable to oxidative damage8. Too much ROS activity can lead to protein, lipid and DNA oxidation, the latter causing damage to synthesized protein function8. DNA damage that cannot be repaired has been linked to carcinogenesis 8. One study, done by Quincozes-Santos, et al. 8, looked at Resveratrol’s DNA protective capabilities. They oxidative assault that occurred after one hour incubation in Resveratrol resulted in nearly complete protection of DNA from H2O28. Quincozes-Santos, et al. 8 also mentioned that at concentrations greater than 250µM, for periods longer than 12 hours, Resveratrol itself causes DNA damage. Resveratrol as an anti-inflammatory drug While inflammation in the body is normal, chronic inflammation may cause cancer. NFκB, or nuclear factor-kappa B, has been implicated in regulating inflammatory responses in cells. It also has functions in the cellular proliferation and cell adhesion pathways. In normal conditions, it is inhibited by IκB and held in the cytoplasm in an inactive state. After stimulation requiring inflammatory response such as mitogens, ultraviolet irradiation, and viral proteins, IκB becomes phosphorylated and then degraded. This allows NF-κB to enter the nucleus where it has access to cytokines, cell adhesion molecules and growth factors9. It is this pathway that can have carcinogenic effects on cells. One of NF-κB’s target genes is Cox-2. COX-2 upregulation may play a role in the development of cancer, specifically, prolongs survival, promotes angiogenesis, and leads to changes that enhance metastatic and invasive potential9. By targeting COX-2, proliferation can be reduced and apoptosis induced in certain cell lines. Targeting upstream NF-κB and inhibiting its function could also be a strong candidate for therapeutic drugs. Resveratrol has been shown to have antioxidative and anti-inflammatory effects in some cell lines. Resveratrol decreases MMP-2 and SPARC protein levels Matrix metalloproteinases (MMPs), a family of zinc dependent proteases, break down extracellular matrix components. While not completely understood, increased activity of MMPs has been correlated with invasiveness of brain tumors2. This is especially true with MMP-2, which is capable of breaking down collagen type IV and laminin2. Another protein that may play a role in invasion of surrounding tissue is Secreted Protein Acidic and Rich in Cysteine (SPARC). SPARC has anti-adhesive properties, may help the tumor cells survive stressful conditions of the brain, and activates MMP-22. Gagliano, et al. 2 found that at both 48 hours and 72 hours of Resveratrol treatment there is a reduction in MMP-2 and a reduction of SPARC levels also seen at 24 hours. This was achieved at 1 µM, the concentration that was found in mouse plasma after being administered red wine. Resveratrol in combination therapy Although highly effective at killing other tumor cell types, Temozolomide (TMZ) is not effective at killing GBM. TMZ alone only reduces GBM viability by about 50%10. Lin, et al. 10 showed that the addition of Resveratrol to TMZ enhances the receptivity of GBM cells to TMZ, causing apoptosis at increased rates in a concentration dependent way. Autophagy, or degrading and reusing organelles and proteins found outside of the cell, is a process that inhibits cell apoptosis. By experimenting with TMZ with the addition of low quantities of Resveratrol Lin, et al. 10showed that the occurrence of autophagy was decreased, therefore, increasing the amount of apoptosis. They believe that this occurs because reactive oxygen species (ROS) generation signals for the cell to begin autophagy. By blocking ROS and its downstream effects, which Lin, et al. 10found Resveratrol to do, they believe that apoptosis is increased in GBM. Novel Stilbene Derivative’s Anti-tumor effects in Glioblastoma Since developing new ways to target glioblastoma is such a necessity, our study looked at the anti-tumor effects of a series of newly synthesized aromatic stilbene-based compounds (JKS001 – JKS014). These compounds are Resveratrol derivatives and retain the stilbene backbone. The difference is that the side chains have been altered to chemical groups that have exhibited an enhanced effect in cancer prevention. We hypothesized that these compounds (4 µM – 400 µM) would be able to prevent both GBM cell proliferation and/or migration based on results from compounds synthesized with similar chemical properties and structures. None of these compounds were able to decrease GBM cell proliferation, but one compound known as JKS014 (2-[trans-2-(4-bromophenyl)-vinyl]-3-nitrobenzoic acid) was able to successfully decrease cell migration. JKS014 is a nitrostyrene compound, with two benzene rings bounded to a double bonded carbon just as Resveratrol (see figure______). The difference is the side chains, most notably the bromine and nitrite groups. These groups were added because of their strong anti-tumor properties seen in other compounds. We did different tests; specifically, wound healing assays, and MTT assays, in an attempt to elucidate the function of this compound. Materials Materials for these experiments included two cell lines, A172wt and U251wk, cultured in DMEM and 10% fetal bovine serum, and the JKS014 compound, obtained from Dr. Franks from the North Carolina A&T State University Chemistry Department. We also used MTT assay and western blotting kits, along with various immunoproteins. We also used DMSO as a vehicle control, and various known cell cycle inhibiting compounds. Methods MTT assay Using MTT assays, we tested the potential anti-proliferative effect of JKS014 (see charts 3 and 4~~~). JKS014 was tested on two cell lines, A172wt and U251wk, at concentrations of 4 µM, 40 µM, and 400 µM. Cells were plated at 10,000 cells into 96 well plates, with four wells per treatment, except minus and plus serums which had six wells. The next morning, once the cells had adhered to the plate, cells were washed three times with minus serum to remove any growth factor from the plus serum the cells were plated in. Treatments of minus serum, plus serum, DMSO vehicle control, and the three concentrations of JKS014 were applied for 48 hours. Three other treatments of known cell cycle inhibitors LY, UO, and a combination of LY and UO, remained in minus serum until 14 to 16 hours before MTT treatment began. On the second day of treatment, 10 µL of MTT was added to each well for four hours. Then 100 µL of Solution C, was added to remove the coloring in the wells. After an hour to an hour and a half, the 96 well plate was read, measuring absorbance at 562 nm. High absorbance meant that proliferation rates were high, and low meant that litter proliferation was occurring. Averages and standard deviations were taken and graphed. Wound healing assay To measure the anti-migratory capability of JKS014 we did a wound healing, or scratch test assay. Again, in two cell lines, A172wt and U251wk, we plated a 24well plate with cells at about 100,000 cells per well. The next morning, or once the cells had the opportunity to adhere, the cells were washed twice with minus serum to remove the growth factor they had been plated with from the wells. Then a 200 µl pipet tip was scratched down the monolayer of tissue cells. A third wash was conducted to remove loose cells from the wells. Treatments were placed, minus serum, plus serum, DMSO control, and JKS014 at 400 µM. Pictures were taken at 0 hours, 16-18 hours, and 24 hours. The distance of the gap was measured three times per well at both 0 and 24 hours. Then the average was taken, and the 24 hour value was divided by the 0 hour value and multiplied by 100. This number was then subtracted from 100% and showed the percent closure of each treatment. In U2251wk, we tested the wound healing capabilities at different concentrations. All steps above were identical except that the treatments were minus serum, plus serum, and two different concentrations of JKS014, 40 µM and 400 µM. Western blotting After treatment for 24 hours, cells were lysed in an attempt to determine the migratory pathway JKS014 interacted with. Treatments included, in minus serum, minus serum, DMSO, and JKS014, and in plus serum, Plus serum, DMSO, and JKS014. Thus there were six treatments. The lysates were pipetted into a 10 to 12% gel at about 25 µg/µl, and ran for 45 minutes to an hour. The proteins in the gel were then transferred over to a PVDF membrane for an hour and ten minutes. The membrane was then blocked in 5% milk, and immunoprotein treatments were left on overnight. Treatments included AKT, MAPK, and cofilin, all common proteins cells use in migration. The next morning, the membrane was washed three times with PBS tween for ten minutes each, and secondary treatments were placed, which were anti-mouse and anti-rabbit antibodies. This treatment lasted an hour. Then PBS tween was again used to wash off the treatment, three times for ten minutes. A substrate was used to activate the fluorescent particle, and x-ray film was used to determine expression levels. Results Our MTT assay showed that there was no inhibition of cell proliferation. At the highest concentration, 400 µM, we observed apoptosis, indicating that JKS014 is cytotoxic to the cells at this concentration. In contrast, we saw that JKS014 does have anti-migratory capabilities at both 40µM and 400µM. In U251wk cell lines, the inhibition of migration occurs in a concentration dependent manner. Thus far western blotting has shown no difference in expression levels of proteins involved in the AKT or MAPK pathways. Neither is there a change in expression levels of cofilin or actin. Discussion After discovering that JKS014 strongly knocked down migration, we did western blots in an attempted to determine the mechanism it affected. We tested common known migration pathways such as the AKT, MAPK, pathways, but found no significant change in expression levels. We also looked at actin and cofilin protein levels, but found no change. Since the levels of expression levels did not appear to be altered, we thought JKS014 may be altering the localization of certain proteins involved directly in movement, such as actin and cofilin. Actin is the microtubule unit that connects with itself to form long chains. These chains push against the cytoplasm, causing it to extend in one area. Eventually, the rest of the cell follows the projection and movement is achieved. Cofilin is a protein that helps actin bind to itself and create the chains. Logically, these proteins are found at the site of migration, or the front of migration. If JKS014 was indeed altering where these proteins were located or inhibiting the formation of actin, we expected to see individual actin subunits or these proteins in other parts of the cell, instead of around the edge of the cytoplasm. Using immunoflorescence, we determined that under JKS014 conditions, there seemed to be no change in the location of either actin or cofilin. Conclusion Even with all the advances in other types of cancers, treating glioblastoma multiforme continues to be a difficult task. This is because the brain is a sensitive organ with very little ability to repair damages and because of its selective protective barrier, preventing drugs from reaching their targets. After the surgical removal of the majority of a brain tumor, cells that are left behind seem to become even more aggressive and invasive. Thus a compound that can prevent migration is highly desirable, even if it cannot also inhibit growth. JKS014, a newly synthesized stilbene derivative, has this capability to inhibit migration. Potentially, it could be a useful tool in treating cancer, especially when used in combination with a compound that blocks proliferation. The full chemopreventitive capability of JKS014 is not well understood, but research involving similar compounds indicates many potential beneficial effects of this compound. 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