SAMPLE FULL PAPER 1” Determination of growth inhibitory activities of several bioactive compounds of Andrographis paniculata against a panel of human tumor cell lines: 14-deoxy-11, 12didehydroandrographolide induces a non-apoptotic programmed cell death in T-47D, a breast carcinoma cell line Tan Mei Lan1, Tengku Sifzizul Tengku Muhammad1, Masanori Kuroyanagi2, Shaida Fariza Sulaiman1, Nazalan Najimudin1 1 School of Biological Sciences, Universiti Sains Malaysia, 11800 Minden, Penang, Malaysia. 2School of Bioresources, Hiroshima Prefectural University, Shobara-shi, Hiroshima 727 Japan. 1.25” Introduction Andrographis paniculata (Acanthaceae) or widely known as Kalmegh in India was used as a bitter ingredient in many of the traditional formulations in the practice of Ayurveda. There were about 26 polyherbal formulations of this plant mentioned in Ayurveda as a popular remedy for the treatment of various liver disorders (Handa et al., 1986). Andrographis paniculata was also widely known for its usefulness and beneficial effects in general debility, dysentery, dyspepsia, malaria, asthma, bronchitis, filariasis and hepatitis (Kapil et al., 1993; Jain et al., 2000). Andrographolide and related compounds were also investigated for their pharmacological properties and all showed at least some degree of antipyretic, anti-malarial and anti-inflammatory activity (Jain et al., 2000). However, there were no apparent data on the cytotoxic activities of these compounds against human tumor cell lines. Thus, the aim of this study was to determine the growth inhibitory activities of several bioactive compounds of Andrographis paniculata against a panel of human tumor cell lines and to determine the mode of action of compounds that exhibited potent cytotoxic activities. Materials and methods Cell lines and culture medium Five different human tumor cell lines were used; Caov-3 (human ovarian carcinoma), T47D (human breast carcinoma), Hs-578T (human breast carcinoma), Hep G2 (human hepatocellular carcinoma) and NCI-H23 (human non-small cell lung carcinoma) were all 2.98” purchased from American Type Culture Collection (ATCC), USA. Caov-3 and Hs-578T were cultured in DMEM, T-47D and NCI-H23 in RPMI 1640 and Hep G2 in MEM/EBSS. All media was supplemented with 10% Fetal Bovine Serum (FBS), 100U/ml and 100mg/ml Penicillin-Streptomycin solution and 2mM LGlutamine (4mM L-glutamine in Hs-578T cell medium). Additional additives such as 0.01mg/ml bovine insulin was added into T-47D and Hs-578T cell medium, 0.1mM non-essential amino acids into Hep G2, 10mM HEPES and 1mM sodium pyruvate in T-47D and NCI-H23 cell lines, as recommended by ATCC (USA). 1” In vitro cytotoxicity assay Cellular growth in the presence or absence of experimental agents was determined using MTS assay (CellTiter 96 AQueous Non-Radioactive Cell Proliferation Assay, Promega, USA), according to the manufacturer’s protocol. Cell viability was routinely determined using trypan blue exclusion test and to make sure cell viability was always in excess of 90%. Briefly, near confluent cells in 96-well plates were treated with different concentration of the bioactive compounds. Control cells were cultured in 0.5% (v/v) FCS-containing medium alone. 99.9% (v/v) DMSO was used to dissolve and dilute the compounds and the final concentration of DMSO used was adjusted to 1% (v/v), the concentration used in control cells. After treatment, the plates were incubated for 72 hours. Vincristine sulphate and etoposide were used as positive controls. After 72 hours incubation, 20 µl/well of combined MTS/PMS solution was added and the plates were incubated for a further 1 – 4 hours in the 0.3” 2.98” 1” humidified 5% CO2 incubator at 370C. Absorbance was then read at 490nm using Vmax Kinetic Microplate Reader (Molecular Devices, USA). Wells with complete medium and MTS/PMS solution but without cells were used as blanks. EC50 values were expressed as microgram of compound concentration per millimetre that cause a 50% growth inhibition as compared to controls. Detection of DNA fragmentation (apoptosis) in T-47D cells Cells were then subcultured into Labtek® Chamber Slides and then incubated for 24 – 48 hours. When the cells reached between 80-90% confluency, the medium was removed and replaced with medium containing only 0.5% (v/v) FBS. The cells were then incubated for a further 4 hours and subsequently treated with 14-deoxy-11, 12-didehydroandrographolide at concentration of EC50. Control cells were treated with the same percentage of DMSO. Positive control cells were treated with DNase I and vincristine sulphate. The slides were subsequently incubated for 24 hours. After treatment, the cells in the chamber slides were washed with PBS twice and subsequently processed according to the DeadendTM Colometric Apoptosis Detection System (Promega, USA) protocol as described by the manufacturer’s manual. The slides were observed using the light microscope. In another set of experiments, cells were plated onto 12-well plates at similar cell densities and then treated accordingly with the compound. After 24 hours and 72 hours respectively, the treated cells were rinsed with PBS, stained with 0.4% (w/v) trypan blue and left for about 5 minutes. The sample was then viewed using an inverted light microscope. Detection of phosphatidylserine externalization (programmed cell death) in T-47D cells T-47D cells were prepared and stimulated with 14-deoxy-11,12-didehydroandrographolide as described in previous section. After 24 hours of incubation, medium, chambers and silicon borders of cells grown on chamber slides were removed and the treated cells were incubated with the Annexin-V-FLUOS labeling solution (combination of annexin V and propidium iodide solution) (100 µl/chamber) with coverslips for 10 – 15 minutes at 15 – 250C as described in the manufacturer’s protocol. Subsequently, the slides were immediately analyzed using a fluorescence microscope using an excitation wavelength in the range of 450 – 500 nm and detection wavelength in the range of 515 – 565 nm (green). Annexin V and propidium iodide positive cells were stained in green and red, respectively. Calculations and statistical analysis EC50 values for growth inhibition was derived from a nonlinear regression model (curvefit) based on sigmoidal dose response curve (variable) and computed using GraphPadPrism (Graphpad, USA). EC50 from non-dose response curves were derived by 50% interpolation on fit spline point-to point plots. Data were given as mean + standard error mean (SEM). Results Growth inhibitory effects of the bioactive compounds on growth of human tumor cell lines The seven bioactive compounds of Andrographis paniculata were evaluated in a panel of human tumor cell lines that included ovarian, breast, liver and lung carcinoma cell lines. Andrographolide was growth inhibitory in the range of concentration used to test all the cell lines following a continuous incubation under the standard conditions of the MTS assay (Table 1). However, the compound appeared to be non-cytotoxic against all the cell lines, as judged by the criterion set by the National Cancer Institute, USA (EC50 was more than 4 µg/ml) (Geran et al., 1972). As for 14deoxyandrographolide, the cytotoxic activity was only limited to T-47D cell line (EC50 at 2.800 µg/ml). This compound appeared to be non-cytotoxic to the rest of the cell lines. Similarly for andrographiside, deoxyandrographiside and TABLE 1 Growth inhibitory activities (EC50) of bioactive compounds of Andrographis paniculata [(A) Andrographolide; (B) 14-Deoxy-andrographolide; (C) Andrographiside; (D) 14-Deoxy-11,12-didehydroandrographolide; (E) Neoandrographolide; (F) Deoxyandrographiside; (G) 14-Deoxy-12methoxyandrographolide]; and positive controls [(H) Vincristine sulphate; (I) Etoposide] to different cell lines at 72 hours. ND, not determined Compounds Cell lines A B C D E F G H I Caov-3 23.6 ND ND ND ND ND ND 3.5 76.2 T-47D 13.3 2.8 ND 1.5 18.1 ND 9.9 21.7 1.9 Hs-578T 17.3 ND ND 34.9 ND ND 26.7 0.001 139.4 Hep G2 29.4 28.22 ND 11.5 ND ND ND 0.3 ND NCI-H23 9.9 26.4 ND 41.8 ND ND 19.5 0.002 0.1 14-deoxy-12-methoxyandrographolide, EC50 was either above 4 µg/ml or undetermined at the range of concentration used to test the cells, indicating the non-cytotoxic properties of the compounds. However, 14-Deoxy-11, 12didehydroandrographo lide cytotoxicity effects were demonstrated in T-47D cells (EC50 at 1.520 µg/ml) but non-cytotoxic against the rest of the cell lines. As principle compounds of Andrographis paniculata, andro grapholide and 14-Deoxy11,12-didehydroandrographolide appeared to be more active as compared to the rest of the compounds. However, 14-Deoxy-11,12didehydroandrographolide appeared to show more potent activity (in terms of EC50) as compared to vincristine sulphate and etoposide, especially against T-47D cells (EC50 at 21.700 µg/ml and 1.930 µg/ml, respectively) (Table 1). Within the panel of cell lines, T-47D cells were the most sensitive to 14-deoxy-11,12didehydroandrographolide, followed by 14deoxyandrographolide, 14-deoxy-12methoxyandrographolide and andro grapholide. Although the plant was well known for its hepatoprotective effects on liver cells (Kapil et al., 1993, Roy Choudhury et al., 1987, Rana et al., 1991), the results showed that none of the compounds exhibited remarkable activity against the Hep G2 cells. The effects of 14- deoxy-11, 12-didehydroandrographolide on T47D cells was further evaluated. Induction of programmed cell death by 14deoxy-11,12-didehydroandrogra pholide in T47D cells 14-Deoxy-11,12-didehydroandrogra-pholide was found to be cytotoxic against the T-47D cells as demonstrated in previous results. In order to determine the mechanism of cell death elicited by the bioactive compound, T-47D cells were incubated for 24 hours with the compound at EC50 concentration for 72 hours (1.520 g/ml, Table 1). After incubation, the cells were then subjected to a modified TUNEL assay using Deadend Apoptosis Detection System (Promega, USA). Positive and negative controls were carried out simultaneously. Interestingly, the treated cells were not labeled and nearly non-visible when observed under light microscope, under all fields and magnifications as compared to cells treated with DNase I and vincristine sulphate (Figure 1). This clearly indicated that no DNA fragmentation occurred at 24 hours, thus cell death was most probably non-apoptotic in nature. Trypan blue exclusion assay demonstrated that very few cells were positively stained after 24 and 72 hours incubation with 14-deoxy-11,12-didehydroandrographolide a b c d FIGURE 1 The effect of (a) 14-Deoxy-11,12didehydroandrographolide, (b) 1% (v/v) DMSO, (c) 1U/ml DNase I and (d) 21.70 µg/ml vincristine sulphate on T-47D cells after 24 hours incubation. DNA fragmentation was detected using DeadendTM Colometric Apoptosis Detection System (Promega, USA). (data not shown). This simple experiment actually ruled out necrosis as the mode of cell death. To investigate further, T-47D cells were incubated for 24 hours with the compound at EC50 concentration for 72 hours. After incubation, the cells were subjected to the Annexin-V-FLUOS™ (Roche, Germany) assay. The presence of weakly scattered annexin V positive cells were evident (Figure 2), indicating an early phase of programmed cell death as compared to negative control cells. A high percentage of cells with homogeneous and high intensity staining of propidium iodide was observed, indicating either necrosis, late stage apoptosis (secondary necrosis) or programmed cells death have taken place. As apoptosis and necrosis was ruled out as the mechanism of cell death elicited by 14-deoxy-11,12didehydroandrographolide, the high percentage of positive annexin V cells and cells that took up the propidium iodide dye may indicate that cell death was mostly due to programmed cell death as indicated in Type II non-apoptotic programmed cell death. a b FIGURE 2 The cells were treated with (a) 1.50 µg/ml of the compound and (b) 1% (v) DMSO for 24 hours and stained with the Annexin-VFLUOSTM kit (Roche, Germany). Discussion Results of the present study revealed that the principle compounds, andrographolide and 14deoxy-11,12-didehydroandrographolide appeared to be more active as compared to the rest of the compounds. 14-deoxy-11,12-didehydroandrographolide also showed more potent activity (in terms of EC50) as compared to vincristine sulphate and etoposide, especially against T47D cells (EC50 at 1.520 µg/ml), indicating that this compound could be a possible candidate against breast cancer. Although vincristine sulphate did not appear to produce a prominent growth inhibition pattern against T-47D cells using MTS assay, this anticancer agent produced a high percentage of apoptotic cells (demonstrated DNA fragmentation) in T-47D cells (Figure 1). The cell death cause by 14deoxy-11,12-didehydroandro grapholide against T-47D cells appeared to be non-apoptotic (as revealed by lack of DNA fragmentation) and non-necrotic (as revealed by trypan blue exclusion assay) but possibly programmed cell death (as revealed by annexin V and propidium iodide staining). The non-apoptotic programmed cell death was probably the Type II nonapoptotic programmed cell death (vacuolar) as demonstrated by the high percentage of cells that took up the propidium iodide dye. Cells undergoing Type II death was known to take up the propidium iodide like necrotic cells, due to cell porosity instead of cell membrane disruption (Prof Ivor D. Bowen, personal communication). The results in this study suggested that 14deoxy-11,12-didehydroandro grapholide may be possible candidate for the treatment of breast cancer and the compound inhibited growth of T47D cells via a non-apoptotic programmed cell death mechanism. Although the characteristic staining pattern by annexin V-propidium iodide suggested that cell death may be programmed cell death or Type II programmed cell death (vacuolar), further investigations were warranted such as ultrastructural analysis using transmission electron microscope and gene expression studies. The non-apoptotic programmed cell death may be another potential target in cancer therapeutics. Acknowledgements The authors wished to thank the Ministry of Science, Technology and Innovation (MOSTI), Malaysia for the National Science Fellowship awarded to Tan Mei Lan and for IRPA grant awarded to Shaida Fariza Sulaiman and Tengku Sifzizul Tengku Muhammad. The authors were also grateful to Prof. I.D. Bowen of Cardiff University, Cardiff, UK for his expertise and experience in the interpretation of the ultrastructural analysis results. References Geran, R.I., Greenberg, N.H., Macdonald, M.M., Schumacher, A.M. and Abbott, B.J. (1972). 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