1 May 19, 2015 2 3 4 5 Quantitative phosphoproteomic analysis reveals γ-bisabolene inducing p53-mediated apoptosis of human oral squamous cell carcinoma via HDAC2 inhibition and ERK1/2 activation 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Yu-Jen Jou1,2 Chih-Ho Lai6 Jung-Yie Kao2,¶ Chao-Jung Chen3,4 Chun-Hung Hua7 Cheng-Wen Lin1,9* Yu-Ching Liu4 Tzong-Der Way5 Ching-Ying Wang8 Su-Hua Huang9 1 Department of Medical Laboratory Science and Biotechnology, China Medical University, Taichung, Taiwan 2 Department of biochemistry, College of life sciences, National Chung Hsing University, Taichung, Taiwan 3 Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan Proteomics Core Laboratory, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan 5 Department of Biological Science and Technology, China Medical University, Taichung, Taiwan 6 Department of Microbiology, School of Medicine, China Medical University, Taichung, Taiwan 7 Department of Otolaryngology, China Medical University Hospital, Taichung, Taiwan 8 School of Chinese Pharmaceutical Sciences and Chinese Medicine Resources, China Medical University, Taichung, Taiwan 9 Department of Biotechnology, College of Health Science, Asia University, Wufeng, Taichung, Taiwan 4 30 31 ¶ Co-corresponding author 32 33 *Corresponding author: Cheng-Wen Lin, PhD, Professor. Department of Medical 34 Laboratory Science and Biotechnology, China Medical University, No. 91, 35 Hsueh-Shih Road, Taichung 404, Taiwan 36 Fax: 886-4-22057414 37 5 38 Abstract 39 γ-Bisabolene, one of main components in cardamom, showed potent in vitro and 40 in vivo antiproliferative activities against human oral squamous cell carcinoma 41 (OSCC). 42 memebrane potential, leading to apoptosis of OSCC cell lines (Ca9-22 and SAS), but 43 not normal oral fibroblast cells. Phosphoproteome profiling of OSCC cells treated 44 with γ-bisabolene was identified using TiO2-PDMS plate and LC-MS/MS, then 45 confirmed using Western blotting and real-time RT-PCR assays. Phosphoproteome 46 profiling revealed that γ-bisabolene increased the phosphorylation of ERK1/2, protein 47 phosphatases 1 (PP1), and p53, as well as decreased the phosphorylation of histone 48 deacetylase 2 (HDAC2) in the process of apoptosis induction. Protein-protein 49 interaction network analysis proposed the involvement of PP1-HDAC2-p53 and 50 ERK1/2-p53 pathways in γ-bisabolene-induced apoptosis. Subsequent assays 51 indicated γ-bisabolene eliciting p53 acetylation that enhanced the expression of 52 p53-regulated apoptotic genes. PP1 inhibitor-2 restored the status of HDAC2 53 phosphorylation, reducing p53 acetylation and PUMA mRNA expression in 54 γ-bisabolene-treated Ca9-22 and SAS cells. Meanwhile, MEK and ERK inhibitors 55 significantly decreased γ-bisabolene-induced PUMA expression in both cancer cell 56 lines. Notably, the results ascertained the involvement of PP1-HDAC2-p53 and γ-Bisabolene activated caspases-3/9 and decreased mitochondrial 6 57 ERK1/2-p53 pathways in mitochondria-mediated apoptosis of γ-bisabolene-treated 58 cells. This study demonstrated γ-bisabolene displaying potent antiproliferative and 59 apoptosis-inducing activities against OSCC in vitro and in vivo, elucidating molecular 60 mechanisms of γ-bisabolene-induced apoptosis. The novel insight could be useful for 61 developing anti-cancer drugs. 62 63 Keywords: γ-Bisabolene, oral squamous cell carcinoma, phosphoproteomics, histone 64 deacetylase, p53 acetylation 65 7 66 1. Introduction 67 Oral squamous cell carcinoma (OSCC), accounting for over 90% of head and 68 neck cancers, is highly invasive and metastatic, with high mortality [1, 2]. OSCC 69 prevalence rises noticeably in Asia [3, 4]: e.g., the fourth most common fatal cancer in 70 Taiwanese males. Tobacco, alcohol and betel quid are the most common risk factors, 71 synergistically initiating mucosal changes: e.g., leukoplakia, erythroplakia, and 72 carcinogenesis in the oral cavity [5]. Far less than half of OSCC cases survive five 73 years in recent decades, even those receiving surgery, radiotherapy or chemotherapy 74 [6]. Consequently, developing effective therapeutic agents against OSCC appears 75 paramount for reducing mortality and morbidity. 76 Many potential agents of apoptotic induction become anti-cancer therapeutics in 77 pre-clinical or clinical trials [7]. Apoptosis, a mechanism of programmed cell death, 78 initially triggers Fas receptor-mediated (caspase 8) or mitochondria-dependent 79 (caspase 80 cytomorphological 81 degradation, and apoptotic body formation [8]. B-cell lymphoma (Bcl)-related family 82 proteins, such as Bcl-2, BclXL, Bax, Bak, BAD, BIM, and BclXS, exhibit both anti- 83 and pro-apoptotic manners in regulating mitochondria-dependent apoptotic pathways 84 [8]. Tumor suppressor protein p53 has the proapoptotic activity via binding with 9) pathways, subsequently changes: e.g., activates DNA caspase-3, fragmentation, and results cytoskeletal in protein 8 85 mitochondrial Bcl-2 that causes the release of cytochrome C from mitochondria [8, 9]. 86 Meanwhile, p53 induces transcriptional up-regulation of pro-apoptotic genes: e.g., 87 PUMA, Noxa, and Death receptor 5 (DR5) [8, 10]. Histone deacetylase 2 (HDAC2) 88 overexpresses in human cancer cells of hematological, colon and colorectal, 89 esophageal squamous cell carcinoma, renal, hepatic, lung, and skin [11]. HDAC2, an 90 oncogenic factor, modulates p53 transcriptional activity via deacetylation of p53 at 91 lysine320 [12]. Meanwhile, knockdown or inactivation of HDAC2 raises 92 p53-dependent trans-activation of genes for cell cycle control and apoptosis, 93 suppressing the proliferation of cancer cells [13]. Inhibitors of protein phosphatases 94 (PP1 and PP2A) indicate HDAC2 phosphorylation relating with deacetylase-catalyzed 95 transcriptional repression [14]. 96 Cardamom fruits (Elettaria cardamomum L.) are renowned ancient and aromatic 97 spices in India and Sri Lanka, as Chinese herbal medicine for treatment of infectious 98 diseases, inflammation, cardiovascular, neuronal and digestive disorders [15]. 99 Cardamom exhibits cholinergic and Ca2+ antagonistic effects on modulating gut 100 excitatory, blood pressure, diuretic, and sedative activities [16]; it also demonstrates 101 chemopreventive, anti-proliferative, anti-oxidative, and pro-apoptotic activities 102 against non-melanoma skin and colon cancer [17, 18]. Phytochemical constituents of 103 cardamom include α-terpineol, myrcene, heptane, subinene, limonene, cineole, 9 104 menthone, α-pinene, β-pinene, linalool, nerolidol, β-sitostenone, phytol, eugenyl 105 acetate, bisabolene, borneol, carvone, citronellol, geraniol, geranyl acetate, 106 stigmasterol, and terpinene [19]. Some of these bioactive compounds show 107 anti-oxidant, anti-microbe, anti-inflammatory, and anticancer effects [15, 20-21]. 108 Cineole manifests in vitro and in vivo inhibitory effects on human colorectal cancer 109 and leukemia cells through inactivation of survivin and Akt as well as activation of 110 p38 and apoptosis signaling [22]. Limonene, a potential chemotherapeutic agent, 111 induces mitochondria-dependent apoptosis of human colon cancer cells by 112 suppressing the PI3K/Akt pathway [23]. Geraniol has in vitro and in vivo 113 antiproliferative and apoptosis-inducing actions on pancreatic, hepatic, breast, prostate, 114 skin, and oral cancer via inhibiting mevalonate synthesis and cell cycle regulation 115 [24-27]. Nerolidol suppresses azoxymethane-induced neoplasia of rat intestine [28], 116 exhibiting an antioxidant activity with a significant rise of superoxide dismutase and 117 catalase in mice against oxidative stress [29]. Derivatives of carvone and limonene 118 also have antiproliferative ability against human prostate cancer via ERK activation 119 and p21(waf1) induction [30]. 120 Cardamom and its derived compounds, exhibiting therapeutic potential against 121 cancers, are further investigated in vitro and in vivo antiproliferative and apoptotic 122 activities against human OSCC. Among cardamom-derived compounds, γ-bisabolene 10 123 (4-(1,5-Dimethyl-4-hexenylidene)-1-methylcyclohexene) definitely inhibited the 124 growth of oral cancer cell lines (Ca9-22 and SAS cells) with 50% cytotoxic 125 concentration (CC50) of less than 30 µM. γ-Bisabolene concentration-dependently 126 induced apoptosis via activation of caspases 3 and 9. Liquid chromatography-tandem 127 mass spectrometry (LC-MS/MS), Western blot, and quantitative PCR analysis 128 asserted the involvement of PP1-HDAC2-p53 and ERK1/2-p53 signaling pathways in 129 γ-bisabolene-induced apoptosis of Ca9-22 and SAS cells. 130 131 2. Materials and Methods 132 2.1 Cell cultures 133 Human gingival Ca9-22 and oral squamous cell carcinoma SAS cells, as well as 134 oral fibroblast (OF) normal cells, were used in this study. Cells were cultured in 135 DMEM medium (HyClone Laboratories, US) supplemented with 10% fetal bovine 136 serum, 100 U/ml penicillin, 100 μg/ml streptomycin, 2 mM glutamine and 1 mM 137 sodium pyruvate, incubating at 37℃ in a humidified atmosphere of 5% CO2. 138 139 2.2 Cardamom extraction and its marker compounds 140 Cardamom fruits purchased from Chinese Herbal Medicine Department at 141 China Medical University Hospital were identified by Professor Chao-Lin Kuo at the 11 142 School of Chinese Pharmaceutical Sciences and Chinese Medicine Resources of 143 China Medical University, Taiwan. Cardamom fruits were grinded to powder; crude 144 extract powder was dissolved in water via sonication for 90 min at room temperature. 145 Water extract was collected following centrifugation at 12,000 rpm for 20 min, 146 filtration with a Whatman No. 1 filter paper, and then lyophilization in a freeze dryer 147 (IWAKI FDR-50P). Lyophilized extract powder was kept in sterile bottles at -20°C. 148 Stock water extract (10 mg/ml) was dissolved in phosphate buffered saline. 149 γ-Bisabolene 150 (S)-(-)-Limonene 151 diene), 152 (S)-(+)-p-Mentha-6,8-dien-2-one) were purchased from Alfa Aesar-A Johnson 153 Matthey Company. Sabinene hydrate, (−)-Borneol (endo-(1S)-1,7,7-Trimethylbicyclo 154 [2.2.1]heptan-2-ol) 155 3-Hydroxy-3,7,11-trimethyl- 1,6,10-dodecatriene) were obtained from Sigma-Aldrich 156 Chemical Co. (St. Louis, MO). and (4-(1,5-Dimethyl-4-hexenylidene)-1-methylcyclohexene), ((S)-(-)-4-Isopropenyl-1-methylcyclohexene (S)-(+)-Carvone and (-)-p-Mentha-1,8- ((S)-(+)-5-Isopropenyl-2-methyl-2-cyclohexenone Nerolidol (3,7,11-Trimethyl-1,6,10-dodecatrien-3-ol 157 158 2.3 In vitro cytotoxicity Test 159 Cytotoxic activity of cardamom extract and its marker compounds was assessed 160 by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. 12 161 OSCC (Ca9-22 and SAS) or normal (OF) cells (4 × 104 cells/mL) plated in 96-well 162 plates overnight and then treated with indicated concentrations of cardamom extract 163 (0.1, 1, 10, and 100 μg/mL) and marker compounds (0.1, 1, and 10 μM) for 48 h at 37 164 ℃ in humidified atmosphere of 5% CO2. Cells in each well reacted with 10 μL of a 165 MTT solution at 5 mg/mL for other 4 h incubation; formazan crystals in cells were 166 dissolved in 100 μL of stop solution (29.9 ml HCl and 100 μL isopropanol). Finally, 167 optical density (OD, 570-630 nm) in each well was measured with micro-ELISA 168 reader; survival rate was calculated as the ratio of OD570-630 nm of treated cells to 169 OD570-630 nm of mock cells, used to indicate 50% cytotoxic concentration (CC50) of 170 γ-bisabolene on Ca9-22 and SAS cells. 171 172 2.4 Apoptosis and cell cycle assay by flow cytometry 173 Cells were treated with or without 0.1, 1, 5 and 10 μM of γ-bisabolene for 24 174 and 48 h, harvested and washed in cold phosphate-buffered saline (PBS) for cell cycle 175 analysis by propidium iodide (PI) staining, and apoptosis assays by annexin V-FITC 176 and PI staining. In cell cycle assays, cells were fixed by 70% ethanol at -20℃ 177 overnight, washed in cold PBS, then re-suspended in PI solution (BioLegend) plus 178 with 0.1mg/mL RNase. After 30-min incubation at room temperature in darkroom, 179 cells underwent flow cytometry with excitation wavelength of 488nm and emission 13 180 wavelength of >575 nm; sub-G1 (apoptotic), G1, S, and G2 phase cells were rated by 181 BD FACSCanto™ system. In apoptosis assays, cells were resuspended in annexin V 182 binding buffer and stained with the reagents of Annexin V-FITC and PI in Annexin 183 V-FITC apoptosis Detection Kit (BioVision, CA). After incubation at room 184 temperature for 15 min in the dark, fractions of early or late phase of apoptotic cells 185 were analyzed using flow cytometry with excitation wavelength of 488nm and 186 emission wavelength of 530 nm for FITC signal and >575 nm for PI signal 187 (Becton-Dickinson, USA). 188 189 2.5 Western blot 190 Cells were treated with or without 0.1, 1, 5 and 10 μM of γ-bisabolene for 24 191 and 48 h, collected, washed in cold phosphate-buffered saline (PBS), and lysed in 100 192 µl of RIPA lysis buffer containing phosphatase and protease inhibitors (Roche 193 Diagnostics). Lysates (100 µg) were pre-incubated in sample buffer (0.5mM Tris-HCl 194 [pH 6.8], 10% SDS, 10% glycerol, 0.5% brilliant blue R) at 100℃ for 8 min, then 195 separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis 196 (SDS-PAGE). Proteins in gels were transferred onto nitrocellulose membranes 197 (Millipore, Billerica, MA). After blocking with 5% skim milk in TBST (Tris-Buffered 198 Saline, 0.1% Tween-20) buffer at 4℃ for 2 h, the membranes were incubated 14 199 overnight with specific primary antibodies against caspase 3 (Calbiocem), caspase 9 200 (upstate), p53, phospho-p53(S15), phospho-Akt(S473), acetylated-Lysine (Cell 201 signaling), phospho-HDAC2(S394) (Bioss), 3-phosphoinositide dependent protein 202 kinase-1 (PDK1), casein kinase 2α (CK2α), and β-actin (Cell signaling). Subsequently, 203 the membranes were incubated with HRP-conjugated anti-mouse or anti-rabbit IgG 204 antibodies (Invitrogen, Carlsbad, CA) after TBST washing. Immunoreactive bands for 205 the proteins of interest were developed with ECLTM Western Blotting Detection 206 Reagents (GE Healthcare), and then visualized by autoradiography (X-ray film from 207 Kodak, Rochester, NY). 208 209 2.6 Mitochondrial membrane potential (MMP) detection assays 210 MMP changes were detected by JC-1 (BioVision) and DiOC6(3) staining 211 (CALBIOCHEM). For imaging, cells treated with or without γ-bisabolene were 212 stained with JC-1 (10 µg/ml) at room temperature in the dark for 1 h, then visualized 213 by fluorescent microscope (Olympus) post-washing with cold PBS. Green 214 fluorescence of monomer JC-1 indicated MMP loss, as photographed with excitation 215 wavelength of 488nm and emission wavelength of 530 nm; red fluorescence of JC-1 216 specified a higher MMP in stained cells, and then was pictured with the emission 217 wavelength of 590 nm. For quantitating MMP changes, cells were incubated with 15 218 DiOC6(3) (20 nM) at 37℃ in the dark for 1 h, then immediately analyzed with a flow 219 cytometer with an excitation wavelength of 488nm and an emission wavelength of 220 530 nm. 221 222 2.7 Cell lysis and gel-assisted digestion 223 Cells treated with γ-bisabolene for 24 h were collected, washed, and then lysed in 224 100 µl of RIPA (radioimmunoprecipitation assay) lysis buffer, as described above in 225 Western blot assays. Total lysates (400 µg/50 μl) were dissolved in solutions of 18.5 226 μl of acrylamide (40%, 29:1), 2.5 μl of 10% ammonium persulfate, and 1 μl of 227 TEMED (tetramethylethylenediamine). Gel was cut into small pieces and washed 228 repeatedly with 500 μl of ABC (ammonium bicarbonate) containing 50% (v/v) ACN 229 (acetonitrile), samples dehydrated with 100% ACN and thoroughly dried by 230 SpeedVac. Proteolytic digestion was performed with trypsin (1:25 (w/w) 231 trypsin-to-protein ratio) in 25 mM ABC overnight at 37°C. Peptides were derived 232 from gel via sequential extraction with 200 μl of 25 mM ABC, 200 μl of 0.1% (v/v) 233 TFA in water, 200 μl of 0.1% (v/v) TFA (trifluoroacetic acid) in ACN, and 200 μl of 234 100% ACN. All extracted solutions were combined and concentrated in SpeedVac, 235 then applied for purification of phosphopeptides and nanoLC-MS/MS analysis. 236 16 237 238 2.8 Phosphopeptide enrichment by TiO2-PDMS coated plate On-plate phosphopeptide enrichment method using the TiO2- 239 polydimethylsiloxane (PDMS) coated plate was reported by Chen et al. (2014) [31]. 240 In brief, PDMS-coated plate was first fabricated by coating PDMS prepolymer on a 241 glass plate. A roller flattened the PDMS prepolymer to make a thin layer on the plate 242 that was incubated in an oven for polymerization at 80°C for 1 h. Once PDMS film 243 formed, the plate was washed with 0.1% FA solution to remove incompletely 244 polymerized monomers [32]. Aliquots (5 µL) of TiO2 particle solution (1mg in 500 μl, 245 70% ACN) were deposited on PDMS-coated plate to make TiO2 spot arrays; the plate 246 was subsequently incubated in an oven at 80°C for 10 min, flushed with water, then 247 washed with 80% ACN/2% TFA solution to remove contaminants and nonspecifically 248 adsorbed compounds. Protein digest samples dissolved in loading buffer (80% ACN, 249 2% TFA, and 20-200 mg/mL of DHB) were loaded onto TiO2 spots, incubated for 1 250 min, then washed in 80% ACN/2% TFA solution to remove non-phosphorylated 251 peptides. Phosphopeptides were eluted with 3-5 µL of 0.05% NH4OH, dried by 252 centrifuge, and followed by resuspension in 0.1% FA solution and nanoLC-MS/MS 253 analysis. 254 255 2.9 NanoLC-MS/MS 17 256 Identification of phosphopeptides was performed with a nanoflow UPLC system 257 (UltiMate 300 RSLCnano system, Dionex, Ameterdam) coupled with a captive spray 258 ion source and a Q-TOF mass spectrometer (maXis impact, Bruker). Samples were 259 injected into a home-made tunnel-frit trap column (C18, 5 μm, 180 μm x 20 mm) with 260 a flow rate of 10 μL/min for a duration of 4 min [33, 34]. The trapped peptides were 261 separated by a commercial analytical column (Acclaim PepMap C18, 2 μm, 100 Å, 75 262 μm x 250 mm, Thermo Scientific) with the acetonitrile/water gradient of 1-40% at a 263 flow rate of 300 nL/min. For MS detection, peptides with a charge of 2+, 3+, or 4+ 264 and intensity above 50 counts were chosen for data-dependent acquisition, set to 1 full 265 MS scan (400-2000 m/z) with 1 Hz, and switched to 10 product ion scans (100-2000 266 m/z) with 5 Hz. 267 268 2.10 Protein Identification 269 NanoLC-MS/MS spectra were deisotoped, centroided, and converted to .xml files 270 by DataAnalysis software (version 4.1, Bruker Daltonics). To identify proteins, mass 271 spectra obtained were compared to SwissPort database (release 51.0) via MASCOT 272 algorithm (version 2.2.07) with search parameters of peptide and MS/MS mass 273 tolerance 274 modification-cabamidomethyl (Cys), variable modification-oxidation (Met), and set at 0.05 Da, taxonomy-human, enzyme-trypsin, fixed 18 275 phosphorylation (Ser, Thr, Tyr). Peptides were identified if MASCOT individual ion 276 scores exceeded 30. 277 278 2.11 Label-Free Quantification 279 LC-MS/MS spectra were converted to xml files using DataAnalysis (Version 4.1, 280 Bruker), then the files were searched against Swissport database with the MASCOT 281 algorithm (version 2.2.07). Label-free quantitative proteomics was accomplished by 282 LC-MS replicated runs of different groups (n=4); the results were processed to exhibit 283 the molecular feature using DataAnalysis 4.1 and ProfileAnalysis software 2.0 284 (Bruker Daltonics). For inter-group comparison, results were transferred to 285 ProteinScape 3.0 (Bruker Daltonics) using t-tests, together with protein identification 286 and quantified peptide information of every protein from each group. 287 288 2.12 Pathway analysis with META core software 289 Biological pathways of regulated proteins in responses to γ-bisabolene were 290 analyzed by GeneGO Meta-Core software (GeneGo Inc, Encinitas, CA). Direct 291 networks, molecular pathways, and biological diseases among identified proteins were 292 considered, and then derived from statistical significance of association between 293 treatment with or without γ-bisabolene (p-value cutoff ±10). 19 294 295 2.13 Real-time RT-PCR 296 Total RNA (1000 ng) was extracted from cells treated with or without 297 γ-bisabolene using the RNA purification kit (Invitrogen), reverse-transcribed into 298 cDNA with oligo dT primer and SuperScript III reverse transcriptase (Invitrogen). To 299 quantify gene expression in response to γ-bisaboene, two-step RT-PCR using SYBR 300 Green I was performed as in our prior report [35]. Oligonucleotide primer pairs in our 301 study: (1) forward primer 5’-CAGTGGAGGCCGACTTCTTG-3’ and reverse 302 primer5’-TGGCACAAAGCGACTGGAT-3’ for human caspase 3, (2) forward primer 303 5’-TGTCCTACTCTACTTTCCCAGGTTTT-3’ 304 5’-GTGAGCCCACTGCTCAAAGAT-3’ for human caspase 9, (3) forward primer 305 5’-AGTGGGTATTTCTCTTTTGACACAG-3’ 306 5’-GTCTCCAATACGCCGCAACT-3’ for human Bim, (4) forward primer 307 5’-GACGACCTCAACGCACAGTA-3’ 308 5’-CACCTAATTGGGCTCCATCT-3’ for human PUMA, (5) forward primer 309 5’-GAGATGCCTGGGAAGAAGG-3’ and reverse primer 5’-TTCTGCCGGAAGTT 310 CAGTTT-3’ 311 5’-CACCTCACACCGGTAATCC-3’ 312 5’-AGAGAGGCACAGGAGGCATA-3’ for human for human and and and Noxa, reverse reverse reverse (6) and forward reverse cAMP-dependent primer primer primer primer primer PKAreg 20 313 (PKA-R1), (7) forward primer 5’-GATGTGAATGGGCAGTTAGTC-3’ and reverse 314 primer 5’-ATGGTGCCTATACTCCA-3’ for human 3-phosphoinositide-dependent 315 protein kinase 1 (PDK1), (8) forward primer 5’-GAACGCTTTGTCCACAGTGA-3’ 316 and reverse primer 5’-TATCGCAGCAGTTTGTCCAG-3’ for human protein kinase 317 CK2α, (9) forward primer 5’-AATGGAGAGTATGCTCATCAGTG-3’ and reverse 318 primer 5’-ACTCTTCTAACTGCCATAGCACC -3’ for human T-complex protein 1 319 (TCP1), and (10) forward primer 5’-CCACCCATGGCAAATTCC-3’ and reverse 320 primer 5’-TGGGATTTCCATTGATGACAAG-3’ for human GAPDH. Real-time 321 PCR reaction mixture contained 2 μl of cDNA (reverse transcription mixture), 200 322 nM of each primer pair in SYBR Green I master mix (LightCycler TaqMAn Master, 323 Roche Diagnostics). PCR was performed by amplification protocol consisting of 1 324 cycle at 50°C for 2 min, 1 cycle at 95°C for 10 min, 40 cycles at 95°C for 15 sec, and 325 60°C for 1 min. Specific products were amplified and detected in ABI PRISM 7300 326 sequence detection system (PE Applied Biosystems). Relative changes in mRNA 327 levels of indicated were gene normalized by housekeeping gene GAPDH. 328 329 2.14 Inhibitory effect of protein phosphatase 1 inhibitor-2 on p53 acetylation 330 Protein phosphatase 1 inhibitor-2 (I-2) was purchased from New England 331 Biolabs. To examine the direct translocation of I-2 across cell plasma membranes, 21 332 Ca9-22 cells were pre-treated with I-2 at 4 °C or 37 °C for 1 h, washed three times 333 with PBS for 5 min, treated with or without γ-bisabolene for 24 h, then followed by 334 cell cycle analysis with flow cytometry. For evaluating the acetylation status of p53 335 using immunoprecipitation, lysate of cells treated with single or both of γ-bisabolene 336 and I-2 was incubated with anti-p53 antibodies for 4 h at 4 °C, followed by addition 337 of protein A-Sepharose beads and additional 2 h of incubation. After centrifugation, 338 pellets were washed with NET buffer (150 mM NaCl, 0.1 mM EDTA, 30 mM 339 Tris-HCl, pH 7.4), and then dissolved in 2X SDS-PAGE sample buffer for Western 340 blot assays, as described above. Resulting blots were probed with primary antibodies 341 against p53 and acetylated-Lysine (Cell signaling), interacted with HRP-conjugated 342 anti-mouse IgG antibodies (Invitrogen, Carlsbad, CA), then followed by enhanced 343 chemiluminescence detection after TBST washing. The ratio of acetylated p53 to p53 344 was calculated according to the relative density of indicated protein band. In addition, 345 relative mRNA levels of p53 target gene PUMA in each cell group treated with or 346 without I-2 were performed using real-time PCR, as described above. 347 348 2.15 In vivo studies 349 Animal experiment was conducted following institutional guidelines and 350 approved by Institutional Animal Care and Use Committee (IACUC) at China 22 351 Medical University. Balb/c-nu/nu nude mice (4-6 weeks age) were purchased from 352 BioLASCO Taiwan Co., Ltd (Taiwan), and maintained in Laboratory Animal Center 353 at China Medical University. The mouse xenograft model and in vivo tumor volumes 354 were modified as previously described [36]. In brief, oral cancer SAS cells 355 (1 × 107/0.1 ml DMEM) were subcutaneously injected into the dorsal site of the nude 356 mice. After 1 week, tumor volumes approximately reached 100 mm3, and then the 357 mice initially received the intraperitoneal treatment with or without 30 μL of 50 358 mg/kg γ-bisabolene every 2 days. After 10 times treatment, mice were sacrificed and 359 tumors were collected, weighted, and measured the volumes. 360 361 2.16 Statistical analysis 362 Three independent experiments were performed for measuring mean ± standard 363 error (mean ± S.E.). Group means were compared using Student's t-test; P < 0.05 was 364 considered statistically significant. 365 366 3. Results 367 3.1 Growth inhibition and apoptosis induction of oral cancer cells by cardamom 368 extract and γ-bisabolene in a dose-dependent manner 369 To examine the growth inhibitory ability of cardamom extract and its 23 370 derived compounds, the survival rates of human oral cancer cell lines (Ca9-22 and 371 SAS) and normal oral fibroblast cells were measured using MTT assays 2 days post 372 treatment (Supp. Fig. 1, Fig. 1A). Cardamom extract concentration-dependently 373 inhibited the growth of oral cancer Ca9-22 cells, exhibiting a CC50 value of 81.2 374 μg/ml (Supp. Fig. 1A). Among cardamom derived compounds, only γ-bisabolene had 375 a significant reduction of human oral cancer cell growth in a concentration-dependent 376 manner (Supp. Fig. 1B). The CC50 value of γ-bisabolene to human oral cancer cells 377 ranged from 5.15 μM (Ca9-22 cells) to 29.5μM (SAS cells). Meanwhile, cell cycle 378 analysis using PI staining showed γ-bisabolene increasing sub-G1 fractions of Ca9-22 379 and SAS oral cancer cells in a time-dependent manner (Figs. 1B and 1C). However, 380 γ-bisabolene was less to cytotoxic to normal human oral fibroblast cells (Fig. 1A); no 381 sub-G1 fraction was observed in γ-bisabolene-treated oral fibroblast cells (Fig. 1D). 382 The results indicated γ-bisabolene, a cardamom derived compound, exhibiting the 383 anti-proliferative activity on human oral cancer cell lines, but not normal oral 384 fibroblast cells. 385 386 3.2 Activation of caspase 9-dependent and mitochondria-mediated apoptosis induced 387 by γ-bisabolene 388 To test whether γ-bisabolene induces apoptosis of human oral cancer cells 24 389 and normal fibroblast cells, γ-bisabolene-treated cells were analyzed using annexin 390 V-FITC and PI staining. The fractions of early (annexin-V positive/PI negative) and 391 late (annexin-V positive/PI positive) apoptosis were determined by flow cytometer 392 (Figs. 2A-2B). γ-Bisabolene elicited the dose-dependent increase of early apoptosis 393 on human oral cancer cells, but no apoptotic effect on normal oral fibroblast cells. To 394 further examine the influence of γ-bisabolene on caspase expression, oral cancer cell 395 lines Ca9-22 and SAS were treated with or without γ-bisabolene, then harvested 24 h 396 post treatment for analyzing the mRNA levels of caspases 3 and 9 using real-time 397 PCR (Figs. 2C and 2D). Quantitative RT-PCR revealed γ-bisabolene significantly 398 up-regulating the mRNA expression of caspase 9 in both oral cancer cell lines. 399 Subsequently, Western blot was used to analyze active forms of caspases in 400 γ-bisabolene-treated Ca9-22 and SAS cells 24 h post treatment (Figs. 2E and 2F). 401 Active forms of caspases 3 and 9 obviously elevated in Ca9-22 and SAS cells in a 402 concentration-dependent manner. The results demonstrated the apoptosis-inducing 403 ability of γ-bisabolene to human oral cancer cells. 404 Since caspase 9 is an initiator caspase linked with mitochondria death 405 damage [37], the change of mitochondrial membrane potential (MMP) in 406 γ-bisabolene-treated cancer cells was subsequently explored using JC-1 and DiOC6(3) 407 staining (Fig. 3). The images of oral cancer cells stained with JC-1 indicated 25 408 γ-bisabolene 409 concentration-dependent manners, appearing that γ-bisabolene triggered the loss of 410 MMP in Ca9-22 cells (Fig. 3A). Quantitative analysis of MMP changes using 411 DiOC6(3) staining demonstrated γ-bisabolene strongly declining the MMP of human 412 oral cancer Ca9-22 and SAS cells (Figs. 3B-3D); a 92.3% decrease in MMP was 413 found in Ca9-22 cells treated with 1 μM of γ-bisabolene (Fig. 3C). Therefore, the 414 results 415 mitochondria-mediated apoptosis of human oral cancer cells. decreasing revealed that in the red/green γ-bisabolene fluorescence induced caspase intensity ratio 9-dependent by and 416 417 3.3 Proteomic profiling of human oral cancer cells induced by γ-bisabolene 418 To differentiate specific phosohoproteomic profiling induced by γ-bisabolene, 419 phosphopeptides of Ca9-22 oral cancer cells were enriched by the TiO2-PDMS plate 420 (TP plate) and identified using quantitative LC-MS/MS (Supp. Tables 1-4, Figs. 421 Supp. 2A-2B). Supplemental Figures 2A and 2B showed MS/MS spectra for 422 mapping phosphopeptides of p53 and HDAC2. A total of 358 phosphopeptides and 423 142 nonphosphorylated peptides in mock-control and treated oral cancer cells with 5 424 µM γ-bisabolene were identified and quantified using LC-MS/MS with Bruker 425 DataAnalysis and ProfileAnalysis software (Supp. Tables 1-4). Analyzing cell lysates 426 by Western blot confirms protein profiling of Ca9-22 and SAS cells induced by 26 427 γ-bisabolene (Figs. 4A and 4C): i.e., a significant rise of phospho-p53 and PDK1 as 428 well as an obvious decline of phospho-HDAC2 and CK2α in γ-bisabolene-treated 429 cells compared to mock-control cells, as consistent with LC-MS/MS data (Supp. 430 Tables 1-4). Moreover, quantitative real-time PCR indicated greater 6-fold increases 431 of PKA-R1, PDK1 and TCP1, as well as 2-fold decrease of CK2-α in 432 γ-bisabolene-treated Ca9-22 and SAS cells than mock cells (Figs. 4B and 4D), as in 433 agreement with LC-MS/MS and Western blot data (Supp. Tables 1-4, Figs. 4A and 434 4C). In addition, GeneGO Meta-Core analysis of phosohoproteomic profiling 435 proposed γ-bisabolene-induced apoptotic pathways of human oral cancer cells, in 436 which HDAC2 inhibition and ERK1/2 activation would be responsible for 437 p53-mediated transcriptional activities for apoptosis induction by γ-bisabolene (Fig. 438 4E). Therefore, HDAC2- and ERK1/2-mediated pathways were consequently 439 examined to confirm the proposed mechanisms of γ-bisabolene-induced apoptosis. 440 441 3.4 Increase of p53 acetylation via PP1-mediated dephosphorylation of HDAC2 in 442 γ-bisabolene-induced apoptotic cells 443 HDAC2 was phosphorylated by CK2, and dephosphorylated by protein 444 phosphatase 1 (PP1) [14, 38]. Meanwhile, HDACs phosphorylation promoted their 27 445 enzymatic activity to suppressed p53 transcriptional activities via the loss of p53 446 acetylation [39-42]. Therefore, the PP1-HDAC2-p53 acetylation pathway was 447 proposed to be involved in apoptosis induction by γ-bisabolene. Firstly, p53 448 transcriptional activities for gene expression of PUMA, NOXA, and Bim were 449 quantified in both cancer cell lines using real-time RT-PCR (Figs. 4F-4G). 450 γ-bisabolene significantly induced a concentration-dependent upregulation of PUMA 451 mRNA expression in Ca9-22 and SAS cells. To confirm whether γ-bisabolene 452 triggered the PP1-HDAC2-p53 acetylation pathway involved triggering apoptosis, 453 PP1 inhibitor-2 (I-2) was used to ascertain the relation between HDAC2 454 phosphorylation and p53 acetylation (Figs. 5A-5D). Initially, the translocation of I-2 455 across cell membrane was evaluated by the inhibitory ability of I-2 pre-treatment at 4 456 °C versus 37 °C (Fig. 5A). I-2 pre-treatment at 37 °C reduced a higher decrease of 457 γ-bisabolene-induced apoptosis (sub-G1 phase) compared to I-2 pre-treatment at 4 °C, 458 because the permeability of cell membrane was low at 4 °C. The result revealed the 459 direct translocation of I-2 across cell membrane. Subsequently, I-2 was used to assess 460 the PP1-HDAC2-p53 acetylation pathway in γ-bisabolene-induced apoptosis. 461 Immunofluorescence assay demonstrated I-2 concentration-dependently elevating the 462 phosphorylation of HDAC2 in γ-bisabolene-treated cancer cells (Fig. 5B). Meanwhile, 463 I-2 reduced γ-bisabolene-induced p53 acetylation and p53 transcriptional activities in 28 464 oral cancer cells in concentration-dependent manners (Figs.5C and 5D). The results 465 demonstrated the inhibition of PP1 activity by I-2 caused the increase of HDAC2 466 activity, resulting in the decrease of p53 acetylation. The results revealed the 467 involvement of PP1-HDAC2-p53 acetylation pathway in γ-bisabolene-induced 468 apoptosis of human oral cancer cells. 469 470 3.5 Activation of ERK1/2-mediated apoptosis of human oral cancer cells by 471 γ-bisabolene 472 GeneGO Meta-Core pathway analysis also indicated ERK1/2-p53 and 473 ERK1/2-Akt pathways as responsible for γ-bisabolene-induced apoptosis (Fig. 4E). 474 ERK1/2 regulated apoptosis through increasing p53-mediated gene expression and 475 decreasing Akt activation [54, 55], thus we investigated whether ERK1/2 activation 476 links 477 γ-bisabolene-induced apoptosis (Figs. 5E and 5F). Western blotting showed 478 γ-bisabolene lessened the phosphorylation of Akt in human oral cancer Ca9-22 and 479 SAS cells, linking with activation of ERK1/2-mediated apoptosis. Likewise, 480 ERK1/2- and MEK-specific inhibitors (PD98059 and U0126) significantly 481 suppressed the up-regulation of p53-mediated gene PUMA induced by γ-bisabolene 482 (Fig. 5F). Results revealed ERK1/2 activation was notably responsible for with the Akt activation and p53-mediated gene expression in 29 483 p53-medaited apoptosis of γ-bisabolene-treated Ca9-22 and SAS cells. 484 485 3.6 Inhibition of oral cancer cell xenograft growth by γ-bisabolene 486 To examine in vivo antitumor efficacy of γ-bisabolene, Balb/c-nu/nu nude 487 mice were implanted with human oral cancer cell xenografts in the dorsal 488 subcutaneous site for one week, then intraperitoneally injected with(out) 50 mg/kg 489 γ-bisabolene every 2 days (Fig. 6). Treatment with γ-bisabolene had a significantly 490 inhibitory effect on the tumor volume of oral cancer cell xenografts (Fig. 6B), but 491 only slightly reduced body weight (Fig. 6A). Tumor volume growth curves indicated 492 exponential growth of oral cancer cell xenografts in the untreated control (113.8, 493 700.2, 1761.8, and 3175.9 mm3 at Day 0, 7, 14 and 21), but not in 494 γ-bisabolene-treated group (95.4, 338.2, 824.3, and 793.8 mm3 at Day 0, 7, 14 and 21) 495 (Fig. 6B). In addition, γ-bisabolene treatment significantly reduced the tumor weight 496 (1.2 ± 0.6 g) of oral cancer cell xenografts, as markedly lower than that in untreated 497 group (4.7 ± 0.8 g) at Day 21 (Fig. 6C). The results indicated γ-bisabolene 498 significantly constrained the xenograft growth of human oral cancer cells in nude 499 mice. 500 30 501 4. Discussion 502 Cardamom and its derived compound γ-bisabolene inhibited the proliferative 503 activities of human oral cancer cells (Supp.Fig. 1, Fig. 1). Antiproliferative ability of 504 cardamonin, limonene and carvone on human oral cancer cells was less that of 505 γ-bisabolene with CC50 of 5.15 μM for CA9-22, and 29.5 μM for SAS oral cancer 506 cells (Supp. Fig.1B, Fig 1A). Importantly, γ-bisabolene significantly suppressed the 507 growth of human oral cancer cells in mouse xenograft model (Fig. 6). Cardamom and 508 its derived compounds cardamonin, limonene, and carvone have demonstrated the 509 growth inhibition of colon cancer cells, breast, skin, and prostate cancer cells, as well 510 as chemopreventive and antioxidant actions on skin cancer [18, 21, 27, 30, 45]. 511 Besides cardamom, γ-bisabolene was also detected in essential oil of Croton flavens L. 512 leaf, Zingiber officinale, Magnolia grandiflora and Magnolia virginiana flower 513 [46-48]. These essential oils containing γ-bisabolene exhibited anti-inflammatory 514 properties and anti-proliferative activities on human prostate cancer, glioblastoma, 515 lung carcinoma, breast carcinoma, and colon adenocarcinoma cell lines [46-48]. 516 However, γ-bisabolene alone seldom demonstrated the anticancer action in vitro and 517 in vivo. The study firstly reported potent antiproliferative activities of γ-bisabolene on 518 human oral squamous cell carcinoma cell lines in vitro and in vivo. 519 γ-Bisabolene exerts apoptosis-inducing activities against human oral cancer 31 520 cells, triggering apoptosis in time- and concentration-dependent manners (Figs. 1B, 521 1C, 2A, and 2B). γ-Bisabolene up-regulated the mRNA expression of caspase 9 in 522 Ca9-22 and SAS cells, then triggered the activation of caspases 3 and 9 in oral cancer 523 cells (Figs. 2C-2F), in which linked with the loss of mitochondria membrane potential 524 in γ-bisabolene-treated cancer cells (Fig. 3). Results demonstrated the involvement of 525 the mitochondrial apoptotic pathway in γ-bisabolene-induced apoptosis of human oral 526 squamous cell carcinoma. For elucidating the mechanism of γ-bisabolene-induced apoptosis in oral cancer 527 528 cells, comprehensive 529 γ-bisabolene-treated Ca9-22 cells was examined using LC-MS/MS and confirmed 530 using Western blotting and real-time RT-PCR assays (Supp. Tables 1-4, Fig. 4, Supp. 531 Fig. 532 phosphopeptides identified indicated γ-bisabolene activating the proteins of apoptotic 533 process, induction of apoptosis, and regulation of cell cycle, such as 534 melanoma-associated antigen 4 (MAGE-A4), tensin-3, insulin-like growth factor 2 535 mRNA-binding protein 2, and tumor suppressor p53. For example, the C-terminal 536 fragment of MAGE-A4 with proapoptotic activity induces apoptosis in human cells 537 after genotoxic stress [50]. Tumor suppressor p53 shows the proapoptotic activity on 538 the mitochondrial apoptotic pathway, exerting transcriptional activities on 2). PANTHER and quantitative classification system phosphoproteome [49] analysis profiling of of up-regulated 32 539 up-regulation of pro-apoptotic genes: e.g., PUMA, Bim, and NOXA [8-10]. On the 540 other 541 phosphopeptides shows γ-bisabolene constraining the proteins of negative regulation 542 of apoptotic process or anti-apoptotic process, including BAG family molecular 543 chaperone regulator 3 (BAG-3), HDAC2, and double-stranded RNA-specific 544 adenosine deaminase (ADAR). Anti-apoptotic protein BAG-3 interacts with Bcl-2 in 545 blocking Fas/FasL-mediated apoptosis [51]. ADAR, catalyzing the conversion of 546 adenosine to inosine, exhibits a protection against stress-induced apoptosis and 547 measles virus-induced apoptosis [63, 64]. HDAC2, a negative regulator of apoptotic 548 process, overexpresses in many types of human cancers: e.g., hematological, colon 549 and colorectal, esophageal squamous cell carcinoma, renal, hepatic, lung, skin tumors, 550 pancreatic cancer [11]. Clinical studies indicated HDAC inhibitors displaying 551 anticancer activities against ovarian cancer, T-cell lymphoma, Hodgkin lymphoma, 552 and myeloid malignancies [54, 55]. Therefore, phosphoproteome profiling presents 553 γ-bisabolene modulating the biological processes of apoptotic, anti-apoptotic, 554 induction of apoptosis, and negative regulation of apoptosis. hand, PANTHER classification system analysis of down-regulated 555 GeneGO Meta-Core pathway analysis of proteomic profiling implied the 556 involvement of PP1-HDAC2-p53 and ERK1/2-p53 pathways in γ-bisabolene-induced 557 apoptosis (Fig. 4E). γ-Bisabolene provoked the increases of p53 phosphorylation and 33 558 p53 acetylation, in which were linked with up-regulation of p53 transcriptional 559 activities on apoptotic genes in concentration-dependent manners (Figs. 4F and 4G). 560 PP1 inhibitor-2 (I-2) treatment reduced γ-bisabolene-induced apoptosis, and restored 561 the phosphorylated level of HDAC2 in γ-bisabolene-treated oral cancer cells (Figs. 562 5A and 5B). I-2 treatment decreased p53 acetylation, and then reduced p53 563 transcriptional activity in a concentration-dependent manner (Figs. 5C-5D). Notably, 564 the results were in agreement with reports on the inhibitory effect of PP1 on the 565 deacetylase activity of HDAC2 via dephosphorylation [14]; inactivation of HDAC2 566 augmented p53 acetylation and transcriptional activity [12, 13]. For examining the 567 ERK1/2-p53 pathway, Western blotting indicated that γ-bisabolene decreased Akt 568 phosphorylation (Fig. 5E); ERK1/2- and MEK-specific inhibitors significantly 569 reduced the expression of p53-dependent apoptotic genes (Fig. 5F). The finding was 570 consistent with prior studies on the mechanism of ERK-mediated apoptosis [43, 44]. 571 Therefore, the results ascertained the essential role of PP1-HDAC2-p53 and 572 ERK1/2-p53 pathways in γ-bisabolene-induced apoptosis. 573 This study demonstrated γ-bisabolene exerting potent antiproliferative and 574 apoptosis-inducing activities on human oral squamous cell carcinoma. γ-Bisabolene 575 activated PP1-HDAC2-p53 and ERK1/2-p53 pathways, eliciting 576 dependent and mitochondria-mediated apoptosis of human oral cancer cells. 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Apoptosis analysis of human oral cancer and normal oral fibroblast cells in responses to γ-bisabolene. Cells were harvested after 24- or 48-h post treatment, stained by Annexin V-FITC/PI dye, and then analyzed using flow 765 766 767 768 769 770 cytometry. Annexin V positive/PI negative was early phase of apoptosis (A); Annexin V positive/PI positive was late apoptosis(B). Relative mRNA levels of caspases-3, and 9 were normalized to GAPDH in real-time PCR assays (C, D). Active forms of caspases 3/9 in Ca9-22 and SAS cells were characterized using Western blotting (E, F). *, p value < 0.05; **, p value < 0.01 compared with untreated cells. 771 772 773 774 775 776 777 778 Fig. 3. Loss of mitochondrial membrane potential (ΔΨM) in OSCC cells by γ-bisabolene. For imagine analysis of ΔΨM change, treated or mock cells were stained with JC-1 solution, and visualized under a fluorescence microscope (A). For quantifying ΔΨM change, cells were stained using DiOC 6(3), and then measured by flow cytometry (B). Relative changes in low MMP of Ca9-22 and SAS cells treated with γ-bisabolene were shown (C, D). *, p value < 0.05; **, p value < 0.01 compared with untreated cells. 779 780 781 782 783 784 785 786 787 Fig. 4. Validation of γ-bisabolene-induced phosphoproteome profiling by Western blotting and real-time PCR. Western blot analysis of lysates from treated and mock cells was performed; the blots were probed with primary and secondary antibodies (A, C). Relative fold levels in treated and mock cells appear as ratio of indicated mRNA/GAPDH mRNA after performing real time PCR assays (B, D, F, and G). GeneGO Meta-Core pathway analysis of proteomic profiling predicts protein-protein interaction networks in treated cells (E). 788 Fig. 5. Influence of protein phosphatase inhibitor-2 (I-2) and MEK-specific 45 789 790 791 792 793 794 795 796 inhibitors on γ-bisabolene-induced apoptosis. Cells were pre-treated with I-2 at 4 °C or 37 °C for 1 h, treated with γ-bisabolene for 24 h, then harvested for analyzing sub-G1 phase using PI staining (A). HDAC2 phophorylation and p53 acetylation in treated cells were detected using immunofluorescence and immunoprecipitation assays (B, C). Relative mRNA levels of PUMA in treated cells, normalized by GAPDH, were performed using real-time PCR (D, F). Western blot analysis of lysates was performed with primary and secondary antibodies (E). 797 798 799 800 801 802 Fig. 6. Growth inhibition of human oral cancer cells in a mouse xenograft model by γ-bisabolene. SAS cells were implanted intramuscularly to nude mice. When tumor volumes approximately reached 100 mm3, mice were i.p. injected with PBS control or 50 mg/kg γ-bisabolene very other day after three weeks. After 10 times treatment, body weight of each mouse was measured (A), then 803 804 mice were sacrificed. Furthermore, tumor volume (B) and tumor weight (C) were calculated. 46