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Inhibitory Effect of Snake Venom Toxin on Colorectal Cancer HCT116 Cells Growth through Induction of Intrinsic or Extrinsic Apoptosis

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Inhibitory Effect of Snake Venom Toxin on Colorectal Cancer HCT116 Cells Growth through Induction of Intrinsic

or Extrinsic Apoptosis

Kyung Tae Kim and Ho Sueb Song*

Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Gachon University

[Abstract]

I investigated whether snake venom toxin(SVT) from Vipera lebetina turanica enhances the apoptosis ability of tumor necrosis factor(TNF)-related apoptosis-inducing ligand(TRAIL) in cancer cells. TRAIL inhibited HCT116 cell growth in a dose-dependent manner. Consistent with cell growth inhibition, the expression of TRAIL receptors; DR4 and DR5 was significantly increased as well as apoptosis related proteins such as cleaved caspase-3, 8, 9 and Bax.

However, the expression of survival proteins(eg, cFLIP, survivin, XIAP and Bcl2) was suppressed by the combination treatment of SVT and TRAIL. Pretreatment with the reactive oxygen species(ROS) scavenger N-acetylcysteine reduced the SVT and TRAIL-induced upregulation of DR4 and DR5 expression and expression of the apoptosis related protein such as caspase-3 and-9 as well as cell growth inhibitory effects. The collective results suggest that SVT facilitates TRAIL-induced apoptosis in human colorectal cancer HCT116 cells through up-regulation of the TRAIL receptors; DR4 and DR5 via ROS pathway signals.

Key words : SVT;

TRAIL;

DR4;

DR5;

ROS

Received : 2013. 1. 17.

Revised : 2013. 1. 24.

Accepted : 2013. 1. 25.

On-line : 2013. 2. 20.

※This research was supported by the Gachon University Research Fund in 2012(GCU-2012-R270)

* Corresponding author : Department. of Acupuncture and Moxibustion Medicine, Gil Oriental Medicine Hospital of Gachon Univercity, 1200-1, Guwol-dong, Namdong-gu, Incheon, 405-760, Republic of Korea

Tel : +82-70-7120-5012 E-mail : [email protected]

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Copyright © 2013 KAMMS. Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

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Ⅰ. Introduction

Colorectal cancer is one of the most prevailed human malignancies which affects both sex equally and accounts for approximately 9.4 % in a worldwide cumulative incidence rate as a second leading cause of cancer deaths

1,2)

. It usually develops in the cecum, colon and rectum and mostly recovered by enucleation of tumoral tissue in the local lesions confined within the intestinal wall

3)

. However, To cope with the advanced metastasized stage, effective chemotherapy should be essentially accompanied by surgical options

3,4)

. Although pathogenesis and chemoprevention is under intense investigation, current development of standard anti-cancer drug for colorectal cancer such as 5-fluorouracil, leucovorin, irinotecan, and oxaliplatin has the limitation due to the existence of relatively rare, highly chemo-resistance and its quiescent or slow proliferating cancer stem cells

4-6)

. Thus, a novel therapeutic strategy for this cancer is urgently needed to resolve the tough challenge and to discover a new agent on the basis of better under- standing of the molecular mechanisms of apoptosis.

Selective and specific induction of death receptor signaling apoptosis involving intrinsic or extrinsic apoptotic pathway has been more and more recognized as a promising therapeutic approach for many cancers, including colorectal cancer

7)

. Tumor necrosis factor(TNF)-α-related apoptosis-inducing ligand(TRAIL), a member of the TNF ligand super family, can representatively induce selective and specific apoptosis in vitro and in vivo with no harm on normal cells

8)

. This is why TRAIL has increasingly attracted attention and it can be a potential target in cancer therapy and the discovery of agents

7,8)

. In spite of its usefulness, another challenge remains to be overcomed, which is the resistance of death receptor 4(DR4) and death receptor 5(DR5) to TRAIL because of decreased or mutated DR4 and DR5 or damaged distal signaling cascades

9,10)

. For these reasons, it is recommended not to use TRAIL alone but to use it together with

other chemotherapeutic agents that can upregulate TRAIL receptors. That is, Sensitizing cancer cells by subtoxic concentrations of chemotherapeutic drugs is helpful for TRAIL to restore its sensitivity through increase of DR4 and DR5 expessions

11,12)

. Several recent studies

13-18)

have reported that the DR4 and DR5 TRAIL receptors are up-regulated by different mechanisms, such as ROS generation by agents such as ursolic acid, Gossypol, curcumin, baicalein and 15-deoxy-delta-prostaglandin J

2

in cancer cells.

In the extrinsic apoptotic pathway, DR4 and DR5

exists on the cell surface of Tumors and they

becomes acivated or oligomerized upon binding to

its ligand TRAIL or overexpression as soon as

receiving ROS stimuli and subsequently signals

apoptosis through caspase-8-mediated rapid activation

of caspase cascades

19,20)

. They also initiated a

mitochondrial regulated apoptotic pathway simul-

taneously by translocation of a truncated form of

Bid(tBid) into mitochondria, inducing enhanced

mitochondrial outer membrane permeability following

increased Bax/Bcl-2, cytochrome C release, consec-

utively activated caspase cascade system

21-25)

. Many

previous studies demonstrated that natural toxins

sensitize cancer cells to TRAIL-mediated apoptotic

cell death

26,27)

. many researchers believe that natural

snake venom toxin(SVT) is helpful as a biological

resource due to several pharmacologically active factors

with potential therapeutic value regardless of appre-

hension about its safety

28-30)

. Recently there have

been a lot of studies substantiating the above such as

antihypertensive drug, anticoagulant drug, and drugs

of heparin-induced thrombocytopenia and stroke

31,32)

.

In particular, SVT from Vipera lebetina turanica was

previously demonstrated as a possible chemother-

apeutic agent against the growth of human prostate

cancer cell and neuroblastoma cell through induc-

tion of apoptotic cell death that is mediated by the

modulated expression of apoptosis regulatory pro-

teins

28,33)

. Previously, we found that SVT increases

DRs expression in colon cancer cells

34)

. Therefor, In

this study, I confirmed cancer cell response toward

SVT from Vipera lebetina turanica combined with

TRAIL in TRAIL sensitive colorectal cancer HCT

(3)

116 cells, and I also investigated mechanisms of enhancing sensitivity of them by SVT.

Ⅱ. Materials and method

A. Materials

SVT from Vipera lebetina turanica, N-acetyl- cysteine(NAC) and SP600125 were purchased from Sigma Chemical Co(Saint Louis, USA). Soluble Recombinant human Apo2L/TRAIL was purchased from Peprotech (RockyHill, NJ). all of the secondary antibodies such as Bax, Bcl-2, survivin, c-FLIP, XIAP caspase-3, -9, -8, cleaved caspase-3, -9, -8, DR4, DR5 used in Western blot analysis were purchased from Santa Cruz Biotechnology(Santa Cruz, CA). T4 polynucleotide kinase was obtained from Promega(Madison, WI). Poly(dI-dC), horseradish peroxidase-labeled donkey anti-rabbit secondary antibody, and ECL detection reagent were obtained from Amersham Pharmacia Biotech(Piscataway, NJ). All other reagents were purchased from Sigma unless otherwise stated.

B. Cell culture

The Human colorectal cancer HCT116 cell lines were purchased from the American Type Culture Collection(Manassas, VA). They were cultured in RPMI-1640 medium supplemented with 10 % fetal bovine serum(FBS) and penicillin/streptomycin (100 U/ml). Cell cultures were then maintained at 37 ℃ in a humidified atmosphere with 5 % CO

2

.

C. Cell viability assay

To determine the cell number, Human colorectal cancer HCT116 cells were plated in 24-well plates(5×10

4

cells/well)with or without TRAIL, and subconfluent cells were subsequently treated with SVT(0.1, 0.5, 1, 2 and 5 ㎍/ml) for 24 hr. After treatment, cells were trypsinized and pelleted by

centrifugation for 5 min at 1,500 rpm, resuspended in 5 ml of phosphate-buffered saline(PBS), and 0.1 ml of 0.2 % trypan blue was added to the cancer cell suspension in each of the solutions (0.9 ml each). Subsequently, a drop of suspension was placed into a Neubauer chamber and the living cancer cells were counted. Cells that showed signs of staining were considered to be dead, whereas those that excluded trypan blue were considered viable. Each assay was carried out in triplicate.

D. Measurement of ROS

Generation of ROS was assessed by 2, 7-dich- lorofluorescein diacetate(DCFH-DA, Sigma Aldrich, St Louis, MO, USA), anoxidation-ensitive fluorescent probe. Intracellular H2O2 or low-molecular-weight peroxides can oxidize 2,7-dichlorofluorescein diacetate to the highly fluorescent compound dichlorofluores- cein(DCF). Briefly, cells were plated in 6 well plates(5×10

4

cells/well), and subconfluent cells were subsequently treated with SVT and TRAIL for 30 min. After the cells were trypsinized, the 1x10

4

cells were plated in black 96 well plate and incubated with 10 μMDCFH-DA at 37 ℃ for 4 h.

The fluorescence intensity of DCF was measured in a microplate-reader at anex citation wave length of 485 nm and an emission wave length of 538 nm.

E. Western blot analysis

Western blot analysis was performed as described previously

28)

. The membranes were immunoblotted with the following primary antibodies: mouse monoclonal antibodies directed against cleaved caspase-8(1 : 1,000 dilutions; Cell Signaling Technology, Beverly, MA), against Bax(1 : 500 dilutions; Santa Cruz Biotechnology), and against XIAP, survivin, bcl2, cleaved caspase-3, -9 and c-FLIP(1 : 1,000 dilutions; Cell Signaling Technology, Beverly, MA).

The blot was then incubated with the corresponding

anti-rabbit/goat immunoglobulin G-horseradish peroxidase-

conjugated secondary antibody(Santa Cruz Biotech-

nology Inc.). Immunoreactive proteins were detected

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with the Enhanced Chemiluminescence Western blotting detection system (Amersham Pharmacia Biotech, Inc. Buckingham shire, United Kingdom).

F. Apoptosis evaluation

Human colorectal HCT116 cells(2.5×10

5

cells/well) were cultured on 8-chamber slides. the cells were treated with SVT(0.5 ㎍/ml). The cells were washed twice with PBS and fixed by incubation in 4 % paraformaldehyde in PBS for 1 hr at room temperature. Membrane was permeabilized by exposure to 0.1 % Triton X-100 in phosphate- buffered saline for 5 min at room temperature.

TdT-mediated dUTP nick and labeling(TUNEL) assays were performed by using the in situ Cell Death Detection Kit(Roche Diagnostics GmbH, Mannheim, Germany) according to the manufacturer’s instructions. For 4'-6-Diamidino-2-phenyl indole(DAPI) staining, slides were incubated for 15 min at room temperature in the dark with mounting medium for fluorescence containing DAPI(Vector Laboratories, Inc, Burlingame, CA). The cells were then observed through a fluorescence microscope(Leica Microsystems AG, Wetzlar, Germany).

G. Data analysis

The data were analyzed using the GraphPad Prism 4 ver. 4.03 software(GraphPad Software, La Jolla, CA).

Data are presented as mean±SD. The differences in all data were assessed by one-way analysis of vari- ance(ANOVA). When the P value in the ANOVA test indicated statistical significance, the differences were assessed by the Dunnett’s test. A value of

p<0.05 was considered to be statistically significant.

Ⅲ. Results

A. Effect of SVT on cell growth in colorectal cancer cells

To assess the inhibitory effect of snake venom

Fig. 1. Effect of SVT on cell viability in colorectal cancer cells

Concentration-dependent effect of SVT was shown on the cell viability assay in colorectal cancer HCT116 cells.

After treatment of SVT(0.1, 0.5, 1, 2 and 5 ㎍/ml) for 24 hr, the cells were harvested by trypsinization and stained with 0.2 % trypan blue. Relative cell survival rate was determined by counting live and dead cells. The results were expressed as a percentage of viable cells. Columns, means of three experiments, with triplicates of each experiment; bars, SD. *, p<0.05, significantly different from untreated control cells.

toxin(SVT) on cell growth of colorectal cancer HCT116 cells, we analyzed cell viability by direct cell counting. The cells were treated with several concentrations of SVT(0.1, 0.5, 1, 2, and 5 ㎍/ml) for 24 hr. As shown in Fig. 1, SVT significantly inhibited cell proliferation of colorectal cancer cells 0.5, 1, 2, and 5 ㎍/ml of it in a concentration- dependent manner with IC50 value of 1.14 ㎍/ml (Fig. 1).

B. Effect of TRAIL on cell growth in colorectal cancer cells

To assess the inhibitory effect of TRAIL on cell

growth of colorectal cancer HCT116 cells, we

analyzed cell viability by direct cell counting. The

cells were treated with several concentrations of

TRAIL(0.1, 1.25, 2.5 and 5 ng/ml) for 24 hr. As

shown in Fig. 2, TRAIL inhibited cell proliferation

of colorectal cancer cells in a concentration-

dependent manner, and 5 ng/ml of TRAIL

significantly hindered the cell growth with IC50

value of 1.14 ㎍/ml(Fig. 2).

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Fig. 2. Effect of TRAIL on cell viability in colorectal cancer cells

Concentration-dependent effect of TRAIL was shown on the cell viability assay in colorectal cancer HCT116 cells.

After treatment of TRAIL(0.1, 1.25, 2.5 and 5 ng/ml) for 24 hr, the cells were harvested by trypsinization and stained with 0.2 % trypan blue. Relative cell survival rate was determined by counting live and dead cells.

The results were expressed as a percentage of viable cells. Columns, means of three experiments, with triplicates of each experiment; bars, SD. *, p<0.05, significantly different from untreated control cells.

C. Synergic effect of SVT and TRAIL on cll growth in colorectal cancer cells

To assess the inhibitory effect of SVT and TRAIL on cell growth of colorectal cancer HCT116

Fig. 3. SVT enhanced TRAIL-induced cytotoxicity

Synergic effect of SVT-combined TRAIL was shown on the cell viability assay in colorectal cancer HCT116 cells.

After pre-treatment of SVT(0.5 ㎍/ml) for 24 hr, and then TRAIL(1.25 ng/ml) was treated following the medium was removed. the cells were harvested by trypsinization and stained with 0.2 % trypan blue. Relative cell survival rate was determined by counting live and dead cells. The results were expressed as a percentage of viable cells.

Columns, means of three experiments, with triplicates of each experiment; bars, SD. *, p<0.05, significantly different from untreated control cells.

cells, we analyzed cell viability by direct cell counting. The cells were treated with TRAIL(1.25 ng/ml) or SVT(0.5 ㎍/ml) or TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) for 24 hr. As shown in Figure 3, SVT(0.5 ㎍/ml) significantly inhibited cell proliferation of colorectal cancer cells, compared to control and TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) also significantly hindered cell proliferation of colorectal cancer cells with IC50 value of 1.14 ㎍/ml, compared to TRAIL(1.25 ng/ml) alone(Fig. 3).

D. Abolishment of synergized effect of SVT-combined TRAIL on cell growth in colorectal cancer cells

To assess whether the synergized inhibitory effect of SVT and TRAIL on cell growth of colorectal cancer HCT116 cells was reversed by strong anti-oxidative agent, NAC(1 or 10 mM), we analyzed cell viability by direct cell counting. The cells were treated with TRAIL(1.25 ng/ml) plus

Fig. 4. SVT combined TRAIL-induced cytotoxicity was reversed by anti-oxidative NAC

Synergic effect of SVT-combined TRAIL was shown on the cell viability assay in colorectal cancer HCT116 cells.

After pre-treatment of SVT(0.5 ㎍/ml) for 24 hr, and subsequently TRAIL(1.25 ng/ml) was treated following the medium was removed, and then NAC(1 or 10 mM) was added. the cells were harvested by trypsinization and stained with 0.2 % trypan blue. Relative cell survival rate was determined by counting live and dead cells. The results were expressed as a percentage of viable cells.

Columns, means of three experiments, with triplicates of each experiment; bars, SD. *, p<0.05, significantly different from untreated control cells, #. p<0.05, significantly different from TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml).

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SVT(0.5 ㎍/ml) for 24 hr with(1 and 10 mM) or without NAC. As shown in Fig. 4, TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) significantly inhibited cell proliferation of colorectal cancer cells, compared to control. However, they did not inhibit the cell proliferation representing its increase by NAC reversely and concentration-dependently. Moreover, NAC(10 mM) significantly the synergized inhibitory effect of SVT and TRAIL with IC50 value of 1.14

㎍/ml, compared to TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) (Fig. 4).

E. Abolishment of synergized effect of SVT-combined TRAIL on ROS generation in colorectal cancer cells

To assess whether the synergized inhibitory effect of SVT and TRAIL on ROS generation was reversed by strong anti-oxidative agent, NAC(10

Fig. 5. ROS dependent SVT combined TRAIL- induced apoptosis was reversed by anti-oxidative NAC

Synergic effect of SVT-combined TRAIL on the ROS generation was shown on the ROS measurement in colorectal cancer HCT116 cells. After treatment of SVT and TRAIL for 30 min, the HCT116 cells were incubated with 10 μM DCF-DA at 37 ℃ for 4 h, and then washed twice with PBS. In case of adding anti-oxidative NAC, HCT116 cells were pretreated with NAC(10 mM) for 1 h, and then cells were treated with SVT for 24 h and then treated with TRAIL. The fluorescence intensity of DCF was measured in a microplate reader at an excitation wavelength of 485 nm and an emission wavelength of 538 nm. Columns, means of three experiments, with triplicates of each experiment; bars, SD. *, p<0.05, significantly different from untreated control cells, #. p<0.05, significantly different from TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml).

mM) on cell growth of colorectal cancer HCT116 cells, we analyzed ROS measurement as described in materials and method. The cells were treated with TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) for 30 min with(10 mM) or without NAC. As shown in Figure 5, TRAIL(1.25 ng/ml) plus SVT (0.5 ㎍/ml) significantly increased ROS generation, compared to control. However, they conversely and significantly decreased it following NAC (10 mM) treatment, compared to TRAIL(1.25 ng/ml) plus SVT(0.5 ㎍/ml) (Fig. 5).

F. Synergic Effect of SVT and TRAIL on apoptosis in colorectal cancer cells

I also determined whether SVT enhances TRAIL-induced apoptotic cell death of TRAIL- sensitive colorectal cancer HCT116 cells. I found that SVT and TRAIL treatments alone induced 32.4 % and 27.5 % apoptosis in HCT116 cells, respectively.

In agreement with cell growth inhibition pattern, combination treatment with SVT and TRAIL enhanced apoptotic cell death to 65.8 % in HCT116 cells(Fig. 6).

Fig. 6. SVT enhanced TRAIL-induced apoptosis in colorectal cancer HCT116 cells

HCT116 cells were pretreated with SVT(0.5 mg/ml) for 24 h, the media were removed, and the cells were exposed to TRAIL(1.25 ng/ml in HCT116) for 24 h.

Apoptosis was analyzed byTUNELassay. The green color in the fixed cells marks TUNEL-labeledcells. Data means± SD expressed as percentage of control value, which is set to 100 %. At least three independent experiments were carried out in triplicate.*, p<0.05, significantly different from control cells.

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G. Effect of SVT on the expression of death receptors 4 and 5 in

colorectal cancer HCT116 cells

To ascertain the underlying mechanism that may be responsible for enhancement of TRAIL-induced apoptotic cell death by SVT, I examined the effect of SVT on the expression of death receptors. SVT induced both DR4 and DR5 in a dose dependent manner in TRAIL-sensitive HCT116(Fig. 7). In addition, we found that the expression of DR4 and DR5 was increased in TRAIL-sensitive HCT116 cells by treatment of TRAIL, but not in TRAIL- resistant cell lines(Fig. 7). But, the expression of DR4 and DR5 was further increased in TRAIL- sensitive by the combination treatment of SVT and TRAIL(Fig. 7). These results demonstrated that the up-regulation of DR4 and DR4 by SVT can

Fig. 7. SVT enhanced the expression of DR4 and DR5 in the colorectal cancer HCT116 cells

HCT116 cells were treated with SVT(0.1, 0.5, 1 μg/ml) for 24 h, then equal amounts of total proteins(50 μg/lane) were subjected to 12 % SDS-PAGE. Expression of DR4, DR5 and b-actin was detected by Western blotting using specific antibodies. HCT116 cells were pretreated with SVT(0.5 mg/ml) for 24h, the media were removed, and the cells were exposed to TRAIL(1.25 ng/ml in HCT116) for 24 h, then equal amounts of total proteins (50 μg/lane) were subjected to 12 % SDS-PAGE. Expression of DR4, DR5 and b-actin was detected by Western blotting using specific antibodies.

overcome the TRAIL resistance by induction of DR4 and DR5.

H. Effect of SVT on TRAIL-induced expression of apoptosis related proteins

I selected the HCT116 cell line that was TRAIL sensitive. I confirmed the effect of SVT and/or TRAIL on the activation of caspase-8, caspase-3, caspase-9 cleavage and the expression of Bax in the TRAIL sensitive colon cancer(HCT116) cell.

Although SVT and TRAIL alone had little effect on

Fig. 8. SVT enhanced TRAIL-induced apoptotic proteins expressions in colorectal cancer HCT116 cells

HCT116 cells were pretreated with SVT for 24 hand washed out. After that the cells were treated with TRAIL for 24 h, and whole cell extracts were analyzed by western blotting using antibodies against caspase-3, caspase-8, caspase-9, Bax and b-actin. b-actin protein was used an internal control. Each band is representative for three experiments. HCT116 cells were treated with snake venom toxin(0.1, 0.5, 1 μg/ml) for 24 h, Equal amounts of total proteins(50 μg/lane) were subjected to 12 % SDS-PAGE.

Expression of cFLIP, survivin, XIAP, Bcl2, Bax and b-actin was detected by Western blotting using specific antibodies. b-actin protein was used an internal control.

Each band is representative for three experiments.

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the activation of caspases cleavage and Bax expression, the combination treatment significantly increased expression of the apoptotic cell death regulatory proteins(Fig. 8). Various antiapoptotic proteins including survivin, Bcl2, XIAP and cFLIP have been shown to induce resistance to TRAIL-induced apoptosis

35,36)

. I examined whether SVT sensitized cancer cells to TRAIL through down-regulation of the expression of these cell survival proteins. As shown in Fig. 8, SVT decreases expression of XIAP, survivin, bcl-2 and cFLIP. These results indicated that the SVT enhances TRAIL-induced apoptotic cell death through the over-expression of DR4 and DR5, as well as the down- regulation of anti-apoptotic protein expression.

I. Abolishment of synergized effect of SVT-combined TRAIL on

TRAIL-induced expression of apoptosis related proteins

HCT116 cells were pretreated with SVT for 24 hand washed out. After that the cells were treated with TRAIL for 24 h, and whole cell extracts were

Fig. 9. The Expressions of SVT combined TRAIL- induced apoptotic protein was reversed by anti- oxidative NAC

HCT116 and HT-29 cells were pretreated with NAC(10 mM) for 1 h, and then cells were treated with SVT for 24 h and then treated with TRAIL. Whole cell extracts were analyzed by western blotting using the antibodies against caspase-3, caspase-9 and b-actin. b-actin protein was used an internal control. Each band is representative for three experiments.

analyzed by western blotting using antibodies against caspase-3, caspase-9,b-actin. b-actin protein was used an internal control. Each band is representative for three experiments. I found that pretreatment(1 h) of ROS scavenger N-acetylcysteine(NAC, 10 mM) reversed the activation of caspase-3 and -9 cleavage by the combination treatment of SVT and TRAIL(Fig. 9).

J. Abolishment of synergized effect of SVT-combined TRAIL on

RAIL-induced expression of DR4 and DR5

HCT116 cells were pretreated with SVT for 24 hand washed out. After that the cells were treated with TRAIL for 24 h, and whole cell extracts were analyzed by western blotting using antibodies against DR4, DR5 and b-actin. b-actin protein was used an internal control. Each band is representative for three experiments. I found that pretreatment(1 h) of ROS scavenger N-acetyl- cysteine(NAC, 10 mM) reversed the activation of DR4 and DR5 by the combination treatment of SVT and TRAIL (Fig. 10).

Fig. 10. The Activation of DR4 and DR5 was reversed by anti-oxidative NAC

HCT116 and HT-29 cells were pretreated with NAC(10 mM) for 1 h, and then cells were treated with SVT for 24 h and then treated with TRAIL. Whole cell extracts were analyzed by western blotting using the antibodies against DR4, DR5 and b-actin. b-actin protein was used an internal control. Each band is representative for three experiments.

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Ⅳ. Discussion

The novel findings of the present study was that

Vipera lebetina turanica, snake venom inhibited cell

growth of human colorectal cancer HCT116 cells through induction of both intrinsic, mitochondria- mediated, and extrinsic, DR mediated apoptosis via increased binding of DR4, DR5 with their apoptosis inducing ligand, TRAIL.

Fascinatingly, the combination of SVT and TRAIL increased apoptotic cell death and induced expression of apoptosis related proteins in TRAIL sensitive colorectal HCT116 cells. Therefor, the SVT induced inhibitory effect of the cancer cell growth through initiating apoptosis could be associated with increased DR4 and DR5 expression, strengthening TRAIL induced apoptosis alone and overcoming its chemo-resistance(Fig.3).

TRAIL mediates apoptotic cell death through enhanced expression of two death receptors, DR4 and DR5 which are expressed on the surface of cancer cells

37,38)

. The binding of TRAIL to DR4 and DR5 result in the activation of caspase 8 and 10, which in turn cleaves and activates executioner caspases that mediate apoptosis

39,40)

. Moreover, the resistance of cancer cells to TRAIL-induced apoptosis can be correlated with the relative expression of DR4 and DR5 or intracellular levels of antiapoptotic proteins

41-43)

. Several studies have substantiated that DR up-regulation and cell survival protein down regulation may be a promising strategy for sensitizing TRAIL-resistant cancer cells to TRAIL-induced apoptotic cell death

44-47)

. Consistent with the above, My data revealed that SVT and TRAIL treatment resulted in the up-regulated expression of cleaved caspase-3, 8 and 9 and the down-regulation of cell survival proteins such as cFLIP, Bcl-2, survivin and XIAP in the colorectal cancer HCT116 cells, suggesting that SVT can synergized TRAIL-induced apoptotic cell death and can overcome resistance through upregulation of DR4

and DR5 and downregulation of cell survival proteins (Fig. 7, 8).

Apoptosis is a form of programmed cell death, which occurs through activation of the cell-intrinsic suicide machinery and is divided into intrinsic and extrinsic apoptosis

48-51)

.

In the extrinsic apoptotic pathway, DR4 and DR5 bind to TRAIL following receiving ROS stimuli and subsequently signal apoptosis through caspase-8- mediated rapid activation of caspase cascades

19,20)

. ROS stimuli simultaneously affects intrinsic mito- chondrial regulated apoptotic pathway by translocation of a truncated form of Bid(tBid) into mitochondria and make the apoptosis go from cytochrome C release due to increased Bax/Bcl-2 ratio induced mitochondrial outer membrane potential change to consecutively activated caspase-9 and caspase-3

52-57).

Thus, ROS generation has been also proposed that could be involved in DRs upregulation by chemotherapeutic agents such as curcumin and sulforaphane

16,58)

. Similar with apoptosis mechanism and related studies proposed the above, I also showed that the combination of SVT and TRAIL- induced death receptor upregulation is through ROS in colorectal HCT116 cells. The combination treatment of SVT and TRAIL induced ROS generation, but the antioxidant NAC abolished the upregulation of DR4 and DR5 induced by the combination treatment of SVT and TRAIL(Fig. 3~5, 10). Moreover, it reversed the combination of SVT and TRAIL- induced colorectal cancer HCT116 cell growth inhibition and caspase-3 and 9 activation(Fig. 9), indicating ROS plays a key role in the combination of SVT and TRAIL-induced death receptor up-regulation, and subsequent apoptosis induction related with activation of pro-apoptotic caspase-9 and 3.

Considering all the results from This study

together, it was indicated that SVT strengthen

TRAIL sensitive colon cancer HCT116 cells to the

TRAIL, and suggested that the combination

treatment of SVT and TRAIL could be applicable

as an anti-colorectal cancer agent.

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수치

Fig.  1.  Effect  of  SVT  on  cell  viability  in  colorectal  cancer  cells
Fig.  4.  SVT  combined  TRAIL-induced  cytotoxicity  was  reversed  by  anti-oxidative  NAC
Fig.  6.    SVT  enhanced  TRAIL-induced  apoptosis  in  colorectal    cancer  HCT116  cells
Fig.  8.    SVT  enhanced  TRAIL-induced  apoptotic  proteins  expressions  in  colorectal  cancer  HCT116  cells
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