Abstract
Honokiol (HNK), an active compound isolated from traditional Chinese medicine Magnolia officinalis, has shown potent anticancer activities. In the present study, we investigated the effects of HNK on breast cancer metastasis in vitro and in vivo, as well as the underlying molecular mechanisms. We showed that HNK (10−70 μmol/L) dose-dependently inhibited the viability of human mammary epithelial tumor cell lines MCF7, MDA-MB-231, and mouse mammary tumor cell line 4T1. In the transwell and scratch migration assays, HNK (10, 20, 30 μmol/L) dose-dependently suppressed the invasion and migration of the breast cancer cells. We demonstrated that HNK (10−50 μmol/L) dose-dependently upregulated the epithelial marker E-cadherin and downregulated the mesenchymal markers such as Snail, Slug, and vimentin at the protein level in breast cancer cells. Using a puromycin incorporation assay, we showed that HNK decreased the Snail translation efficiency in the breast cancer cells. In a mouse model of tumor metastasis, administration of HNK (50 mg/kg every day, intraperitoneal (i.p.), 6 times per week for 30 days) significantly decreased the number of metastatic 4T1 cell-derived nodules and ameliorated the histological alterations in the lungs. In addition, HNK-treated mice showed decreased Snail expression and increased E-cadherin expression in metastatic nodules. In conclusion, HNK inhibits EMT in the breast cancer cells by downregulating Snail and Slug protein expression at the mRNA translation level. HNK has potential as an integrative medicine for combating breast cancer by targeting EMT.
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Introduction
Breast cancer is the most common malignant disease and second leading cause of cancer-related death among females worldwide, and more than 90% of deaths are attributed to invasive breast cancer [1, 2]. Although increased breast screening, newer aggressive therapeutics, and reduced use of hormone replacement therapy have decreased the death rate, metastatic breast cancer remains a major challenge [1, 2].
Epithelial-mesenchymal transition (EMT) is involved in cancer invasion and metastasis by producing cells with a more motile and invasive phenotype [3,4,5]; this transition features the loss of E-cadherin and acquisition of N-cadherin and vimentin [6]. EMT is orchestrated by a set of transcription factors including Snail, Slug, Zinc Finger E-Box Binding Homeobox 1 (ZEB1), Zinc Finger E-Box Binding Homeobox 2 (ZEB2), and Twist, which repress epithelial markers and induce mesenchymal markers. The expression of these key transcription factors is tightly regulated at the levels of transcription, translation and protein stability [6]. Thus, key factors controlling EMT have been identified as potential targets to prevent and treat metastatic cancer [7,8,9].
Honokiol (HNK) is a bioactive component isolated from the Chinese traditional herb Magnolia officinalis, which has been demonstrated to be a potent anticancer drug with activity in inducing apoptosis and inhibiting the growth of various cancer cells [10,11,12]. Recent studies have shown that HNK exhibits potent anticancer activities, including inhibition of cancer cell invasion [13,14,15]. Avtanski et al. reported that HNK effectively inhibits EMT in breast cancer cells, thereby establishing HNK as a promising active compound against breast cancer [14, 16]. Nevertheless, the effect of HNK in breast cancer remains elusive.
In this study, we examined the effects of HNK on breast cancer cell metastasis and EMT through in vitro and in vivo experiments. In addition, the underlying mechanism for EMT’s inhibition by HNK was also evaluated.
Materials and methods
Antibodies and reagents
Rabbit anti-Snail, -Slug, -E-cadherin, -vimentin, -phospho-eIF2α, and -eIF2α monoclonal antibodies were obtained from Cell Signaling Technology (Danvers, MA, USA). The primary anti-Snail antibody used for immunohistochemistry was produced by Abcam (Cambridge, UK). The mouse anti-puromycin monoclonal antibody was obtained from Merck Millipore (Darmstadt, Germany). Mouse monoclonal antibodies against β-actin were obtained from ZSGB-BIO (Beijing, China). HNK was purchased from Shanghai Ziyi-reagent Company (Shanghai, China), dissolved in dimethyl sulfoxide (DMSO) as a 100 mmol/L stock solution, and stored at −20 °C. All stock solutions were diluted with RPMI-1640 or with other medium to obtain the indicated final concentration before the experiments were performed.
Cell culture
The human mammary epithelial tumor cell lines MCF7 and MDA-MB-231 and mouse mammary tumor cell line 4T1 were obtained from American Type Culture Collection (ATCC, Manassas, VA, USA). The non-tumorigenic mammary epithelial MCF10A cells were obtained from the National Infrastructure of Cell Line Resource (Beijing, China) and were cultured in DMEM/F12 (1:1) medium supplemented with 5% horse serum (FBS, Gibco, Grand Island, NY, USA), 10 μg/mL of insulin, 0.5 μg/mL of hydrocortisone, 20 ng/mL of EGF, and 100 ng/mL of cholera toxin. The MCF7 and MDA-MB-231 cell lines were maintained in Dulbecco’s modified Eagle’s medium (DMEM, HyClone, Logan, UT, USA), and 4T1 cells were maintained in RPMI-1640 medium (HyClone); both types of media were supplemented with 10% fetal bovine serum (FBS, Gibco, Grand Island, NY, USA) and the cells were cultured in a 37 °C incubator with 5% CO2.
Cell survival analysis
Cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)−2,5-diphenyl tetrazolium bromide (MTT) assay (Solarbio, Beijing, China). Cells were seeded in a 96-well plate at a density of 5 × 103 cells/well and were treated with the indicated concentrations of HNK. After 48 h of incubation, the cells were treated with MTT solution (10 μL, 5 mg/mL) for 4 h. Subsequently, the supernatant was discarded. The formazan crystals were solubilized with 150 μL of DMSO. The absorbance was examined at 570 nm using a microplate reader (Thermo Fisher Scientific Inc., Waltham, MA, USA), and cell viability was determined by comparing the absorbance of treated cells with that of the control cells. All MTT experiments were performed in triplicate and were repeated for at least 3 times.
Scratch migration assay
Cells were plated into six-well plates for migration assays and were allowed to grow overnight to confluence. A sterile pipette tip was used to create a scratch in the cell layer, and then the wounded cell monolayer was washed 3 times with PBS to remove floating cells and debris. Medium containing 3% FBS and/or HNK was added to the wells, and the plates were maintained at 37 °C. The identical location in each plate was photographed at 0 and 24 h. All experiments were repeated 3 times under each condition.
In vitro migration assay
The in vitro cell migration capabilities were determined using the Transwell assay as described previously [17]. Briefly, 5 × 104 cells were suspended in 100 μL of serum-free medium and were placed into the upper compartment of chambers containing polycarbonate filters (Transwell; 8 μm pore size; Corning Incorporated, Corning, NY, USA). The lower compartment was filled with 600 μL of complete medium supplemented with 10% FBS in the absence or presence of HNK. After 24 h, the inserts were fixed in methanol and stained with crystal violet. The non-migrating cells on the upper surface of the filter were carefully removed with a cotton swab. The migrated cells on the lower surface of the filter were photographed using an inverted microscope (Leica Microsystems, Wetzlar, Germany). Finally, the membrane was solubilized into 33% acetic acid, and the absorbance at 570 nm was measured with a microplate reader. The experiments were conducted in triplicate.
Western blotting analysis
Immunoblotting was performed as described previously [18]. Equal amounts of protein lysate were separated by SDS-PAGE and were electrophoretically transferred to polyvinylidene fluoride (PVDF) membranes. After blocking, the membranes were incubated with primary antibodies at 4 °C overnight, followed by incubation with the secondary antibody for 1 h at room temperature. Finally, the Western blot signals were detected using an ECL detection system (ProteinSimple, CA, USA).
Immunoprecipitation and puromycin incorporation assay
To measure the intensity of Snail translation, 1 μmol/L of puromycin (Solarbio, Beijing, China, diluted in PBS) was added in the culture medium and the cells were incubated for 1 h at 37 °C and 5% CO2. The cells were then harvested and immunoprecipitated with anti-Snail antibody. IP was performed according to standard protocol. Briefly, after cold PBS washing, the MCF7 cells (3 × 10 cm plate dishes) were lysed with IP lysis buffer containing protease inhibitors for 30 min on ice. Next, lysed samples were centrifuged at 14 000 × for 20 min at 4 °C. After discarding the precipitate, the supernatants were incubated with normal IgG or anti-Snail antibody and protein A/G magnetic beads (Thermo Fisher Scientific, Massachusetts, USA) overnight at 4 °C. The precipitated complexes were washed with lysis buffer 5 times. The proteins were eluted with SDS sample buffer and then boiled for 10 min and analyzed by SDS-PAGE. Puromycin antibodies were used for Western blot analysis.
RNA extraction and quantitative RT-PCR
Total RNA was extracted using the Total RNA Purification Kit according to the manufacturer’s instructions (Shanghai Feijie, Shanghai, China). RNA quality was assessed using the NanoDrop Lite UV-Vis spectrophotometer (Kaiao, Beijing, China). cDNA was synthesized using ReverTra Ace qPCR RT Master Mix (Toyobo Co., Ltd., Osaka, Japan). The mRNA levels of Snail, Slug, and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) were measured via quantitative RT-PCR using SYBR Premix ExTaq (Takara, Tokyo, Japan) and the ABI 7500HT Fast Real-time PCR system (Applied Biosystems, Foster City, CA, USA). The following primers were used: human Snail 5′-CCAGACCCACTCAGATGTCAA-3′ (forward) and 5′-GGACTCTTGGTGCTTGTGGA-3′ (reverse); mouse Snail 5′-GTCTGCACGACCTGTGGAAA-3′ (forward) and 5′-GGTCAGCAAAAGCACGGTTG-3′ (reverse); human and mouse Slug 5′-GCTTCAAGGACACATTAGAACTCA-3′ (forward) and 5′-CATTCTGGAGAAGGTTTTGGAGC-3′ (reverse); human GAPDH 5′-ACAACTTTGGTATCGTGGAAGG-3′ (forward) and 5′-GCCATCACGCCACAGTTTC-3′ (reverse); and mouse GAPDH 5′-AGGTCGGTGTGAACGGATTTG-3′ (forward) and 5′-TGTAGACCATGTAGTTGAGGTCA-3′ (reverse). GAPDH was used for normalization. The data were analyzed using the ΔΔCt method, and each assay was performed in duplicate.
In vivo lung metastasis model
Female BALB/c nude mice (6–8 weeks old) were purchased from SPF Biotechnology (Beijing, China) and were maintained under specific pathogen-free conditions. All animal experiments were conducted in accordance with the institutional guidelines, which are in compliance with national and international laws and policies. 4T1 cells were injected into the mice (six per group) via the tail vein at a concentration of 1 × 106 cells/0.1 mL PBS per mouse. After 1 week, the mice were treated with i.p. injections of Intralipid or 50 mg/kg every day of HNK in 20% Intralipid (Sigma-Aldrich, St. Louis, MO, USA) six times per week. Thirty days later, the mice were sacrificed, and the lungs were removed and fixed in 10% formalin. The lung metastatic nodules were examined macroscopically and subjected to hematoxylin and eosin (H&E) staining and immunohistochemical analysis. For immunohistochemistry, paraffin-embedded sections were deparaffinized in xylene and rehydrated in graded alcohol. The slides were boiled in 10 mmol/L sodium citrate buffer, pH 6.0, for antigen retrieval. Staining was performed using the Enhanced Polymer Detection Kit (ZSGB-BIO, Beijing, China) according to the manufacturer’s protocol. DAB was used as a peroxidase substrate.
Statistical analysis
All the experiments were repeated independently at least three times. The quantitative data are presented as the means ± SD. Two-tailed Student’s t-test was used to evaluate the differences between the groups. P < 0.05 indicates statistical significance.
Results
HNK inhibits breast cancer cell viability
To evaluate the effect of HNK on cancer cell survival, MDA-MB-231, MCF7, and 4T1 breast cancer cell lines and non-tumorigenic MCF10A cells were exposed to various concentrations of HNK (0–70 μmol/L) for 48 h. An MTT assay was used to examine the cell viability. The results showed that HNK reduced cell proliferation in a concentration-dependent manner except in MCF10A cells (Fig. 1b), as previously reported [19]. To specifically examine whether HNK inhibits EMT and the metastatic properties of breast cancer cells, 30 or 40 μmol/L of HNK was chosen for further experiments.
HNK suppresses cell migration and invasion
The migration of breast cancer cells in response to HNK was measured using Transwell migration and scratch migration assays. Compared with MDA-MB-231 and 4T1 cells, MCF7 cells showed low metastatic behavior (Fig. 2a). When MDA-MB-231 and 4T1 cells with high metastatic potential were treated with HNK for 24 h, their migratory activity was markedly decreased, occurring through the movement of cells into the scarred region, compared with the control group (Fig. 2b, c). The same results were observed in the Transwell migration assay (Fig. 2d, e), consistent with the results of previous studies [14, 20]. Taken together, these data strongly demonstrated that HNK treatment resulted in effective inhibition of migration in breast cancer cells.
HNK affects the expression levels of EMT-associated transcription factors Snail/Slug in breast cancer cells
EMT is involved in the invasion and metastasis of various cancer cells. To better understand whether HNK is involved in this process, epithelial and mesenchymal markers [21,22,23] were assessed by Western blot analysis. As shown in Fig. 3a, HNK markedly downregulated endogenous Snail, Slug, and vimentin expression and upregulated E-cadherin expression at the protein level in MDA-MB-231, MCF7, and 4T1 cells (Fig. 3a). As master EMT inducers, Snail and Slug dictate the induction of EMT by targeting E-cadherin and vimentin [24,25,26]. Furthermore, when cells were treated for different times, the western blotting results showed that HNK decreased Snail and Slug expression levels from 12 h to 24 h (Fig. 3b). The results suggested that HNK can reverse EMT via the downregulation of Snail and Slug in breast cancer cell lines.
HNK inhibits the in vivo metastasis of breast cancer cells
To further validate our in vitro findings, an in vivo study was conducted in a BALB/c nude mouse 4T1 metastasis model. Although 4T1 cells metastasize to various primary organs, including the lung, liver, bone, and brain, we focused on lung metastases in this study. We collected lung tissues from tumor-bearing mice for histological analysis, 30 days after the injection of 4T1 cells. The size and number of nodules in the lungs were visualized and measured. Treatment with 50 mg/kg of HNK clearly reduced the number and size of metastatic nodules in the lungs, but did not significantly affect the body weight compared with vehicle treatment (Fig. 4a–c). As shown in Fig. 4d, histological alterations in the lungs of mice in the HNK treatment group were ameliorated. In addition, immunohistochemical assays were performed to examine the Snail and E-cadherin levels. The Snail expression level was decreased and the E-cadherin expression level was increased in the HNK-treated group compared with that in the control group (Fig. 4e), consistent with the in vitro analysis.
HNK has no downregulated effect on Snail/Slug mRNA expression or protein stability in breast cancer cells
The inhibition of in vivo metastasis by HNK prompted us to elucidate the mechanisms underlying the antimetastasis effect of HNK. Because Snail and Slug protein levels were decreased in HNK-treated cells, reverse transcription-quantitative PCR (RT-qPCR) analysis was applied to analyze the mRNA expression levels of Snail and Slug in MDA-MB-231, MCF7, and 4T1 cells. However, the mRNA expression of Snail and Slug was transiently upregulated in MCF7 and MDA-MB-231 cells after exposure to HNK. In addition, no significant difference in the Snail mRNA levels in 4T1 cells was observed after exposure to HNK (Fig. 5a). In addition, we observed extremely low Slug mRNA levels in 4T1 cells, consistent with the immunoblotting results, and explained the instability of the results of Slug in 4T1 cells (Fig. 5a, e). We then ascertained the effect of HNK on Snail and Slug protein stability in the presence of cycloheximide (CHX), which inhibits translation (Fig. 5c–e). Densitometric quantification of immunoblots showed that Snail and Slug protein levels were decreased rapidly after CHX treatment, but HNK did not change the half-life of Snail or Slug protein in cells.
HNK mediates eIF2α phosphorylation and translation inhibition in breast cancer cells
Having obtained unexpected results regarding Snail/Slug mRNA and protein levels in HNK-treated cell lines, we further investigated the mechanisms by which HNK decreases Snail/Slug protein levels and assessed whether HNK generally affects the translation of Snail and Slug mRNA. We first established a time course of 0, 1, 2, 4, 6, and 8 h of HNK treatment in MCF7 cells. Snail protein levels started to decrease at 2 h and further decreased at 4 and 6 h after HNK treatment. The phosphorylation of eukaryotic initiation factor 2 A (eIF2α) started to increase at 1 h and continued to increase from 1 to 8 h after HNK treatment. Similar results were observed in MDA-MB-231 and 4T1 cells (Fig. 6a). Based on these results, we chose the 8-h timepoint for HNK treatment in further studies. Indeed, increased eIF2α phosphorylation revealed that HNK might reduce protein translation. Next, the global translation rate of MCF7 cells was measured by puromycin incorporation, which was marginally decreased in HNK-treated MCF7 cells compared with control cells (Fig. 6b). Furthermore, Snail was immunoprecipitated from cell extracts and detected by Western blotting using the anti-puromycin antibody. As shown in Fig. 6b, puromycin labeling was dramatically decreased after HNK treatment. The decreased protein translation suggested that HNK might inhibit Snail mRNA translation. These observations supported our hypothesis that HNK-mediated downregulation of Snail and Slug proteins occurred at the transcriptional level.
Discussion
The antitumor activity of HNK has been reported in various preclinical models and it has shown to target multiple facets of signal transduction [27, 28]. HNK can attenuate Ras-mediated oncogenic pathways [29], eliminate stem-like cells, induce apoptosis, and suppress Wnt/β-catenin signaling in oral cancer cells [30]. Recently, researchers have reported that HNK-induced ER stress and calpain-II activation are involved in the regulation of cancer cell migration and invasion [15]. However, the mechanisms by which HNK inhibits invasion and metastasis have not been fully clarified. In the present study, we investigated the role of HNK in breast cancer migration and invasion in vivo and in vitro and explored the underlying molecular mechanisms. We found that HNK effectively inhibited the invasion of breast cancer cells in vitro; this result was corroborated by its effect in the in vivo analyses of breast cancer cell lung metastasis. These findings were consistent with previous reports that HNK inhibits the invasion and migration of breast cancer cells [16, 20]. As a major process underlying tumor metastasis, EMT is characterized by the loss of cell-cell adhesion and increased cell motility and invasion. We observed that HNK inhibited the motility of breast cancer cells. Consistently, HNK upregulated the epithelial marker E-cadherin and downregulated mesenchymal markers such as Snail, Slug, and vimentin in breast cancer cells.
Snail and Slug are members of the Snail superfamily of zinc-finger transcription factors. Notably, Snail and Slug are the main effectors of many EMT inducers and repressors because of their crucial roles in the induction of EMT [31]. Snail and Slug were found to induce EMT progression by downregulating E-cadherin expression and enhancing vimentin expression [26, 32, 33]. Hence, we focused on the regulation of Snail and Slug protein expression and found that HNK treatment decreased the expression of these proteins in a dose- and time-dependent manner. Yao et al. suggested that the suppression of Snail and Slug in HNK-treated side population (SP) cells might occur via the Wnt/β-catenin signaling pathway [30]. In addition, a study on gastric tumors demonstrated that the downregulation of Snail by HNK may occur through the regulatory effect of Tpl2 [34]. However, the precise mechanism by which HNK downregulates Snail and Slug in breast cancer cells remains to be determined.
Snail and Slug expression is regulated at different levels, including the transcriptional, translational, and posttranslational levels. Many signaling molecules, including FGF, Wnt, and TGF, regulate Snail at the transcriptional level [35,36,37]. Chronic hypoxia specifically upregulates Slug mRNA and protein expression in prostate cancer cells [38]. In addition, ATM was shown to regulate Snail stabilization by the phosphorylation of Serine 100, thus promoting tumor invasion and metastasis. However, baicalein can induce Snail and Slug ubiquitination by stimulating the interaction between GSK3β and Snail or Slug [39]. LKB1 is a potential suppressor of prostate cancer cell metastasis that promotes Snail protein degradation by enhancing the interaction between the E3 ligase FBXL14 and Snail to increase Snail ubiquitination [40]. In contrast to these regulatory mechanisms, our data showed no change in the Snail or Slug mRNA levels following treatment with HNK. This result was confirmed with the data in GEO (GSE85871) deposited by Ponnurangam et al., which provide the gene expression profiles of MCF7 cells treated with HNK [41]. The stabilization of Snail and Slug protein expresssion measured by CHX chase experiments also supported the mRNA assay results in the presence of HNK.
Previous studies have suggested that many different stress signals cause the phosphorylation of eIF2α, which inhibits its translational function by reducing its affinity for ribosomes, thus attenuating mRNA translation [42, 43]. Importantly, HNK can induce the phosphorylation of eIF2α in gastric cancer cells [34]. Our further research showed that HNK treatment resulted in increased eIF2α phosphorylation prior to the decrease in Snail. The puromycin incorporation assay further demonstrated that HNK markedly inhibited Snail protein synthesis in MCF7 cells. These data suggest that HNK modulates Snail and Slug expression at the mRNA translation level and explained the interesting changes in Snail and Slug mRNA and protein expression.
In summary, our results demonstrate that HNK significantly inhibits EMT in breast cancer cells and reveal a novel mechanism by which HNK regulates Snail and Slug via downregulation of their protein translation (Fig. 6c). These observations suggest that the HNK might be able to be developed as a suitable therapeutic strategy for breast cancer metastasis.
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Acknowledgements
This research was supported by grants from the National Natural Science Foundation of China (81373437, 81702934, and 81621064), CAMS Innovation Fund for Medical Sciences (CIFMS, 2016-I2M-02-002), and “Significant New Drug Development” Major Science and Technology Development Projects of China (No. 2018ZX09711001-007-002).
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SZC designed the study. WDW, YS and YL performed the animal and related studies. WDW conducted the other experiments and wrote the paper. SZC edited the paper. All the authors read and approved the final manuscript.
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Wang, Wd., Shang, Y., Li, Y. et al. Honokiol inhibits breast cancer cell metastasis by blocking EMT through modulation of Snail/Slug protein translation. Acta Pharmacol Sin 40, 1219–1227 (2019). https://doi.org/10.1038/s41401-019-0240-x
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DOI: https://doi.org/10.1038/s41401-019-0240-x
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