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CELLULAR AND MOLECULAR
Department of Oral Biology and Maxillofacial Pathology, School of Dentistry, Medical College of Georgia, Augusta, Georgia (S.H., J.L., J.W., D.D., B.S., P.L., G.S.); Kochi Medical School, Kochi, Japan (T.Y., E.U., T.O.); and Institute of Molecular Medicine and Genetics, Medical College of Georgia, Augusta, Georgia (W.B.B.)
Received May 20, 2003; accepted July 1, 2003.
| Abstract |
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We have also described differential responses of normal epidermal keratinocytes versus certain tumor cells to GTPPs and proposed that GTPPs activate multiple pathways in different cell types (Hsu et al., 2001
, 2002a
,b
, 2003a
,b
). This may apply to the oxidative status imposed by GTPPs or EGCG in various cell types. Primates closely related to humans rely predominantly on fresh leafy plants for their energy needs. If humans maintained a diet similar to that of their ancestors, an adult human would consume approximately 10 kg of fresh leafy plant food daily to meet daily energy requirements (Milton, 1999
). Many leafy plants, either fruits or vegetables, have high levels of the polyphenols/tannins (Bravo, 1998
; Nepka et al., 1999
). Primates, including humans, may have evolved a tolerance to exposure to tannin-rich plants. We hypothesize that cells in frequent contact with plant-derived polyphenols, such as cells found in the epidermis, oral mucosa, and digestive tract, have developed mechanism(s) to mitigate the toxicity and benefit from these compounds. However, GTPPs, when applied in high doses, are cytotoxic to other human cells that lack this tolerance and to cancer cells that have lost these protective mechanisms. We tested EGCG concentrations up to 50 times higher than the maximum plasma concentration (Cmax) on human oral carcinoma cells, normal epidermal keratinocytes, and immortalized normal salivary gland cells. The results demonstrate that EGCG at high concentrations failed to produce ROS and in fact lowered ROS to background levels in these normal cells. In contrast, the oral carcinoma cells, which respond to GTPPs by undergoing apoptosis, elevated ROS levels upon treatment in a dose-dependent manner. The ROS levels were significantly higher in the cell line that possesses low catalase activity, and their persistence was extended. These observations suggest that EGCG is able to create differential oxidative environments in normal epithelial versus tumor cells by exploiting compromised redox homeostasis in the tumor cells.
| Materials and Methods |
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ACA) and one silent mutation (exon 5, codon 174: AGG
AGA) in the p53 gene, respectively (Yoneda et al., 1999Reagents. EGCG, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), catalase, and diamide were purchased from Sigma-Aldrich (St. Louis, MO). Dihydrofluorescein diacetate (DFDA) and SOD were obtained from Molecular Probes (Eugene, OR) and ICN Biomedicals Inc. (Costa Mesa, CA), respectively.
Measurement of Intracellular ROS Levels. The ROS assay measures the accumulation of intracellular ROS levels. The nonfluorescent dye DFDA passively diffuses into cells, where the acetates are cleaved by intracellular esterases. The metabolites are trapped within the cells and oxidized by ROS, mainly H2O2, to the fluorescent form, 2',7'-dichlorofluorescein, which can be measured by fluorescent plate reader to reflect levels of intracellular ROS (mainly H2O2). Thus, values of the fluorescence in the cell cultures are constantly rising in this assay. Cells (1.5 x 104 cells/well) were incubated with Hallam's physiological saline (HPS) containing DFDA (10 µM) in a 96-well microplate for 30 min at 37°C. After the incubation, cells were washed three times with HPS and then incubated with HPS containing EGCG (15200 µM) or diamide (5 mM) for the indicated time periods. The intracellular ROS levels were measured by using a fluorescence plate reader (BIO-TEK FL600, Bio-Tek Instruments, Winooski, VT), at an excitation wavelength of 485 nm and an emission wavelength of 530 nm.
DNA Synthesis Assay. DNA synthesis was analyzed by a BrdU Cell Proliferation Assay Kit (Oncogene Research Products, San Diego, CA). Briefly, cells (1 x 104 cells/well) were seeded in a 96-well microplate and treated with the indicated doses of EGCG for 24 h at 37°C. After the treatment, cells were labeled with BrdU for 2 h at 37°C and reacted with anti-BrdU antibody. Unbound antibody in each well was removed by rinsing, and horseradish peroxidase-conjugated goat anti-mouse antibody was added to each well. The color reaction was visualized according to the protocol provided by the manufacturer. The color reaction product was quantified using a Thermo MAX microplate reader (Molecular Devices Corp., Sunny-vale, CA) at dual wavelengths of 450 to 540 nm.
MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay. This method directly detects the activity of mitochondrial succinate dehydrogenase (SDH). Changes in SDH activity is a measurement of cell viability when stress is introduced in cell culture through chemical or physical means. Cells (1.5 x 104 cells/well) were seeded in a 96-well microplate and treated with the indicated doses of EGCG for 24 h. After the treatment, the cells in each well were washed with 200 µl of phosphate-buffered saline, incubated with 100 µl of 2% MTT in a solution of 0.05 M Tris, 0.5 mM MgCl2, 2.5 mM CoCl2, and 0.25 M disodium succinate as substrate (Sigma-Aldrich) at 37°C for 30 min. Cells were fixed in situ by the addition of 100 µl of 4% formalin in 0.2 M Tris (pH 7.7), and after a 5-min incubation at room temperature, liquid was removed and the wells were allowed to dry. Each well was rinsed with 200 µl of water and cells were solubilized by the addition of 100 µl of 6.35% 0.1 N NaOH in dimethyl sulfoxide. The colored formazan product was measured by a Thermo MAX microplate reader (Molecular Devices Corp.) at a wavelength of 562 nm. Experiments were repeated three times with triplicate samples for each experiment.
Assays for SOD and Catalase Activities. Cells (1 x 106 cells/well) were incubated with or without EGCG (50 µM) in FilterCap 50-ml flasks (Nalge Nunc International, Naperville, IL) for 30 min at 37°C. After the incubation, cells were harvested and disrupted in 100 µl of 10 mM Tris-HCl (pH 7.4) containing 0.1% (v/v) Triton X-100, 10 µg/ml leupeptin, 10 µg/ml pepstatin A, and 100 mM phenylmethyl-sulfonyl fluoride by three cycles of freezing/thawing. After centrifugation at 17,000g for 20 min at 4°C, the supernatants were used for SOD and catalase assays using the SOD Assay Kit-WST (Dojindo Molecular Technologies, Gaithersburg, MD) and the Amplex Red Catalase Assay Kit (Molecular Probes), respectively. The activities of SOD and catalase were calibrated using a standard curve prepared with purified human SOD and catalase. The activities of SOD and catalase were expressed as units (U)/106 cells.
Statistical Analysis. All data are reported as mean ± S.D. A one-way ANOVA and unpaired Student's t tests were used to analyze statistical significance. Differences were considered statistically significant at p < 0.05.
| Results |
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Catalase Activity Assay. Significant changes in catalase activity were not observed in any cell type when these cells were treated with 50 µM EGCG for 30 min. However, significant differences in the levels of endogenous catalase activity were found among the three cell types: NHEKs had the highest endogenous catalase activity (per 106 cells), OSC-4 cells showed moderate levels of catalase activity, and OSC-2 cells exhibited the lowest levels of catalase activity (Fig. 3).
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SOD Activity Assay. All three cell types possess significant amounts of SOD activities (Fig. 4). Incubation with 50 µM EGCG for 30 min did not alter SOD activity in any of the cell types.
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MTT and BrdU Assays. OSC-4 cells did not show significant changes in the mitochondrial SDH activity (as measured by MTT assays, Fig. 5A) and DNA synthesis (measured by the BrdU assay, Fig. 5B) following incubation with 50 µM EGCG for 24 h. However, when EGCG concentration increased to 200 µM, OSC-4 cells demonstrated significantly reduced SDH activity and DNA synthesis. In comparison to previously reported SDH activity and DNA synthesis in EGCG-treated OSC-2 cells (Hsu et al., 2003b
), where 50 µM EGCG reduced both SDH activity and DNA synthesis, OSC-4 cells appeared less sensitive to EGCG.
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| Discussion |
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Results from the catalase activity assay demonstrated that the NHEKs possess the highest levels of catalase activity per cell among the cell types examined, and EGCG had no effect on this activity (Fig. 3). This high level of catalase activity could be part of a defense system specific to the epithelial cells designed to eliminate H2O2 produced by environmental factors, such as radical-producing agents and ultraviolet light, in this case, diamide (Fig. 1C). In the tumor cell lines, endogenous catalase activity in OSC-2 cells was the lowest. This observation correlated with the high ROS levels produced by EGCG both initially and sustained in OSC-2 cells (Fig. 1A). The cause for the low activity of catalase in OSC-2 cells may be due to low catalase protein produced by these cells. In this regard, it is expected that OSC-2 cells would be more sensitive to oxidant-induced DNA damage, mutation, or apoptosis, since catalase is a major scavenger for H2O2. OSC-4 cells showed moderate levels of catalase activity (Fig. 3) and produced less ROS than did OSC-2 cells (Fig. 1, A and B). The protein levels of catalase in each cell type are consistent with the activity measurements (data not shown). This result may explain why OSC-4 cells are more resistant to GTPP/EGCG-induced cytotoxicity when compared with OSC-2 cells, as reflected by the reduced effect of these agents on mitochondrial SDH activities and BrdU incorporation (Fig. 5). In contrast, identical conditions of EGCG treatment did not significantly alter levels of the SDH activity or BrdU incorporation in NHEKs (Hsu et al., 2003a
).
OSC-2 cells possess a defective p53 pathway due to a gene mutation (Yoneda et al., 1999
), which may contribute to their susceptibility to GTPP/EGCG-induced apoptosis (Hsu et al., 2001
, 2002a
). It was reported previously that H2O2 is able to induce apoptosis in certain tumor cells, and addition of exogenous catalase completely eliminated this apoptotic effect (Yang et al., 1998
). Interestingly, normal rat aorta responded to EGCG by phasic contraction, which was triggered by EGCG-induced H2O2 but not superoxide, possibly propelled by H2O2 -triggered Ca2+ release (Shen et al., 2003
). Human embryonic kidney 293 cells also respond to EGCG with H2O2 production in a dose-dependent pattern (Dashwood et al., 2002
). The evidence suggested that formation of H2O2 occurs when cells from internal organs are exposed to EGCG.
Inhibition of SOD in tumor cells was reported in human promyelocytic leukemia HL-60 cells, which was associated with apoptosis (Zhang et al., 2002
). On the other hand, activation of SOD was found in normal large intestine of GTPP- or EGCG-fed rat (Yin et al., 1994
), suggesting that the EGCG effect on SOD activity is cell type-specific. In the current study, all three cell types showed moderate levels of SOD activities (Fig. 4). Compared with catalase activity, SOD activity appeared to be a relatively insignificant factor in ROS scavenging capacity when the cells were incubated with EGCG for 30 min. This may due to the formation of EGCG-induced ROS in the tumor cells, mainly in the form of H2O2, which depends on catalase for its elimination. Nevertheless, whether EGCG differentially regulates catalase and SOD on transcription/translation levels in epithelial cell systems remains to be investigated.
Many studies suggest that antioxidant systems are critical in protecting against tumor-promoting agents, and that one or more components of these systems are deficient in many forms of cancer (for review see Mates and Sanchez-Jimenez, 2000
). This observation is logical, given the fact that DNA is a major target of oxidative stress and accumulation of DNA damage contributes to tumor formation. Both catalase and manganese SOD (Mn-SOD) appear to be particularly important in this regard. Several studies found catalase deficiencies in a variety of tumors, as well as in cells derived from patients with the DNA repair-defective disease xeroderma pigmentosa (Vuillaume et al., 1992
). In addition, hypocatalasemic mice were protected against breast tumor formation by vitamin E supplementation, supporting an oxidative component in mammary tumor development (Ishii et al., 1996
). We previously showed that ROS-induced apoptosis in tumor cells could be rescued by Mn-SOD (Ueta et al., 1999
, 2001
). Likewise, overexpression of Mn-SOD can reduce oxidative DNA damage and alter transcription regulation, leading some to propose it as a new type of tumor suppressor. The mechanism responsible for this suppressor function remains unclear, but several studies report that activation of redox-sensitive transcription factors (i.e., nuclear factor-
B, activator protein-1, and nuclear factor E2 p45-related factor 2) is altered by changes in Mn-SOD levels (Kiningham and St. Clair, 1997
). GTPPs belong to the phenolic flavonoid class of antioxidants, which recently have been proposed to act as electrophiles that can activate mitogen-activated protein ki-nase pathways through an electrophilic-mediated stress response and activate the phase 2 gene-inducing transcription factor, nuclear factor E2 p45-related factor 2 (Rushmore and Kong, 2002
). Thus, EGCG may serve as an important modulator of certain transcription factors to regulate intracellular redox status.
EGCG is rapidly absorbed through the oral mucosa in humans and secreted back into the oral cavity by saliva, suggesting that salivary glandular cells may be tolerant of high concentrations of EGCG (Yang et al., 1999
). The current study supports this concept by data from incubating various concentrations of EGCG (15200 µM) with a SV40-immortalized normal human sublingual salivary acinar cell line (Fig. 2). Consistent with data obtained from human epidermal cells (NHEKs), EGCG, regardless of the concentration, reduced the ROS to background levels in these cells. We further tested the mitochondrial SDH activity in NS-SV-AC cells and two other immortalized normal human salivary glandular cell lines. The results suggested that these salivary glandular cells were tolerant to high concentrations of EGCG with accelerated energy expenditure (data not shown; T. Yamamoto, manuscript in preparation).
The current study identified two novel observations: 1) EGCG differentially affects oxidative status and can act as either a ROS inducer or a ROS suppressor depending upon the cell type; and 2) EGCG concentrations higher than plasma Cmax do not produce H2O2 in cells derived from the normal epidermis and oral cavity (and possibly digestive tract), but rather protect these cells by decreasing ROS production. Mechanisms responsible for the differential effects of EGCG could rely on distinctive signal pathways activated by EGCG in a tissue-specific manner that requires further investigation. Nevertheless, knowledge gained from this study should lay a foundation for the potential future use of high concentrations of GTPPs in combination with chemo/radiation therapies in the epidermis, oral cavity, and digestive tract, to simultaneously enhance tumor cell death rate and protect normal cells from chemo/radiation-induced oxidative stress. In addition, topical and oral administration of GTPPs, even at low concentrations such as 15 µM, would successfully provide protection against oxidative stress, especially H2O2, in such tolerant cells.
| Acknowledgements |
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| Footnotes |
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ABBREVIATIONS: GTPP, green tea polyphenol; EGCG, ()-epigallocatechin-3-gallate; ROS, reactive oxygen species; SOD, superoxide dismutase; NHEK, normal human primary epidermal keratinocyte; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; DFDA, dihydrofluorescein diacetate; HPS, Hallam's physiological saline; SDH, succinate dehydrogenase; ANOVA, analysis of variance.
Address correspondence to: Dr. Stephen Hsu, Department of Oral Biology and Maxillofacial Pathology, AD1443 School of Dentistry, Medical College of Georgia, Augusta, GA 30912-1126. E-mail: shsu{at}mail.mcg.edu
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