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Alantolactone induces G1 phase arrest and apoptosis of multiple myeloma cells and overcomes bortezomib resistance

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Abstract

Several sesquiterpene lactones have been extracted and demonstrated to exert various pharmacological functions in a variety of cancers. Here, we investigated anti-tumor effect of alantolactone, an allergenic sesquiterpene lactone, on human multiple myeloma (MM) and showed alantolactone inhibited growth of MM cells, both in the presence or absence of bone marrow (BM)-derived stromal cells (HS-5), and subsequent G1 phase arrest, and apoptosis as demonstrated by increased Annexin-V/7-AAD binding, caspase-3 or caspase-9 activation and down-modulation of activation of extracellular signal-regulated kinases 1/2. In addition, alantolactone reduced the secretion of MM survival and growth-related cytokines, vascular endothelial growth factor, from MM cells or HS-5 cells, and inhibited cytokine-induced osteoclastogenesis. Notably, alantolactone also inhibited cell proliferation in bortezomib-resistant MM cells. Taken together, alantolactone exerted anti-tumor effect on MM by suppressing cell proliferation, triggering apoptosis, partly damaging the BM microenvironment and overcoming proteasome inhibitor resistance, suggesting alantolactone may be a novel therapeutic approach for the treatment of human MM.

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Abbreviations

MM:

Multiple myeloma

ERK1/2:

Extracellular signal-regulated kinases1/2

VEGF:

Vascular endothelial growth factor

BM:

Bone marrow

IL-6:

Interleukin-6

b-FGF:

b-Fibroblast growth factor

HGF:

Hepatocyte growth factor

IGF-1:

Insulin-like growth factor-1

MEK:

Mitogen-activated protein kinases

CML:

Chronic myelogenous leukemia

TSP50:

Testes-specific protease 50

DMSO:

Dimethyl sulfoxide

PI:

Propidium iodide

RNase A:

Ribonuelease A

M-CSF:

Macrophage colony-stimulating factor

sRANK:

Soluble receptor activator of NFκB

ELISA:

Enzyme-linked immunosorbent assay

CDK:

Cyclin-dependent kinase

OC:

Osteoclast cell

References

  1. Nair B, van Rhee F, Shaughnessy JD Jr et al (2010) Superior results of total therapy 3 (2003-33) in gene expression profiling-defined low-risk multiple myeloma confirmed in subsequent trial 2006-66 with VRD maintenance. Blood 115:4168–4173

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  2. Richardson P, Jagannath S, Hussein M et al (2009) Safety and efficacy of single-agent lenalidomide in patients with relapsed and refractory multiple myeloma. Blood 114:772–778

    Article  CAS  PubMed  Google Scholar 

  3. Richardson P, Anderson K (2006) Thalidomide and dexamethasone: a new standard of care for initial therapy in multiple myeloma. J Clin Oncol 24:334–336

    Article  PubMed  Google Scholar 

  4. Moreau P (2012) The future of therapy for relapsed/refractory multiple myeloma: emerging agents and novel treatment strategies. Semin Hematol 49(Suppl 1):S33–S46

    Article  PubMed  Google Scholar 

  5. Ferlin M, Noraz N, Hertogh C, Brochier J, Taylor N, Klein B (2000) Insulin-like growth factor induces the survival and proliferation of myeloma cells through an interleukin-6-independent transduction pathway. Br J Haematol 111:626–634

    Article  CAS  PubMed  Google Scholar 

  6. Freund GG, Kulas DT, Mooney RA (1993) Insulin and IGF-1 increase mitogenesis and glucose metabolism in the multiple myeloma cell line, RPMI 8226. J Immunol 151:1811–1820

    CAS  PubMed  Google Scholar 

  7. Baumann P, Mandl-Weber S, Oduncu F, Schmidmaier R (2009) The novel orally bioavailable inhibitor of phosphoinositol-3-kinase and mammalian target of rapamycin, NVP-BEZ235, inhibits growth and proliferation in multiple myeloma. Exp Cell Res 315:485–497

    Article  CAS  PubMed  Google Scholar 

  8. Koldehoff M, Beelen DW, Elmaagacli AH (2014) Inhibition of mTOR with everolimus and silencing by vascular endothelial cell growth factor-specific siRNA induces synergistic antitumor activity in multiple myeloma cells. Cancer Gene Ther 21:275–282

    Article  CAS  PubMed  Google Scholar 

  9. Jurczyszyn A, Czepiel J, Biesiada G et al (2014) HGF, sIL-6R and TGF-beta1 play a significant role in the progression of multiple myeloma. J Cancer 5:518–524

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Hideshima T, Mitsiades C, Tonon G, Richardson PG, Anderson KC (2007) Understanding multiple myeloma pathogenesis in the bone marrow to identify new therapeutic targets. Nat Rev Cancer 7:585–598

    Article  CAS  PubMed  Google Scholar 

  11. Giuliani N, Lunghi P, Morandi F et al (2004) Downmodulation of ERK protein kinase activity inhibits VEGF secretion by human myeloma cells and myeloma-induced angiogenesis. Leukemia 18:628–635

    Article  CAS  PubMed  Google Scholar 

  12. Stojakowska A, Michalska K, Malarz J (2006) Simultaneous quantification of eudesmanolides and thymol derivatives from tissues of Inula helenium and I. royleana by reversed-phase high-performance liquid chromatography. Phytochem Anal 17:157–161

    Article  CAS  PubMed  Google Scholar 

  13. Mi XG, Song ZB, Wu P et al (2014) Alantolactone induces cell apoptosis partially through down-regulation of testes-specific protease 50 expression. Toxicol Lett 224:349–355

    Article  CAS  PubMed  Google Scholar 

  14. Wei W, Huang H, Zhao S et al (2013) Alantolactone induces apoptosis in chronic myelogenous leukemia sensitive or resistant to imatinib through NF-kappaB inhibition and Bcr/Abl protein deletion. Apoptosis 18:1060–1070

    Article  CAS  PubMed  Google Scholar 

  15. Khan M, Li T, Ahmad Khan MK et al (2013) Alantolactone induces apoptosis in HepG2 cells through GSH depletion, inhibition of STAT3 activation, and mitochondrial dysfunction. BioMed Res Int 2013:719858

    PubMed Central  PubMed  Google Scholar 

  16. Shi Y, Bao YL, Wu Y et al (2011) Alantolactone inhibits cell proliferation by interrupting the interaction between Cripto-1 and activin receptor type II A in activin signaling pathway. J Biomol Screen 16:525–535

    Article  CAS  PubMed  Google Scholar 

  17. Zhang Y, Bao YL, Wu Y et al (2013) Alantolactone induces apoptosis in RKO cells through the generation of reactive oxygen species and the mitochondrial pathway. Mol Med Rep 8:967–972

    CAS  PubMed  Google Scholar 

  18. Chun J, Choi RJ, Khan S et al (2012) Alantolactone suppresses inducible nitric oxide synthase and cyclooxygenase-2 expression by down-regulating NF-kappaB, MAPK and AP-1 via the MyD88 signaling pathway in LPS-activated RAW 264.7 cells. Int Immunopharmacol 14:375–383

    Article  CAS  PubMed  Google Scholar 

  19. Seo JY, Park J, Kim HJ et al (2009) Isoalantolactone from Inula helenium caused Nrf2-mediated induction of detoxifying enzymes. J Med Food 12:1038–1045

    Article  CAS  PubMed  Google Scholar 

  20. Franke NE, Niewerth D, Assaraf YG et al (2012) Impaired bortezomib binding to mutant beta5 subunit of the proteasome is the underlying basis for bortezomib resistance in leukemia cells. Leukemia 26:757–768

    Article  CAS  PubMed  Google Scholar 

  21. Vallet S, Raje N, Ishitsuka K et al (2007) MLN3897, a novel CCR1 inhibitor, impairs osteoclastogenesis and inhibits the interaction of multiple myeloma cells and osteoclasts. Blood 110:3744–3752

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Green DR, Reed JC (1998) Mitochondria and apoptosis. Science 281:1309–1312

    Article  CAS  PubMed  Google Scholar 

  23. Hengartner MO (2000) The biochemistry of apoptosis. Nature 407:770–776

    Article  CAS  PubMed  Google Scholar 

  24. Yao Y, Zhang YW, Sun LG et al (2012) Juglanthraquinone C, a novel natural compound derived from Juglans mandshurica Maxim, induces S phase arrest and apoptosis in HepG2 cells. Apoptosis 17:832–841

    Article  CAS  PubMed  Google Scholar 

  25. Antonsson B (2001) Bax and other pro-apoptotic Bcl-2 family “killer-proteins” and their victim the mitochondrion. Cell Tissue Res 306:347–361

    Article  CAS  PubMed  Google Scholar 

  26. Morabito F, Gentile M, Mazzone C et al (2010) Therapeutic approaches for newly diagnosed multiple myeloma patients in the era of novel drugs. Eur J Haematol 85:181–191

    Article  CAS  PubMed  Google Scholar 

  27. Shah JJ, Orlowski RZ (2009) Proteasome inhibitors in the treatment of multiple myeloma. Leukemia 23:1964–1979

    Article  CAS  PubMed  Google Scholar 

  28. Orlowski RZ, Kuhn DJ (2008) Proteasome inhibitors in cancer therapy: lessons from the first decade. Clin Cancer Res 14:1649–1657

    Article  CAS  PubMed  Google Scholar 

  29. McConkey DJ, Zhu K (2008) Mechanisms of proteasome inhibitor action and resistance in cancer. Drug Resist Updat 11:164–179

    Article  CAS  PubMed  Google Scholar 

  30. Lim HS, Jin SE, Kim OS, Shin HK, Jeong SJ (2015) Alantolactone from Saussurea lappa exerts antiinflammatory effects by inhibiting chemokine production and STAT1 phosphorylation in TNF-alpha and IFN-gamma-induced in HaCaT cells. Phytother Res

  31. Zhao P, Pan Z, Luo Y et al (2015) Alantolactone induces apoptosis and cell cycle arrest on lung squamous cancer SK-MES-1 cells. J Biochem Mol Toxicol 29:199–206

    Article  CAS  PubMed  Google Scholar 

  32. Chun J, Li RJ, Cheng MS, Kim YS (2015) Alantolactone selectively suppresses STAT3 activation and exhibits potent anticancer activity in MDA-MB-231 cells. Cancer Lett 357:393–403

    Article  CAS  PubMed  Google Scholar 

  33. Yang C, Yang J, Sun M, Yan J, Meng X, Ma T (2013) Alantolactone inhibits growth of K562/adriamycin cells by downregulating Bcr/Abl and P-glycoprotein expression. IUBMB Life 65:435–444

    Article  CAS  PubMed  Google Scholar 

  34. Marsoni S, Damia G (2004) Molecular targeting: new therapeutic strategies to improve tumour apoptosis. Ann Oncol 15(Suppl 4):229–231

    Google Scholar 

  35. Estaquier J, Vallette F, Vayssiere JL, Mignotte B (2012) The mitochondrial pathways of apoptosis. Adv Exp Med Biol 942:157–183

    CAS  PubMed  Google Scholar 

  36. Thornberry NA, Lazebnik Y (1998) Caspases: enemies within. Science 281:1312–1316

    Article  CAS  PubMed  Google Scholar 

  37. Otjacques E, Binsfeld M, Noel A, Beguin Y, Cataldo D, Caers J (2011) Biological aspects of angiogenesis in multiple myeloma. Int J Hematol 94:505–518

    Article  CAS  PubMed  Google Scholar 

  38. Ding JH, Yuan LY, Huang RB, Chen GA (2014) Aspirin inhibits proliferation and induces apoptosis of multiple myeloma cells through regulation of Bcl-2 and Bax and suppression of VEGF. Eur J Haematol 93:329–339

    Article  CAS  PubMed  Google Scholar 

  39. Novack DV (2011) Role of NF-kappaB in the skeleton. Cell Res 21:169–182

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the National Natural Science Foundation of China (81302034, 81272622).

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The authors have no conflict of interest to declare.

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Correspondence to Zhenyu Li or Kailin Xu.

Additional information

Yao Yao, Dandan Xia and Yueping Bian have contributed equally to this work.

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Yao, Y., Xia, D., Bian, Y. et al. Alantolactone induces G1 phase arrest and apoptosis of multiple myeloma cells and overcomes bortezomib resistance. Apoptosis 20, 1122–1133 (2015). https://doi.org/10.1007/s10495-015-1140-2

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  • DOI: https://doi.org/10.1007/s10495-015-1140-2

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