Anti-angiogenic therapy is widely being used to halt tumour angiogenesis. In this study, the anti-angiogenic activity of palm tocotrienol-rich fraction (TRF) and its individual components (γ- and δ-tocotrienol) were first investigated in vitro in human umbilical vein endothelial cells (HUVEC) and 4T1 mouse mammary cancer cells. Results showed reduced levels of Interkeukin (IL)-8 and IL-6, two pro-angiogenic cytokines in HUVEC treated with palm tocotrienols compared with α-tocopherol (α-T) and control cells (P < 0.05). The production of IL-8 and IL-6 was lowest in δ-tocotrienol (δ-T3)-treated cells followed by γ-tocotrienol (γ-T3) and TRF. There was significant (P < 0.05) reduction in IL-8 and vascular endothelial growth factor (VEGF) production in 4T1 cells treated with TRF or δ-T3. There was decreased expression of VEGF and its receptors; VEGF-R1 (fms-like tyrosine kinase, Flt-1) and VEGF-R2 (Kinase-insert-domain-containing receptor, KDR/Flk-2) in tumour tissues excised from mice supplemented with TRF were observed. There was also decreased expression of VEGF-R2 in lung tissues of mice supplemented with TRF. These observations correlate with the smaller tumour size recorded in the tocotrienol-treated mice. This study confirms previous observations that palm tocotrienols exhibit anti-angiogenic properties that may inhibit tumour progression.
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Angiogenesis is the growth of new blood vessels and is an important natural process occurring in the body. This process is controlled in the healthy body by the presence of angiogenesis activators and inhibitors (Liotta et al. 1991). A perfect balance of angiogenesis modulators is maintained in the normal physiological state. Some of the known angiogenic activators or growth factors include angiogenin, fibroblast growth factors (FGF), interleukin-8 (IL-8), tumour necrosis factor-alpha (TNF-α), vascular endothelial growth factor (VEGF) and angiopoietin-1. Inhibitors of angiogenesis include angioarrestin, angiostatin, interleukin-12, interferon-alpha/beta/gamma and retinoids (Folkman and Klagsbrun 1987).
Excessive angiogenesis occurs in diseases such as cancer by providing essential growth nutrient via newly formed blood vessel (Hanathan and Folkman 1996) in addition to allowing tumour cells to escape into the circulation (Skobe et al. 1997) and to other organs, thus causing metastasis (Folkman 1990).
Anti-angiogenic therapy is widely being used to halt tumour angiogenesis. Some of the drugs used include Avastin, an anti-VEGF monoclonal antibody (Ferrara 2004), iressa or ZD 1839 (Hirata et al. 2004), thalidomide (Zhang et al. 2005) and angiostatin (Cirone et al. 2004). Angiogenesis has also been reported to be stimulated by oxidative stress (Shono et al. 1996; Monte et al. 1997); therefore, anti-oxidants may also exert anti-angiogenic activities.
Palm tocotrienols referred to as the tocotrienol-rich fraction (TRF) consist mainly of a mixture of α-, γ- and δ-T3 and some α-tocopherol (α-T). Previous studies have suggested that tocotrienols possess anti-tumour properties (Nesaretnam et al. 1998, 2000; Guthrie et al. 1997). Studies have also shown that one of the anti-tumour mechanisms by tocotrienol is through its anti-angiogenic properties (Nesaretnam et al. 2007). Tocotrienols have been reported to show anti-angiogenic activities in both in vitro and in vivo experimental systems (Inokuchi et al. 2003; Miyazawa et al. 2004; Wong et al. 2009), where it was shown that δ-tocotrienol exhibited the highest anti-angiogenic activity.
In this study, the effects of palm tocotrienols and alpha-tocopherol on the expression of angiogenic activators namely IL-8, IL-6, VEGF and VEGF receptors were investigated in a cell-based system using human umbilical vein endothelial cells (HUVECs), 4T1 mouse mammary cancer cells as well as in a mouse model. The potential anti-angiogenic mechanisms by palm tocotrienols are also discussed.
Materials and methods
Isolation of TRF
The TRF, α-T and δ-T3 were obtained from the Malaysian Palm Oil Board (MPOB). Extraction of TRF from palm oil was described by Sundram and Gapor (1992). The final purity of the TRF preparation was 95–99%, with its composition of (w/w) α-T, 32%, and tocotrienols (α, γ, δ), 68%.
Reagents and cell lines
4T1 mouse mammary cancer cells were purchased from American Type Culture Collection (ATCC). These cells were maintained in RPMI-1640 medium (containing l-Glutamine; Gibco/Invitrogen) supplemented with 10% Fetal Bovine Serum (FBS) (Gibco/Invitrogen), 1% penicillin–streptomycin (Gibco/Invitrogen) and 1% Glutamine (Gibco/Invitrogen) at 37°C in a humidified atmosphere containing 5% CO2. The HUVECs were also purchased from ATCC and cultured in medium 199 (Gibco/Invitrogen), supplemented with 20% FBS, 50 μg/ml Endothelial Cell Growth Supplement (ECGS) (BD Sciences), 100 μg/ml Heparin (Sigma) and 1% penicilin–streptomycin. Confluent 4T1 cells (passages 4–8) were used for the experiments.
Multiplex PCR was carried out to detect the presence of multiple angiogenic-related genes in single RNA samples obtained from tumour tissues of BALB/c mice supplemented with TRF and compared against control.
Total RNA isolation
Total RNA was extracted from tumour tissues from BALB/c mice injected with mouse mammary cancer cells with Trizol (Invitrogen, Carlsbad, CA) according to the manufacturer’s instruction. Total RNA was derived from mouse tumours from control mice (sample C) and experimental mice that were supplemented with TRF (sample E). RNA samples were quantified by measuring the absorbance at 260 and 280 nm (A260 and A280) in a spectrophotometer. To avoid any contamination with genomic DNA, 3 μg of total RNA was incubated for 30 min at 37°C in 50 μl of reaction mixture containing 40 mM Tris–HCl (pH 7.2), 10 mM NaCl, 6 mM MgCl2, 2 mM dithiothreitol, 0.04 U/μl RQ1 DNase (Promega) and 0.4 U/μl RNase inhibitor.
For cDNA preparation for multiplex RT–PCR analysis, 500 ng of DNase-treated total RNA was subjected to cDNA synthesis in 20 μl of reaction mixture containing RT buffer (Promega), 5.5 mM MgCl2, 500 μM dNTP, 2.5 μM oligo dT, 0.4 U/μl RNase inhibitor and 1.25 U/μl reverse transcriptase. The reverse transcription reaction was carried out by incubating the tube at 42°C for 90 min and heating the tube at 94°C for 2 min. Chill the tube on ice for 2 min and spin the tube briefly. Dilute the cDNA at 70°C by double-distilled dH2O.
The PCR primers were designed with the use of Primer premier 3 (Applied Biosystems). The sequence of each gene was obtained from EMBL/GenBank/DDBJ. Each primer was designed to produce approximately 100~700-bp amplicon.
Multiplex PCR assays were carried out using Perkin Elmer Cetus 9700 (Applied Biosystems) with ethidium bromide gel electrophoresis. Multiplex PCR amplification was performed in 20 μl of reaction mixture containing 3 μl of cDNA sample, 10 μl of Master Mix (See gene) and gene-specific primer sets. PCR was carried out starting with a 15-min hot start at 95°C followed by a denaturation step at 94°C for 30 s, an annealing step at 63°C for 1 min 30 s and an extension step at 72°C for 1 min 30 s for 40 cycles. Data were analysed using agarose gel electrophoresis systems (Bio-Rad).
Detection of angiogenic markers in HUVECs treated with TRF and its individual fractions
Levels of angiogenic markers in culture supernatant of HUVEC treated with TRF and its individual fractions were determined using Cytometric Bead Array (CBA) Human Angiogenesis Kit (BD Biosciences) in a flow cytometer (FACS Caliber, BD). Culture supernatant samples of HUVEC with various treatments (TRF, γ-tocotrienol, δ-tocotrienol, α-tocopherol and control) were incubated with antibodies angiogenic markers (IL-8, b-FGF, angiogenin, VEGF, TNF) and immune markers (IL-2, IL-4, IL-6, IL-10, TNF, IFN-γ). Samples were incubated for 3 h in the presence of PE fluorochrome dye. Samples were then washed and re-suspended in wash buffer (1× PBS with detergent). Samples were analysed in a flow cytometer using the CBA software, and results obtained were compared with that of standards provided.
RNA isolation and reverse transcription–polymerase chain reaction (RT–PCR) to analyse IL-8 mRNA levels in 4T1 cells
Total RNA was extracted from 4T1 mouse mammary cancer cells treated with 8 μg/ml TRF, α-T, δ-T3 and untreated cells using the Trizol solution according to the manufacturer’s instructions with some minor modification. Cells treated for 72 h were lysed with 1.0 ml of Trizol reagent (Invitrogen). The RNA isolated was isolated and frozen at −80°C. RNA integrity was checked by denaturing gel electrophoresis. Three micrograms of total RNA was used for reverse transcription using Superscript II RT (Invitrogen), and 3 μl of cDNA was used for polymerase chain reaction (PCR). The primers used were as follows: forward: 5′-CAGGAA TTGAAT GGGTTT GCT-3′, reverse: 5′-TCACAA CATCAC TGTGAG GT-3′ (115 bp) for IL-8, and forward: 5′-GTGGGG CGCCCC AGGCAC CA-3′, reverse: 5′-CTCCTT AATGTC ACGCAC GATTTC-3′ (540 bp) for β-actin.
QuantiGene assay was used for direct quantification of VEGF and IL-8 levels in RNA from 4T1 cells treated with TRF, δ-T3, α-T and compared against untreated control cells. The assay employs a sandwich nucleic acid hybridization method that uses branch DNA (bDNA) molecules to amplify signal from captured target RNA. The assay was carried out as described in QuantiGene 2.0 Reagent System User Manual (Panomics, Fremont, CA). About 100 ng RNA/well was loaded into 96-well plate for the detection of target probe, and 1 ng RNA/well was loaded for the detection of β-actin. Working Probe Set was prepared for each target, and capturing of target RNA was carried out at 55°C overnight. Following the overnight hybridization, signal amplification and detection steps were carried out using target-specific pre-amplifiers, amplifiers and label probes. Signal detection was carried out by the addition of chemilumigenic substrate that generates a luminescent signal that is proportionate to the amount of target mRNA present in the sample.
Immunohistochemical staining procedure was used to detect pro-angiogenic marker, VEGF and its receptor, VEGF-R2 in formalin-fixed paraffin-embedded sections of tumour and lung tissues obtained from BALB/c mice inoculated with 4T1 mouse mammary cancer cells that were supplemented and not supplemented with TRF. Standard staining procedure was performed without antigen retrieval. Firstly, the tissue sections were deparaffinized and then rehydrated. Then, the primary antibodies (VEGF and VEGF-R2, Abcam, USA) were applied at appropriate concentrations for 1 h at 37°C. Then, the relevant horse-radish peroxidase (HRP)-conjugated secondary antibodies (Abcam, USA) were then applied, and the staining was visualized after addition of the substrate for HRP and counterstained with Haemotoxylin. Slides were then dehydrated and mounted with DPX.
The data were expressed as mean ± SD unless otherwise indicated and were tested with 1-way ANOVA, followed by Tukey test. Differences were considered significant at P < 0.05.
Multiplex PCR carried out to simultaneously detect multiple angiogenic-related genes in single RNA samples obtained from tumour tissues of BALB/c mice supplemented with TRF and compared against control. Results obtained showed down-regulation in the expression of VEGF-C (an angiogenic promoter), VEGF-R1 (Flt-1) and VEGF-R2 (KDR) which represent receptors for VEGF, in tumour RNA from BALB/c mice supplemented with TRF compared with control (Fig. 1). These results correlated with the observation of a smaller tumour in experimental mice.
Suppression of IL-8 and IL-6 in HUVEC culture by TRF and individual fractions of tocotrienols
Cytometry Bead Array (CBA) detection of angiogenic and Th1/Th2 markers in HUVEC culture treated with 8 μg/μl TRF, γ-T3, δ-T3, α-T and in untreated control cells showed suppression of IL-8 (Fig. 2a) and IL-6 (Fig. 2b) by TRF and its individual fractions. Expressions of IL-8 and IL-6 were lowest in HUVEC treated with δ-T3 followed by γ-T3 and TRF. High expressions were observed in cells treated with α-T and in control cells (Fig. 2c).
Suppression of IL-8 and VEGF mRNA levels in 4T1 cells
RT–PCR was carried out to observe the level of angiogenic marker, IL-8 in RNA extracted from 4T1 cells treated with TRF, δ-T3, α-T and control cells. Results from RT–PCR showed lowest expression of IL-8 in cells treated with δ-T3 followed by TRF, α-T and control cells (Fig. 3).
Quantitative analysis of the levels of two major angiogenic markers, IL-8 and VEGF, was carried out using QuantiGene assay. Expression levels of both IL-8 and VEGF showed >twofold down-regulation in 4T1 cells treated with δ-T3 and TRF. A higher reduction in the expressions of VEGF and IL-8 was observed in 4T1 cells treated with δ-T3 and TRF compared with α-T (Fig. 4).
VEGF-R2 expression by Immunohistochemistry
Lung tissue sections of BALB/c mice were stained for VEGF-R2 (receptor for VEGF). In this experiment, VEGF-R2 was strongly expressed in invading tumour cells in the lungs of control mice not supplemented with TRF (Fig. 5a). In contrast, the expression of VEGF-R2 in tumour cells in the lung tissue of TRF-supplemented mice was comparatively weaker than in control mice (Fig. 5b). In general, there were very few invading tumour cells in the lung tissues of TRF-supplemented mice.
Angiogenesis plays an important role in the progression of cancer and has been the major focus area for developing cancer treatment strategies. In the present study, we investigated the anti-angiogenic activity of TRF in HUVECs and 4T1 mouse mammary cells. Tocotrienols were found to lower the levels of IL-8 and IL-6 in HUVEC culture. Levels of VEGF and IL-8 were also reduced in 4T1 cells by TRF and δ-T3. RNA levels of VEGF, VEGF-R1 (Flt-1) and VEGF-R2 (KDR) were significantly reduced in BALB/c mice with TRF treatment. In contrary, α-T did not show any inhibition of angiogenesis.
The angiogenesis process involves a number of steps which include endothelial cell proliferation, migration, differentiation and tube formation. Therapeutic intervention of angiogenesis is being focused at these steps to serve as potential targets. Hence, evaluation of anti-angiogenic effects on any of these processes is extremely crucial. Anti-angiogenic drugs have been developed to target inhibition of endothelial cell proliferation, interference with endothelial cell adhesion and migration as well as interference with matrix metalloproteinases (MMPs; Griffioen and Molema 2000).
IL-6 and IL-8 have also been shown to promote angiogenesis. IL-6 increases levels of VEGF through stimulation of platelets (Caine et al. 2004), while IL-8 enhances proliferation and survival of endothelial cells and the production of MMPs which are involved in the degradation of basement membrane during blood vessel formation (Li et al. 2003). In this study, in vitro findings of decreased levels of IL-6 and IL-8 in HUVEC and decreased levels of VEGF and IL-8 in 4T1 cells treated with tocotrienols support the anti-angiogenic properties of tocotrienols.
There is increasing evidence, indicating that tocotrienols possess cancer chemopreventive properties (Nesaretnam et al. 2000; Stone et al. 2004). Tocotrienols from palm oil have been shown to inhibit proliferation and growth of various cancer cells including the breast, prostate and colon cancer cells both in vitro and in vivo (Nesaretnam et al. 1992, 1995, 1998, 2004; Guthrie et al. 1997; Agarwal et al. 2004; Srivastava and Gupta 2006; Gould et al. 1991).
In this study, RNA samples were isolated from tumour tissues excised from 4T1 mouse mammary cancer cell-induced BALB/c mice that were supplemented with TRF as well as control mice. The expression of VEGF RNA in tumour of mice treated with 1 mg TRF was significantly lower than those without TRF treatment. These results correlated with the observation that TRF-treated mice presented smaller tumour than control mice (data not shown). Decreased expression of the VEGF mRNA in tumour of TRF-treated mice was shown from the multiplex PCR experiment (Fig. 1). Our results therefore clearly showed that tumour size corresponds proportionally with VEGF levels. Similar observation has been reported when serum levels of VEGF were found to be significantly lower in mice treated with TRF (Wong et al. 2009). VEGF plays a crucial role as regulator of tumour angiogenesis (Poon et al. 2001) apart from being one of the most important signals in the multi-step process of tumour angiogenesis. It has been reported to play an important role in regulating major angiogenic processes such as proliferation, migration and differentiation, as well as protection from apoptosis (Wong et al. 2009). Studies have clearly shown that high-serum VEGF levels correlated with advanced disease in cancer patients (Salven et al. 1997; Kumar et al. 1998; Karayiannakis et al. 2002). Previous studies carried out in our laboratory have shown that 4T1 tumour volume in TRF-treated BALB/c mice significantly reduced compared with those without TRF treatment. Such observation may be partly due to the anti-angiogenic effect of TRF (Nakagawa et al. 2007).
VEGF revealed a high binding affinity to two receptor tyrosine kinases, namely VEGF-R1 (fms-like tyrosine kinase, Flt-1) and VEGF-R2 (Kinase-insert-domain-containing receptor, KDR/Flk-2; Ferrara 2004). Reduction in VEGF will decrease the binding of VEGF to the VEGF receptors. Our findings using multiplex PCR not only indicated reduced expression of VEGF but also decreased expressions of KDR and Flt-1 in tumour samples from BALB/c mice supplemented with TRF (Fig. 1). In addition, in this study, immunohistochemical detection of VEGF-R2 is also shown to be reduced in lung tissues of mice treated with TRF (Fig. 5a and b).
The binding of VEGF to its receptors is important for the activation of PI3K/PDK/Akt signalling in endothelial cells, leading to increased proliferation, survival, permeability and migration of cells (Hoeben et al. 2004). Several studies reported the anti-angiogenic effect of tocotrienols via the suppression of growth factor-dependent activation of PI3K/PDK/Akt signalling in neoplastic mammary cells (Samant and Sylvester 2006) and HUVEC (Nakagawa et al. 2007). Based on our findings, we hypothesize that since VEGF protein is low in the circulatory system, binding of VEGF to VEGF-Rs is reduced. A further suppression is indicated with reduced VEGF-R2 expression. In addition, in the presence of TRF, VEGF levels may also be suppressed with decreasing IL-6 levels while proliferation and migration may be hindered by the decreased levels of IL-8 (Figs. 2, 3 and 4).
In conclusion, this study clearly shows that tocotrienols but not tocopherols possess anti-angiogenic by reducing expression of angiogenic promoters. We therefore confirm previous findings that tocotrienols may act as a potential agent for the prevention of cancer progression through angiogenesis.
A schematic representation of the possible effects of tocotrienols in the process of angiogenesis is shown in Fig. 6.
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We thank the Malaysian Palm Oil Board and the International Medical University (IMU 131-2007) of Kuala Lumpur for funding the study.
This paper is part of a Special Issue entitled “Tocotrienols in health and disease” (Guest editors: Bharat B. Aggarwal and Kalaniti Nesaretnam).
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Selvaduray, K.R., Radhakrishnan, A.K., Kutty, M.K. et al. Palm tocotrienols decrease levels of pro-angiogenic markers in human umbilical vein endothelial cells (HUVEC) and murine mammary cancer cells. Genes Nutr 7, 53–61 (2012). https://doi.org/10.1007/s12263-011-0223-0