Protosappanin B promotes apoptosis and causes G1 cell cycle arrest in human bladder cancer cells.

Introduction

Bladder cancer is one of the most common malignant tumors, ranked eleventh among malignant cancers in terms of incidence 1 , and is associated with high mortality 1 . It has been estimated that, in 2012, around 430,000 new cases of bladder cancer occurred worldwide and over 165,000 people died from it 2 . Bladder cancer affects men more commonly than women, and smoking is recognized as an important risk factor 3 . The incidence of bladder cancer in China during the last 10 years has shown an increasing trend both in urban and rural areas, and this may be associated with the increases in tobacco consumption, level of industrialization, and population aging 4 . Bladder transitional cell carcinoma is the most frequent type, accounting for 95% of the cases. Around 30% of patients with bladder cancer present with an invasive form of the disease associated with a high risk of metastasis 5 . Various strategies are currently available for the management of bladder cancer, including transurethral resection of bladder tumor (TURBT), radical cystoprostatectomy, radiotherapy, chemotherapy, and intravesical therapy 5 . Among these, the main treatment approaches both in China and abroad is surgery combined with intravesical chemotherapy. There have been several recent advances in the diagnosis and treatment of bladder cancer 6 , including research on new targeted therapies 7 . Nevertheless, the available surgical and medical therapies are associated with significant adverse effects on the quality of life and with high recurrence and mortality rates 2 . In particular, the chemotherapeutic drugs (methotrexate, vincristine, doxorubicin, cisplatin, and cytosine) and biological therapies (BCG, immunologic and inactivated bacterial solutions) currently used in clinical practice are associated with high costs, significant adverse effects, and various complications 8 . These limitations highlight the need to develop novel treatment approaches.

Traditional Chinese medicine (TCM) has a long history in the treatment of cancer, with many components of TCMs being reported to have anti-cancer properties 9 . With the increasing application of molecular biology in oncology research, there has been considerable interest in studying the anti-tumor effects of TCMs and identifying the responsible compounds and possible underlying mechanisms. Lignum Sappan, derived from the heartwood of Caesalpinia sappan L., is commonly used in TCM and promotes blood circulation for removing obstruction in collaterals. In addition to anti-inflammatory 10 , anti-allergy 11 , anti-fungal 12 , anti-viral 13 , anti-oxidative 14 , and vasorelaxant 15 properties, Lignum Sappan has also been shown to have anti-cancer effects. Indeed, Lignum Sappan extracts have been reported to reduce the viability of a wide variety of cancer cells 16 , including head and neck 17 , sarcoma 18 , hepatocellular carcinoma 18 , lung adenocarcinoma 18 , colorectal adenocarcinoma 18 , gastric cancer 19 , leukemia 20 , and ovarian cancer 21 cell lines. Lignum Sappan has also been shown to inhibit tumor growth in vivo in a mouse xenograft model bearing S180 sarcoma cells 18 .

In recent years, there has been considerable interest in identifying the active components of Lignum Sappan and studying the mechanisms by which these components inhibit tumor growth. Brazilin is an important active component of Lignum Sappan and has been found to exert an anti-cancer effect. Brazilin has been shown to inhibit the proliferation of human bladder cancer T24 cells 22 and induce the apoptosis of multiple myeloma U266 cells 23 , glioma U87 cells 24 , sarcoma S180 cells 18 , hepatocellular carcinoma HepG2 cells 18 , lung adenocarcinoma H522 cells 18 , colorectal adenocarcinoma Colo205 cells 18 , and head and neck squamous cell carcinoma Cal27 cells 25 .

Protosappanin B is another major component of Lignum Sappan and is listed by the Chinese Pharmacopoeia 26 as an indicator of the quality of Lignum Sappan preparations. At present, there are very few published studies describing the effects of protosappanin B. Anti-inflammatory 27 , anti-bacterial 28 , and anti-oxidative 29 properties of protosappanin B have been reported, and pharmacokinetic and bioavailability studies have been conducted in rodents 30 , 31 . Protosappanin B has also been shown to protect PC12 cells against apoptosis induced by oxygen-glucose deprivation 32 . Nevertheless, very few studies have investigated the anti-cancer effects of protosappanin B. In a recent study, protosappanin B was shown to reduce the viability of human bladder cancer T24 cells and mouse bladder cancer BTT cells and inhibit the proliferation of two human colon cancer cell lines (HCT-116 and SW-480) 33 . In addition, protosappanin B was found to inhibit tumor formation in, and improve the survival of, tumor-bearing mice 33 .

As shown by a previous study by our group, protosappanin B inhibits the growth of bladder cancer cells 33 , but the doses and the mechanisms involved are still poorly understood. Therefore, the aims of the present study were to investigate the effects of protosappanin B on the proliferation and apoptosis of two bladder cancer cell lines cultured in vitro and to explore the potential mechanisms for the observed effects using a proteomics analysis. The cell lines chosen for the experiments were T24, representing invasive bladder cancer, and 5637, representing high-risk superficial bladder cancer.

Results

Effects of protosappanin B on cell morphology

T24 cells in the control group were spindle-shaped and substantial in volume. The cells had large nuclei, an abundance of cytoplasm and numerous cellular extensions. The cells were also well attached to the wall (Fig. 1A ). In contrast, T24 cells treated with 200 μg/mL protosappanin B were irregular in shape and smaller and more rounded than untreated cells (Fig. 1A ). In addition, the cell boundary was not smooth, and the cells were more loosely attached to the wall (Fig. 1A ). Cell debris due to cell lysis was also observed (Fig. 1A ). The 5637 cells in the control group were oval-shaped, with abundant cytoplasm and numerous cellular extensions, and the cells were well attached to the wall (Fig. 1B ). Protosappanin B-treated 5637 cells were smaller, more rounded, and more loosely attached to the wall (Fig. 1B ). The cell surface was not smooth and showed evidence of blebbing; in addition, there was lysis of some cells (Fig. 1B ). Figure 1 Effects of protosappanin B on cell morphology. ( A ) T24 cells observed under light microscopy (×100). Left panel: control cells. Right panel: T24 cells treated with 200 μg/mL protosappanin B. ( B ) 5637 cells observed using light microscopy (×100). Left panel: control cells. Right panel: 5637 cells treated with 200 μg/mL protosappanin B. Black arrows: cell debris. Red arrow: irregular shape cell.

Effects of protosappanin B on cell growth and proliferation

Protosappanin B (12.5–200 µg/mL) caused a concentration-dependent inhibition of T24 cell growth and proliferation (Table 1 ), with growth inhibition rates of approximately 31% at 100 µg/mL and 92% at 200 µg/mL ( P < 0.05). Protosappanin B (50–200 µg/mL) also caused a concentration-dependent inhibition of 5637 cell growth (Table 1 ). The growth inhibition rates were around 21% at 100 µg/mL and 76% at 200 µg/mL ( P < 0.05). Protosappanin B (50–200 µg/mL) also caused a concentration-dependent inhibition of SV-HUC-1 cell growth (Table 1 ). The growth inhibition rates were about 14.56% at 100 µg/mL and 56.54% at 200 µg/mL ( P < 0.05), but the inhibitory rate was lower than that in cancer cells. The IC 50 values for the inhibition of cell growth by protosappanin B (applied for 48 h) were 82.78 µg/mL in T24 cells and 113.79 µg/mL in 5637 cells. Table 1 Inhibition of the growth of T24, 5637 and SV-HUC-1cells by protosappanin B. Protosappanin B concentration T24 cells 5637 cells SV-HUC-1 OD value Inhibition rate (%) OD value Inhibition rate (%) OD value Inhibition rate (%) 0 µg/mL (control) 0.890 ± 0.013 — 1.077 ± 0.015 — 0.886 ± 0.016 — 12.5 µg/mL 0.745 ± 0.045* 16.29 0.982 ± 0.060 8.82 0.833 ± 0.025 5.98 25 µg/mL 0.736 ± 0.013* 17.30 0.921 ± 0.085 14.48 0.786 ± 0.024 11.29 50 µg/mL 0.724 ± 0.030* 18.65 0.919 ± 0.029* 14.67 0.757 ± 0.035* 14.56 100 µg/mL 0.616 ± 0.039* 30.79 0.847 ± 0.047* 21.36 0.726 ± 0.021* 18.06 200 µg/mL 0.070 ± 0.033* 92.13 0.260 ± 0.072* 75.86 0.385 ± 0.028* 56.54 Data shown as means ± standard deviation (n = 5). OD: optical density. * P < 0.05 versus the control group.

Effects of protosappanin B on cell apoptosis

As illustrated in Fig. 2A , protosappanin B caused a concentration-dependent increase in the number of early apoptotic cells (150–300 µg/mL; P < 0.05) and late apoptotic cells (100–300 µg/mL; P < 0.05). The total numbers of apoptotic cells were also increased in a concentration-dependent manner (100–300 µg/mL; P < 0.05). Protosappanin B exerted similar concentration-dependent effects in 5637 cells (Fig. 2B ), increasing the number of early apoptotic cells (100–300 µg/mL; P < 0.05) and late apoptotic cells (150–300 µg/mL; P < 0.05), as well as the total number of apoptotic cells (100–300 µg/mL; P < 0.05). As shown in Fig. 3 , protosappanin B decreased the expression of Bcl-2 (100–300 µg/mL; P < 0.05) and increased the expression of Bax (100–300 µg/mL; P < 0.05) in a concentration-dependent manner in T24 and 5637 cells. These results indicate that protosappanin B could induce bladder cancer cell apoptosis. Figure 2 Effects of protosappanin B on cell apoptosis. ( A ) Apoptosis of T24 cells. ( B ) Apoptosis of 5637 cells. Apoptosis was measured using the annexin-V/propidium iodide (PI) assay. The scatterplots illustrate the effects of various concentrations (100–300 µg/mL) of protosappanin B. Normal live cells (annexin-V-negative and PI-negative) are shown in the lower left quadrant, early apoptotic cells (annexin-V-positive and PI-negative) in the lower right quadrant, and late apoptotic cells (annexin-V-positive and PI-positive) in the upper right quadrant. Mean data showing the concentration-dependent effects of protosappanin B on cell apoptosis are presented in the bar graphs. * P < 0.05. Figure 3 Effects of protosappanin B on Bax and Bcl-2 expression. ( A , B ) Representative western blots. ( C ) Effect of protosappanin B (0, 100, 200, and 300 µg/mL) on the protein expression of Bcl-2 and Bax in T24 cells. ( D ) Effect of protosappanin B (0, 100, 200, and 300 µg/mL) on the protein expression of Bcl-2 and Bax in 5637 cells.

Effects of protosappanin B on the cell cycle

For both T24 cells (Fig. 4A and Table 2 ) and 5637 cells (Fig. 4B and Table 3 ), protosappanin B (applied for 48 h) caused a concentration-dependent decrease in the proportion of cells in the S phase or G 2 phase and a corresponding increase in the proportion of cells in the G 1 phase. Therefore, the effect of protosappanin B in both cell types was to block the cells in G1. At 300 µg/mL protosappanin B, the proliferative index was decreased significantly from 37.04 ± 3.11 to 17.26 ± 1.71 ( P < 0.05) in T24 cells and from 62.57 ± 3.03 to 35.41 ± 3.38 in 5637 cells ( P < 0.05; Tables 2 and 3 ). Figure 4 Effects of protosappanin B on the cell cycle. ( A ) T24 cells. ( B ) 5637 cells. Cells were treated with a range of concentrations of protosappanin B (0–300 µg/mL), and cell cycle analysis was undertaken using a commercial kit. Table 2 Effect of protosappanin B on the cell cycle in T24 cells. Protosappanin B concentration G 1 phase S phase G 2 phase Proliferative index 0 µg/mL (control) 62.96 ± 3.10 26.28 ± 2.03 10.76 ± 1.08 37.04 ± 3.11 100 μg/ml 64.97 ± 1.03 23.58 ± 0.16 11.46 ± 0.93 35.03 ± 1.03 150 μg/ml 73.92 ± 0.88* 14.40 ± 0.73* 11.68 ± 0.32 26.08 ± 0.87* 200 μg/ml 79.80 ± 0.80* 13.46 ± 0.13* 6.75 ± 0.72* 20.21 ± 0.80* 300 μg/ml 82.74 ± 1.71* 12.85 ± 1.62* 4.41 ± 0.42* 17.26 ± 1.71* Data shown as means ± standard deviation (n = 3). OD: optical density. * P < 0.05 versus the control group. Table 3 Effect of protosappanin B on the cell cycle in 5637 cells. Protosappanin B concentration G 1 phase S phase G 2 phase Proliferative index 0 µg/mL (control) 37.43 ± 3.03 42.24 ± 3.89 20.33 ± 0.89 62.57 ± 3.03 100 μg/ml 45.76 ± 3.06* 41.46 ± 3.32 12.78 ± 2.63 54.24 ± 3.06* 150 μg/ml 45.23 ± 2.35* 40.03 ± 2.33 14.74 ± 2.91 54.77 ± 2.35* 200 μg/ml 53.60 ± 1.95* 37.83 ± 3.18 8.57 ± 1.77* 46.40 ± 1.95* 300 μg/ml 64.59 ± 3.38* 24.64 ± 5.35* 10.77 ± 8.17 35.41 ± 3.38* Data shown as means ± standard deviation (n = 3). OD: optical density. * P < 0.05 versus the control group.

Proteomic analysis revealed that cell cycle inhibition was involved in protosappanin B-induced cell apoptosis

The proteomic analysis was used to identify potential altered proteins. Among the 4914 identified proteins, the proteins both appeared in the vehicle and protosappanin B treated groups were quantified and compared (3494), and their intensity was measured as follows: intensity ratio = Protosappanin B treated group/vehicle group. The differentially expressed proteins were grouped as: Q1 (0 < ratio ≤ 1/1.5), Q2 (1/1.5 < ratio ≤ 1/1.3), Q3 (1.3 < ratio ≤ 1.5) and Q4 (ratio > 1.5) (Fig. 5A ). Then, the proteins in each group were analyzed using the Kyoto Encyclopedia of Genes and Genomes (KEGG) and subjected to cluster evaluation. As shown in Fig. 5B,C , cell cycle-related proteins were significantly affected by protosappanin B. These findings further support that cell cycle arrest was, at least in part, involved in protosappanin B-induced cell apoptosis. Figure 5 Impact of protosappanin B on the proteomics of bladder cancer cells. ( A ) The proteomic analysis identified 4914 proteins that were changed by protosappanin B treatment. Among them, 3949 proteins were quantified. The differentially expressed proteins were grouped as: Q1 (0 < ratio ≤ 1/1.5), Q2 (1/1.5 < ratio ≤ 1/1.3), Q3 (1.3 < ratio ≤ 1.5) and Q4 (ratio > 1.5). ( B ) The proteins in each group were analyzed using the Kyoto Encyclopedia of Genes and Genomes (KEGG) and subjected to cluster evaluation. ( C ) Cell cycle-related proteins were significantly affected by protosappanin B.

Discussion

The main finding of the present study was that protosappanin B inhibited the proliferation and promoted the apoptosis of two human bladder cancer cell lines (T24 and 5637 cells) in a concentration-dependent manner. Furthermore, in both cell types, protosappanin B caused arrest of the cell cycle in the G 1 phase. These data suggest that protosappanin B may have an anti-tumor effect against bladder cancer and that the mechanism may involve interference with cell cycle regulation, preventing transition of cells from G 1 to S-phase, as suggested by the proteomics analysis.

Su Fu’ning Lotion, which is approved for medical use in China, has been shown to reduce the recurrence rate of bladder cancer 34 . The active ingredient of Su Fu’ning Lotion is a Lignum Sappan extract that contains protosappanin B and brazilin 35 , which are polyphenols with similar structures and chemical properties. In previous research by our group, we found that protosappanin B can inhibit the proliferation of four types of tumor cell, including BTT, T24, Hela, and SW480 cells 36 , 37 . Furthermore, protosappanin B has been shown to have anti-tumor effects in vivo and in vitro 33 . Nevertheless, there are very few published studies on the anti-tumor actions of protosappanin B. Therefore, the present in vitro study was designed to test the anti-tumor effects of a range of protosappanin B concentrations on two bladder cancer cell lines, T24 cells (representing invasive bladder cancer) and 5637 cells (representing high-risk superficial bladder cancer). In addition, cell cycle analysis was undertaken to explore the mechanism of action.

In the initial experiments, we observed the morphological changes in T24 and 5637 cells exposed to 200 μg/mL protosappanin B for 24 h. The results indicated that both types of bladder cancer cells showed morphological abnormalities following treatment with protosappanin B, with evidence of cell lysis. Furthermore, the MTT assay revealed that protosappanin B (applied for 48 h) significantly inhibited the growth and proliferation of T24 and 5637 cells in a concentration-dependent manner, with particularly powerful effects at 200 µg/mL. These findings are consistent with a previous study reporting that protosappanin B reduced the viability of bladder cancer BTT cells as well as human colon cancer cells (HCT-116 and SW-480) 33 . In the present study, the IC50 values for cell growth inhibition by protosappanin B were 82.78 µg/mL in T24 cells and 113.79 µg/mL in 5637 cells. These values are broadly similar to the value of 76.53 µg/mL in BTT bladder cancer cells reported previously 33 . The IC50 values in SW-480 and HCT-116 cells were 21.32 µg/mL and 26.73 µg/mL 33 , respectively, suggesting that different types of cancer cell may have different sensitivity to protosappanin B. Our observations are similar to those of other studies showing that Lignum Sappan extract or brazilin inhibits the proliferation of various cancer cell lines 16 – 19 , 22 , 24 .

Apoptosis is the main mechanism by which anti-cancer drugs lead to cell death. In the present study, protosappanin B (100–300 µg/mL) was found to promote the apoptosis of T24 and 5637 cells in a concentration-dependent manner, which would be consistent with the results of the MTT assay. Therefore, we speculate that the inhibitory effect of protosappanin B on cell viability was associated with the induction of apoptosis. A previous investigation also showed that protosappanin B could induce the apoptosis of bladder cancer cells (T24 and BTT), although a much higher concentration (2 mg/mL) was used 33 . In addition, similar pro-apoptotic effects of Lignum Sappan extract and brazilin have been reported 18 – 21 , 23 – 25 . We investigated the effect of protosappanin B on Bax and Bcl-2 protein expression. Bcl-2 is an anti-apoptotic protein. On the other hand, Bax forms a heterodimer with Bcl-2 to activate apoptosis 38 . In the present study, protosappanin B decreased Bcl-2 protein levels and increased Bax protein expression, leading to the increased apoptosis of bladder cancer cells. Of course, this is only a glimpse of the mechanisms responsible for decreased cell growth and increased apoptosis caused by protosappanin B. Additional study is necessary to determine the mechanisms of action comprehensively.

Uncontrolled proliferation of cells caused by dysregulation of the cell cycle is one of the characteristics of tumor cells. Therefore, induction of cell cycle arrest is an important mechanism of action for many anti-cancer drugs. When stimulated by proliferative signals, cells enter into the cell cycle (G 1 to S to G 2 to M phases) from a stationary state (G 0 phase). The cell cycle is regulated at two transition points, G 1 /S (between the end of the G 1 phase and the S phase) and G 2 /M (in the M phase). The G 1 /S checkpoint is a limiting step in the cell cycle; if the cycle is arrested at this point, the proliferation of cells can be effectively limited 39 . In the present study, protosappanin B caused a concentration-dependent reduction in the proportion of T24 and 5637 cells in the S-phase and an increase in the proportion of cells in the G 1 -phase. Therefore, protosappanin B arrested cells in the G 1 phase, decreasing the proliferative index. It is likely that protosappanin B arrests progression from the G 1 phase to the S phase by intervening at a regulatory point in the cell cycle. Interestingly, a previous study in head and neck cancer cell lines found that Lignum Sappan extract increased the number of cells in the sub-G1 phase of the cell cycle, an effect that was associated with increased cellular levels of p53 and p21 17 . Another study reported that Lignum Sappan extract up-regulated the mRNA transcription of P16 and Rb1 in lung cancer cells and caused cell cycle arrest at the G0/G1 and S phases 40 . It is possible that the various components of Lignum Sappan have different effects on cell cycle regulation, since sappanchalcone was found to induce G2/M arrest 18 . Additional research is needed to clarify the detailed mechanisms by which protosappanin B arrests bladder cancer cells in the G 1 phase and causes cell apoptosis.

Conclusions

Protosappanin B inhibits the proliferation of T24 and 5637 cells and induces their apoptosis. Furthermore, these effects are related to arrest of the cell cycle in the G 1 phase. Additional studies are needed to identify the mechanisms by which protosappanin B elicits these actions. Nonetheless, the present study suggests that protosappanin B may potentially be an effective and natural drug for the treatment of bladder cancer.

Methods

Cell culture

The human bladder cancer cell line T24 was purchased from the Shanghai Institutes for Biological Sciences (Chinese Academy of Sciences, Shanghai, China). The human bladder cancer cell line 5637 was purchased from the Cell Bank of the Chinese Academy of Sciences. The normal uroepithelium cell line SV-HUC-1 was purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA). The T24, 5637, and SV-HUC-1 cells were cultured in RPMI 1640 medium (GIBCO, Thermo Fisher Scientific, Waltham, MA, USA) containing 0.05 g/L streptomycin, 0.05 g/L penicillin, 0.8 g/L NaHCO 3 , 3.6 g/L HEPES, and 10% fetal bovine serum (Hangzhou Sijiqing Biotechnology Materials Co., Ltd, Hangzhou, China). Cell culture was performed in a thermostatic incubator (NU-5500E; NuAire, Plymouth, MN, USA) at 37 °C with 5% CO 2 and saturated humidity. Cell suspensions were prepared by digesting the cells in the logarithmic growth phase with 0.25% trypsin (Shanghai Biotech Bioengineering Co., Ltd, Shanghai, China).

Cell morphology

T24 cells (4 × 10 5 cells/well) or 5637 cells (5 × 10 5 cells/well) were transferred to a 6-well plate. Protosappanin B was added to three of the wells (final concentration, 200 μg/mL), and an equal volume of culture medium was added to the other three wells (as a control group). Protosappanin B (purity >96.7%) was isolated and purified from Lignum Sappan (a TCM) by Professor Zhang Shengwan at the College of Life Sciences, Shanxi University, China 33 . Protosappanin B is used in clinics at 0.5 mg/kg and the concentration for in vitro experiments was tested by preliminary experiments. Changes in cell morphology were observed at 24 h (DMIL090-135.001 inverted microscope; Leica, Wetzlar, Germany) and compared among the control and protosappanin B groups.

Cell proliferation

Cell proliferation was assessed using the methyl thiazolyl tetrazolium (MTT) assay. T24 cells were seeded in a 96-well plate at 4 × 10 3 cells/well, 5637 cells were seeded in a 96-well plate at 9 × 10 3 cells/well, and SV-HUC-1 cells were seeded in a 96-well plate at 4 × 10 3 cells/well. After the addition of culture medium (100 µL/well), the plates were cultured in an incubator (NU-5500E; NuAire) at 37 °C with 5% CO 2 for 24 h. The original culture medium was then discarded, and 200 µL of culture medium containing different concentrations of protosappanin B (final concentrations: 12.5, 25, 50, 100, and 200 μg/mL) were added to the cells in the protosappanin B groups (5 wells/group). The same volume of medium without protosappanin B was added to the cells in the control group (5 wells). Culture medium without cells was used as the zero group (5 wells). After 48 h, 20 µL of 5 mg/mL MTT solution (Solarbio, Beijing, China) were added to each well and the cells were cultured for a further 4 h. The culture medium was then carefully removed, 150 µL of dimethyl sulfoxide (Tianjin Fuyu Fine Chemical Co., Ltd., Tianjin, China) were added to each well, and the plate was placed on a shaking incubator (low speed) for 10 min to fully dissolve the crystals. The absorbance value, i.e. optical density (OD) value, was measured at 570 nm using a microplate reader (SunRise microplate reader; Tecan Corporation, Grödig, Austria). The growth inhibition rate (%) for each cell line was calculated as [1 − (average OD value in experimental group/average OD value in control group)] × 100%. The concentration of protosappanin B producing 50% inhibition of cell growth (IC 50 value) was calculated as log[IC 50 ] = log[maximum dose] − log[maximum dose/relative dose](sum of positive reaction rates − (3 − maximum positive reaction rate − minimum positive reaction rate)/4).

Cell apoptosis

Cell apoptosis was detected using an annexin-V/propidium iodide (PI) assay (Bioengineering (Shanghai) Co., Ltd., Shanghai, China). T24 cells (4 × 10 5 cells/well) and 5637 cells (5 × 10 5 cells/well) were cultured in 6-well plates for 24 h. The supernatant was discarded and culture medium containing different concentrations of protosappanin B was added (final concentration: 100, 150, 200, or 300 μg/mL). An equal volume of culture medium not containing protosappanin B was used as a negative control. After 24 h of culture, the cells were digested, collected, and centrifuged (KDC-2044 low-speed refrigerated centrifuge; USTC ChuangXin Co., Ltd., Anhui, China) at 1000 r/min for 5 min. The supernatant was discarded and the cells were re-suspended in phosphate-buffered saline (PBS). The cells were filtered through a nylon sieve, centrifuged (1000 r/min, 5 min), and the supernatant was discarded. The cells were re-suspended in binding buffer and 5 μL of the apoptosis detection reagents (annexin-V-fluorescein isothiocyanate and PI) were added. The cells were incubated at room temperature in the dark for 15 min. The apoptosis of T24 and 5637 cells was detected using flow cytometry (FACSCalibur flow cytometer, BD Biosciences, San Jose, CA, USA), with the experiments performed in triplicate. In the scatterplots, normal live cells (annexin-V-negative and PI-negative) were shown in the lower left quadrant, early apoptotic cells (annexin-V-positive and PI-negative) were shown in the lower right quadrant, and late apoptotic cells (annexin-V-positive and PI-positive) were shown in the upper right quadrant. The total apoptosis rate was calculated as the sum of the early and late apoptosis rates.

Western blot

T24 and 5637 cells were treated with 0, 100, 200, or 300 µg/ml protosappanin B for 48 h. Cells were lysed using the RIPA buffer (Beyotime Institute of Biotechnology, Haimen, China). Protein concentration was assayed using the Bradford assay. Proteins (20 µg/lane) were separated by polyacrylamide gel electrophoresis (Bio-Rad, Hercules, CA, USA) and transferred to PVDF membranes (Millipore corp., Billerica, MA, USA). The primary antibodies against Bax (1:200; Abcam, Cambridge, MA, USA) and Bcl-2 (1:200; Abcam, Cambridge, MA, USA) were incubated overnight at 4 °C. The membranes were washed and incubated for 2 h with the HRP-labelled secondary antibody (Abcam, Cambridge, MA, USA). Protein bands were revealed using the ECL reagent (Pierce Chemical, Dallas, TX, USA). The blots were scanned and analyzed using the Image J software (National Institutes of Health, Bethesda, MD, USA).

Cell cycle analysis

T24 cells (8 × 10 5 cells/well) and 5637 cells (1 × 10 6 cells/well) were cultured in 6-well plates for 24 h. The supernatant was discarded and culture medium containing different concentrations of protosappanin B was added (final concentration: 100, 150, 200, 250, or 300 μg/mL). An equal volume of culture medium without protosappanin B was used as a negative control. After 48 h of culture, the cells were digested, collected, and centrifuged (1000 r/min, 5 min). The supernatant was discarded and the cells were washed with PBS and fixed in 70% cold ethanol overnight at 4 °C. The cells were washed with PBS, filtered through a nylon sieve, and centrifuged (1000 r/min, 5 min), and the supernatant was discarded. The DNA content was examined using a cell cycle detection kit (KGA512; KeyGen Biotechnology, Nanjing, China) and analyzed using flow cytometry (FACSCalibur flow cytometer). Each sample was analyzed in triplicate.

Proteomics analysis

Proteomic analyses were performed to explore the possible mechanisms involved in the inhibition of cell growth by protosappanin B.

Protein extraction: After T24 cells were treated with protosappanin B or corresponding vehicle for 48 h, the cells were collected and the proteins were extracted. The cells were sonicated three times on ice in lysis buffer (8 M urea, 1% protease inhibitor cocktail). The debris was removed by centrifugation at 12,000 × g at 4 °C for 10 min. The supernatant was collected and the protein concentration was determined by the BCA method (Beyotime, Beijing, China).

Trypsin digestion: For digestion, the protein was reduced with 5 mM dithiothreitol for 30 min at 56 °C and alkylated with 11 mM iodoacetamide for 15 min at room temperature in the dark. The protein sample was diluted with 100 mM NH 4 HCO 3 to urea concentration (2 M). Finally, trypsin was added at a 1:50 trypsin-to-protein mass ratio for the first digestion overnight and 1:100 trypsin-to-protein mass ratio for a second 4 h-digestion.

High-performance liquid chromatography (HPLC) fractionation: The tryptic peptides were fractionated into fractions by high pH reverse-phase HPLC using an Agilent 300 Extend C18 column (5 μm particles, 4.6 mm ID, 250 mm length). Briefly, peptides were first separated with a gradient of 8% to 32% acetonitrile (pH 9.0) over 60 min into 60 fractions. Then, the peptides were combined into 4 fractions and dried by vacuum centrifuging.

LC-MS/MS analysis: The tryptic peptides were dissolved in 0.1% formic acid (solvent A), directly loaded onto a home-made reversed-phase analytical column (15-cm length, 75 μm ID). The gradient was comprised of an increase from 6% to 23% solvent B (0.1% formic acid in 98% acetonitrile) over 26 min, 23% to 35% in 8 min and climbing to 80% in 3 min then holding at 80% for the last 3 min, all at a constant flow rate of 400 nl/min on an EASY-nLC 1000 UPLC system. The peptides were subjected to NSI source followed by tandem mass spectrometry (MS/MS) in Q ExactiveTM Plus (Thermo Fisher Scientific, Waltham, MA, USA) coupled online to the UPLC. The electrospray voltage was 2.0 kV. The m/z scan range was 350 to 1800 for full scan, and intact peptides were detected in the Orbitrap at a resolution of 70,000. Peptides were then selected for MS/MS using NCE setting of 28 and the fragments were detected in the Orbitrap at a resolution of 17,500. A data-dependent procedure alternated between one MS scan followed by 20 MS/MS scans with 15.0-s dynamic exclusion. Automatic gain control (AGC) was set at 5E4.

Enrichment-based clustering: For hierarchical clustering based on enrichment of pathway analysis, we first collated all the categories obtained after enrichment along with their P values, and then filtered for those categories which were at least enriched in one of the clusters with P < 0.05. This filtered P value matrix was transformed by the function x = −log10 (P value). Finally, those x values were z-transformed for each functional category. Those z scores were then clustered by one-way hierarchical clustering (Euclidean distance, average linkage clustering) in Genesis. Cluster membership were visualized by a heat map using the “heatmap.2” function from the “gplots” R package.

Statistical analysis

Statistical analysis was performed using SPSS 17.0 (IBM, Armonk, NY, USA). The data were expressed as means ± standard deviation (SD). Comparisons among multiple groups were made using one-way analysis of variance (ANOVA) with the LSD-t (homogeneity of variance) or Dunnett’s T3 (heterogeneity of variance) post-hoc test. P < 0.05 was considered to indicate statistical significance.

Supplementary information

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Xihua Yang and Lili Zhao contributed equally.

Electronic supplementary material

Supplementary information accompanies this paper at 10.1038/s41598-018-37553-z.

Acknowledgements

This work was supported by the Special Fund for experimental animal from Shanxi Science and Technology Department, China (No. 2013K02), Shanxi Fundamental Resources Platform of Science and Technology from Shanxi Science and Technology Department, China (No. 2013091011), 2016 Special Talents Project in Shanxi Province, and Colleges Innovation Project in Shanxi Province (No. 201605D211026).

Author Contributions

Y.X.H. conceived the study and wrote the paper. Z.L.L. and Z.T.T. performed and analyzed the experiments, and wrote the paper. X.J.F. and L.S.Z. carried out data collection and analysis. Y.X.H. and Z.L.L. contributed equally to this work. Z.H.H., Z.Y.Q. and R.L.S. are the corresponding authors and they conceived, designed and coordinated the study. All authors reviewed the results and approved the final version of the manuscript.

Data Availability

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Competing Interests

The authors declare no competing interests.

References

1. Na, Y., Ye, Z. & Sun, Y. Guidelines for the Diagnosis and Treatment of Urology in China: 2014 version. People’s Medical Publishing House Co., Ltd., Beijing (2013).

2. Torre LA Global cancer statistics, 2012 CA Cancer J Clin. 2015 65 87 108 10.3322/caac.21262 25651787

3. Parkin, D. M. The global burden of urinary bladder cancer. Scand J Urol Nephrol Suppl , 12–20 (2008). 10.1080/03008880802285032 19054893

4. Han S Zhang S Chen W Li C Analysis of the status and trends of bladder cancer incidence in China Oncology Process. 2013 11 89 95

5. Kaufman DS Shipley WU Feldman AS Bladder cancer Lancet. 2009 374 239 249 10.1016/S0140-6736(09)60491-8 19520422

6. Zhang X Han C He J Recent Advances in the Diagnosis and Management of Bladder Cancer Cell Biochem Biophys. 2015 73 11 15 10.1007/s12013-015-0632-6 25716337

7. Aragon-Ching JB Trump DL Targeted therapies in the treatment of urothelial cancers Urol Oncol. 2017 35 465 472 10.1016/j.urolonc.2017.03.011 28366271

8. Oosterlinck W Guidelines on diagnosis and treatment of superficial bladder cancer Minerva Urol Nefrol. 2004 56 65 72 15195031

9. Huang Y Cai T Xia X Cai Y Wu XY Research Advances in the Intervention of Inflammation and Cancer by Active Ingredients of Traditional Chinese Medicine J Pharm Pharm Sci. 2016 19 114 126 10.18433/J3SG7K 27096696

10. Washiyama M Sasaki Y Hosokawa T Nagumo S Anti-inflammatory constituents of Sappan Lignum Biol Pharm Bull. 2009 32 941 944 10.1248/bpb.32.941 19420769

11. Yodsaoue O Cheenpracha S Karalai C Ponglimanont C Tewtrakul S Anti-allergic activity of principles from the roots and heartwood of Caesalpinia sappan on antigen-induced beta-hexosaminidase release Phytother Res. 2009 23 1028 1031 10.1002/ptr.2670 19173220

12. Niranjan Reddy VL Ravikanth V Jansi Lakshmi VV Suryanarayan Murty U Venkateswarlu Y Inhibitory activity of homoisoflavonoids from Caesalpinia sappan against Beauveria bassiana Fitoterapia. 2003 74 600 602 10.1016/S0367-326X(03)00153-9 12946725

13. Liu AL In vitro anti-influenza viral activities of constituents from Caesalpinia sappan Planta Med. 2009 75 337 339 10.1055/s-0028-1112208 19148862

14. Badami S Moorkoth S Rai SR Kannan E Bhojraj S Antioxidant activity of Caesalpinia sappan heartwood Biol Pharm Bull. 2003 26 1534 1537 10.1248/bpb.26.1534 14600396

15. Sasaki Y Vasorelaxant activity of Sappan Lignum constituents and extracts on rat aorta and mesenteric artery Biol Pharm Bull. 2010 33 1555 1560 10.1248/bpb.33.1555 20823574

16. Zhao LL Ren LS Wang GP Study on anticancer active principle in lignum Caesalpinia sappan Cancer Res Clin. 2012 24 157 160

17. Kim EC Caesalpinia sappan induces cell death by increasing the expression of p53 and p21WAF1/CIP1 in head and neck cancer cells Am J Chin Med. 2005 33 405 414 10.1142/S0192415X05003016 16047558

18. Zhang Q Liu JL Qi XM Qi CT Yu Q Inhibitory activities of Lignum Sappan extractives on growth and growth-related signaling of tumor cells Chin J Nat Med. 2014 12 607 612 25156286 10.1016/S1875-5364(14)60092-3

19. Wang X Zhao SL Xu JG Zhao YF Study on proliferative inhibition and apoptosis of human gastric cancer cell with treatment of Caesalpinia sappan L. extract Chin Remedies Clin. 2007 7 843 845

20. Wang SL Apoptosis induced by Caesalpinia sappan L. extract in leukemia cell line K562 Chin J Cancer. 2001 20 1376 1379

21. Zhang XM Wang GP Ren LS Study of Caesalpinia sappan aqueous exact is apoptosis-inducing effects on human ovarian cancer cell SKOV3 Cancer Res Clin. 2010 22 388 390

22. Zhao L Wang G Yang X Zhang P Ren Effect of brazilian on proliferation and apoptosis of bladder carcinoma T24 cell line Cancer Res Clin. 2013 25 4

23. Kim B Brazilin induces apoptosis and G2/M arrest via inactivation of histone deacetylase in multiple myeloma U266 cells J Agric Food Chem. 2012 60 9882 9889 10.1021/jf302527p 22967175

24. Lee DY Lee MK Kim GS Noh HJ Lee MH Brazilin inhibits growth and induces apoptosis in human glioblastoma cells Molecules. 2013 18 2449 2457 10.3390/molecules18022449 23429418 PMC6270480

25. He ZJ Inhibiting ROS-NF-kappaB-dependent autophagy enhanced brazilin-induced apoptosis in head and neck squamous cell carcinoma Food Chem Toxicol. 2017 101 55 66 10.1016/j.fct.2017.01.002 28063998

26. Chinese Pharmacopoeia Commission. Pharmacopoeia of the People’s Republic of China, English Edition. China Medical Science Press, Beijing (2010).

27. Mueller M Compounds from Caesalpinia sappan with anti-inflammatory properties in macrophages and chondrocytes Food Funct. 2016 7 1671 1679 10.1039/C5FO01256B 26951869

28. Zuo GY Antimicrobial activity and synergy of antibiotics with two biphenyl compounds, protosappanins A and B from Sappan Lignum against methicillin-resistant Staphylococcus aureus strains J Pharm Pharmacol. 2015 67 1439 1447 10.1111/jphp.12433 25920539

29. Sasaki Y Hosokawa T Nagai M Nagumo S In vitro study for inhibition of NO production about constituents of Sappan Lignum Biol Pharm Bull. 2007 30 193 196 10.1248/bpb.30.193 17202686

30. Chen, W. Y. et al . A UPLC/MS/MS method for determination of protosappanin B in rat plasma and its application of a pharmacokinetic and bioavailability study. Biomed Chromatogr . 31 (2017). 10.1002/bmc.3919 27976417

31. Tong XZ An LC/MS/MS method for simultaneous quantitation of two homoisoflavones: protosappanin B and brazilin with hypoglycemic activity in rat plasma and its application to a comparative pharmacokinetic study in normal and streptozotocin-treated rats J Ethnopharmacol. 2013 148 682 690 10.1016/j.jep.2013.05.029 23707335

32. Zeng KW Protosappanin B protects PC12 cells against oxygen-glucose deprivation-induced neuronal death by maintaining mitochondrial homeostasis via induction of ubiquitin-dependent p53 protein degradation Eur J Pharmacol. 2015 751 13 23 10.1016/j.ejphar.2015.01.039 25657114

33. Yang X Ren L Zhang S Zhao L Wang J Antitumor Effects of Purified Protosappanin B Extracted From Lignum Sappan Integr Cancer Ther. 2016 15 87 95 10.1177/1534735415588929 26036624 PMC5736074

34. Zhang H Clinical Observation on Prevention of Postoperative Recurrence of Bladder Cancer by Su Fuling Lotion Chin Remedies Clin. 2013 13 2

35. Lu Y Bai H Kong C Zhong H Breadmore MC Analysis of brazilin and protosappanin B in sappan lignum by capillary zone electrophoresis with acid barrage stacking Electrophoresis. 2013 34 3326 3332 10.1002/elps.201300402 24150968

36. Yang X Ren L Zhao L Zhang T Inhibitory effect of Protosappanin B on proliferation of bladder cancer cells BTT and T24 Chin Remedies Clin. 2015 15 2

37. Yang X Ren L Zhao L Wang J Inhibitory effect of the Protosappanin B on tumor cells BTT, T24, Hela and SW480 Chin Remedies Clin. 2015 15 3

38. Shamas-Din A Kale J Leber B Andrews DW Mechanisms of action of Bcl-2 family proteins Cold Spring Harb Perspect Biol. 2013 5 a008714 10.1101/cshperspect.a008714 23545417 PMC3683897

39. Wu K Zhao Y Advances in research on apoptosis Foreign Med Sci (Genetics). 2001 24 5

40. Guo XW Zhang PT Yang D Qiao LM Ma XM Effect of Lignum sappan containing serum on the proliferation cycle of human lung cancer cell line PG: a comparative study Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014 34 745 750 25046961