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Ginsenoside Rk1 inhibits antitumor activity through ß-catenin signalling








                                                                            pathway in neuroblastoma cells













                                                                                                                                                                                                         Jung-Mi Oh , Young Bae Kwon Sungkun Chun                                                                                                                                       1,2
                                                                                                                                                                                                                                                                                                                              3
                                                                                                                                                                                                                                                    1,2









                                                                                                                      1    Department of Physiology, Jeonbuk National University Medical School, Jeonju, South Korea





                                                                                                              2    Brain Korea 21 Plus Program, Jeonbuk National University Medical School, Jeonju 54907, Korea





                                                                                          3    Department of Pharmacology, Jeonbuk National University Medical School, Jeonju 54907, Republic of Korea







                Neuroblastoma (NB) is the most common childhood cancer, with a very poor prognosis. More than 60% of children with NB die within 5 years; therefore, a more effective therapy for NB



              is required. As a more tolerable cancer drug and natural product, ginsenosides have been shown to significantly inhibit the growth of some types of cancer, but the effect of ginsenoside Rk1



              on neuroblastoma has not been previously shown. Here, we obtained highly pure Rk1 from Korean ginseng and investigated its anticancer effects on a neuroblastoma cell line, and the



              results suggested that Rk1 concentration-dependently inhibited SK-N-BE(2) cell viability. The effects of Rk1 were determined by flow cytometry and cell staining; Rk1 increased apoptosis


              through nuclear condensation and mitochondrial membrane potential loss, and induced cell cycle arrest at the GO/G1 phase. Rk1 also inhibited the metastatic ability of SK-N-BE(2) cells.



              Moreover, Rk1 (30 mg/kg) injections markedly inhibited xenograft tumour growth. These findings demonstrate that Rk1 might be valuable in the development of anti-cancer agents for



              neuroblastoma treatment.



                                                                                                                                            Key word: neuroblastoma, ginsenoside Rk-1, apoptosis, cell proliferation,  MMP(∆Ψm)












                                                                       Introduction                                                                                                      Rk1 blocks cell cycle progression of SK-N-BE(2) cells                                                                                                               Rk1 reduces the mitochondrial membrane potential (∆ψm)





                   What is Neuroblastoma  and  ginsenosides?

                                                                                                                                                                                           (a)                                                             (b)


                •        Neuroblastoma is the most common extracranial malignant solid tumor in                                                                                                               0µM                          10µM                   100


                         childhood, accounts for 6~8% of all childhood cancers.                                                                                                                    S-G1       Sub - G1 : 2.8%     S-G1     Sub-G1 : 12.6%        (%)  80



                •        Over 50% of these tumors occur in children under 2 years of age, and                                                                                                                                                                    distribution  60                                **           Sub-G1


                                                                                                                                                                                                                                                                                                                               G1
                         more than 15% of pediatric cancer deaths.                                                                                                                              numbers  S-G1  20                           30                                                       **                       G2/M
                                                                                                                                                                                                                                                                                                                               S

                •        Neuroblastoma may arise anywhere that sympathetic neural tissue is                                                                                                     Cell         Sub -G1 : 24.5%      S-G1      Sub-G1 : 43.3%       cycle  40                *


                         found, it’s heterogeneous disease.                                                                                                                                                                                                      Cell  20


                                                                                                                                                                                                                                                                     0
                •      Pharmacologically, ginsenosides are the major active components of                                                                                                                             DNA fluorescence                                         0 Rk1 concentration (µM)           30
                                                                                                                                                                                                                                                                                                      20
                                                                                                                                                                                                                                                                                          10
                       ginseng.
                                                                                                                                                                                            (c)                                                            (d)             3                      Rk1 (µM)

                •      Ginsenosides have various biological effects such as anti-inflammatory                                                                                                                           Rk1                                              levels       *                10
                                                                                                                                                                                                                                                                                                       0

                       and anti-cancer effects.                                                                                                                                                   [kDa]       0       10        20        30 (µM)                          2        *                  20                 *
                                                                                                                                                                                                                                                                                                       30
                                                                                                                                                                                                      53                                        p53                                                                     *
                •      Ginsenoside Rk-1 is minor ginsenosides, is isolated from heat-processed                                                                                                        34                                        CDK4                     protein  *


                       ginseng called Sun Ginseng (SG).                                                                                                                                               33                                        Cyclin D1                  1                              *


                                                                                                                                                                                                      21                                        p21                      Relative             *  *          *  *

                                                                                                                                                                                                                                                                                                  *
                                                                          Objectives                                                                                                                  36                                        GAPDH                      0     P53         CDK4      Cycin D1       P21








                • What is the molecular mechanisms of  RK-1 effects on                                                                                                              Rk1 triggers cell death by apoptosis in SK-N-BE(2) cells


                       neuroblastoma ?                                                                                                                                                                 (a)                                     (b)



                                                                                                                                                                                                                 SK-N-BE(2)                              Hoechst                         PI                    Merge                                                                 Rk1 inhibits EMT in SK-N-BE(2) cells
                                                                              Methods                                                                                                                          0µM                                  0µM                                                                                                            (a)                                                 (b)                                        (c)



                                                                                                                                                                                                                                                                                                                                                                              Control                   Rk1

                       Separation and validation of effective ginsenosides                                              Cell growth rate : MTT                                                                                                                                                                                                                                                                            100      Control                             1.0    Control   Rk-1             **

                       in ginseng using TLC & HPLC                                                                                   assay                                                                     10µM                                 10µM                                                                                                            0h                                                     80      Rk1                               (mm)  0.8           **



                                                                                                                                                                                                          (µM)                                  (µM)                                                                                                                                                                       60                                        distance  0.6

                                                                                                                                                                                                          1    20µM                             1   20µM                                                                                                           24h                                                   Wound closure (%)  40             **          0.4
                                                                                                                                                                                                          Rk                                    Rk                                                                                                                                                                         20                     *                  Migratory  0.2





                                                                                                                                                                                                               30µM                                 30µM                                                                                                           48h                                                      0        0         24        48             0 0h             24h             48h
                           Effects of ginsenoside on apoptosis                                           Mitochondrial membrane potential                                                                                                                                                                                                                                                                                            Post scratch time (h)                        Time (post scratch)





                                                                                                                                                                                                       (c)                                                              (d)                                                                                        (d)                                                                        (e)                         (f)


                                                                                                                                                                                                                              1.29                            8.42                                                                                                                                       Rk1 (µM)                                 350                             500
                                                                                                                                                                                                                                                                             50                                               *                                             0               10               20              30                   300                             400

                                                                                                                                                                                                                                                                            (%)  40                                                                               Migration                                                                       250                             300         **


                                                                                                                                                                                                                               2.76                           8.93           30                                   *                                                                                                                              Migrated cells per fields  200  Invaded cells per fields
                                                                                                                                                                                                                                                                                                                                                                                                                                                  150
                                                          Ginsenoside effects on migration & invasion                                                                                                                                                                                                                                                                                                                                                         **    **            200

                                                                                                                                                                                                                              5.03                            12.3          Apoptosis  20             *                                                            Invasion                                                                       100                     **      100               **    **
                                                                                                                                                                                                                                                                                                                                                                                                                                                  50


                                                                                                                                                                                                                                                                                                                                                                                                                                                              10
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    20
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          30
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   20
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              10
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         30
                                                                                                                                                                                                   PI                                                                        10                                                                                                                                                                    0     0 Rk1 concentration (µM)  0     Rk1 concentration (µM)
                                                                                                                                                                                                                              21.1                            31.4             0                                                                                   (g)
                                                                                                                                                                                                                                                                                          0          10          20          30                                                           Rk1                      (h)      3
                                                                                                                                                                                                                          Annexin V-FITC                                                Rk1 concentration (µM)                                                             [ kDa] 0    10 20 30 (μM)                                      **                      Rk1 (µM)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0
                                                                                                                                                                                                                                                                                                                                                                            110                       E-cadherin         levels  2     *                               10
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       20
                                                                                                                                                                                        Rk1 induces apoptotic cell death in SK-N-BE(2) cells                                                                                                                                 72                       MMP-2                         **                                 30

                       Real time-PCR, Western blot                                    Evaluation of ginsenoside effects on genes                                                                                                                                                                                                                                             78                       MMP-9              protein


                       • Apoptosis asssociated proteins : Bcl2 family, Caspase-3,-9, survivin, Noxa, PUMA                                                                                  A                       Rk-1                              B                        Rk-1                                                                                           57                       Vimentin           Relative  1                *                *           *              *

                                                                                                                                                                                                                                                                                                                                                                                                      Snail
                                                                                                                                                                                                                                                                                                                                                                             92                       ß-catenin                                       *                **           *  *           **  *
                                                                                                                                                                                                                                                                                                                                                                             78
                       • Metastasis associated proteins : matrix metalloproteinase MMP-2, MMP-9                                                                                               [kDa]     0     10      20      30 (μM)                  [kDa]     0      10      20       30 (μM)                                                                             36                       GAPDH                 0                            **      *
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Snail
                                                                                                                                                                                                28                                       Bcl-2          55                                          Procaspase-8                                                                                                                E-cadherin       MMP-2          MMP-9         Vimentin       ß-catenin

                                                                                Results                                                                                                         30                                       Bcl-xL         18                                          Cleaved Caspase-8                                         Rk1 reduces neuroblastoma growth in a xenograft mouse




                                                                                                                                                                                                30                                       Bak            35                                          Procaspase-3                                                                                                                 model

                                                                                                                                                                                                                                                         19                                         Cleaved Caspase-3
                                                                                                                                                                                                22
                                                                                                                                                                                                                                         tBid
                                    Rk1 reduces the viability of SK-N-BE(2) cells                                                                                                                                                                        17                                                                                                                     (a)                                                   (b)
                                                                                                                                                                                                                                                                                                                                                                                                 Control
                                                                                                                                                                                                                                                                                                                                                                                                                                 Rk1
                                                                                                                                                                                                16                                       Survivin      116                                          PARP                                                                                                                                                   2.0                  **
                                                                                                                                                                                                                                                         89
                                                                                                                                                                                                                                                                                                    Cleaved PARP
                                                                                                                                                                                                37                                       GAPDH           37                                         GAPDH                                                                                                                                                 (g)  1.5


                                                                                                                                                                                           C         4                                                                                                                                                                                                                                                    weight  1.0





                                                                                                                                                                                                levels  3                                    **         ** **                        **           **                     Rk1 (µM)                                                                                                                         Tumor  0.5

                                                                                                                                                                                                                                                                                                                                                                                                                                                           0.0

                                                                                                                                                                                                protein  2                               *  *         *                            *            *            * **              10                                                                                                                                   Control              Rk1
                                                                                                                                                                                                                                                                                                                               0
                                                                                                                                                                                                                                                                                                                               20
                                                                                                                                                                                                                                                                                                                               30
                                                                                                                                                                                                Relative  1     *             *  *   **                                                                                                                                         (c)      24       Vehicle (DMSO)                                3 ) 1600    Control


                                                                                                                                                                                                                                                                                                                                                                                                                                                  1400
                                                                                                                                                                                                                                                                                                                                                                                                  Rk1 (30mg/kg)
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Rk1 (30mg/kg)
                                                                                                                                                                                                                  **                                                 ** **                                                                                                             (g)  22                                                    1200
                                                                                                                                                                                                     0                                                                                                                                                                                 mice                                                      (mm  1000                                     **


                                                                                                                                                                                                                                                                                                                                                                                       of  20                                                    volume  800
                                                                                                                                                                                                                                                                                                                                                                                                                                                   600
                                                                                                                                                                                                                                                                                                                                                                                       Weight  18                                                  400

                                                                                                                                                                                                                                                                                                                                                                                                                                                   200


                                                                                                                                                                                                                                                                                                                                                                                         16                                                      Tumor  0
                                                                                                                                                                                           D                                                       E                                                                                                                                           3  9  14  18  23  28  33  38  42  46  51  56  61          0    10    20   30   40   50    60


                                                                                                                                                                                                                                                          120                                    #                                                                              (e)                            Days                                                     Days

                                                                                                                                                                                                           mock  1   2 Rk1                                100                   #     #     #                                                                                                H&E                  Ki67                 PCNA                  TUNEL             C-Caspase-3

                                                                                                                                                                                                                           4 8 24 (h)

                                                                                                                                                                                              NOXA                                                       Cell growth  (% of control)  80  *                                                                                Control
                                                                                                                                                                                                                                                            60

                                                                                                                                                                                              PUMA                                                          40

                                                                                                                                                                                            GAPDH                                                           20


                                                                                                                                                                                                                                                             0
                                                                                                                                                                                                                                                   Rk1 15 μ M        -     +    +     +     +    +      -    -     -     -
                                                                                                                                                                                                                                                     Z -DEVD          -    -    +     -     -     -    +     -     -     -                                                   Rk1
                                                                                                                                                                                                                                                     Z -LEHD         -     -     -    +     -     -     -    +     -     -
                                                                                                                                                                                                                                                       Z -IETD       -     -     -    -     +     -     -    -     +     -
                                                                                                                                                                                                                                                       Z -VAD        -     -     -    -     -     +     -    -     -    +







                                                                                                                                                              References                                                                                                                                                                                                                                                Conclusion





               * Tode T et al., J. Cancer Res. Clin. Oncol., 120, 24-26 (1993).      * Andre N et al., Arch Pediatr 16:1158-1165 (2009)                                                                                                                                                                                                                        Rk1 not only possesses therapeutic potential in clinical




               * Brodeur G.M. Nature Rev. Cancer 3, 203-216 (2003).                  * Kim W. Y. et al., J. Nat. Prod., 63, 1702—1704 (2000)                                                                                                                                                                                                                application, but may also be a more tolerable therapy for

                                                                                                                                                                                                                                                                                                                                                            neuroblastoma.


               * Park I. H. et al., Arch. Pharm. Res., 25, 428—432 (2002).
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