Journal List > Korean J Physiol Pharmacol > v.13(2) > 1025589

Ha, Kim, Kim, and Lee: Antitumor Effects of Camptothecin Combined with Conventional Anticancer Drugs on the Cervical and Uterine Squamous Cell Carcinoma Cell Line SiHa

Abstract

Functional defects in mitochondria are involved in the induction of cell death in cancer cells. We assessed the toxic effect of camptothecin against the human cervical and uterine tumor cell line SiHa with respect to the mitochondria-mediated cell death process, and examined the combined effect of camptothecin and anticancer drugs. Camptothecin caused apoptosis in SiHa cells by inducing mitochondrial membrane permeability changes that lead to the loss of mitochondrial membrane potential, decreased Bcl-2 levels, cytochrome c release, caspase-3 activation, formation of reactive oxygen species and depletion of GSH. Combination of camptothecin with other anticancer drugs (carboplatin, paclitaxel, doxorubicin and mitomycin c) or signaling inhibitors (farnesyltransferase inhibitor and ERK inhibitor) did not enhance the camptothecin-induced cell death and caspase-3 activation. These results suggest that camptothecin may cause cell death in SiHa cells by inducing changes in mitochondrial membrane permeability, which leads to cytochrome c release and activation of caspase-3. This effect is also associated with increased formation of reactive oxygen species and depletion of GSH. Combination with other anticancer drugs (or signaling inhibitors) does not appear to increase the anti-tumor effect of camptothecin against SiHa cells, but rather may reduce it. Combination of camptothecin with other anticancer drugs does not seem to provide a benefit in the treatment of cervical and uterine cancer compared with camptothecin monotherapy.

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Fig. 1.
Camptothecin induces cell viability loss. SiHa cells were treated with either 0.5~5 μM camptothecin (CPT) for 24 h and then cell viability was determined by using the MTT assay. Data represent mean±SEM (n=6). p<0.05 compared to control (percentage of control).
kjpp-13-115f1.tif
Fig. 2.
Camptothecin induces cytochrome c release and caspase-3 activation. SiHa cells were treated with 1~5 μM camptothecin (CPT) for 24 h. In the assay (A) for the mitochondrial transmembrane potential, data are expressed as the percentage of cells with depolarized mitochondria for the mitochondrial membrane potential and represent mean±SEM (n=4). In western blot assay (B), the levels of Bcl-2 and cytochrome c in the cytosolic fractions were analyzed by western blotting with antibodies (anti Bcl-2 and anti-cytochrome c). Data are representative of three different experiments. In ELISA-based quantitative analysis (C), values represent ng/ml for cytochrome c release and arbitrary units (a.u.) for caspase-3 activity. Data are mean±SEM (n=6). p<0.05 compared to control.
kjpp-13-115f2.tif
Fig. 3.
Camptothecin induces formation of reactive oxygen species. In experiment (A) for reactive oxygen species formation, SiHa cells were treated with either 1 ~ 5 μM camptothecin (CPT) or 2.5 μM camptothecin plus 1 mM N-acetylcysteine (NAC) for 24 h. Data are expressed as arbitrary units of fluorescence (a.u.) and represent mean±SEM (n=6). p<0.05 compared to control; and ∗p<0.05 compared to camptothecin alone. In experiment (B) for cell death, SiHa cells were treated with 2.5 μM camptothecin (CPT) in combination with scavengers [(1 mM N-acetylcysteine (NAC), 30 μM trolox, 30 μM carboxy-PTIO (PTIO) and 1 mM ascorbate (Asc)] for 24 h, and cell viability was determined. Data represent mean±SEM (n=6). p<0.05 compared to control; and ∗p<0.05 compared to camptothecin alone.
kjpp-13-115f3.tif
Fig. 4.
Camptothecin induces depletion of GSH contents. SiHa cells were treated with 0.5~5 μM camptothecin (CPT) for 24 h. Data are expressed as nmol of GSH/mg protein and represent mean±SEM (n=6). +p<0.05 compared to control.
kjpp-13-115f4.tif
Fig. 5.
Effect of anticancer drugs on camptothecin-induced cell death. SiHa cells were treated with 2.5 μM camptothecin (CPT) in combination with anticancer drugs [100 μM carboplatin (Carbo), 100 μM paclitaxel (Pacli), 10 μM doxorubicin (Doxo) or 3 μg/ml mitomycin c (MMC)] for 24 h, and then cell viability was measured by using MTT reduction assay (A) or neutral red uptake assay (B). Data represent mean±SEM (n=6). +p<0.05 compared to control; and ∗p<0.05 compared to camptothecin alone.
kjpp-13-115f5.tif
Fig. 6.
Effect of signaling inhibitors on camptothecin-induced cell death. SiHa cells were treated with 2.5 μM camptothecin (CPT) in combination with 0.5 μM FTI [or 5 μM ERK inhibitor (ERKi)] for 24 h and then cell viability was measured. Data represent mean±SEM (n=6). +p<0.05 compared to control; and ∗p<0.05 compared to camptothecin alone.
kjpp-13-115f6.tif
Fig. 7.
Effect of anticancer drugs on camptothecin-induced activation of caspase-3. SiHa cells were treated with 2.5 μM camptothecin (CPT) in combination with anticancer drugs [100 μM carboplatin (Carbo), 100 μM paclitaxel (Pacli), 10 μM doxorubicin (Doxo) or 3 μg/ml mitomycin c (MMC)] or signaling inhibitors [0.5 μM and 5 μM ERK inhibitor (ERKi)] for 24 h. Data are expressed as units for caspase-3 activity and represent mean±SEM (n=6). +p <0.05 compared to control; and ∗p<0.05 compared to camptothecin alone.
kjpp-13-115f7.tif
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