Medicinal supplement genipin induces p53 and Bax-dependent apoptosis in colon cancer cells.

Colorectal cancer (CRC) is the third leading cause of cancer-associated mortality worldwide. Genipin is a medicinal herb compound derived from the gardenia fruit, which has been reported to exhibit antitumor activity against several types of cancer. The aim of the present study was to investigate the antitumor effect of genipin on colon cancer and the underlying molecular mechanisms. Genipin significantly inhibited the viability of HCT116 and SW480 cells in vitro in a dose- and time-dependent manner. Additionally, genipin was able to significantly inhibit tumor growth in nude mice with xenografts of HCT116 and SW480 cells. The inhibition of tumor growth by genipin treatment was coupled with G0/G1 cell cycle arrest, apoptosis induction, increased reactive oxygen species damage and loss of mitochondrial membrane potential. Further investigation of genipin-treated HCT116 cells revealed that the expression of p53, Bax and cleaved caspase-3 in genipin-treated cells was increased compared with the vehicle control, whereas B-cell lymphoma-2 expression appeared to be lower in genipin-treated cells. Collectively, the findings of the present study indicate that genipin was able to decrease proliferation and promote apoptosis in colon cancer cells by inducing the p53/Bax-mediated signaling pathway. Therefore, genipin may be used as a novel therapeutic agent in the treatment of CRC.

Introduction

Colorectal cancer (CRC) currently ranks third among the leading causes of cancer-related mortality worldwide, with >1.2 million new cases and >600,000 deaths annually (1). Due to the increasing trend in the number of cases and mortality rate, research has been focused on investigating potentially effective therapeutic compounds that may control the malignant progression of CRC. Due to the attempts of scientists and clinicians to discover therapeutic compounds that effectively treat CRC while reducing treatment-related toxicity, there has been a resurgence of interest in investigating the antitumor activity of medicinal herbs and dietary compounds (2,3).

Genipin, a medicinal herb compound derived from the gardenia fruit, has been used as a traditional Chinese medicine over several decades, and recent reports have demonstrated that genipin possesses medicinal properties, including anti-inflammatory (4), anti-angiogenic (5) and anti-thrombotic properties (6). Genipin has also exhibited significant anititumor activity against several types of cancer, such as gastric cancer (7), hepatocellular carcinoma (8), breast cancer (9) and cervical cancer (10). However, the effect of genipin on colon cancer has yet to be investigated.

The aim of the present study was to determine the therapeutic effects of genipin on colon cancer cells and elucidate the molecular mechanisms underlying the medicinal properties of genipin in colon cancer, in order to provide the basis for future research on genipin as a pharmaceutical compound in colon cancer treatment.

Materials and methods

Genipin, cell lines and nude mice

Genipin (98%) was purchased from Xi'an Kailai Biology Company (Xi'an, China). HCT116 and SW480 cells were purchased from the American Type Culture Collection (Manassas, VA, USA). HCT116 cells were routinely cultured in McCoy's 5A medium supplemented with 10% fetal calf serum (both Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) and SW480 cells were grown in Dulbecco modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and 5% 0.1 mM penicillin-streptomycin, and all cells were incubated at 37°C in 5% CO2. Male Balb/c nude mice (180–220 g, 5–6 weeks old) were provided by the Third Military Medical University (Chongqing, China) and maintained with standard food and water at 27±2°C. The animal experiments conducted in this study were approved by the Laboratory Animal Welfare and Ethics Committee of the Third Military Medical University.

Cell viability assay

HCT116 or SW480 cells were seeded into 96-well plates at a density of 7,000 cells per well and incubated with genipin (, 150, 300, 450 or 600 µM) for 12, 24 and 36 h. After treatment, the culture medium was replaced with 10 µl CCK-8 (Dojindo Molecular Technologies, Inc., Kumamoto, Japan) and 90 µl medium per well and incubated in the dark for 2 h at 37°C. Finally, the optical density (OD) for each well was measured at 450 nm with a microplate reader.

Cell morphology observation and DAPI staining

HCT116 cells (~5×105) were seeded into each well of a 6-well plate and, following treatment with genipin for 24 h, the cells were fixed with 4% (v/v) for 10 min and observed under an inverted light microscope. The cells were then stained with DAPI (Solarbio, Beijing, China) for 20 min, and images were captured with a fluorescence microscope. Image-ProPlus 6.0 software was used to calculate the mean fluorescence intensity of the DAPI-stained cells.

Cell cycle distribution and apoptosis analysis

For cell cycle analysis, genipin-treated HCT116 cells were fixed with pre-cooled 70% ethanol overnight. Following incubation with RNaseA (0.25 mg/ml) for 30 min at 37°C, the cells were incubated with 20 µg/ml propidium iodide (PI; Solarbio) in the dark for 30 min. Finally, ~10,000 cells per sample were analyzed by flow cytometry. FlowJo 7.6 software (FlowJo LLC, Ashland, OR, USA) was used to evaluate the cells at the G1, S and G2 phase. For apoptotic analysis, double staining with an Annexin V (FITC-conjugated) and PI (Solarbio) was used to analyze early- and late-stage apoptosis. HCT116 cells were washed twice with cold phosphate-buffered saline and suspended in binding buffer with 106 cells/ml. The cells were then stained with Annexin V (FITC-conjugated, 10 µl/ml) and PI (10 µl/ml) for 25 min in the dark prior to being analyzed by flow cytometry.

Determination of mitochondrial membrane potential (MMP) and reactive oxygen species (ROS)

To determine the MMP, genipin-treated HCT116 cells were stained with 10 µM Rhodamine 123 (Solarbio) for 30 min and evaluated by fluorescence microscopy. To determine ROS generation, genipin-treated HCT116 cells were stained with 20 µM DCFH-DA (Solarbio) for 30 min and evaluated by flow cytometry.

Western blot analysis

Cells or tissue were lysed in RIPA lysis buffer (Sigma-Aldrich; Merck-KGaA, USA) on ice for 30 min and subsequently centrifuged to obtain the lysate supernatant. Protein lysates (30–50 µg total protein), were run on an SDS-PAGE gel and electro transferred onto PVDF membranes (Thermo Fisher Scientific, Inc.). Appropriate primary antibodies were added to blocking buffer and incubated with the membrane overnight at 4°C. After washing, the membranes were incubated with the corresponding secondary antibodies (ZSGB-BIO) for 2 h. Finally, the bands were visualized by the Odyssey Infrared Imaging System (Li-Cor Biosciences, Lincoln, NE, USA). The antibodies utilized included anti-Bax (dilution, 1:800; ab53154), anti-cleaved caspase-3 (dilution, 1:500; ab2302), anti-p53 (dilution, 1:800; ab131442), anti-B-cell lymphoma (Bcl)-2 (dilution, 1:500; ab182858; all Abcam, Cambridge, UK) and anti-β-actin (dilution, 1:500; sc-130065; Santa Cruz Biotechnology Inc., Dallas, TX, USA), Goat anti-Rabbit IgG (H+L) Highly Cross-Adsorbed secondary antibodies, Alexa Fluor Plus 800 (dilution, 1:100,000; A32735), Donkey anti-Mouse IgG (H+L) Secondary antibodies, WesternDot 800 (dilution, 1:5,000; W10823, Invitrogen; Thermo Fisher Scientific, Inc.).

Animal experiments

Male Balb/c nude micewere subcutaneously injected with 5×107 HCT116 or SW480 cells. After ~3 weeks, when the subcutaneous tumors had grown to 2 mm3, the xenografted mice were randomly divided into four groups (n=5 per group). In 4 of the groups, the mice were intragastrically administered genipin (dissolved by saline, 20, 40, or 80 mg/kg per day) for 4 weeks, while the control group mice were gavaged with saline. The diameter of the tumor was measured weekly by a vernier caliper to calculate the tumor volume (V=L × S × S/2 where V, tumor volume; L, long diameter; and S, short diameter). For TUNEL staining, the primary tumors were removed from the nude mice and subsequently snap-frozen in liquid nitrogen. The frozen sections (7-mm) were then treated with 4% paraformaldehyde for 30 min and incubated with 0.3% H2O2 for 20 min. The sections were then permeabilized with 0.1% Triton X-100 for 2 min and dyed with TUNEL reaction mixture (5 µl TdT+45 µl fluorescein-dUTP) for 60 min. Images were immediately captured using fluorescence microscopy.

Statistical analysis

Statistical analysis was performed using SPSS 17.0 software (SPSS Inc., Chicago, IL, USA). The data are expressed as the mean ± standard deviation. Comparison of >2 groups was performed using one-way analysis of variance with Holm-Sidak's post hoc multiple comparison test, and comparison between two groups was performed with two-tailed Student's t-test. P<0.05 was considered to indicate a statistically significant difference.

Results

Genipin disrupts cell viability and leads to morphological changes in HCT116 cells

Genipin has shown the ability to disrupt growth in several cancer cell lines, including human gastric cancer AGS cells (7), human hepatocellular carcinoma Hep3B cells (8) and human breast cancer MDA-MB-231 cells (9). However, to the best of our knowledge, genipin has not yet been investigated in colon cancer cells.

To evaluate the effect of genipin on colon cancer cells, HCT116 and SW480 cells were treated with different concentrations of genipin and cell viability was determined. The results demonstrated that genipin was able to disrupt the viability in both HCT116 and SW480 cells in a dose- and time-dependent manner (Fig. 1A and B). Furthermore, the IC50 values were calculated, with an IC50 value of 463.4 µM at 12 h, 377.6 µM at 24 h, and 168.4 µM at 36 h. Based on IC50 calculations, further experiments were performed at concentrations of 200, 400 and 600 µM genipin for 24 h.

Figure 1.

Effect of genipin on the viability of cultured colon cancer cells. The viability of (A) HCT116 and (B) SW480 cells was evaluated by CCK-8 assay following treatment with 0.1% DMSO and different concentrations of genipin for 12, 24 and 36 h. Relative cell viability was compared with the 0.1% DMSO-treated groups; n=3. Data are expressed as the mean ± standard deviation. *P<0.05 vs. 0 h. CCK-8, Cell Counting kit-8; DMSO, dimethyl sulfoxide.

In order to investigate the effect of genipin on the morphological characteristics of colon cancer cells, DAPI staining was used in HCT116 cells treated with genipin, and it revealed that a higher percentage of genipin-treated HCT116 cells exhibited the typical morphological changes of apoptosis, such as cell atrophy, membrane bubbling, DNA fragmentation and nucleus shrinkage under the microscope (Fig. 2A). The fluorescence intensity of DAPI increased with the increase in the dose of genipin (Fig. 2A and B), indicating a higher percentage of apoptotic cells. These results suggested that genipin restrained the growth of HCT116 cells and increased the cell death rate in a dose-dependent manner.

Figure 2.

Effect of genipin on the morphological characteristics of HCT116 cells. (A) The morphological changes and DAPI staining of HCT116 cells treated with 0.1% DMSO and 200, 400 and 600 µM genipin were observed using fluorescence microscopy. Scale bar, 25 µm; magnification, ×200. (B) The mean fluorescence intensity was calculated by Image-ProPlus 6.0 software; n=3. Data are expressed as the mean ± standard deviation. *P<0.05 vs. control. DMSO, dimethyl sulfoxide.

Genipin induces G0/G1 phase arrest and apoptosis in HCT116 cells

To further elucidate the mechanisms of genipin-induced disruption of cell growth, cell cycle and apoptosis analysis were performed in HCT116 cells. Cell cycle analysis revealed that the percentage of cells in the G0/G1 phase increased from 40.79% (control) to 50.55% (200 µM) and 56.63% (300 µM), whereas the percentage of cells in the S phase decreased with the corresponding treatments (Fig. 3A and B). The disruption in the cell cycle appeared to correspond to a higher percentage of apoptotic cells among genipin-treated cells (13.1% for 200 µM and 19.7% for 300 µM) compared with the control group (2.8%) (Fig. 3C and D). These results were consistent with previous reports demonstrating that genipin significantly disrupted cell cycle progression in rat C6 glioma cells (11) and human leukemia K562 cells (12), and promoted apoptosis in rat C6 glioma cells (11).

Figure 3.

Effect of genipin on cell cycle distribution and apoptosis of HCT116 cells. The cell cycle distribution and apoptosis of HCT116 cells were analysed by flow cytometry and the data were obtained from 10,000 events. (A) Cell cycle distribution was analyzed by PI staining and determined using FlowJo 7.6 software. (B) Histogram of cell cycle distribution; n=3. (C) Apoptosis was analyzed with FITC-Annexin V and PI staining. (D) The percentages of apoptotic cells are shown in a histogram; n=3. Data are expressed as the mean ± standard deviation. *P<0.05 vs. control. PI, propidium iodide; FITC, fluorescein isothiocyanate.

Genipin reduces MMP and increases ROS generation in HCT116 cells

ROS generation plays a crucial role in mediating apoptosis induction. The increase in ROS may lead to loss of MMP and increase oxidative cell damage, ultimately contributing to apoptosis (13). Based on this understanding, MMP and ROS changes in HCT116 cells were evaluated following genipin treatment, and a dose-dependent decrease in MMP was observed with genipin treatment (Fig. 4A and B). Intracellular ROS production was also measured and, as illustrated in Fig. 4C and D, genipin treatment significantly increased the intracellular ROS level in HCT116 cells. Collectively, these results indicate that ROS generation and mitochondrial dysfunction are involved in genipin-induced apoptosis in HCT116 cells. These results are consistent with recent reports demonstrating that genipin significantly interferes with the function of uncoupling protein 2, ultimately disrupting the protein gradient across the inner mitochondrial membrane and increasing ROS production (14). In addition, the ROS-antagonizing agent N-acetyl-L-cysteine (NAC) blunted the disruptive effect of genipin on the viability in HCT116 cells (Fig. 4E), indicating that genipin-induced disruption of cell viability may be dependent on ROS generation.

Figure 4.

Effect of genipin on MMP and ROS. (A) MMP was detected by Rhodamine 123 staining after cells were treated with (a) 0.1% DMSO, (b) 200 µM, (c) 400 µM and (d) 600 µM genipin. Scale bar, 25 µm; magnification, ×200. (B) Mean fluorescence intensity was calculated by Image-ProPlus 6.0 software; n=3. (C) ROS production was detected by flow cytometric analysis after DCFH-DA staining. (D) The generation of ROS is shown in a histogram; n=3. (E) Effect of NAC on the inhibitory effect of genipin on the viability of HCT116 cells, n=5. Data are expressed as the mean ± standard deviation. *P<0.05 vs. control. #P<0.05 vs. genipin. MMP, mitochondrial membrane potential; ROS, reactive oxygen species; DMSO, dimethyl sulfoxide; DCFH-DA, dichloro-dihydro-fluorescein diacetate; NAC, N-acetyl-L-cysteine.

Genipin regulates the expression of apoptosis-associated proteins in HCT116 cells

The balance between the anti-apoptotic gene Bcl-2 and the pro-apoptotic gene Bax plays a key role in cellular homeostasis, and abnormal Bax/Bcl-2 ratio may cause apoptosis by altering the MMP (15). Caspase-3 is regulated by multiple genes associated with apoptosis and is considered as the most important terminal cutting enzyme in the apoptotic process; an increase in cleaved caspase-3 levels plays a crucial role in apoptosis initiation (16). In addition, Bcl-2 family proteins and caspase-3 are key regulatory factors in the mitochondrial-mediated apoptotic induction.

To elucidate whether the mitochondrial apoptotic pathway is involved in genipin-induced apoptosis in HCT116 cells, the protein expression of Bcl-2, Bax and cleaved caspase-3 were evaluated by western blotting (Fig. 5). There was a significant upregulation in the protein expression of pro-apoptotic Bax and cleaved caspase-3 following genipin treatment, while the expression of anti-apoptotic Bcl-2 was noticeably decreased (Fig. 5A and B). Thus, genipin may promote cell death through Bax-dependent activation of the mitochondrial pathway in HCT116 cells.

Figure 5.

Effect of genipin on the expression of apoptosis-associated proteins in colon cancer cells. (A) The expression levels of apoptosis-associated proteins in HCT116 cells treated with genipin (0, 200, 400 and 600 µM) for 24 h were analyzed by western blotting using anti-p53, anti-Bcl-2, anti-Bax and anti-cleaved caspase-3 antibodies. (B) The results of the western blot analysis were quantified; n=5. Data are expressed as the mean ± standard deviation. *P<0.05 vs. control. Bcl, B-cell lymphoma.

The tumor suppressor p53 regulates cell cycle arrest, apoptosis and the DNA repair process. In the present study, genipin treatment significantly increased the expression of the p53 protein (Fig. 5A and B), suggesting that p53 may play an important role in genipin-induced apoptosis. Upregulation of p53 may also explain the cell cycle arrest induced by genipin, due to the canonical ability of p53to activate p21 expression and cause G1 arrest (17).

Genipin causes significant tumor growth inhibition and apoptosis in nude mice

To verify the effect of genipin on HCT116 cells in vivo, nude mice were subcutaneously xenografted with HCT116 and SW480 cells, and were then treated with 20, 40 and 80 mg/kg of genipin. Based on tumor volume measurements, genipin exerted an inhibitory effect on HCT116 tumor growth as indicated by a decrease in tumor volume by 33% (20 mg/kg), 57% (40 mg/kg) and 73% (80 mg/kg) compared with the vehicle control group (Fig. 6A and B). Furthermore, a similar inhibitory effect of genipin on tumor growth was observed when nude mice were subcutaneously xenografted with SW480 cells (Fig. 6C and D). Western blotting analysis revealed that genipin increased the expression of p53, Bax and cleaved caspase-3, and reduced the expression of Bcl-2 (Fig. 6E and F), consistently with the results of in vitro experiments (Fig. 5). TUNEL staining of tumor sections demonstrated that apoptosis gradually increased with the increase in genipin concentration (Fig. 6G and H). Taken together, these results suggest that genipin exerted a significant antitumor effect on colon tumor xenografts in nude mice, and this antitumor effect maybe associated with p53 and Bax-mediated activation of the mitochondrial apoptosis pathway.

Figure 6.

Antitumor effect of genipin on colon cancer cells in vivo. Tumor formation in nude mice injected with HCT116 and SW480 cells was evaluated after the mice were exposed to 20, 40 and 80 mg/kg (G2, G3 and G4, respectively) genipin, while the control group was gavaged with saline (G1) for 28 days. (A) Tumor formation and (B) tumor diameter in nude mice after HCT116 cell injection on the day of harvest. (C) Tumor formation and (D) tumor diameter in nude mice after SW480 cell injection on the day of harvest. The diameter of the tumors was measured by vernier calipers: Tumor volume=long diameter × short diameter × (short diameter/2); n=5. (E) Protein expression was analyzed by western blotting and the results were (F) quantified. (G) Frozen sections were stained with TUNEL and examined using fluorescence microscopy; scale bar, 50 µm; magnification, ×100. (H) The percentages of apoptotic cells are shown in a histogram; n=5. Data are expressed as the mean ± standard deviation. *P<0.05 vs. G1.

Discussion

Genipin arrests the growth of several types of cancer cells, such as AGS human gastric cancer cells (7), Hep3B human hepatocellular carcinoma cells (8) and MDA-MB-231 human breast cancer cells (9). However, the effect of genipin on colon cancer cells remains unclear. In the present study, genipin exerted a dose-dependent antitumor effect on HCT116 and SW480 cells in vitro and in vivo, which may be attributed to genipin-induced G0/G1 cell cycle arrest and apoptosis. It has been reported that genipin not only significantly increased the G0/G1 ratio of rat C6 glioma cells (11), but also markedly inhibited G2/M phase transition in human leukemia K562 cells (12). In this experiment, genipin arrested cell cycle progression in the G0/G1 phase in HCT116 cells, which may be associated with activation of p53.

The tumor suppressor p53 performs important functions in regulating cell growth and cell death: It participates in the cell cycle checkpoint pathway, which allows cells to repair both endogenous and exogenous DNA damage; it also regulates multiple genes, including p21, which is associated with G1 phase arrest (17). Similarly, the results of the present study revealed that genipin treatment significantly increased the expression of the p53 protein in vivo and in vitro.

ROS lead to MMP loss and oxidative cell damage, eventually contributing to apoptosis (13). This study suggested that genipin promoted cell death via the generation of ROS and the reduction of MMP. Recent research demonstrated that genipin significantly interferes with the function of uncoupling protein 2, which dissipates the proton gradient across the inner membrane of the mitochondria and decreases ROS production (14). Furthermore, ROS-antagonizing agents, such as NAC, blunted the disruptive effect of genipin on the viability of HCT116 cells, indicating that genipin-induced disruption in cell viability may be dependent on ROS generation.

The balance between the anti-apoptotic gene Bcl-2 and the pro-apoptotic gene Bax plays a key role in cell development. Abnormal expression of Bax and Bcl-2 triggers apoptosis via the mitochondrial pathway (15). Caspase-3 is regulated by multiple genes associated with apoptosis and is considered as the most important terminal cutting enzyme in the apoptotic process (16). Additionally, Bcl-2 family proteins and caspase-3 are key regulatory factors of the mitochondrial-mediated apoptosis pathway. In the present study, the levels of Bax and cleaved caspase-3 were markedly upregulated, while the expression of Bcl-2 decreased significantly following treatment with genipin, demonstrating that genipin promoted apoptosis via the Bax-initiated mitochondrial-mediated pathway.

In conclusion, genipin exerted a dose-dependent inhibitory effect on the growth of HCT116 and SW480 cells. The inhibitory mechanism was associated with cell cycle arrest at the G0/G1 phase by induction of the expression of p53. Genipin also induced ROS generation and MMP decrease, and finally triggered apoptosis by upregulating the expression of Bcl-2 family proteins and activating caspase-3. Taken together, these findings demonstrated that genipin suppressed the proliferation and enhanced the apoptosis of colon cancer cells; thus, it may prove useful as a novel drug for the prevention and treatment of colon cancer. However, the detailed molecular mechanism remains unknown and further investigation is required to elucidate it.