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(Agilent  Technologies, Santa Clara, CA, USA), and   Results
            500 nM of each primer. β-Actin was used as the internal
            control, and the  fi nal reactions were adjusted to a total   WS extract caused a dose-dependent reduction of
            volume of 20 μL with DNase RNase-free water (Qiagen).   viability of breast cancer MDA-MB-231 cells by
            All qPCR amplifi cation was performed in duplicates with   75% and 88% after treatment with 50 or 100  μg/mL
            a Stratagene Mx 3005P system (Agilent  Technologies),   WS extract, respectively, compared to vehicle-treated
            and the conditions were set to initial cycle of denaturation   controls [Figure 1], but WS treatment did not affect the
            at 95 °C for 10 min, 40 cycles of denaturation at 95 °C   viability of non-cancerous epithelial mammary cells,
            for 30 s, annealing at 55 °C for 1 min, and extension at   MCF10A [Figure 2]. Moreover, compared to untreated
            72 °C for 1 min. The fi nal segment involved generation   controls,  WS extract caused a concentration-dependent
            of a dissociation curve.  This comprised one cycle at   increase in the sub-G1 phase of the cell population, by
            95 °C for 1 min, followed by 55 °C for 30 s and 95 °C   6% and 10% after exposure to 25 μg/mL and 50 μg/mL,
            for 30 s. Inclusion of a dissociation curve in each qPCR   respectively [Figure 3].
            run ensured specifi city of the amplicon.          Furthermore,  WS   extract  inhibited  proliferation
            Microarray analysis                               of xenografted MDA-MB-231 cells, reducing the
                                                              size of xenografted tumors by 60% compared to
            To determine the effect of  WS extract on expression of   the untreated control after 8 weeks of treatment
            cytokines in MDA-MB-231 cells, cells were incubated   (P < 0.05) [Figure 4]. In addition, after euthanasia,
            overnight with either 50 μg/mL WS or DMSO (vehicle)   six of ten mice in the control group showed tumor
            as a control.  The analysis was accomplished by use of   metastasis to the lung, whereas none of the mice in
            HCA-II cytokine primer library II according to the   WS-treated group developed metastasized tumor lesions
            manufacturer’s instructions.                      in the lung [Figure 5].  This  fi nding motivated us to
            Experimental mice and treatments                  explore the underlying molecular mechanism by which
                                                              the WS extract inhibited tumor metastases to the lung.
                              nu
            Athymic Nude-Foxn1  mice at 6 weeks of age were
            obtained from Harlan Sprague-Dawley and housed in   Microarray analysis of gene expression of cytokines
            animal quarters at 22 °C with a 12 h light/dark cycle.   was then performed.  WS suppressed expression of
            Animals were given free access to water and food.   CCL2, CXCL1, CXCL2, CXCL3, IL1B,  TGFB3, and
            These studies were approved by the Tuskegee University   BMP4 mRNA [Figure 6].  These inhibitory effects
            Institutional  Animal Care and Use Committee.  At   were confi rmed by quantitative reverse transcription-
            8 weeks of age, mice were injected subcutaneously with   polymerase chain reaction analysis [Figure 7].  WS
                                         6
            0.2 mL of PBS containing 1.5 × 10  human breast cancer   caused a 75% reduction in CCL2 expression (P < 0.05)
            MDA-MB-231 cells into the right  fl anks.  Twenty  mice   in the xenografted tumors of treated mice [Figure 8].
            that developed tumor sizes of 50-200 mm  were divided   Discussion
                                               3
            into two equal groups.  The control group received
            0.2 mL of 5% DMSO orally by gavage, and the treated   The current study assessed the effect of an alcoholic
            group received 300 mg/kg/day WS root extract dissolved   extract of  WS roots on proliferation and metastasis of
            in 5% DMSO orally by gavage daily for 5 days a week
            for 8 weeks. Tumor sizes were checked weekly in each
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            group.  Tumor dimensions in mm (length and width)
            were measured with vernier calipers and calculated                      MDA-MB-231
            for each tumor by using the following equation  : tumor   100
            volume = 1/2 (length  × width ).  At the end of the 8th
                                      2
            week, mice were euthanized with CO . Tumors and lung   80
                                           2
            tissues were collected and  fi xed with 10% formalin for   %  Cell Viability         MDA-MB-231
            histopathological and immunochemistry analysis.      60
            Evaluation of lung metastasis                        40

            Two pathologists histopathologically evaluated lung
            metastases in untreated and treated groups after staining   20
            of sections with HE, and the results were reported
            independently.  The number of metastatic foci was     0    0     12.5 µg/mL  25 µg/mL  50 µg/mL  100 µg/mL
            counted in each stained tissue section.                             Concentration of WS
            Statistical analyses                              Figure 1: Effect of WS on viability of breast cancer MDA-MB-231 cells. The
                                                              bars represent the mean ± standard deviation of six 24-h treatments for
            Student’s  t-test was used to assess differences between   the vehicle and different concentrations of WS. The results are statistically
            values for the treated and control groups. One-way   signifi cant  (P < 0.05) compared to the DMSO-treated (control) cells as
                                                              determined by one-way ANOVA with Dunnett’s test. WS: Withania somnifera;
                analysis of variance was used with Dunnett’s test.  ANOVA: Analysis of variance; DMSO: Dimethyl sulfoxide
            96                                      Journal of Cancer Metastasis and Treatment  ¦  Volume 1 ¦ Issue 2 ¦ July 15, 2015 ¦
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