Introduction
Breast cancer is the most prevalent and deadliest cancer among women, with ~2.1 million women worldwide being afflicted each year.
1 Approximately 1 in 8 women in the United States will develop breast cancer in their lifetime.
2 Breast cancer is so deadly, in part, because of late-stage tumor metastasis, a process characterized by migration of cancer cells from the primary tumor to other areas of the body where they invade and proliferate, thereby impairing the function of vital organs. Cancer cell metastasis accounts for approximately 90% of all cancer-related deaths.
3 While mechanisms of cell motility have been extensively studied, current approaches used to treat invasive breast cancer remain largely ineffective, thereby highlighting the need for treatments targeting breast cancer cell motility.
Cell motility is facilitated by a series of processes involving changes in cytoskeletal dynamics and cell-substratum adhesive interactions.
4,5 Cell-substratum adhesive interactions are dependent on the expression of integrins, which are transmembrane receptor proteins chiefly involved in chemical- and mechanical-sensing and forming adhesive linkages to the extracellular matrix (ECM).
4,6 These linkages, known as focal adhesions, are composed of a vast array of signaling and scaffolding proteins such as FAK, talin, and vinculin, which act to promote downstream signal transduction for tumorigenic processes such as cell proliferation and cell motility.
6-8 Previous studies have shown that disrupting focal adhesions through reductions in scaffold-protein signaling can attenuate cell migration and tumor progression.
9,10 Therefore, disruption of focal adhesion formation and subsequent downstream signaling may prove an effective therapeutic action against tumor metastasis.
For the past 30 years, researchers have demonstrated that natural compounds are a viable source for anticancer drugs. Even today, natural compounds continue to be one of the primary sources for drug development, and much of the world’s phytochemicals have yet to be discovered or investigated pharmacologically.
11 Found in various fruits and vegetables, flavonoids are phenolic substances with a diverse array of biological activities such as signal transduction, stress tolerance, and protection against pathogens.
12,13 Recent phytochemical inquiries have pointed to flavonoids as promising candidates for targeting tumorigenesis, angiogenesis, and metastasis.
13-16 While current chemotherapies have proven toxic to malignant tissue, many are accompanied by a variety of side effects including toxicity to healthy tissues as well.
17,18 Chemotherapy-induced toxicity to important organ systems is a major concern in cancer patients. Many natural compounds, including flavonoids, have displayed selective targeting of cancer cells with minimal toxicity to normal healthy tissues.
19-22 Therefore, focus on flavonoids as alternative cancer treatments could prove useful in selectively targeting cancer cells while having limited effects on normal cells.
Flavonoids have been widely studied for their antioxidative and anti-inflammatory properties, and many have demonstrated anti-tumorigenic effects in breast cancer.
16,23-25 Previous studies using the flavonoids acacetin (5,7-dihydroxy-4′-methoxyflavone;
Figure 1A) and pinostrobin (5-hydroxy,7-methoxyflavanone;
Figure 1B) have investigated their antiproliferative effects in breast cancer cells as well as in many other cancer cell types.
26-35 Also, pinostrobin and acacetin have been shown to inhibit angiogenesis.
36,37 Acacetin has been shown to inhibit invasion and migration in lung and prostate cancer cell lines.
38,39 However, the effects of pinostrobin and acacetin on breast cancer cell migration and metastasis are virtually unknown.
In this study, we investigated the role of acacetin and pinostrobin on breast cancer cell adhesion and migration. Both compounds were assessed using MDA-MB-231 and T47D malignant breast epithelial cells. MDA-MB-231 cells are highly metastatic, basal-like cells that lack estrogen receptors (ERs), while T47D cells are luminal cells that are ER-positive. In addition, the effects of acacetin and pinostrobin were measured using MCF10A non-tumorigenic breast epithelial cells. Our findings demonstrate that both acacetin and pinostrobin inhibit MDA-MB-231 and T47D malignant breast epithelial cell migration but exhibit blunted effects on non-tumorigenic MCF10A breast epithelial cells. In addition, both acacetin and pinostrobin reduce cell adhesion, cell spreading, and focal adhesion formation in the malignant, but not the normal, breast cell lines. Interestingly, neither flavonoid have any demonstrable effects on proliferation of MDA-MB-231, T47D, or MCF10A cells. Notably, these cell lines have not been tested with these compounds in previous studies. These findings indicate that both acacetin and pinostrobin selectively target malignant breast epithelial cells through inhibition of cell adhesion and migration. Taken together, these observations have therapeutic considerations for acacetin and pinostrobin as potential compounds to target tumor metastasis during late-stage tumor progression.
Methods
Reagents
Rat tail collagen type I was obtained from BD Biosciences. Characterized fetal bovine serum (FBS) and penicillin-streptomycin were obtained from Fisher Scientific. All culture media was from Corning. Mouse antihuman vinculin monoclonal antibody and phalloidin-Tetramethylrhodamine B isothiocyanate were purchased from Sigma Aldrich. Alexa488 goat anti-mouse IgG was from Jackson ImmunoResearch Laboratories Inc. CellTiter 96 AQueous One Solution was obtained from Promega Corporation. Acacetin (5,7-dihydroxy-4′-methoxyflavone) and (±)pinostrobin (5-hydroxy,7-methoxyflavanone) were purchased from Sigma Aldrich.
Cell Lines and Cell Culture
MDA-MB-231 and T47D breast carcinoma cells, as well as MCF10A normal breast epithelial cells were generously donated by Dr Patricia J. Keely (University of Wisconsin–Madison). MDA-MB-231 cells were cultured in DMEM containing 10% FBS plus penicillin-streptomycin. T47D breast epithelial cells were maintained in RPMI containing 10% FBS and 8 µg/mL insulin. MCF10A cells were cultured in DMEM/F12 media supplemented with 5% horse serum, 20 ng/mL epidermal growth factor, 10 µg/mL insulin, and 0.5 µg/mL hydrocortisone. All cell lines were maintained at 37 °C/5% CO2 in air.
Cell Proliferation and Viability Assays
Ninety-six–well cell culture plates were coated with 100 µg/mL collagen 16 hours at 4 °C before seeding cells. Prior to seeding cells, all wells of the plates were blocked with 10 mg/mL fatty acid–free bovine serum albumin (FA-BSA) in phosphate-buffered saline (PBS) for 30 minutes at room temperature. 100 µL of cells (50 000 cells/mL) suspended in growth media (containing serum) were added to each well and incubated overnight at 37 °C/5% CO2 in air. After 24 hours, the growth media was removed and replaced with 100 µL of serum-free media containing either acacetin or pinostrobin. Following the 24-hour incubation in the presence of the compounds, 20 µL of CellTiter 96 AQueous One Solution Reagent (Promega) was added to each well, including media-only background controls. The plates were incubated for 2 hours (MDA-MB-231 and MCF10A cells) or 4 hours (T47D cells) at 37 °C/5% CO2 in air. Absorbance was measured at 490 nm using a VersaMax microplate reader (Molecular Devices). Corrected absorbance was determined by subtracting background absorbance from all experimental wells.
Scratch Motility Assays
Scratch assays were performed as previously described.
5 Briefly, wells of a 12-well tissue culture plate (Corning) were coated with 100 µg/mL collagen for 16 hours at 4 °C. All wells were blocked with 10 mg/mL FA-BSA in PBS for 30 minutes at room temperature. Following PBS rinse, 800 µL of cells (MDA-MB-231, 190 000 cells/well; T47D, 400 000 cells/well; and MCF10A, 220 000 cells/well) suspended in growth media were added to wells. After 24 hours, cells were rinsed and serum-starved with assay media for 18 hours. Once cells reached confluency, a scratch was produced using a pipet tip. The cell monolayer was rinsed and fresh assay media containing different concentrations of either acacetin or pinostrobin was added to the cells. Cell migration proceeded for 16 to 24 hours at 37 °C/5% CO
2 in air. Images of the scratches were captured using a 10× objective on an Olympus IX-51 inverted microscope equipped with a QImaging charged coupled device camera. Images were acquired using QImaging Q-Capture Pro. Cell migration (% area closure) was quantified by measuring the area of the cell-free region immediately following scratch formation and after 16 to 24 hours using ImageJ analysis software (
https://imagej.nih.gov/ij).
Transwell Motility Assays
Transwell motility assays were performed as previously described.
40 The underside of the transwell membrane (Costar 3422) was coated with 10 µg/mL collagen for 18 hours at 37 °C/5% CO
2 in air. The bottom chamber of the transwell was rinsed with assay media, followed by the addition of 300 µL of assay media containing either dimethyl sulfoxide (DMSO) control, acacetin, or pinostrobin. Serum-starved cells were resuspended in assay media containing 5 µg/mL FA-BSA and pretreated with DMSO, acacetin, or pinostrobin for 30 minutes at 37 °C/5% CO
2 in air prior to plating. Exactly 250 µL of cell suspension was added to the top chamber of the transwell, and cells were permitted to migrate for 24 hours at 37 °C/5% CO
2 in air. After 24 hours, cells were fixed with 0.25% glutaraldehyde and then stained with 0.5% crystal violet. Cell motility was quantified by counting the number of cells per field from 5 random fields with a 20× objective using a Nikon E400 bright field microscope.
Adhesion Assays
Cell adhesion assays were performed as previously described.
40 Briefly, 96-well cell culture plates were coated with 100 µg/mL collagen 16 hours at 4 °C before seeding cells. Following coating, wells were rinsed with PBS and then blocked using 10 mg/mL FA-BSA (in PBS) for 30 minutes at room temperature. Cells were detached using versene (0.5 mM EDTA [ethylenediaminetetraacetic acid] in Ca
2+/Mg
2+-free PBS), counted, and resuspended in serum-free media containing 5 mg/mL FA-BSA. Acacetin and pinostrobin were added to a cell suspension of 300 000 cells/mL, and 100 µL cells were added to each well. Cells were permitted to attach for 30 minutes at 37 °C/5% CO
2 in air. Plates were gently washed with PBS to remove nonadherent cells, and then attached cells were fixed with 0.25% glutaraldehyde (in PBS) for 10 minutes at room temperature. Following PBS rinse, wells were incubated with 0.5% crystal violet for 30 minutes at room temperature. Wells were rinsed with distilled H
2O and permitted to dry. One percent sodium dodecyl sulfate (SDS) (in PBS) was added to wells and allowed to incubate for 30 minutes at room temperature. Cell adhesion was quantified by measuring the absorbance at 590 nm using a VersaMax microplate reader (Molecular Devices). Corrected absorbance was established by subtracting the background absorbance from all experimental treatment wells.
Cell Area/Cell Shape Analysis
Glass coverslips (22 × 22) were acid washed and coated with 100 µg/mL collagen for 18 hours at 4 °C. Coverslips were rinsed with PBS and then plated with 500 µL serum-containing media comprising 20 000 cells (MDA-MB-231) or 30 000 cells (T47D and MCF10A). Cells were incubated with appropriate concentrations of acacetin or pinostrobin for 15 minutes at 37 °C/5% CO
2 in air prior to plating onto coverslips. Cells were permitted to attach for 18 hours at 37 °C/5% CO
2 in air. Cells were fixed with cold 4% paraformaldehyde for 10 minutes at room temperature. After PBS rinse, 0.1% (MDA-MB-231 and T47D) or 0.5% (MCF10A) TX-100 was added to coverslips and incubated for 10 minutes or 3 minutes, respectively. Following PBS rinse, cells were blocked with 10% FBS (in PBS) for 1 hour at room temperature. Once block was removed, 0.5 µM TRITC-phalloidin was added and coverslips were incubated for 45 minutes at room temperature. Coverslips were rinsed 3 times with PBS and then mounted with ProLong Antifade (Molecular Probes). Images were captured using a 100× objective on a Zeiss Axiovert fluorescent microscope fitted with an AxioCam MRm camera. Cell area and cell shape parameters were quantified using ImageJ. Cell circularity and aspect ratio were used to measure cell shape as previously described.
5 Circularity was determined by (4π × cell area/cell perimeter
2), while aspect ratio was determined in ImageJ by dividing the length of the major axis by the length of the minor axis (major axis/minor axis).
Immunofluorescence
Glass coverslips (22 × 22) were acid washed and coated with 100 µg/mL collagen for 18 hours at 4 °C. Following PBS rinse, 20 000 cells (MDA-MB-231) or 30 000 cells (T47D and MCF10A) suspended in serum-containing media were added to coverslips. Either DMSO, acacetin, or pinostrobin were added at this time and cells were permitted to incubate for 18 hours at 37 °C/5% CO2 in air. Cells were fixed with ice-cold 4% paraformaldehyde for 10 minutes at room temperature. After rinsing, cells were extracted with 0.1% TX-100 (MDA-MB-231 and T47D) or 0.5% TX-100 (MCF10A) for 10 minutes or 3 minutes, respectively. After PBS rinse, cells were blocked with 10% FBS in PBS for 1 hour at room temperature. Cells were incubated with 1:400 mouse anti-human vinculin antibody in 10% FBS in a humidified chamber overnight at 4 °C. Following PBS rinse, cells were incubated with 1:800 Alexa488 goat anti-mouse IgG plus 0.5 µM TRITC-phalloidin for 1 hour at room temperature. Following thorough rinsing, coverslips were mounted with ProLong Antifade. Images were analyzed using a 100× objective on a Zeiss Axiovert fluorescence microscope equipped with an AxioCam MRm camera. Images were captured using AxioVision 4.7 software.
Quantification of Vinculin Staining
Focal adhesions were quantified using 2 approaches as previously described.
5 Briefly, the average total surface area containing vinculin for each cell was quantified using ImageJ. Binary images were created followed by thresholding of vinculin staining. The total surface area containing vinculin for each cell was measured using the analyze particles function. For relative vinculin area, the average total surface area containing vinculin for each cell was normalized to the total cell area as determined by TRITC-phalloidin.
Production of Digital Images
Digital images were processed and produced using ImageJ and Adobe Photoshop CS5 (Adobe Systems).
Discussion
Cancer cell metastasis accounts for 90% of all cancer-related deaths.
3 There has been a push in the field to identify new anticancer agents derived from natural compounds. Furthermore, identifying compounds with low toxicity that may be effective for prevention and treatment of cancer are needed. In fact, numerous studies have demonstrated that natural compounds can selectively target cancer cells with minimal toxicity to healthy tissues.
19-22 Flavonoids, such as acacetin and pinostrobin, have been reported to target wide ranging mechanisms of tumor progression, such as cell proliferation and angiogenesis. Although the antiproliferative and pro-apoptotic effects of acacetin and pinostrobin have been studied using various cancer cells, little is known of the effects of acacetin and pinostrobin on cell migration and metastasis. Moreover, it is not known whether acacetin or pinostrobin exert inhibitory effects on malignant breast epithelial cell migration and adhesion.
In this study, we demonstrated that both acacetin and pinostrobin selectively inhibit MDA-MB-231 and T47D malignant breast epithelial cell migration and adhesion at sublethal concentrations in vitro. Studies have shown that acacetin exerts cytotoxic effects on various cell types, including prostate, hepatocellular carcinoma, lung, breast, and gastric cancer cells.
27,31-35 Although pinostrobin has been shown to produce inhibitory effects on cervical, hepatocellular carcinoma, and leukemia cells, it has no inhibitory effect on MCF-7 breast epithelial cells.
26,28-30 In this study, we used a maximum concentration of 20 µM to test acacetin and pinostrobin. Given the solubility limitations of both acacetin and pinostrobin in the cell media used for this study, higher concentrations were not tested. This may be due to the hydrophobic nature of phenolic compounds. Given that both flavonoids inhibit motility and adhesion in a dose-dependent manner, higher dosages would be expected to enhance their inhibitory effects on the tested malignant breast epithelial cells, likely at the expense of cell viability. For instance, Shim et al
27 reported a reduction in proliferation for acacetin-treated MCF-7 breast cancer cells, albeit at concentrations that exceeded those tested in this study. Given the results of this study, it is possible that the effects of acacetin and pinostrobin on MCF10A cells would be more pronounced if treated with higher concentrations. Therefore, further investigation into the vehicle delivery of acacetin and pinostrobin is warranted. However, it is worth noting that concentrations below cytotoxic levels for both acacetin and pinostrobin effectively inhibited MDA-MB-231 and T47D malignant breast cell migration and adhesion through a reduction in focal adhesion formation.
The mechanisms by which flavonoids, in particular acacetin and pinostrobin, regulate breast epithelial cell migration and adhesion are not well understood. Cell migration is regulated by integrin-based adhesions that link the ECM to the underlying cytoskeleton. The strength of cell-substratum adhesions is dependent on many variables, including cell-substratum interactions, levels of integrins, integrin affinity, and integrin-cytoskeletal interactions.
41-43 Furthermore, integrins relay signals from the ECM to influence cell migration and cell shape.
4 Research has shown that decreasing the expression of integrins or the affinity of integrins for their respective ECM disrupts cell migration and adhesion.
42,44 Findings from this study demonstrate that treatment with acacetin or pinostrobin decreased adhesion and cell area of MDA-MB-231 and T47D cells but had no effect on MCF10A cells (
Figure 5 and
Table 1). In addition, acacetin and pinostrobin reduced integrin-mediated focal adhesion formation of malignant breast epithelial cells with no measurable effect on non-tumorigenic MCF10A cells (
Figure 6). These results suggest that the flavonoids acacetin and pinostrobin downregulate integrin signaling to modulate cell adhesion and focal adhesion formation, resulting in altered migration of malignant breast epithelial cells. In support of this notion, glabridin, another flavonoid, decreases integrin expression in MDA-MB-231 cells by increasing integrin degradation.
16 It would be beneficial to examine the effects of acacetin and pinostrobin on integrin expression, activation, and signaling in order to better understand the attenuated breast cancer cell migration and adhesion in response to these flavonoids.
To our knowledge, this is the first study demonstrating the inhibitory effects of acacetin and pinostrobin on breast cancer cell adhesion and migration. RhoA/ROCK signaling contributes substantially to cell migration by triggering actin-myosin contractility, stress fiber formation, and membrane protrusion.
45 Studies have demonstrated that the flavonoid glabridin inhibits the migration of breast and lung cancer cells through downregulation of integrins as well as inhibition of FAK and RhoA signaling.
16,46 While we do not directly investigate the roles of FAK and RhoA in the present study, our results suggest that acacetin and pinostrobin disrupt focal adhesion formation, potentially through regulation of RhoA signaling. Both FAK and vinculin are recruited to integrin-activated focal adhesion complexes to promote cell migration.
7 Given that acacetin and pinostrobin were shown to reduce vinculin-containing focal adhesions in malignant breast cells (
Figure 6), it is possible that acacetin and pinostrobin may block focal adhesion formation by attenuating FAK and RhoA signaling in these cell lines, which could, in turn, inhibit cell motility. Acacetin has been shown to inhibit migration in other cancer types such as lung and prostate through p38 MAPK downregulation of MMP-2 and MMP-9.
38,39 Other flavonoids have been shown to inhibit cell migration and MMP-2/9 expression in MDA-MB-231 cells by blocking MAPK or PI3K/AKT signaling.
23,47,48 Further investigation is needed to determine whether acacetin and pinostrobin target these various mechanisms to regulate breast cancer cell motility and adhesion.
Traditional treatments for metastatic breast cancer utilize cytotoxic drugs often with limited success. However, adverse side effects, such as genotoxicity, can occur due to a lack of selectivity. Therefore, identifying additional approaches that have selective effects on breast cancer cells with limited cytotoxic effects on healthy cells is desired. Many natural compounds, including flavonoids, have displayed selective targeting of cancer cells with minimal toxicity to normal healthy tissues. For instance, the flavonoid quercetin and hibiscus flower extract selectively induce apoptosis in prostate and breast cancer cells, respectively.
21,49 The flavonoids xanthohumol and α,β-dihydroxanthohumol, as well as analogues of allicin (found in garlic [
Allium sativum]), selectively inhibit proliferation of breast cancer cells while having limited cytotoxic effects on non-tumorigenic cells.
50,51 In the current study, the flavonoids acacetin and pinostrobin selectively inhibited cell adhesion and focal adhesion formation in malignant breast epithelial cell migration. Interestingly, neither acacetin nor pinostrobin demonstrated any effects on malignant or non-tumorigenic cell viability at the tested concentrations in this study. This suggests acacetin and pinostrobin may be effective in targeting breast cancer cell migration and metastasis with limited cytotoxic effects.