gra
ay
an
yse
C.
bosch
Received 16 April 2007; received in revised form 22 August 2007; accepted 31 August 2007
Keywords: PI3-K; PKB/Akt; Apoptosis; Colon cancer
result of increasing genomic instability that leads tion, differentiation and metabolism [8–11]. Disrup-
tion of normal PI3-K signaling has been
documented as a frequent occurrence in several
human cancers and appears to play an important
role in their progression [12,13]. The PI3-K signal-
ights reserved.
* Corresponding author. Tel.: +27 21 8084573; fax: +27 21
8083145.
E-mail address: ame@sun.ac.za (A.-M. Engelbrecht).
Available online at www.sciencedirect.com
Cancer Letters 258 (2007
0304-3835/$ - see front matter � 2007 Elsevier Ireland Ltd. All r
1. Introduction
Colorectal cancer is a leading cause of cancer
death in men and women, and affects more than
one million people worldwide every year [1]. Colon
cancer develops through several stages and is mani-
fested as an increasing mass of cells, driven by pro-
liferation, but potentially caused by the malignant
cells failing to die. These features usually occur pro-
gressively over a protracted period of time as a
to up-regulation of oncogenes and down-regulation
of tumour suppressor genes [2–4]. Research over the
past few years has shown that major intracellular
signaling pathways are altered during tumourigene-
sis and that this can lead to dysregulation of pro-
cesses such as proliferation and survival [5–7]. The
serine/threonine protein kinase, protein kinase B
(a member of the PI3-K pathway), is a crucial regu-
lator of widely divergent cellular processes including
apoptosis (programmed cell death), cell prolifera-
Abstract
The aim of this investigation was to evaluate the chemopreventative/antiproliferative potential of a grape seed proanth-
ocyanidin extract (GSPE) against colon cancer cells (CaCo2 cells) and to investigate its mechanism of action. GSPE
(10–100 lg/ml) significantly inhibited cell viability and increased apoptosis in CaCo2 cells, but did not alter viability in
the normal colon cell line (NCM460). The increased apoptosis observed in GSPE-treated CaCo2 cells correlated with
an attenuation of PI3-kinase (p110 and p85 subunits) and decreased PKB Ser473 phosphorylation. GSPE might thus exert
its beneficial effects by means of increased apoptosis and suppression of the important PI3-kinase survival-related pathway.
� 2007 Elsevier Ireland Ltd. All rights reserved.
Proanthocyanidin from
PI3-kinase/PKB pathw
in a colon c
A.-M. Engelbrecht *, M. Matthe
R. Smith, S. Peters,
Department of Physiological Sciences, Stellen
doi:10.1016/j.canlet.2007.08.020
pe seeds inactivates the
and induces apoptosis
cer cell line
, B. Ellis, B. Loos, M. Thomas,
Smith, K. Myburgh
University, Stellenbosch 7600, South Africa
) 144–153
www.elsevier.com/locate/canlet
vinifera) seeds. Polymeric and oligomeric proanth-
A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153 145
ocyanidins, also called condensed tannins, are one
type of polyphenol and consist of chains of fla-
van-3-ol units, (+)-catechin, and (�)-epicatechin,
linked through C4–C6 and C4–C8 interflavan
bonds. Furthermore, oligomeric proanthocyani-
dins are the only macromolecular constituent pres-
ent in grape seed extract, which contains nearly
equal amounts of monomeric catechin and epicat-
echin chains [15].
GSPE induces apoptosis in human prostate can-
cer cells without affecting the growth and viability of
the normal cells [16]. The cytotoxic effects of GSPE
have also been demonstrated in a variety of other
cancer cell lines [17,18]. Malik and co-workers [19]
demonstrated a 60% inhibition of growth of human
HT-29 colon cancer cells with GSPE. The above-
mentioned studies did not assess molecular mecha-
nisms involved in the cytotoxic effect of GSPE on
cancer cells; thus the intracellular mechanisms
responsible remain to be elucidated. We hypothesize
that altered phosphorylation events in the PI3-K
pathway may mediate the beneficial effects reported
for GSPE.
2. Material and methods
2.1. Materials
CaCo2 cells, Eagle’s minimum essential medium
(MEM), fetal bovine serum (FBS), trypsin and penicil-
lin/streptomycin were obtained from Highveld Biological
(Lyndhurst, RSA). NCM460 cells were purchased from
InCell Corporation (San Antonia, TX, USA) to serve as
control culture. Cell culture plastics were purchased from
Greiner Bio-one (Frickenhausen, Germany). Dimethyl
sulfoxide (DMSO) was purchased from Merck (Darms-
tadt, Germany). Rabbit polyclonal antibodies and rabbit
monoclonal antibodies were purchased from Cell Signal-
ing pathway should therefore be considered as a
potential target for chemotherapy.
For a therapeutic agent to be effective, it
should be able to kill cancer cells without harming
normal cells. Grape seed proanthocyanidin extract
(GSPE) may be such an agent. Proanthocyanidins
are naturally occurring polyphenolic bioflavonoids
diverse in chemical structure, pharmacology and
characteristics and widely available in vegetables,
fruits, seeds, nuts, flowers and bark [14]. Grape
seed proanthocyanidins (monomers 12–16%;
dimers 9–17%, and oligomers 40–45%) refer to
procyanidin mixtures extracted from grape (Vitis
ing Technology (Beverly, Massachusetts, USA). All elec-
trophoresis equipment was from Bio-Rad (Herculus,
CA, USA). Polyvinylidene fluoride (PVDF; 0.45 lm)
membranes for Western blots were obtained from Milli-
pore (Bedford, Massachusetts, USA). The chemilumines-
cence system (ECL Plus and ECL), autoradiography film
as well as anti-rabbit horseradish peroxidase (HRP)-
linked secondary antibody (from donkey) were obtained
from Amersham Biosciences (Arlington Heights, IL,
USA).
2.2. Cell culture
CaCo2 and NCM460 cells were maintained at 37 �C in
a humidified 5% CO2 atmosphere in MEM supplemented
with 10% FBS and 1% penicillin/streptomycin (standard
medium). Cells were routinely sub-cultured before reach-
ing confluency. Cell numbers were determined using a
haemocytometer following trypsinization. For 3-[4,5-
dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide
(MTT) assays, CaCo2 and NCM460 cells were seeded in
35 mm Petri dishes (120,000 and 350,000, respectively).
For Western blotting, CaCo2 cells were seeded in
35 mm (120,000) and 60 mm Petri dishes (240,000),
respectively.
2.3. Treatment of cells with GSPE
Cells were incubated for 24 h with 0, 10, 50, and
100 lg/ml GSPE. Following treatment, the medium was
removed and the cells were washed with phosphate buf-
fered saline (PBS). For controls, the cells were incubated
with medium and vehicle alone.
2.4. Cell viability assessment
For the assessment of cell viability a modification of
the MTT assay described by Gomez and co-workers was
used [20]. The assay is based upon the principle of reduc-
tion of MTT into blue formazan pigments by viable mito-
chondria in healthy cells. At the end of the experiment,
the medium was removed from the Petri dishes and the
cells washed twice with PBS. MTT (0.01 g/ml) was dis-
solved in PBS, and 500 ll was added to each Petri dish.
Cells were subsequently incubated for 2 h at 37 �C in an
atmosphere of 5% CO2. This time period was found to
be optimal for color development associated with forma-
zan product formation. After the incubation period, cells
were washed twice with PBS, and one ml of HCl–isopro-
panol–Triton (1% HCl in isopropanol; 0.1% Triton X-
100; 50:1) was added to each Petri and gently agitated
for 5 min. This caused the cell membranes to lyse and lib-
erate the formazan pigments. The suspension was then
centrifuged at 131g for 2 min. The optical density (OD)
was determined spectrophotometrically at a wavelength
of 540 nm and the values expressed as percentages of con-
trol values.
2.5. Morphological analysis of cell death
For fluorescence staining, CaCo2 cells were incubated
with Propidium iode (PI), (5 mg/ml, was added in a 1:200
dilution and incubated for 20 min at room temperature)
and Hoechst 33342 (10 mg/ml was additionally added in
a 1:200 dilution and incubated for 10 min at room temper-
2.6. Western blot analysis
Tween 20 (TBST) and then incubated with the primary
antibodies that recognize phospho-specific and total
PTEN, PKB Ser473, PKB Thr308, CREB, FKHR,
BAD as well as PI3-K p85 and p110, caspase-3 (p17
fragment pAb) and PARP (116 kDa and p85 fragment
pAb). Membranes were subsequently washed with large
volumes of TBST (5 · 5 min) and the immobilized anti-
a particular blot. These analyses were performed under
ANOVA was performed for each group of treatments,
rosis.
re sta
of a
ining
xpres
146 A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153
Tissue kinases as well as caspase-3 and poly (ADP-
ribose) polymerase (PARP) protein were extracted with
a lysis buffer containing (in mM): Tris 20, p-nitrophe-
nylphosphate 20, EGTA 1, sodium fluoride (NaF) 50,
sodium orthovanadate 0.1, phenylmethyl sulphonyl fluo-
ride (PMSF) 1, dithiothreitol (DTT) 1, aprotinin 10 lg/ml,
leupeptin 10 lg/ml. The lysate protein content was
determined using the Bradford technique [21]. The tis-
sue lysates were diluted in Laemmli sample buffer and
boiled for 5 min; 10 lg (for kinases) or 50 lg protein
(for caspase-3 and PARP) was separated by electropho-
resis. The separated proteins were transferred to a
PVDF membrane (ImmobilonTM P, Millipore). These
membranes were routinely stained with Ponceau Red
for visualization of proteins and stripped and reprobed
with anti-actin antibody to ensure equal loading. Non-
specific binding sites on the membranes were blocked
with 5% fat-free milk in Tris-buffered saline–0.1%
Fig. 1. The effect of GSPE supplementation on apoptosis and nec
and supplemented with GSPE (10–100 lg/ml) for 24 h. (a) Cells we
and necrosis under fluorescent microscopy. (b and c) Quantification
cells were counted under fluorescence microscopy after Hoechst sta
calculation of arbitrary pixel values after PI staining. Results are e
ature). Images were acquired with a Nikon Eclipse E 400,
equipped with the ACT-1 acquisition software, using a
40· Nikon Plan Fluor objective. The fluorescence images
were visualized using a rhodamine filter (exitation at 530–
560 nm/emission at 580 nm) and a DAPI filter (exitation
at 340–380 nm/emission at 430 nm), respectively. Cells
were evaluated by the following grading system for apop-
tosis and necrosis: normal nuclei exhibit blue chromatin
with organized structure and apoptotic nuclei exhibit
bright fluorescent blue chromatin which is highly con-
densed or fragmented when stained with Hoechst. Necro-
tic cells exhibit enlarged nuclei and stained red with PI. To
evaluate necrosis, six randomly chosen cells per field, of 3
fields per experimental condition, were analyzed. Data
expressed in arbitrary pixel values were exported to
Microsoft excel and statistically analyzed. The apoptotic
index [percentage of apoptotic cells] was calculated as
number of the apoptotic cell/total cells counted · 100.
Scoring was done blindly.
versus control (n = 3).
using Bonferroni’s post hoc test. p-values <0.05 were
regarded as statistically significant.
3. Results
3.1. The effect of GSPE on cell viability in CaCo2 cells and
normal colon epithelial cells (NCM 460 cells)
To establish whether GSPE could induce cell death
in the cancer cell model without harming normal cells,
the MTT cell viability assay was used. Different concen-
trations of GSPE [10–100 lg/ml] were used to evaluate
the effect on the two cell lines. No significant differences
in viability were detected when concentrations of 10, 50,
and 100 lg/ml GSPE were compared to the control
group in the normal cell line. However, concentrations
of 10, 50 and 100 lg/ml significantly reduced cell
Cells were cultured in standard medium until 70–80% confluency
ined with Hoechst 33342 (blue) and PI (red) to evaluate apoptosis
poptosis and necrosis induced by GSPE. The number of apoptotic
and expressed as percent of total cells. Necrosis was evaluated by
sed as means ± SEM for three independent experiments, *p < 0.05
c
conditions where autoradiographic detection was in the
linear response range.
2.7. Statistical analysis
All results are expressed as means ± SEM. One-way
body conjugated with a diluted horseradish peroxidase-
labeled secondary antibody (Amersham LIFE SCI-
ENCE). After thorough washing with TBST, mem-
branes were covered with ECLTM detection reagents
and quickly exposed to an autoradiography film
(Hyperfilm ECL, RPN 2103) to detect light emission
through a non-radioactive method (ECLTM Western
blotting). Films were densitometrically analyzed (UN-
SCAN-IT, Silkscience) and phosphorylated protein
values were corrected for minor differences in protein
loading, if required. All blots were scanned at a resolu-
tion of 150 dpi. The exact outline of each band was
demarcated in the UN-SCAN-IT programme, which
takes all aspects of density and distribution into
account. The full experimental range was analyzed on
0
5
10
15
20
25
30
35
co
ntr
ol
10
µg
/ml
50
µg
/ml
10
0 µ
g/m
l
%
o
f t
ot
al
c
el
ls
0
20
40
60
80
100
120
co
ntr
ol
10
µg/
ml
50
µg/
ml
100
µg
/ml
Fl
uo
re
sc
en
ce
in
te
ns
ity
(ar
bit
ra
ry
pi
xe
l v
alu
es
)
*
*
*
*
*
A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153 147
1a–c)
ory (
gulato
148 A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153
The Hoechst and PI staining techniques have been
employed by many laboratories for distinguishing apop-
totic and necrotic cell death [22,23]. In the present
study, we observed that the nuclei of untreated cells
viability in the cancer cell line compared to the control
group [for 10 lg/ml (44.67 ± 2.84%), 50 lg/ml
(45 ± 7.93%), and for 100 lg/ml (63.67 ± 2.72%) vs con-
trol (100%)].
3.2. The effect of GSPE on CaCo2 cell morphology (Figs.
0
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
Fig. 2. The effect of GSPE on the catalytic (p110) and the regulat
Western-blotting using antibodies recognizing the catalytic and re
three independent experiments, *p < 0.05 vs control (n = 3).
20
40
60
80
100
120
%
o
f c
on
tro
l
*
p85 subunit of PI3-K
exhibit loose chromatin, stained blue with Hoechst
(Fig. 1a) and did not stain with PI. Treatment of cells
with 10 lg/ml GSPE significantly increased apoptosis,
but did not induce PI-positive nuclei. Concentrations
of 50 and 100 lg/ml caused a significant increase in
the apoptotic index as well as in PI-positive stained cells
Fig. 1.
3.3. The effect of GSPE on the catalytic (p110) and
regulatory (p85) subunits of PI3-K in CaCo2 cells
(Fig. 2)
It should be noted that all the subsequent biochem-
ical assays were performed at the same time point as
the cytotoxicity assay (24 h). At a low concentration,
GSPE (10 lg/ml) induced a significant decrease in the
endogenous levels of the regulatory (p85) subunits of
PI3-K, but was unable to significantly reduce the level
of the catalytic (p110) subunit. However, when a higher
concentration (100 lg/ml) GSPE was used, the level of
the catalytic subunit was reduced by approximately
50%.
3.4. The effect of GSPE on PTEN phosphorylation in
CaCo2 cells (Fig. 3)
GSPE (10 and 100 lg/ml) significantly decreased
PTEN phosphorylation.
3.5. The effect of GSPE on PKB/Akt phosphorylation in
CaCo2 cells (Fig. 4)
Both concentrations of GSPE caused a significant
decrease in Ser473 phosphorylation, whereas only 100 lg/
ml significantly inhibited Thr308 phosphorylation.
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
*
p110 subunit of PI3-K
p85) subunits of PI3-K in CaCo2 cells. Samples were analyzed by
ry subunits of PI3-K. Results are expressed as means ± SEM for
3.6. The effect of GSPE on CREB and FKHR
phosphorylation in CaCo2 cells (Fig. 5)
Both concentrations of GSPE significantly decreased
CREB- and FKHR-phosphorylation.
3.7. The effect of GSPE on BAD phosphorylation in CaCo2
cells (Fig. 6)
GSPE significantly inhibited BAD phosphorylation.
3.8. The effect of GSPE on apoptosis in CaCo2 cells (Fig. 7)
GSPE significantly reduced uncleaved caspase-3.
GSPE also induced a significant increase in PARP cleav-
age compared with the control group.
4. Discussion
The present study was undertaken to evaluate
the chemopreventive/antiproliferative potential of
A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153 149
Total PTEN
GSPE on a colon cancer cell line and to investigate its
mechanism of action. Treatment with GSPE (10–
100 lg/ml for 24 h) resulted in a significant decrease
in the viability of cancer cells while the viability of
normal human colon epithelial cells was unaffected.
0
20
40
60
80
100
120
co
ntr
ol
10
ug/
m
%
o
f c
o
n
tr
o
l
P-PTEN
Fig. 3. The effect of GSPE on PTEN phosphorylation in CaCo2 cel
recognizing phospho- and total PTEN. Results are expressed as mean
(n = 3).
0
20
40
60
80
100
120
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
%
o
f c
on
tro
l
*
Thr308 Phosphorylation
Total
Akt/PKB
Thr308 S
Fig. 4. The effect of GSPE on PKB/Akt phosphorylation (Thr308 and Se
recognizing phospho- and total PKB/Akt. Results are expressed as mea
(n = 3).
Low and high concentrations of GSPE also induced
morphological and biochemical features of apoptotic
cell death (i.e., nuclear condensation, formation of
apoptotic bodies, and caspase-3 and PARP cleav-
age). However, concentrations of 50 and 100 lg/ml
l
100
ug
/ml
*
*
ls. Samples were analyzed by Western-blotting using antibodies
s ± SEM for three independent experiments, *p < 0.05 vs control
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
*
Ser473 Phosphorylation
*
re 473
r473). Samples were analyzed by Western-blotting using antibodies
ns ± SEM for three independent experiments, *p < 0.05 vs control
150 A.-M. Engelbrecht et al. / Cancer Letters 258 (2007) 144–153
20
40
60
80
100
120
%
o
f c
o
n
tr
o
l
*
*
P-CREB
Total
CREB
P-CREB
also induced a number of morphological features of
necrosis (e.g., plasmamembrane rupture and nuclear
expansion).
Tumour formation can be associated with the
following characteristics: evasion of apoptosis,
self sufficiency in growth signals, insensitivity to
anti-growth signals, sustained angiogenesis, tissue
invasion and metastasis, and limitless replicative
potential [24]. It is notable that PI3-K signaling
appears to be involved in at least the first five
of the six above-mentioned characteristics [25].
PI3-K is an essential part of the signaling net-
0
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
Fig. 5. The effect of GSPE on CREB and FKHR phosphorylation in
antibodies recognizing phospho- and total CREB and FKHR. Results a
*p < 0.05 vs control (n = 3).
0
20
40
60
80
100
120
co
ntr
ol
10
ug
/ml
10
0 u
g/m
l
%
o
f c
o
n
tr
o
l
* *
P-BAD
Total
BAD
Fig. 6. The effect of GSPE on BAD phosphorylation in CaCo2
cells. Samples were analyzed by Western-blotting using antibod-
ies recognizing phospho- and total BAD. Results are expressed as
means ± SEM for three independent experiments, *p < 0.05 vs
control (n = 3).
work that blocks programmed cell death (apopto-
sis) and enables cells to survive when they are in
a favourable environment. These pathways are
activated so that a continuous survival signal
from growth factors is required to block apopto-
sis [26].
Upon growth factor activation of receptor tyro-
sine kinases, PI3-K is recruited to the receptor in
the plasma membrane and phosphorylates phospha-
tidylinositol-4,5-bisphosphate (PIP2) on the 3-OH
group, generating phosphatidylinositol-3,4,5-tris-
co
ntr
ol
10
ug
/m
l
10
0 u
g/m
l
*
*
P-FKHR
Total FKHR
P-FKHR
CaCo2 cells. Samples were analyzed by Western-blotting using
re expressed as means ± SEM for three independent experiments,
phosphate (PIP3). PI3-kinases are composed of a
catalytic subunit (p110) and a regulatory subunit
(p85). GSPE (10 lg/ml) significantly reduced the
regulatory subunit (p85), while the high concentra-
tion (100 lg/ml) significantly attenuated the cata-
lytic subunit of PI3-K, both of which lead to a
decrease in