(CS-ⅣA-Be), a Novel IL-6R Antagonist, Inhibits IL-6/STAT3
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Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Chikusetsusaponin Ⅳa butyl ester (CS-Ⅳa-Be), a novel IL-6R antagonist, inhibits IL-6/STAT3 signaling pathway and induces cancer cell apoptosis Jie Yang 1, 2, Shihui Qian 2, Xueting Cai 1, 2, Wuguang Lu 1, 2, Chunping Hu 1, 2, * Xiaoyan Sun1, 2, Yang Yang1, 2, Qiang Yu 3, S. Paul Gao 4, Peng Cao 1, 2 1. Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China 2. Laboratory of Cellular and Molecular Biology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, China 3. Shanghai Institute of Materia Medical, Chinese Academy of Sciences, Shanghai, 201203, China 4. Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, NY10065, USA Running title: CS-Ⅳa-Be, a novel IL-6R antagonist, inhibits IL-6/STAT3 Keywords: Chikusetsusaponin Ⅳ a butyl ester (CS- Ⅳ a-Be), STAT3, IL-6R, antagonist, cancer Grant support: P. Cao received Jiangsu Province Funds for Distinguished Young Scientists (BK20140049) grant, J. Yang received National Natural Science Foundation of China (No. 81403151) grant, and X.Y. Sun received National Natural Science Foundation of China (No. 81202576) grant. Corresponding author: Peng Cao Institute: Laboratory of Cellular and Molecular Biology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, Jiangsu, China Mailing address: 100#, Shizi Street, Hongshan Road, Nanjing, Jiangsu, China Tel: +86-25-85608666 Fax: +86-25-85608666 Email address: [email protected] The first co-authors: Jie Yang and Shihui Qian The authors disclose no potential conflicts of interest. 1 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2016 American Association for Cancer Research. Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Abbreviations IL-6: Interleukin 6; STAT: Signal transducer and activator of transcription; GP130: Glycoprotein 130; IL-6Rα: Interleukin 6 receptor alpha; LIFR: Leukemia inhibitory factor receptor; LeptinR: Leptin receptor; TRAIL: Tumor necrosis factor (TNF)-related apoptosis-inducing ligand; DR: Death receptor; LIF: Leukemia inhibitory factor; OSM: Oncostatin M; JAK: Janus kinase; c-FLIP: cellular FLICE-like inhibitory protein; Bcl-xL: B-cell lymphoma-extra large; Mcl-1: Myeloid cell leukemia 1; IAP: Inhibitor of apoptosis protein; MTT: Methyl thiazolyl tetrazolium; TNF-α: Tumor necrosis factor alpha; EGF: Epidermal growth factor; IFN-γ: Interferon gamma; SDS-PAGE: Sodium dodecyl sulfate polyacrylamide gel electrophoresis; PVDF: polyvinylidene fluoride; GM-CSF: Granulocyte-macrophage colony-stimulating factor; NF-κB: Nuclear factor kappa-light-chain-enhancer of activated B cells; ROS: Reactive oxygen species; TYK2: Tyrosine kinase 2; EGFR: Epidermal growth factor receptor; IGF1R: Insulin-like growth factor 1 receptor; PDGFRα: Platelet-derived growth factor receptor α; FGFR: Fibroblast growth factor receptor; ELISA: Enzyme linked immunosorbent assay; EMSA: Electrophoretic mobility shift assay; MST: Microscale thermophoresis; JNK: c-Jun N-terminal kinase; ERK: Extracellular signal-regulated kinases; PARP: Poly ADP ribose polymerase; MAPK: Mitogen-activated protein kinase; TNF-α: Tumor necrosis factor alpha; PTPase: Protein tyrosine phosphatase; XIAP: X-linked inhibitor of apoptosis. 2 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2016 American Association for Cancer Research. Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Abstract The activation of interleukin-6 (IL-6)/signal transducer and activator of transcription 3 (STAT3) signaling is associated with the pathogenesis of many cancers. Agents that suppress IL-6/STAT3 signaling have cancer therapeutic potential. In this study, we found that chikusetsusaponin Ⅳa butyl ester (CS-Ⅳa-Be), a triterpenoid saponin extracted from Acanthopanas gracilistylus W.W.Smith, induced cancer cell apoptosis. CS-Ⅳa-Be inhibited constitutive and IL-6-induced STAT3 activation, repressed STAT3 DNA binding activity, STAT3 nuclear translocation, IL-6-induced STAT3 luciferase reporter activity, IL-6-induced STAT3 regulated anti-apoptosis genes expression in MDA-MB-231 cells and IL-6-induced TF-1 cell proliferation. Surprisingly, CS-Ⅳa-Be inhibited IL-6 family cytokines rather than other growth factors induced STAT3 activation. Further studies indicated that CS-Ⅳa-Be is an antagonist of IL-6 receptor via directly binding to the IL-6Rα with a Kd of 663±74 nM and the GP130 (IL-6Rβ) with a Kd of 1660±243 nM, interfering the binding of IL-6 to IL-6R (IL-6Rα and GP130) in vitro and in cancer cells. The inhibitory effect of CS-Ⅳa-Be on the IL-6-IL-6Rα-GP130 interaction was relatively specific as CS-Ⅳa-Be showed higher affinity to IL-6Rα than to LIFR (Kd: 4990±915 nM) and LeptinR (Kd: 4910±1240 nM). We next demonstrated that CS-Ⅳa-Be not only directly induced cancer cell apoptosis but also sensitized MDA-MB-231 cells to TRAIL-induced apoptosis via up-regulating DR5. Our findings suggest that CS-Ⅳa-Be as a novel IL-6R antagonist inhibits IL-6/STAT3 signaling pathway and sensitizes the MDA-MB-231 cells to TRAIL induced cell death. 3 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2016 American Association for Cancer Research. Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Introduction Interleukin 6 (IL-6) is a pleiotropic cytokine mediating cancer associated chronic inflammation and inflammatory response, plays important roles in the tumorigenesis (1). IL-6 possesses three topologically distinct receptor binding sites: site 1 for binding to the 80 kDa chain IL-6Rα, and sites 2 and 3 for interacting with the two subunits of the signaling chain glycoprotein 130 (GP130). The IL-6 signaling transduces after the homodimerization of GP130, which becomes associated with IL-6-binding chain (IL-6Rα) in the presence of IL-6. (2). As a common receptor, GP130 also transduces signals delivered by the leukemia inhibitory factor (LIF), the IL-11, the oncostatin M (OSM) and the others (3). Signal transducer and activator of transcription 3 (STAT3), the key factor mediating the IL-6-induced signaling becomes tyrosine phosphorylated by IL-6 induced cytokine receptor-associated kinases, the Janus kinase (JAK) family proteins (4). The IL-6/STAT3 signaling pathway mediates tumor immune suppression (5), tumor cell survival, pre-metastatic niche formation and chemotherapy resistance (6). Breast cancer is the most common malignancy and the primary cause of cancer-related death in women worldwide (7). IL-6/JAK/STAT3 signaling plays a critical and pharmacologically targetable role in orchestrating the composition of the breast tumor microenvironment that promotes cancer cell growth, invasion and metastasis (8) (9). Increasing clinical data have indicated that the circulating levels of 4 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2016 American Association for Cancer Research. Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. IL-6 in breast cancer patients correlate with clinical tumor stage and poor prognosis. IL-6 plays two distinct roles in breast cancer: the systemic IL-6, reflecting whole body metabolic and inflammatory status, is correlated with poor prognosis, advanced disease and metastasis; the paracrine and autocrine IL-6 signaling controls cancer cell growth, cancer stem cell renewal and metastasis (10) (11). In summary, the IL-6 mediated excessive STAT3 activation plays important roles in breast cancer. Inhibitors of the IL-6/STAT3 signaling pathway should be effective against the cancers with high levels of STAT3 activation. As a matter of fact, JAK3 inhibitor tofacitinib (12, 13) and IL-6Rα monoclonal antibody tocilizumab (14) have been used in clinical trial. However, no natural IL-6/STAT3 inhibitory compound has been used in cancer clinical trial. Identifying novel compounds that suppress the JAKs signaling or antagonize IL-6R is a pressing issue to prevent and treat the cancers with aberrant activated IL-6/STAT3 signaling. Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) is a promising target for cancer therapy because it preferentially induces cancer cell apoptosis with little or no effects on normal cells (15). However, some highly malignant cancers, including breast cancer, (16) are resistant to TRAIL induced apoptosis. The resistance of cancer cells to TRAIL occur at various points of the TRAIL signaling pathways, dysfunctions of the death receptors DR4 and DR5, over expression of cellular FLICE-like inhibitory protein (c-FLIP), B-cell lymphoma-extra 5 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2016 American Association for Cancer Research. Author Manuscript Published OnlineFirst on February 29, 2016; DOI: 10.1158/1535-7163.MCT-15-0551 Author manuscripts have been