| Περίληψη: | Vitamin A and its metabolites retinal and retinoic acid are important molecules for the regulation of normal cellular growth, differentiation and other important functions. Retinoids are known to exert mutagenic as well as antimutagenic activity, although conflicting reports are known. All-trans retinoic acid (ATRA) is used in the treatment of many diseases such as acne, psoriasis and ichthyosis. It is also used in differentiated therapy of acute promyelocytic leukemia; however, it is frequently observed that relapses occur when ATRA is prescribed as maintenance therapy. Therefore, understanding the mechanism of action of ATRA in cells would be helpful in the development of high potent and low toxic chemotherapeutic agents. EA-4 is a newly synthesized steroidal analogue of ATRA and is considered as a promising agent for the inhibition of human leukemic cell growth. The study of genotoxicity is an important parameter for the design and development of new chemotherapeutic agents. Genotoxic effects of anticancer drugs in non-tumour cells are of special significance due to their possibility of inducing secondary tumours in cancer patients. Therefore, it is important to determine the genotoxic potential of a drug that will be used in chemotherapy, particularly in native human cells.
Taking into consideration the above referred, it would be of interest to evaluate the genotoxic potential of EA-4 in comparison to ATRA, as to their ability to provoke micronucleus (MN) generation, due to both chromosome breakage and chromosome delay. Micronuclei originate from chromosome fragments or whole chromosomes, which lag behind at anaphase during nuclear division. According to our knowledge, there is no information on the ability of all-trans retinoic acid (ATRA) to induce micronucleus formation. To investigate the ability of ATRA and its steroidal analogue EA-4 to enhance micronucleation on human lymphocytes cultured in vitro, the Cytokinesis Block MicroNucleus (CBMN) assay was conducted. By this assay, the cytotoxic effect of the two retinoids was also estimated. To clarify the mechanism by which micronuclei are generated due to ATRA and EA-4 treatment, CBMN was combined with Fluorescence In Situ Hybridization (FISH) using an α-satellite pancentromeric probe to detect centromere inclusion and thus intact chromosome(s) in micronuclei or acentric chromosome fragments. ATRA and EA-4 were shown to be cytotoxic by decreasing CBPI (Cytokinesis Block Proliferation Index) to statistically significant levels in relation to untreated cells. A statistically significant increase in micronucleus frequency was also observed for both investigated compounds. ATRA generated micronuclei mainly via chromosome breakage while a mild effect on chromosome delay was also apparent. On the other hand, EA-4 generated micronuclei exclusively via chromosome breakage.
To verify ATRA and EA-4 genotoxicity, micronucleation was investigated in a second biological system coming from a different organism, C2C12 mouse cells. Micronucleus analysis was achieved by α-tubulin/CREST immunostaining for the visualization of microtubules and the detection of kinetochore inside micronuclei and hence the inclusion of whole chromosome(s) or acentric chromosome fragments. Additionally the effect of ATRA and EA-4 on cell proliferation was investigated by the estimation of Mitotic Index (M.I.). We found that ATRA and EA-4 exerted cytotoxic activity in C2C12 mouse cells by reducing the cell proliferation rate at significant levels, as evaluated by the decrease of M.I. A statistically significant elevation in the frequency of interphase cells with micronuclei was shown. CREST analysis confirmed the clastogenic activity of the studied retinoids that was indicated in human lymphocytes. Micronucleation due to ATRA was mediated mainly by chromosome breakage and in a lesser extent by chromosome delay. EA-4 was shown to induce chromosome breakage as well as chromosome delay, as opposed to human lymphocytes at which only clastogenic effect was shown. These observations suggest that, ATRA and EA-4 are able to provoke chromosome fragmentation, but additionally and in a lesser extent to disturb chromosome segregation at anaphase due to chromosome lagging. Cell cycle analysis showed that ATRA and EA-4 accumulated cells at ana-telophase. The analysis of ana-telophases revealed micronucleation, nucleoplasmic bridges and multinucleation, phenomena that may explain the dual genetic activity of ATRA and EA-4. Multinucleated and multimicronucleated interphase cells were also apparent, the second ones generated due to both chromosome delay and breakage.
To further investigate the mechanism of genotoxic activity of ATRA and EA-4 we proceeded our research on two axes based on their aneugenicity and clastogenicity. Thus we studied the effect of ATRA and EA-4: i) on the integrity of mitotic spindle, as a target of aneugens by using double immunofluorescence staining of β- and γ-tubulin in C2C12 mouse cell line, which is a convenient system to apply this experimental procedure, and ii) to investigate the ability of the studied retinoids to induce double-strand breaks on DNA by using neutral Single Cell Gel Electrophoresis (SCGE assay-Comet assay) in two different cell lines, C2C12 mouse cells and HL-60 human leukemic cells.
Analysis of mitotic spindle has shown that the studied retinoids affect chromosome orientation during metaphase by inducing bipolar metaphases with non-congressed genetic material due to abnormal microtubule network. In addition defects on centrosome duplication and/or separation were observed due to the presence of monopolar metaphases. Ana-telophases as well as interphases with supernumerary centrosomes were also apparent. Additionally, interphase cells with abnormal microtubule network were observed. The above findings may explain aneugenic as well as clastogenic activity of the studied retinoids.
Comet assay revealed that ATRA and its steroidal analogue EA-4 provoke DNA migration due to double strand DNA fragmentation in both C2C12 mouse cells and HL-60 human leukemic cells. EA-4 was shown to be the stronger inducer of DNA fragmentation. These results confirm the findings from FISH and CREST analysis indicating that the studied retinoids show high clastogenic activity. .
Taking into account the above, we may say that our findings clarify the cytotoxic and genotoxic activity of retinoic acid and the mechanism of its action by indicating its ability to induce chromosome breakage via double-strand DNA breaks and secondary its ability to provoke chromosome delay due to defects in microtubule network and mitotic spindle integrity.
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