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RevistaBrasileiradeFarmacognosia27(2017)776–779

w ww.e l s e v i e r . c o m / l o c a t e / b j p

Short

communication

Impact

of

chrysosplenetin,

per

se

or

in

combination

with

artemisinin,

on

breast

cancer

resistance

protein

(Bcrp)/ABCG2

mRNA

expression

levels

in

mice

small

intestine

Wei

Ma

a,1

,

Yuanyuan

Zhang

a,1

,

Yanli

Zhang

b,1

,

Chenxu

Zhang

a

,

Jianhuan

Wang

a

,

Liping

Ma

a

,

Bei

Yang

a

,

Xiuli

Wu

a,c,d,∗

,

Jing

Chen

a,c,d,∗

aSchoolofPharmacy,NingxiaMedicalUniversity,Yinchuan,China

bDepartmentofPathogenBiologyandImmunology,SchoolofBasicMedialScience,NingxiaMedicalUniversity,Yinchuan,China

cNingxiaEngineeringandTechnologyResearchCenterforModernizationofHuiMedicine,Yinchuan,China

dKeyLaboratoryofHuiEthnicMedicineModernization,MinistryofEducation(NingxiaMedicalUniversity),Yinchuan,China

a

r

t

i

c

l

e

i

n

f

o

Articlehistory:

Received22February2017 Accepted14June2017

Availableonline16November2017

Keywords: Chrysosplenetin Artemisinin

Bcrp/ABCG2mRNAexpression Westernblot

RT-qPCR

a

b

s

t

r

a

c

t

Ourpreviousworkrevealedthatchrysosplenetinincombinationwithartemisinininhibitedinvivo

P-glycoprotein(P-gp,oneofclassicmulti-drugresistanceproteins)mediateddigoxintransportation

activitybyreversingtheupregulatedP-gp/Mdr1mRNAexpressionlevelsbyartemisinin.Therefore,

chrysosplenetinmightbeapotentialartemisinin-resistancereversalagentasaP-gpinhibitor.Butit

stillremainsunknownifchrysosplenetinhasanimpactonanotherpivotalmulti-drugresistance

pro-tein,breastcancerresistanceprotein(Bcrp),whichisco-expressedwithP-gpinapicalmembraneof

intestinalepithelialcellandoverlapssomeofthesubstratesandinhibitors.Thisstudy,therefore,further

addressedtheimpactofchrysosplenetin,perseorincombinationwithartemisin,onBcrp/ABCG2mRNA

expressionlevelsinmicesmallintestinedeterminedbywesternblotandrealtime-quantitative

poly-merasechainreaction(RT-qPCR)assay.Thedrugswereintragastricallyadministratedonceperdayfor7

days.Novobiocin,aknownBcrpinhibitor,wasobservedtohavenoimpactonBcrp/ABCG2levelswithor

withoutartemisininversusvehicle.Interestingly,artemisininaloneattenuatedBcrplevelwhile

chrysos-plenetinaloneincreasedit(p<0.05).RelativemRNAlevelwassignificantlydecreasedwhenco-used

withartemisininandchrysosplenetininratioof1:2(p<0.05).Thediscrepantresultsforchrysosplenetin

onBcrp/ABCG2mRNAexpressionsmightbecloselyrelatedtothetranscriptionalorposttranscriptional

regulation.

©2017PublishedbyElsevierEditoraLtda.onbehalfofSociedadeBrasileiradeFarmacognosia.Thisis

anopenaccessarticleundertheCCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/

4.0/).

Introduction

ThehumanATP-binding cassette(ABC) proteinsbelongto a largeproteinsuperfamily;thusfar,48ABCtransportershavebeen identifiedinhumansand twelveofthemhavebeenrecognized asputativedrugtransporters.Amongthem,P-glycoprotein(P-gp, genesymbol ABCB1orMdr1), themultidrugresistanceprotein 1(MRP1,genesymbolABCC1),andthebreastcancerresistance protein (BCRP, gene symbol ABCG2)are the bestdistinguished andmostparamountdrugtransportersofmultidrugresistance (MDR)(GilletandGottesman,2011).Thereismountingevidence

Correspondingauthors.

E-mails:[email protected](X.Wu),[email protected](J.Chen).

1Theseauthorscontributedequallytothiswork.

tosupportthathumanBCRP/ratBcrpplaysapivotalroleindrug disposition by expelling a broad range of structurallydifferent metabolitesoutofcells.Bcrpsubstantiallyoverlapswithsubstrates andinhibitorsofP-gporMRP1andresemblesP-gpintissue distri-butionandexpression.Inthisregard,averyactiveBcrptransporter couldprobablydiminishdrugdeliverytothetargetorganswhich leadstoMDR,despiteperipheraldrugconcentrationsbeingwithin theirtherapeuticextent.

Bcrp is composed of 655 amino acids (72kDa) and orga-nized into six transmembrane ␣-helices, containing only one nucleotide-binding domain (NBD) near its N-terminal and one membrane-spanningdomain(MSD)(Lecerf-Schmidtetal.,2013; Noguchiet al., 2014; Maoand Unadkat, 2015).Therefore, Bcrp perseisahalftransporterthattransformstoafunctionalefflux pump when a disulfide bridge at Cys 603 of two proteins is

https://doi.org/10.1016/j.bjp.2017.06.005

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W.Maetal./RevistaBrasileiradeFarmacognosia27(2017)776–779 777

homodimerized(Lecerf-Schmidtetal.,2013;Noguchietal.,2014; MaoandUnadkat,2015)andconfersanatypicalMDRphenotype (Lagasetal.,2009;Nietal.,2010).

Todate,artemisininantimalarialdrugsarestilloftheutmost importance in theworldwide combination therapy of resistant falciparummalaria(Tripathietal.,2013).Artemisininresistance, defined as a delayed clearance of parasites after clinical ther-apy,hasbeenreported(Meshnicketal.,1996;White,2004).The mechanismofartemisininresistanceremainsunclearand proba-blydominatedbymultiplemechanisms,whichinvolvednumerous multidrugresistanceproteinssuchasseveralmembersoftheABC transportersuper-family(Alcantaraetal.,2013).Thiscausesalow bioavailabilityandbloodconcentrationforterminaldrugs(Meng etal.,2014).

Numerous polymethoxylated flavonoids are discovered to modulate the activity of drug metabolizing enzymes and ABC transporters,whichraisesthepotentialforalterationsinthe phar-macokineticsofsubstratedrugs(Wesolowska,2011;Yuanetal., 2012).Chrysosplenetin is one of theknown polymethoxylated flavonoidsinArtemisiaannuaL.andotherseveralChineseherbs (Numonov et al., 2015). In our previouswork, chrysosplenetin wasobservedtoimprovethebioavailabilityandanti-malarial effi-ciencyofartemisininincombinationratioof1:2partiallyrelying on its strong inhibition on rat CYP3A metabolic activity in an un-competitivemanner (Wei et al., 2015)and onP-gp in vivo

effluxefficacy(Yangetal.,2016)viareversingtheup-regulated P-gp/Mdr1mRNAexpressionlevelsbyartemisinin(Maetal.,2017). Hence,chrysosplenetinmightbea dualinhibitoronCYP3Aand P-gp. However,the function ofchrysosplenetin on Bcrp/ABCG2 expressionisstill unknown,which isanobstacle forusto sys-tematicallyevaluatethepossibilityofchrysosplenetinbeingasan inhibitorofartemisininresistance.

Therefore,wehereaimedtofurtherinvestigatetheimpactof chrysosplenetin in theabsence and presence of artemisinin on Bcrp/ABCG2expressionlevelsusingbywesternblotandreal time-quantitativepolymerasechainreaction(RT-qPCR)methods.

Materialsandmethods

Artemisinin (white crystal) was purchased from Chongqing Huali KongguCo., Ltd. (purity ≥99.0%, Chongqing,China). CHR (purity≥98.0%)waspurifiedinourlabfromanacetonelayerof artemisininindustrialwastematerialsusingmultiplecolumn chro-matographymethods as described in theliterature (Wei et al., 2015).TheindustrialwasteswerekindlyprovidedbyChongqing HualiKongguCo.,Ltd.andthevoucherspecimen(20100102)has beendepositedwithCollegeofPharmacy,NingxiaMedical Uni-versity, for furtherreferences. Novobiocin waspurchased from HefeiBomeiBiotechnologyCo.,Ltd.(CAS:1476-53-5,purity≥90%, China).

HealthymaleICRmice,weighing18–22g,werepurchasedfrom ananimalcentreofNingxiaMedicalUniversity(Ningxia,China). Allanimalswerehousedinpolycarbonatecagesandacclimated inanenvironmentallycontrolledroom(23±2◦C,withadequate ventilationanda12-hlight/darkcycle)priortouseandwere pro-videdwithstandardlaboratoryfoodandwaterbeforeandduring theexperiments.Theexperimentalprotocolwasapprovedbythe UniversityEthicsCommittee(NingxiaMedicalUniversity,China; ethicapproval:2014-029).Allproceduresinvolvinganimalswere inaccordance withtheRegulations oftheExperimentalAnimal Administration,StateCommitteeofScienceandTechnology. Ani-malswererandomlydividedintoninegroups(n=6foreachgroup) includingnegativecontrol(0.5%sodiumcarboxymethylcellulose, CMC-Na), artemisinin alone (40mg/kg), novobiocin (positive control,100mg/kg),novobiocin–artemisinin(positivecontrol in

combination, 1:1, 100:100mg/kg), artemisinin–chrysosplenetin (1:0.1, 40:4mg/kg), artemisinin–chrysosplenetin (1:1, 40:40mg/kg), artemisinin–chrysosplenetin (1:2, 40:80mg/kg), artemisinin–chrysosplenetin (1:4, 40:160mg/kg), and chrysos-plenetin alone (80mg/kg). The drugs were intragastrically administrated once per day for consecutive seven days. Then the mice were euthanized and sacrificed by cervical vertebra dislocation. Small intestines wereharvested and cleaned using normalsalineatleastthreetimes.TotalRNAwasextractedfrom themousesmallintestineusingE.Z.N.A.TMTotalRNAKit(OMEGA

bio-tek, Norcross, GA, USA), in accordance with the manufac-turer’s instructions. RNA concentrations weremeasured witha microplate spectrophotometer (Bio-RAD,USA) at a wavelength of 260nm.RNA quality was evaluatedusing electrophoresis in 1% agarosegels. TotalRNA (3␮g) was reverse transcribedinto first-strandcomplementaryDNA(cDNA)usingThermoScientific RevertAidFirstStrandcDNASynthesisKit(ThermoScientific).Each cDNAsample(1␮l)wasamplifiedwith12␮lofThermoScientific MaximaSYBRGreenqPCRMasterMix(2X),ROXSolution(Thermo Scientific)and1␮Mofeachprimer.Amplificationwasperformed inaRT-qPCRIQ5System(AppliedBiosystems,FosterCity,USA) withthe following parameters:denaturationat 94◦C for2min followedby35cyclesofdenaturationat94◦Cfor30s,annealing at 61◦C for 30sand extension at72C for 45s. Thesequences of theoligonucleotideprimersused forthis studywere5′-GCA TTCGCTGTGGTTGAGT-3′(sense)and5-TATCCGTGGCATCTC TGGA-3′(antisense)forABCG2(productsize,123bpfromSangon Biotech(Shanghai)Co.,Ltd.);and5′-GGTGAAGGTCGGTGTGAA CG-3′(sense)and5-CTCGCTCCTGGAAGATGGTG-3(antisense) forGAPDH(productsize,233bp,fromInvitrogen Biotechnology Co.,Ltd.).TherelativeexpressionlevelsofABCG2ineachsample (normalized tothat of GAPDH) were determinedusing 2−Ct

method.AllRT-qPCRexperimentswererepeatedthreetimes. The total proteins were harvested by KenGEN Whole Cell LysisAssayKit (KenGENBioTECH,Nanjing,China),andthe pro-teinconcentrationsweredeterminedusingKeyGENBCAProtein QuantitationAssaykit(NanjingKeyGENBiotech,China).Anequal quantityofprotein(80␮g)fromtotalproteinwasresolvedusing 7.5%SDS-PAGEgelandsubsequentlytransferredonto nitrocellu-losemembranes(Bio-Trace).Afterblockingthemembranewith5% non-fatmilkinTris-bufferedsaline(Biotopped)atroom tempera-turefor1h,themembranewasincubatedat4◦Cfor12hwithrabbit polyclonalantibodyagainstABCG2(1:100;sc-25822,SantaCruz) andmousemonoclonalantibodyagainst␤-actin(1:150;sc-47778, Santa Cruz). The membranes were incubated with horseradish Peroxidase-conjugatedAffiniPureGoatAnti-RabbitIgGand Goat Anti-Mouse IgG (ZSGB-BIO, Beijing, China) for 2h and signals wereobservedusingSuperSignalWestPico(ThermoScientific). Westernblottingbandsintensitywasquantifiedbydensitometric analysisusingImageJversion2x(NIHImagesoftware,Bethesda, MA,USA).

DatawasanalyzedusingtheSPSS18.0software(IBM,USA)and submittedtoaone-wayanalysisofvariance (ANOVA)todetect significantdifferences betweenstudygroups. Turkey’s test was appliedtoidentifyanydifferencebetweenmeansusinga signif-icancelevelofp<0.05.

Resultsanddiscussion

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778 W.Maetal./RevistaBrasileiradeFarmacognosia27(2017)776–779

A

B

Bcr

β-actin p

1.6

1.4

1.2

1

0.8

0.6

0.4

0.2

0 b

c ab

ab

ab

bc

bc bc

a

Bcr

p e

xpression le

ve

l

Negativ e contro

l

Artemisinin alon

e

Novo biocin

Novobiocin-artemisinin (1:1)

Artemisinin-chr

ysosplenetin (1:0.1 )

Artemisinin-chr

ysosplenetin (1:1 )

Artemisinin-chr

ysosplenetin (1:2 )

Artemisinin-chr

ysosplenetin (1:4 )

Chr

ysosplenetin alone

Fig.1.EffectofchrysosplenetinperseorincombinationwithartemisininonBcrpexpressionlevelinmicesmallintestine.Datawereexpressedasmeanvalues±SD(n=6) foreachgroup.(A)Westernblottingbands.(B)QuantificationofBcrpassessedbywesternblottinganalysiswasnormalizedtotheexpressionlevelof␤-actinantibody. Differentlower-caselettersindicatesignificantdifferencesbetweendifferentgroupswithasignificancelevelofp<0.05.

Negativ e contro

l

Artemisinin alon

e

Novo biocin

Novobiocin-artemisinin (1:1)

Artemisinin-chr

ysosplenetin (1:0.1 )

Artemisinin-chr

ysosplenetin (1:1 )

Artemisinin-chr

ysosplenetin (1:2 )

Artemisinin-chr

ysosplenetin (1:4 )

Chr

ysosplenetin alone

ab

c a

bc

bc bc

bc bc

b 3.5

3

2.5

2

1.5

1

0.5

0

Relative mRNA levels

Fig.2. ImpactofchrysosplenetinperseorincombinationwithartemisininonABCG2mRNAexpressionlevelinmicesmallintestine.Dataweredescribedasmeanvalues±SD (n=6)foreachgroup.Differentlower-caselettersindicatesignificantdifferencesbetweendifferentgroupswithasignificancelevelofp<0.05.

inaccordance withtheliterature(Shiozawaet al.,2004)which reportedthatnovobiocinisacompetitiveinhibitorofBcrp. There-fore,theexpressionofBcrpdoesnotchange.Whencomparedwith artemisinin alone, however, novobiocin alone, chrysosplenetin

alone and artemisinin–chrysosplenetin combination groups in ratioof1:2and1:4remarkablyelevatedthelevels(p<0.05).

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W.Maetal./RevistaBrasileiradeFarmacognosia27(2017)776–779 779

Fig.2.ContrarytotheresultsofBcrpexpression,artemisininalone increasedABCG2mRNAlevelwhileartemisinin–chrysosplenetin (1:2)significantlyattenuateditversusnegativecontrol(p<0.05). Moreover,allstudygroupsreversedtheupregulatedrelativemRNA levelsbyartemisinin(p<0.05).

Inthispaper,contradictingdataforchrysosplenetininthe pres-enceorabsenceofartemisininontheregulationofBcrp/ABCG2 mRNAexpressionareobserved.Artemisininwasfoundto down-regulate Bcrp protein expression but upregulate ABCG2 mRNA level.Itmightbebecausetranscriptionalorposttranscriptional reg-ulationforBcrpproteinplaysapredominantroleaccordingtothe literature(MaoandUnadkat,2015).Artemisinin,therefore,might promoteitsresistanceafteramulti-doseoraladministrationfrom theviewofP-gpbasedonourpreviouswork.It indicatesarisk ofartemisininresistanceinitsclinicaltherapy.Butthe possibil-ityofartemisininresistanceseemstobeweakenedatBcrpprotein expressionlevel.Sothisworkwillbeofbenefittoaccurately eval-uatetheventureof artemisininonitsresistancefromdifferent aspects.

Secondly,chrysosplenetinshowedaregulatingfunctionon P-gp/Mdr1andBcrp/ABCG2, totallyopposite toartemisininbased on our previous and this work. The reason might be closely relatedtothecompetitionofartemisininandchrysosplenetinon theidenticalbindingsitesinP-gpor Bcrpprotein.It needs fur-ther researchto certify thepotential mechanism in our future study.

Ingeneral,artemisininandchrysosplenetinhavetheopposite effectonBcrp/ABCG2mRNAexpressionlevels.Whentheyare co-usedin ratio of1:2,ABCG2 mRNAlevel wasremarkably down regulated.Theresultswillbehelpfultosomeextentunderstandthe mechanismofchrysosplenetinasapotentinhibitoronartemisinin resistanceatP-gp/Mdr1mRNAandABCG2mRNA(encodinggene forBcrp)levels.However,itistooearlytoreachaneventual con-clusionwhetherchrysosplenetincouldbeclinicallyco-usedwith artemisinintodelayorreverseartemisininresistance.Thedecisive factorsinformationofartemisininresistanceandtheregulationof chrysosplenetinonthesefactorsdeservetostudybeforethearrival ofafinalconclusion.

Ethicaldisclosures

Protectionofhumanandanimalsubjects. Theauthorsdeclare thattheproceduresfollowedwereinaccordancewiththe regula-tionsoftherelevantclinicalresearchethicscommitteeandwith thoseoftheCodeofEthicsoftheWorldMedicalAssociation (Dec-larationofHelsinki).

Confidentialityofdata. Theauthorsdeclarethatnopatientdata appearinthisarticle.

Righttoprivacyandinformedconsent. Theauthorsdeclarethat nopatientdataappearinthisarticle.

Author’scontributions

WM,YZandYZcontributedinrunningthelaboratorywork.CZ andJWanalyzedthedata.LMandBYrevisedthemanuscript crit-ically.XWand JCdesignedthestudy,supervisedthelaboratory workandcontributedtomodifythemanuscript.Alltheauthors havereadthefinalmanuscriptandapproveditssubmission.

Conflictsofinterest

Theauthorsdeclarenoconflictsofinterest.

Acknowledgement

ThisworkwasfinanciallysupportedbytheNationalNatural ScienceFoundationofChina(No.81560580).

AppendixA. Supplementarydata

Supplementarydataassociatedwiththisarticlecanbefound,in theonlineversion,atdoi:10.1016/j.bjp.2017.06.005.

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Fig. 1. Effect of chrysosplenetin per se or in combination with artemisinin on Bcrp expression level in mice small intestine

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