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Invest New Drugs (2009) 27:503–516
DOI 10.1007/s10637-008-9202-8

 PRECLINICAL STUDIES



Regression of Dalton’s lymphoma in vivo via decline
in lactate dehydrogenase and induction of apoptosis
by a ruthenium(II)-complex containing 4-carboxy
N-ethylbenzamide as ligand
Raj K. Koiri & Surendra K. Trigun & Lallan Mishra &
Kiran Pandey & Deobrat Dixit & Santosh K. Dubey


Received: 23 September 2008 / Accepted: 12 November 2008 / Published online: 29 November 2008
# Springer Science + Business Media, LLC 2008


Summary A novel ruthenium(II)-complex containing 4-                 inducing mitochondrial dysfunction–apoptosis pathway
carboxy N-ethylbenzamide (Ru(II)-CNEB) was found to                 without producing any toxicity to the normal tissues.
interact with and inhibit M4-lactate dehydrogenase (M4-
LDH), a tumor growth supportive enzyme, at the tissue               Keywords Dalton’s lymphoma . Ruthenium .
level. The present article describes modulation of M4-LDH           Ru(II)-CNEB . Lactate dehydrogenase (LDH) . Apoptosis .
by this compound in a T-cell lymphoma (Dalton’s Lym-                Anticancer agent
phoma: DL) vis a vis regression of the tumor in vivo. The
compound showed a dose dependent cytotoxicity to DL
cells in vitro. When a non toxic dose (10 mg/kg bw i.p.) of         Introduction
Ru(II)-CNEB was administered to DL bearing mice, it also
produced a significant decline in DL cell viability in vivo.        Amongst non-platinum anti-cancer metal compounds, Ru-
The DL cells from Ru(II)-CNEB treated DL mice showed a              thenium complexes are of much current interest due to their
significant decline in the level of M4-LDH with a                   low toxicity, effective bio-distribution, reproducible bio-
concomitant release of this protein in the cell free ascitic        activities [1, 2] and in some cases their selective anti-
fluid. A significant increase of nuclear DNA fragmentation          metastatic properties [3]. The DNA, once considered as the
in DL cells from Ru(II)-CNEB treated DL mice also                   main target of metallo-drugs [1, 4, 5], is now evident to be
coincided with the release of mitochondrial cytochrome c            unselective [6]. Therefore, instead of targeting compounds
in those DL cells. Importantly, neither blood based                 to interact with DNA, directing them to attenuate certain
biochemical markers of liver damage nor the normal                  biochemical steps which are over expressed in the tumors is
patterns of LDH isozymes in other tissues were affected             an evolving concept [6–8]. Ru-complexes are found to be
due to the treatment of DL mice with the compound. These            more versatile in this respect [3], as Ru metal centre can
results were also comparable with the effects of cisplatin          interact with and organize different ligands which can
(an anticancer drug) observed simultaneously on DL mice.            modulate cellular functions differentially [9].
The findings suggest that Ru(II)-CNEB is able to regress               The glycolytic phenotype of tumor cells, popularly
Dalton’s lymphoma in vivo via declining M4-LDH and                  known as Warburg effect, is now evident to be a near
                                                                    universal trait of all the growing tumors [10]. This ensures
                                                                    adequate production of cellular energy through a non-
R. K. Koiri : S. K. Trigun (*) : K. Pandey : D. Dixit
                                                                    mitochondrial route even when O2 supply is not a limiting
Biochemistry & Molecular Biology Laboratory, Centre
of Advanced Studies in Zoology, Banaras Hindu University,           factor and thus, protects tumor cells from oxidative stress
Varanasi 221005, India                                              [11–13]. Therefore, to restrict tumor growth, inhibition of
e-mail: sktrigun@sify.com                                           tumor glycolysis could be a logical target for the novel
L. Mishra : S. K. Dubey
                                                                    anticancer compounds [11, 12, 14, 15].
Department of Chemistry, Banaras Hindu University,                     Inhibition of glycolysis by 2-deoxy-D-glucose [16] and
Varanasi 221005, India                                              inactivation of hexokinase II (HKII), the first committed
504                                                                                        Invest New Drugs (2009) 27:503–516


enzyme of glycolytic pathway, by 3-bromopyruvate [17],          tissue level [24]. The present article investigates whether
have been reported to kill certain tumors in hypoxic            this compound is (a) able to decline the level of active M4-
condition. Importantly, in colon cancer cells with mito-        LDH and to induce apoptosis in the tumor cells in vivo and
chondrial defects, it has been demonstrated that inactivation   (b) effective in restricting tumor growth without being toxic
of tumor glycolysis activates glycolysis–apoptosis pathway      to the normal tissues.
with a concomitant increase in tumor cell death [18].
Nonetheless, effectiveness of 2-deoxy-D-glucose is signifi-
cantly masked by the presence of normal glucose in              Materials and methods
circulation [17]. In addition, if inactivation of HKII is not
tumor specific, it is likely to affect normal cell energy       Chemicals
metabolism also by restricting substrate supply to mito-
chondrial oxidative phosphorylation. Therefore, it is im-       Ru(II)-CNEB was synthesized and characterized as de-
portant to identify certain enzymatic proteins which are        scribed in an earlier report [24]. The ligand 4-carboxy N-
over expressed selectively in the cancer cells, and thus can    ethylbenzamide (CNEB) was characterized by elemental
be targeted by the novel compounds.                             analysis and single crystal X-ray crystallography. On the
   In growing tumors, a hypoxia induced factor (HIF1α) is       basis of elemental analysis and mass spectroscopy data
known to activate the genes of glycolytic enzymes under a       [24], empirical composition of the final Ru(II)-CNEB com-
variety of oncogenic stimulations [12, 19]. HIF1α also          plex was assigned as [Ru(CNEB-H)2(bpy)2]2PF6·0.5NH4PF6.
restricts entry of pyruvate to TCA cycle by inhibiting          The structure of the complex has been presented in Fig. 1,
pyruvate dehydrogenase (PDH) complex. As a result,              which suggests coordination of ligand with the metal through
mitochondrial function gets attenuated and pyruvate is          its amide N due to the presence of electron releasing ethyl
channeled to produce lactate by LDH [12]. Thus, enhanced        group attached to it. The crystallographic data has been
production of lactate becomes a survival factor for             deposited to the Cambridge Crystallographic Data Center,
malignant tumors [20]. Contrary to this, in normal cells,       CCDC No. 618507.
due to the less activity of HIF1α, pyruvate pool is                 β-NADH (β-nicotinamide adeninedinucleotide, reduced),
channeled to mitochondria for oxidative phosphorylation         NAD, Na-pyruvate, trypan blue, agarose, 4-carboxybenzalde-
without implicating LDH. Therefore, selective inactivation      hyde, RuCl3·3H2O, ammonium hexafluorophosphate and
of LDH is less likely to hamper energy metabolism in            anti β-actin were purchased from Sigma-Aldrich Co., USA.
normal cells, however, it can inhibit energy yielding           HRP-conjugated anti rabbit IgG and cisplatin [cis-diammi-
pathway of tumor cells. Thus, LDH could be a target of          nedichloroplatinum (II)] were obtained from Genei, and
therapeutic intervention for restricting tumor growth.          Cipla respectively. Anti cytochrome c, hydroxylamine
   Lactate dehydrogenase (LDH; EC: 1.1.1.27) is a tetra-        hydrochloride and ECL super signal western pico kit were
meric protein consisting of two types of subunits, the M/A      purchased from Santa Cruz, Fluka and Pierce respectively.
type (preferentially catalyzes conversion of pyruvate to        cis-Ru(bpy)2Cl2·2H2O was prepared by a reported procedure
lactate) and the H/B type (pre-dominantly expressed in the      [25]. SGOT (serum glutamate oxaloacetate transaminase)
aerobic tissues and catalyzes conversion of lactate to          and SGPT (serum glutamate pyruvate transaminase) assay
pyruvate). Combination of these two sub-units in different      kits were purchased from Span Diagnostics Ltd, India. Nitro
ratio gives rise five LDH isozymes (M4, M3H, M2H2,              blue tetrazolium (NBT), phenazine methosulfate (PMS), Li-
MH3 and H4), which are expressed in a tissue specific
manner in most of the animals. M4-LDH (LDH-5, LDH-A)
has been found to be over expressed in tumor cells to
                                                                                                   2+
                                                                                                                   O
support increased production of lactate from pyruvate [21].
                                                                            N        N
The tumorogenic potential of M4-LDH deficient cells was
found to be diminished drastically, however, it was found to          N                   N
                                                                                Ru                           R=
be recovered by complementation with the human ortholog
of M4-LDH [11]. Also, there are some reports on decrease
in the growth of certain tumor cells in vitro due to
inhibition of LDH activity by certain chemotherapeutic            C2H5 NH        HN      C2H5                     HO      O
agents [22, 23].                                                       R          R
   Recently, we have synthesized and characterized a Ru
                                                                             [Ru(CNEB-H)2(bpy)2 ]2PF6.0.5NH4PF6
(II)-CNEB complex which was found to be highly
biocompatible to mice in vivo and could interact with and       Fig. 1 Structure of Ru(II)-CNEB: [Ru(CNEB-H)2(bpy)2] 2PF6·0.5
inhibit M4-LDH non-competitively both in vitro and at the       NH4PF6
Invest New Drugs (2009) 27:503–516                                                                                       505


lactate and other general chemicals were purchased from          both the treated groups were analyzed by Kaplan–Meier
SISCO Research Laboratory, Mumbai, India.                        curve.

Induction of Dalton’s lymphoma (DL) in mice                      Preparation of samples for biochemical studies

Inbred AKR strain mice of 16–18 weeks age weighing 24–           For biochemical studies, three to four mice from each group
26 g were used for the experiments. Mice were maintained         were sacrificed, volume of the collected tumor ascite from
under standard laboratory conditions, as per the guidelines      each group was measured and DL cells were pelleted by
and approval from the institutional animal ethical commit-       centrifugation of ascites at 2,000×g for 10 min at 4°C.
tee, with free access to commercially available food pellets     Other tissues like liver, kidney and brain were dissected
and water. As described earlier [26, 27], Dalton lymphoma        out, washed in ice-cold physiological saline, and stored at
(DL) was induced by intraperitoneal (ip) serial trans-           −70°C.
plantations of 1×107 viable tumor cells (assayed by trypan          For blood based studies, blood samples from three to
blue method) per mice with 100% success each time.               four mice in each group were collected into sterilized tubes
Development of DL was confirmed by abnormal belly                containing heparin (15–20 IU/ml). For collecting serum, the
swelling and increased body weight which were visible on         blood was collected in unheparinized tubes, allowed to clot
10–12 days of implantation. The untreated DL mice                at room temperature (22°C) and centrifuged at 1,000×g for
survived for 18±2 days.                                          15 min.

Treatment schedule and study on survival time                    Short term cytotoxicity assay

Ru(II)-CNEB was first dissolved in the minimum volume            Through pilot experiments it was determined that 1×106–
of 0.01% methanol followed by its further dilution in            107 DL cells collected from ascitic fluids could be
Kreb’s ringer buffer (KRB) composed of 9 mM D-glucose,           maintained in sterilized KRB medium at 37°C up to
0.23 mM MgCl2, 4.5 mM KCl, 20 mM NaCl, 0.7 mM                    >24 h without any loss of cell viability. Accordingly, for
Na2HPO4, 1.5 mM NaH2PO4 and 15 mM NaHCO3                         in vitro cytotoxicity assay of Ru(II)-CNEB, 1×106 viable
(pH 7.3). Different concentrations of the compound were          DL cells were suspended in 0.25 ml KRB and were
also prepared in KRB for ip injections. Through pilot            incubated with the increasing concentrations of Ru(II)-
experiments, a dose of 10 mg/kg bw of Ru(II)-CNEB,               CNEB (0.005–10 mg/ml) at 37°C for 30 min and 20 h
given intraperitoneally, was found to be a sub-lethal dose to    duration separately. After respective time intervals, the
normal mice and could increase the life span of DL bearing       number of viable DL cells was determined in each set by
mice significantly. Therefore, this dose of Ru(II)-CNEB          trypan blue exclusion method. A 10 μl sample of cell
was selected for the present study. The DL mice were             suspension was mixed with an equal volume of 0.4%
randomly divided into three groups with nine to ten mice in      trypan blue and the cells were counted using hemocytom-
each. The first group DL mice were treated with Ru(II)-          eter. Similar method was adopted to determine the number
CNEB complex (10 mg/kg bw/day, ip), second group with            of viable DL cells pelleted from the ascites of different
cisplatin (2 mg/kg bw/day, ip) and the third group,              experimental groups. The DL cell viability was recorded as
designated as DL control, were similarly injected with           % DL cell viability=(Total no of cells − trypan blue-stained
equal volume of KRB. As DL becomes visible on day 10–            cells)/total no of cells)×100.
11 and DL bearing mice survived up to 18–20 days post
transplantation, the treatments of DL mice with the              DNA fragmentation assay
compounds were started from day 11 of tumor transplant
and continued up to day 17th. The normal control group           Quantitative determination of fragmented DNA was carried
mice were also treated simultaneously with KRB. To study         out as described earlier [28] with slight modifications.
biochemical/molecular parameters, three to four mice from        Briefly, DL cells were lysed in 0.5 ml of Tris–EDTA buffer
each group were sacrificed on day 18th. The remaining            (pH 7.4) containing 0.2% (v/v) triton X-100 and centrifuged
mice in each group were allowed to be maintained on              at 13,000×g at 4°C for 10 min. The pellets containing total
normal diets to study their survival time after the treatment.   intact DNA (designated P) and the supernatants containing
   In order to assess the effects of compounds on general        smaller fragments of DNA (designated S) were treated
appearance of DL mice, body weight of mice was recorded          separately with 0.5 ml of 25% trichloroacetic acid (TCA).
at an interval of 3 days starting from the day of                Both the sets were left overnight at 4°C and DNA
transplantation up to 21 days. The mortality was noted in        precipitated were collected by centrifugation. Each sample
each group and increases in the survival time of mice of         was treated with 80 μl of 5% TCA followed by heat
506                                                                                       Invest New Drugs (2009) 27:503–516


treatment at 90°C for 15 min. Freshly prepared 1 ml            quantified using gel densitometry software AlphaImager
diphenylamine (DPA) reagent was added in each sample,          2200.
tubes were allowed to stand overnight at room temperature
and OD was recorded at 600 nm. Percent DNA fragmen-            Analysis of LDH isozymes by non-denaturing
tation was calculated as:                                      polyacrylamide gel electrophoresis (PAGE)
% DNA fragmentation ¼ ½S=ðS þ PÞŠ Â 100
                                                               Non-denaturing PAGE is a preferred method to analyze
                                                               expression pattern of LDH isozymes. It employs substrate
Agarose gel electrophoresis of fragmented DNA                  specificity based detection of all the isozymes of LDH
                                                               distinctly in the same gel, and thus, it is considered highly
For electrophoretic analysis of fragmented DNA, the total      relevant for correlating a change in the level of a specific
nuclear DNA was isolated from the DL cells according to        LDH isozyme with that of a metabolic alteration at cellular
the method of Kuo et al. [29]. Briefly, 5×106 cells were       level. This method has been successfully applied to
lysed in 1 ml of lysis buffer [20 mM Tris–Cl (pH 7.5),         understand the implications of critical enzymes like SOD
0.15 M NaCl, 1 mM EDTA, 1 mM EGTA, 1% Triton X-                and LDH in cancer and neuropathology [31–33].
100 and 25 mM Na2 pyrophosphate] at 37°C for 1 h. To              Tissue extracts were prepared as described earlier from
precipitate out proteins, 0.4 ml of saturated NaCl was added   this lab [30]. LDH isozymes in DL cell lysates and other
in each set of cell lysate, tubes were left on ice for 5 min   tissues were analyzed on non-denaturing 10% PAGE
and centrifuged at 3,000×g for 30 min. To separate DNA         following the method described earlier [32]. Briefly, the
from the intact chromatin, RNase (20 μg/ml) was added to       extracts containing 60 μg protein were loaded in each lane
the supernatants collected and allowed to stand at 37°C for    and electrophoresis was performed at 4°C. Gels were
15 min. DNA was then precipitated by adding two times          subjected to substrate specificity based detection of LDH
chilled ethanol (v/v). Samples were frozen at −70°C            bands [32] followed by scanning and quantification of the
overnight. The DNA precipitated was collected by centri-       bands as described earlier. The different isozymes of LDH
fugation and dissolved in TAE buffer (40 mM Tris-acetate +     in the gel were characterized by comparing their relative
1 mM EDTA).                                                    migration (from cathodic to anodic) with those of the tissue
   The DNA samples were prepared in a loading solution         specific standard LDH bands [2, 24, 32].
(0.25% bromophenol blue, 0.25% xylene cyanol FF and
30% glycerol) in the ratio of 1:5. The samples containing      Analysis of superoxide dismutase (SOD: Mn-SOD)
10 μg DNA were loaded in each well of 1% agarose gel           by non-denaturing PAGE
containing 0.5 μg/ml ethidium bromide. The electrophore-
sis was carried out in TAE buffer for 2–3 h. The DNA           As described in case of analysis of LDH isozymes, 12%
bands in gel were observed under UV transilluminator and       non-denaturing PAGE was performed to determine the level
photographed.                                                  of active fraction of SOD2 in different DL cell extracts. The
                                                               active SOD bands were developed following the method
Western blotting for cytochrome c release                      reported recently from our lab [33]. The gel was scanned
from the mitochondria                                          and SOD bands were quantified as described in the
                                                               previous text. The Mn-SOD (SOD2) in the gel was
DL cells were lysed in the lysis buffer containing 1 mM        identified by its greater cathodic migration than that of
PMSF. The cell lysate was incubated on ice for 15 min,         SOD1 (Cu/Zn-SOD) which migrates faster towards anode
vortexed and centrifuged at 700×g for 10 min. To obtain        [33].
mitochondria free cytosolic fraction, supernatant obtained
was centrifuged at 10,000×g for 30 min. Following the          Other biochemical measurements
method described earlier [30], the samples containing
60 μg protein, prepared in Laemmli buffer, were subjected      Protein concentrations in tissue extracts and in the blood/
to 15% SDS-PAGE (sodium dodecyl sulphate-polyaryla-            serum were measured following the method of Bradford
mide gel electrophoresis). Proteins were transferred to        [34]. The activity of LDH in cell extracts was measured as
nitrocellulose membrane followed by detection of cyto-         described in an earlier report [24] and oxidation of 1 μmol
chrome c against a polyclonal anti-cytochrome c (1:1,000).     of NADH per min at 25°C was defined as 1 U of the
The ECL super signal west pico kit was used to develop the     enzyme and values were presented as unit per milligram
bands on X-ray films. Using monoclonal anti-β-actin            protein.
peroxidase antibody (1:10,000), level of β-actin was              The levels of SGOT and SGPT were determined
probed as a loading control. The bands were analyzed and       following the manual of the kits used. Non-denaturing
Invest New Drugs (2009) 27:503–516                                                                                                         507

                                                                                        120
PAGE was performed to analyze LDH isozymes in the                                                                                   30 min




                                                                 Viabilty of DL cells
serum also.                                                                             100          **                  **         20 h




                                                                   (% of control)
                                                                                        80
                                                                                                                  ***
Statistical analysis                                                                    60
                                                                                        40                                    ***   ***
Kaplan–Meier survival curves for the treated and untreated                              20
group of DL mice were compared by using the log-rank                                                                                      ***
                                                                                         0
test. Other experimental data were expressed as mean±SD                                       0.0   0.05          0.5      5.0       10.0
and wherever required, Student’s t test was applied for                                                    Ru(II)-CNEB (mg/ml)
determining the level of significance. p<0.05 was consid-
                                                                 Fig. 2 Effect of increasing concentrations of Ru(II)-CNEB on DL
ered significant.                                                cells in vitro. DL cells (1×106) for each set were maintained in KRB
                                                                 medium and incubated with the indicated concentrations of the
                                                                 compound for different time intervals. Viability of DL cells after
Results                                                          30 min and 20 h incubation was determined by trypan blue exclusion
                                                                 method. The data represent mean±SD from three to four experimental
                                                                 repeats. **p<0.01; ***p<0.001 (control versus respective experimen-
To evaluate anticancer potential of Ru(II)-CNEB in vivo,         tal sets)
we selected a transplantable T cell lymphoma (Dalton’s
lymphoma: DL) as a tumor model, because, DL can be
induced in rodents within a short period of time with >95%       decrease the DL cell viability in mice, ascitic fluid collected
reproducibility and with clear visible symptoms which can        from untreated and treated DL bearing mice were analyzed.
be used for monitoring the progression as well as regression     As compared to the untreated DL mice, there was a
of the DL throughout the period of experimentation. In           significant decrease (p<0.01) in the volume of ascite
addition, homogeneous DL cells can be precipitated from          collected from the DL mice treated with the both, Ru(II)-
the ascitic fluid for studying the biochemical and molecular     CNEB and cisplatin (Fig. 3a). Moreover, there was a drastic
changes associated with development/regression of the            decline (~80%) in the number of viable DL cells in the
tumor [26, 35]. Importantly, some mechanistic aspects of         samples of ascites collected from both, the Ru(II)-CNEB
anticancer activity of cisplatin have been worked out using      and cisplatin treated DL mice (Fig. 3b).
this model [26, 36, 37]. We could also induce DL in mice            Release of LDH in cell free medium indicates cell
with 100% success each time and used DL bearing mice for         damage in vitro as well as in vivo. In comparison to the
in vivo evaluation of Ru(II)-CNEB as an anticancer agent.        level of M4-LDH in the cell free ascitic fluid from
                                                                 untreated DL mice, there was a significant increase in the
Cytotoxicity of Ru(II)-CNEB on DL cells in vitro                 level of M4-LDH in those from Ru(II)-CNEB and cisplatin
                                                                 treated DL mice (Fig. 3c). These findings clearly suggest
Cytotoxicity assay was done to ascertain whether Ru(II)-         that both the compounds tested are able to restrict DL
CNEB is able to kill DL cells in vitro. For this, DL cells       development and also to induce death of DL cells in vivo.
were maintained in a physiological buffer medium and their
viability was assayed after incubating them with increasing      Effect of Ru(II)-CNEB on the level of M4-LDH in DL cells
concentrations of the compound for 30 min and 20 h. As
shown in Fig. 2, in 30 min set, though DL cell viability was     Increased LDH activity is associated with tumor develop-
not affected up to 0.5 mg/ml Ru(II)-CNEB, a significant          ment. To ascertain whether Ru(II)-CNEB and cisplatin are
decline in the number of viable DL cells was observed at         able to decrease the activity of this enzyme in DL cells,
higher concentrations of the compound (at 5 mg/ml; p<0.01        LDH activity was compared in DL cells from untreated and
and at 10 mg/ml; p<0.001). Moreover, when incubation             treated DL mice. According to Fig. 4a, as compared to the
period was increased to 20 h, a linear decline in the number     LDH activity observed in DL cells from the untreated
of viable DL cells was observed starting from 0.05 mg/ml         group, there was a significant decrease (p<0.01) in the
(p<0.01) to 10 mg/ml (p<0.001) of the compound. Thus, it         activity of this enzyme in DL cells from Ru(II)-CNEB
was evident that Ru(II)-CNEB is able to kill DL cells in vitro   treated DL mice. However, activity of LDH was found to
in a dose and incubation time dependent manner.                  be increased significantly in DL cells from the cisplatin
                                                                 treated DL mice.
Effect of Ru(II)-CNEB on regression of DL cells in vivo             In order to ascertain whether Ru(II)-CNEB affects the
                                                                 level of active M4-LDH and/or the level of other LDH
In order to confirm whether administered dose of Ru(II)-         isozymes in DL cells, non-denaturing PAGE analysis was
CNEB is able to restrict the development of DL and/or to         preferred over the immunostaining methods. Though this
508                                                                                                                                    Invest New Drugs (2009) 27:503–516


                                 a




                                Vol. of ascitic fluid (ml)
                                                             16
                                                             14
                                                             12                              c                                   DL   DL+Rc DL+Cpt
                                                             10
                                                              8
                                                              6          **      **
                                                              4                             M4-LDH
                                                              2
                                                              0
                                                                   DL   DL+Rc   DL+Cpt
                                 b




                                                                                               Densitometry of LDH bands
                                                             120                                                           350
                    Viability of DL cells




                                                                                                                                                 ***
                    (% of DL control)




                                                                                                   (% of DL control)
                                                             100                                                           300
                                                             80                                                            250
                                                                                                                           200
                                                             60                                                                        ***
                                                                                                                           150
                                                             40                  ***
                                                                                                                           100
                                                             20          ***                                               50
                                                              0                                                             0
                                                                   DL   DL+Rc   DL+Cpt                                           DL   DL+RC    DL+CPT

Fig. 3 Effects of Ru(II)-CNEB and cisplatin treatment on ascitic fluid                   substrate specific LDH bands were developed in the gel. The gel
volume (a), viability of DL cells (b) and on the release of M4-LDH in                    photograph is a representative of the three PAGE repeats. In lower
the cell free ascitic fluid (c) of DL bearing mice. In case of (a) and (b),              panel of (c), relative densitometric values of LDH bands from
the data represents mean±SD where n=4. In (c), pooled cell free                          experimental group, as percent of the control DL lane, have been
ascitic fluid from three to four mice containing 60 μg protein was                       presented as mean±SD from three PAGE repeats. *p<0.05; **p<
loaded in each lane, 10% non-denaturing PAGE was performed and                           0.01; ***p<0.001 (DL control versus treated DL groups)


method is relatively less sensitive than that of immunode-                               group mice showed the smears of fragmented DNA. Whereas,
tection, however, it is more relevant for interpreting                                   the DNA isolated from DL cells of untreated mice showed a
metabolic changes associated with the enzymatic altera-                                  single DNA band at higher molecular weight (MW) range.
tions. Because, this method utilizes substrate specificity                               These results clearly suggest that both the compounds tested
based detection of only active fraction of the enzyme                                    were able to induce apoptosis in DL cells in vivo.
excluding inactive/denatured proteins, which otherwise can                                  Oxidative stress and mitochondrial dysfunction are
not be excluded by immunostaining method.                                                known to initiate final steps of apoptosis. Superoxide
   Figure 4b shows that DL cells from the untreated DL                                   dismutase (SOD) is the first committed enzyme that
mice expressed high amount of only M4-LDH which was                                      neutralizes oxygen free radical (O2)− based oxidative stress
found to be decreased significantly (p<0.01) in the DL cells                             in the cells. Therefore, a decrease in the level of Mn-SOD
from Ru(II)-CNEB treated DL mice. However, there was                                     (SOD2: mitochondrial isoform) may be considered as an
no change in the level of M4-LDH in the DL cells from                                    indicator of oxidative stress in mitochondria. As shown in
cisplatin treated DL mice. This suggest that among the two                               Fig. 6a, there was a significant increase (p<0.05) in the
compounds tested, only Ru(II)-CNEB caused a decline in                                   level of active SOD2 in DL cells from Ru(II)-CNEB treated
the level of M4-LDH in DL cells in vivo.                                                 DL mice than that from the untreated DL group. However,
                                                                                         the DL cells from cisplatin treated DL mice showed a
Apoptosis of DL cells in vivo by Ru(II)-CNEB                                             significant decrease (p<0.01) in the level of active SOD2.
                                                                                            Release of mitochondrial cytochrome c in the cytosol
The DNA fragmentation assay is a reliable tool to ascertain                              indicates for induction of mitochondrial dysfunction–
apoptotic cell death. In the present context, using a standard                           apoptotic pathway in the cells. Therefore, the level of
method, the percentage of fragmented DNA in DL cell                                      cytochrome c in the cytosol of DL cells from untreated and
extracts was measured followed by its analysis on agarose                                treated DL groups was compared. As compared to the DL
gel electrophoresis. There was a significant increase (p<                                cells from untreated DL group, cytosolic fractions of DL
0.01) in the level of fragmented DNA in DL cells from                                    cells from Ru(II)-CNEB and cisplatin treated DL mice
both, the Ru(II)-CNEB and cisplatin treated DL mice                                      showed a significant increase (p<0.05) in the level of
(Fig. 5a). This was further confirmed by the results of                                  cytochrome c (Fig. 6b). The results suggest induction of
agarose gel electrophoresis (Fig. 5b) wherein, DNA                                       mitochondrial dysfunction–apoptotic pathway in the DL
samples from the DL cells collected from both the treated                                cells in vivo by both the compounds tested.
Invest New Drugs (2009) 27:503–516                                                                                                      509


        a                            6                   **             mice treated with Ru(II)-CNEB, which was comparable
                                     5                                  with the effect of cisplatin treatment also. Thus, it was
        (U/mg protein)
         LDH Activity
                                     4                                  evident that like cisplatin, Ru(II)-CNEB is also able to
                                     3                                  cause an increase in the survival period of DL bearing mice
                                                 **                     with remarkable improvements in DL associated symptoms.
                                     2
                                     1
                                     0                                  Effect of Ru(II)-CNEB treatment on normal tissues of DL
                                          DL    DL+Rc   DL+Cpt          mice

        b                                  DL   DL+Rc   DL+Cpt
                                                                        Liver metabolizes most of the drugs and kidney filters out
         M4-LDH                                                         all the unwanted exogenous substances. Therefore, these
                                                                        two organs are likely to be affected up to a greater extent by
        Densitometry of LDH bands




                                    140                                 the drug treatment. Also, it is important to ensure that an
                                                                        anticancer compound does not cross the blood brain barrier
            (% of DL control)




                                    120
                                                                        and central nervous system remains protected during the
                                    100
                                                 **                     treatment. Therefore, these three tissues were selected to
                                    80
                                                                        assess toxicity of Ru(II)-CNEB on the normal tissue.
                                    60
                                    40
                                    20                                         a
                                     0
                                                                                                    160
                                                                                                    140
                                                                                                                 *          *
                                                                                Fragmented DNA
                                                                                (% of DL control)
                                          DL    DL+Rc    DL+Cpt                                     120
                                                                                                    100
Fig. 4 Effects of Ru(II)-CNEB and cisplatin treatment on the activity
(a) and the level of M4-LDH (b) in the DL cells of DL bearing mice.                                 80
The values in (a) represent mean±SD where n=4 and each experiment                                   60
done in duplicate. In case of (b), pooled DL cell extracts from four                                40
mice containing 60 μg protein in each lane was electrophoresed on                                   20
10% non-denaturing PAGE followed by substrate specific develop-                                      0
ment of LDH bands. The gel photograph is a representative of the                                          DL    DL+Rc     DL+Cpt
three PAGE repeats. In lower panel of (b), relative densitometric
values of LDH bands from experimental group, as percent of the
control DL lane, have been presented as mean±SD from three PAGE                                 b
repeats. **p<0.01 (DL control versus treated DL groups)



Improvements in the survival parameters of Ru(II)-CNEB
treated DL mice

Development of Dalton’s lymphoma in mice is character-
ized by the abdominal swelling and increased body weight.
Therefore, these parameters were measured to assess
whether Ru(II)-CNEB was able to bring recovery in the
DL associated symptoms in mice. As compared to the
control mice, DL implanted mice showed a significant
increase in their body weight (p<0.01) from day 1 to 14th,
which was found to be static thereafter (Fig. 7). However,
after the treatment with both, Ru(II)-CNEB and cisplatin                                                   DL   DL+Rc   DL+Cpt
from day 11 to 17, a significant decrease (p<0.01) in the
                                                                        Fig. 5 Effects of Ru(II)-CNEB and cisplatin treatment on DNA
body weight of DL mice was observed. In addition, as
                                                                        fragmentation in DL cells of DL bearing mice. The values in (a)
compared to the mean survival time of untreated DL mice                 represent mean±SD of three experimental repeats from the pooled DL
(18 days), the DL mice treated with Ru(II)-CNEB and                     cell extracts collected from four DL mice. In case of (b), 10 μg DNA
cisplatin could survive up to 24 and 26 days respectively.              extracted from the pooled DL cells from three to four DL mice was
                                                                        loaded in each lane and subjected to 1% agarose gel electrophoresis
Comparison of the survival time data on Kaplan–Meier
                                                                        followed by detection of ethidium bromide stained DNA bands under
survival curves (Fig. 8) using log-rank statistics suggests a           UV transilluminator. The photograph is a representative of three
significant increase (p<0.001) in the survival time of DL               repeats. *p<0.05 (untreated versus treated groups)
510                                                                                                                                                                          Invest New Drugs (2009) 27:503–516


                           a                                                                                   b                                           DL        DL+Rc        DL+Cpt

                                                                        DL        DL+Rc         DL+Cpt         Cyto C

                           SOD 2
                                                                                                               β Actin
                           Densitometry of SOD bands


                                                       140                             *




                                                                                                                             Densitometric value
                                                       120                                                                                         2.0
                                (% of DL control)




                                                                                                                               (Cyt C/β actin)
                                                       100                                                                                         1.5                       *
                                                        80                                           **                                                                                   *
                                                        60                                                                                         1.0
                                                        40                                                                                         0.5
                                                        20
                                                         0                                                                                         0.0
                                                                       DL         DL+Rc         DL+Cpt                                                      DL            DL+Rc         DL+Cpt

Fig. 6 Effects of Ru(II)-CNEB and cisplatin treatment on the level of                                           wherein, pooled DL cell extracts from three to four DL mice
active SOD2 (a) and on cytochrome c release in the cytosol of DL                                                containing 60 μg protein in each lane was subjected to 15% SDS-
cells (b) of DL bearing mice. In (a), pooled DL cell extracts from four                                         PAGE followed by western transfer on nitrocellulose membrane and
mice containing 60 μg protein in each lane were electrophoresed on                                              detection of cytochrome c bands using a polyclonal anti cytochrome c.
12% non-denaturing PAGE followed by substrate specific develop-                                                 The level of β actin was probed as the loading control. The
ment of SOD2 bands in the gel. The gel photograph is a representative                                           photograph is a representative of the three western blot repeats. In
of the three PAGE repeats. In lower panel of (a), relative                                                      lower panel of (b), normalized values of cytochrome c/β actin have
densitometric values of SOD2 bands from the treated group, as                                                   been presented as mean ± SD from three western blot repeats.
percent of the control lane (untreated DL group), have been presented                                           *p<0.05; **p<0.01; (untreated versus treated groups)
as mean±SD from three PAGE repeats. b Immunoblotting results


Increased level of serum LDH indicates for vital tissue                                                         Ru(II)-CNEB as well as cisplatin treated DL group mice
damage and the levels of SGOT and SGPT are used as                                                              (Fig. 10a,b). Though there was a significant increase in the
blood based markers of liver damage. The serum of control                                                       level of M4-LDH (p<0.01) in the liver of control DL mice
as well as all the DL group mice showed the presence of                                                         than that of the normal mice, no change in the level of this
mainly M4-LDH with a minor fraction of M3H isozyme                                                              enzyme was observed in the liver of DL mice treated with
(Fig. 9). As compared to their levels in the serum of normal                                                    Ru(II)-CNEB (Fig. 10c). However, as compared to the
mice, both these isozymes were significantly increased (p<                                                      untreated DL group, a significant decline in the level of
0.05) in the serum of untreated DL mice. However, both of                                                       M4-LDH could be seen in the liver of cisplatin treated DL
them remained unchanged, as compared to the normal                                                              mice.
mice, in the serum of Ru(II)-CNEB and cisplatin treated DL
group mice. Also, the levels of SGOT and SGPT were                                                                                     100
found to be unaltered among the normal, untreated DL and                                                                                                                                      Logrank p=0.0007
                                                                                                                                           80
                                                                                                                   Survival rate (%)




                                           N                     DL          DL+Rc          DL+Cpt
                                                                                                                                           60
                  40
                                                                       Start of treatment
Body weight (g)




                                                                                     ##                   ##                                                    DL
                                                                                                                                           40
                  35                                                                                                                                            DL+Rc
                                                             #
                                                                                                          *                                20
                                                                                                          **                                                    DL+Cpt
                  30

                                                                                                                                                   0
                  25                                                                                                                                   0             10            20             30             40
                       1                                         7                14                 21                                                              Days after DL transplantation
                                                                     Period (days)
                                                                                                                Fig. 8 Kaplan–Meier survival curve for untreated DL mice and the
Fig. 7 Effects of Ru(II)-CNEB and cisplatin treatment on the body                                               DL mice treated with Ru(II)-CNEB (DL + Rc) and cisplatin (DL +
weight of DL mice. The data represents mean±SD where n=5–6. # p<                                                Cpt). The log-rank analysis was performed to examine the level of
0.05; ## p<0.01 (normal control versus untreated DL group). *p<0.05;                                            significance and a p value of <0.001 was obtained in case of both the
**p<0.01 (DL control versus treated DL groups)                                                                  treated group of DL mice versus untreated DL mice
Invest New Drugs (2009) 27:503–516                                                                                                                             511

                                                        NC    DL        DL+Rc DL+Cpt              cisplatin treated DL group mice (Fig. 11a). Unchanged
                                                                                                  patterns of all the five LDH isozymes were also observed in
                                                                                                  the brain of control and all the DL (untreated and treated)
            LDH
                                                                                                  group mice (Fig. 11b). These results clearly suggest that the
             M4
                                                                                                  administered dose of Ru(II)-CNEB was nontoxic to the
          M3H                                                                                     vital tissues of the DL bearing mice.
        Densitometry of LDH bands




                                    140
                                                                                                  Discussion
                                    120
            (% of DL control)




                                    100
                                                          #                                       Low toxicity and efficient bio-distribution of Ru-complexes
                                     80
                                                                                                  are of great advantage over other metal complexes for
                                     60
                                                                                                  evaluating their anticancer potential in vivo [2, 3]. This was
                                     40
                                                                                                  found to be true in case of Ru(II)-CNEB also. When a
                                     20
                                                                                                  nontoxic dose of the compound, determined for normal
                                      0
                                                         NC        DL    DL+Rc DL+Cpt
                                                                                                  mice, was administered to DL bearing mice, it resulted in a
                                                                                                  significant decrease in the number of viable DL cell in vivo
Fig. 9 Effects of Ru(II)-CNEB and cisplatin treatment on the release                              (Fig. 3b) without producing any toxic effect on the other
of LDH in the serum of DL mice. Pooled serum from three to four                                   normal tissues (Figs. 9, 10, and 11).
mice containing 60 μg protein in each lane was electrophoresed on
10% non-denaturing PAGE followed by substrate specific develop-
                                                                                                     The in vitro studies provide primary level information on
ment of LDH bands. The gel photograph is a representative of the                                  cytotoxic potentials of a novel compound. We could also
three PAGE repeats. In lower panel, relative densitometric values of                              observe a dose and time dependent decrease in the number
LDH bands from experimental group, as percent of the control lane,                                of viable DL cells by Ru(II)-CNEB in vitro (Fig. 2).
have been presented as mean±SD from three PAGE repeat experi-
ments. #p<0.05 (normal control versus untreated DL group)
                                                                                                  However, a more pronounced decrease observed in the
                                                                                                  viability of DL cells from Ru(II)-CNEB treated DL mice
                                                                                                  (Fig. 3b) clearly indicated a greater anticancer activity of
   Results in Fig. 11a and b re-confirm that mice kidney                                          this compound in vivo than ex vivo. Some other Ru-
and brain express all the five LDH isozymes. However, as                                          complexes have also been shown to be less toxic in vitro
compared to the LDH pattern observed in the kidney of                                             but could cause potent anti tumor activity in vivo [38].
normal mice, there was a significant decrease (p<0.05) in                                            It has been suggested that different Ru-complexes show
the level of all the five isozymes in that of untreated DL                                        their anticancer activities via distinctly different mecha-
mice, but with no change in case of Ru(II)-CNEB and                                               nisms such as by interacting with DNA and some serum

                                           a                                                      c
                                                        200
                                          SGOT (IU/L)




                                                        150
                                                                                                                                     NC   DL   DL+Rc DL+Cpt

                                                        100
                                                                                                 M4-LDH
                                                         50
                                                         0
                                                              NC        DL   DL+Rc     DL+Cpt
                                                                                                   Densitometry of LDH bands




                                                                                                                               120
                                                                                                                               100   ##               **
                                                                                                       (% of DL control)




                                           b                                                                                    80
                                                         8
                                          SGPT (IU/L)




                                                         6                                                                      60
                                                         4                                                                      40
                                                         2                                                                      20
                                                         0                                                                       0
                                                              NC        DL    DL+Rc     DL+Cpt                                       NC   DL   DL+Rc DL+Cpt

Fig. 10 Effects of Ru(II)-CNEB and cisplatin treatment on the levels                              ment of LDH bands. The gel photograph is a representative of the
of SGOT (a), SGPT (b) and M4-LDH in the liver (c) of DL bearing                                   three PAGE repeats. In lower panel of (c), relative densitometric
mice. The values in (a) and (b) represent mean±SD where n=4 and                                   values of LDH bands from experimental group, as percent of the
each assay done in triplicate. In (c), pooled liver extracts from four                            normal control lane, have been presented as mean±SD from three
mice containing 60 μg protein in each lane was electrophoresed on                                 PAGE repeats. **p<0.01 (untreated DL versus treated DL groups);
10% non-denaturing PAGE followed by substrate specific develop-                                   ##p<0.01 (normal control versus untreated DL group)
512                                                                                                                         Invest New Drugs (2009) 27:503–516


                    a                                                               b
                                                    NC   DL   DL+Rc DL+Cpt                                        NC   DL   DL+Rc    DL+Cpt
                                     LDH
                                                                                            LDH
                                              M4
                                                                                                        M4
                                     M3H
                                                                                            M3H
                               M2H2                                                   M2H2
                                     MH3                                                    MH3
                                              H4                                                        H4




                                                                                Densitometry of LDH bands
                  Densitometry of LDH bands




                                              200                                                           120
                                                                                                            100




                                                                                    (% of DL control)
                                                    #
                      (% of DL control)




                                              150
                                                                                                             80

                                              100                                                            60
                                                                                                             40
                                               50                                                            20

                                                0                                                             0
                                                    NC   DL    DL+Rc   DL+Cpt                                     NC   DL    DL+Rc    DL+Cpt

Fig. 11 Effects of Ru(II)-CNEB and cisplatin treatment on the level             PAGE repeats for each tissue. In lower panel of (a) and (b), relative
of LDH isozymes in kidney (a) and brain (b) of DL mice. In upper                densitometric values of LDH bands from experimental group, as
panels of (a) and (b), the pooled tissue extracts from four mice                percent of the control DL lane, have been presented as mean±SD
containing 60 μg protein in each lane was electrophoresed on 10%                from three PAGE repeats. ##p<0.01 (normal control versus untreated
non-denaturing PAGE followed by substrate specific development of               DL group)
LDH bands. The gel photographs are the representative of the three


proteins and also by inhibiting certain enzymes like                            future interest to determine the actual levels of this protein
cytochrome c, protein kinase C, topoisomerase II etc [3].                       in DL cells from treated and untreated mice, in the present
Being highly unselective, DNA is considered an unsuitable                       context, a significant decline in the level of active M4-LDH
target for anticancer agents [7]. Alternatively, selecting a                    in DL cells of Ru(II)-CNEB treated mice suggests decrease
protein as pharmacological target sounds better, however, it                    in energy metabolism of the cancerous cell due to the
is important to first ensure that inactivation of a cellular                    treatment with this compound. The tumor cells rely much
protein is cancer cell specific and does not hamper normal                      on the energy pathway lead by M4-LDH dependent
cell metabolism. In this respect, inhibiting glycolytic                         production of lactate from pyruvate [11, 20, 21]. Thus,
efficiency of tumor cells seems to be the most relevant                         inactivation of this isozyme can severely affect only tumor
target, as all tumor cells switch over to enhanced aerobic                      cell energy metabolism. Contrary to this, as normal cells
glycolysis [10] for their additional energy needs [11, 12].                     utilize pyruvate for mitochondrial oxidative phosphoryla-
Also, the two key glycolytic enzymes, PKM2 (a fetal                             tion rather than to produce lactate by M4-LDH, decline of
isoform of pyruvate kinase) and M4-LDH, have been found                         this isozyme in normal tissues is less likely to affect their
to be over expressed selectively in most of the tumors and                      energy metabolism. This argument also justifies a greater
therefore, both of these enzymes are argued to be the potential                 decrease in the number of viable DL cells in vivo than in
targets for novel anticancer compounds [8, 11, 21, 24].                         vitro due to the treatment with Ru(II)-CNEB (Figs. 2 and
   Based upon our recent findings on inhibition of M4-                          3b). Isolated tumor cells maintained in vitro are devoid of
LDH by Ru(II)-CNEB [24] and modulation of this enzyme                           true hypoxia and they can exploit aerobic pathway for
by other metal complexes [32], we selected M4-LDH as a                          energy production even if LDH activity is declined
target protein for evaluating anticancer activity of Ru(II)-                    significantly and thus, can survive better. Contrary to this,
CNEB. It has been reported that like most of the tumors,                        due to greater hypoxia faced by the tumor cells in vivo,
DL cells also over express M4-LDH [26, 27]. A highly                            they rely much on anaerobic glycolysis [12] and thus, as a
intense band of M4-LDH in the DL cell extracts from                             consequence of diminished M4-LDH activity, they can be
untreated DL mice (Fig. 4b; lane 1) also corroborate these                      deprived of adequate energy production resulting into poor
earlier findings and accordingly, a significant decline in the                  survival. In addition, it has been reported [20] that tumor
level of M4-LDH in DL cells from Ru(II)-CNEB treated                            stroma associated fibroblasts help in the survival of tumor
mice (Fig. 4b; lane 2) suggests that this compound was able                     cells via recycling of lactate produced in excess by the
to decline the active level of this enzyme in DL cells in                       tumor cells. However, the blockage of tumor LDH-5 (M4-
vivo. Though immunostaining of M4-LDH would be of                               LDH) suppresses this additional route of metabolic supple-
Invest New Drugs (2009) 27:503–516                                                                                       513


mentation and thus, can render tumor cells susceptible to        oxidative stress [47]. We have observed a direct relation-
death [20].                                                      ship between the release of cytochrome c and increased
    Tissue damage causes leakage of LDH in body fluids           level of DNA fragmentation in the DL cells from Ru(II)-
[39, 40]. Thus, a significant increase in the level of M4-       CNEB treated DL mice (Figs. 5 and 6b). A similar pattern
LDH in the cell free ascitic fluid from Ru(II)-CNEB treated      of DNA fragmentation and increased level of cytochrome c
DL mice, than that from the untreated DL mice (Fig. 3c;          release in the DL cells from cisplatin treated DL mice were
lane 1 vs lane 2), indicates for DL cell death caused by this    also observed and thus, suggesting that both, Ru(II)-CNEB
compound in vivo. A more pronounced increase in the level        and cisplatin, have been able to induce apoptosis in DL
of M4-LDH in cell free ascitic fluid from cisplatin treated      cells in vivo via release of cytochrome c.
DL mice (Fig. 3c; lane 3) further strengthened this                  There could be more than one mechanism for inducing
argument, as cisplatin induced regression of DL cells has        apoptosis by chemotherapeutic agents. Anticancer drug
been shown to accompany the release of LDH in ascitic            causing induction of apoptosis via inhibition of glycolysis
fluid [26]. Moreover, since cisplatin did not alter the level    in tumor cells is a relatively new concept [18, 48]. Though
of M4-LDH in DL cells, which was observed to be declined         the link between inhibition of glycolysis and tumor cell
significantly by Ru(II)-CNEB, it may be speculated that the      apoptosis is yet to be defined, it may be speculated that
mechanism of cell death caused by both the compounds are         depletion of energy and growth promoting substrates due to
different from each other.                                       decline in glycolytic efficiency could act as an inducer of
    Development of Dalton’s lymphoma is characterized by         apoptosis in the tumor cells. Tumor cells show aberrant
the increments in the body weight and volume of the ascitic      NADH/NAD shuttle of mitochondria resulting into in-
fluid and thus, measurement of both these parameters are         creased level of NADH in the cytosol [49]. This may alter
used to determine the development of DL and its regression       redox state of the cells and can induce final apoptotic
in vivo [41, 42]. In comparison to the untreated DL mice,        pathway in those cells [50]. Decline in the level of M4-
~50% decrease observed in the ascitic volume in case of Ru       LDH, which utilizes NADH as substrate, may further
(II)-CNEB treated DL mice (Fig. 3a) suggest that this            contribute for the accumulation of NADH in cytosol. This
compound was able to restrict DL development in mice.            argument gets support from ~2 times increase in NADH/
The range of reduction observed in ascitic volume is             NAD ratio observed in M4-LDH deficient tumor cells [11].
comparable with a ∼2 times reduction caused by the extract       Thus, it may be argued that the resultant increase in NADH/
of a macrofungus [42] and ∼50% reduction in tumor weight         NAD ratio, due to a significant decrease in the level of M4-
by the extract of Withania somnifera [43]. Reports are           LDH, might be implicated as a biochemical mediator to
scanty on Ru-complex induced regression of lymphoma in           induce apoptosis in DL cells in Ru(II)-CNEB treated DL
vivo. Therefore, ∼80% decline in the number of viable DL         mice. Mitochondrial dysfunction in DL cells of treated
cells (Fig. 3b) in Ru(II)-CNEB treated DL mice is of great       group mice has also been suggested by a significant
relevance. The reductions in ascitic volume and DL cell          increase in the release of mitochondrial cytochrome c
viability by Ru(II)-CNEB treatment were also comparable          (Fig. 6b).
with the data obtained with cisplatin treatment and thereby,         Alternatively, DNA damage also induces apoptosis,
suggesting further for a potent anticancer activity of Ru(II)-   however, such a possibility in this case was ruled out by
CNEB on DL in vivo.                                              observing a poor DNA-Ru(II)-CNEB interaction in vitro
    One of the major mechanisms in cancer therapy is to          (unpublished data). Also, (O2)− based oxidative stress is
induce apoptosis in transformed cells by chemotherapeutic        known to cause cytochrome c release and in turn induction
agents [44, 45]. Some Ru(II)-complexes derived organo-           of apoptosis in the affected cells, however, under depleted
metallic compounds have been reported to mediate their           antioxidant condition. SOD is the committed enzyme of
cytotoxicity on lymphoma cell lines in vitro via induction       antioxidant pathway and Mn-SOD (SOD2) in particular
of apoptosis [46]. However, reports are scanty on the            plays a critical role in protecting mitochondria from (O2)−
induction of apoptosis in tumor cells in vivo by Ru(II)-         insult. We observed a significant increase in the level of
complexes. Increased fragmentation of DNA is an impor-           SOD2 in the DL cells from Ru(II)-CNEB treated than those
tant parameter to suggest apoptotic death of a cell. Thus, a     from the untreated DL mice (Fig. 6a). This suggests that
significant increase in the level of fragmented DNA in the       antioxidant potential of DL cells was not depleted due to
DL cells from Ru(II)-CNEB treated DL mice (Fig. 5a, b)           the treatment with Ru(II)-CNEB and hence, rules out
clearly suggests that Ru(II)-CNEB is able to induce              possibility of a role of (O2)− based oxidative stress in Ru
apoptosis in DL cells in vivo. Release of cytochrome c           (II)-CNEB induced apoptosis in the DL cell.
from mitochondria is an indicator of mitochondrial dys-              Thus, the results presented here suggest that Ru(II)-
function and has been correlated with the induction of           CNEB might be implicating the decline of M4-LDH and
apoptosis under a variety of metabolic derangements and          mitochondrial dysfunction to induce apoptosis in DL cells
514                                                                                        Invest New Drugs (2009) 27:503–516


in vivo. The induction of glycolysis–apoptotic pathway in      basis for standardizing the dose and the treatment schedule
tumor cells due to chemotherapeutic intervention is a          of this compound against a variety of tumors in vivo.
relatively less explored area. Therefore, these findings are      The major limitation of cancer therapy is the injury of
of much current interest with respect to identify novel Ru-    normal tissues leading to multiple organ toxicity [54].
complexes which can inhibit a critical step of glycolytic      Detection of increased level of LDH in serum is a widely
pathway resulting into induction of apoptosis in the tumor     used parameter for blood based diagnosis of tissue damage
cells in vivo.                                                 as well as to characterize the rapid turnover of cancerous
    Cisplatin is a well studied compound on a variety of       cells in vivo [39]. Therefore, unaltered patterns of serum
tumors [51]. It was interesting to note that cisplatin also    LDH observed in case of Ru(II)-CNEB and cisplatin treated
induced apoptosis in DL cells in vivo via release of           DL mice (Fig. 9; lanes 3 and 4 versus lane 1) clearly
cytochrome c, however, without affecting the level of M4-      suggest that no damage has occurred to the normal tissues
LDH. Thus, it is likely that cisplatin might be adopting       due to the treatment with both these compounds. Accord-
LDH independent mechanism to induce apoptosis in DL            ingly, a significant increase in the level of M4-LDH in
cells. DNA has been shown to be the major target of            serum of untreated DL mice (Fig. 9; lane 2) may be
cisplatin induced cytotoxicity, wherein, cisplatin-DNA         correlated with the rapid turnover of DL cells in the
adduct formation is known to induce oxidative stress and       untreated DL mice.
finally to initiate tumor cell death [52]. There was a            Most of the drugs given through systemic routes undergo
significant decline in the level of SOD2 with a concomitant    their final metabolism in liver, and therefore, liver is likely
increase in the level of cytochrome c in the DL cells from     to be affected adversely during chemotherapeutic treat-
cisplatin treated DL mice (Fig. 6a, b). Thus, it may be        ments [54]. Increased levels of SGOT and SGPT are the
argued that, as against the role of Ru(II)-CNEB in DL cell     most widely used blood based markers to ascertain liver
apoptosis, cisplatin adopts (O2)− dependent mitochondrial      dysfunction. Therefore, unaltered patterns of SGOT and
dysfunction pathway to induce apoptosis in these cells.        SGPT in the treated and untreated DL mice (Fig. 10a, b)
Caspase 9, an important component of oxidative stress          indicate that doses of both the compounds tested are non
induced apoptosis, has also been reported to be implicated     toxic to the liver. In addition, corroborating an earlier
in apoptotic death of certain tumor cells by cisplatin [45].   finding [27], though M4-LDH was slightly increased in the
    Increase in the life span and improvement in overall       liver of untreated DL mice, it remained unaltered in the
appearance of cancerous animal after the treatment are the     liver of Ru(II)-CNEB treated DL mice (Fig. 10c) and thus,
ultimate criteria to ascertain anticancer potential of a       suggesting further that liver of DL mice was unaffected due
chemotherapeutic agent. A significant decline (∼50% ) in       to the treatment with this compound. Kidney is involved in
body weight (Fig. 7) of the Ru(II)-CNEB treated DL mice        the filtration of blood born factors continuously. Though
and a significant increase in their survival period (Fig. 8)   the levels of all LDH isozymes were found to be decreased
suggest that the molecular alterations induced by this         in the kidney of DL bearing mice, they remained unaltered
compound has resulted into an overall improvement in the       in the DL mice treated with Ru(II)-CNEB (Fig. 11a). Blood
life of the cancerous mice. The ranges of decrease in the      brain barrier protects brain from most of the exogenous
body weight and increase in the survival period reported       factors. It was evident in the present context also. All the
here are well correlated with the similar findings on DL       five LDH isozymes were found to remain unaltered in the
bearing animal treated with the extracts of a macrofungus      brain of both, the treated and the untreated group of DL
[42] and that on TLX5 lymphoma bearing mice treated with       mice (Fig. 11b) and thus, suggesting that neither the
the different antimetastatic agents [38]. Also, the findings   development of DL nor Ru(II)-CNEB treatment caused
on Ru(II)-CNEB treated DL mice were comparable and             any alteration in the expression pattern of any of the LDH
very close to the data obtained from the DL mice treated       isozymes in the mouse brain. Thus, it is evident that the
with cisplatin (Figs. 7 and 8). NAMI-A is the most widely      dose of Ru(II)-CNEB used in this experiment did not
studied Ru-complex as an anticancer agent which was also       produce any damage to the normal tissues in vivo. The dose
shown to reduce the increased body weight of the               of cisplatin used also did not produce much change in the
cancerous animal maximum up to 50% that too when given         level of LDH isozymes in the normal tissues. However, it
in combination with cisplatin [53]. The data on the            caused a significant decline in the level of M4-LDH in liver
increased survival time reported here sounds further better    and thereby, indicated the possibility of liver toxicity by
than only a 12% increase observed in the life span of          cisplatin. This also corroborates an earlier report on the
Ehrlich ascite bearing mice due to the treatment with a Ru     effect of cisplatin on liver LDH of DL mice [26].
(II)-complex, [cis-Ru (II) DMSO Cl2] [49]. Thus, our              In summary, the present study demonstrates that a
findings suggest potent anticancer activity of Ru(II)-CNEB     nontoxic dose of Ru(II)-CNEB is able to decrease the
against Dalton’s lymphoma in mice and thereby, provide a       viability of DL cells in vivo with a concomitant increase in
Invest New Drugs (2009) 27:503–516                                                                                                              515


the life span of the tumor bearing mice without producing                       physiology and tumour maintenance. Cancer Cell 9:425–434.
any toxicity to the normal tissues. The findings on Ru(II)-                     doi:10.1016/j.ccr.2006.04.023
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compound. The precise mechanism by which the decline                            Science 312:1158–1159. doi:10.1126/science.312.5777.1158
of M4-LDH by Ru(II)-CNEB causes mitochondrial dys-                        15.   Moreno-Sánchez R, Rodríguez-Enríquez S, Marín-Hernández A,
function and induces apoptosis in DL cells needs to be                          Saavedra E (2007) Energy metabolism in tumor cells. FEBS J
                                                                                274:1393–1418. doi:10.1111/j.1742-4658.2007.05686.x
defined further. Nonetheless, the findings reported here are              16.   Maher C, Krishan JA, Lampidis TJ (2004) Greater cell cycle
of great significance with respect to identification of a                       inhibition and cytotoxicity induced by 2-deoxy-D-glucose in
protein based pharmacological target in vivo for the novel                      tumor cells treated under hypoxic vs aerobic conditions. Cancer
chemotherapeutic agents.                                                        Chemother Pharmacol 53:116–122. doi:10.1007/s00280-003-
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                                                                          17.   Geschwind JF, Georgiades CS, Ko YH, Pedersen PL (2004)
Acknowledgment This work was financially supported by a project
                                                                                Recently elucidated energy catabolism pathways provide oppor-
from Department of Biotechnology (DBT), Govt. of India, (BT/
                                                                                tunities for novel treatments in hepatocellular carcinoma. Expert
PR5910/BRB/10/406/2005) sanctioned jointly to LM and SKT. The
                                                                                Rev Anticancer Ther 4:449–457. doi:10.1586/14737140.4.3.449
authors are thankful to UGC Centre of Advanced Studies programme
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to Department of Zoology, BHU, for providing infrastructural
                                                                                (2005) Inhibition of glycolysis in cancer cells: a novel strategy to
facilities. The help extended by Mr. S. Bhattacharyya, Ms. S.
                                                                                overcome drug resistance associated with mitochondrial respira-
Srivastav, and Ms. B. Mishra is also acknowledged.
                                                                                tory defect and hypoxia. Cancer Res 65:613–621. doi:10.1158/
                                                                                0008-5472.CAN-04-4313
Conflict of interest The authors declare that there are no conflicts of   19.   Semenza GL (2003) Targeting HIF-1 for cancer therapy. Nat Rev
interest.                                                                       Cancer 3:721–732. doi:10.1038/nrc1187
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                                                                                stromal cells in colorectal carcinomas: a metabolic survival role
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Ruthenium complex induces apoptosis in lymphoma cells by inhibiting lactate dehydrogenase

  • 1. Invest New Drugs (2009) 27:503–516 DOI 10.1007/s10637-008-9202-8 PRECLINICAL STUDIES Regression of Dalton’s lymphoma in vivo via decline in lactate dehydrogenase and induction of apoptosis by a ruthenium(II)-complex containing 4-carboxy N-ethylbenzamide as ligand Raj K. Koiri & Surendra K. Trigun & Lallan Mishra & Kiran Pandey & Deobrat Dixit & Santosh K. Dubey Received: 23 September 2008 / Accepted: 12 November 2008 / Published online: 29 November 2008 # Springer Science + Business Media, LLC 2008 Summary A novel ruthenium(II)-complex containing 4- inducing mitochondrial dysfunction–apoptosis pathway carboxy N-ethylbenzamide (Ru(II)-CNEB) was found to without producing any toxicity to the normal tissues. interact with and inhibit M4-lactate dehydrogenase (M4- LDH), a tumor growth supportive enzyme, at the tissue Keywords Dalton’s lymphoma . Ruthenium . level. The present article describes modulation of M4-LDH Ru(II)-CNEB . Lactate dehydrogenase (LDH) . Apoptosis . by this compound in a T-cell lymphoma (Dalton’s Lym- Anticancer agent phoma: DL) vis a vis regression of the tumor in vivo. The compound showed a dose dependent cytotoxicity to DL cells in vitro. When a non toxic dose (10 mg/kg bw i.p.) of Introduction Ru(II)-CNEB was administered to DL bearing mice, it also produced a significant decline in DL cell viability in vivo. Amongst non-platinum anti-cancer metal compounds, Ru- The DL cells from Ru(II)-CNEB treated DL mice showed a thenium complexes are of much current interest due to their significant decline in the level of M4-LDH with a low toxicity, effective bio-distribution, reproducible bio- concomitant release of this protein in the cell free ascitic activities [1, 2] and in some cases their selective anti- fluid. A significant increase of nuclear DNA fragmentation metastatic properties [3]. The DNA, once considered as the in DL cells from Ru(II)-CNEB treated DL mice also main target of metallo-drugs [1, 4, 5], is now evident to be coincided with the release of mitochondrial cytochrome c unselective [6]. Therefore, instead of targeting compounds in those DL cells. Importantly, neither blood based to interact with DNA, directing them to attenuate certain biochemical markers of liver damage nor the normal biochemical steps which are over expressed in the tumors is patterns of LDH isozymes in other tissues were affected an evolving concept [6–8]. Ru-complexes are found to be due to the treatment of DL mice with the compound. These more versatile in this respect [3], as Ru metal centre can results were also comparable with the effects of cisplatin interact with and organize different ligands which can (an anticancer drug) observed simultaneously on DL mice. modulate cellular functions differentially [9]. The findings suggest that Ru(II)-CNEB is able to regress The glycolytic phenotype of tumor cells, popularly Dalton’s lymphoma in vivo via declining M4-LDH and known as Warburg effect, is now evident to be a near universal trait of all the growing tumors [10]. This ensures adequate production of cellular energy through a non- R. K. Koiri : S. K. Trigun (*) : K. Pandey : D. Dixit mitochondrial route even when O2 supply is not a limiting Biochemistry & Molecular Biology Laboratory, Centre of Advanced Studies in Zoology, Banaras Hindu University, factor and thus, protects tumor cells from oxidative stress Varanasi 221005, India [11–13]. Therefore, to restrict tumor growth, inhibition of e-mail: sktrigun@sify.com tumor glycolysis could be a logical target for the novel L. Mishra : S. K. Dubey anticancer compounds [11, 12, 14, 15]. Department of Chemistry, Banaras Hindu University, Inhibition of glycolysis by 2-deoxy-D-glucose [16] and Varanasi 221005, India inactivation of hexokinase II (HKII), the first committed
  • 2. 504 Invest New Drugs (2009) 27:503–516 enzyme of glycolytic pathway, by 3-bromopyruvate [17], tissue level [24]. The present article investigates whether have been reported to kill certain tumors in hypoxic this compound is (a) able to decline the level of active M4- condition. Importantly, in colon cancer cells with mito- LDH and to induce apoptosis in the tumor cells in vivo and chondrial defects, it has been demonstrated that inactivation (b) effective in restricting tumor growth without being toxic of tumor glycolysis activates glycolysis–apoptosis pathway to the normal tissues. with a concomitant increase in tumor cell death [18]. Nonetheless, effectiveness of 2-deoxy-D-glucose is signifi- cantly masked by the presence of normal glucose in Materials and methods circulation [17]. In addition, if inactivation of HKII is not tumor specific, it is likely to affect normal cell energy Chemicals metabolism also by restricting substrate supply to mito- chondrial oxidative phosphorylation. Therefore, it is im- Ru(II)-CNEB was synthesized and characterized as de- portant to identify certain enzymatic proteins which are scribed in an earlier report [24]. The ligand 4-carboxy N- over expressed selectively in the cancer cells, and thus can ethylbenzamide (CNEB) was characterized by elemental be targeted by the novel compounds. analysis and single crystal X-ray crystallography. On the In growing tumors, a hypoxia induced factor (HIF1α) is basis of elemental analysis and mass spectroscopy data known to activate the genes of glycolytic enzymes under a [24], empirical composition of the final Ru(II)-CNEB com- variety of oncogenic stimulations [12, 19]. HIF1α also plex was assigned as [Ru(CNEB-H)2(bpy)2]2PF6·0.5NH4PF6. restricts entry of pyruvate to TCA cycle by inhibiting The structure of the complex has been presented in Fig. 1, pyruvate dehydrogenase (PDH) complex. As a result, which suggests coordination of ligand with the metal through mitochondrial function gets attenuated and pyruvate is its amide N due to the presence of electron releasing ethyl channeled to produce lactate by LDH [12]. Thus, enhanced group attached to it. The crystallographic data has been production of lactate becomes a survival factor for deposited to the Cambridge Crystallographic Data Center, malignant tumors [20]. Contrary to this, in normal cells, CCDC No. 618507. due to the less activity of HIF1α, pyruvate pool is β-NADH (β-nicotinamide adeninedinucleotide, reduced), channeled to mitochondria for oxidative phosphorylation NAD, Na-pyruvate, trypan blue, agarose, 4-carboxybenzalde- without implicating LDH. Therefore, selective inactivation hyde, RuCl3·3H2O, ammonium hexafluorophosphate and of LDH is less likely to hamper energy metabolism in anti β-actin were purchased from Sigma-Aldrich Co., USA. normal cells, however, it can inhibit energy yielding HRP-conjugated anti rabbit IgG and cisplatin [cis-diammi- pathway of tumor cells. Thus, LDH could be a target of nedichloroplatinum (II)] were obtained from Genei, and therapeutic intervention for restricting tumor growth. Cipla respectively. Anti cytochrome c, hydroxylamine Lactate dehydrogenase (LDH; EC: 1.1.1.27) is a tetra- hydrochloride and ECL super signal western pico kit were meric protein consisting of two types of subunits, the M/A purchased from Santa Cruz, Fluka and Pierce respectively. type (preferentially catalyzes conversion of pyruvate to cis-Ru(bpy)2Cl2·2H2O was prepared by a reported procedure lactate) and the H/B type (pre-dominantly expressed in the [25]. SGOT (serum glutamate oxaloacetate transaminase) aerobic tissues and catalyzes conversion of lactate to and SGPT (serum glutamate pyruvate transaminase) assay pyruvate). Combination of these two sub-units in different kits were purchased from Span Diagnostics Ltd, India. Nitro ratio gives rise five LDH isozymes (M4, M3H, M2H2, blue tetrazolium (NBT), phenazine methosulfate (PMS), Li- MH3 and H4), which are expressed in a tissue specific manner in most of the animals. M4-LDH (LDH-5, LDH-A) has been found to be over expressed in tumor cells to 2+ O support increased production of lactate from pyruvate [21]. N N The tumorogenic potential of M4-LDH deficient cells was found to be diminished drastically, however, it was found to N N Ru R= be recovered by complementation with the human ortholog of M4-LDH [11]. Also, there are some reports on decrease in the growth of certain tumor cells in vitro due to inhibition of LDH activity by certain chemotherapeutic C2H5 NH HN C2H5 HO O agents [22, 23]. R R Recently, we have synthesized and characterized a Ru [Ru(CNEB-H)2(bpy)2 ]2PF6.0.5NH4PF6 (II)-CNEB complex which was found to be highly biocompatible to mice in vivo and could interact with and Fig. 1 Structure of Ru(II)-CNEB: [Ru(CNEB-H)2(bpy)2] 2PF6·0.5 inhibit M4-LDH non-competitively both in vitro and at the NH4PF6
  • 3. Invest New Drugs (2009) 27:503–516 505 lactate and other general chemicals were purchased from both the treated groups were analyzed by Kaplan–Meier SISCO Research Laboratory, Mumbai, India. curve. Induction of Dalton’s lymphoma (DL) in mice Preparation of samples for biochemical studies Inbred AKR strain mice of 16–18 weeks age weighing 24– For biochemical studies, three to four mice from each group 26 g were used for the experiments. Mice were maintained were sacrificed, volume of the collected tumor ascite from under standard laboratory conditions, as per the guidelines each group was measured and DL cells were pelleted by and approval from the institutional animal ethical commit- centrifugation of ascites at 2,000×g for 10 min at 4°C. tee, with free access to commercially available food pellets Other tissues like liver, kidney and brain were dissected and water. As described earlier [26, 27], Dalton lymphoma out, washed in ice-cold physiological saline, and stored at (DL) was induced by intraperitoneal (ip) serial trans- −70°C. plantations of 1×107 viable tumor cells (assayed by trypan For blood based studies, blood samples from three to blue method) per mice with 100% success each time. four mice in each group were collected into sterilized tubes Development of DL was confirmed by abnormal belly containing heparin (15–20 IU/ml). For collecting serum, the swelling and increased body weight which were visible on blood was collected in unheparinized tubes, allowed to clot 10–12 days of implantation. The untreated DL mice at room temperature (22°C) and centrifuged at 1,000×g for survived for 18±2 days. 15 min. Treatment schedule and study on survival time Short term cytotoxicity assay Ru(II)-CNEB was first dissolved in the minimum volume Through pilot experiments it was determined that 1×106– of 0.01% methanol followed by its further dilution in 107 DL cells collected from ascitic fluids could be Kreb’s ringer buffer (KRB) composed of 9 mM D-glucose, maintained in sterilized KRB medium at 37°C up to 0.23 mM MgCl2, 4.5 mM KCl, 20 mM NaCl, 0.7 mM >24 h without any loss of cell viability. Accordingly, for Na2HPO4, 1.5 mM NaH2PO4 and 15 mM NaHCO3 in vitro cytotoxicity assay of Ru(II)-CNEB, 1×106 viable (pH 7.3). Different concentrations of the compound were DL cells were suspended in 0.25 ml KRB and were also prepared in KRB for ip injections. Through pilot incubated with the increasing concentrations of Ru(II)- experiments, a dose of 10 mg/kg bw of Ru(II)-CNEB, CNEB (0.005–10 mg/ml) at 37°C for 30 min and 20 h given intraperitoneally, was found to be a sub-lethal dose to duration separately. After respective time intervals, the normal mice and could increase the life span of DL bearing number of viable DL cells was determined in each set by mice significantly. Therefore, this dose of Ru(II)-CNEB trypan blue exclusion method. A 10 μl sample of cell was selected for the present study. The DL mice were suspension was mixed with an equal volume of 0.4% randomly divided into three groups with nine to ten mice in trypan blue and the cells were counted using hemocytom- each. The first group DL mice were treated with Ru(II)- eter. Similar method was adopted to determine the number CNEB complex (10 mg/kg bw/day, ip), second group with of viable DL cells pelleted from the ascites of different cisplatin (2 mg/kg bw/day, ip) and the third group, experimental groups. The DL cell viability was recorded as designated as DL control, were similarly injected with % DL cell viability=(Total no of cells − trypan blue-stained equal volume of KRB. As DL becomes visible on day 10– cells)/total no of cells)×100. 11 and DL bearing mice survived up to 18–20 days post transplantation, the treatments of DL mice with the DNA fragmentation assay compounds were started from day 11 of tumor transplant and continued up to day 17th. The normal control group Quantitative determination of fragmented DNA was carried mice were also treated simultaneously with KRB. To study out as described earlier [28] with slight modifications. biochemical/molecular parameters, three to four mice from Briefly, DL cells were lysed in 0.5 ml of Tris–EDTA buffer each group were sacrificed on day 18th. The remaining (pH 7.4) containing 0.2% (v/v) triton X-100 and centrifuged mice in each group were allowed to be maintained on at 13,000×g at 4°C for 10 min. The pellets containing total normal diets to study their survival time after the treatment. intact DNA (designated P) and the supernatants containing In order to assess the effects of compounds on general smaller fragments of DNA (designated S) were treated appearance of DL mice, body weight of mice was recorded separately with 0.5 ml of 25% trichloroacetic acid (TCA). at an interval of 3 days starting from the day of Both the sets were left overnight at 4°C and DNA transplantation up to 21 days. The mortality was noted in precipitated were collected by centrifugation. Each sample each group and increases in the survival time of mice of was treated with 80 μl of 5% TCA followed by heat
  • 4. 506 Invest New Drugs (2009) 27:503–516 treatment at 90°C for 15 min. Freshly prepared 1 ml quantified using gel densitometry software AlphaImager diphenylamine (DPA) reagent was added in each sample, 2200. tubes were allowed to stand overnight at room temperature and OD was recorded at 600 nm. Percent DNA fragmen- Analysis of LDH isozymes by non-denaturing tation was calculated as: polyacrylamide gel electrophoresis (PAGE) % DNA fragmentation ¼ ½S=ðS þ PÞŠ Â 100 Non-denaturing PAGE is a preferred method to analyze expression pattern of LDH isozymes. It employs substrate Agarose gel electrophoresis of fragmented DNA specificity based detection of all the isozymes of LDH distinctly in the same gel, and thus, it is considered highly For electrophoretic analysis of fragmented DNA, the total relevant for correlating a change in the level of a specific nuclear DNA was isolated from the DL cells according to LDH isozyme with that of a metabolic alteration at cellular the method of Kuo et al. [29]. Briefly, 5×106 cells were level. This method has been successfully applied to lysed in 1 ml of lysis buffer [20 mM Tris–Cl (pH 7.5), understand the implications of critical enzymes like SOD 0.15 M NaCl, 1 mM EDTA, 1 mM EGTA, 1% Triton X- and LDH in cancer and neuropathology [31–33]. 100 and 25 mM Na2 pyrophosphate] at 37°C for 1 h. To Tissue extracts were prepared as described earlier from precipitate out proteins, 0.4 ml of saturated NaCl was added this lab [30]. LDH isozymes in DL cell lysates and other in each set of cell lysate, tubes were left on ice for 5 min tissues were analyzed on non-denaturing 10% PAGE and centrifuged at 3,000×g for 30 min. To separate DNA following the method described earlier [32]. Briefly, the from the intact chromatin, RNase (20 μg/ml) was added to extracts containing 60 μg protein were loaded in each lane the supernatants collected and allowed to stand at 37°C for and electrophoresis was performed at 4°C. Gels were 15 min. DNA was then precipitated by adding two times subjected to substrate specificity based detection of LDH chilled ethanol (v/v). Samples were frozen at −70°C bands [32] followed by scanning and quantification of the overnight. The DNA precipitated was collected by centri- bands as described earlier. The different isozymes of LDH fugation and dissolved in TAE buffer (40 mM Tris-acetate + in the gel were characterized by comparing their relative 1 mM EDTA). migration (from cathodic to anodic) with those of the tissue The DNA samples were prepared in a loading solution specific standard LDH bands [2, 24, 32]. (0.25% bromophenol blue, 0.25% xylene cyanol FF and 30% glycerol) in the ratio of 1:5. The samples containing Analysis of superoxide dismutase (SOD: Mn-SOD) 10 μg DNA were loaded in each well of 1% agarose gel by non-denaturing PAGE containing 0.5 μg/ml ethidium bromide. The electrophore- sis was carried out in TAE buffer for 2–3 h. The DNA As described in case of analysis of LDH isozymes, 12% bands in gel were observed under UV transilluminator and non-denaturing PAGE was performed to determine the level photographed. of active fraction of SOD2 in different DL cell extracts. The active SOD bands were developed following the method Western blotting for cytochrome c release reported recently from our lab [33]. The gel was scanned from the mitochondria and SOD bands were quantified as described in the previous text. The Mn-SOD (SOD2) in the gel was DL cells were lysed in the lysis buffer containing 1 mM identified by its greater cathodic migration than that of PMSF. The cell lysate was incubated on ice for 15 min, SOD1 (Cu/Zn-SOD) which migrates faster towards anode vortexed and centrifuged at 700×g for 10 min. To obtain [33]. mitochondria free cytosolic fraction, supernatant obtained was centrifuged at 10,000×g for 30 min. Following the Other biochemical measurements method described earlier [30], the samples containing 60 μg protein, prepared in Laemmli buffer, were subjected Protein concentrations in tissue extracts and in the blood/ to 15% SDS-PAGE (sodium dodecyl sulphate-polyaryla- serum were measured following the method of Bradford mide gel electrophoresis). Proteins were transferred to [34]. The activity of LDH in cell extracts was measured as nitrocellulose membrane followed by detection of cyto- described in an earlier report [24] and oxidation of 1 μmol chrome c against a polyclonal anti-cytochrome c (1:1,000). of NADH per min at 25°C was defined as 1 U of the The ECL super signal west pico kit was used to develop the enzyme and values were presented as unit per milligram bands on X-ray films. Using monoclonal anti-β-actin protein. peroxidase antibody (1:10,000), level of β-actin was The levels of SGOT and SGPT were determined probed as a loading control. The bands were analyzed and following the manual of the kits used. Non-denaturing
  • 5. Invest New Drugs (2009) 27:503–516 507 120 PAGE was performed to analyze LDH isozymes in the 30 min Viabilty of DL cells serum also. 100 ** ** 20 h (% of control) 80 *** Statistical analysis 60 40 *** *** Kaplan–Meier survival curves for the treated and untreated 20 group of DL mice were compared by using the log-rank *** 0 test. Other experimental data were expressed as mean±SD 0.0 0.05 0.5 5.0 10.0 and wherever required, Student’s t test was applied for Ru(II)-CNEB (mg/ml) determining the level of significance. p<0.05 was consid- Fig. 2 Effect of increasing concentrations of Ru(II)-CNEB on DL ered significant. cells in vitro. DL cells (1×106) for each set were maintained in KRB medium and incubated with the indicated concentrations of the compound for different time intervals. Viability of DL cells after Results 30 min and 20 h incubation was determined by trypan blue exclusion method. The data represent mean±SD from three to four experimental repeats. **p<0.01; ***p<0.001 (control versus respective experimen- To evaluate anticancer potential of Ru(II)-CNEB in vivo, tal sets) we selected a transplantable T cell lymphoma (Dalton’s lymphoma: DL) as a tumor model, because, DL can be induced in rodents within a short period of time with >95% decrease the DL cell viability in mice, ascitic fluid collected reproducibility and with clear visible symptoms which can from untreated and treated DL bearing mice were analyzed. be used for monitoring the progression as well as regression As compared to the untreated DL mice, there was a of the DL throughout the period of experimentation. In significant decrease (p<0.01) in the volume of ascite addition, homogeneous DL cells can be precipitated from collected from the DL mice treated with the both, Ru(II)- the ascitic fluid for studying the biochemical and molecular CNEB and cisplatin (Fig. 3a). Moreover, there was a drastic changes associated with development/regression of the decline (~80%) in the number of viable DL cells in the tumor [26, 35]. Importantly, some mechanistic aspects of samples of ascites collected from both, the Ru(II)-CNEB anticancer activity of cisplatin have been worked out using and cisplatin treated DL mice (Fig. 3b). this model [26, 36, 37]. We could also induce DL in mice Release of LDH in cell free medium indicates cell with 100% success each time and used DL bearing mice for damage in vitro as well as in vivo. In comparison to the in vivo evaluation of Ru(II)-CNEB as an anticancer agent. level of M4-LDH in the cell free ascitic fluid from untreated DL mice, there was a significant increase in the Cytotoxicity of Ru(II)-CNEB on DL cells in vitro level of M4-LDH in those from Ru(II)-CNEB and cisplatin treated DL mice (Fig. 3c). These findings clearly suggest Cytotoxicity assay was done to ascertain whether Ru(II)- that both the compounds tested are able to restrict DL CNEB is able to kill DL cells in vitro. For this, DL cells development and also to induce death of DL cells in vivo. were maintained in a physiological buffer medium and their viability was assayed after incubating them with increasing Effect of Ru(II)-CNEB on the level of M4-LDH in DL cells concentrations of the compound for 30 min and 20 h. As shown in Fig. 2, in 30 min set, though DL cell viability was Increased LDH activity is associated with tumor develop- not affected up to 0.5 mg/ml Ru(II)-CNEB, a significant ment. To ascertain whether Ru(II)-CNEB and cisplatin are decline in the number of viable DL cells was observed at able to decrease the activity of this enzyme in DL cells, higher concentrations of the compound (at 5 mg/ml; p<0.01 LDH activity was compared in DL cells from untreated and and at 10 mg/ml; p<0.001). Moreover, when incubation treated DL mice. According to Fig. 4a, as compared to the period was increased to 20 h, a linear decline in the number LDH activity observed in DL cells from the untreated of viable DL cells was observed starting from 0.05 mg/ml group, there was a significant decrease (p<0.01) in the (p<0.01) to 10 mg/ml (p<0.001) of the compound. Thus, it activity of this enzyme in DL cells from Ru(II)-CNEB was evident that Ru(II)-CNEB is able to kill DL cells in vitro treated DL mice. However, activity of LDH was found to in a dose and incubation time dependent manner. be increased significantly in DL cells from the cisplatin treated DL mice. Effect of Ru(II)-CNEB on regression of DL cells in vivo In order to ascertain whether Ru(II)-CNEB affects the level of active M4-LDH and/or the level of other LDH In order to confirm whether administered dose of Ru(II)- isozymes in DL cells, non-denaturing PAGE analysis was CNEB is able to restrict the development of DL and/or to preferred over the immunostaining methods. Though this
  • 6. 508 Invest New Drugs (2009) 27:503–516 a Vol. of ascitic fluid (ml) 16 14 12 c DL DL+Rc DL+Cpt 10 8 6 ** ** 4 M4-LDH 2 0 DL DL+Rc DL+Cpt b Densitometry of LDH bands 120 350 Viability of DL cells *** (% of DL control) (% of DL control) 100 300 80 250 200 60 *** 150 40 *** 100 20 *** 50 0 0 DL DL+Rc DL+Cpt DL DL+RC DL+CPT Fig. 3 Effects of Ru(II)-CNEB and cisplatin treatment on ascitic fluid substrate specific LDH bands were developed in the gel. The gel volume (a), viability of DL cells (b) and on the release of M4-LDH in photograph is a representative of the three PAGE repeats. In lower the cell free ascitic fluid (c) of DL bearing mice. In case of (a) and (b), panel of (c), relative densitometric values of LDH bands from the data represents mean±SD where n=4. In (c), pooled cell free experimental group, as percent of the control DL lane, have been ascitic fluid from three to four mice containing 60 μg protein was presented as mean±SD from three PAGE repeats. *p<0.05; **p< loaded in each lane, 10% non-denaturing PAGE was performed and 0.01; ***p<0.001 (DL control versus treated DL groups) method is relatively less sensitive than that of immunode- group mice showed the smears of fragmented DNA. Whereas, tection, however, it is more relevant for interpreting the DNA isolated from DL cells of untreated mice showed a metabolic changes associated with the enzymatic altera- single DNA band at higher molecular weight (MW) range. tions. Because, this method utilizes substrate specificity These results clearly suggest that both the compounds tested based detection of only active fraction of the enzyme were able to induce apoptosis in DL cells in vivo. excluding inactive/denatured proteins, which otherwise can Oxidative stress and mitochondrial dysfunction are not be excluded by immunostaining method. known to initiate final steps of apoptosis. Superoxide Figure 4b shows that DL cells from the untreated DL dismutase (SOD) is the first committed enzyme that mice expressed high amount of only M4-LDH which was neutralizes oxygen free radical (O2)− based oxidative stress found to be decreased significantly (p<0.01) in the DL cells in the cells. Therefore, a decrease in the level of Mn-SOD from Ru(II)-CNEB treated DL mice. However, there was (SOD2: mitochondrial isoform) may be considered as an no change in the level of M4-LDH in the DL cells from indicator of oxidative stress in mitochondria. As shown in cisplatin treated DL mice. This suggest that among the two Fig. 6a, there was a significant increase (p<0.05) in the compounds tested, only Ru(II)-CNEB caused a decline in level of active SOD2 in DL cells from Ru(II)-CNEB treated the level of M4-LDH in DL cells in vivo. DL mice than that from the untreated DL group. However, the DL cells from cisplatin treated DL mice showed a Apoptosis of DL cells in vivo by Ru(II)-CNEB significant decrease (p<0.01) in the level of active SOD2. Release of mitochondrial cytochrome c in the cytosol The DNA fragmentation assay is a reliable tool to ascertain indicates for induction of mitochondrial dysfunction– apoptotic cell death. In the present context, using a standard apoptotic pathway in the cells. Therefore, the level of method, the percentage of fragmented DNA in DL cell cytochrome c in the cytosol of DL cells from untreated and extracts was measured followed by its analysis on agarose treated DL groups was compared. As compared to the DL gel electrophoresis. There was a significant increase (p< cells from untreated DL group, cytosolic fractions of DL 0.01) in the level of fragmented DNA in DL cells from cells from Ru(II)-CNEB and cisplatin treated DL mice both, the Ru(II)-CNEB and cisplatin treated DL mice showed a significant increase (p<0.05) in the level of (Fig. 5a). This was further confirmed by the results of cytochrome c (Fig. 6b). The results suggest induction of agarose gel electrophoresis (Fig. 5b) wherein, DNA mitochondrial dysfunction–apoptotic pathway in the DL samples from the DL cells collected from both the treated cells in vivo by both the compounds tested.
  • 7. Invest New Drugs (2009) 27:503–516 509 a 6 ** mice treated with Ru(II)-CNEB, which was comparable 5 with the effect of cisplatin treatment also. Thus, it was (U/mg protein) LDH Activity 4 evident that like cisplatin, Ru(II)-CNEB is also able to 3 cause an increase in the survival period of DL bearing mice ** with remarkable improvements in DL associated symptoms. 2 1 0 Effect of Ru(II)-CNEB treatment on normal tissues of DL DL DL+Rc DL+Cpt mice b DL DL+Rc DL+Cpt Liver metabolizes most of the drugs and kidney filters out M4-LDH all the unwanted exogenous substances. Therefore, these two organs are likely to be affected up to a greater extent by Densitometry of LDH bands 140 the drug treatment. Also, it is important to ensure that an anticancer compound does not cross the blood brain barrier (% of DL control) 120 and central nervous system remains protected during the 100 ** treatment. Therefore, these three tissues were selected to 80 assess toxicity of Ru(II)-CNEB on the normal tissue. 60 40 20 a 0 160 140 * * Fragmented DNA (% of DL control) DL DL+Rc DL+Cpt 120 100 Fig. 4 Effects of Ru(II)-CNEB and cisplatin treatment on the activity (a) and the level of M4-LDH (b) in the DL cells of DL bearing mice. 80 The values in (a) represent mean±SD where n=4 and each experiment 60 done in duplicate. In case of (b), pooled DL cell extracts from four 40 mice containing 60 μg protein in each lane was electrophoresed on 20 10% non-denaturing PAGE followed by substrate specific develop- 0 ment of LDH bands. The gel photograph is a representative of the DL DL+Rc DL+Cpt three PAGE repeats. In lower panel of (b), relative densitometric values of LDH bands from experimental group, as percent of the control DL lane, have been presented as mean±SD from three PAGE b repeats. **p<0.01 (DL control versus treated DL groups) Improvements in the survival parameters of Ru(II)-CNEB treated DL mice Development of Dalton’s lymphoma in mice is character- ized by the abdominal swelling and increased body weight. Therefore, these parameters were measured to assess whether Ru(II)-CNEB was able to bring recovery in the DL associated symptoms in mice. As compared to the control mice, DL implanted mice showed a significant increase in their body weight (p<0.01) from day 1 to 14th, which was found to be static thereafter (Fig. 7). However, after the treatment with both, Ru(II)-CNEB and cisplatin DL DL+Rc DL+Cpt from day 11 to 17, a significant decrease (p<0.01) in the Fig. 5 Effects of Ru(II)-CNEB and cisplatin treatment on DNA body weight of DL mice was observed. In addition, as fragmentation in DL cells of DL bearing mice. The values in (a) compared to the mean survival time of untreated DL mice represent mean±SD of three experimental repeats from the pooled DL (18 days), the DL mice treated with Ru(II)-CNEB and cell extracts collected from four DL mice. In case of (b), 10 μg DNA cisplatin could survive up to 24 and 26 days respectively. extracted from the pooled DL cells from three to four DL mice was loaded in each lane and subjected to 1% agarose gel electrophoresis Comparison of the survival time data on Kaplan–Meier followed by detection of ethidium bromide stained DNA bands under survival curves (Fig. 8) using log-rank statistics suggests a UV transilluminator. The photograph is a representative of three significant increase (p<0.001) in the survival time of DL repeats. *p<0.05 (untreated versus treated groups)
  • 8. 510 Invest New Drugs (2009) 27:503–516 a b DL DL+Rc DL+Cpt DL DL+Rc DL+Cpt Cyto C SOD 2 β Actin Densitometry of SOD bands 140 * Densitometric value 120 2.0 (% of DL control) (Cyt C/β actin) 100 1.5 * 80 ** * 60 1.0 40 0.5 20 0 0.0 DL DL+Rc DL+Cpt DL DL+Rc DL+Cpt Fig. 6 Effects of Ru(II)-CNEB and cisplatin treatment on the level of wherein, pooled DL cell extracts from three to four DL mice active SOD2 (a) and on cytochrome c release in the cytosol of DL containing 60 μg protein in each lane was subjected to 15% SDS- cells (b) of DL bearing mice. In (a), pooled DL cell extracts from four PAGE followed by western transfer on nitrocellulose membrane and mice containing 60 μg protein in each lane were electrophoresed on detection of cytochrome c bands using a polyclonal anti cytochrome c. 12% non-denaturing PAGE followed by substrate specific develop- The level of β actin was probed as the loading control. The ment of SOD2 bands in the gel. The gel photograph is a representative photograph is a representative of the three western blot repeats. In of the three PAGE repeats. In lower panel of (a), relative lower panel of (b), normalized values of cytochrome c/β actin have densitometric values of SOD2 bands from the treated group, as been presented as mean ± SD from three western blot repeats. percent of the control lane (untreated DL group), have been presented *p<0.05; **p<0.01; (untreated versus treated groups) as mean±SD from three PAGE repeats. b Immunoblotting results Increased level of serum LDH indicates for vital tissue Ru(II)-CNEB as well as cisplatin treated DL group mice damage and the levels of SGOT and SGPT are used as (Fig. 10a,b). Though there was a significant increase in the blood based markers of liver damage. The serum of control level of M4-LDH (p<0.01) in the liver of control DL mice as well as all the DL group mice showed the presence of than that of the normal mice, no change in the level of this mainly M4-LDH with a minor fraction of M3H isozyme enzyme was observed in the liver of DL mice treated with (Fig. 9). As compared to their levels in the serum of normal Ru(II)-CNEB (Fig. 10c). However, as compared to the mice, both these isozymes were significantly increased (p< untreated DL group, a significant decline in the level of 0.05) in the serum of untreated DL mice. However, both of M4-LDH could be seen in the liver of cisplatin treated DL them remained unchanged, as compared to the normal mice. mice, in the serum of Ru(II)-CNEB and cisplatin treated DL group mice. Also, the levels of SGOT and SGPT were 100 found to be unaltered among the normal, untreated DL and Logrank p=0.0007 80 Survival rate (%) N DL DL+Rc DL+Cpt 60 40 Start of treatment Body weight (g) ## ## DL 40 35 DL+Rc # * 20 ** DL+Cpt 30 0 25 0 10 20 30 40 1 7 14 21 Days after DL transplantation Period (days) Fig. 8 Kaplan–Meier survival curve for untreated DL mice and the Fig. 7 Effects of Ru(II)-CNEB and cisplatin treatment on the body DL mice treated with Ru(II)-CNEB (DL + Rc) and cisplatin (DL + weight of DL mice. The data represents mean±SD where n=5–6. # p< Cpt). The log-rank analysis was performed to examine the level of 0.05; ## p<0.01 (normal control versus untreated DL group). *p<0.05; significance and a p value of <0.001 was obtained in case of both the **p<0.01 (DL control versus treated DL groups) treated group of DL mice versus untreated DL mice
  • 9. Invest New Drugs (2009) 27:503–516 511 NC DL DL+Rc DL+Cpt cisplatin treated DL group mice (Fig. 11a). Unchanged patterns of all the five LDH isozymes were also observed in the brain of control and all the DL (untreated and treated) LDH group mice (Fig. 11b). These results clearly suggest that the M4 administered dose of Ru(II)-CNEB was nontoxic to the M3H vital tissues of the DL bearing mice. Densitometry of LDH bands 140 Discussion 120 (% of DL control) 100 # Low toxicity and efficient bio-distribution of Ru-complexes 80 are of great advantage over other metal complexes for 60 evaluating their anticancer potential in vivo [2, 3]. This was 40 found to be true in case of Ru(II)-CNEB also. When a 20 nontoxic dose of the compound, determined for normal 0 NC DL DL+Rc DL+Cpt mice, was administered to DL bearing mice, it resulted in a significant decrease in the number of viable DL cell in vivo Fig. 9 Effects of Ru(II)-CNEB and cisplatin treatment on the release (Fig. 3b) without producing any toxic effect on the other of LDH in the serum of DL mice. Pooled serum from three to four normal tissues (Figs. 9, 10, and 11). mice containing 60 μg protein in each lane was electrophoresed on 10% non-denaturing PAGE followed by substrate specific develop- The in vitro studies provide primary level information on ment of LDH bands. The gel photograph is a representative of the cytotoxic potentials of a novel compound. We could also three PAGE repeats. In lower panel, relative densitometric values of observe a dose and time dependent decrease in the number LDH bands from experimental group, as percent of the control lane, of viable DL cells by Ru(II)-CNEB in vitro (Fig. 2). have been presented as mean±SD from three PAGE repeat experi- ments. #p<0.05 (normal control versus untreated DL group) However, a more pronounced decrease observed in the viability of DL cells from Ru(II)-CNEB treated DL mice (Fig. 3b) clearly indicated a greater anticancer activity of Results in Fig. 11a and b re-confirm that mice kidney this compound in vivo than ex vivo. Some other Ru- and brain express all the five LDH isozymes. However, as complexes have also been shown to be less toxic in vitro compared to the LDH pattern observed in the kidney of but could cause potent anti tumor activity in vivo [38]. normal mice, there was a significant decrease (p<0.05) in It has been suggested that different Ru-complexes show the level of all the five isozymes in that of untreated DL their anticancer activities via distinctly different mecha- mice, but with no change in case of Ru(II)-CNEB and nisms such as by interacting with DNA and some serum a c 200 SGOT (IU/L) 150 NC DL DL+Rc DL+Cpt 100 M4-LDH 50 0 NC DL DL+Rc DL+Cpt Densitometry of LDH bands 120 100 ## ** (% of DL control) b 80 8 SGPT (IU/L) 6 60 4 40 2 20 0 0 NC DL DL+Rc DL+Cpt NC DL DL+Rc DL+Cpt Fig. 10 Effects of Ru(II)-CNEB and cisplatin treatment on the levels ment of LDH bands. The gel photograph is a representative of the of SGOT (a), SGPT (b) and M4-LDH in the liver (c) of DL bearing three PAGE repeats. In lower panel of (c), relative densitometric mice. The values in (a) and (b) represent mean±SD where n=4 and values of LDH bands from experimental group, as percent of the each assay done in triplicate. In (c), pooled liver extracts from four normal control lane, have been presented as mean±SD from three mice containing 60 μg protein in each lane was electrophoresed on PAGE repeats. **p<0.01 (untreated DL versus treated DL groups); 10% non-denaturing PAGE followed by substrate specific develop- ##p<0.01 (normal control versus untreated DL group)
  • 10. 512 Invest New Drugs (2009) 27:503–516 a b NC DL DL+Rc DL+Cpt NC DL DL+Rc DL+Cpt LDH LDH M4 M4 M3H M3H M2H2 M2H2 MH3 MH3 H4 H4 Densitometry of LDH bands Densitometry of LDH bands 200 120 100 (% of DL control) # (% of DL control) 150 80 100 60 40 50 20 0 0 NC DL DL+Rc DL+Cpt NC DL DL+Rc DL+Cpt Fig. 11 Effects of Ru(II)-CNEB and cisplatin treatment on the level PAGE repeats for each tissue. In lower panel of (a) and (b), relative of LDH isozymes in kidney (a) and brain (b) of DL mice. In upper densitometric values of LDH bands from experimental group, as panels of (a) and (b), the pooled tissue extracts from four mice percent of the control DL lane, have been presented as mean±SD containing 60 μg protein in each lane was electrophoresed on 10% from three PAGE repeats. ##p<0.01 (normal control versus untreated non-denaturing PAGE followed by substrate specific development of DL group) LDH bands. The gel photographs are the representative of the three proteins and also by inhibiting certain enzymes like future interest to determine the actual levels of this protein cytochrome c, protein kinase C, topoisomerase II etc [3]. in DL cells from treated and untreated mice, in the present Being highly unselective, DNA is considered an unsuitable context, a significant decline in the level of active M4-LDH target for anticancer agents [7]. Alternatively, selecting a in DL cells of Ru(II)-CNEB treated mice suggests decrease protein as pharmacological target sounds better, however, it in energy metabolism of the cancerous cell due to the is important to first ensure that inactivation of a cellular treatment with this compound. The tumor cells rely much protein is cancer cell specific and does not hamper normal on the energy pathway lead by M4-LDH dependent cell metabolism. In this respect, inhibiting glycolytic production of lactate from pyruvate [11, 20, 21]. Thus, efficiency of tumor cells seems to be the most relevant inactivation of this isozyme can severely affect only tumor target, as all tumor cells switch over to enhanced aerobic cell energy metabolism. Contrary to this, as normal cells glycolysis [10] for their additional energy needs [11, 12]. utilize pyruvate for mitochondrial oxidative phosphoryla- Also, the two key glycolytic enzymes, PKM2 (a fetal tion rather than to produce lactate by M4-LDH, decline of isoform of pyruvate kinase) and M4-LDH, have been found this isozyme in normal tissues is less likely to affect their to be over expressed selectively in most of the tumors and energy metabolism. This argument also justifies a greater therefore, both of these enzymes are argued to be the potential decrease in the number of viable DL cells in vivo than in targets for novel anticancer compounds [8, 11, 21, 24]. vitro due to the treatment with Ru(II)-CNEB (Figs. 2 and Based upon our recent findings on inhibition of M4- 3b). Isolated tumor cells maintained in vitro are devoid of LDH by Ru(II)-CNEB [24] and modulation of this enzyme true hypoxia and they can exploit aerobic pathway for by other metal complexes [32], we selected M4-LDH as a energy production even if LDH activity is declined target protein for evaluating anticancer activity of Ru(II)- significantly and thus, can survive better. Contrary to this, CNEB. It has been reported that like most of the tumors, due to greater hypoxia faced by the tumor cells in vivo, DL cells also over express M4-LDH [26, 27]. A highly they rely much on anaerobic glycolysis [12] and thus, as a intense band of M4-LDH in the DL cell extracts from consequence of diminished M4-LDH activity, they can be untreated DL mice (Fig. 4b; lane 1) also corroborate these deprived of adequate energy production resulting into poor earlier findings and accordingly, a significant decline in the survival. In addition, it has been reported [20] that tumor level of M4-LDH in DL cells from Ru(II)-CNEB treated stroma associated fibroblasts help in the survival of tumor mice (Fig. 4b; lane 2) suggests that this compound was able cells via recycling of lactate produced in excess by the to decline the active level of this enzyme in DL cells in tumor cells. However, the blockage of tumor LDH-5 (M4- vivo. Though immunostaining of M4-LDH would be of LDH) suppresses this additional route of metabolic supple-
  • 11. Invest New Drugs (2009) 27:503–516 513 mentation and thus, can render tumor cells susceptible to oxidative stress [47]. We have observed a direct relation- death [20]. ship between the release of cytochrome c and increased Tissue damage causes leakage of LDH in body fluids level of DNA fragmentation in the DL cells from Ru(II)- [39, 40]. Thus, a significant increase in the level of M4- CNEB treated DL mice (Figs. 5 and 6b). A similar pattern LDH in the cell free ascitic fluid from Ru(II)-CNEB treated of DNA fragmentation and increased level of cytochrome c DL mice, than that from the untreated DL mice (Fig. 3c; release in the DL cells from cisplatin treated DL mice were lane 1 vs lane 2), indicates for DL cell death caused by this also observed and thus, suggesting that both, Ru(II)-CNEB compound in vivo. A more pronounced increase in the level and cisplatin, have been able to induce apoptosis in DL of M4-LDH in cell free ascitic fluid from cisplatin treated cells in vivo via release of cytochrome c. DL mice (Fig. 3c; lane 3) further strengthened this There could be more than one mechanism for inducing argument, as cisplatin induced regression of DL cells has apoptosis by chemotherapeutic agents. Anticancer drug been shown to accompany the release of LDH in ascitic causing induction of apoptosis via inhibition of glycolysis fluid [26]. Moreover, since cisplatin did not alter the level in tumor cells is a relatively new concept [18, 48]. Though of M4-LDH in DL cells, which was observed to be declined the link between inhibition of glycolysis and tumor cell significantly by Ru(II)-CNEB, it may be speculated that the apoptosis is yet to be defined, it may be speculated that mechanism of cell death caused by both the compounds are depletion of energy and growth promoting substrates due to different from each other. decline in glycolytic efficiency could act as an inducer of Development of Dalton’s lymphoma is characterized by apoptosis in the tumor cells. Tumor cells show aberrant the increments in the body weight and volume of the ascitic NADH/NAD shuttle of mitochondria resulting into in- fluid and thus, measurement of both these parameters are creased level of NADH in the cytosol [49]. This may alter used to determine the development of DL and its regression redox state of the cells and can induce final apoptotic in vivo [41, 42]. In comparison to the untreated DL mice, pathway in those cells [50]. Decline in the level of M4- ~50% decrease observed in the ascitic volume in case of Ru LDH, which utilizes NADH as substrate, may further (II)-CNEB treated DL mice (Fig. 3a) suggest that this contribute for the accumulation of NADH in cytosol. This compound was able to restrict DL development in mice. argument gets support from ~2 times increase in NADH/ The range of reduction observed in ascitic volume is NAD ratio observed in M4-LDH deficient tumor cells [11]. comparable with a ∼2 times reduction caused by the extract Thus, it may be argued that the resultant increase in NADH/ of a macrofungus [42] and ∼50% reduction in tumor weight NAD ratio, due to a significant decrease in the level of M4- by the extract of Withania somnifera [43]. Reports are LDH, might be implicated as a biochemical mediator to scanty on Ru-complex induced regression of lymphoma in induce apoptosis in DL cells in Ru(II)-CNEB treated DL vivo. Therefore, ∼80% decline in the number of viable DL mice. Mitochondrial dysfunction in DL cells of treated cells (Fig. 3b) in Ru(II)-CNEB treated DL mice is of great group mice has also been suggested by a significant relevance. The reductions in ascitic volume and DL cell increase in the release of mitochondrial cytochrome c viability by Ru(II)-CNEB treatment were also comparable (Fig. 6b). with the data obtained with cisplatin treatment and thereby, Alternatively, DNA damage also induces apoptosis, suggesting further for a potent anticancer activity of Ru(II)- however, such a possibility in this case was ruled out by CNEB on DL in vivo. observing a poor DNA-Ru(II)-CNEB interaction in vitro One of the major mechanisms in cancer therapy is to (unpublished data). Also, (O2)− based oxidative stress is induce apoptosis in transformed cells by chemotherapeutic known to cause cytochrome c release and in turn induction agents [44, 45]. Some Ru(II)-complexes derived organo- of apoptosis in the affected cells, however, under depleted metallic compounds have been reported to mediate their antioxidant condition. SOD is the committed enzyme of cytotoxicity on lymphoma cell lines in vitro via induction antioxidant pathway and Mn-SOD (SOD2) in particular of apoptosis [46]. However, reports are scanty on the plays a critical role in protecting mitochondria from (O2)− induction of apoptosis in tumor cells in vivo by Ru(II)- insult. We observed a significant increase in the level of complexes. Increased fragmentation of DNA is an impor- SOD2 in the DL cells from Ru(II)-CNEB treated than those tant parameter to suggest apoptotic death of a cell. Thus, a from the untreated DL mice (Fig. 6a). This suggests that significant increase in the level of fragmented DNA in the antioxidant potential of DL cells was not depleted due to DL cells from Ru(II)-CNEB treated DL mice (Fig. 5a, b) the treatment with Ru(II)-CNEB and hence, rules out clearly suggests that Ru(II)-CNEB is able to induce possibility of a role of (O2)− based oxidative stress in Ru apoptosis in DL cells in vivo. Release of cytochrome c (II)-CNEB induced apoptosis in the DL cell. from mitochondria is an indicator of mitochondrial dys- Thus, the results presented here suggest that Ru(II)- function and has been correlated with the induction of CNEB might be implicating the decline of M4-LDH and apoptosis under a variety of metabolic derangements and mitochondrial dysfunction to induce apoptosis in DL cells
  • 12. 514 Invest New Drugs (2009) 27:503–516 in vivo. The induction of glycolysis–apoptotic pathway in basis for standardizing the dose and the treatment schedule tumor cells due to chemotherapeutic intervention is a of this compound against a variety of tumors in vivo. relatively less explored area. Therefore, these findings are The major limitation of cancer therapy is the injury of of much current interest with respect to identify novel Ru- normal tissues leading to multiple organ toxicity [54]. complexes which can inhibit a critical step of glycolytic Detection of increased level of LDH in serum is a widely pathway resulting into induction of apoptosis in the tumor used parameter for blood based diagnosis of tissue damage cells in vivo. as well as to characterize the rapid turnover of cancerous Cisplatin is a well studied compound on a variety of cells in vivo [39]. Therefore, unaltered patterns of serum tumors [51]. It was interesting to note that cisplatin also LDH observed in case of Ru(II)-CNEB and cisplatin treated induced apoptosis in DL cells in vivo via release of DL mice (Fig. 9; lanes 3 and 4 versus lane 1) clearly cytochrome c, however, without affecting the level of M4- suggest that no damage has occurred to the normal tissues LDH. Thus, it is likely that cisplatin might be adopting due to the treatment with both these compounds. Accord- LDH independent mechanism to induce apoptosis in DL ingly, a significant increase in the level of M4-LDH in cells. DNA has been shown to be the major target of serum of untreated DL mice (Fig. 9; lane 2) may be cisplatin induced cytotoxicity, wherein, cisplatin-DNA correlated with the rapid turnover of DL cells in the adduct formation is known to induce oxidative stress and untreated DL mice. finally to initiate tumor cell death [52]. There was a Most of the drugs given through systemic routes undergo significant decline in the level of SOD2 with a concomitant their final metabolism in liver, and therefore, liver is likely increase in the level of cytochrome c in the DL cells from to be affected adversely during chemotherapeutic treat- cisplatin treated DL mice (Fig. 6a, b). Thus, it may be ments [54]. Increased levels of SGOT and SGPT are the argued that, as against the role of Ru(II)-CNEB in DL cell most widely used blood based markers to ascertain liver apoptosis, cisplatin adopts (O2)− dependent mitochondrial dysfunction. Therefore, unaltered patterns of SGOT and dysfunction pathway to induce apoptosis in these cells. SGPT in the treated and untreated DL mice (Fig. 10a, b) Caspase 9, an important component of oxidative stress indicate that doses of both the compounds tested are non induced apoptosis, has also been reported to be implicated toxic to the liver. In addition, corroborating an earlier in apoptotic death of certain tumor cells by cisplatin [45]. finding [27], though M4-LDH was slightly increased in the Increase in the life span and improvement in overall liver of untreated DL mice, it remained unaltered in the appearance of cancerous animal after the treatment are the liver of Ru(II)-CNEB treated DL mice (Fig. 10c) and thus, ultimate criteria to ascertain anticancer potential of a suggesting further that liver of DL mice was unaffected due chemotherapeutic agent. A significant decline (∼50% ) in to the treatment with this compound. Kidney is involved in body weight (Fig. 7) of the Ru(II)-CNEB treated DL mice the filtration of blood born factors continuously. Though and a significant increase in their survival period (Fig. 8) the levels of all LDH isozymes were found to be decreased suggest that the molecular alterations induced by this in the kidney of DL bearing mice, they remained unaltered compound has resulted into an overall improvement in the in the DL mice treated with Ru(II)-CNEB (Fig. 11a). Blood life of the cancerous mice. The ranges of decrease in the brain barrier protects brain from most of the exogenous body weight and increase in the survival period reported factors. It was evident in the present context also. All the here are well correlated with the similar findings on DL five LDH isozymes were found to remain unaltered in the bearing animal treated with the extracts of a macrofungus brain of both, the treated and the untreated group of DL [42] and that on TLX5 lymphoma bearing mice treated with mice (Fig. 11b) and thus, suggesting that neither the the different antimetastatic agents [38]. Also, the findings development of DL nor Ru(II)-CNEB treatment caused on Ru(II)-CNEB treated DL mice were comparable and any alteration in the expression pattern of any of the LDH very close to the data obtained from the DL mice treated isozymes in the mouse brain. Thus, it is evident that the with cisplatin (Figs. 7 and 8). NAMI-A is the most widely dose of Ru(II)-CNEB used in this experiment did not studied Ru-complex as an anticancer agent which was also produce any damage to the normal tissues in vivo. The dose shown to reduce the increased body weight of the of cisplatin used also did not produce much change in the cancerous animal maximum up to 50% that too when given level of LDH isozymes in the normal tissues. However, it in combination with cisplatin [53]. The data on the caused a significant decline in the level of M4-LDH in liver increased survival time reported here sounds further better and thereby, indicated the possibility of liver toxicity by than only a 12% increase observed in the life span of cisplatin. This also corroborates an earlier report on the Ehrlich ascite bearing mice due to the treatment with a Ru effect of cisplatin on liver LDH of DL mice [26]. (II)-complex, [cis-Ru (II) DMSO Cl2] [49]. Thus, our In summary, the present study demonstrates that a findings suggest potent anticancer activity of Ru(II)-CNEB nontoxic dose of Ru(II)-CNEB is able to decrease the against Dalton’s lymphoma in mice and thereby, provide a viability of DL cells in vivo with a concomitant increase in
  • 13. Invest New Drugs (2009) 27:503–516 515 the life span of the tumor bearing mice without producing physiology and tumour maintenance. Cancer Cell 9:425–434. any toxicity to the normal tissues. The findings on Ru(II)- doi:10.1016/j.ccr.2006.04.023 12. Kim JW, Dang CV (2006) Cancer's molecular sweet tooth and the CNEB induced decline in M4-LDH and increments in the Warburg effect. Cancer Res 66:8927–8930. doi:10.1158/0008- levels of DNA fragmentation & release of cytochrome c in 5472.CAN-06-1501 the DL cells suggest that decreased tumor glycolysis and 13. Kondoh H, Lleonart ME, Gil J, Beach D, Peters G (2005) induction of mitochondrial dysfunction–apoptosis pathway Glycolysis and cellular immortalization. Drug Discov Today 2:263–267. doi:10.1016/j.ddmec.2005.05.001 could be implicated in the anticancer activity of this 14. Gaber K (2006) Energy deregulation: licensing tumors to grow. compound. 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Geschwind JF, Georgiades CS, Ko YH, Pedersen PL (2004) Acknowledgment This work was financially supported by a project Recently elucidated energy catabolism pathways provide oppor- from Department of Biotechnology (DBT), Govt. of India, (BT/ tunities for novel treatments in hepatocellular carcinoma. Expert PR5910/BRB/10/406/2005) sanctioned jointly to LM and SKT. The Rev Anticancer Ther 4:449–457. doi:10.1586/14737140.4.3.449 authors are thankful to UGC Centre of Advanced Studies programme 18. Xu RH, Pelicano H, Zhou Y, Carew JS, Feng L, Bhalla KN et al to Department of Zoology, BHU, for providing infrastructural (2005) Inhibition of glycolysis in cancer cells: a novel strategy to facilities. The help extended by Mr. S. Bhattacharyya, Ms. S. overcome drug resistance associated with mitochondrial respira- Srivastav, and Ms. B. Mishra is also acknowledged. tory defect and hypoxia. 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