In recent years, several clinical trials have been conducted on the effects of flavopiridol on the treatment of leukemia, multiple myeloma, sarcoma, and other solid tumors (Pinto et al., 2020, Arguello et al., 1998, Wiernik, 2016, Bose et al., 2017, Hofmeister et al., 2014), but its reproductive toxicity is not known. Granulosa cells constitute an important part of follicles, which determine female reproduction (Srikumar and Padmanabhan, 2016). Studies have shown that somatic follicular cells' health and function reflect oocytes' health and ability, and vice versa. In this study, the human ovarian granulosa cell line (SVOG) was selected to study whether the use of flavopiridol will have a certain effect on the female reproductive system. We demonstrated that flavopiridol could reduce cell proliferation, induce mitochondrial dysfunction and oxidative stress, increase BAX/BCL2 and pCDK1, and induce cell cycle arrest at the G2/M phase in vitro.
Flavopiridol’s anti-tumor effect is usually achieved by blocking cell cycle and inducing apoptosis, and it has a direct inhibitory activity on CDK through competitive inhibition of ATP phosphorylation (Parker et al., 1998). In the treatment of acute myeloid leukemia with flavopiridol, it has been found that it inhibits a variety of CDK and leads to the decrease of MCL1 protein expression, and finally induces cell apoptosis (Boffo et al., 2018, Bose and Grant, 2013). It has also been described in previous literature that flavopiridol is an effective cell cycle pan-inhibitor and may be used as a radiosensitizer for some cancer types, including esophageal and ovarian cancer cell lines. (Kari et al., 2003, Sato et al., 2004). In this study, different concentrations of flavopiridol were added to the culture medium to pretreat SVOG to observe its effect on cell proliferation, cell cycle block, and apoptosis. We first set the concentration range of flavopiridol to 25–500 nm to observe the cell morphology and detect the viability of SVOG cells. Under the inverted microscope, we directly observed the morphological changes, multi-antennae and blackening death of the cells treated with flavopiridol. It had a toxic effect on cells, and with the increase in the concentration of flavopiridol, the number of adherent cells of SVOG cells decreased gradually, and the number of floating cells in the culture medium increased. It is speculated that flavopiridol can inhibit cell proliferation and increase cell death. In this concentration range, CCK8 was used to detect the viability of SVOG cells. The results showed that flavopiridol prominently inhibited SVOG cell growth and viability in a dose-dependent manner, and the IC50 value of flavopiridol on SVOG cells at 24 h was 50 nM. Apoptosis (or programmed cell death) is a physiological event that responds to multiple stimuli. After flow cytometry analysis, we found that the apoptosis rate of SVOG cells treated with flavanol was significantly higher than that of the control group. Also, qRT-PCR indicated that relative mRNA levels of apoptotic genes in the 200nM group were significantly higher, and as a result the BAX/BCL2 level in the control group was significantly lower than that in the flavopiridol-treated group as revealed by Western blotting,. Therefore, these results indicate that flavopiridol could induce apoptosis of SVOG cells.
The production of ROS can cause oxidative eustress and oxidative distress, which is a leading cause of cell apoptosis (Aklima et al., 2021). ROS is a beneficial signal molecule with beneficial physiological functions, and the redox state of cells can be maintained in a steady state through the tight coupling system of antioxidants and antioxidant enzymes (Bhattacharyya et al., 2014), but excessive ROS is harmful and damages normal cell function (Yang et al., 2019, Hardy et al., 2021, Saller et al., 2012, Nickel et al., 2014). The balance of reactive oxygen species is essential for cell survival. There are many self-regulatory mechanisms in cells. When there is excessive oxidative stress, in order to reduce the damage caused by oxidative stress, cells establish an effective antioxidant system to inhibit the excessive accumulation of ROS. (Kroemer et al., 1998, Limon-Pacheco and Gonsebatt, 2009). Mitochondria are the main source of cellular ROS, and they play an important role in follicular developmentCells have various antioxidant defense systems, including glutathione peroxidase (GPX1), superoxide dismutase (SOD), catalase (CAT), and peroxiredoxin-2 (PRDX2) (Bock and Tait, 2020, Lubos et al., 2011). Excessive ROS can cause oxidative stress damage and affect the function of mitochondria (Lee and Song, 2021), decrease the mitochondrial membrane potential and cause DNA damage, and induce cell apoptosis (Limon-Pacheco and Gonsebatt, 2009, Vaccaro et al., 2020). In this study, we also detected the MMP of SVOG using JC-1 staining to evaluate the mitochondrial membrane potential and the damage to the function of SVOG cells. It was found that after flavopiridol treatment, the signal of the green JC-1 monomer was higher than that of the control, while the JC-1 aggregates exhibited lower fluorescence intensity than control, showing the compromised mitochondrial function.
Our results show that the oxidative stress of SVOG cells increased significantly after flavopiridol exposure. We explored whether flavopiridol treatment can cause intracellular antioxidant stress response. According to qRT-PCR results, cells treated with flavopiridol expressed a significantly lower level of some antioxidant genes such as GPX1, PRDX2, CAT, and SOD2. After flavopiridol treatment, the level of oxidative stress and antioxidant stress in SVOG cells was disrupted, and the cells were damaged by oxidative stress.
A complex network of DNA repair and DNA damage signaling pathways known as DNA damage response (DDR) enables cells to repair DNA damage and maintain the genome. (Ciccia and Elledge, 2010). If the cells cannot recover and activate the DNA damage response (DDR), the affected cells will die (Gonfloni, 2010). In this study, we verified the effect of flavopiridol on the DNA damage response of SVOG cells by the relative expression level of marker γH2AX. In comparison with the control group, SVOG cells treated with flavopiridol had a higher γH2AX relative fluorescence signal intensity, and the fluorescence signal increased gradually with the increase of flavopiridol concentration. Western blotting results showed that the expression level of γH2AX protein in the flavopiridol-treated group for 24 h was slightly higher than that in the control group, but there was no significant difference. This result indicates that flavopiridol could cause DNA damage accumulation in SVOG cells.
Cyclin-dependent kinase (CDK), a member of the serine/threonine protein kinase family, is a major cell cycle regulator that binds to cyclins to form cyclin-CDK complexes, which phosphorylates hundreds of substrates and regulates cell cycle progression (Sherr, 1996, Malumbres, 2014, Malumbres and Barbacid, 2001, Zheng, 2022, S, 2022). CDK1, also known as mitotic kinase, can bind to CyclinB1 to form a heterodimer CyclinB1/CDK1 (Malumbres and Barbacid, 2007). When CDK1 binds to CyclinB1, CDK1 is activated, phosphorylates key substrates, and enters the M phase to promote mitosis progression (Salaun et al., 2008, Malumbres and Barbacid, 2007, Schafer, 1998). CDK1/cyclin B complex is a necessary protein kinase for G2/M transition. In this study, the results of cell cycle detection by flow cytometry showed that the ratios of G0/G1 and S phase in the flavopiridol treatment group were lower than in the control group, however, the percentage of SVOG cells in the G2/M phase in the flavopiridol exposure group was significantly increased compared with the control culture. In addition, the flavopiridol-treated groups expressed significantly higher levels of pCDK1 than the control groups, according to Western blot analysis. These results suggest that flavopiridol treatment can increase the expression of pCDK1 and inhibit the activity of CDK1, causing the CyclinB1 / CDK1 complex activity. inhibitionThis subsequently leads to the G2 phase block of SVOG cells, and finally the inhibition of cell proliferation.