本研究先前所合成的黃嘌呤 (xanthine) 衍生物---KMUP-1,已被證實具備刺激內皮與平滑肌系統中一氧化氮合成酶 (NOS)/溶解型鳥糞嘌呤環化酶 (sGC)/環化鳥糞嘌呤單磷酸 (cGMP) 路徑的作用; KMUP-1也能在離體的天竺鼠氣管實驗中,引起部分上皮相依性的平滑肌鬆弛效果,所以本實驗欲證明KMUP-1是否也具活化上皮細胞內的eNOS作用,而且在低氧下是否參與調控eNOS之活化、血管之增生,及對抗腫瘤生長的作用。 本研究以西方點墨法 (Western blot) 證實KMUP-1在低濃度時 (10-8M) 即可促使人類肺支氣管上皮細胞株NCI-H441的eNOS表現增加,這項作用於18小時達最高峰並隨濃度的提高而增加,且蛋白質的表現會因前處理eNOS抑制劑L-NAME (100μM)而降低。而KMUP-1對於癌細胞生長情形及癌化因子的影響,則利用流式細胞儀分析來觀察細胞週期的變化,另外合併西方點墨法觀看HIF-1α與VEGF的表現。結果發現KMUP-1在較高濃度 (10-6~10-4M) 能使H441細胞週期產生較明顯的抑制作用,其效果與劑量是呈正相關性的 (dose-dependent) ,且必須延長藥物作用的時間達48小時,至72小時為最顯著。此外,已知VEGF基因受到HIF-1之調控,尤其在缺氧的狀態下,因此在正常氧壓下觀察不到被誘發的HIF-1α及VEGF的蛋白表現。 於低氧模式下則可發現,在未用藥物處理的細胞會大量減少G0/G1時期的比例,顯著增加S期,而在KMUP-1的作用下,則明顯的抑制內皮細胞DNA的合成,並將細胞週期停滯在G0/G1期。利用西方點墨法偵測到KMUP-1可使與血管新生 (angiogenesis) 有關的蛋白HIF-1α與VEGF之表現比控制組有明顯的減少;而eNOS的表現則不受到誘發增加。 總而言之,由上述的實驗結果顯示KMUP-1可於正常生理狀態下 (normoxia) 調控一氧化氮合成酶的表現,卻不會誘導HIF-1α及VEGF的表現;也能造成細胞週期的停滯。而於缺氧情況下能顯著抑制腫瘤細胞的生長週期進行,並有輕微促進細胞凋亡的作用;減少HIF-1α與VEGF的蛋白表現,卻不會造成eNOS的表現增加,有利於抑制腫瘤的增生。
KMUP-1, a xanthine derivate, has been demonstrated to stimulate the NOS/sGC/cGMP pathway in endothelial and smooth muscle cells. Additionally, it caused partially epithelium-dependent relaxations in isolated guinea-pig trachea previously published in this laboratory. This study was designed to identify whether KMUP-1 has the ability on the expression of endothelial nitric oxide synthase (eNOS) in lung adenocarcinoma epithelial cell H441. Besides, the endothelial-derived NO is able to induce pro-angiogenic and pro-tumor growth. The aim of this study was to investigate the effects of KMUP-1 on cancinogen cell under the hypoxic situation. Western blotting analysis demonstrated that KMUP-1 initiated an increase of the eNOS expression at the concentration of 10-8M. The maximal eNOS expression of KMUP-1 was achieved at 18 hr and an increase of eNOS protein was dose-dependent. The expression of eNOS was attenuated by a NOS inhibitor L-NAME. Using flow cytometry techniques to analyze cell cycles, KMUP-1 produced both time and concentration dependent inhibitions on H441 cell at S phase, arrested the cell cycle at G0/G1 phase. Notably, the effects were dramatically changed after 72 hr exposure to KMUP-1. Hypoxia-inducible factor-1 (HIF-1) is a hypoxia-activated transcription factor that can regulate vascular endothelial growth factor (VEGF) gene, especially under hypoxic condition. Indeed, the increases of protein expression of HIF-1α and VEGF were not observed under normoxia. In the hypoxic model, the data showed that KMUP-1-untreated cells decreased the percentage of G0/G1 phase and increased S phase significantly. After treatment with KMUP-1, the DNA synthesis was reduced and the cell cycle was arrested in G0/G1 phase. From the results of Western blotting showed that KMUP-1 caused a significant decrease of the protein expression of HIF-1α and VEGF, but did not show any change in the eNOS protein. The findings indicated that KMUP-1 increase the expression of eNOS and causes the cell cycle arrested at G0/G1 phase in bronchial epithelial cell, but did not induce the expression of HIF-1α and VEGF in normoxic condition. Under hypoxia, KMUP-1 inhibits the cell cycle, promotes apoptosis, and decreases the expression of HIF-1α and VEGF, but without affecting the expression of eNOS.