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Transcript of Shotgun proteomics and network analysis of neuroblastoma cell lines treated with curcumin
1068 Mol. BioSyst., 2012, 8, 1068–1077 This journal is c The Royal Society of Chemistry 2012
Cite this: Mol. BioSyst., 2012, 8, 1068–1077
Shotgun proteomics and network analysis of neuroblastoma cell lines
treated with curcuminwzSimona D’Aguanno,
abIgea D’Agnano,
cMichele De Canio,
aClaudia Rossi,
de
Sergio Bernardini,aGiorgio Federici
aand Andrea Urbani*
ab
Received 14th December 2011, Accepted 17th January 2012
DOI: 10.1039/c2mb05498a
Curcumin is a natural compound with recognized anti-inflammatory properties, but its anticancer
activity is still object of study. We provided an unsupervised molecular investigation of the
main proteome rearrangements involved in the cellular response to curcumin in a human
neuroblastoma cell line sensitive to cisplatin and its resistant counterpart by a comparative
proteomic approach. Shotgun analysis demonstrated that 66 proteins were differentially expressed
in response to 24 h treatment with 40 mM curcumin in sensitive cells, whereas 32 proteins were
significantly modulated in treated resistant cells. Functional analysis revealed that proteins
involved in cellular assembly and organization, biosynthesis and glycolysis were down-regulated
by curcumin treatment. Proteome changes were associated to cell cycle arrest in the G2/M phase
and accumulation of polyubiquitinated proteins, also confirmed by flow cytometry and
immunoblotting analysis, but not to a significant increment of reactive oxygen species production.
Since the polyubiquitination of proteins influences a wide range of cellular pathways, the
inhibition of the ubiquitin–proteasome system may be the main way through which curcumin
performs its multi-target activity.
Introduction
Neuroblastoma (NB) is the most common extracranial child-
hood tumor. Due to its aggressiveness it is responsible for
approximately 15% of all childhood cancer deaths.1 Current
treatment approaches have not been able to completely over-
come this tumor. The major limitation of the effectiveness of
clinical treatment is represented by the emergence of resistance
to anti-cancer drugs. Thus there is the necessity to evaluate the
efficacy of novel molecules and/or the patients response to
therapy based on the combined administration of more than
one drug. In the last few years an increasing number of natural
compounds have been considered in order to develop anti-
cancer drugs.2,3 The great part of phytochemicals causes
simultaneous alterations in different molecular pathways.
This peculiarity may represent an advantage in comparison
to drugs which focus their action on a single target, since the
molecular basis of most common diseases are so complex to
limit the efficacy of drugs acting in a specific manner. On the
other hand multi-target drugs able to affect different mecha-
nisms may reduce the probability for cancer cells to develop
resistance against chemotherapeutic molecules.4
Curcumin is one of the most studied phytochemicals. It is a
phenolic compound with anti-inflammatory, anti-oxidant and
anti-cancer activities, isolated from the plant Curcuma longa,
used in oriental medicine.5 The pleiotropic effects of curcumin
derive from its capability to influence multiple cellular targets,
such as nuclear factor-kB (NF-kB), COX-2 and kinases
associated with survival signaling (IKK, factor-kB-inducingkinase, NIK, and AKT), cell proliferation (ERK) and cell
cycle regulation.4,6 Studies conducted on a wide range of cell
lines showed that curcumin acts in a cell line- and dose-dependent
manner.4,6 The anti-carcinogenic properties of curcumin were
evaluated in animal models, in which the inhibition of both
tumor initiation and promotion was demonstrated.7,8 The
curcumin effectiveness was also investigated in clinical trials.9
The proteomic platform represents a powerful tool to perform
high-throughput studies allowing the detection of modulated
proteins in response to drug treatment. In particular the
shotgun approach by label-free nanoLiquid Ultra Pressure
Chromatography coupled with fast Q-TOF MS-MS/MS
acquisition (nLC-MSE) allows the qualitative and quantitative
aDepartment of Internal Medicine, University of Rome Tor Vergata,Via Montpellier 1, 00133, Rome, Italy.E-mail: [email protected]; Fax: +39-06-501703332
b Laboratory of Proteomics and Metabonomics, S. LuciaFoundation—IRCCS, Rome, Italy
c CNR-Institute of Cell Biology and Neurobiology, Rome, ItalydCentre of Study on Aging (Ce.S.I.), ‘‘G. d’Annunzio’’University Foundation, Chieti, Italy
eDepartment of Biomedical Science, ‘‘G. d’Annunzio University’’,Chieti–Pescara, Italyw Presented, in part, at the 6th Annual National Conference of theItalian Proteomics Association held in Turin, 21st–24th June 2011.z Electronic supplementary information (ESI) available. See DOI:10.1039/c2mb05498a
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This journal is c The Royal Society of Chemistry 2012 Mol. BioSyst., 2012, 8, 1068–1077 1069
analysis of complex samples by the simultaneous screening of a
large number of proteins, avoiding two-dimensional electro-
phoresis (2-DE) and isotope or tag labelling.10,11 Such an investi-
gative approach is rendered more insightful by the support of
bioinformatics tools, able to highlight the main cellular pathways
altered in the samples under investigation. Due to these features
the proteomic platform may be the most appropriate strategy to
investigate the impact of multi-target agents such as curcumin.
Here we performed a comparative proteomic study by label-
free nLC-MSE of a human NB cell line SH-SY5Y and its
cisplatin resistant counterpart in order to provide an unsuper-
vised molecular investigation of the main proteome rearrange-
ments involved in the cellular response to curcumin exposure.
Results and discussion
Evaluation of curcumin toxicity
In order to establish the concentration of curcumin to be used
in the proteomic analysis we first evaluated curcumin toxicity.
The effect of curcumin treatment was determined by a dose–
response experiment. A human neuroblastoma SH-SY5Y cell
line sensitive to cisplatin (WT) and its resistant counterpart
(DDP) selected in our laboratory as previously described10
were incubated with different concentrations of curcumin for
24 h and cell viability was monitored by 3-(4,5-dimethylthiazol-
2-yl)-2,5-diphenyltetrazolium bromide assay (MTT assay)
(Fig. 1). The calculated EC50 for the resistant cell line was
36.5 � 1.1 mM, while the EC50 for the sensitive one was 21.6 �1.0 mM. A curcumin concentration of 40 mM was considered
the dose able to induce proteome changes in bothWT andDDP
cells. In the subsequent investigations we evaluated using an
integrated proteomic-bioinformatics platform if an identical
concentration of curcumin (40 mM) may modulate the same
classes of proteins in the two cell lines. An identical concen-
tration was used for both cell lines in order to reduce the
number of experimental variables, which should be controlled
in a shotgun experiment, where large datasets are produced.
Shotgun proteomic analysis
In order to highlight the main proteome alterations in the two
NB cell lines in response to curcumin exposure we generated
protein expression profiles of both cell lines by a label-free
shotgun proteomic approach prior to and after 24 h treatment
with 40 mM curcumin. Prior to relative quantitation, experi-
mental reproducibility was evaluated (Fig. S1, ESIz). In each
condition (T0 and T24) for both cell lines (WT and DDP), the
distribution of mass error was under 15 ppm, the retention time
coefficient of variation expressed as percentage (% CV RT) was
under 10% with most of the species under 5%, and the intensity
coefficient of variation expressed as percentage (% CV intensity)
had Gaussian distributions with all values under 4.5%. The
experimental reproducibility was considered sufficient since the
observed values were near to those expected.10,11
A total of 82856 EMRTs and 517 proteins were qualitatively
identified across both conditions in WT dataset, while 62 470
EMRTs and 525 proteins were identified in the DDP experi-
ment. Relative quantitative analysis revealed 7 and 59 proteins
which were significantly up- and down-regulated in curcumin-
treated WT cells with respect to untreated cells, whereas 7 and 25
proteins were significantly up- and down-regulated in DDP
cells exposed to curcumin (Tables 1 and 2, details of protein
identifications are reported in ESIz tables).
Functional analysis of modulated proteins
The significant modulated proteins were classified on the basis
of their molecular functions using the PANTHER Classification
System (http://pantherdb.org) (Fig. 2). The functions indicated
as Antioxidant Activity, Binding, Catalytic Activity, Ion Channel
Activity, Structural Molecular Activity and Translational
Regulator Activity were common to both datasets, while the
functions Enzyme Regulatory Activity and Transporter Activity
were represented only in the WT experiment.
Moreover, to identify the key candidates involved in the
cellular response to curcumin, we performed an unsupervised
bioinformatics analysis using the proteomic datasets of modulated
proteins by Ingenuity Pathway Analysis software (IPA).
Results are summarized in Tables 3–5. For pathways evaluation
we considered networks with score >54. Consequently, the
final network derived from the merge of networks 1 and 2 in
the WT experiment is reported in Fig. 3(A), while the network
with highest score in the DDP experiment is reported in
Fig. 3(B). As expected in both cases the transcription factor
NF-kB was one of the main nodes since it is the most studied
key survival pathway regulated by curcumin,9 playing a
critical role in chronic and acute inflammatory diseases and
various cancers.12,13 It is reported that curcumin inhibition of
NF-kB is mediated by the diminished IkB and p65 phosphoryl-
ation in different human cell lines, such as myeloid leukemia
and embrionic kidney.14,15 Moreover Freudlsperger and
colleagues16 demonstrated that curcumin induced apoptosis
in Lan-5 and SK-N-SH neuroblastoma cells through inhibition
of NF-kB. The other elements of the networks shown in Fig. 3
and 4 were representatives of the significant molecular and
cellular functions in which the modulated proteins were
grouped by IPA (Table 4).
According to our results curcumin influences cellular assembly,
organization and maintenance probably through the modulation
of tubulin, which was down-regulated by the treatment. This
finding was supported by recent evidence indicating that the
Fig. 1 Cell viability. Cell survival measured in SH-SY5Y cell lines
sensitive (WT) and resistant to cisplatin (DDP) following treatment with
curcumin. WT and DDP cells were maintained in media containing
10% FBS for 24 h, followed by incubation with different concentrations
of curcumin for other 24 h. Cell survival was monitored by MTT assay.
Values are means� SD from three experiments. *po 0.05, ***po 0.001.
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Table 1 Significantly modulated proteins in SH-SY5Y cells sensitive to cisplatin (WT) after 40 mM curcumin treatment identified by label-freeLC-MSE
Accessiona Descriptionb Scorec WT T24/T0d WT T0/T24e SD f
P0CG48 Polyubiquitin-C, UBC 1000.29 2.63 �0.96 0.1P08107 Heat shock 70 kDa protein 1A/1B, HSPA1A 2548.45 2.27 �0.82 0.09P17066 Heat shock 70 kDa protein 6, HSPA6 1085.71 1.72 �0.55 0.13P34931 Heat shock 70 kDa protein 1-like, HSPA1L 1132.96 1.67 �0.51 0.11P50914 60S ribosomal protein L14, RPL14 244.22 0.67 0.4 0.29Q92841 Probable ATP-dependent RNA helicase, DDX17 432.12 0.67 0.4 0.21P60842 Eukaryotic initiation factor 4A-I, EIF4A1 573.21 0.67 0.4 0.15P08729 Keratin, type II cytoskeletal 7, KRT7 382.57 0.67 0.4 0.17P17844 Probable ATP-dependent RNA helicase, DDX5 391.96 0.67 0.4 0.29P61978 Heterogeneous nuclear ribonucleoprotein K, HNRNPK 374.52 0.67 0.4 0.16P25398 40S ribosomal protein S12, RPS12 145.68 0.66 0.41 0.32P46781 40S ribosomal protein S9, RPS9 204.2 0.65 0.43 0.28P62269 40S ribosomal protein S18, RPS18 187.35 0.65 0.43 0.21P09923 Intestinal-type alkaline phosphatase, ALPI 368.98 0.65 0.44 0.2Q14240 Eukaryotic initiation factor 4A-II, EIF4A2 385.24 0.64 0.45 0.22P19338 Nucleolin, NCL 237.52 0.64 0.45 0.22P32119 Peroxiredoxin-2, PRDX2 123.92 0.63 0.46 0.19P0CG39 POTE ankyrin domain family member J, POTEJ 600.11 0.63 0.46 0.14A5A3E0 POTE ankyrin domain family member F, POTEF 876.37 0.62 0.48 0.12Q05639 Elongation factor 1-=lpha 2, EEF1A2 737.74 0.62 0.48 0.1P04075 Fructose-bisphosphate aldolase A, ALDOA 640.35 0.61 0.49 0.11P27348 14-3-3 protein theta, YWHAQ 276.87 0.60 0.51 0.15P61981 14-3-3 protein gamma, YWHAG 247.94 0.60 0.51 0.2Q06830 Peroxiredoxin-1, PRDX1 578.53 0.60 0.51 0.12P26641 Elongation factor 1-gamma, EEF1G 456.89 0.60 0.52 0.14Q04917 14-3-3 protein eta, YWHAH 261.8 0.59 0.53 0.19P68104 Elongation factor 1-alpha 1, EEF1A1 1333.68 0.58 0.54 0.06Q5VTE0 Putative elongation factor 1-alpha-like 3, EEF1AL3 1338.84 0.58 0.54 0.07P61247 40S ribosomal protein S3a, RPS3A 272.81 0.58 0.54 0.23P31947 14-3-3 protein sigma, SFN 241.99 0.58 0.55 0.22P14618 Pyruvate kinase isozymes M1/M2, PKM2 961.27 0.58 0.55 0.08P23396 40S ribosomal protein, RPS3 230.33 0.56 0.58 0.16P62258 14-3-3 protein epsilon, YWHAE 281.05 0.56 0.58 0.16P07195 L-lactate dehydrogenase B, LDHB 603.47 0.56 0.59 0.1P30041 Peroxiredoxin-6, PRDX6 372.92 0.56 0.59 0.2P05388 60S acidic ribosomal protein P0, RPLP0 220.42 0.55 0.6 0.22P62826 GTP-binding nuclear protein Ran, RAN 363.4 0.55 0.6 0.15P68366 Tubulin alpha-4A chain, TUBA4A 684.2 0.55 0.6 0.08Q9H4B7 Tubulin beta-1 chain, TUBB1 370.46 0.54 0.61 0.2P62277 40S ribosomal protein S13, RPS13 319.93 0.54 0.61 0.25O43707 Alpha-actinin-4, ACTN4 605.77 0.54 0.62 0.25P13639 Elongation factor 2, EEF2 1511.06 0.53 0.63 0.08P06733 Alpha-enolase, ENO1 1130.42 0.53 0.64 0.07P00338 L-lactate dehydrogenase A chain, LDHA 639.13 0.53 0.64 0.08P63104 14-3-3 protein zeta/delta, YWHAZ 282.6 0.53 0.64 0.15P08865 40S ribosomal protein SA, RPSA 231.75 0.53 0.64 0.24P62937 Peptidyl-prolyl cis–trans isomerase A, PPIA 334.18 0.52 0.66 0.11P37802 Transgelin-2, TAGLN2 264.15 0.50 0.69 0.22P29401 Transketolase, TKT 646.79 0.50 0.7 0.15P00558 Phosphoglycerate kinase 1, PGK1 598.16 0.50 0.7 0.16P04406 Glyceraldehyde-3-phosphate dehydrogenase, GAPDH 1155.01 0.50 0.7 0.09P12814 Alpha-actinin-1, ACTN1 555.11 0.50 0.7 0.31P23528 Cofilin-1, CFL1 231.84 0.49 0.71 0.19Q9BUF5 Tubulin beta-6 chain, TUBB6 512.79 0.49 0.72 0.14P60174 Triosephosphate isomerase, TPI1 458.65 0.47 0.75 0.21P07437 Tubulin beta chain, TUBB 1185.08 0.47 0.76 0.09P00966 Argininosuccinate synthase, ASS1 300.61 0.45 0.79 0.15Q16719 Kynureninase, KYNU 276.31 0.45 0.8 0.36P10599 Thioredoxin, TXN 239.87 WT T24 WT T24 —P07197 Neurofilament medium polypeptide, NEFM 534.22 WT T24 WT T24 —P09601 Heme oxygenase 1, HMOX1 222.68 WT T24 WT T24 —O00410 Importin-5, IPO5 441.06 WT T0 WT T0 —P13804 Electron transfer flavoprotein subunit alpha, ETFA 158.58 WT T0 WT T0 —P62158 Calmodulin, CALM1 218.23 WT T0 WT T0 —P30086 Phosphatidylethanolamine-binding protein 1, PEBP1 206.94 WT T0 WT T0 —P08708 40S ribosomal protein S17, RPS17 135.99 WT T0 WT T0 —
a Accession number according to SwissProt database. b Protein description with relative symbol. c PLGS score obtained for protein identification.d Ratio expressed in decimal scale. e Ratio expressed in loge scale.
f Standard deviation expressed in the loge scale; WT T0 and WT T24 indicate
proteins that were found highly represented in control or treated cells, respectively.
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Table 2 Significantly modulated proteins in SH-SY5Y cells resistant to cisplatin (DDP) after 40 mM curcumin treatment identified by label-freeLC-MSE
Accessiona Descriptionb Scorec DDP T24/T0d DDP T24/T0e SD f
P62937 Peptidyl-prolyl cis–trans isomerase A, PPIA 580.75 0.56 �0.58 0.07P07195 L-lactate dehydrogenase B chain, LDHB 892.76 0.57 �0.56 0.07P00338 L-lactate dehydrogenase A chain, LDHA 1131.53 0.57 �0.56 0.07P13639 Elongation factor 2, EEF2 2061.54 0.58 �0.54 0.07P62277 40S ribosomal protein S13, RPS13 310.42 0.58 �0.54 0.25P46776 60S ribosomal protein L27a,RPL27A 184.63 0.59 �0.53 0.24P62826 GTP-binding nuclear protein Ran, RAN 452.93 0.61 �0.49 0.13P62249 40S ribosomal protein S16, RPS16 226.03 0.61 �0.5 0.2P62258 14-3-3 protein epsilon, YWHAE 254.98 0.62 �0.48 0.14P07437 Tubulin beta chain, TUBB 1693.59 0.63 �0.46 0.06P25398 40S ribosomal protein S12, RPS12 211.13 0.63 �0.47 0.18P05388 60S acidic ribosomal protein P0, RPLP0 353.62 0.64 �0.44 0.19P60174 Triosephosphate isomerase, TPI1 529.22 0.64 �0.44 0.14Q02878 60S ribosomal protein L6, RPL6 340.25 0.64 �0.45 0.18P29401 Transketolase, TKT 732.67 0.64 �0.45 0.14P68366 Tubulin alpha-4A, TUBA4A 1004.33 0.65 �0.43 0.07P04406 Glyceraldehyde-3-phosphate dehydrogenase, GAPDH 1428.46 0.66 �0.41 0.06P26641 Elongation factor 1-gamma, EEF1G 606.59 0.66 �0.42 0.12P46781 40S ribosomal protein S9, RPS9 201.42 0.67 �0.4 0.18Q06830 Peroxiredoxin-1, PRDX1 590.84 0.67 �0.4 0.09P63104 14-3-3 protein zeta/delta, YWHAZ 430.73 0.67 �0.4 0.17P11021 78 kDa glucose-regulated protein, HSPA5 801.27 1.51 0.41 0.08P17066 Heat shock 70 kDa protein 6, HSPA6 428.56 2.61 0.96 0.17P08107 Heat shock 70 kDa protein 1A/1B, HSPA1A 776.73 3.78 1.33 0.08P50990 T-complex protein 1 subunit theta, CCT8 430.84 DDPT0 DDPT0 —P60866 40S ribosomal protein S20, RPS20 125.2 DDPT0 DDPT0 —P18621 60S ribosomal protein L17, RPL17 181.99 DDPT0 DDPT0 —Q02543 60S ribosomal protein L18a, RPL18A 125.51 DDPT0 DDPT0 —Q92598 Heat shock protein 105 kDa, HSPH1 371.91 DDPT24 DDPT24 —P04843 Dolichyl-diphosphooligosaccharide–protein glycosyltransferase subunit 1, RPN1 363.99 DDPT24 DDPT24 —Q86Y46 Keratin, type II cytoskeletal 73, KRT73 258.9 DDPT24 DDPT24 —P09601 Heme oxygenase 1, HMOX1 205.01 DDPT24 DDPT24 —
a Accession number according to SwissProt database. b Protein description with relative symbol. c PLGS score obtained for protein identification.d Ratio expressed in decimal scale. e Ratio expressed in loge scale.
f Standard deviation expressed in loge scale; DDP T0 and DDP T24 indicate
proteins that were found highly represented in control or treated cells, respectively.
Fig. 2 Protein classification. The differentially expressed proteins, between the curcumin treated and untreated WT cells (A) and DDP cells (B),
were classified by their molecular functions using the PANTHER Classification System.
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1072 Mol. BioSyst., 2012, 8, 1068–1077 This journal is c The Royal Society of Chemistry 2012
anti-proliferative effect of curcumin involves the perturbation of
microtubule dynamics.17 Moreover curcumin has been found to
bind to purified tubulin, to inhibit tubulin polymerization in vitro,
to depolymerize microtubules in HeLa and MCF-7 cells and to
perturb the microtubule spindle structure.18,19
Furthermore our results provided evidence of glycolysis
inhibition after treatment. In fact glycolysis/gluconeogenesis
is one of the significant canonical pathways reported in
Table 5 and glycolytic enzymes, such as lactate dehydrogenase
(LDH), triosephosphate isomerase (TPI1), glyceraldehyde-3-
phosphate dehydrogenase (GAPDH), were down-regulated in
both WT and DDP treated cells and in addition enolase
(ENO1) and aldolase (ALDOA) were down-regulated in the
WT dataset (Tables 1 and 2). Increased glucose uptake and
high aerobic glycolysis occur in a wide spectrum of human
cancers and it is considered one of the main alterations during
malignant transformation.20 On the basis of these considerations
targeting aerobic glycolysis may be a promising approach
for anticancer treatment. Several glycolysis inhibitors are
actually in preclinical and clinical development, such as lactate
dehydrogenase A inhibitor FX1121 or hexokinase inhibitor
2-deoxyglucose (2DG).22 The transcription of genes involved
in energy production and metabolism is under the control
of the transcription factors c-Myc, hypoxia-inducible factor
1-alpha (HIF1a) and p53.23 Although curcumin is known to
inhibit the oncogenic c-Myc,9 glycolysis inhibition was not
previously reported among the effects of this molecule.
Beside the modulation of glycolysis we reported the down-
regulation of both ribosomal proteins and initiator and
elongation translational factors after exposure to curcumin,
thus indicating a reduced protein synthesis function in treated
cells (Table 4). The observation that relevant cellular processes
such as cellular assembly, glycolysis and protein synthesis were
altered after drug exposure prompted us to evaluate the
impact of curcumin on cell cycle progression.
Validation of pathway analysis and functional classification
IPA analysis pointed out a possible G2/M arrest in treated
cells (Table 5). In order to validate bioinformatics results we
examined cell cycle distribution of both cell lines after 24 h of
treatment with 40 mM curcumin (Fig. 4). The percentage of
cells in the G2/M phase increased after drug exposure, thus
confirming IPA evidence. This result was in accordance with
several studies indicating that curcumin might exert its anti-
cancer effect by modulating cell cycle regulatory machineries,
promoting prevalently G1/S or G2/M arrest, depending on the
cellular models considered.24,25 The modulation of the expres-
sion levels of different 14-3-3 family members recorded in our
proteomic experiments (Table 1 and 2) and highlighted in the
networks reported in Fig. 3 may contribute to cell cycle arrest.
The 14-3-3 proteins are relevant molecular scaffolds, able to
affect many biologically important processes, including cell
cycle regulation, through the modulation of the conformation of
their binding partners.26 Cell cycle progression is known to be
Table 3 Ingenuity pathway analysis results. List of significant networks
Network Associated network functions Score
Wt experiment1 Hematological disease, immunological disease, inflammatory disease 582 Protein synthesis, cancer, gastrointestinal disease 543 Neurological disease, skeletal and muscular disorders, organismal injury and abnormalities 144 Cellular development, cellular growth and proliferation, hair and skin development and function 10DDP experiment1 Genetic disorder, neurological disease, hematological disease 692 Cancer, cell death, cell cycle 19
Table 4 Ingenuity pathway analysis results. List of significant molecular and cellular function
Molecular and Cellular Functions p Value No. of molecules
WT experimentProtein synthesis 6.18 � 10�11 to 3.60 � 10�2 17Carbohydrate metabolism 3.76 � 10�8 to 3.99 � 10�2 10Small molecule biochemistry 7.51 � 10�6 to 4.38 � 10�2 26Cell cycle 2.25 � 10�5 to 4.77 � 10�2 11Cellular assembly and organization 2.25 � 10�5 to 4.77 � 10�2 16DDP experimentProtein synthesis 2.42 � 10�7 to 3.13 � 10�2 8Cell sycle 3.46 � 10�4 to 4.97 � 10�2 4Cellular assembly and organization 3.46 � 10�4 to 4.50 � 10�2 5DNA replication, recombination, and repair 3.46 � 10�4 to 4.50 � 10�2 5Cellular function and maintenance 4.95 � 10�4 to 3.54 � 10�2 6
Table 5 Ingenuity pathway analysis results. List of significant topcanonical pathway
Canonical pathways p Value
WT experiment14-3-3-mediated signaling 4.29 � 10�11
Glycolysis/gluconeogenesis 8.14 � 10�9
Cell cycle: G2/M DNA damage checkpoint regulation 2.19 � 10�8
Myc mediated apoptosis signaling 1.80 � 10�7
DDP experimentGlycolysis/gluconeogenesis 5.00 � 10�5
14-3-3-mediated signaling 8.78 � 10�5
p70S6K signaling 1.86 � 10�3
Cell cycle: G2/M DNA damage checkpoint regulation 3.47 � 10�3
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tightly regulated by the phosphorylation and dephosphory-
lation of the CDK-cyclin complexes, which ensure well deli-
neated transitions between cell cycle phases.25 Correct cell cycle
progression is also regulated by the selective degradation of
proteins mediated by the ubiquitin–proteasome system (UPS),
which plays an essential role in several basic cellular processes
such as proliferation, apoptosis and differentiation.24,27
Interestingly among the proteins up-regulated after curcumin
treatment in WT we found polyubiquitin (UBC), which is also
among the nodes of the corresponding IPA network (Table 1
and Fig. 3A). This finding suggested to investigate the level of
polyubiquitinated proteins in control and treated cells by
western blotting analysis (Fig. 5). The experiment revealed
an increased amount of polyubiquitinated proteins after
curcumin exposure in both cell lines. Our result was in
accordance with recent studies reporting the impairment of
UPS mediated by curcumin.24,28,29 The up-regulation of UBC
was found even in the DDP shotgun experiment but it is not
reported in Table 2 because it did not match the criterion of
reproducibility of three runs (see the Experimental section for
more details about ‘‘exclusion criteria’’). Moreover in the DDP
dataset dolichyl-diphosphooligosaccharide-protein glycosyl-
transferase (ribophorin or Rpn1) was found among the
proteins highly represented after curcumin treatment. Rpn1
was reported to be a component of the 19S regulatory complex
of the 26S proteasome, which may mediate binding of ubiquitin-
like domains to 26S proteasome itself.30 Since there are many
regulatory proteins among the UPS targets, its impairment
might be the key to explain the multiple effects of curcumin.
Fig. 4 Cell cycle. Cells were incubated in the absence or presence of
40 mM curcumin for 24 h and then stained with propidium iodide.
DNA content of the cells was quantified by flow cytometry. A total of
20 000 cells were acquired for each cell line and condition. The
percentage of cells in the three phases of the cell cycle was estimated
using ModFit software. An increased percentage of cells in the G2/M
phase was observed after treatment with a significant p-value according
to Student’s t-test (p o 0.01). Columns are means of three experiments.
Bars = SD. *p o 0.05, **p o 0.01 and ***p o 0.001.
Fig. 3 Pathway analysis. The network derived from the merge of networks 1 and 2 for the WT experiment was reported in Panel A, while the
network with highest score for the DDP experiment was reported in Panel B. Nodes represent proteins: shaded features describe proteins identified
in the present study (red = up-regulated and green = down-regulated after treatment with 40 mM curcumin) whereas un-shaded features describe
additional members of these networks and pathways which were not detected by proteomic analysis. Node shapes indicate function: enzymes
(diamond), transcription regulators (oval), nuclear receptors (rectangle), cytokines (square), transporter (trapezoid), and ‘‘other’’ (circles).
Protein–protein associations are indicated by edges containing single lines, whereas proteins acting upon other proteins (controlling their
expression) are indicated by arrows. Continuous or dotted line indicates, respectively, direct or indirect protein interactions.
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Another relevant aspect pointed out by the molecular
function classification (Fig. 2) and underlined by IPA networks
(Fig. 3) was the modulation of antioxidant proteins such as
peroxiredoxin isoforms (PRDXs), heme oxigenase-1 (HO-1, or
HOMX-1 according to IPA annotation) and heat shock
protein 70 isoform (Hsp70).
The up-regulation of Hsp70 after treatment in both cell lines
found by proteomic analysis and confirmed by immunoblotting
analysis (Fig. 5) was in accordance with findings reporting the
ability of curcumin to induce Hsp70 under various stress
conditions in rat cells31 and more recently also in human
leukemia cells.32 Hsp90, Hsp70 and Hsp27 (HSPs) are generally
known as a family of stress proteins induced in response to a
wide variety of physiological and environmental insults.
In addition to their cytoprotective role, HSPs act also as
molecular chaperones by assisting the folding of nascent or
misfolded proteins and by preventing their aggregation.33
Since it is reported that proteasome inhibition induces hsp70
gene expression,34 the observed up-regulation of Hsp70 in WT
and DDP after curcumin treatment may be associated to the
increment of polyubiquitinated proteins. It is also known that
Hsp70 isoforms may promote cell survival by inhibiting
apoptosis.35 Consistent with this cytoprotective function,
increased expression of Hsp70 isoforms is commonly asso-
ciated with the malignant cell phenotype. Even if there is a
good correlation between HSPs expression and the resistance
of cancer cells to chemotherapy, Hsp70 may not be considered
an indisputable marker of cancer.33 Hsp70 expression may
represent the initial attempt of the cell to escape apoptosis, but
cellular proliferation may be likewise affected after drug
exposure. In a recent paper apoptosis induced by curcumin
in a human schwannoma cell line (HEI-193) has been
described to be associated to Hsp70 up-regulation.36 Although
the increment of Hsp70 level was observed after drug treat-
ment, in both WT and DDP curcumin exposure was able to
inhibit cellular proliferation causing cell cycle arrest in the
G2/M phase. Moreover the observed Hsp70 up-regulation
may not result from acquired chemoresistance to curcumin,
since resistance to anti-cancer molecules is acquired only after
a long period of drug exposure rather than 24 hours, that is the
time of treatment used in our experiments. Furthermore it was
reported that HEI-193 cells over-expressing Hsp70 selected
after long exposure to curcumin (resistant cells to curcumin)
were more sensitive to treatment with specific Hsp70 inhibitors
than HEI-193 cells expressing lower level of Hsp70, thus
suggesting the promising use of curcumin in a combinatory
pharmacological strategy against cancer cells.36
The transcription of PRDX and HOMX-1 enzymes is regu-
lated by the transcription factor NF-E2-related factor 2 (Nrf2)
which is known to be activated by curcumin.9 Western blotting
analysis detected the increment of Nrf2 level, which is more
prominent in WT cells than in DDP cells exposed to curcumin
(Fig. 5). Nevertheless the trend of expression of PRDXs and
HOMX-1 found by the shotgun approach was in the opposite
direction. HOMX-1 was among the highly represented proteins
found in the treated cells, whereas PRDX1 was among the
down-regulated proteins in bothWT and DDP treated cells and
PRDX2 and PRDX6 decreased after treatment in the WT cell
line. Immunoblotting analysis confirmed the down-regulation
of PRDX1 in both cell lines after treatment (Fig. 5). These
apparent conflicting results may be explained considering that
other signal transductions also contribute to regulate PRDXs
expression. In addition to Nrf2 consensus binding, two potential
MYC binding sites and two consensus sites for NF-kB were
described in the Prdx6 promoter, thus explaining the marked
increase of Prdx6 level in response to inhibition of NF-kBobserved in mouse liver cells.37 Moreover it was reported that
the transcriptional induction of Prdx1 gene by LPS in the mouse
macrophage cells involved Src tyrosine kinases, phosphoinositide
3-kinase (PI3K) and c-Jun-NH2 terminal kinase (JNK) and was
regulated via an AP-1 site described in the rat promoter.38
Concerning PRDX2, it is supposed to be activated through
Foxo3a expression in trabecular meshwork cells treated with
nipradilol and timolol.39 Interestingly PRDX1 and PRDX6
may play a role in cancer since they were described to be
over-expressed in human breast carcinoma and associated to
promotion of invasion and metastasis of lung cancer cells.40,41
Consequently curcumin may play its anticancer activities even
through the down-regulation of PRDX1 and PRDX6.
Fig. 5 Immunoblotting analyses for selected differentially expressed
proteins identified by proteomic analysis. (A) Western-blotting analysis
was carried out using 60 mg of whole cell lysate and antibody against
poly-Ubiquitin. (B) Western-blotting analysis was carried out using
60 mg of whole cell lysate and antibodies against Nrf2, Hsp70 and Prdx1.
b-actin was used as loading control. The images shown are representative
of three independent experiments. (C) Bar chart graph showing
densitometric analysis of western blot results after actin normalization.
Measurements were done in triplicate and data are presented as
mean + SD. Statistical analysis was performed applying Student’s
t-test. (Reported data are significant with p o 0.05). WT� and WT+,
untreated and treated cells, respectively; DDP� and DDP+,
untreated and treated cells, respectively.
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Furthermore the modulation of antioxidant enzymes
suggested to investigate the redox state of WT and DDP cells
in the presence and absence of curcumin (Fig. 6). The detec-
tion of reactive oxygen species (ROS) showed a not relevant
production in DDP cells after drug exposure with respect to
basal conditions and control with H2O2. In the case of WT
cells we observed a more evident increase of ROS production
after treatment with respect to untreated cells, which anyway
did not reach the value obtained with H2O2. Curcumin is
known to be an antioxidant agent due to its property of
quenching ROS, although several in vitro studies suggested
that apoptosis mediated by curcumin was associated with
ROS production and/or oxidative stress in transformed cells.4
Jaisin and colleagues42 demonstrated that curcumin reduced
ROS levels induced by 6-hydroxydopamine (6-OHDA) in a
neuroblastoma cell line, whereas other researchers reported
the increased ROS production in the presence of curcumin in
normal human skin fibroblast.43 Production of ROS in
response to curcumin is probably both dose- and cell type-
dependent.4,6 The reduced effect on ROS production after
drug exposure observed in DDP cells with respect to WT cells
may be explained considering the different proteome back-
ground between the cell line resistant to cisplatin and the
sensitive one, already investigated in a previous work.10 The
mechanisms of drug resistance activated in DDP cells may
render them more prompt to quench ROS.
Conclusion
We evaluated the anticancer properties of curcumin in
a human NB cell line sensitive to cisplatin and its resistant
counterpart. High-throughput proteomics and pathway ana-
lysis allowed us to evaluate curcumin targets in these cellular
models. Results revealed that in both cell lines drug exposure
reduced expression of proteins involved in biosynthesis and
glycolytic activity and favoured the accumulation of poly-
ubiquitinated proteins in association to cell cycle arrest in the
G2/M phase. The observed UPS impairment, confirmed by an
independent experiment, may probably be the main respon-
sible player of the pleiotropic effects of curcumin and for its
dose- and cell type-dependent activity. However further
investigations are necessary to understand in which way
curcumin might act as a proteasome inhibitor. In order to
achieve this challenging purpose it will be necessary to carry
out a systematic study of experimental validations based on
biochemical and other functional experiments, which goes
beyond the aim of the present work.
Experimental
Cell culture
The human neuroblastoma (NB) cell line SH-SY5Y was
maintained in DMEM High glucose (GIBCO, Paisley, UK)
containing 10% bovine serum albumin (FBS) (GIBCO), 2 mM
L-glutamine (GIBCO), 1% NEAA (GIBCO), 1% sodium
pyruvate (GIBCO), 10 mM HEPES (GIBCO) and 1% anti-
biotics (100 U ml�1 penicillin/streptomycin) (GIBCO) under
standard conditions (37 1C temperature, 5%CO2 in a humidified
atmosphere). The SH-SY5Y cell line resistant to cisplatin
(SIGMA, Saint Louis, Missouri, USA) was selected in our
laboratory as previously described10 and maintained in
complete medium supplemented with 1 mM cisplatin.
MTT assay
NB cell lines were seeded at 1.5 � 104 cells per well in 96 well
flat-bottom plates and cultured for 24 h in 100 ml of complete
medium. After 24 h media were replaced with fresh media
containing vehicle (DMSO) or curcumin at different concen-
trations and cells were left at 37 1C for 24 h. Then 3-(4,5-
dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT,
SIGMA) 0.5 mg ml�1 was added to wells and cells were
incubated for 4 h. Formazan crystals were dissolved by adding
100 ml of solubilization solution (TOX-1 kit, SIGMA) and
after 1 h absorbance was measured at 570 nm subtracting 690 nm.
Fig. 6 Reactive oxygen species (ROS) levels. (A) Representative images
of cell fluorescence indicating ROS production detected by DCF–DA
reaction prior to and after curcumin treatment. I, WT CTRL; II, WT
treated; III, DDP CTRL; IV, DDP treated. (B) Flow cytometric analysis
of ROS levels in WT and DDP. NB cells were treated with 40 mMcurcumin for 4 h to detect the changes of ROS. 50 mMH2O2 was used as
positive control. *p o 0.05 and **p o 0.01 versus basal.
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Experiments were performed in triplicate. OD values were
normalized versus the starting point value when added drug
is zero and viability is maximum. Statistical analysis was
performed by Student’s t-test. The results were analysed and
the EC50 values were determined with the GraphPad Prismt
analysis software package (Graph-Pad Software, San Diego,
USA) using non-linear regression (sigmoidal dose response,
variable slope).
Proteomics analysis by LC-MSE
Sample preparation, data acquisition and processing were
performed as previously described.10 A total of 0.5 mg of
protein digestion were loaded on the nanoACQUITY UPLC
System (Waters Corp., Milford, MA) coupled to a Q-Tof
Premier mass spectrometer (Waters Corp., Manchester, UK).
Prior to loading, 200 fmol of the digestion of enolase from
Saccharomyces cerevisiae (Waters Corp.) was added to the
sample as the internal standard. Samples were injected onto a
Symmetry C18 5 mm, 180 mm � 20 mm precolumn (Waters
Corp.) for preconcentration and desalting and subsequently
separated using a NanoEaset BEHC18 1.7 mm, 75 mm� 25 cm
nanoscale LC column (Waters Corp.) maintained at 35 1C.
Mobile phase A was water with 0.1% formic acid, and mobile
phase B was 0.1% formic acid in acetonitrile. Peptides were
eluted by a gradient of 3–40% mobile phase B over 150 min at
a flow rate of 250 nl min�1, followed by a gradient of 40–90%
mobile phase B over 5 min and a 15 min rinse with 90%mobile
phase B. The Q-Tof Premier mass spectrometer (Waters
Corp.) was programmed to step between low (4 eV) and high
(15–40eV) collision energies using a scan time of 1.5 s over
50–1990 m/z (expression mode). Samples of each condition
were run at least in triplicate. Continuum LC-MS data were
processed and searched using ProteinLynx GlobalServer v2.3
(PLGS) (Waters Corporation). Protein identifications were
obtained with the embedded ion accounting algorithm of the
software and searching a Uniprot/SWISSProt human database
release 2010_11 (20259 entries) to which sequence of enolase
from Saccharomyces cerevisiae was appended. Parameters for
database search were: automatic tolerance for precursor ions,
automatic tolerance for product ions, minimum 3 fragment
ions matched per peptide, minimum 7 fragment ions matched
per protein, minimum 2 peptide matched per protein, 1 missed
cleavage, carbamidomethylation of cysteine and oxidation of
methionine as modifications. The false positive rate (FPR) of
the identification algorithm is typically 3 to 4% with a
randomized database, appended to the original one, which is
five times the size of the original utilized database.10,11 Identified
proteins displayed in the protein table were normalized against
P00924 entry (enolase from Saccharomyces cerevisiae) while
the most reproducible peptides for retention time and intensity
deriving from digestion of enolase from Saccharomyces cerevisiae
(m/z 807.43,m/z 1159.60,m/z 1288.70,m/z 1755.94,m/z 1840.89)
were used to normalize the EMRTs table, that is the list of
paired peptide exact masses and their retention time. The list
of normalized proteins were screened according to the following
criteria: protein identified in at least 3 out of 3 injections of the
same conditions; proteins with 0 o P o 0.05 or 0.95 o P o 1,
and proteins with a ratio of expression level within the conditions
above 1.5 on a decimal scale. If 0o Po 0.05 the likelihood of
down-regulation is greater than 95%, if 0.95 o P o 1 the
likelihood of up-regulation is greater than 95%. Setting the
threshold of ratio at 1.5 on a decimal scale allowed us to
consider average relative fold change �0.50 on a natural log
scale. This setting is more stringent than �0.30 on a natural
log scale which is typically 2–3 times higher than the estimated
error on the intensity measurements.11
Bioinformatics analysis
Modulated proteins identified by proteomic analysis were
further analysed by the PANTHER Classification System
(http://www.pantherdb.org) and Ingenuity Pathway Analysis
software v.8.8 (IPA). Using PANTHER resource it is possible
to categorize genes by their molecular functions and/or biological
processes on the basis of published papers and by evolutionary
relationships to predict function when experimental evidence
is missing. IPA highlights protein networks or pathways
starting from a continuous updated database of known protein–
protein interactions based on direct (physical) and indirect
(functional) associations. The algorithm gives back a prob-
ability score for each possible network. Scores of 10 or higher
(negative log of the p value) have a high confidence of not
being generated by random chance alone and they were the
only considered in the present work.
Immunoblot analysis
Total protein extracts were separated on 12% SDS-PAGE and
transferred to nitrocellulose membranes (Bio-Rad) using a
SEMI-PHOR semi-dry transfer unit (Amersham Biosciences).
The transferred membranes were blocked with 3% low fat dry
milk in TPBS (0,1% Tween20 in PBS buffer) for 1 h and incu-
bated overnight with primary antibodies : anti-Multiubiquitin
(1 : 1000) (MBL), anti-Nrf2 (1 : 1000) (Santa Cruz), anti-
Hsp70 (1 : 1000) (Santa Cruz), anti-Prdx1 (1 : 5000) (Santa
Cruz), b-actin (1 : 5000) (Sigma), diluted in 1% low fat dry
milk in TPBS. Membranes were then incubated with secondary
antibody conjugated with horseradish peroxidase (Bio-Rad)
for 1 h and detection was done with Enhanced Chemiluminescence
Plus reagent (ECL plus, Amersham Biosciences). Experiments
were performed in triplicate. Densitometric analysis was
performed using ImageJ v1.43d software.
Flow cytometry analysis (FACS)
Cells were plated in 10 cm dishes at a density of 5 � 105 cells
per dishes. After 24 h medium was replaced with medium
containing 40 mM curcumin and cells were left for another
24 h. Then cells were harvested, washed once in PBS and fixed
with 70% ethanol at�20 1C, at a concentration of 1� 106 ml�1.
5 � 105 cells were washed in PBS and resuspended in RNaseA
(75 KU ml�1 final concentration) and propidium iodide
(50 mg ml�1 final concentration) overnight. Samples were
measured with a FACScan cytofluorimeter and 20 000 events
per samples were acquired using CELLQuest BD software.
Cell cycle phase percentages were estimated using ModFit
software. Experiments were repeated in triplicate and statistical
analysis was performed applying Student’s t-test.
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Reactive oxygen species levels
5-6-Chloromethyl-20,70-dichlorofluorescin diacetate (CM-H2DCF-
DA, Molecular Probes, Invitrogen) is a permeable tracer
specific for reactive oxygen species (ROS) assessment. It can
be deacetylated by intracellular esterase to the nonfluorescent
20,70-dichlorofluorescin, which is oxidized by ROS to the
fluorescent compound 20,70-dichloroflorescein. Thus, the
fluorescence intensity of 20,70-dichloroflorescein is propor-
tional to the amount of ROS produced by the cells. Approxi-
mately 1 � 105 cells per well were seeded in a six-well plate.
After 24 h medium was replaced with medium containing
40 mM curcumin and cells were left for another 4 h. After
treatment, the cells were incubated with 10 mM 20,70-dichloro-
fluorescein diacetate at 37 1C for 30 min in the dark. After
incubation, the cells were harvested and washed with PBS
three times. DCF-DA reaction was checked using a Leica
DFC 340FX microscope and cell images were acquired using
Leica Application Suite v3.3.0 software. ROS production was
measured flow cytometry. ROS generation was expressed as
the mean fluorescence intensity. H2O2 was used in a control
experiment. The experiments were done at least in triplicate
and statistical analysis was performed by Student’s t-test.
Author contributions
SD and AU designed the study; SD performed proteomics,
bioinformatics and validation experiments; ID performed flow
cytometry analysis; MD assisted in interpreting and presenting
data; CR assisted in technical set up; SD wrote the paper;
ID, SB, GF, and AU assisted in interpreting the study and
provided feedback on the manuscript.
Acknowledgements
This work has been supported by the ‘‘Rete Nazionale di
Proteomica’’, FIRB RBRN07BMCT Project, Fondazione
Roma 2008.
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