Abstract
Melanoma is the most aggressive type of skin cancer due to its rapid metastasis with a high recurrence rate following conventional therapy. Pine bark extract (PBE) from
Introduction
Malignant melanoma, a disease in which malignant cancer cells arise from melanocytes, is known for its rapid progression, metastasis, and high mortality rates. Malignant melanoma accounts for 75% of all skin cancer mortality and its 5-year survival rate is lower than 15% for all metastatic cases. 1 The incidence of malignant melanoma continues to increase significantly worldwide over the last several decades. Exposure to intense and intermittent ultraviolet (UV) irradiation can affect the risk of melanoma . 2 Despite a wide variety of therapies available to treat melanoma, the prognosis remains very poor. 3 Therefore, there is an urgent need to identify and develop novel and effective treatments.
Apoptosis is a programmed cell death pathway that balances cell death with cell survival. 4 The 2 commonly described initiation pathways of apoptosis are the intrinsic (mitochondrial) and extrinsic (death receptor) pathways. 5 Many proteins play critical roles in regulating apoptosis in human melanoma including caspases and their upstream regulators, as well as Bcl-2, Bcl-X(L), Mcl-1, and nuclear factor kappa-light-chain-enhancer of activated B cells. 6 Some molecules such as matrix metalloproteinase (MMP) family members (MMP-1, MMP-2, MMP-9, and MMP-13) are present on the cell surface of invasive tumor cells 7 and can induce malignant melanoma cell invasion, tumor growth, and metastasis formation. 8
The pine bark extract (PBE) from
Results
Catechin Content in PBE Analyzed by HPLC
Procyanidins consist mainly of flavan-3-ol units of (+)-catechin. 21 PBE was analyzed by high-performance liquid chromatography (HPLC) with detection at 230 nm using HPLC/photodiode array. A peak of catechin was detected eluting at 3.82 minutes. Peak for quercitin was not detected. UV–visible spectroscopy (Vis) wavelength spectral quantification showed that PBE contained ~61.26 mg/g of catechin.
PBE Reduces A375 Cell Viability and Proliferation
Treatment of A375 cells with PBE resulted in a reduction in cell viability in a concentration-dependent manner (Figure 1(a)). Cell cytotoxicity was significantly observed (

Pine bark extract (PBE) suppressed A375 cell viability and proliferation. (a) Dose-dependent inhibitory effects of PBE (1-100 µg/mL) on cell viability by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide tetrazolium assay. (b) Effects of PBE (1-50 µg/mL) on cell proliferation evaluated by xCELLigence real-time cell analysis. Data are shown as mean values ± standard deviation from 3 independent experiments. *
PBE Induces Apoptotic Cell Death in A375 Cells
We examined whether the inhibitory effects of PBE on cell viability and proliferation are the result of apoptotic cell death. Morphological analysis with Hoechst staining revealed nuclei with chromatin condensation and apoptotic bodies in cells cultured with PBE (Figure 2(a)), and these effects significantly increased (

Pine bark extract (PBE) induced apoptotic cell death and increased caspase-3 activation and activity. (a) PBE induced apoptotic bodies as determined by Hoechst 33342 staining. Cells were treated with 25 or 50 µg/mL of PBE for 24 hours. Photomicrographs of nuclei with chromatin condensation and apoptotic bodies stained cells are shown (arrows). Images were captured digitally at 10× (left panels) and 20× (right panels) magnification. (b) The numbers of nuclei with morphological changes were averaged from four 40× field-of-view images and values were calculated as the percentage of apoptotic cells. (c) Cells were treated with PBE (1-50 µg/mL). PBE-induced cell death was determined by flow cytometric analysis of apoptosis with propidium iodide (PI) and Annexin V double staining. Triplicate experiments were performed. (d) Effect of PBE (5-50 µg/mL) on cleaved caspase-3 protein levels by Western blot. (e) Effect of PBE for different periods (0, 12, 24, 48 hours) on caspase-3 protein expression. A representative blot is shown above each plot of quantified band intensities (normalized to β-actin signal). (f) Cells were grown under the same conditions as (a and b) except that cells were pretreated with Z-DEVD-FMK, caspase-3 inhibitor 15 or 50 µM, before incubated with PBE. The numbers of nuclei with morphological changes were averaged from four 40× field-of-view images and values were calculated as the percentage of apoptotic cells. (g) Caspase-3 activity was determined by a colorimetric assay kit and the enzyme-catalyzed release of
PBE Suppresses Cell Migratory and Invasive Properties
The effects of PBE on migratory properties of A375 cells were investigated using uncoated cell invasion and migration (CIM)-16 xCELLigence plates. The rate of cell migration through uncoated membranes was decreased following 32 hours of exposure to 1, 5, 25, or 50 µg/mL PBE compared with control cells grown for the same period without PBE (Figure 3(a)). The results showed a significant decrease (

Dose-dependent effect of pine bark extract (PBE) on cell migratory and invasive activities in A375 cells. (a) Cells were grown in cell invasion and migration (CIM) plates and stimulated with 5% fetal bovine serum (FBS) or 1-50 µg/mL PBE for 30 hours. Cell index (CI) was determined. (b) The rate of cell migration was determined by calculating the slope of the line between 2 time points. (c) The effect of PBE on invasion. Cells were grown on CIM plates coated with Matrigel and exposed to 0%, 5% FBS, or 25 and 50 µg/mL of PBE. CI is shown. (d) The rate of cell invasion was determined by calculating the slope of the line between 2 time points. Cells exposed to 5% FBS were used as a positive control. Data are shown as mean values ± standard deviation from 3 independent experiments; *

Pine bark extract (PBE) dose-dependently attenuates hydrogen peroxide (H2O2)-induced radical oxygen species (ROS) and matrix metallopeptidase-9 (MMP-9) formation. (a) A375 cells were treated with 10, 25 or 50 µg/mL PBE in either the presence or absence of H2O2. Intracellular ROS levels in the cells were analyzed using dichlorodihydrofluorescein diacetate (DCFH-DA) formation and a spectrofluorometer. Data are expressed as mean ± standard deviation (SD). *
PBE Inhibits H2O2-Mediated ROS and MMP-9 Formation
Oxidative stress refers to elevated intracellular levels of ROS that cause damage to lipids, proteins, and deoxyribonucleic acid (DNA).
22
Discussion
Here we report that PBE from
Proanthocyanidins are oligomeric proanthocyanidins or condensed tannins. The most widely studied proanthocyanidins are based on flavan-3-ol(−)-, such as procyanidins, prodelphinidins, and propelargonidins. PYC is a mixture of phenols and polyphenols that is broadly divided into monomers such as (+)-catechin, epicatechin, and taxifolin and condensed flavonoids such as procyanidin B1, B3, B7, and others.
9
PBE from
Maritime pine bark has been reported to have many health benefits including cardiovascular protection, vasorelaxant activity, and the ability to enhance the microcirculation by increasing capillary permeability
9,14
and also demonstrates a strong free radical-scavenging activity against ROS
9
and anti-inflammation.
10
In addition, Kamran et al demonstrated proapoptotic activity of PYC on human fibrosarcoma cells.
20
UV radiation is the major carcinogenic factor for all types of skin cancers via oxidative mechanisms generated by ROS. ROS can oxidize lipids, proteins, and DNA, leading to the formation of oxidized products such as lipid hydroperoxides, protein carbonyls, and 8-oxo-guanosine.
28
If these alterations occur in genes involved in normal homeostatic mechanisms that control proliferation and cell death, significant abnormalities can be observed in the cell cycle, leading to the first stage of cancer.
29
In the present study, we examined the effect of PBE which induced apoptosis on intracellular ROS generated by H2O2 in A375 malignant melanoma cells. The results showed that PBE significantly increased (
A number of MMP family members (MMP-1, MMP-2, MMP-9, and MMP-13) play functions in invasive tumor cells 7 and can induce malignant melanoma cell invasion, tumor growth, and metastasis formation. 8 MMP-9 is expressed by or can be induced in cell lines derived from advanced primary melanomas and is absent in cell lines derived from early stage primary lesions. 7 Our results demonstrated the dose-dependent PBE inhibitory effects on MMP-9 release in the malignant melanoma cell supernatant following incubation with H2O2 and suppression of cell migration and invasion, implying that PBE may have a beneficial effect on advanced-stage melanoma.
Polymeric tannins and monomeric flavonoids, such as catechin and epicatechin, in PBE could be responsible for the high antioxidant activity and anticancer effect.
31
In the present study, we found that PBE contained ~61.26 mg catechin/g, so the maximum concentration of PBE used in our study (50 µg/mL) contained ~3.11 µg/mL catechin. In a previous study, quercetin in an ethanolic extract of
Conclusion
This study aimed to determine the constituents of PBE from
Experimental
Chemicals, Reagents, and Antibodies
(+)-Catechin and quercetin (purity ≥99.0% standard) were purchased from Sigma-Aldrich (St. Louis, MO, USA), Annexin V-FITC and PI from Miltenyl Biotec (Bergisch Gladbach, Germany), Hoechst dye 33 342 from AnaSpec (Fremont, CA, USA), modified 3-(4,5-dimethylthiazol-2-yl)−2,5-diphenyltetrazolium bromide (MTT) from Thermo Fisher (Rochester, NY, USA), Matrigel Anti-caspase-3, and horseradish peroxidase-conjugated secondary (goat anti rabbit) antibodies from Santa Cruz Biotechnology (Santa Cruz, CA, USA), and anti-β-actin antibody from Cell Signaling Technology (Beverly, MA). Other chemicals were obtained as listed in the methods.
Plant Material and Identification
PBE from
Cell Culture and Treatment
The A375 malignant melanoma cell line (American Type Culture Collection, ATCC, Manassas, VA, USA) was obtained from the Department of Dermatology, Kagoshima University Graduate School of Medical and Dental Sciences, Japan. Cells were maintained in Dulbecco’s modified Eagle’s medium (DMEM; Gibco BRL) containing 7% FBS, penicillin–streptomycin (100 U/mL penicillin and 100 µg/mL streptomycin), and 2 mmol/L glutamine (Hyclone Logan) at 37°C in a humidified atmosphere of 95% air and 5% carbon dioxide. Cells were cultured in serum-free DMEM before stimulation with PBE extract.
MTT Assay
Cells were cultured into 96-well plates in either the absence or presence of PBE (1 100 µg/mL) for 24 hours. Cell viability was assessed using MTT assay, as previously described. 37 Absorbance was measured at 570 nm using an automatic microplate reader (ImmunoMini NJ-2300; InterMed, Tokyo, Japan). The cell survival percentage was calculated using DMSO-treated cells as a standard.
Detection of Apoptotic Cells
Cells were plated in 8-well Lab-Tek chamber slides (Nagle Nunc International, Rochester, NY, USA) at 1 × 104 cells/well. Cells were subsequently treated with PBE for 24 hours, fixed, washed, and stained with Hoechst 33 342. Nuclei were examined and photographed using a fluorescence microscope (BX51; OLYMPUS, Tokyo, Japan). Images were captured. Four images per group/time point were obtained to evaluate morphological changes in the nuclear chromatin of apoptotic cells, and values were calculated as a percentage of apoptotic cells. For the inhibition assays, cells were pretreated with 15 µM or 50 µM Z-DEVD-FMK, caspase-3 inhibitor for 1 hour before 50 µg/mL PBE treatment.
Flow Cytometric Analysis of Apoptosis with Annexin V-FITC/PI Staining
The induction of apoptosis was determined using Annexin V-FITC/PI double staining following the manufacturer’s instruction. Briefly, A375 cells were treated either with or without PBE (1, 25, and 50 µg/mL) for 24 hours. The collected cells were fixed with PBS and 70% ethanol (v/v) at 4°C. The cell pellet was suspended in Binding Buffer and mixed with Annexin V-FITC. After washing, cells were centrifuged at 300×
Preparation of Cell Lysates and Western Blotting
Apoptosis-protein profiling by Western blot was performed according to a previous study. 36 Cells were treated with PBE at 0-50 µg/mL for 0, 12, 24, and 48 hours and were lysed in radioimmunoprecipitation assay (RIPA) buffer (1% [w/v] NP40, 1% [w/v] sodium deoxycholate, 0.1% [w/v] sodium dodecyl sulfate, 0z.15 M sodium chloride, 0.01 M sodium phosphate buffer, pH 7.2, 2 mM ethylenediaminetetraacetic acid, and 50 mM phosphatase inhibitor cocktail). Protein concentrations were determined by Bradford protein assay using bovine serum albumin as standard (Bio-Rad, Hercules, CA, USA). Equal amounts of protein (30 µg) were subjected to 14% sodium dodecyl sulfate-polyacrylamide gel, electrophoretic transfer, and Western blotting. Band intensities were quantified using National Institutes of Health Image 1.63 software and were normalized to β-actin signals.
Caspase Activity Assay
Enzymatic activity of caspases was assayed using a colorimetric assay kit according to the manufacturer’s protocol (R&D Systems, Minneapolis, MN, USA). Briefly, cells were lysed in lysis buffer. After the samples were centrifuged, 100 µg of the protein was incubated with reaction buffer and colorimetric tetrapeptide Asp-Glu-Val-Asp (DEVD)-
xCELLigence Technology RTCA
Cell proliferation was monitored in real-time using the xCELLigence system E-Plate (ACEA Biosciences Inc., San Diego, CA, USA). A total of 1 × 104 cells were seeded in the E-plate. Cells were stimulated with PBE at 1-50 µg/mL. The impedance value of each well was automatically monitored by the xCELLigence system for a duration of 72 hours and expressed as a cell index (CI) value. Data were normalized at 24 hours. The normalized cell index (NCI) was calculated as CI at a given time point divided by the CI at the normalization time point. Automatically, the CI was calculated by the RTCA Software Package 2.1.0., based on the following formula:
CI calculation used to measure the relative change in electrical impedance,representing the cell status. The unit of impedance is ohm (Ω). Z
Monitoring Cell Migration and Invasion by RTCA
The rate of cell migration was observed in real-time using CIM plates (ACEA Biosciences Inc., San Diego, CA, USA) by the xCELLigence system as previously described. 38 Several experimental tests were recorded for Video clips to determine the optimal seeding density of the cells (Supplementary Movie 1). The optimal cell density at each time point for these migration profiles was 2 × 104 cells/well, and this number of cells was seeded in each well. Cells were serum starved for approximately 24 hours. Cells were seeded in the upper chamber of each well of a CIM plate in serum-free medium. Next, fresh medium was added to the lower chamber and cells were stimulated with 1-50 µg/mL PBE. The impedance value of each well was monitored automatically by the xCELLigence system for 30 hours and represented as CI value. The CI value was calculated by the RTCA Software, as described above. The slope of the line between 2 given time points was calculated for the rate of cell migration. For the cell invasion analysis, a similar protocol was performed as in a previous study, 39 except that the upper chamber of the CIM plates was coated with 1:40 solution of Matrigel (BD Biosciences, NY, USA) before seeding the cells (4 × 104 cells/well).
Detection of Intracellular ROS
Levels of ROS were measured using a dichlorodihydrofluorescein diacetate (DCFH-DA) detection kit (Sigma, St. Louis, MO, USA), according to the manufacturer’s instructions. A375 cells (8 × 103 cells/well) were seeded in 96-well plates and treated with PBE (10, 25, 50 µg/mL) before incubation with or without H2O2 (50 µM) for 1 hour. Cells were incubated with 10 µM of DCFH-DA plus Hank’s buffered salt solution for 30 minutes at 37°C. The levels of ROS were measured using a spectrofluorometer (PerkinElmer, Waltham, MA, USA; Ex: 490 nm, Em: 570 nm).
Quantification of MMP-9 Levels
Cells were treated with PBE (5, 25, or 50 µg/mL) before incubation with or without H2O2. The levels of MMP-9 in the A375 cell supernatant were determined by the MMP-9 human enzyme-linked immunosorbent assay Kit (Invitrogen, Carlsbad, CA, USA), according to the manufacturer’s instructions.
Statistical Analysis
Data were analyzed using SPSS software (version 20.0; SPSS Inc., Chicago, IL, USA). Data are presented as mean values ± SD. Significant differences between 2 groups were assessed using Student’s
Footnotes
Acknowledgement
The authors thank Edanz (www.edanzediting.com/ac) for editing a draft of this manuscript.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
