# Toona Sinensis and Moschus Decoction Induced Cell Cycle Arrest in Human Cervical Carcinoma HeLa Cells

Authors: Hong Zhen; Yifei Zhang; Zhijia Fang; Zhiwei Huang; Chongge You; Ping Shi
Journal: Evidence-Based Complementary and Alternative Medicine
 (2014)

---

## Abstract

Toona sinensis and Moschus are two herb materials used in traditional Chinese medicine, most commonly for their various biological activities. In this study, we investigated the inhibitory effect of three decoctions from Toona sinensis, Moschus, and Toona sinensis and Moschus in combination on cell growth in several normal and cancer cell lines by cell viability assay. The results showed that the combined decoction exhibited the strongest anticancer effects, compared to two single decoctions. The observations indicated that the combined decoction did not induce cell apoptosis and autophagy in HeLa cells by fluorescence microscopy. Flow cytometry analysis revealed that the combined decoction arrested HeLa cell cycle progression in S-phase. After the decoction incubation, among 41 cell cycle related genes, eight were reduced, while five were increased in mRNA levels by real-time PCR assay. Western blotting showed that there were no apparent changes of protein levels of Cyclin E1, while P27 expression significantly declined and the levels of CDC7 and CDK7 obviously increased. The data suggest that the RB pathway is partially responsible for the decoction-induced S-phase cell cycle arrest in HeLa cells. Therefore, the combined decoction may have therapeutic potential as an anticancer formula for certain cancers.


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## Body

## 1. Introduction

Traditional Chinese medicine (TCM) has been used in clinical practice for thousand years. Compound formula of TCM has been shown to exhibit synergism [1]. TCMs are used to restore overall healthful balance and normal body function in a holistic way due to their moderate treatment effects and lower side effects [2]. These features made themselves popular in China.Toona sinensis is a type of arbor that is widely distributed in Asia. The leaves and young shoots are used as vegetable in China and Malaysia [3, 4]. In fact, it has long been used in TCM for a wide variety of conditions. The leaf extracts showed various biological activities, including anticancer [5–9], antidiabetes [10], and antioxidant [11] effects, as well as inhibiting Leydig cell steroidogenesis [12] and suppressing brain degeneration in senescence-accelerated mice [13]. The bark is used as astringent and depurative, the powdered root is used as a corrective, and the fruits are used as an astringent and for the treatment of eye infection [14, 15].Musk, a ventral glandular secretion of the male musk deer, is also a precious and wide applied material in TCM [16–18]. As a major Chinese herbal material, musk was firstly recorded in Shen Nong Ben Cao Jing (The Herbal Classic of the Divine Plowman) in about 2700 BC and has been widely used for thousands of years. Now it is officially listed in Chinese Pharmacopoeia as Moschus, recognized as an important medicinal material with many pharmacological activities, including resuscitation, activating blood to promote menstruation, detumescence, and analgesia [19].TheToona sinensis and Moschus decoction has been used as a folk medicine for patients with liver cancer to alleviation of the symptom in Gusu province of China, while single Toona sinensis or Moschus shows no effect on these patients. The probable mechanism is unclear. In the present study, we investigated the effects of Toona sinensisand Moschus decoction on cell growth inhibition in several normal and cancer cell lines and explored its underlying molecular mechanism in human cervical carcinoma HeLa cells. Our results indicate that Toona sinensisand Moschus decoction inhibits HeLa cell growth by inducing cell cycle arrest at S-phase via regulation of some cell cycle related proteins. The findings provide evidence that Toona sinensisand Moschus decoction may have potential in the therapeutic use for some cancers.


## 2. Materials and Methods

### 2.1.  Cell Lines and Cell Culture

The mouse embryo fibroblast cell line NIH3T3 was obtained from ATCC (Manassas, VA) and human hepatoma cell line SMMC-7721, cervical carcinoma cell line HeLa, and liver cell line QSG-7701 were supplied by the Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). They were maintained in RPMI 1640 medium (HeLa, SMMC-7721 and QSG-7701) or Dulbecco’s modified Eagle’s medium (NIH3T3), supplemented with 10% fetal bovine serum (GIBCO, USA) and 1% penicillin-streptomycin (10,000 U/mL penicillin and 10 mg/mL streptomycin, Solarbio Science and Technology, Beijing, China) at 37°C in humidified air with 5% CO2.


### 2.2. Herbal Extract and Treatments

The raw herbs ofToona sinensis bark and Moschus were purchased from Gansu province of China. Both of them were identified by Professor Guichen Chen from Northwest Institute of Plateau Biology, Chinese Academy of Sciences. The bark of Toona sinensis was firstly washed to remove all contaminants and then cut into small pieces. The decoction was prepared by mixing Toona sinensis bark and Moschus 50 : 1 weight ratio. The mixture was allowed to soak with 10-fold of water for 2 h, followed by extraction at 100°C for 3 h. The water extract was then dried at 50–60°C and stored at room temperature. The similar amount of Toona sinensis bark and Moschus was extracted as controls according to the above procedure, respectively. For all experiments, the herbal preparation was weighed out and dissolved in culture medium to a concentration of 5 mg/mL and was immediately added at the indicated concentrations in cultured cells.


### 2.3. Cell Viability Assay

Cell viability was evaluated by Cell Counting Kit-8 (Dojindo, Tokyo, Japan) according to the manufacturer’s instruction. Cells were plated in 96-well micro-well plates in 0.1 mL volumes of medium with 10% FBS, at a density of 1 × 105 cells/well. Absorbance was measured at 450 nm with a iMark Microplate Absorbance Reader (Bio-Rad Laboratories Inc., Hercules, CA, USA).


### 2.4. Hoechst 33258 Staining

The cells at 2 × 105 cells/mL were seeded in 24-well plates and treated with different concentrations of the decoctions for 48 h. They were fixed in 4% paraformaldehyde in 4°C refrigerator for 30 min and then stained with 5 μg/mL Hoechst 33258, a DNA-specific fluorescent dye, for 10 min at 37°C. The stained cells were observed under a fluorescence microscope (Olympus BX51, Tokyo, Japan).


### 2.5. MDC Autophagy Staining

For autophagic fluorescence observation, cells were grown on coverslips and treated with the decoction. After 48 h, cells were stained with 0.05 mM MDC at 37°C for 1 h. The cellular fluorescence was observed using Nikon Eclipse Ti-S inverted fluorescence microscope (Tokyo, Japan) with 490 nm band-pass excitation filter and 515 nm long-pass barrier filter.


### 2.6. Cell Cycle Analysis

Cellular DNA content was determined by flow cytometry. After incubation with the decoction for 24 h, cells were harvested, washed twice with ice-cold PBS, and fixed with 70% ethanol overnight at −20°C. Cells were then washed twice with ice-cold PBS and resuspended in PBS. RNA was digested with RNase A (100μg/mL) and DNA was stained with PI (50 μg/mL). After incubation for 30 min in the dark at 37°C, stained cells were analyzed by a FACScan flow cytometry and CellQuest analysis software (Becton Dickinson, San Jose, CA).


### 2.7. RNA Extraction and Real-Time PCR

The total RNA extraction was performed using TRNzol Reagent (Tiangen, Beijing, China) according to the manufacturer’s instructions. Complimentary DNA (cDNA) was prepared from the total RNA using FastQuant RT kit (With gDNase) (Tiangen, Beijing, China).The real-time PCR analysis was performed in triplicate assays using SuperReal PreMix Plus (SYBR Green) according to the manufacturer’s instructions (Tiangen, Beijing, China) in a CFX96 Real-Time PCR Detection System (Bio-Rad, USA). The reactions were as follows: activation of the Taq DNA polymerase at 95°C for 15 min and 40 cycles of 95°C for 10 s and 60°C for 32 s. We quantified 41 genes based on a cell cycle-associated cDNA microarray (CTBioscience, Changzhou, China). The symbols of the 41 genes are listed in Table1. Gapdh,β-actin, B2M, HPRT1, and OAZ1were selected as internal controls. The relative changes in gene expression were calculated using the equation: 2
-
Δ
Δ
CT, as Livak described [20].Table 1
Effect of theToona sinensis and Moschus decoction on the mRNA expression of 41 cell cycle related genes. HeLa cells were treated with 50 µg/mL of the decoction for 24 h. The data are presented as the mean ± S.D. (for each group, n
=
3).
No.
Symbol
Gene name
Accession no.
Fold change
1
CCNA1
Cyclin A1
NM_003914
0.47*
2
CCNA2
Cyclin A2
NM_001237
1.76
3
CCNB1
Cyclin B1
NM_031966
1.79
4
CCND1
Cyclin D1
NM_053056
0.26*
5
CCND2
Cyclin D2
NM_001759
0.02*
6
CCND3
Cyclin D3
NM_001760
0.96
7
CCNE1
Cyclin E1
NM_057182
0.51
8
CCNE2
Cyclin E2
NM_057749
1.07
9
CCNH
Cyclin H
NM_001239
0.47*
10
CDC25A
Cell division cycle 25 homolog A (S. pombe)
NM_201567
1.64
11
CDC6
Cell division cycle 6 homolog A (S. cerevisiae)
NM_001254
0.91
12
CDC7
Cell division cycle 7 homolog A (S. cerevisiae)
NM_003503
4.09**
13
CDK2
Cyclin-dependent kinase 2
NM_052827
1.01
14
CDK4
Cyclin-dependent kinase 4
NM_000075
1.02
15
CDK6
Cyclin-dependent kinase 6
NM_001259
2.53**
16
CDK7
Cyclin-dependent kinase 7
NM_001799
13.37**
17
CDKN1A
Cyclin-dependent kinase inhibitor 1A (p21, Cip1)
NM_078467
1.15
18
CDKN1B
Cyclin-dependent kinase inhibitor 1B (p27, Kip1)
NM_004064
0.47*
19
CDKN2A
Cyclin-dependent kinase inhibitor 2A
NM_058197
0.88
20
CDKN2B
Cyclin-dependent kinase inhibitor 2B (p15, inhibits CDK4)
NM_078487
0.88
21
CDKN2C
Cyclin-dependent kinase inhibitor 2C (p18, inhibits CDK5)
NM_078626
0.76
22
E2F1
E2F transcription factor 1
NM_005225
0.96
23
E2F2
E2F transcription factor 2
NM_004091
1.17
24
E2F3
E2F transcription factor 3
NM_001949
2.25**
25
HDAC1
Histone deacetylase 1
NM_004964
0.70
26
MCM2
Minichromosome maintenance component 2
NM_004526
0.47*
27
MCM3
Minichromosome maintenance component 3
NM_002388
0.87
28
MCM4
Minichromosome maintenance component 4
NM_182746
1.13
29
MCM5
Minichromosome maintenance component 5
NM_006739
0.92
30
MCM6
Minichromosome maintenance component 6
NM_005915
0.85
31
MCM7
Minichromosome maintenance component 7
NM_182776
1.31
32
ORC1L
Origin recognition complex, subunit 1-like (yeast)
NM_004153
0.94
33
ORC2L
Origin recognition complex, subunit 2-like (yeast)
NM_006190
1.24
34
ORC6L
Origin recognition complex, subunit 6-like (yeast)
NM_014321
0.42*
35
PCNA
Proliferation cell nuclear antigen
NM_182649
0.87
36
PKMYT1
Protein kinase, membrane associated tyrosine/threonine 1
NM_182687
1.13
37
RB1
Retinoblastoma 1
NM_000321
2.30**
38
RBL1
Retinoblastoma-like 1 (p107)
NM_183404
1.18
39
SKP2
S-Phase kinase-associated protein 2, E3 ubiquitin protein ligase
NM_032637
1.67
40
TFDP1
Transcription factor Dp-1
NM_007111
1.28
41
WEE1
WEE 1 homolog (S. pombe)
NM_003390
0.47*
42#
B2M
Beta-2-microglobulin
NM_004048
43#
ACTB
Beta actin
NM_001101
44#
GAPDH
Glyceraldehyde-3-phosphate dehydrogenase
NM_002046
45#
HPRT1
Hypoxanthine phosphoribosyltransferase 1
NM_000194
46#
OAZ1
Ornithine decarboxylase antizyme 1
NM_004152
#The B2M, ACTB, GAPDH, HPRT1, and OAZ1 were selected as internal controls.
*Ratio < 0.5. **Ratio > 2.
**Means that “ratio > 2”.


### 2.8. Western Blot

After cells were lysed with ice-cold RIPA lysis buffer (Beyotime Institute of Biotechnology, Changzhou, China) for 30 min on ice, lysates were centrifuged at 13,000 ×g with 20 min and the supernatants were used as total cell lysates. Protein concentration was determined by Bradford protein assay (Bio-Rad, USA). A quantity of 50μg total protein per lane was separated by 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to Amersham Hybond-P polyvinylidene fluoride (PVDF) membranes (GE Healthcare, Buckinghamshire, UK). Membranes were blocked with 5% milk powder in 0.05% Tween-TBS, incubated with the specific antibodies, including Cyclin E1, p27, and CDK7 and CDC7 rabbit monoclonal antibodies (Epitomics, Burlingame, CA, USA). Detection of the target proteins on the membranes was performed using the ECL western blotting detection reagents. Signal density was detected using the MF-ChemiBIS Family including gel capture software (DNR Bio-Image system, Ltd., Jerusalem, Israel) and quantitatively analyzed by densitometry using the Image J software.


### 2.9. Statistical Analysis

Values were expressed as means ± standard deviations. Statistical analysis was performed using Student’st-test. Values of P
<
0.05 were considered to be statistically significant.


## 2.1.  Cell Lines and Cell Culture

The mouse embryo fibroblast cell line NIH3T3 was obtained from ATCC (Manassas, VA) and human hepatoma cell line SMMC-7721, cervical carcinoma cell line HeLa, and liver cell line QSG-7701 were supplied by the Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). They were maintained in RPMI 1640 medium (HeLa, SMMC-7721 and QSG-7701) or Dulbecco’s modified Eagle’s medium (NIH3T3), supplemented with 10% fetal bovine serum (GIBCO, USA) and 1% penicillin-streptomycin (10,000 U/mL penicillin and 10 mg/mL streptomycin, Solarbio Science and Technology, Beijing, China) at 37°C in humidified air with 5% CO2.


## 2.2. Herbal Extract and Treatments

The raw herbs ofToona sinensis bark and Moschus were purchased from Gansu province of China. Both of them were identified by Professor Guichen Chen from Northwest Institute of Plateau Biology, Chinese Academy of Sciences. The bark of Toona sinensis was firstly washed to remove all contaminants and then cut into small pieces. The decoction was prepared by mixing Toona sinensis bark and Moschus 50 : 1 weight ratio. The mixture was allowed to soak with 10-fold of water for 2 h, followed by extraction at 100°C for 3 h. The water extract was then dried at 50–60°C and stored at room temperature. The similar amount of Toona sinensis bark and Moschus was extracted as controls according to the above procedure, respectively. For all experiments, the herbal preparation was weighed out and dissolved in culture medium to a concentration of 5 mg/mL and was immediately added at the indicated concentrations in cultured cells.


## 2.3. Cell Viability Assay

Cell viability was evaluated by Cell Counting Kit-8 (Dojindo, Tokyo, Japan) according to the manufacturer’s instruction. Cells were plated in 96-well micro-well plates in 0.1 mL volumes of medium with 10% FBS, at a density of 1 × 105 cells/well. Absorbance was measured at 450 nm with a iMark Microplate Absorbance Reader (Bio-Rad Laboratories Inc., Hercules, CA, USA).


## 2.4. Hoechst 33258 Staining

The cells at 2 × 105 cells/mL were seeded in 24-well plates and treated with different concentrations of the decoctions for 48 h. They were fixed in 4% paraformaldehyde in 4°C refrigerator for 30 min and then stained with 5 μg/mL Hoechst 33258, a DNA-specific fluorescent dye, for 10 min at 37°C. The stained cells were observed under a fluorescence microscope (Olympus BX51, Tokyo, Japan).


## 2.5. MDC Autophagy Staining

For autophagic fluorescence observation, cells were grown on coverslips and treated with the decoction. After 48 h, cells were stained with 0.05 mM MDC at 37°C for 1 h. The cellular fluorescence was observed using Nikon Eclipse Ti-S inverted fluorescence microscope (Tokyo, Japan) with 490 nm band-pass excitation filter and 515 nm long-pass barrier filter.


## 2.6. Cell Cycle Analysis

Cellular DNA content was determined by flow cytometry. After incubation with the decoction for 24 h, cells were harvested, washed twice with ice-cold PBS, and fixed with 70% ethanol overnight at −20°C. Cells were then washed twice with ice-cold PBS and resuspended in PBS. RNA was digested with RNase A (100μg/mL) and DNA was stained with PI (50 μg/mL). After incubation for 30 min in the dark at 37°C, stained cells were analyzed by a FACScan flow cytometry and CellQuest analysis software (Becton Dickinson, San Jose, CA).


## 2.7. RNA Extraction and Real-Time PCR

The total RNA extraction was performed using TRNzol Reagent (Tiangen, Beijing, China) according to the manufacturer’s instructions. Complimentary DNA (cDNA) was prepared from the total RNA using FastQuant RT kit (With gDNase) (Tiangen, Beijing, China).The real-time PCR analysis was performed in triplicate assays using SuperReal PreMix Plus (SYBR Green) according to the manufacturer’s instructions (Tiangen, Beijing, China) in a CFX96 Real-Time PCR Detection System (Bio-Rad, USA). The reactions were as follows: activation of the Taq DNA polymerase at 95°C for 15 min and 40 cycles of 95°C for 10 s and 60°C for 32 s. We quantified 41 genes based on a cell cycle-associated cDNA microarray (CTBioscience, Changzhou, China). The symbols of the 41 genes are listed in Table1. Gapdh,β-actin, B2M, HPRT1, and OAZ1were selected as internal controls. The relative changes in gene expression were calculated using the equation: 2
-
Δ
Δ
CT, as Livak described [20].Table 1
Effect of theToona sinensis and Moschus decoction on the mRNA expression of 41 cell cycle related genes. HeLa cells were treated with 50 µg/mL of the decoction for 24 h. The data are presented as the mean ± S.D. (for each group, n
=
3).
No.
Symbol
Gene name
Accession no.
Fold change
1
CCNA1
Cyclin A1
NM_003914
0.47*
2
CCNA2
Cyclin A2
NM_001237
1.76
3
CCNB1
Cyclin B1
NM_031966
1.79
4
CCND1
Cyclin D1
NM_053056
0.26*
5
CCND2
Cyclin D2
NM_001759
0.02*
6
CCND3
Cyclin D3
NM_001760
0.96
7
CCNE1
Cyclin E1
NM_057182
0.51
8
CCNE2
Cyclin E2
NM_057749
1.07
9
CCNH
Cyclin H
NM_001239
0.47*
10
CDC25A
Cell division cycle 25 homolog A (S. pombe)
NM_201567
1.64
11
CDC6
Cell division cycle 6 homolog A (S. cerevisiae)
NM_001254
0.91
12
CDC7
Cell division cycle 7 homolog A (S. cerevisiae)
NM_003503
4.09**
13
CDK2
Cyclin-dependent kinase 2
NM_052827
1.01
14
CDK4
Cyclin-dependent kinase 4
NM_000075
1.02
15
CDK6
Cyclin-dependent kinase 6
NM_001259
2.53**
16
CDK7
Cyclin-dependent kinase 7
NM_001799
13.37**
17
CDKN1A
Cyclin-dependent kinase inhibitor 1A (p21, Cip1)
NM_078467
1.15
18
CDKN1B
Cyclin-dependent kinase inhibitor 1B (p27, Kip1)
NM_004064
0.47*
19
CDKN2A
Cyclin-dependent kinase inhibitor 2A
NM_058197
0.88
20
CDKN2B
Cyclin-dependent kinase inhibitor 2B (p15, inhibits CDK4)
NM_078487
0.88
21
CDKN2C
Cyclin-dependent kinase inhibitor 2C (p18, inhibits CDK5)
NM_078626
0.76
22
E2F1
E2F transcription factor 1
NM_005225
0.96
23
E2F2
E2F transcription factor 2
NM_004091
1.17
24
E2F3
E2F transcription factor 3
NM_001949
2.25**
25
HDAC1
Histone deacetylase 1
NM_004964
0.70
26
MCM2
Minichromosome maintenance component 2
NM_004526
0.47*
27
MCM3
Minichromosome maintenance component 3
NM_002388
0.87
28
MCM4
Minichromosome maintenance component 4
NM_182746
1.13
29
MCM5
Minichromosome maintenance component 5
NM_006739
0.92
30
MCM6
Minichromosome maintenance component 6
NM_005915
0.85
31
MCM7
Minichromosome maintenance component 7
NM_182776
1.31
32
ORC1L
Origin recognition complex, subunit 1-like (yeast)
NM_004153
0.94
33
ORC2L
Origin recognition complex, subunit 2-like (yeast)
NM_006190
1.24
34
ORC6L
Origin recognition complex, subunit 6-like (yeast)
NM_014321
0.42*
35
PCNA
Proliferation cell nuclear antigen
NM_182649
0.87
36
PKMYT1
Protein kinase, membrane associated tyrosine/threonine 1
NM_182687
1.13
37
RB1
Retinoblastoma 1
NM_000321
2.30**
38
RBL1
Retinoblastoma-like 1 (p107)
NM_183404
1.18
39
SKP2
S-Phase kinase-associated protein 2, E3 ubiquitin protein ligase
NM_032637
1.67
40
TFDP1
Transcription factor Dp-1
NM_007111
1.28
41
WEE1
WEE 1 homolog (S. pombe)
NM_003390
0.47*
42#
B2M
Beta-2-microglobulin
NM_004048
43#
ACTB
Beta actin
NM_001101
44#
GAPDH
Glyceraldehyde-3-phosphate dehydrogenase
NM_002046
45#
HPRT1
Hypoxanthine phosphoribosyltransferase 1
NM_000194
46#
OAZ1
Ornithine decarboxylase antizyme 1
NM_004152
#The B2M, ACTB, GAPDH, HPRT1, and OAZ1 were selected as internal controls.
*Ratio < 0.5. **Ratio > 2.
**Means that “ratio > 2”.


## 2.8. Western Blot

After cells were lysed with ice-cold RIPA lysis buffer (Beyotime Institute of Biotechnology, Changzhou, China) for 30 min on ice, lysates were centrifuged at 13,000 ×g with 20 min and the supernatants were used as total cell lysates. Protein concentration was determined by Bradford protein assay (Bio-Rad, USA). A quantity of 50μg total protein per lane was separated by 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to Amersham Hybond-P polyvinylidene fluoride (PVDF) membranes (GE Healthcare, Buckinghamshire, UK). Membranes were blocked with 5% milk powder in 0.05% Tween-TBS, incubated with the specific antibodies, including Cyclin E1, p27, and CDK7 and CDC7 rabbit monoclonal antibodies (Epitomics, Burlingame, CA, USA). Detection of the target proteins on the membranes was performed using the ECL western blotting detection reagents. Signal density was detected using the MF-ChemiBIS Family including gel capture software (DNR Bio-Image system, Ltd., Jerusalem, Israel) and quantitatively analyzed by densitometry using the Image J software.


## 2.9. Statistical Analysis

Values were expressed as means ± standard deviations. Statistical analysis was performed using Student’st-test. Values of P
<
0.05 were considered to be statistically significant.


## 3. Results

### 3.1. TheToona Sinensis and Moschus Decoction Inhibits Cell Proliferation

Using the WST-8 based Colorimetric Assay Cell Counting Kit-8, the effect of theToona sinensis and Moschus decoction on cell viability was measured. As shown in Figure 1(a), cells proliferation of human cervical carcinoma cell line HeLa and hepatoma cell line SMMC-7721 was inhibited by 50%, 70%, 46%, and 62% after 50 μg/mL decoction treatments for 48 h and 72 h, respectively. Compared to the two carcinoma cells, mouse embryo fibroblast cell line NIH3T3 and normal liver cell line QSG-7701 showed that cell viability decreased by 29% and 38% at 50 μg/mL decoction treatment for 72 h (Figure 1(a)). Obviously, the cell growth inhibitory effects of the decoction on the two cancer cells were stronger than those on the normal cells. Furthermore, the data indicates that the decoction inhibited the growth of cancer cells in a concentration- and time-dependent manner (Figure 1(a)).The effects of the three decoctions, includingToona sinensis andMoschus mixture, single Toona sinensis and Moschus,on cell viability in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells. (a) Cells were incubated without or with 25 and 50 μg/mL of the mixture decoction and the effects on growth inhibition were in a concentration- and time-dependent manner. (b) Cells were incubated without or with 25 and 50 μg/mL of the single Toona sinensis decoction. The percentage of viable cells was no less than 70% among all of the treated cells. (c) According to the weight ratio of the Toona sinensisand Moschus mixture decoction, the single Moschusconcentration was set as 0.5 and 1 μg/mL. In contrast to NIH3T3 and QSG-7701 cells, HeLa and SMMC-7721 cells showed no statistical decrease in the percentage of cell viability. The data are presented as the mean ± S.D. (for each group, n
=
3).
(a)
(b)
(c)At the same time, cells were treated by the singleToona sinensis orMoschus decoction. As shown in Figure 1(b), after the treatment of 50 μg/mL single Toona sinensis decoction for 72 h, the percentages of cell viability were 70%, 71%, 99%, and 99.8% in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells, respectively. According to the weight ratio of the Toona sinensis and Moschus decoction, the single Moschusconcentration was set as 0.5 μg/mL and 1 μg/mL. As shown in Figure 1(c), after the treatment of 1 μg/mL single Moschus for 24 h, the percentages of cell viability were 122.8%, 88.8%, 93.3%, and 81.1% in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells, respectively. In contrast to NIH3T3 and QSG-7701 cells, HeLa and SMMC-7721 cells showed no statistical decrease in the percentage of cell viability (Figure 1(c)). In order to further understand the cell growth inhibition of Moschus, we used 25 μg/mL and 50 μg/mLMoschus to treat the cells. The results were similar as those in low Moschusconcentrations (data not shown). Of important note is that the Toona sinensis and Moschusdecoction did induce significant decrease in the viability of human carcinoma cells, other than singleToona sinensis or Moschusdecoction (Figure 1).


### 3.2. TheToona Sinensis and Moschus Decoction Does Not Induce Cell Apoptosis and Autophagy

We sought to explore a possible explanation for its inhibition of cancer cell growth. Hoechst 33258, a DNA-specific fluorescent dye, was chosen to observe the morphologic characteristics of apoptosis in HeLa cells. As shown in Figure2(a), no apoptotic cells can be found after the decoction treatment for 48 h by fluorescence microscopy. Based on the above observations, which indicate that apoptosis is not the cause of cell death induced by the decoction, we next questioned if it induces autophagy, a second form of cell death, in HeLa cells. To address this issue, vital staining of HeLa cells treated with the decoction for 48 h was performed with MDC dye, a selective fluorescent marker of autophagic vesicles. The dye shows diffuse staining in nonautophagic cells but exhibits punctuate vesicular staining when autophagy is induced. As shown in Figure 2(b), no acidic vesicles were observed. Likewise, the decoction did not induce autography in HeLa cells.The morphologic changes of HeLa cells treated with theToona sinensis and Moschus decoction for 24 h and then were observed by fluorescence microscopy after staining with Hoechst 33258 (a) and MDC dye (b). No apoptotic body and acidic vesicles were seen. The scale was 50 μm at the bottom right corner in each picture.
(a)
(b)


### 3.3. TheToona Sinensis and Moschus Decoction Induces Cell Cycle Arrest at S-Phase

To examine whether theToona sinensis and Moschus decoction, induced growth inhibition was associated with cell cycle regulation, the cell cycle distribution was analyzed by flow cytometry. After HeLa cells were incubated with the decoction for 24 h, cells were harvested and further prepared for cell cycle analysis. Figures 3(a) and 3(b) showed that cells accumulated in the S phase of the cell cycle after the decoction treatment, whereas the percentage of cells in G0/G1 phase reduced significantly. Especially, the percentage of cells in S phase increased by 68% when the decoction concentration was 50 μg/mL, compared to that of the untreated control (Figure 3).Effect of theToona sinensisand Moschus decoction on the cell cycle distribution of HeLa cells. (a) Analysis of the various phases of the cell cycle by flow cytometry. A representative profile of cell cycle distribution in three independent experiments treated with 0, 25, and 50 μg/mL for 24 h. (b) The percentage of cell cycle distribution after the decoction treatment. Data are presented as the mean ± S.D. of three independent experiments at each concentration.
(a)
(b)


### 3.4. Changes of Cell Cycle Related Genes mRNA and Proteins Expression

In order to determine whether theToona sinensis and Moschus decoction was able to regulate cell cycle related genes expression, real-time PCR experiment was performed in the cell extracts prepared from HeLa cells. The results showed that the decoction incubation reduced the levels of CCNA1, CCND1, CCND2, CCNH, CDKN1B, MCM2, ORC6L, and WEE1 and increased the levels ofCDC7, CDK6, CDK7, E2F3, and RB1 (Table 1). Taken together, among 41 detected genes, the mRNA levels of 13 genes were changed by the decoction. Next, western blotting with specific antibodies was done to detect the changes of related proteins expression levels. We found reduction of p27 and increase of CDK7 after the treatment of the decoction (Figure 4). The level of Cyclin E1 treated with the decoction showed no significant alteration as compared to the untreated control (Figure 4). In summary, the decoction regulates mRNA and subsequent protein levels of certain cell cycle-related genes to induce S-phase cell cycle arrest.Figure 4
Effect of theToona sinensisand Moschus decoction on the expression of p27, CDK7, CDC7, and Cyclin E1 in HeLa cells by western blotting. GAPDH was used as the loading control.


## 3.1. TheToona Sinensis and Moschus Decoction Inhibits Cell Proliferation

Using the WST-8 based Colorimetric Assay Cell Counting Kit-8, the effect of theToona sinensis and Moschus decoction on cell viability was measured. As shown in Figure 1(a), cells proliferation of human cervical carcinoma cell line HeLa and hepatoma cell line SMMC-7721 was inhibited by 50%, 70%, 46%, and 62% after 50 μg/mL decoction treatments for 48 h and 72 h, respectively. Compared to the two carcinoma cells, mouse embryo fibroblast cell line NIH3T3 and normal liver cell line QSG-7701 showed that cell viability decreased by 29% and 38% at 50 μg/mL decoction treatment for 72 h (Figure 1(a)). Obviously, the cell growth inhibitory effects of the decoction on the two cancer cells were stronger than those on the normal cells. Furthermore, the data indicates that the decoction inhibited the growth of cancer cells in a concentration- and time-dependent manner (Figure 1(a)).The effects of the three decoctions, includingToona sinensis andMoschus mixture, single Toona sinensis and Moschus,on cell viability in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells. (a) Cells were incubated without or with 25 and 50 μg/mL of the mixture decoction and the effects on growth inhibition were in a concentration- and time-dependent manner. (b) Cells were incubated without or with 25 and 50 μg/mL of the single Toona sinensis decoction. The percentage of viable cells was no less than 70% among all of the treated cells. (c) According to the weight ratio of the Toona sinensisand Moschus mixture decoction, the single Moschusconcentration was set as 0.5 and 1 μg/mL. In contrast to NIH3T3 and QSG-7701 cells, HeLa and SMMC-7721 cells showed no statistical decrease in the percentage of cell viability. The data are presented as the mean ± S.D. (for each group, n
=
3).
(a)
(b)
(c)At the same time, cells were treated by the singleToona sinensis orMoschus decoction. As shown in Figure 1(b), after the treatment of 50 μg/mL single Toona sinensis decoction for 72 h, the percentages of cell viability were 70%, 71%, 99%, and 99.8% in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells, respectively. According to the weight ratio of the Toona sinensis and Moschus decoction, the single Moschusconcentration was set as 0.5 μg/mL and 1 μg/mL. As shown in Figure 1(c), after the treatment of 1 μg/mL single Moschus for 24 h, the percentages of cell viability were 122.8%, 88.8%, 93.3%, and 81.1% in HeLa, SMMC-7721, NIH3T3, and QSG-7701 cells, respectively. In contrast to NIH3T3 and QSG-7701 cells, HeLa and SMMC-7721 cells showed no statistical decrease in the percentage of cell viability (Figure 1(c)). In order to further understand the cell growth inhibition of Moschus, we used 25 μg/mL and 50 μg/mLMoschus to treat the cells. The results were similar as those in low Moschusconcentrations (data not shown). Of important note is that the Toona sinensis and Moschusdecoction did induce significant decrease in the viability of human carcinoma cells, other than singleToona sinensis or Moschusdecoction (Figure 1).


## 3.2. TheToona Sinensis and Moschus Decoction Does Not Induce Cell Apoptosis and Autophagy

We sought to explore a possible explanation for its inhibition of cancer cell growth. Hoechst 33258, a DNA-specific fluorescent dye, was chosen to observe the morphologic characteristics of apoptosis in HeLa cells. As shown in Figure2(a), no apoptotic cells can be found after the decoction treatment for 48 h by fluorescence microscopy. Based on the above observations, which indicate that apoptosis is not the cause of cell death induced by the decoction, we next questioned if it induces autophagy, a second form of cell death, in HeLa cells. To address this issue, vital staining of HeLa cells treated with the decoction for 48 h was performed with MDC dye, a selective fluorescent marker of autophagic vesicles. The dye shows diffuse staining in nonautophagic cells but exhibits punctuate vesicular staining when autophagy is induced. As shown in Figure 2(b), no acidic vesicles were observed. Likewise, the decoction did not induce autography in HeLa cells.The morphologic changes of HeLa cells treated with theToona sinensis and Moschus decoction for 24 h and then were observed by fluorescence microscopy after staining with Hoechst 33258 (a) and MDC dye (b). No apoptotic body and acidic vesicles were seen. The scale was 50 μm at the bottom right corner in each picture.
(a)
(b)


## 3.3. TheToona Sinensis and Moschus Decoction Induces Cell Cycle Arrest at S-Phase

To examine whether theToona sinensis and Moschus decoction, induced growth inhibition was associated with cell cycle regulation, the cell cycle distribution was analyzed by flow cytometry. After HeLa cells were incubated with the decoction for 24 h, cells were harvested and further prepared for cell cycle analysis. Figures 3(a) and 3(b) showed that cells accumulated in the S phase of the cell cycle after the decoction treatment, whereas the percentage of cells in G0/G1 phase reduced significantly. Especially, the percentage of cells in S phase increased by 68% when the decoction concentration was 50 μg/mL, compared to that of the untreated control (Figure 3).Effect of theToona sinensisand Moschus decoction on the cell cycle distribution of HeLa cells. (a) Analysis of the various phases of the cell cycle by flow cytometry. A representative profile of cell cycle distribution in three independent experiments treated with 0, 25, and 50 μg/mL for 24 h. (b) The percentage of cell cycle distribution after the decoction treatment. Data are presented as the mean ± S.D. of three independent experiments at each concentration.
(a)
(b)


## 3.4. Changes of Cell Cycle Related Genes mRNA and Proteins Expression

In order to determine whether theToona sinensis and Moschus decoction was able to regulate cell cycle related genes expression, real-time PCR experiment was performed in the cell extracts prepared from HeLa cells. The results showed that the decoction incubation reduced the levels of CCNA1, CCND1, CCND2, CCNH, CDKN1B, MCM2, ORC6L, and WEE1 and increased the levels ofCDC7, CDK6, CDK7, E2F3, and RB1 (Table 1). Taken together, among 41 detected genes, the mRNA levels of 13 genes were changed by the decoction. Next, western blotting with specific antibodies was done to detect the changes of related proteins expression levels. We found reduction of p27 and increase of CDK7 after the treatment of the decoction (Figure 4). The level of Cyclin E1 treated with the decoction showed no significant alteration as compared to the untreated control (Figure 4). In summary, the decoction regulates mRNA and subsequent protein levels of certain cell cycle-related genes to induce S-phase cell cycle arrest.Figure 4
Effect of theToona sinensisand Moschus decoction on the expression of p27, CDK7, CDC7, and Cyclin E1 in HeLa cells by western blotting. GAPDH was used as the loading control.


## 4. Discussion

Different from the orthodox medicine focusing on a specific pathogenic process [21], TCMs have been recognized as a popular complementary and alternative medicines, emphasizing on individualized diagnosis and treatment of patients; maximizing the body’s inherent healing ability; treatment of the “whole” person by addressing their physical, mental, and spiritual attributes [22, 23]. Multiple agents contained in each formula, at least in some formulas, could hit multiple targets and exert synergistic therapeutic efficacies [24, 25]. In our study, it is consistent that the Toona sinensis and Moschus decoction shows stronger anticancer effects than either single Toona sinensis decoction or Moschus one by cell viability assay.Our subsequent investigation was focused on the mechanisms of theToona sinensis and Moschus decoctioninduced anticancer effects in HeLa cells. The major findings of this study were that the decoction induces cell cycle arrest in S-phase. Moreover, we showed that the cell-cycle arrest was accompanied by down-regulation of CCNA1, CCND1, CCND2, CCNH, CDKN1B, MCM2, ORC6L, and WEE1and upregulation ofCDC7, CDK6, CDK7, E2F3, and RB1. Western blot also confirmed the consistent changes of several corresponding proteins. It is well known that eukaryotic cell cycle is driven by an ordered activation of a family of protein kinases, cyclin-dependent kinases, which are composed of a catalytic subunit CDK and a positive regulatory subunit cyclin [26]. Each CDK/cyclin complex is considered to play specialized roles at a defined stage of cell cycle, through phosphorylation of its specific substrate proteins [27–30]. Our results demonstrated that there were no apparent changes of both the mRNA and protein levels of Cyclin E1 in the decoction treated cells. In contrast, P27 expression significantly declined and the level of CDK7 obviously increased in accordance to cell cycle arrest in the S-phase. All these results indicate that the effect of the Toona sinensis and Moschus decoction on cell cycle arrest may be a transcriptional event regulating the certain cell cycle related proteins. A schematic presentation of cell cycle arrest at S-phase in our study is shown in Figure 5. It seems that the RB pathway (CDK inhibitor-Cyc/CDK-RB-E2F3) is partially responsible for the decoctioninduced S-phase cell cycle arrest in HeLa cells.Figure 5
A scheme of the effect of theToona sinensis and Moschus decoction on cell cycle arrest in HeLa cells. The RB pathway (CDK inhibitor-Cyc/CDK-RB-E2F3) is partially responsible for the decoctioninduced S-phase cell cycle arrest.InMoschus, many active compounds have been identified, such as muscone, stanolone, muscopyridine, androstane-3, 17-dione, hydroxymuscopyridine, and cholic acid. They are mainly classified as three major types including flavonoides, alkaloids, and steroids [31]. Hitherto, no reports show that these individual active ingredients exhibit effect on cell cycle progression. Regarding Toona sinensis, a number of compounds, including gallic acid, retinoid, vitamins B and C, o-coumaric acid, methyl gallate, ethyl gallate, kaempferol, kaempferol-3-O-β-D-glucoside, quercetin, quercitrin, quercetin-3-O-β-D-glucoside, and rutin, were identified [32, 33]. Among them, gallic acid has been shown to block the growth of DU145 cells at G2/M phases [34]. According to our results, the decoction induces S-phase cell cycle arrest in HeLa cells, which suggests that the cell cycle arrest is induced by compound(s) other than gallic acid. It is known that the use of complex medicinal formulation exhibits synergism of the multiple ingredients or drug-drug interactions [1]. The effect may not be achieved by individual active ingredients. Therefore, future studies in identifying the complex interactions of different chemical components of the Toona sinensis and Moschus will be helpful to evaluate the anticancer effect of the decoction.


## 5. Conclusion

This study is the first to report the anticancer activity of decoction ofToona sinensis and Moschus in combination. Furthermore, we have shown that the Toona sinensisandMoschus decoction exhibits its anticancer effects by inducing cell cycle arrest in S-phase via mRNA regulation of cell cycle related proteins in HeLa cells. Our data provide strong evidence that the Toona sinensis and Moschus decoction could be potentially utilized for the treatment of some cancers.



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*Source: 121276-2014-01-08.xml*