Organic anion‑transporting polypeptides contribute to the uptake of curcumin and its main metabolites by human breast cancer cells: Impact on antitumor activity
- Authors:
- Published online on: February 14, 2019 https://doi.org/10.3892/or.2019.7011
- Pages: 2558-2566
Abstract
Introduction
Breast cancer is the most common type of invasive cancer in women and the second main cause of cancer mortality in females, following lung cancer. Chemoprevention in combination with anticancer treatment is therefore important to reduce incidence and mortality rates. Epidemiological and experimental studies have demonstrated that natural nutritional compounds are potent chemopreventive agents against mammary carcinogenesis (1,2). One of these food constituents is Curcuma, a yellowish-orange polyphenol from the rhizome of Curcuma longa. Since ancient times, it has been used as herbal therapy in China and India against numerous diseases (3). Curcumin is also an anticancer agent, as recently revealed in a mouse xenograft breast cancer model, where it significantly prevented tumor growth and angiogenesis (4). In hormone-dependent and independent human breast cancer cells, curcumin interferes with apoptosis by regulating STAT3, NF-κB, AP-1, HER2, CXCR4, EGFR, ERK, αJAK, TNF, IL and MP activity (5–7). Curcumin attenuates the expression of matrix metalloproteinases (MMPs) via reduced activity of NF-κB and transcriptional downregulation of AP-1 (8), thereby decreasing the number of lung metastases in mice upon intracardiac injection of estrogen receptor-negative human breast cancer MDA-MB-231 cells (8). Curcumin exhibited a synergistic effect with paclitaxel against human MCF-7 and MDA-MB-231 cells (9). Furthermore, curcumin demonstrated better clinical responses also in a phase-I clinical trial with docetaxel in patients with prolonged and metastatic breast cancer (10). Notably, despite its activity against breast cancer cells, curcumin exerts little toxicity against normal cells, even upon long-term exposure.
Previous studies in mice and rats demonstrated extensive metabolism of curcumin in the small intestine and liver mainly to curcumin sulfate, curcumin glucuronide and tetrahydrocurcumin (11). Biotransformation of curcumin is also extensive in humans, as shown in a pilot study of a standardized Curcuma-derived extract in patients with colorectal cancer (12). In addition to the formation of curcumin glucuronide and curcumin sulfate, curcumin undergoes phase-I bioreduction mainly to tetrahydrocurcumin and to a minor part to hexahydrocurcumin, octahydrocurcumin and hexahydrocurcuminol (13,14), which are subsequently further conjugated to glucuronides and sulfates (13). Biotransformation is cell-specific, as a recent study from our laboratory revealed that in hormone-dependent ZR-75-1 and hormone-independent MDA-MB-231 breast cancer cells the main metabolite was curcumin sulfate, while curcumin glucuronide formation was below the detection limit (15). Intracellular curcumin sulfate was subsequently discharged released into the cellular medium, leading to <12-fold higher concentrations compared with the cytoplasm indicating an active efflux mechanism. A possible candidate for this efflux is the breast cancer resistance protein (BCRP and ABCG2), which is expressed in numerous tissues, including breast ductal cells, and serves an important role in the efflux of sulfated conjugates of steroids and drugs (16). An interplay of curcumin with BCRP has already been described and may also apply to its sulfated metabolite (17).
Currently, limited information is available about the activities of curcumin biotransformation products. Previous in vitro data suggest that the main metabolites of curcumin, i.e. curcumin sulfate and curcumin glucuronide are less potent than curcumin against various tumor cell lines. In vivo, however, curcumin conjugates may markedly contribute to the pharmacological activity of curcumin, since ubiquitously expressed sulfatases or β-glucuronidases may rapidly cleave the conjugates back into curcumin. However, tetrahydrocurcumin, a major metabolite of curcumin, has demonstrated similar anticancer activities to curcumin. In H22 ascites hepatocarcinoma tumor-bearing mice and in an animal carcinogenesis model tetrahydrocurcumin was even more effective than curcumin (18,19). Moreover, intragastric treatments of tetrahydrocurcumin (40 mg/kg) to mice were more effective than curcumin (100 mg/kg) in inhibiting the expression of cyclooxygenase-2 and suppressing NF-κB (20). Unlike curcumin, tetrahydrocurcumin is stable in 0.1 M phosphate buffer at pH 7.2 and in plasma (21), and may therefore significantly contribute to the anticancer activity of curcumin.
Active uptake mechanisms into the cytoplasm of tumor cells may be more significant than metabolism for the efficiency of curcumin. One of the main membrane transport proteins are organic-anion-transporting polypeptides (OATPs), which mediate the uptake of numerous clinically used drugs and natural compounds such as polyphenols and their sulfates (22–26). The strongest effect on bioavailability is due to OATP2B1, which is highly expressed in the intestine, and to OATP1B1 and OATP1B3, which are expressed in the liver. Various OATPs are also highly expressed in human hormone receptor-positive (MCF-7) and negative (MDA-MB-231) breast cancer cell lines (27). Zhou et al recently demonstrated that curcumin is a substrate of OATP1B1, OATP1B3 and OATP2B1, and that curcumin glucuronide is a substrate of OATP1B1 and OATP1B3 but not of OATP2B1, using OATP-transfected 293 cells (28). Additional experiments by the same authors (28) and by Sun et al (29) revealed that curcumin and curcumin glucuronide are also inhibitors of the OATP1B1 and 1B3 substrates rosuvastatin and docetaxel. However, no data are available to date on whether curcumin sulfate and tetrahydrocurcumin are also transported by OATPs. The present study therefore investigated the time and concentration-dependent transport of curcumin, curcumin sulfate, curcumin glucuronide and tetrahydrocurcumin in Chinese hamster ovary (CHO) cells stably-transfected with OATP1B1, OATP1B3 and OATP2B1. Furthermore, the kinetics of the uptake of curcumin and its main metabolites was calculated in order to determine the affinity of each substrate for the three transporters. Finally, the importance of OATPs in the anticancer activity of curcumin and tetrahydrocurcumin was elucidated in wild-type and OATP1B1-knockdown human breast cancer cell line ZR-75-1, and any differences in cellular uptake associated with cytotoxicity were evaluated.
Materials and methods
Materials
Curcumin (98% pure) and tetrahydrocurcumin (95% pure) were purchased from Sigma-Aldrich (Merck KGaA, Darmstadt, Germany). Curcumin sulfate and curcumin glucuronide were obtained from TLC Pharmaceutical Standards Ltd. (Aurora, ON, Canada). Methanol and water were of high-performance liquid chromatography (HPLC) grade (Merck KGaA). All other chemicals and solvents were commercially available and of analytical grade, and were used without further purification.
Cell culture
Chinese hamster ovary (CHO) cells that were stably transfected with OATP1B1, OATP1B3 and OATP2B1, as well as wild-type CHO cells, were provided by the Department of Clinical Pharmacology and Toxicology, University Hospital Zurich (Zurich, Switzerland). These cells have been extensively characterized previously (30,31). The CHO cells were grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum (FCS), 50 µg/ml L-proline, 100 U/ml penicillin and 100 µg/ml streptomycin (Life Technologies; Thermo Fisher Scientific, Inc., Waltham MA, USA). The selection medium for stably transfected CHO cells additionally contained 500 µg/ml geneticin sulfate (G418) (32). All of the media and supplements were obtained from Life Technologies (Thermo Fisher Scientific, Inc.). The mammalian ZR-75-1 breast cancer cell line was purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and was maintained in RPMI-1640 medium (Life Technologies; Thermo Fisher Scientific, Inc.) supplemented with 10% FCS, 100 U/ml penicillin, 100 µg/ml streptomycin and 1% GlutaMAX (Life Technologies; Thermo Fisher Scientific, Inc.). The cells were grown in T-flasks with a 25-cm2 growth area (BD Biosciences, Franklin Lakes, NJ, USA) and maintained at 37°C under 5% CO2 and 95% relative humidity. The cells were passaged once per week and were used at passages ≤55 (24).
OATP1B1 knockdown in ZR-75-1 cells
For lentiviral transduction, ZR-75-1 cells were plated in 24-well tissue culture plates at a density of 40,000 cells/well in 0.5 ml of growth medium. After 24 h, 250 µl of medium supplemented with 8 µg/ml polybrene (Sigma-Aldrich; Merck KGaA) was added. Transductions were performed by the addition of 10 µl of shRNA (Mission® Transduction Particles NM_006446; Sigma-Aldrich; Merck KGaA), and the TRCN0000043203 coding sequence was as follows: 5′-CCGGGCCTTCATCTAAGGCTAACATCTCGAGATGTTAGCCTTAGATGAAGGCTTTTTG-3′. At 24 h post-transduction, the cell culture medium was changed, and 1 ml of growth medium supplemented with 1 or 5 µg/ml puromycin (Sigma-Aldrich; Merck KGaA) was added to select cells after an additional 24 h. The obtained silencing efficiency was evaluated after 3 weeks via reverse transcription-quantitative polymerase chain reaction (RT-qPCR).
RT-qPCR
Total RNA was extracted from cells using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's instructions as previously described (28). TaqMan® Gene Expression assays (Applied iosystems; Thermo Fisher Scientific, Inc.) were applied for human OATP1B1 detection. The 18S gene was used as a reference gene as previously described (27). Multiplex RT-qPCR was performed in an amplification mixture (25 µl) containing 10 µl of 2X TaqMan® Universal PCR Master Mix, 1 µl appropriate Gene Expression assay, 1 µl TaqMan® endogenous control (human β-actin or 18S), 10 ng template complementary DNA (cDNA) diluted in 3 µl nuclease-free water. The thermal cycling conditions were as previously described (33). Fluorescence generation due to the cleavage of the TaqMan® probe via the 5′→3′ exonuclease activity of the DNA polymerase was detected with an ABI PRISM 7700 Sequence Detection System (Applied Bioystems; Thermo Fisher Scientific, Inc.). All samples were amplified in triplicate. To cover the range of expected quantitative cycle (Cq)-values for the target mRNA (34), a standard curve of 6 serial dilutions from 50 ng to 500 pg pooled cDNA was analyzed using Sequence Detection software 1.9.1. (Applied iosystems; Thermo Fisher Scientific, Inc.). Relative gene expression data are given as the n-fold change in transcription of target genes normalized to the endogenous control. Real-time RT-PCR was performed with the following prefabricated TaqMan® Gene Expression assays (Applied iosystems; Thermo Fisher Scientific, Inc.) which contained the intron-spanning primer Hs00272374_m1 for OATP1B1.
Cellular uptake
Transport assays were performed on 12-well plates as previously described (33). Briefly, OATP-transfected CHO cells were seeded at a density of 350,000 cells/well on 12-well plates (BD Biosciences). Uptake assays were generally performed on day 3 after seeding when the cells had grown to confluence. After 24 h of initiation before starting the transport experiments, cells were treated with 5 mM sodium butyrate (Sigma-Aldrich; Merck KGaA) to induce non-specific gene expression (35). Curcumin and its metabolites were dissolved in dimethyl sulfoxide (DMSO) and diluted in uptake buffer (pH 7.4; final DMSO concentration of 0.5%) to 25–600 µM. Control experiments contained DMSO in the medium instead of curcumin and its biotransformation products, respectively. Prior to the transport experiment, cells were rinsed twice with 2 ml of pre-warmed (37°C) uptake buffer (116.4 mM NaCl, 5.3 mM KCl, 1 mM NaH2PO4, 0.8 mM MgSO4, 5.5 mM D-glucose and 20 mM HEPES; pH adjusted to 7.4). Uptake at 37°C was initiated by adding 0.25 ml of uptake buffer containing the substrate. After 1 min, the uptake was stopped, and the cells were washed 5 times with 2 ml of buffer (pH 7.4) and subsequently trypsinized by the addition of 100 µl of trypsin. Cell membranes were then disrupted via repeated (5 times) shock freezing in liquid nitrogen and thawing. Following centrifugation at 13,500 × g for 5 min, 100 µl supernatant was diluted with methanol/water (2:1; v/v) and aliquots (80 µl) were analyzed via HPLC. All experiments were repeated at least 3 times.
Transport of curcumin and tetrahydrocurcumin in wild-type ZR-75-1 and OATP1B1-knockdown ZR-75-1 cells
Cells were plated on 6-well plates and allowed to attach overnight. Cells were then incubated for 1 min at 37°C with curcumin and tetrahydrocurcumin (25–200 µM; final DMSO concentration <0.5%). Control experiments contained DMSO in the medium in place of curcumin and tetrahydrocurcumin. Then uptake was stopped, and the cells were washed 5 times with 2 ml phosphate-buffered saline (PBS) and subsequently trypsinized by the addition of 100 µl trypsin. Cell membranes were lysed by repeated (5 times) shock freezing in liquid nitrogen and thawing. Following centrifugation at 13,500 × g for 5 min, 80 µl supernatant (cytoplasm) was analyzed by HPLC for detection of curcumin and tetrahydrocurcumin. All experiments were repeated at least 3 times.
Cytotoxicity assay
ZR-75-1 wild-type and OATP-knockdown cells (50,000 cells/ml) were seeded into 96-well plates and incubated for 24 h at 37°C under 5% CO2. Then, cells were incubated with various concentrations of curcumin (2.5–100 µM) for 72 h, the incubation stopped and CellTiter-Blue reagent (Promega Corp., Madison, WI, USA) (20 µl) was added to the wells. The plates were then incubated for 2 h at 37°C and the absorbance was recorded for resazurin (605 nm) and resorufin (573 nm) on a Tecan M200 multimode plate reader (Tecan Group, Ltd., Männedorf, Switzerland). The viability of the treated cells was expressed as a percentage of the viability of the corresponding control cells. All experiments were repeated at least 3 times.
Determination of protein concentrations
Total protein was determined using the BCA assay kit (Pierce; Thermo Fisher Scientific, Inc.) with bovine serum albumin (BSA) as a standard and quantification at a wavelength of 562 nm on a spectrophotometer (UV-1800; Shimadzu Corp., Kyoto, Japan). Raw data were analyzed using UV-Probe version 2.31 software (Shimadzu Corp.). The protein concentrations were consistent among the plates (0.150±0.005 mg/well).
HPLC analysis
The concentrations of curcumin and its biotransformation products were quantified by HPLC using the same Dionex UltiMate 3000 system (Dionex Corp., Sunnyvale, CA, USA), column, mobile phase and gradient as previously described (15). Calibration of the chromatogram was accomplished using the external standard method. Linear calibration curves were performed by spiking drug-free cell culture medium with standard solutions of curcumin, curcumin sulfate, curcumin glucuronide, and tetrahydrocurcumin to produce a concentration range from 0.01 to 10 µg/ml (average correlation coefficients: >0.999). Coefficients of accuracy and precision for these compounds were <11%.
NF-κB-luciferase reporter assay
A total of 100,000 ZR-75-1 wild-type and OATP1B1-knockdown ZR-75-1 cells were seeded in 24-well plates and grown to 70% confluency for transfection. Simultaneous transfection with pTAL-NF-κB (NF-κB response element-Firefly luciferase reporter; Clontech Laboratories, Inc., Mountainview, CA, USA) and pRL-TK (Control-Renilla luciferase; Promega Corp.) was performed with Lipofectamine 2000 (Life Technologies; Thermo Fisher Scientific, Inc.; cat. no. 11668) according to the manufacturer's protocol. NF-κB was blocked for 30 min with 10 µM BAY11-7082 (Calbiochem; Merck KGaA) or 100 µM curcumin, respectively. Then, 10 ng/ml interleukin 1β (IL-1β; Sigma-Aldrich; Merck KGaA) was added and incubated for 90 min at 37°C, immediately followed by luciferase assay (Promega Corp.; cat. no. E1910). Briefly, cells were lysed with lysis buffer, the first substrate to detect the firefly luciferase was added, and the samples were immediately measured for 6 sec. Upon addition of the second substrate signals for Renilla luciferase were assessed.
Data and statistical analysis
Kinetic parameters were calculated using the GraphPad Prism version 6.0 software program (GraphPad Software, Inc., La Jolla, CA, USA) for a Michaelis-Menten kinetic model: V = Vmax × S/(Km + S), where V is the rate of the reaction; Vmax is the maximum velocity; Km is the Michaelis constant and S is the substrate concentration. The intrinsic clearance, which is defined as the ratio Vmax/Km, quantifies the transport capacity. IC50 values of curcumin and tetrahydrocurcumin cytotoxicity against wild-type and OATP-knockdown ZR-75-1 cells were calculated by fitting a non-linear model to cell viability vs. (log)concentrations data using the GraphPad Prism version 6.0 software (GraphPad Software, Inc.). This software was also used for all statistical analyses. All values were expressed as the mean ± standard deviation (SD) of 3 independent biological replicates and one-way analysis of variance (ANOVA) followed by Tukey's post hoc test was used to compare differences between the wild-type and OATP1B1-knockdown ZR-75-1 cells. The statistical significance threshold was defined as P<0.05 for all calculations.
Results
Accumulation of curcumin and its metabolites in transfected CHO cells
To investigate whether curcumin and its major conjugates are substrates of OATPs, uptake analyses were performed in OATP1B1-, OATP1B3- and OATP2B1-transfected CHO cells. CHO cells only transfected with the vector were used as controls. The uptake of curcumin (25–200 µM) by all three OATPs was linear for up to 1 min (data not shown). As revealed in Table I and Fig. 1, the initial OATP1B1-, OATP1B3- and OATP2B1-mediated accumulation rates (namely, OATP-transfected CHO cells minus CHO cells only transfected with the vector) for curcumin followed Michaelis-Menten kinetics, with higher Vmax values for OATP1B1 than for OATP1B3 and OATP2B1 (Vmax, 310 vs. 205 and 167 pmol/mg protein/min, respectively). The Km-values were similar for all three OATPs (range, 46.9–51.9 µM). The uptake of curcumin sulfate (25–300 µM) in OATP1B1-, OATP1B3- and OATP2B1-transfected CHO cells, was less pronounced, revealing Vmax values of only 45.0, 33.9 and 24.3 pmol/mg protein/min, respectively (Table I and Fig. 2). Its affinity, for OATP1B1 and OATP1B3, but not for OATP2B1, was 1.9 and 1.4-fold higher with Km values of 89.1 µM and 67.7 µM compared with curcumin. Tetrahydrocurcumin was taken up by OATP1B1 and OATP1B3 with the highest Vmax values (872 and 493 pmol/mg protein/min, respectively); Km values were 38.6 and 83.7 µM, respectively (Table I and Fig. 3). Notably, curcumin glucuronide was not a substrate for any of the three OATPs as its levels inside the cytoplasm were below the detection limit.
![]() | Table I.Michaelis-Menten parameters for the uptake of curcumin, curcumin sulfate, tetrahydrocurcumin and curcumin glucuronide in OATP-transfected CHO cells. |
OATP1B1-knockdown in ZR-75-1 cells
PCR data from various lentiviral-transfected clones revealed an up to 10-fold reduction in OATP1B1 expression in ZR-75-1-cells (relative mRNA expression was reduced from 14.78±0.26 to 1.19±0.02). Cells with the lowest OATP1B1 expression levels were used for further uptake experiments (27).
Curcumin and tetrahydrocurcumin accumulation in wild-type and OATP1B1-knockdown ZR-75-1 cells
Based on the markedly higher OATP1B1 mRNA level noticed in wild-type ZR-75-1 cells compared with the OATP1B1-knockdown clone and the fact that ZR-75-1 cells do not express OATP1B3 or OATP2B1, uptake of curcumin and tetrahydrocurcumin by wild-type cells was expected to be increased. The results revealed that uptake of curcumin by ZR-75-1 cells was increased as indicated by 2-fold higher Vmax values compared with OATP1B1-knockdown cells (Vmax, 3535 vs. 1741 pmol/mg protein/min); the Km-values only changed slightly (Km, 85.1 vs. 56.7 µM) (Fig. 4A and Table II). Differences in the uptake of tetrahydrocurcumin were also pronounced leading to 2-fold higher Vmax values in wild-type cells compared with the OATP1B1-knockdown clone (Vmax, 7904 vs. 4201 pmol/mg protein/min); the Km-values were significantly reduced in the wild-type cells (Km, 44.7 vs. 69.6 µM) (Fig. 4B and Table II) supporting the impact of OATP1B1 for curcumin and tetrahydrocurcumin transport. Notably, any interference in curcumin and tetrahydrocurcumin uptake with efflux mechanisms (e.g. BCRP) could be excluded as the incubation time was only 1 min.
![]() | Table II.Michaelis-Menten parameters of curcumin and tetrahydrocurcumin determined in ZR-75-1 and OATP1B1-knockdown ZR-75-1 cells. |
Cytotoxicity of curcumin in ZR-75-1 OATP1B1-knockdown cells
As revealed in Fig. 5A, curcumin exhibited a lower IC50 value in wild-type ZR-75-1 cells (12.4 µM) compared with the OATP1B1 knockdown clone (15.2 µM), although the differences were not significant. The IC50 value for tetrahydrocurcumin, however, was significantly lower in OATP1B1 expressing cells (26.0 vs. 51.3 µM) compared with the OATP1B1-knockdown cells (Fig. 5B) clearly demonstrating that OATP1B1 expression is associated with cytotoxicity.
Inhibition of NF-κB-luciferase by curcumin in wild-type and OATP1B1-knockdown ZR-75-1 cells
To further evaluate the OATP1B1-dependent differences in the activity of curcumin, wild-type and OATP1B1-knockdown ZR-75-1 cells were simultaneously transfected with an NF-κB promoter sequence connected to a luciferase reporter. Prior to NF-κB reporter induction by 10 ng/ml IL-1β for 90 min, cells were treated with curcumin or BAY11-7082 for 30 min, and the luciferase signals were assessed. As revealed in Fig. 6, curcumin significantly inhibited IL-1β-induced NF-κB reporter expression by 40.1±7.78% in wild-type and by 30.9±10.1% in OATP1B1-knockdown cells. Notably, curcumin was almost as potent as the known NF-κB inhibitor BAY11-7082, used as a positive control (71.3±12.9 and 62.8±5.3% inhibition in wild-type and in the OATP-knockdown clone, respectively). As anticipated inhibition of NF-κB-luciferase by curcumin in OATP1B1-knockdown cells was less pronounced compared with wild-type cells. However, differences were not significant.
Discussion
The present study aimed to determine the kinetics of the cellular uptake of curcumin and its major metabolites curcumin sulfate, curcumin glucuronide and tetrahydrocurcumin and Chinese hamster ovary (CHO) cells stably transfected with the three-major organic anion-transporting polypeptides (OATPs) were used. As indicated in Fig. 1 and Table I, curcumin displayed saturable uptake kinetics for OATP1B1, OATP1B3 and OATP2B1 with similar Km values (ranging from 46.9 to 51.9 µM) which indicates high affinity for the transporter. The affinity of curcumin sulfate was in a similar range for OATP2B1 but was higher for OATP1B3 and OATP1B1 (Km values, 50.0, 67.7 and 89.1 µM, respectively). Notably, tetrahydrocurcumin was only transported by OATP1B1 and OATP1B3 with reduced affinity in the case of OATP1B1 (Km, 83.7 µM) and increased affinity (Km, 38.6 µM) in the case of OATP1B3. Curcumin glucuronide was not transported by any of these OATPs. Notably, OATP-dependent uptake was compound-specific. While the transport capacity (Vmax/Km) for curcumin sulfate was low for all three OATPs (0.51, 0.50 and 0.48 µl/min/mg protein, respectively), the uptake of curcumin by OATP1B1, OATP1B3 and OATP2B1-transfected cells was 6.3-, 8.7- and 13.7-fold higher, respectively. The uptake of tetrahydrocurcumin by OATP1B1 was even more pronounced (i.e. 44.3-fold higher compared with curcumin). These data revealed that OATP1B1 could be the most important transporter for tetrahydrocurcumin uptake, whereas the three OATPs were equally important for the cellular uptake of curcumin and curcumin sulfate. The involvement of OATP1B1, OAT1B3 and OATP2B1 in the uptake of curcumin was in line with the data from Zhou et al (28) which also demonstrated that this compound was a substrate of all three transporters. However, contrary to that study, the present study could not confirm any OATP-dependent uptake of curcumin glucuronide. Based on our data, it is not possible to predict the contribution of OATP2B1 in the gut, for that of OATP1B1, OATP1B3 and OATP2B1 in the liver, to the overall uptake of curcumin and its major metabolites in humans due to large inter individual variability (up to 10-fold differences) in OATP protein levels (36–38).
Our data also suggested that unconjugated curcumin and tetrahydrocurcumin concentrations in human blood were lower than the Km values calculated for their uptake by ZR-75-1 cells. A recent phase-I study revealed that administration of liposomal curcumin at 300 mg/m2 over 8 h to patients with metastatic cancer resulted in maximal plasma concentrations of up to 3.48 µg/ml (9.45 µM) (39). Peak plasma concentrations of up to 22 µM were observed for tetrahydrocurcumin in rats following an oral dose of 500 mg/kg tetrahydrocurcumin (40). Notably, the total tissue concentrations of conjugates (curcumin sulfate and curcumin glucuronide) were much higher than their blood levels in mice 1 h after i.p. administration of curcumin (0.1 g/kg) leading to concentrations of 26.1 µg/g (52.6 µM), 26.9 µg/g (54.3 µM) and 117 µg/g (236 µM) in the spleen, liver and intestine, respectively (41).
To determine the importance of OATPs in the uptake of curcumin and tetrahydrocurecumin, hormone-dependent ZR-75-1 breast cancer cells which express high levels of OATP1B1, but do not express OATP1B3 or OATP2B1 (27), were incubated with both compounds. The uptake of curcumin by the ZR-75-1 OATP1B1-knockdown cells was significantly decreased compared with wild-type cells leading to lower Vmax values (Fig. 4 and Table II). Notably, differences in curcumin uptake were only observed at >100 µM curcumin concentrations and not expected based on the uptake experiments in OATP-transfected CHO cells. This may be explained by the rapid non-enzymatic hydrolysis of curcumin at pH 7.4, particularly at low curcumin concentrations, mainly forming ferulic acid, feruloyl methan and vanillin. These degradation products were stable under physiological conditions and exhibited antitumor properties against various cancer cell lines (42–44). Whether these compounds are substrates for OATPs or other not identified uptake transporters is not yet known. Compared with curcumin, the uptake of tetrahydrocurcumin was significantly different at all the measured concentrations in wild-type and OATP1B1-knockdown cells, probably due to the higher stability of tetrahydrocurcumin at physiological pH (21). Differences in the cellular uptake of tetrahydrocurcumin also resulted in higher Km values in OATP1B1-knockdown cells indicating a lower affinity for this transporter, albeit the results were not statistically significant.
Concomitant with the reduced uptake displayed by ZR-75-1 OATP1B1 knockdown cells, the present study also observed a higher IC50 value for curcumin in the cytotoxicity assay compared with OATP1B1-expressing wild-type cells (15.2 vs. 12.4 µM; Fig. 5), although this difference was not statistically significant and may be explained by the degradation of curcumin in the medium and probably also in the cytoplasm. For the more stable tetrahydrocurcumin, however, the difference observed in the IC50 value between wild-type and OATP1-knockdown ZR-75-1 cells was statistically significant. Specifically, the IC50 value was reduced in the OATP1B1-expressing cells (26.0 vs. 51.3 µM) indicating an association between OATP1B1 expression and cytotoxicity. The decreased uptake of curcumin by the ZR-75-1 OATP1B1-knockdown cells also resulted in a reduced inhibition of IL-1β-activated NF-κB reporter expression (Fig. 6), which was not significant possibly again due to non-enzymatic hydrolysis of curcumin to ferulic acid, feruloyl methan and vanillin in the medium. Formation of these pharmacologically active degradation products may therefore contribute, in combination with tetrahydrocurcumin and curcumin sulfate, to the anticancer properties of curcumin in vitro and in vivo. Since NF-κB is highly expressed in breast cancer, thereby facilitating growth and progression (45), administration of curcumin, either as a single compound or in combination with anticancer drugs, may lead to cancer chemoprevention as revealed in human studies (45,46).
Different cellular expression levels of OATPs may greatly affect the uptake of curcumin sulfate and tetrahydrocurcumin, and to lesser extent also curcumin, by tumor cells, thereby altering the efficacy of these compounds. Patients with little or no detectable expression of OATP1B1, OATP1B3 and OATP2B1 may, as a result exhibit decreased response rates to curcumin and its primary metabolites. The same occurs when curcumin and tetrahydrocurcumin are concomitantly administered with OATP inhibitors such as clarithromycin, erythromycin and roxithromycin which inhibit the intake of pravastatin in OATP1B1- and OATP1B3-transfected 293 cells (37). Cyclosporin A is a potent inhibitor of both OATPs leading to decreased uptake rates of bosentan (31) and fexofenadine (47) in 293 and CHO cells. Several natural occurring flavonoids inhibit OATP-dependent uptake as revealed for dehydroepiandrosterone sulfate in a cellular model (48). Whether other transporters such OATP2A1 and OATP4C1, which are expressed in ZR-75-1 wild-type cells (24), are also involved in the uptake of curcumin and its main metabolites is not yet known. Other potential candidates may be the organic anion transporters (OATs) which are involved in the transport of polyphenol glucuronides and sulfates (49,50). In fact, Zhou et al reported, at least for curcumin and curcumin glucuronide uptake, the involvement of OAT1 and OAT3 (28). Our data did not demonstrate any passive diffusion mechanism responsible for the uptake of curcumin, curcumin sulfate, or tetrahydrocurcumin since the uptake kinetics in wild-type- and OATP1B1-knockdown ZR-75-1 cells was saturable, indicating protein-mediated transport. However, the involvement of cellular efflux mechanism in ZR-75-1 breast cancer cells cannot be excluded, since uptake and efflux transport works in concert.
In conclusion, our results demonstrated that curcumin, curcumin sulfate and tetrahydrocurcumin, but not curcumin glucuronide, are substrates of various OATPs as demonstrated in OATP-transfected CHO cells. The increased mRNA levels of OATP1B1 in wild-type human breast cancer ZR-75-1 cells compared with OATP1B1-knockdown cells were associated with a higher initial uptake of curcumin and tetrahydrocurcumin leading to decreased IC50 values. This may occur in patients following the intravenous application of curcumin and tetrahydrocurcumin as anticancer agents. Future clinical studies should determine not only the concentration of curcumin, its main degradation products and metabolites in blood and tumors but also the expression levels of OATPs.
Acknowledgements
Not applicable.
Funding
QAJ received a fellowship from OeAD, Austria, in collaboration with the Higher Education Commission of Pakistan. NJ was awarded a scholarship financed by the Royal Golden Jubilee Ph.D. Program of Thailand.
Availability of data and materials
All data generated or analysed during this study are included in this published article.
Authors' contributions
NJ performed the experiments and analyzed the data (uptake experiments, cytotoxicity and statistical analysis). QAJ collected analysed and interpreted the data (uptake experiments and cytotoxicity). JR designed and supervised the uptake experiments. DM performed and interpreted the NF-κB experiments. GK wrote the section concerning NF-κB and interpreted the data. BS was involved in the study conception, interpretation of data and proofreading of the manuscript. KJ interpreted the data concerning the uptake experiments and was involved in the proofreading of the manuscript. WJ interpreted the data, wrote and edited the manuscript. All authors read and approved the final manuscript.
Ethics approval and consent to participate
Not applicable.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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