To verify our earlier finding that internalized cfChPs increase mitochondrial ROS production levels within the cell16, we treated NIH3T3 mouse fibroblast cells for 4 h with progressively increasing concentrations of cfChPs isolated from the sera of healthy volunteers (H-cfChPs) or patients with cancer (C-cfChPs). The cells were then stained with MitoSOX Red, a dye that detects mitochondrial superoxide radicals (ROS), and analyzed using fluorescent microscopy to estimate mean fluorescence intensity (MFI) per cell. Consistent with our previous observation16, H-cfChP and C-cfChP treatments led to a marked increase in ROS levels in the NIH3T3 cells in a dose-dependent manner (Fig. 1). As maximum activation of MitoSOX Red was observed with 50 ng of H-cfChPs and 5 ng of C-cfChPs, these concentrations were used in further experiments.
Next, we used Mito-TEMPO (MTp), a mitochondrial superoxide radical scavenger, to elucidate the effects of the increased ROS levels in response to the cfChP treatment. NIH3T3 cells were pre-incubated with progressively increasing concentrations of MTp for 1 h, followed by treatment with H-cfChPs (50 ng) or C-cfChPs (5 ng) for 4 h. MTp pre-treatment suppressed the cfChP-induced increase in ROS levels in a dose-dependent manner (Fig. 2). The optimum scavenging of MitoSOX Red was observed at concentrations of 50 µM and 75 µM of MTp in H-cfChP- and C-cfChP-treated cells, respectively.
Further, we treated NIH3T3 cells with H-cfChPs (50 ng) or C-cfChPs (5 ng) following pre-incubation with MTp (50 µM and 75 µM MTp for H-cfChP and C-cfChP treatment, respectively). As expected, MTp pre-treatment inhibited ROS production by both forms of cfChPs (Fig. 3). Notably, MTp treatment alone did not have any effect on the control NIH3T3 cells (Fig. 3). The experiment was done twice with reproducible results.
As we have previously demonstrated that cfChP treatment can induce genomic DNA damage14,15, we hypothesized whether the cfChP-induced ROS is responsible for this DNA damage. To test this, we treated NIH3T3 cells with H-cfChPs (50 ng) or C-cfChPs (5 ng) with or without MTp pre-treatment (at 50 µM and 75 µM for H-cfChP and C-cfChP treatment, respectively). Consistent with our previous results, cfChP treatment markedly increased the expression of γH2AX, p-ATM, and p-ATR proteins (Fig. 4a–4c), all of which are involved in the DNA damage response (DDR). Notably, cfChP-treated cells with or without MTp pre-treatment showed a similar percentage of cells showing expression of the DDR markers. The experiment was done twice with reproducible results. Our findings suggest that cfChPs induce DDR even in the absence of ROS, indicating that mitochondrial ROS may not account for the genomic DNA damage induced by cfChPs (depicted in an animated illustration; Supplementary Video 1).