Elmira Babakanrad,Taher Mohammadian,Davoud Esmaeili,Payam Behzadi
Studying the effect of gene fusion of A and C types capsular synthesizing enzymes and anticancer sequence on inducing the expression of apoptotic BCL-2, BAX, and Caspase-3 genes by Real-time RT-PCR method
HeLa cell line,Recombinant fusion peptide,Streptococcus agalactiae,Real-time RT-PCR,Cps A,Cps C,Bax,Bcl-2,Caspase3
Background Today, uterine cancer is one of the most important causes of death in the world and is one of the major problems in human health. There have been numerous reports of the effect of Streptococcus agalactiae peptide and capsular products against cancer cell lines. Objective: This study aimed to research recombinant peptide CPSA-CPSC-L-ACAN and investigate its apoptotic effect against the HeLa cell line by Real-Time-RT PCR. Design In this study confirmation of the recombinant fusion peptide was performed by Western blotting. The effect of cytotoxicity of different concentrations of recombinant fusion peptide against the HeLa cell line was investigated by the MTT technique. The expression of apoptotic genes including BAX, BCL-2, and Caspase-3 in comparison with the GAPDH reference gene before and after exposure to recombinant fusion peptide was measured by Real-Time RT-PCR. Results Recombinant fusion peptide at a concentration of 63 μg/ml destroyed 50% of the HeLa cell line in 24 h and cell treatment with this concentration increased gene expression of Caspase-3 genes by 16 times, bax by 6 times and decreased the expression of bcl-2 by 0.176 times. Conclusions The results showed that treatment of the HeLa cell line with recombinant fusion peptide induced an apoptotic effect. The recombinant fusion peptide could probably help the medical community as a prophylactic or therapeutic treatment for cervical cancer.
Studying the effect of gene fusion of A and C types capsular synthesizing enzymes and anticancer sequence on inducing the expression of apoptotic BCL-2, BAX, and Caspase-3 genes by Real-time RT-PCR method

Today, uterine cancer is one of the most important causes of death in the world and is one of the major problems in human health. There have been numerous reports of the effect of Streptococcus agalactiae peptide and capsular products against cancer cell lines. Objective: This study aimed to research recombinant peptide CPSA-CPSC-L-ACAN and investigate its apoptotic effect against the HeLa cell line by Real-Time-RT PCR.

In this study confirmation of the recombinant fusion peptide was performed by Western blotting. The effect of cytotoxicity of different concentrations of recombinant fusion peptide against the HeLa cell line was investigated by the MTT technique. The expression of apoptotic genes including BAX, BCL-2, and Caspase-3 in comparison with the GAPDH reference gene before and after exposure to recombinant fusion peptide was measured by Real-Time RT-PCR.

Recombinant fusion peptide at a concentration of 63 μg/ml destroyed 50% of the HeLa cell line in 24 h and cell treatment with this concentration increased gene expression of Caspase-3 genes by 16 times, bax by 6 times and decreased the expression of bcl-2 by 0.176 times.

The results showed that treatment of the HeLa cell line with recombinant fusion peptide induced an apoptotic effect. The recombinant fusion peptide could probably help the medical community as a prophylactic or therapeutic treatment for cervical cancer.

CpsA Capsule type A CapsC Capsule type C ACAN Anti-cancer peptide L Ligand Bax Apoptosis activator Bcl2 Apoptosis inhibitor Caspase3 Cysteine protease and apoptosis activator GAPDH Glyceraldehyde-3-phosphate dehydrogenase

Cervical cancer is known as the fourth most common woman's cancer worldwide [[1], [2], [3], [4]]. Due to the lack of proper diagnostic, prophylactic, and treatment methods, the death rate is increasing [5]. Cancer treatment methods include surgery, cryotherapy, chemotherapy, target therapy, radiotherapy, Immunotherapy, and hysterectomy [6]. One of the most common methods of treating cervical cancer is chemotherapy, which has many side effects such as drug resistance [7]. For this reason, the tendency to research new drugs is increasing [[8], [9], [10]]. Many bacteria such as Salmonella spp, Bifidobacterium spp, Streptococcus agalactiae, and Clostridium spp showed anti-cancer properties [11,12]. The anti-cancer property of bacteria is due to the increase in the production of polysaccharides, toxins, or enzymes [13]. Streptococcus agalactiae is part of the normal vaginal flora and due to the protein and polysaccharide production products prevent them from becoming cancerous cancer cells [[14], [15], [16]]. Bacteria contain proteins with a positive charge that reacts with cell membrane phosphatidylserine tumoral cells [17] and induce apoptosis in tumoral cells because of electrostatic force [18]. Therefore, it can probably be used in the treatment of cervical cancer. Anticancer peptides (ACPs) are one of the emerging methods of cancer treatment that have fewer side effects and toxicity compared to traditional methods such as chemotherapy and antibiotics, although their identification is difficult and their use takes time and is expensive. ACPs destroy cancer cells due to their electrostatic force because ACPs have a positive charge and attract negatively charged cancer cells [19]. ACPs have high selectivity, high penetration, and easy modifications compared to antibodies and small molecules. This has caused ACPs to be used in cancer treatment. The membrane of cancerous and non-cancerous cells is different. ACPs cause lysis or formation of pores and destruction of the cell membrane through apoptosis and necrosis. Anticancer drugs are molecularly targeted drugs that have specific targets in cancer cells. Based on the change in the composition of amino acids, sequence length, isoelectric point, molecular weight, net charge, hydrophobic property, amphipathic property, and secondary structure of proteins, anticancer peptides can be used to inhibit the proliferation or eradicate cancer cells. In the production of ACPs, peptide structure, mode of action, selectivity, and efficiency of cancer cells should be considered. The genes capsA and C produce enzymes for biosynthesizing CapsuleA and C of Streptococcus agalactiae [20]. This study aimed to analyze the recombinant fusion peptide CPSA-CPSC-L-Anticancer and determine its apoptotic properties by Real-Time-RT PCR and its statistical analysis.

Synthesis of the CPSA-CPSC-Linker-ACAN construct was performed according to bioinformatic analyzes. Then it was synthesized by Biomatik Company [20,21].

After loading samples in a 10% SDS-PAGE, samples were transferred to a nitrocellulose membrane. The membrane was blocked with 10 ml of blocking solution (BSA 5%) for 2 h and then was washed three times with a TBST buffer (TBS (Tris, 20 mM; NaCl, 150 mM;) + Tween 0.05%) for 15 min. The amount of 8 μl Anti-6XHis Tag antibody was mixed with 4 ml of blocking solution and then poured onto the membrane for 2 h on the shaker, and then the membrane was washed with a TBST buffer three times for another 15 min. The DAP kit developed the membrane [21].

Concentrations of 0.25, 0.5, 1, 1.5, and 2 mg of BSA as standard protein, and an aliquot of each sample was mixed with 40 of Bradford solution, and the total volume was reached 200 μl with PBS after a 5- minute incubation at room temperature. The absorbance of each sample was read at 595 nm. The standard curve was drawn, and recombinant protein concentrations were calculated [21].

HeLa cell line was cultured in RPMI-1640 medium containing 10% fetal bovine serum (FBS) and 10 μg/ml penicillin-streptomycin, and cultivation took place in the incubator at 37 °C temperature and 5% CO2 atmosphere. When cells reached about 80% confluence, cells were harvested using 0.05% Trypsin-EDTA [21].

The MTT (3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide) tetrazolium reduction assay was used to investigate the potentiation effect of recombinant protein on the HeLa cell line. Many 10000 cells were placed in each well of a 96-well plate and incubated for 24 h. Cells were treated with different concentrations of recombinant fusion peptides 2, 4, 8, 16, 32, 64, 128, and 256 μg/ml and incubated for another 24 h. The whole culture media was removed from the wells, and a 20 μl MTT reagent (5 mg.ml-1) was added to the wells. 100 μl of DMSO was added into wells, the plates were shaken for 20 min, and the absorbance was read at 570 nm [21].

Many 10000 cells were placed in each well of a 24-well plate and incubated for 24 h. Then, a concentration of 64 μg/ml of freshly prepared recombinant protein was added to three plate wells, and three wells were considered as controls that were not treated with recombinant protein. After 24-h incubation, the plates were used for RNA extraction with the Jene Bioscience kit. Then extracted RNA and cDNA were synthesized with a Pars Toos cDNA synthesis kit. Finally, the relative expression of bcl-2, Caspase-3, and Bax genes was investigated. In this study, the GAPDH gene was selected as the reference gene [20,21].

In this study, tests were repeated three times, and a significance level of P < 0.05 was considered. The T-Test was used for significant review between groups in Real time-RT-PCR test, and a one-way ANOVA test was used for flow cytometry.

Western blotting method was used in the presence of an Anti-His tag monoclonal antibody to confirm recombinant protein with a molecular weight of 29 KD (Fig. 1). Lan2 1 is an induced sample, Lane 2 is a non-induced sample, Lane 3 in BL-21+Pet22b sample. The results show that the anti-His tag was able to identify the induced recombinant protein.

Fusion protein concentration using the standard Bradford curve at 595 nm, 2.5 μg/ml was calculated (Fig. 2). The vertical axis shows absorption and the horizontal axis shows the protein BSA standard concentration. Results Bradford test showed that the concentration means of recombinant protein was calculated to be 2.5 μg/ml.

According to Fig. 3, based on the survival percentage, the concentration of recombinant fusion peptide with at least 50% lethality was reported IC50 with a concentration of 63 μg/ml. Increasing the concentration to 64 μg/ml augment the efficacy of the recombinant fusion peptide CPSA-CPSC-L-Anticancer (Fig. 3). The results showed that the concentration of 63 μg/ml was able to kill 50% of the cell lines.

The results of the comparison between the expression of bcl2, Bax, and caspase 3 genes with the GAPDH reference gene were examined by Real-time RT-PCR. The relative expression of the bcl2 gene as an anti-apoptotic protein in the sample affected by the recombinant fusion peptide decreased 0.17 times compared to the control sample. The relative expression of the bax gene belonging to the pro-apoptotic protein family in the sample affected by the recombinant fusion peptide increased 6.27 times compared to the control sample. The relative expression of the caspase-3 gene, which was involved in the path of cell apoptosis, increased 16 times in the sample affected by the recombinant fusion peptide compared to the control sample (Fig. 4). The results showed the relative changes in the expression of Bax and caspase-3 genes in the samples under treatment compared to the control sample. The bcl-2 gene expression statistically decreased significantly (p < 0.05) and the expression of the bax gene increased statistically significantly (p < 0.05). Also, using the One-way ANOVA test and Tukey's multiple comparisons tests, the groups were compared with each other, and the significance of each is shown in (Fig. 4.). The cell line treatment with this concentration changed the expression of Caspase-3 genes by 16 times and bax by 6 times and decreased the gene expression of bcl-2 by 0.176 times. Results showed that the changes in gene expression are statistically significant (P < 0.05).

Today, Cervical tumor is one of the most prevalent cancers among women in the world. Many factors such as early sexual activity, having multiple sexual partners, early pregnancy, HPV infection, weakened immune system, smoking, exposure to abortion drugs, economic status and other factors are among the causes of cervical cancer [22]. Cervical cancer treatment varies depending on the disease stage. Treatment can include surgery, radiation therapy, chemotherapy, or a combination of the aforementioned. Anticancer drugs are small-molecule drugs and are still the most common method of cancer treatment. Anticancer drugs or chemotherapy are chemical drugs that change the structure of cancer cells and stop their growth of cancer cells [23]. Streptococcus agalactiae inhibits the connection of cancer cells to epithelial cells due to its effective factors, and for this reason, it can have anticancer properties [24]. Also, the surface polysaccharides of Streptococcus agalactiae are used as anticancer agents [25]. In the present study, the recombinant peptide CPSA-CPSC- L-ACAN with anticancer properties was surveyed against the HeLa cell line [26]. MTT test indicated this recombinant fusion peptide had a cell-killing effect on the HeLa cell line at a concentration of 63 μg/ml. The level of apoptotic gene expression using the Real-time RT-PCR technique, including Bax, bcl-2 and caspase-3 have changed in the HeLa cell line exposed to the recombinant fusion peptide compared to the reference gene. In the study of Fathizadeh et al., the recombinant fusion peptide consisting of enterosin A and colicinA1 was investigated, while in the present study, the recombinant fusion peptide included L-ACAN CapsA-CapsC- and its anticancer property was measured. In the present study, the MTT test was performed to confirm the toxicity of the recombinant fusion peptide on HeLa cells, and according to the obtained results, the IC50 of this fusion peptide was 63 μg/ml. In Yaoxian et al.'s study, the IC50 concentration of the recombinant fusion peptide was50 μM (27). The apoptotic genes examined in Yaoxian et al.'s study included Caspase-3, 8, and 9, while in the present study, they were Caspase-3, bax, and bcl-2 [27]. Similar to Mousavi et al.'s research, they investigated the lethality of various recombinant peptide fusions such as CEPO-Fc on hippocampus brain cells. The study was conducted on brain cells, while the present study was conducted on the HeLa cell line and the types of proteins were different in the two studies [28]. The results of the cell culture indicated that with the concentration of 63 μg/ml lethality effect increased. The expression level of the genes involved in apoptosis using Real Time RT-PCR technique and its normalization with the GAPDH gene as a housekeeping gene and the sample treated with recombinant fusion peptide (bcl-2, bax, and caspase-3) were respectively equal to with 0.176, 276.6 and 16 times [[29], [30], [31], [32], [33]]. One of the limitations of this study was the high cost of the research, which was provided by the researchers. Also, in the case of financing, the researchers were able to investigate the stimulation of cytokine production and TCD8 response. Another limitation is that it can be done in an animal model. Due to the importance of cancer, efforts are being made to treat it. One of the treatment methods is the use of anti-cancer peptides. Anti-cancer peptides protect their host with different mechanisms. According to the results, the recombinant fusion peptide investigated in this study can be used as an effective compound in anticancer studies This recombinant fusion peptide should be suggested for therapeutic interventions and prevention.

Davoud Esmaeili; Taher Mohammadian; Elmira Babakanrad; Payam Behzadi: conceived and designed the experiments; performed the experiments; analyzed and interpreted the data; contributed reagents, materials, analysis tools or data. Davoud Esmaeili; Elmira Babakanrad: wrote the paper.

This review has been funded by all author as part of his PhD studies. No external funding was received.

Data will be made available on request.

No applicable.

The authors declare that they have no known competing financial interests or personal.