Overexpression of the Zinc Uptake Transporter hZIP1 Inhibits Nuclear Factor-κB and Reduces the Malignant Potential of Prostate Cancer Cells In vitro and In vivo Free

The process whereby a normal prostate epithelial cell transforms into a cancerous cell involves the loss of the cell's ability to accumulate intracellular zinc (1, 2). The loss of zinc accumulation is one of the most consistent and persistent characteristics of prostatic malignancy. Zinc concentrations diminish early in the course of prostate cancer, preceding the initial histopathologic changes of prostate cancer, and continue to decline during the ultimate progression toward hormone-independent growth (3–5). Several investigators have shown that intramitochondrial accumulation of high levels of zinc effectively inhibits mitochondrial aconitase activity, which in turn has been shown to inhibit citrate oxidation. This inhibition essentially truncates the Krebs cycle and markedly decreases overall cellular energy production. The energy requirements for malignancy can readily be achieved in cancer cells that have undergone the metabolic transformation towards zinc deficiency via increased citrate oxidation along with a functional Krebs cycle (1, 2). In addition, zinc induces an apoptotic pathway in prostate cells, which results from its direct effect on mitochondrial release of cytochrome c followed by activation of the caspase cascade and ultimately apoptosis (6, 7). Other recent studies have shown a correlation between zinc concentration and the ability of androgen-dependent LNCaP prostate cancer cells to invade Matrigel, whereby invasion of Matrigel is suppressed in the presence of higher zinc concentrations (8) and is associated with the ability of zinc to irreversibly inhibit aminopeptidase N (9).

Although decreased serum zinc concentrations have been reported in patients with metastatic prostate carcinoma (10), this is not likely to be the major cause for decreased zinc accumulation in malignant prostate cells. Specialized mechanisms are required for both zinc uptake and release (11). Zinc transporters are largely assigned to two metal transporter families: the ZIP family, which imports zinc, and the ZnT family, which functions in releasing zinc or sequestering zinc internally. To date, 14 mammalian ZIP members have been identified; however, only hZIP1, hZIP2, and hZIP3 have been localized to the plasma membrane (12–16). The expression of the hZIP1 gene and transporter protein is markedly down-regulated in adenocarcinomatous glands and in prostate intraepithelial neoplastic foci compared with normal peripheral zone glandular epithelium and benign hyperplastic glands (3). Moreover, recent studies revealed a strong association of prostate cancer in African American men with down-regulation of hZIP1 and hZIP2 transporters (17). PC-3 and RWPE-2 malignant prostate cells overexpressing hZIP1 exhibit increased zinc uptake and have significantly slower growth rates than parental cells (18, 19). Therefore, hZIP1 has been proposed to function as a tumor suppressor gene in prostate cancer (20).

Previously, we have shown that treatment of prostate cancer cells in vitro with physiologic levels of zinc in the presence of the zinc ionophore, pyrithione, inhibits nuclear factor-κB (NF-κB) activity. In turn, inhibition of NF-κB leads to a reduction in the expression of certain NF-κB-regulated proangiogenic and prometastatic factors: vascular endothelial growth factor (VEGF), interleukin (IL)-6, IL-8, and matrix metalloproteinase (MMP)-9 (21, 22). The Rel/NF-κB family of eukaryotic transcription factors is composed of several structurally related proteins that form homodimers and heterodimers. The most common Rel/NF-κB dimer in mammals contains the p50-RelA subunit and is specifically called NF-κB. The activity of NF-κB is regulated by its interaction with inhibitory IκB proteins, which block the ability of NF-κB to enter the nucleus and bind to DNA. Multiple studies have established the role of NF-κB-regulated genes in malignant transformation (23), metastatic progression of prostate cancer (24), and resistance to therapeutic regimens (25). NF-κB regulates the susceptibility of various cell types to apoptosis through transcriptional control of antiapoptotic genes, which act on different levels of the apoptotic pathway (26).

Our present study reveals that overexpression of the zinc uptake transporter, hZIP1, in PC-3 cells results in a significant inhibition of NF-κB activity in the presence of physiologic levels of zinc and reduction of the tumorigenic potential and growth of prostate cancer cells both in vitro and in vivo.

Cells and culture conditions. Androgen-independent human PC-3 prostate cancer cells were obtained from the American Type Culture Collection and cultured in RPMI 1640 (BioWhittaker) supplemented with 10% FCS (Hyclone), gentamicin (50 mg/L), sodium pyruvate (1 mmol/L), and nonessential amino acids (0.1 mmol/L) under conditions indicated in the figure legends. Actual experiments were done in RPMI 1640.

Antibodies and reagents. Antibody to actin was obtained from Sigma. Antibodies to Bcl-X_L, Bcl-2, and XIAP were obtained from Cell Signaling Technology. Antibodies to RelA, p50, IκBα, and TOPO I were obtained from Santa Cruz Biotechnology. Secondary horseradish peroxidase-conjugated donkey anti-rabbit antibodies were purchased from Amersham. Tumor necrosis factor (TNF)-mediated apoptosis-inducing ligand (TRAIL) was purchased from Biomol. Etoposide was obtained from Calbiochem. The hZIP1 antibody and CMV-hZIP1 expression vector were kindly provided by Dr. R. Franklin (University of Maryland) and have been described previously (18). FluoZin-3 AM was obtained from Molecular Probes.

Stable transfection of PC-3 cells with hZIP1. To create the hZip1 C-end FLAG-tagged expression vector, hZip1 ORF was obtained by PCR with 5′-ATCTTGAAGCTTGCCACCATGGGACCGTGGGGAGAGCCAGAGCTCCTGGTG-3′ (forward) and 5′-ATCTTGTCTAGATTAATTAATCTACTTATCGTCGTCATCCTTGTAATCGATTTGGATGAAGAGCAGGCC-3′ (reverse) primers using pRC-CMV-hZip1vector as a template and then cloned into the HindIII/XbaI restriction sites of the pRC-CMV plasmid. PC-3 cells were transfected with either the hZIP1 expression vector or the CMV control vector using the TransIT-Prostate transfection kit (Mirus Bio). Selection was done using G418 (1.5 mg/mL; Invitrogen/Life Technologies), and screening of clones was based on Western blot analysis with anti-hZIP1 antibody to determine hZIP1 expression. Stable transfectants were maintained in medium containing G418 (500 μg/mL).

FluoZin-3 staining. Cells were incubated with 1 μg/mL zinc in the form of ZnSO₄ for 1 h, washed twice with PBS, loaded with 5 μmol/L FluoZin-3 AM at room temperature for 30 min, and analyzed by flow cytometry. Analysis was done using FACScan (Becton Dickinson). Individual fluorescent populations were determined through the use of acquisition and analysis software (CellQuest, Becton Dickinson).

Atomic absorption spectroscopy. The total zinc concentration of cells, plasma, and tumor tissue specimens was measured by flame mode using a Shimadzu AA-6300 atomic absorption spectrophotometer. Cells were incubated with 1.5 μg/mL zinc in the form of ZnSO₄ for 3 h. Harvested cells were rinsed three times in PBS, digested in 2% SDS, and boiled for 10 min. Protein concentrations were measured with BCA protein assay (Pierce). To examine accumulation of zinc in tumor tissue specimens, portions of the tumor specimens were weighted, homogenized, digested in 2% SDS, and boiled for 10 min. Zinc levels were recalculated according to wet tissue weight. The plasma samples were diluted with 0.1 N nitric acid before the determination of zinc concentration.

Luciferase reporter assay. Cells were transfected with pNF-κB-luc (Stratagene), pRL-TK, or pGL3-control-luc (Promega) plasmids. Twenty-four hours after transfection, cells were treated with 1.5 μg/mL zinc in the form of ZnSO₄ for 3 h in RPMI 1640 followed by incubation with 10 ng/mL TNF-α for an additional 3 h. Samples were assayed for firefly and Renilla luciferase activities using the Dual-Glo Luciferase Assay System (Promega) and normalized as instructed by the manufacturer.

Western blot analysis. Nuclear and cytoplasmic extracts and whole-cell lysates were prepared as described previously (27). Protein concentrations were measured with BCA protein assay reagents (Pierce). Equivalent amounts of proteins (20 μg) were mixed with an equal volume of 2× Laemmli sample buffer, boiled, and resolved by electrophoresis in 10% SDS-PAGE. The proteins were transferred from the gel to a nitrocellulose membrane using an electroblotting apparatus (Bio-Rad; 15 V, 3 mA/cm² for 24 min). Membranes were then incubated in a blocking solution containing 5% nonfat dry milk overnight to inhibit nonspecific binding. The membranes were then incubated with specific antibody (1-3 μg/mL) for 2 h. After washing in Tris/0.1% Tween 20 for 30 min, membranes were incubated for another 30 min with horseradish peroxidase-conjugated secondary antibody. The membranes were then washed and developed with enhanced chemiluminescence (ECL Western Blotting Kit; Amersham).

ELISA. IL-6, IL-8, and VEGF levels in cell culture supernatants and tumor tissue extracts were determined by ELISA kits (R&D Systems). Tumor tissue specimens were homogenized in 1% Tween 20/PBS containing a proteinase inhibitor cocktail (Roche Applied Science) as described previously (28) and then centrifuged. Protein concentrations were measured with BCA protein assay reagents (Pierce).

Measurement of apoptosis. DNA fragmentation was detected using the APO-BRDU kit (The Phoenix Flow Systems) according to the protocols provided with the kit.

Gelatin zymography. The gelatinolytic activity of MMP-9 was determined in the conditioned cell culture supernatants using zymogram gels (Bio-Rad) as suggested by the manufacturer.

Immunocytometry. Surface expression of intercellular adhesion molecule-1 (ICAM-1) was determined by staining cells with FITC-conjugated anti-ICAM-1 antibodies (R&D Systems) for 30 min on ice. Stained cells were washed twice with PBS and analyzed by flow cytometry. Analysis was done on the FACScan (Becton Dickinson). Individual fluorescent populations were determined through the use of acquisition and analysis software (CellQuest; Becton Dickinson).

Adhesion assay. Cells were stained with calcein AM (2 μmol/L), preincubated with 1.5 μg/mL zinc in the form of ZnSO₄ for 6 h, and plated in triplicates onto 96-well plates (2.5 × 10³ per well) precoated with fibronectin (50 μg/mL). Cells were allowed to attach at 37°C for 30 min. Wells were then washed with PBS twice and images were captured using a fluorescence microscope equipped with a digital camera.

Analysis of cell invasiveness. Invasiveness was determined using a BD Falcon HTS FluoroBlok system (BD Biosciences) in triplicate for each condition. Cells (2.5 × 10³) were seeded in the upper compartment of the FluoroBlok chamber in the absence of serum with or without 1.5 μg/mL zinc in the form of ZnSO₄. Serum-containing medium in the lower compartment served as a chemoattractant. Cells were incubated at 37°C for 12 h and then stained with 2 μmol/L calcein-AM. An intervening membrane was present to block fluorescence from labeled cells present in the top chamber of the insert system. Images have been captured using fluorescence microscope equipped with a digital camera.

Assessment of in vivo tumor growth. For in vivo studies, 1 × 10⁶ PC-3-hZIP1 or PC-3-CMV cells were inoculated s.c. in the flank region of 6-week-old male C.B17/Icr-scid mice using a 27-gauge needle. All animal procedures were done according to local guidelines on animal care and with appropriate institutional certification. Animals were fed an autoclaved AIN-93M diet (Harlan Teklad) and water ad libitum. Dietary zinc supplementation (2,000 ppm zinc) was provided by adding ZnSO₄ to the drinking water and started 1 week before tumor cell implantation. Tumors were measured twice weekly and their volumes were calculated by the formula: [volume = 0.52 × (width)² × length]. None of the mice showed signs of wasting or other visible indications of toxicity. After 23 days of xenograft implantation, animals were sacrificed by CO₂ asphyxiation. At the termination of the experiment, blood was collected from the retro-orbital plexus under anesthesia from both experimental and control groups. Tumor tissue specimens were collected to assess zinc levels, the status of NF-κB activity, and VEGF and IL-8 contents. Zinc levels in plasma and tissue samples were examined by atomic absorption spectroscopy.

Electrophoretic mobility shift assay and supershift analysis. Isolation of nuclear extracts and electrophoretic mobility shift assay were done as described previously (29). For supershift assay anti-p50 antibody (Santa Cruz Biotechnology) was added to the binding reaction buffer. Incubation continued for 20 min at 25°C. Complexes were separated by electrophoresis on a 5% polyacrylamide gel in 1× TAE for 4 h at 140 V, dried, and exposed to HyBlot CL autoradiography film (Denville Scientific) at −80°C.

Statistical analysis. Statistical analysis was done by ANOVA. Where only two groups are compared, a Student's t test was applied. Results are expressed as mean ± SEM. P < 0.05 was considered statistically significant.

Overexpression of hZIP1 transporter results in the inhibition of NF-κB activity in PC-3 prostate cancer cells. Activation of the nuclear transcription factor NF-κB is thought to be a major event contributing to malignant transformation and progression in prostate cancer (23, 30, 31). We have shown previously that treatment with physiologic levels of zinc in the presence of the zinc ionophore, pyrithione, inhibits NF-κB activity in prostate cancer cells (21, 22). Pyrithione was used to facilitate the transport of zinc across the cell membrane of prostate cancer cells because these cells have lost the ability to accumulate zinc. Recent studies show that prostate cancer cells overexpressing the hZIP1 transporter exhibit increased zinc uptake compared with parental cells (18, 19). To investigate whether overexpression of the zinc uptake transporter, hZIP1, has a functional effect on the status of NF-κB activity in prostate cancer cells, we generated PC-3 cells with stable overexpression of hZIP1 (Fig. 1A). Zinc uptake was examined in parental PC-3 cells and cells transfected with either hZIP1 (PC-3-hZIP1) or the CMV control vector (PC-3-CMV). Consistent with the ability of hZIP1 to enhance intracellular zinc uptake (13), accumulation of labile (Fig. 1B) and total (Fig. 1C) zinc levels were significantly increased in PC-3-hZIP1 cells cultured in the presence of physiologically relevant concentrations of zinc (a reference interval for the serum zinc level is 0.5-1.5 μg/mL; ref. 32) as was determined by staining cells with the cell-permeable zinc-specific fluorescent indicator, Fluo-Zin-3, followed by fluorescence-activated cell sorting analysis and atomic absorption spectrophotometry, respectively. Importantly, although notable fractions of parental and PC-3-CMV cells were positively stained with Fluo-Zin-3 after incubation with zinc, the intensity of staining was significantly lower in control cells than in hZIP1 transfectants given the logarithmic scale of the X axis representing fluorescence intensity.

To investigate whether increased zinc uptake in PC-3-hZIP1 cells has a functional effect on the status of NF-κB activity, PC-3-hZIP1 and PC-3-CMV cells were cultured with and without zinc followed by stimulation with TNF-α. The findings presented in Fig. 2A show that zinc supplementation completely blocked TNF-α-induced degradation of the inhibitory subunit IκBα in PC-3-hZIP1 cells but not in PC-3-CMV cells. Nuclear extracts from the same samples were subjected to SDS-PAGE followed by Western blotting with anti-RelA or p50 antibodies. In PC-3-hZIP1 cells incubated with zinc, the lack of IκBα degradation correlated with complete inhibition of nuclear accumulation of both RelA and p50 proteins (Fig. 2A). In contrast, zinc supplementation failed to prevent nuclear translocation of RelA and p50 in PC-3-CMV cells. To further explore the effect of hZIP1 overexpression on the NF-κB transcriptional activity, we did a NF-κB-dependent luciferase cis-reporter assay. Cells were cultured with and without zinc at 1.5 μg/mL followed by stimulation with TNF-α. The findings presented in Fig. 2B show that TNF-α-induced NF-κB transcriptional activity was significantly reduced in PC-3-hZIP1 but not in PC-3-CMV cells. In contrast, the addition of zinc had no effect on the expression of the SV40-driven pGL3-luc control construct (Fig. 2B).

Levels of tumorigenic cytokines, IL-6 and IL-8, and activity of MMP-9 are reduced in PC-3 cells overexpressing hZIP1. The progressive growth and metastasis of prostate cancer is mediated by the secretion of various NF-κB-controlled tumorigenic cytokines, including IL-6, IL-8, and MMP-9 (30, 33). Expression of these molecules by prostate cancer cells has been shown to correlate with malignant potential (34, 35). To investigate the potential effect of hZIP1 overexpression on the production of tumorigenic cytokines, we examined the expression of IL-6 and IL-8 cytokines in the cell culture supernatants of PC-3-hZIP1 and PC-3-CMV cells in the presence of physiologically relevant level of zinc. As shown in Fig. 2C, supernatants collected from PC-3-hZIP1 cells cultured in the presence of 1.5 μg/mL zinc showed a significantly decreased amount of secreted IL-6 and IL-8 when compared with supernatants obtained from control PC-3-CMV cells.

In addition, we examined MMP-9 enzymatic activities using conditioned medium from PC-3-hZIP1 and PC-3-CMV cells cultured with and without zinc followed by stimulation with TNF-α. Decrease in MMP-9 activity measured by gelatin zymography was clearly observed in PC-3-hZIP1 cells conditioned medium (Fig. 2D).

Functional effect of hZIP1 overexpression on the invasive and adhesive properties of prostate cancer cells. Recent studies show that NF-κB also regulates expression of the ICAM-1 (36, 37). Increased expression of ICAM-1 correlates with an increased metastatic potential of prostate cancer cells (34, 38). Given our findings of a zinc inhibitory effect on NF-κB activation, we examined whether zinc supplementation also decreases expression of ICAM-1 on the surface of PC-3-hZIP1 cells. Immunostaining with anti-ICAM-1 antibody revealed that the addition of zinc to the cell culture medium notably inhibits TNF-α-mediated ICAM-1 up-regulation in PC-3-hZIP1 but not in PC-3-CMV cells (Fig. 3A). We hypothesized that zinc-mediated inhibition of NF-κB activity in PC-3-hZIP1 cells would have a functional effect on their metastatic potential. Indeed, zinc supplementation produced a notable inhibitory effect on the adhesion of PC-3-hZIP1 to a fibronectin-coated plate (Fig. 3B). Next, we examined the effect of zinc on cell invasiveness because adhesion and migration are interrelated processes responsible for the invasion and metastasis of cancer cells. The findings presented in Fig. 3C show that reduced adhesive potential of hZIP1 transfectants coincide with a significantly lower invasion rate. Together, these results suggest that increased expression of the hZIP1 transporter may have a functional effect on tumorigenic potential of prostate cancer cells.

hZIP1 overexpression results in the reduced expression of antiapoptotic Bcl-2, Bcl-X_L, and XIAP proteins and sensitization of PC-3 prostate cancer cells to cytotoxic agents. NF-κB regulates expression of numerous genes with known antiapoptotic activity and inhibition of NF-κB sensitizes prostate cancer cells to various cytotoxic agents (22, 39). Given our findings of an inhibitory effect of zinc on the NF-κB activity, we examined whether increased intracellular zinc uptake also has an effect on the expression of NF-κB-regulated antiapoptotic proteins. The data presented in Fig. 4A show that, in the PC-3-hZIP1 cells supplemented with zinc at 1.5 μg/mL, the expression of the NF-κB-controlled antiapoptotic proteins, Bcl-2, Bcl-X_L, and XIAP, is significantly reduced in comparison with the control PC-3-CMV cells. Next, we examined the functional effect of hZIP1 overexpression on the sensitivity of PC-3 cells to cytotoxic agents using the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling assay. Treatment with etoposide induced negligible levels of apoptosis in both cell lines, whereas treatment with TRAIL alone induced apoptosis in 21.4% and 23.5% of PC-3-CMV and PC-3-hZIP1 cells, respectively. Supplementation of cell culture medium with zinc also failed to induce significant levels of cell death in both cell lines. However, simultaneous addition of zinc and either etoposide or TRAIL resulted in profound DNA fragmentation in PC-3-hZIP1 cells, whereas no increase in apoptotic cell death was observed in PC-3-CMV (Fig. 4B). These results suggest that down-regulation of antiapoptotic proteins in hZIP1-overexpressing cells exposed to physiologic levels of zinc may contribute, at least in part, to the sensitization of prostate cancer cells to drug-mediated apoptosis.

Overexpression of hZIP1 suppresses growth of prostate tumor xenografts in a mouse model. The in vivo effect of the zinc-enriched diet on growth of PC-3-hZIP1 and PC-3-CMV cells was evaluated in the xenograft mouse model. Dietary zinc supplementation started 1 week before tumor cell implantation. PC-3-hZIP1 and PC-3-CMV xenograft tumors were established in 6-week-old male C.B17/Icr-scid mice. After 23 days of tumor cells implantation, zinc supplementation decreased tumor volume from 400 to 174 mm³ (P = 0.036) in animals with PC-3-hZIP1 tumors (Fig. 5A). Zinc supplementation also caused an observable, but not statistically significant, decrease in growth of tumors established from PC-3-CMV cells (528 versus 438 mm³; P = 0.310; Fig. 5A). During the course of this study, no mouse suffered any untoward toxicity from the zinc supplementation, and none of the mice died.

Zinc levels in the plasma and tumor specimens were measured to validate zinc availability and its uptake by PC-3-hZIP1 and PC-3-CMV cells. Findings presented in Fig. 5B show that plasma zinc concentration was significantly increased in mice fed a zinc-supplemented diet compared with mice fed the control diet. In contrast, zinc levels in tumor tissue specimens were significantly increased in mice fed zinc-supplemented diet and injected with PC-3-hZIP1 but not PC-3-CMV cells (Fig. 5C).

To determine the effect of dietary zinc supplementation on NF-κB activation in prostate cancer xenografts, electrophoretic mobility shift assay was done. NF-κB inhibition was not detected in the tumor specimens of animals with PC-3-CMV xenografts fed zinc-supplemented diet. On the contrary, notable decrease of NF-κB activity in the PC-3-hZIP1 xenografts of mice on the zinc-supplemented diet was revealed (Fig. 6A). We also carried out supershift assays to show that the observed bands are specific for NF-κB. Reaction mixtures were incubated in the presence or absence of the anti-p50 antibody and subjected to electrophoresis. Figure 6A shows the supershifted nucleoprotein complex only in samples preincubated with anti-p50 antibody.

Furthermore, we also found that the decrease of NF-κB activity coincided with the reduced VEGF and IL-8 contents in tumors (Fig. 6B). Together, these findings show that zinc supplementation was able to effectively inhibit NF-κB activation in hZIP1-overexpressing prostate tumors in vivo.

Several reports suggest that the decreased zinc level in malignant prostate tissue is not entirely due to a decreased availability of zinc in the circulation (1, 14). The ability of prostate cells to accumulate zinc is regulated by the expression and activity of the zinc uptake transporters, including the major zinc uptake transporter, hZIP1 (18). To avoid the antitumor effects of zinc, malignant prostate cells exhibit a silencing of the expression of the hZIP1 gene accompanied by a depletion of cellular zinc (40). hZIP1 has therefore been proposed to function as a tumor suppressor gene in prostate cancer (20). Increased constitutive activation of NF-κB in prostate cancer cells is believed to be a major event contributing to malignant transformation and progression of the prostate cancer phenotype (30, 41). We have shown previously that treatment with physiologic levels of zinc in the presence of the zinc ionophore, pyrithione, effectively inhibits NF-κB activity and functionally suppresses the malignant potential of prostate cancer cells (21, 22). Results of our current experiments clearly show that overexpression of the zinc uptake transporter hZIP1 in human PC-3 prostate cancer cells leads to a prominent inhibition of NF-κB activity in the presence of physiologically acceptable levels of zinc. The inhibition of NF-κB in turn reduces the tumorigenic potential both in vitro and in vivo.

The molecular mechanisms underlying prostate tumor progression are not completely understood. However, there is growing evidence that the progressive growth of prostate cancer is mediated by the secretion of various NF-κB-controlled tumorigenic cytokines, including IL-6, IL-8, VEGF, and MMP-9 (30, 33). In this study, we hypothesized that increased zinc uptake would abolish the expression of certain NF-κB-regulated genes in hZIP1 transfectants secondary to the inhibitory effects of zinc on NF-κB activity. Indeed, the levels of secreted IL-6 and IL-8 were significantly lower in PC-3-hZIP1 compared with control PC-3-CMV cells. The results of these experiments corroborate with previously published observation that NF-κB signaling blockade is sufficient to inhibit expression of proangiogenic molecules and therefore potentially decrease neoplastic angiogenesis (30).

It is important to note that in our experiments NF-κB inhibition was observed at zinc concentrations that had no significant direct effect on cell death rate. These results indicate that suppression of NF-κB by zinc is not simply a byproduct of the molecular events triggered by the cell death process but rather a direct and independent effect of zinc. Here, we also report that overexpression of hZIP1 transporters promotes down-regulation of the NF-κB-controlled antiapoptotic proteins, Bcl-2 and Bcl-X_L, in PC-3 cells. Multiple studies document that overexpression of antiapoptotic proteins controlled by NF-κB have been implicated as a key element of drug resistance in a wide variety of tumors (25, 42). Indeed, overexpression of antiapoptotic Bcl-2 family proteins play an important role in the aggressive behavior of prostate cancer cells and their resistance to cytotoxic agents (43). XIAP acts as inhibitor of apoptosis induced by both extrinsic and intrinsic apoptosis pathways and is often overexpressed in human malignancies (44). Taken together, these findings make the XIAP and Bcl-2 family of proteins prominent targets for therapeutic intervention. Our experiments show that reduced expression of Bcl-2, Bcl-X_L, and XIAP in hZIP1-overexpressing PC-3 cells coincides with an increased apoptotic susceptibility of these cells to TRAIL and etoposide, which induce apoptosis by intrinsic and extrinsic pathways, respectively (45). Importantly, these results were obtained by supplementing cells with physiologically relevant levels of zinc. In addition, the presented data are in agreement with the results of others showing that zinc exerts a direct effect on mitochondria and promotes pore-forming process for release of cytochrome c. Indeed, recombinant Bcl-2 and Bcl-X_L are capable of preventing mitochondrial permeability transition pore opening in cells and isolated mitochondria (46). Thus, results of our experiments could explain at least in part a mitochondrial apoptogenic effect of zinc.

One critical aspect of our study was to examine whether overexpression of hZIP1 in PC-3 cells is able to increase zinc uptake sufficiently to inhibit growth of prostate tumor cells in vivo. In animals fed a zinc-enriched diet, the zinc levels in tumor xenografts established from PC-3-hZIP1 cells were significantly higher compared with zinc levels in tumor tissue specimens obtained from animals with PC-3-CMV tumors. Notably, the increased zinc accumulation in PC-3-hZIP1 tumors was associated with inhibition of tumor growth, decreased levels of NF-κB activity, and reduced VEGF and IL-8 contents.

Taken together, these data provide strong evidence that the loss or silencing of the major zinc uptake transporter hZIP1 may be an important factor in the development and progression of prostate cancer supporting the concept that hZIP1 may function as a tumor suppressor gene in prostate cancer.

No potential conflicts of interest were disclosed.