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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Research Foundation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2011.00040</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Influence of pH on the Cytotoxic Activity of Inositol Hexakisphosphate (IP6) in Prostate Cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Betton</surname> <given-names>Blandine</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoDetails.aspx?UID=36401&d=1&sname=PhilippeGannon&name=Science -->
</contrib>
<contrib contrib-type="author">
<name><surname>Gannon</surname> <given-names>Philippe O.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoDetails.aspx?UID=36401&sname=philippegannon -->
</contrib>
<contrib contrib-type="author">
<name><surname>Koumakpayi</surname> <given-names>Isma&#x000EB;l Herv&#x000E9;</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoDetails.aspx?UID=39887&d=2&sname=Ismal_HerveKoumakpayi&name=Medicine -->
</contrib>
<contrib contrib-type="author">
<name><surname>Diallo</surname> <given-names>Jean-Simon</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoDetails.aspx?UID=37330&d=1&sname=Jean_SimonDiallo&name=Science -->
</contrib>
<contrib contrib-type="author">
<name><surname>Mes-Masson</surname> <given-names>Anne-Marie</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Saad</surname> <given-names>Fred</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn001">&#x0002A;</xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Centre de Recherche du Centre Hospitalier de l&#x02019;Universit&#x000E9; de Montr&#x000E9;al and Institut du Cancer de Montr&#x000E9;al</institution> <country>Montreal, QC, Canada</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Medicine, Universit&#x000E9; de Montr&#x000E9;al</institution> <country>Montreal, QC, Canada</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Surgery, Centre Hospitalier de l&#x02019;Universit&#x000E9; de Montr&#x000E9;al, Universit&#x000E9; de Montr&#x000E9;al</institution> <country>Montreal, QC, Canada</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Jerry Edward Chipuk, Mount Sinai School of Medicine, USA</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Gavin Mc Stay, Columbia University, USA; Paulo J. Oliveira, Center for Neuroscience and Cell Biology, Portugal</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Fred Saad, Department of Surgery, H&#x000F4;pital Notre-Dame, 1560 Sherbrooke East, Montreal, QC, Canada H2L 4M1. e-mail: <email>fred.saad&#x00040;umontreal.ca</email></p></fn>
<fn fn-type="other" id="fn002"><p><sup>&#x02020;</sup>Blandine Betton and Philippe O. Gannon have contributed equally to this work.</p></fn>
<fn fn-type="other" id="fn003"><p>This article was submitted to Frontiers in Molecular and Cellular Oncology, a specialty of Oncology.</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="collection">
<year>2011</year>
</pub-date>
<volume>1</volume>
<elocation-id>40</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>07</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>10</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2011 Betton, Gannon, Koumakpayi, Diallo, Mes-Masson and Saad.</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://www.frontiersin.org/licenseagreement"><p>This is an open-access article subject to a non-exclusive license between the authors and Frontiers Media SA, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and other Frontiers conditions are complied with.</p></license>
</permissions>
<abstract>
<p><bold>Objectives:</bold> In the present study, we investigated whether the pH of IP6 could influence its anti-tumoral activity <italic>in vitro</italic>. <bold>Methods:</bold> PC-3 cells were exposed to IP6 at pH 5, pH 7, and pH 12 and we evaluated the metabolic activity (WST-1 assay), cell proliferation (cell count), cell cycle distribution (FACS), and mitochondrial depolarization (JC-1 staining) <italic>in vitro</italic>. <bold>Results:</bold> Our results demonstrated that IP6 at pH 5 and pH 12 were more potent at lowering the metabolic activity of PC-3 cells than IP6 at pH 7. Treatment with IP6 at pH 12 also caused the greatest inhibition in cellular proliferation and accumulation of PC-3 cells in sub-G1. Finally, IP6 at pH 12 lead to a reduction in phospho-AKT and phospho-PDK1 and upregulated phospho-ERK. <bold>Conclusion:</bold> Together, our data strongly suggest that the pH of IP6 effectively modulates its anti-tumoral activity and should be reported in future studies.</p>
</abstract>
<kwd-group>
<kwd>cell cycle</kwd>
<kwd>inositol hexakisphosphate (IP6)</kwd>
<kwd>metabolic activity</kwd>
<kwd>PC-3 cells</kwd>
<kwd>phytochemicals</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="27"/>
<page-count count="11"/>
<word-count count="5875"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction">
<title>Introduction</title>
<p>Inositol hexakisphosphate (IP6) is a phytochemical that exhibits promising anti-tumoral properties against several mouse, rat, and human cancer cell lines including prostate cancer cells (Vucenik and Shamsuddin, <xref ref-type="bibr" rid="B25">2006</xref>). IP6 is present in most cereals, legumes, nuts, oil seed, and soybean (Shamsuddin et al., <xref ref-type="bibr" rid="B17">1997</xref>; Jariwalla, <xref ref-type="bibr" rid="B11">2001</xref>) and is available as an over-the-counter dietary supplement without any reported toxicity or adverse reactions (Vucenik and Shamsuddin, <xref ref-type="bibr" rid="B24">2003</xref>).</p>
<p>Effects on tumor cell proliferation, survival, and angiogenesis, were documented as being key anti-tumoral properties of IP6 against prostate cancer cells. Initial studies in PC-3 cells demonstrated that IP6 inhibits the growth and promotes the differentiation of PC-3 cells (Shamsuddin and Yang, <xref ref-type="bibr" rid="B18">1995</xref>). Both hormone-sensitive (LNCaP) and hormone-refractory (Du145) cells are sensitive to G1 cell cycle arrest and apoptosis caused by IP6 (Singh et al., <xref ref-type="bibr" rid="B19">2003</xref>; Agarwal et al., <xref ref-type="bibr" rid="B1">2004</xref>). Our group later showed that hormone-refractory prostate cancer cells (DU145 and PC-3 cells) were more sensitive to IP6 treatment than hormone-sensitive prostate cancer cells (LNCaP and 22rv1 cells; Diallo et al., <xref ref-type="bibr" rid="B3">2006</xref>).</p>
<p>In prostate cancer mice models, IP6 has documented <italic>in vivo</italic> anti-tumoral activity (Raina et al., <xref ref-type="bibr" rid="B15">2008</xref>; Gu et al., <xref ref-type="bibr" rid="B6">2009</xref>). Athymic mice, whose drinking water was supplemented with IP6, exhibited reduced growth of DU145 xenografts, which was associated with diminished tumor cell proliferation, increased tumor cell apoptosis, and reduced angiogenesis (Singh et al., <xref ref-type="bibr" rid="B20">2004</xref>). In transgenic adenocarcinoma of the mouse prostate (TRAMP) mice, IP6 supplementation causes the development of a smaller lower urogenital track (bladder, seminal vesicles, prostate), an increase incidence of prostate intraepithelial neoplasia (PIN; low-grade and high-grade), and a decreased incidence of adenocarcinoma (Raina et al., <xref ref-type="bibr" rid="B15">2008</xref>).</p>
<p>In terms of intracellular signaling, IP6 affects several pathways. IP6 decreases phospho-AKT (S473) in DU145 cells (Jagadeesh and Banerjee, <xref ref-type="bibr" rid="B9">2006</xref>). In PC-3 cells, where PI3K signaling is constitutively activated due to altered expression/functions of PTEN, IP6 reduces phosphorylation of PI3K p85 (Y458), 3-phosphoinositide-dependent kinase 1 (PDK1; S241), AKT (S473 and T208), GSK3&#x003B1;/&#x003B2; (S21 and S9), decreases ILK1, and cyclin D1 protein levels (Gu et al., <xref ref-type="bibr" rid="B6">2009</xref>). Altogether, IP6 shows promising cytotoxic activity against hormone-refractory prostate cancer cells such as DU145 and PC-3.</p>
<p>As IP6 is generally administered orally through the diet, typically in drinking water, IP6 must be buffered to a neutral pH before ingestion. IP6 salts are commercially available in several forms, which when reconstituted in water result in widely different pH. Typical formulations of the IP6 salt are basic and when reconstituted in water result in a solution at pH 12, which is not apt for consumption. The goal of this study was thus to validate whether the previously documented anti-tumoral properties of IP6 were modulated by the pH. Our results demonstrate that IP6 at pH 12 had different effects than IP6 solutions at pH 7 or pH 5. We conclude that the effect of pH should be carefully monitored when evaluating the cytotoxic and anti-cancer properties of IP6 and possibly other phytochemicals.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and Methods</title>
<sec>
<title>Cell culture and reagents</title>
<p>PC-3 and LNCaP cells were obtained from ATCC (Rockville, MD, USA). Myo-Inositol hexakisphosphate dodecasodium salt (IP6; US Biological, Swampscott, MA, USA) was diluted in water as a 100-mM stock solution. The IP6 stock solution was at pH 12. The pH was adjusted to pH 5 or pH 7 by addition of 1&#x02009;N hydrochloric acid (HCl). It required 6.4 and 10.9&#x02009;ml of 1&#x02009;N HCl to buffer 100&#x02009;ml of 100&#x02009;mM IP6 pH 12 to pH 7 and pH 5, respectively. Antibodies recognizing phospho-AKT (S473; cat&#x00023; 9271), phospho-PDK1 (S241; 3438) and phospho-ERK (T202/Y204; cat&#x00023; 9106L) were obtained from Cell Signaling (Danvers, MA, USA). Antibodies detecting PARP full-length (sc7150), PARP 85&#x02009;kDa (cat&#x00023; 9541), PARP 25&#x02009;kDa (cat&#x00023; 32064) were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA), Cell Signaling and Abcam (Cambridge, MA, USA), respectively. The anti-Ran antibody (sc1146) and the horseradish peroxidase-conjugated secondary antibodies were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA). The antibodies recognizing actin (ab-6278) and GAPDH (ab-9485) were obtained from Abcam (Cambridge, MA, USA).</p>
</sec>
<sec>
<title>WST-1 metabolic assay</title>
<p>The WST-1 metabolic assay was done as previously described by our group (Diallo et al., <xref ref-type="bibr" rid="B3">2006</xref>, <xref ref-type="bibr" rid="B2">2008</xref>). Briefly, PC-3 cells were plated at 200,000 cells/ml in 96-well plates in a final volume of 100&#x02009;&#x003BC;l/well. After a 24-h incubation with H<sub>2</sub>O or IP6 at the various pH and at the indicated concentrations, 20&#x02009;&#x003BC;l of WST-1 reagent (Roche Diagnostics, Indianapolis, IN, USA) was added and the plates were incubated for 24&#x02009;h. WST-1 signal was measured at 450&#x02009;nm with reference wavelength at 655&#x02009;nm.</p>
</sec>
<sec>
<title>Cellular proliferation</title>
<p>PC-3 cells were plated at 15,000 cells/ml in 6-well plates, allowed to adhere overnight and then treated with 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the equivalent volumes of pH-adjusted H<sub>2</sub>O controls over a period of 72&#x02009;h. At indicated times cells were trypsinized, combined with non-adherent cells and counted using a cell counter (Casy, Roche Innovatis, Germany).</p>
</sec>
<sec>
<title>Cell cycle distribution analysis</title>
<p>PC-3 cells were plated at 200,000 cells/ml in 6-well plates. PC-3 cells were exposed to H<sub>2</sub>O or 2&#x02009;mM IP6 at the various pH for 8, 24, 48, and 72&#x02009;h. Adherent cells were trypsinized, combined with non-adherent cells, stained with propidium iodide (PI), and analyzed by flow cytometry. All experiments were repeated at least three times.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Western blots were performed as previously described by our group (Diallo et al., <xref ref-type="bibr" rid="B3">2006</xref>, <xref ref-type="bibr" rid="B2">2008</xref>). Signal was developed with enhanced chemiluminescence (ECL) substrate (Amersham Life Sciences Inc., Arlington Heights, IL, USA).</p>
</sec>
<sec>
<title>Mitochondrial depolarization assay</title>
<p>The mitochondrial assay was done as previously described by our group (Diallo et al., <xref ref-type="bibr" rid="B2">2008</xref>). Briefly, PC-3 cells were plated at 200,000 cells/ml in 6-well plates. PC-3 cells were incubated with a fluorescent cationic dye (JC-1 10&#x02009;&#x003BC;g/ml) for 15&#x02009;min. Adherent cells were trypsinized, combined with non-adherent cells, and analyzed by flow cytometry. The fold change representing depolarized mitochondria (green-shift in JC-1 fluorescence) was calculated relative to mock-treated control.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>Data are expressed as mean&#x02009;&#x000B1;&#x02009;SD. Comparisons between the IP6 or H<sub>2</sub>O controls at the various pH were performed using one-way ANOVA followed by <italic>post hoc</italic> Tukey tests. Statistical analyses were performed using SPSS version 16.0 (SPSS, Inc., Chicago, IL, USA). For all statistical analyses, <italic>P</italic> values &#x0003C;0.05 were considered to be statistically significant.</p>
</sec>
</sec>
<sec>
<title>Results</title>
<sec>
<title>IP6 diminishes the metabolic activity of PC-3 cells</title>
<p>We first evaluated the effect of the pH of IP6 on the metabolic activity of PC-3 cells. The cells were treated with either increasing doses of IP6 at pH 5, pH 7, and pH 12 or the corresponding volumes of H<sub>2</sub>O also at pH 5, pH 7, and pH 12. IP6 at pH 5 (2.5, 4, and 5&#x02009;mM) and pH 12 (4 and 5&#x02009;mM) induced a statistically significant reduction in the metabolic activity of PC-3 cells (Figure <xref ref-type="fig" rid="F1">1</xref>A) compared to the buffered H<sub>2</sub>O (Figure <xref ref-type="fig" rid="F1">1</xref>B; <italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05, ANOVA). Statistically significant differences compared to the H<sub>2</sub>O controls were not observed with IP6 at pH 7, independently of the concentration tested. With regards to pH, the IP6 at pH 12 and at pH 5 had the strongest inhibitory potential. At the highest doses tested, IP6 at pH 5 reduced the metabolic rate by 88.0% (<italic>P&#x02009;</italic>&#x0003C;&#x02009;0.001, compared to H<sub>2</sub>O at pH 5, ANOVA), and, at similar concentration, IP6 at pH 12 decreased the metabolic rate by 78.6% (<italic>P&#x02009;</italic>&#x0003C;&#x02009;0.001, compared to H<sub>2</sub>O at pH 12, ANOVA). Comparatively, the highest dose of IP6 solution at pH 7 only reduced the metabolic activity by 26.1% (<italic>P&#x02009;</italic>&#x0003D;&#x02009;0.627, compared to H<sub>2</sub>O at pH 7, ANOVA). Moreover, the lowest concentration at which IP6 at pH 5 and pH 12 statistically significantly reduced the metabolic rate was 2.5&#x02009;mM (<italic>P&#x02009;</italic>&#x0003D;&#x02009;0.001, compared to H<sub>2</sub>O at pH 5 and <italic>P</italic>&#x02009;&#x0003D;&#x02009;0.012, compared to H<sub>2</sub>O at pH 12, respectively, ANOVA).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>IP6 decreases the metabolic activity and cellular proliferation of PC-3 cell lines. (A,B)</bold> PC-3 cells were treated for 24&#x02009;h with increasing concentration of <bold>(A)</bold> IP6 at pH 5, pH 7, or pH 12 or <bold>(B)</bold> corresponding volume of H<sub>2</sub>O at pH 5, pH 7, or pH 12. Metabolic activity was measured using the WST-1 assay and calculated relative to controls. Data represents the average of three experiments done in triplicate. Errors bars represent standard error of the mean. Statistically significant differences compared to the corresponding water control. <bold>(C,D)</bold> PC-3 cells were treated with <bold>(C)</bold> 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or <bold>(D)</bold> the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. Cellular proliferation was examined by cell count at 24, 48, and 72&#x02009;h. Data represents average of three experiments. Errors bars represent standard error of the mean. Statistically significant differences compared to the corresponding water control where &#x0002A;<italic>P&#x02009;</italic>&#x0003C;&#x02009;0.05 and &#x0002A;&#x0002A;<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001 (ANOVA).</p></caption>
<graphic xlink:href="fonc-01-00040-g001.tif"/>
</fig>
<p>We then evaluated the IC<sub>50</sub> and IC<sub>75</sub> for the various IP6 solutions. Due to the absence of a significant reduction in the metabolic activity following treatment with IP6 at pH 7 no IC<sub>50</sub> could be calculated. The IC<sub>50</sub> for IP6 at pH 5 was 2.39&#x02009;&#x000B1;&#x02009;0.19&#x02009;mM and 2.97&#x02009;&#x000B1;&#x02009;0.45 for IP6 at pH 12 (Table <xref ref-type="table" rid="T1">1</xref>). Together, these results demonstrate that IP6 solutions at different pH have divergent effect on the metabolic activity of PC-3 cells.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p><bold>IC<sub>50</sub> and IC<sub>75</sub> of IP6 at varying pH</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"/>
<th align="left">[] at <xref ref-type="table-fn" rid="tfn1">&#x0002A;</xref>IC<sub>50</sub></th>
<th align="left">[] at <xref ref-type="table-fn" rid="tfn1">&#x0002A;</xref>IC<sub>75</sub></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">IP6 pH 5</td>
<td align="left">2.39&#x02009;&#x000B1;&#x02009;0.19</td>
<td align="left">3.96&#x02009;&#x000B1;&#x02009;0.60</td>
</tr>
<tr>
<td align="left">IP6 pH 7</td>
<td align="left">N/A</td>
<td align="left">N/A</td>
</tr>
<tr>
<td align="left">IP6 pH 12</td>
<td align="left">2.97&#x02009;&#x000B1;&#x02009;0.45</td>
<td align="left">4.04&#x02009;&#x000B1;&#x02009;0.64</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>N/A, non-applicable</italic>.</p>
<fn id="tfn1"><p><italic>&#x0002A;Concentration in millimolar</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>Finally, we inquired whether the addition of small volumes (60&#x02009;&#x003BC;l) of IP6 or buffered H<sub>2</sub>O solutions could significantly change the pH of the culture media (Figure <xref ref-type="fig" rid="FA1">A1</xref> in Appendix). Our analyses showed that, at time of administration (<italic>t</italic> &#x02013; 0&#x02009;h) and compared to water controls, the IP6 at pH 12 and at pH 5 significantly modulated the pH of the culture media (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001, ANOVA). These changes in pH were however absent after 24&#x02009;h of treatment.</p>
</sec>
<sec>
<title>IP6 at pH 12 has the strongest anti-proliferation effect on PC-3 cells</title>
<p>We next evaluated the impact of pH on the anti-proliferation action of IP6. As previously described, PC-3 cells were treated with 2&#x02009;mM IP6 solutions or with the corresponding volumes of buffered H<sub>2</sub>O. We chose the 2-mM IP6 dose in line with other studies by our group (Diallo et al., <xref ref-type="bibr" rid="B2">2008</xref>) and others (Gu et al., <xref ref-type="bibr" rid="B6">2009</xref>; Roy et al., <xref ref-type="bibr" rid="B16">2009</xref>). Following a 72-h stimulation, IP6 at pH 12 significantly reduced cell number by 60.4% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.001, compared to H<sub>2</sub>O at pH 12, ANOVA), whereas a treatment with IP6 at pH 5 reduced the proliferation rate by 46.9% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.0029, compared to H<sub>2</sub>O at pH 5, ANOVA), and by 46.6% for the IP6 at pH 7 (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.015, compared to H<sub>2</sub>O at pH 7, ANOVA; Figures <xref ref-type="fig" rid="F1">1</xref>C,D). Together, these results suggest that IP6 at pH 12 had the strongest anti-proliferation potential.</p>
</sec>
<sec>
<title>IP6 at pH 12 increases the proportion of sub-G1 PC-3 cells</title>
<p>We then assessed whether the reduction in metabolic activity and in cellular proliferation (Figure <xref ref-type="fig" rid="F1">1</xref>) was related to an increase in cell death. PC-3 cells were treated as previously described with either 2&#x02009;mM IP6 or H<sub>2</sub>O controls over a period of 72&#x02009;h. Adherent and non-adherent cells were analyzed by FACS, following staining with PI for 15&#x02009;min. We observed that, compared to H<sub>2</sub>O, only the IP6 solution at pH 12 caused a statistically significant increase in sub-G1 cells at 8&#x02009;h (5.21 vs 0.71%, <italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001, ANOVA) and at 24&#x02009;h (3.96 vs 0.59%, <italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001, ANOVA; Figure <xref ref-type="fig" rid="F2">2</xref>A). At 8&#x02009;h, the increase in sub-G1 cells was also associated with a decrease in PC-3 cells in G2/M phase (Table <xref ref-type="table" rid="T2">2</xref>). No statistically significant induction of sub-G1 PC-3 cells were observed following treatment with IP6 at pH 5 or at pH 7 or with the corresponding H<sub>2</sub>O controls (Table <xref ref-type="table" rid="TA1">A1</xref> in Appendix).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><bold>Cell cycle distribution<xref ref-type="table-fn" rid="tfn2">&#x0002A;</xref> after 8&#x02009;h of IP6 treatment</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"/>
<th align="left">G1</th>
<th align="left">S</th>
<th align="left">G2/M</th>
<th align="left">Sub-G1</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Ctrl</td>
<td align="left">53.56&#x02009;&#x000B1;&#x02009;2.01</td>
<td align="left">9.23&#x02009;&#x000B1;&#x02009;1.43</td>
<td align="left">25.96&#x02009;&#x000B1;&#x02009;0.86</td>
<td align="left">0.51&#x02009;&#x000B1;&#x02009;0.09</td>
</tr>
<tr>
<td align="left">MG132</td>
<td align="left">54.10&#x02009;&#x000B1;&#x02009;2.55</td>
<td align="left">7.86&#x02009;&#x000B1;&#x02009;1.13</td>
<td align="left">27.76&#x02009;&#x000B1;&#x02009;4.33</td>
<td align="left">0.59&#x02009;&#x000B1;&#x02009;0.08</td>
</tr>
<tr>
<td align="left">H2O pH 5</td>
<td align="left">53.18&#x02009;&#x000B1;&#x02009;2.15</td>
<td align="left">11.00&#x02009;&#x000B1;&#x02009;2.60</td>
<td align="left">25.67&#x02009;&#x000B1;&#x02009;1.33</td>
<td align="left">0.45&#x02009;&#x000B1;&#x02009;0.09</td>
</tr>
<tr>
<td align="left">H2O pH 7</td>
<td align="left">53.53&#x02009;&#x000B1;&#x02009;1.91</td>
<td align="left">11.23&#x02009;&#x000B1;&#x02009;2.78</td>
<td align="left">25.72&#x02009;&#x000B1;&#x02009;1.39</td>
<td align="left">0.41&#x02009;&#x000B1;&#x02009;0.08</td>
</tr>
<tr>
<td align="left">H2O pH 12</td>
<td align="left">53.15&#x02009;&#x000B1;&#x02009;2.53</td>
<td align="left">10.10&#x02009;&#x000B1;&#x02009;1.75</td>
<td align="left">25.72&#x02009;&#x000B1;&#x02009;1.31</td>
<td align="left">0.71&#x02009;&#x000B1;&#x02009;0.25</td>
</tr>
<tr>
<td align="left">IP6 pH 5</td>
<td align="left">53.95&#x02009;&#x000B1;&#x02009;1.85</td>
<td align="left">10.88&#x02009;&#x000B1;&#x02009;2.70</td>
<td align="left">25.80&#x02009;&#x000B1;&#x02009;0.86</td>
<td align="left">0.61&#x02009;&#x000B1;&#x02009;0.10</td>
</tr>
<tr>
<td align="left">IP6 pH 7</td>
<td align="left">53.63&#x02009;&#x000B1;&#x02009;2.62</td>
<td align="left">10.41&#x02009;&#x000B1;&#x02009;1.48</td>
<td align="left">26.03&#x02009;&#x000B1;&#x02009;0.58</td>
<td align="left">0.68&#x02009;&#x000B1;&#x02009;0.13</td>
</tr>
<tr>
<td colspan="1" align="left"><bold>IP6 pH 12</bold></td>
<td align="left">50.24&#x02009;&#x000B1;&#x02009;3.25</td>
<td align="left">8.85&#x02009;&#x000B1;&#x02009;1.80</td>
<td colspan="1" align="left"><bold>22.13&#x02009;&#x000B1;&#x02009;0.97</bold></td>
<td colspan="1" align="left"><bold>5.21&#x02009;&#x000B1;&#x02009;0.88</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>Results highlighted and in bold are statistically significantly different</italic>.</p>
<p><italic>Compared to the corresponding water control</italic>.</p>
<fn id="tfn2"><p><italic>&#x0002A;Cell percentage in each phase quantified by FACS following PI staining</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>IP6 at pH 12 leads to an increase in sub-G1 PC-3 cells. (A)</bold> PC-3 cells were stained with PI after a 24-h treatment with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. The percentage of cells in G1, S, G2/M, and sub-G1 phases was determined by FACS. MG132 served as a control to induce cellular apoptosis. Data is represented as the relative fold change compared to non-treated control. Average of three experiments done in triplicate. Errors bars represent standard error of the mean. <bold>(B)</bold> Whole-cell extracts were prepared following a 24-h treatment as previously described. Western blotting was used to probe for PARP and cleaved-PARP (85 and 25&#x02009;kDa). RAN expression was used as a loading control. Blot is representative of three independent experiments.</p></caption>
<graphic xlink:href="fonc-01-00040-g002.tif"/>
</fig>
</sec>
<sec>
<title>IP6 at pH 12 modulates the level of PARP-1</title>
<p>By Western blot, we then studied whether Poly (ADP-ribose) polymerase 1 (PARP-1), was cleaved following IP6 treatment, as an indication of apoptosis induction. Following a 24-h stimulation with 2&#x02009;mM IP6 at pH 12, we observed a most complete disappearance of full-length PARP-1 (Figure <xref ref-type="fig" rid="F2">2</xref>B). Surprisingly, this reduction in PARP-1 expression was not associated with the appearance of the cleaved-PARP 85 and 25&#x02009;kDa fragments as observed with the MG132 positive control stimulation. We did not detect any reduced expression of full-length PARP-1 or PARP-1 cleavage following treatment with IP6 at pH 5 or at pH 7.</p>
<p>We also noticed that the effects observed by IP6 at different pH varied according to the cell line used in the experiment. Using the hormone-sensitive LNCaP cell line treated with the various IP6 solutions, we observed an elevated expression of the cleaved-PARP-1 25&#x02009;kDa fragment following exposure to IP6, something that was not observed with the PC-3 cell line (Figure <xref ref-type="fig" rid="FA2">A2</xref> in Appendix).</p>
</sec>
<sec>
<title>IP6 does not cause mitochondrial depolarization</title>
<p>The reduction in metabolic activity, cellular proliferation combined with the abundance of sub-G1 PC-3 cells lead us to investigate mitochondrial depolarization or mitochondrial outer membrane permeation (MOMP), another event associate with apoptotic cell death. Similar to PARP cleavage (Kaufmann et al., <xref ref-type="bibr" rid="B12">1993</xref>), mitochondrial depolarization is an early event of apoptosis, which is associated with the release of cytochrome <italic>c</italic> (Heiskanen et al., <xref ref-type="bibr" rid="B8">1999</xref>). Mitochondrial depolarization can be quantified by a shift from red to green following JC-1 staining. Our results illustrate that, compared to H<sub>2</sub>O controls, there was no statistically significant induction of mitochondrial depolarization by IP6 at the various pH studied (Figure <xref ref-type="fig" rid="F3">3</xref>). Together, these results suggest that IP6 promotes the accumulation of sub-G1 PC-3 cells and the reduced expression of PARP. However, this increase in sub-G1 cells was not associated with the appearance of cleaved-PARP or mitochondrial depolarization, two factors typically associated with an apoptotic cell death.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>IP6 does not impact mitochondrial depolarization</bold>. PC-3 cells were treated with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12 for after 4, 8, 24, and 48&#x02009;h. In the last 15&#x02009;min prior to analysis, cells were stained with JC-1 and mitochondrial depolarization was assessed by FACS. MG132 served as a control to induce cellular apoptosis. Data is represented as the relative fold change compared to non-treated control. Average of three experiments done in triplicate. Errors bars represent standard error of the mean.</p></caption>
<graphic xlink:href="fonc-01-00040-g003.tif"/>
</fig>
</sec>
<sec>
<title>IP6 at pH 12 modulates intracellular signalization</title>
<p>Finally, we then evaluated whether the pH of the IP6 solution could differentially affect the phosphorylation status of intracellular effectors documented to be modulated by IP6. We detected a clear decrease in the phosphorylation status of AKT (S473) and PDK1 (S241) following treatment with IP6 at pH 12 (Figure <xref ref-type="fig" rid="F4">4</xref>A). Again, these variations were not observed with the IP6 at pH 5 or at pH 7. Conversely, we observed an induced expression of phospho-ERK (T202/Y204) with the IP6 at pH 12. The expression of phospho-ERK was also apparent following stimulation with IP6 at pH 7, albeit to a smaller extent (Figure <xref ref-type="fig" rid="F4">4</xref>B). Overall, our results demonstrate that the pH of the IP6 solution directly influenced the IP6 actions on cellular metabolism, proliferation, and cell cycling, as well as intracellular signaling.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>IP6 at pH 12 modulates intracellular signaling</bold>. PC-3 cells were treated for 24&#x02009;h with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. Whole-cell extracts were prepared and Western blotting was used to probe for <bold>(A)</bold> phospho-AKT (Ser 473), AKT, phospho-PDK1 (Ser 241) and PDK and for <bold>(B)</bold> phospho-ERK. MG132 served as a control to induce cellular apoptosis. Blot is representative of three independent experiments. GAPDH and actin expression were used as a loading control. Dashed boxes signal indicate decreased protein levels relative to water controls.</p></caption>
<graphic xlink:href="fonc-01-00040-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Numerous publications discuss the anti-cancer properties of IP6 in <italic>in vitro</italic> and <italic>in vivo</italic> prostate cancer models (reviewed in Vucenik and Shamsuddin, <xref ref-type="bibr" rid="B25">2006</xref>). There are several cellular pathways affected by IP6 and the molecular machinery modulated following IP6 treatment is being further characterized. As IP6 is orally administered <italic>in vivo</italic>, the IP6 solution must accordingly be edible. However, when the often-used dodecasodium IP6 salt is reconstituted in aqueous solution, the resulting solution is at pH 12, which is not fit for consumption. In this study, we questioned whether the pH of the ingested IP6 solution could influence the previously documented cytotoxic properties of IP6.</p>
<p>The results presented in this study confirmed that, compared to pH-adjusted control H<sub>2</sub>O solutions, IP6 at any pH reduced the metabolic rate and the proliferation of hormone-refractory PC-3 cells. However, it was the IP6 solutions at pH 5 and pH 12 that offered the most significant inhibitory potential on the metabolic rate of PC-3 cells and the IP6 at pH 12 that most significantly <italic>in vitro</italic> reduced cellular proliferation. Furthermore, when we investigated the phosphorylation status of key signaling molecules described to be regulated by IP6, we observed that, again, only the IP6 solution at pH 12 diminished the phosphorylation of key signaling molecules. Comparatively, the IP6 at pH 5 and pH 7 did not modulate the phosphorylation of AKT or PDK1 and had a weak induction of phospho-ERK compared to IP6 at pH 12. These results contrast with recently published data showing a significant effect of IP6 buffered at pH 7.4 on the proliferation of PC-3 cells as well as on the phosphorylation status of AKT and ERK (Gu et al., <xref ref-type="bibr" rid="B5">2010</xref>). The impact of pH on the regulatory properties of IP6 on other signaling pathways should be further assessed as our results clearly illustrate the impact of pH on the IP6 properties.</p>
<p>The intriguing results observed in our study concerns accumulation of sub-G1 PC-3 cells following treatment with IP6 at pH 12. Whereas short-lived and low level MOMP is observed following treatment with both water pH 12 and IP6 pH 12, only IP6 pH 12 leads to increased cytotoxicity, acute sub-G1 cell accumulation, and reduced cell growth. We must therefore conclude that the MOMP observed in both cases is not linked with apoptosis but may instead be an artifact induced by basic pH. The observation of sub-G1 cells only in the IP6 pH 12-treated cells (and not at neutral or acidic pH) is nonetheless intriguing. To explain this phenomenon, we need to consider the fact that the pI/cell cycle assay sub-G1 peak actually measures cells in which DNA has been fragmented and lost from the cells due to the fixation procedure. While DNA fragmentation occurs at late stages of apoptosis (e.g., after 24&#x02009;h with MG132) it can also occur following extensive DNA-damage via double-strand (DS) breaks. Note that the IP6 sub-G1 is maximal at 8&#x02009;h then progressively decreases. This could suggest that DNA DS breaks are being induced by IP6 pH 12 early on then progressively repaired. We would further predict that such DS breaks would occur preferentially in the G2/M phase of the cell cycle, as the fraction of cells in this phase inversely correlates with the sub-G1 peak. This idea is particularly interesting considering that in the literature, endogenous IP6 normally found in cells (which should be at &#x0223C;pH 7 as opposed to pH 12) has been found to stimulate non-homologous end-joining (NHEJ) by binding Ku70/80. It is tempting to speculate that IP6 at pH 12 inhibits rather that stimulates repair via NHEJ, leading to accumulation of DS breaks in cells undergoing G2/M transition. As the pH/ionic balance eventually re-equilibrates following IP6 pH 12 treatment (see Figures <xref ref-type="fig" rid="FA1">A1</xref>A,B in Appendix), NHEJ repair would then resume leading to progressively fewer DS breaks an consequently fewer sub-G1 cells over time and resumed progression through G2/M or cell death through a non-apoptotic mechanism. However, since we also observe decreased growth rates in cells treated with IP6 pH 5 without accumulation of cells in sub-G1, more experiments are needed to precisely characterize how IP6 leads to reduced cell growth rates/and death in a pH-dependent fashion.</p>
<p>One mechanism that has been proposed to mediate the chemopreventive abilities of IP6 activity is through its role as an anti-oxidant. The negatively charged phosphates in position 1, 2, and 3 constitute a unique (axial&#x02013;equatorialaxial) conformation that confers anti-oxidant properties to IP6 by chelating Fe<sup>3&#x0002B;</sup> and preventing Fe<sup>3&#x0002B;</sup>-catalyzed hydroxyl radical formation (Graf et al., <xref ref-type="bibr" rid="B4">1987</xref>; Hawkins et al., <xref ref-type="bibr" rid="B7">1993</xref>; Spiers et al., <xref ref-type="bibr" rid="B21">1996</xref>). IP6-mediated chelation of other metals such as zinc, calcium, and magnesium has also been proposed to play a role due to the potential role of these divalent cations in cell proliferation (Thompson and Zhang, <xref ref-type="bibr" rid="B22">1991</xref>; Jariwalla, <xref ref-type="bibr" rid="B10">1999</xref>; Urbano et al., <xref ref-type="bibr" rid="B23">2000</xref>). As we would expect that at pH 12, the chelating potential of IP6 would be greater than at lower pH (because of an excess of free H&#x0002B; ions), perhaps basic conditions favor metal chelating properties of IP6. Chelating properties of IP6, could also be expected to impact cellular processes such as calcium-mediated signaling and clathrin-mediated receptor endocytosis, which has been notably found to be inhibited by IP6 (Zi et al., <xref ref-type="bibr" rid="B27">2000</xref>).</p>
<p>Since the pH can change drastically as the molecule travels through the gastro-intestinal tract, our findings have implications for <italic>in vivo</italic> use of IP6, which has largely been via oral routes thus far. In addition to the fact that mM concentrations of IP6 are required to elicit anti-cancer activity, this may argue for further evaluating the activity of basic-pH buffered IP6 formulations by intravenous injection. To this end, while the concentrations required for IP6-mediated anti-tumor activity are certainly high, it should be noted that glucose, which is of similar chemical composition, is typically present in the blood at concentrations of &#x0223C;5&#x02009;mM (Lam et al., <xref ref-type="bibr" rid="B14">2005</xref>). In addition, some clinically approved HDAC inhibitors, such as sodium butyrate and valproic acid for example, are also active in the mM range when used <italic>in vitro</italic> (Kuefer et al., <xref ref-type="bibr" rid="B13">2004</xref>; Xia et al., <xref ref-type="bibr" rid="B26">2006</xref>).</p>
<p>In conclusion, our work demonstrates that the pH of the IP6 solution must be taken in consideration when evaluating the anti-tumoral properties of this phytochemical. We demonstrate significant differences in the activity of IP6 depending on its pH on the metabolic activity, cell proliferation, and cell death of PC-3 cells.</p>
</sec>
<sec>
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<app-group>
<app id="A1">
<title>Appendix</title>
<fig id="FA1" position="float">
<label>Figure A1</label>
<caption><p><bold>pH variations of the culture media after IP6 or water treatment</bold>. PC-3 cells were plated at 200,000 cells/ml in 6-well plates in a final volume of 3&#x02009;ml of medium/well. The culture media consists in RPMI 1640 complemented with 10% FCS, gentamicin (50&#x02009;&#x003BC;g/ml), and amphotericin B (250&#x02009;ng/ml; Gibco, Carlsbad, CA, USA). PC-3 cells were treated with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. In parallel, culture media without PC-3 cells were supplemented with similar volumes of 2&#x02009;mM IP6 or H<sub>2</sub>O. The pH was measured immediately after stimulation [0&#x02009;h, <bold>(A)</bold>] or after 24&#x02009;h <bold>(B)</bold> of treatment using a pH-meter (Corning pH meter 340, Corning, NY, USA). Data represents average of three experiments. Errors bars represent SD.</p></caption>
<graphic xlink:href="fonc-01-00040-a001.tif"/>
</fig>
<fig id="FA2" position="float">
<label>Figure A2</label>
<caption><p><bold>LNCaP cells react differently than PC-3 cells to IP6 treatment at various pH</bold>. LNCaP cells were treated for 24&#x02009;h with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. Whole-cell extracts were prepared and Western blotting was used to probe for PARP, cleaved-PARP (25&#x02009;kDa). Blot is representative of three independent experiments. Actin expression was used as a loading control.</p></caption>
<graphic xlink:href="fonc-01-00040-a002.tif"/>
</fig>
<fig id="FA3" position="float">
<label>Figure A3</label>
<caption><p><bold>Phosphorylation status of several kinases in LNCaP cells following IP6 treatment using Proteome Profiler membranes</bold>. LNCaP cells were treated for 24&#x02009;h with either 2&#x02009;mM IP6 at pH 5, pH 7, or pH 12 or the corresponding volumes of H<sub>2</sub>O at pH 5, pH 7, and pH 12. Whole-cell extracts were prepared according to the manufacturer&#x02019;s protocol and hybridized to the proteome profiler membranes (RnD Systems). Densitometry was performed with the Quantity One software (BioRad) using the positive control dots (top left, bottom left, and top right corners) in the qualitative expression ratio. Protein profiler membranes and corresponding densitometry for: <bold>(A,B)</bold> pH 5, <bold>(C,D)</bold> pH 7, <bold>(E,F)</bold> pH 12. Note that the signal was relatively similar for the three conditions (pH 5, pH 7, and pH 12) with few kinase phosphorylations detected. However, we did observe an increase in the phosphorylation of AKT2 with the IP6 pH 12 treatment.</p></caption>
<graphic xlink:href="fonc-01-00040-a003.tif"/>
</fig>
<table-wrap-group position="float" id="TA1">
<label>Table A1</label>
<caption><p><bold>Cell cycle distribution<xref ref-type="table-fn" rid="tfn3">&#x0002A;</xref> following IP6 treatment</bold>.</p></caption>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"/>
<th colspan="4" align="center">G1</th>
<th colspan="4" align="center">G2/M</th>
</tr>
<tr>
<th align="left"/>
<th align="left">8&#x02009;h</th>
<th align="left">24&#x02009;h</th>
<th align="left">48&#x02009;h</th>
<th align="left">72&#x02009;h</th>
<th align="left">8&#x02009;h</th>
<th align="left">24&#x02009;h</th>
<th align="left">48&#x02009;h</th>
<th align="left">72&#x02009;h</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Ctrl</td>
<td align="left">53.56&#x02009;&#x000B1;&#x02009;2.0</td>
<td align="left">55.11&#x02009;&#x000B1;&#x02009;2.3</td>
<td align="left">58.15&#x02009;&#x000B1;&#x02009;4.8</td>
<td align="left">56.07&#x02009;&#x000B1;&#x02009;3.4</td>
<td align="left">25.96&#x02009;&#x000B1;&#x02009;0.9</td>
<td align="left">25.28&#x02009;&#x000B1;&#x02009;4.0</td>
<td align="left">24.80&#x02009;&#x000B1;&#x02009;4.0</td>
<td align="left">27.14&#x02009;&#x000B1;&#x02009;4.0</td>
</tr>
<tr>
<td align="left">MG132</td>
<td align="left">54.10&#x02009;&#x000B1;&#x02009;2.6</td>
<td align="left">63.22&#x02009;&#x000B1;&#x02009;3.5</td>
<td align="left">55.33&#x02009;&#x000B1;&#x02009;6.6</td>
<td align="left">33.12&#x02009;&#x000B1;&#x02009;3.5</td>
<td align="left">27.76&#x02009;&#x000B1;&#x02009;4.3</td>
<td align="left">14.15&#x02009;&#x000B1;&#x02009;2.6</td>
<td align="left">10.70&#x02009;&#x000B1;&#x02009;3.2</td>
<td align="left">11.62&#x02009;&#x000B1;&#x02009;3.8</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 5</td>
<td align="left">53.18&#x02009;&#x000B1;&#x02009;2.2</td>
<td align="left">55.06&#x02009;&#x000B1;&#x02009;2.3</td>
<td align="left">59.76&#x02009;&#x000B1;&#x02009;4.6</td>
<td align="left">57.35&#x02009;&#x000B1;&#x02009;2.9</td>
<td align="left">25.67&#x02009;&#x000B1;&#x02009;1.3</td>
<td align="left">24.17&#x02009;&#x000B1;&#x02009;2.9</td>
<td align="left">24.31&#x02009;&#x000B1;&#x02009;3.1</td>
<td align="left">27.04&#x02009;&#x000B1;&#x02009;2.2</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 7</td>
<td align="left">53.53&#x02009;&#x000B1;&#x02009;1.9</td>
<td align="left">54.42&#x02009;&#x000B1;&#x02009;2.1</td>
<td align="left">58.29&#x02009;&#x000B1;&#x02009;4.8</td>
<td align="left">55.01&#x02009;&#x000B1;&#x02009;3.0</td>
<td align="left">25.72&#x02009;&#x000B1;&#x02009;1.4</td>
<td align="left">25.18&#x02009;&#x000B1;&#x02009;3.8</td>
<td align="left">23.78&#x02009;&#x000B1;&#x02009;4.0</td>
<td align="left">28.46&#x02009;&#x000B1;&#x02009;3.5</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 12</td>
<td align="left">53.15&#x02009;&#x000B1;&#x02009;2.5</td>
<td align="left">52.22&#x02009;&#x000B1;&#x02009;2.0</td>
<td align="left">56.64&#x02009;&#x000B1;&#x02009;5.3</td>
<td align="left">55.73&#x02009;&#x000B1;&#x02009;2.8</td>
<td align="left">25.72&#x02009;&#x000B1;&#x02009;1.3</td>
<td align="left">26.66&#x02009;&#x000B1;&#x02009;3.9</td>
<td align="left">24.83&#x02009;&#x000B1;&#x02009;3.6</td>
<td align="left">27.35&#x02009;&#x000B1;&#x02009;3.7</td>
</tr>
<tr>
<td align="left">IP6 pH 5</td>
<td align="left">53.95&#x02009;&#x000B1;&#x02009;1.8</td>
<td align="left">56.71&#x02009;&#x000B1;&#x02009;2.2</td>
<td align="left">58.13&#x02009;&#x000B1;&#x02009;4.0</td>
<td align="left">56.89&#x02009;&#x000B1;&#x02009;3.1</td>
<td align="left">25.80&#x02009;&#x000B1;&#x02009;0.9</td>
<td align="left">23.94&#x02009;&#x000B1;&#x02009;3.1</td>
<td align="left">24.33&#x02009;&#x000B1;&#x02009;2.7</td>
<td align="left">28.43&#x02009;&#x000B1;&#x02009;2.1</td>
</tr>
<tr>
<td align="left">IP6 pH 7</td>
<td align="left">53.63&#x02009;&#x000B1;&#x02009;2.6</td>
<td align="left">57.72&#x02009;&#x000B1;&#x02009;2.8</td>
<td align="left">58.70&#x02009;&#x000B1;&#x02009;5.1</td>
<td align="left">56.14&#x02009;&#x000B1;&#x02009;2.6</td>
<td align="left">26.03&#x02009;&#x000B1;&#x02009;0.6</td>
<td align="left">24.03&#x02009;&#x000B1;&#x02009;3.5</td>
<td align="left">25.11&#x02009;&#x000B1;&#x02009;3.7</td>
<td align="left">26.03&#x02009;&#x000B1;&#x02009;2.5</td>
</tr>
<tr>
<td align="left">IP6 pH 12</td>
<td align="left">50.24&#x02009;&#x000B1;&#x02009;3.2</td>
<td align="left">55.29&#x02009;&#x000B1;&#x02009;2.8</td>
<td align="left">56.60&#x02009;&#x000B1;&#x02009;3.5</td>
<td align="left">52.48&#x02009;&#x000B1;&#x02009;2.7</td>
<td colspan="1" align="left"><bold>22.13&#x02009;&#x000B1;&#x02009;1.0</bold></td>
<td align="left">22.29&#x02009;&#x000B1;&#x02009;1.9</td>
<td align="left">26.38&#x02009;&#x000B1;&#x02009;3.3</td>
<td align="left">26.69&#x02009;&#x000B1;&#x02009;3.1</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"/>
<th colspan="4" align="center">S</th>
<th colspan="4" align="center">Sub-G1</th>
</tr>
<tr>
<th align="left"/>
<th align="left">8&#x02009;h</th>
<th align="left">24&#x02009;h</th>
<th align="left">48&#x02009;h</th>
<th align="left">72&#x02009;h</th>
<th align="left">8&#x02009;h</th>
<th align="left">24&#x02009;h</th>
<th align="left">48&#x02009;h</th>
<th align="left">72&#x02009;h</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">
Ctrl</td>
<td align="left">9.23&#x02009;&#x000B1;&#x02009;1.4</td>
<td align="left">7.79&#x02009;&#x000B1;&#x02009;0.8</td>
<td align="left">6.73&#x02009;&#x000B1;&#x02009;0.7</td>
<td align="left">7.89&#x02009;&#x000B1;&#x02009;1.7</td>
<td align="left">0.51&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.56&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.71&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.52&#x02009;&#x000B1;&#x02009;0.1</td>
</tr>
<tr>
<td align="left">MG132</td>
<td align="left">7.86&#x02009;&#x000B1;&#x02009;1.1</td>
<td align="left">6.00&#x02009;&#x000B1;&#x02009;0.6</td>
<td align="left">5.19&#x02009;&#x000B1;&#x02009;0.9</td>
<td align="left">5.82&#x02009;&#x000B1;&#x02009;1.0</td>
<td align="left">0.59&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">2.37&#x02009;&#x000B1;&#x02009;0.7</td>
<td align="left">20.28&#x02009;&#x000B1;&#x02009;3.4</td>
<td align="left">40.13&#x02009;&#x000B1;&#x02009;7.5</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 5</td>
<td align="left">11.00&#x02009;&#x000B1;&#x02009;2.6</td>
<td align="left">8.15&#x02009;&#x000B1;&#x02009;0.3</td>
<td align="left">6.99&#x02009;&#x000B1;&#x02009;0.8</td>
<td align="left">8.23&#x02009;&#x000B1;&#x02009;1.7</td>
<td align="left">0.45&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.74&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.58&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.34&#x02009;&#x000B1;&#x02009;0.1</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 7</td>
<td align="left">11.23&#x02009;&#x000B1;&#x02009;2.8</td>
<td align="left">8.30&#x02009;&#x000B1;&#x02009;0.7</td>
<td align="left">7.10&#x02009;&#x000B1;&#x02009;1.6</td>
<td align="left">8.44&#x02009;&#x000B1;&#x02009;2.1</td>
<td align="left">0.41&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.78&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.65&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.37&#x02009;&#x000B1;&#x02009;0.0</td>
</tr>
<tr>
<td align="left">H<sub>2</sub>O pH 12</td>
<td align="left">10.10&#x02009;&#x000B1;&#x02009;1.7</td>
<td align="left">8.70&#x02009;&#x000B1;&#x02009;0.8</td>
<td align="left">6.72&#x02009;&#x000B1;&#x02009;1.0</td>
<td align="left">7.24&#x02009;&#x000B1;&#x02009;1.8</td>
<td align="left">0.71&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.59&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.73&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">0.35&#x02009;&#x000B1;&#x02009;0.0</td>
</tr>
<tr>
<td align="left">IP6 pH 5</td>
<td align="left">10.88&#x02009;&#x000B1;&#x02009;2.7</td>
<td align="left">7.64&#x02009;&#x000B1;&#x02009;1.0</td>
<td align="left">8.10&#x02009;&#x000B1;&#x02009;1.3</td>
<td align="left">8.81&#x02009;&#x000B1;&#x02009;2.4</td>
<td align="left">0.61&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">1.33&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.87&#x02009;&#x000B1;&#x02009;0.2</td>
<td align="left">0.53&#x02009;&#x000B1;&#x02009;0.2</td>
</tr>
<tr>
<td align="left">IP6 pH 7</td>
<td align="left">10.41&#x02009;&#x000B1;&#x02009;1.5</td>
<td align="left">7.92&#x02009;&#x000B1;&#x02009;0.9</td>
<td align="left">7.51&#x02009;&#x000B1;&#x02009;1.0</td>
<td align="left">8.36&#x02009;&#x000B1;&#x02009;1.8</td>
<td align="left">0.68&#x02009;&#x000B1;&#x02009;0.1</td>
<td align="left">1.41&#x02009;&#x000B1;&#x02009;0.3</td>
<td align="left">0.92&#x02009;&#x000B1;&#x02009;0.1</td>
<td colspan="1" align="left"><bold>0.50&#x02009;&#x000B1;&#x02009;0.0</bold></td>
</tr>
<tr>
<td align="left">IP6 pH 12</td>
<td align="left">8.85&#x02009;&#x000B1;&#x02009;1.8</td>
<td align="left">8.29&#x02009;&#x000B1;&#x02009;1.0</td>
<td align="left">7.71&#x02009;&#x000B1;&#x02009;1.1</td>
<td align="left">8.32&#x02009;&#x000B1;&#x02009;1.8</td>
<td colspan="1" align="left"><bold>5.21&#x02009;&#x000B1;&#x02009;0.9</bold></td>
<td colspan="1" align="left"><bold>3.96&#x02009;&#x000B1;&#x02009;0.8</bold></td>
<td colspan="1" align="left"><bold>2.63&#x02009;&#x000B1;&#x02009;0.5</bold></td>
<td colspan="1" align="left"><bold>1.11&#x02009;&#x000B1;&#x02009;0.2</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>Results highlighted and in bold are statistically significantly different compared to the corresponding water control</italic>.</p>
<fn id="tfn3"><p><italic>&#x0002A;Cell percentage in each phase quantified by FACS following PI staining</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
</table-wrap-group>
</app>
</app-group>
<ack>
<p>The authors would like to thank laboratory members for helpful discussions. We are grateful to Nathalie Delvoye for her technical support. This work is supported by the Ren&#x000E9; Malo Initiative of the Institut du cancer de Montr&#x000E9;al and the Fondation Sybila Hesse. Fred Saad holds the Universit&#x000E9; de Montr&#x000E9;al Chair in Prostate Cancer Research. Philippe O. Gannon, Isma&#x000EB;l Herv&#x000E9; Koumakpayi, and Jean-Simon Diallo receive support from the Fonds de la Recherche en Sant&#x000E9; du Qu&#x000E9;bec and Defi Canderel.</p>
</ack>
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