1. Introduction
Phospholipases A
2 (E.C. 3.1.1.4) are enzymes that catalyze the hydrolysis of the
sn-2 fatty acyl ester bond of
sn-3 phosphoglycerides, liberating free fatty acids, and lysophospholipids. Phospholipases A
2 (PLA
2s) are a large family of proteins found in various mammalian tissues: arthropods, as well as in the venoms of snakes, scorpions and bees. Based on their source, catalytic activity, amino acid sequence, chain length and disulfide bond patterns, PLA
2s are divided into 16 groups [
1] including 10 groups of secretory PLA
2s (sPLA
2s) [
2,
3]. The variability of the structure of the conserved domains of sPLA
2s from bacteria to mammals was recently investigated by Nevalainen
et al. [
4].
The sPLA
2s are small-molecular-mass proteins (13–15 kDa) that require the presence of Ca
2+ for their catalytic activity. In snake venoms, only two groups of sPLA
2s (GI and GII) have been identified. Group I (GIA) includes the svPLA
2s from
Elapinae and
Hydrophiinae venoms with 115–120 amino acid residues and these svPLA
2s are homologous to mammalian pancreatic GIB sPLA
2. Group II (GIIA and GIIB) comprises the svPLA
2s from
Crotalinae and
Viperinae venoms with 120–125 amino acid residues and homologous to mammalian non-pancreatic Group II-A sPLA
2 [
3]. Group II PLA
2s are in turn divided into different subgroups on the basis of amino acid residue in the 49
th position: catalytically active D49 enzymes, catalytically inactive or with low activity K49, S49, N49 or R49 forms [
5,
6]. The above described subgroups exhibit a wide variety of physiological and pathological effects. In addition to their possible role in the digestion of prey, snake venom sPLA
2s exhibit a wide spectrum of pharmacological effects such as neurotoxicity, cardiotoxicity, myotoxicity, anticoagulant, anticancer effects
etc. [
3,
5,
6,
7,
8,
9,
10,
11,
12].
Numerous snake venom sPLA
2s that modulate platelet function have been characterized [
13,
14,
15,
16,
17,
18,
19] and different mechanisms of action shown [
6,
15,
20,
21,
22,
23,
24,
25,
26]. The sPLA
2s effect on platelet aggregation can be independent or dependent on their catalytic activity. However, the mechanism of action of snake sPLA
2s on platelet aggregation is not fully elucidated.
In addition, an increasing number of sPLA
2s with antibacterial properties has been reported [
27,
28,
29,
30,
31,
32,
33,
34,
35,
36]. For example, sPLA
2s have been shown to be inhibitory (bacteriostatic) or killing (bactericidal) to gram-positive bacteria
Staphylococcus aureus [
37]. In case of svPLA
2 from
Crotalus durissus collilineatus venom the bactericidal effect was entirely dependent on its enzymatic activity [
38]. The effect of sPLA
2s towards gram-positive and gram-negative bacteria and their role in the host defence against bacterial infections has been reviewed by Nevalainen
et al. [
39].
Different types of sPLA
2s and synthetic peptides derived from sPLA
2 homologues have been shown to possess antitumor and antiangiogenic activity against different cancer cells
in vitro. The antitumor activities have been detected for the acidic BthA-I-PLA
2 from
Bothrops jararacussu venom [
40], for RVV-7, a basic 7 kDa toxin from Russell’s viper venom [
41], for two sPLA
2s from
Cerastes cerastes venom [
42], for sPLA
2 from
Naja naja atra venom [
43], for a Lys
49 sPLA
2 from
Protobothrops flavoviridis venom [
44], for a Drs-PLA
2 from
Daboia russelii siamensis venom [
45]. Recent studies have shown that MVL-PLA
2 from
Macrovipera lebetina transmediterranea venom inhibited cell adhesion and migration of melanoma IGR39 cells and fibrosarcoma HT1080 cells
in vitro [
46,
47]. Antitumor properties of different snake venom phospholipases A
2 have been reviewed by Rodrigues
et al. [
12].
In the current study sPLAs from Vipera berus berus (common viper), Vipera lebetina (Levantine viper) and Naja naja oxiana (Middle-Asian cobra) venoms were studied for their biological effects using (i) human platelets, (ii) different gram-negative (Vibrio fischeri, Escherichia coli) and gram-positive (Bacillus subtilis, Staphylococcus aureus) bacterial strains and (iii) five different cancer cells lines (prostate cancer cell lines PC-3, LNCaP, breast cancer cell line MCF-7, chronic myeloid leukemic cell line K-562 and mouse melanoma cell line B16-F10).
3. Discussion
Snake venom sPLA2s exhibit a large variety of pharmacological effects. In this work we compared the effects of sPLA2s originating from the venoms of three different snakes on human platelets, different bacteria and five types of cancer cells in vitro. Naja naja oxiana PLA2 belongs to PLA2 from old world snakes (group I) and has different disulfide bond pattern than PLA2s from new world’s snakes such as VBBPLA2 and VLPLA2 (group II).
Kini and Evans [
15] divided snake venom PLA
2s based on their effects on platelet function into three classes: class A involves PLA
2s which initiate platelet aggregation, class B PLA
2s cause only the inhibition of platelet aggregation induced by several physiological agonists such as collagen and class C involves PLA
2s that have dual activity acting as inducer and inhibitor, depending of conditions. Classes B and C are both subdivided into two subgroups. Inhibitory activity of class B1 PLA
2s (but not class B2) is dependent on their catalytic activity. Results of the current study show that VBBPLA
2 and NNOPLA
2 belong to class B1. In class B1 the inhibitory effects against platelets aggregation have been explained by hydrolysis of phospholipids from the plasma and/or from lipoproteins and the formation of lysophosphatidylcholine (lysoPC) [
21,
22,
51]. The platelet aggregation inhibitory effects of PLA
2s have shown to be dependent on plasma factor for several snake venom PLA
2s, including VLPLA
2 [
18], the antiplatelet PLA
2 purified from the venoms of
Austrelaps superba [
51],
Lachesis muta [
21,
52], and
Micropechis ikaheka [
53]. Yuan
et al. [
51] showed that the formation of lysoPC after incubation with snake venom PLA
2 correlated with the inhibition of platelet aggregation.
The isoelectric point values of snake venom PLA
2s vary and therefore PLA
2s are classified as acidic, neutral or basic. This property may affect the binding affinity and specificity of PLA
2s to phospholipid membranes. However, pI values of PLA
2s are not predictive for their effect on platelet aggregation: the acidic VLPLA
2 [
18], acidic PLA
2s from the venoms of
Trimeresurus gramineus [
13] and
Agkistrodon acutus [
14] and basic PLA
2s from
V. berus berus venom (this work), from
Acanthopis praelongus venom [
16] and acanthins from
Acanthopis antarcticus venom [
22] are all potent platelet inhibitors. On the contrary, bothropstoxin-II (Bthtx-II), a basic Asp
49 phospholipase A
2 isolated from
Bothrops jararacussu snake venom was able to induce platelet aggregation in a concentration-dependent manner [
17]. NNOPLA
2 with almost neutral pI (6.7) inhibited collagen induced platelet aggregation more slowly than VBBPLA
2 and VLPLA
2 (
Figure 2).
Although only PLA
2 from
V. lebetina but not the PLA
2s from
V. berus berus and
N. naja oxiana showed acute toxic effect on
Vibrio fischeri at 4.24 μM level (
Table 1), many snake venom phospholipases A
2 have been shown antibacterial and antiparasitic properties. For example, the Lys
49 protein from
Bothrops asper venom showed bactericidal activity on both, gram-positive and gram-negative bacteria [
27]. Contrarily, the Lys
49 BmarPLA
2 from
Bothrops marajoensis showed no antibacterial and antiparasitic effects [
36]. Two myotoxic Asp
49 PLA
2s from
Bothrops neuwiedi pauloensis venom were bactericidal towards
Escherichia coli and
Staphylococcus aureus [
31]. Myotoxin I Lys
49 PLA
2 from
Bothrops atrox venom was weakly bactericidal against
E. coli [
30]. Myotoxin I Lys
49 PLA
2 and myotoxin II Asp
49 PLA
2from
Bothrops jararacussu venom showed antibacterial effect against gram-negative bacteria
Xanthomonas [
54]. Myotoxic Asp
49 PLA
2 MTX-I and Lys
49 PLA
2 MTX-II isolated from
Botrops brazili venom and cationic synthetic peptides derived from their 115–129
C-terminal region displayed toxic effects against
E. coli,
Candida albicans and
Leishmania sp. and human T-cell leukemia (JURKAT) cell lines [
55].
In the current study, the 36.17 μM VBBPLA
2 totally inhibited the growth of gram-positive bacteria
Bacillus subtilis (
Table 2,
Figure 3A) but did not inhibit the growth of other bacterial strains analyzed (
Table 2). VBBPLA
2 has highly cationic nature as it contains numerous positively charged Arg and Lys residues that may promote its binding to negatively-charged outer surface of bacteria. The majority of antimicrobial peptides are positively charged at physiological pH, and prevailing view is that their selectivity stems from electrostatic attraction of the cationic peptide to the anionic bacterial membranes [
56]. However, to another gram-positive bacterium,
Staphylococcus aureus, native VBBPLA
2 had no inhibitory effect (
Table 2).
The activity and expression of several PLA
2 isoforms are increased in several human cancers, including breast, pancreatic and prostate cancers, suggesting that these enzymes may have a central role in both tumor development and progression and thus can be targets for anticancer drugs [
12,
57]. On the other hand, some snake venom PLA
2s may have antitumoral activity [
12]. Crotoxin, a noncovalent complex (formed by two nonidentical subunits: a basic PLA
2 crotoxinB and a nonenzymatic acidic crotoxinA) isolated from the venom of
Crotalus durissus terrificus, exhibits a preferential cytotoxic activity against various types of tumor cells including K-562 cells [
58], MCF-7 cells [
59] and lung adenocarcinoma A549 cells. Treatment of A549 cells with crotoxin significantly inhibited the cell growth in a dose-dependent manner and displayed anti-angiogenic effects
in vitro [
60]. Crotoxin has been used in the treatment of different advanced carcinomas [
61]. It has been shown that
blD- PLA
2 from
Bothrops leucurus snake venom reduced K-562 cellular viability in a dose-dependent manner causing disruption of cellular membrane integrity [
62]. Several secreted PLA
2s were found to play role in apoptosis [
63]. PLA
2 from
Naja naja atra venom induced apoptotic cell death of K-562 cells [
43]. A Lys
49 phospholipase A
2 from
Protobothrops flavoviridis venom induced caspase-independent apoptotic cell death accompanied by rapid plasma-membrane rupture in human leukaemia cells. However, Asp
49 PLA
2 from the same venom failed to induce death of JURKAT cells [
1].
In this study, different cancer cell lines (PC-3, LNCaP, K-562, MCF-7, B10-F16) were exposed to different PLA
2s from
V. lebetina,
V. berus berus and
N. naja oxiana. At the highest concentration tested (~7 μM), there was no inhibitory effect of studied PLA
2 preparations towards LNCaP cells (
Figure 4A–C). This is coherent with the data of Sved
et al. [
64] on the consistent and dose-dependent stimulatory effect of human recombinant sPLA
2-IIA on LNCaP cell growth. In the current study, the most potent inhibitory effect of studied svPLA
2s was observed for VBBPLA
2 towards human chronic myeloid leukemic cell line K-562 (
Figure 4D). In addition,
p-BPB-treated inactive VBBPLA
2 yielded 27% loss of viability in K-562 cells. Thus, VBBPLA
2-induced cell death is dependent not only of enzymatic activity.
4. Materials and Methods
4.1. Materials
The venoms of V. lebetina and N. n. oxiana were commercial preparations from Tashkent Integrated Zoo Plant (Uzbekistan), V. b. berus venom was obtained from Khimki Serpentarium (Moscow, Russia). Sephadex G-100 (superfine) was product of Pharmacia (Uppsala, Sweden). 2,5-dihydroxybenzoic acid (DHB), 3,5-dichlorophenol, bovine serum albumin (BSA), ovalbumin, carboanhydrase, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), soybean trypsin inhibitor, Substance P, Cytochrome C, insulin B chain, p-bromophenacylbromide (p-BPB) and camptothecin were from Sigma (St. Louis, MO, USA), trypsin (Promega, Madison, WI, USA). WST-1 was from Roche Diagnostics, collagen from Chronolog. Annexin V/Dead Cell Apoptosis Kit with FITC annexin V and propidium iodide (PI) were from Invitrogen, Eugene, OR, USA. All other reagents used were of analytical grade.
4.2. Purification of Enzymes
Vipera lebetina PLA
2 was purified according to Vija
et al. [
18],
Vipera berus berus PLA
2 (VBBPLA
2) was separated from the venom as described by Križaj
et al [
48].
Naja naja oxiana venom PLA
2 (NNOPLA
2) was purified by gel filtration on Sephadex G-50 sf. and hydrophobic chromatography on pentylagarose. Purity and molecular masses of enzymes were detected by SDS-PAGE and MALDI-TOF MS (see 4.6.).
4.3. PLA2 Assay
Phospholipase A
2 activity was assayed by titrimetric method using egg yolk phosphatidylcholine as a substrate [
65]. Briefly, one egg yolk was added to 100 mL of bidistilled water and aqueous emulsion was prepared by homogenisation. Per assay, 1.5 mL of the egg yolk emulsion was diluted with 3 mL of Triton X-100 and CaCl
2 being 0.75% and 0.15 mM, respectively. The pH was set at 8.0; 10 μL (0.1 mg/mL) of PLA
2 sample was added and the fatty acids released were titrated with 10 mM KOH using a pH-stat (TTT80/pHM84/ABU80, Radiometer, Copenhagen, Denmark) at 25 °C.
4.4. PLA2 Activity Inhibition with p-bromophenacylbromide (p-BPB)
PLA2s (0.4 mg) were dissolved in 0.4 mL of 0.1 M ammonium acetate (pH 7.4) containing 0.4 mM of p-BPB and incubated for 24 h at room temperature. Excess of the reagents was removed by ultrafiltration through the microspin filter (cut-off 5000 MW, Cole-Parmer, Vernon Hills, IL, USA), the protein fraction was washed with 0.1 M ammonium acetate (pH 7.4) and lyophilized.
4.5. Protein Quantification
Protein concentrations were determined using the Pierce micro BCA kit. Bovine serum albumin was used as a standard. During the process of column chromatography, the elution profile of proteins was followed by the absorbance at 280 nm.
4.6. Molecular Mass Detection and Isoelectric Focusing of Proteins
The molecular masses of the purified proteins were determined by SDS-PAGE on 12.5% polyacrylamide gels using the method of Laemmli [
66]. Molecular mass standards for SDS-PAGE were albumin—66 kDa, ovalbumin—45 kDa, carboanhydrase—29 kDa, soybean trypsin inhibitor—20 kDa, cytochrome C—12.3 kDa.
The molecular masses of the fractions were also determined using a home-built matrix-assisted laser desorption/ionization-time of flight mass spectrometer (MALDI-TOF MS) (National Institute of Chemical Physics and Biophysics, Tallinn, Estonia). Before the analysis the freeze-dried samples of protein fractions were dissolved in 5 μL of 50% acetonitrile containing 0.1% trifluoroacetic acid. Aliquots of 0.5 μL were applied onto the target, allowed to air dry and 0.5 μL of the matrix solution (2,5-dihydroxybenzoic acid) was applied to the target and allowed to dry in air. The mass calibration standards were cytochrome C, insulin B chain. A nitrogen 337 nm laser (4 ns pulse) was used and at least 30–40 shots were summarized.
Analytical isoelectric focusing was performed on 5% polyacrylamide gel plates according to the method of Vesterberg [
67] in Multiphor 2117 (LKB, Bromma, Sweden) apparatus in the pH range of 3.6–9.3. Isoelectric focusing markers were amyloglucosidase (pI 3.60), soybean trypsin inhibitor (pI 4.55), β-lactoglobulin A (pI 5.20), bovine carbonic anhydrase B (pI 5.85), human carbonic anhydrase B (pI 6.55), horse myoglobin-acidic band (pI 6.85), horse myoglobin-basic band (pI 7.35) lentil lectin-acidic band (pI 8.15), lentil lectin-middle band (pI 8.45), lentil lectin-basic band (pI 8.65) and trypsinogen (pI 9.30). The gels were stained for proteins with Coomassie Brilliant Blue R250.
4.7. In-Gel Tryptic Digestion and Mass Fingerprinting of Proteins
After visualization with Coomassie Blue the gel-electrophoresis bands of protein in interest (native or reduced) were excised from SDS-PAGE gels, each gel slice cut into small pieces (1 mm
2), placed into eppendorf tubes and treated as described earlier [
68]. Equal volumes (0.5 μL) of the peptide mixture and the matrix (2,5-dihydroxybenzoic acid, or α-cyano-4-hydroxycinnamic acid) were mixed on the MALDI-TOF plate. The mass calibration standards were substance P and angiotensin II.
4.8. Preparation of Human Platelet Suspension and Collagen-Induced Platelet Aggregation Assay
Collagen-induced platelet aggregation assays were performed in human platelet-rich plasma (PRP). Blood was collected from healthy adult volunteers who had not taken any medication for at least two weeks prior to sampling. The blood was collected according to the permissions LO2354 (14.12.2010) and LO2513 (21.07.2011).
In order to obtain PRP the blood was dispensed into polystyrene tubes containing 0.129 M sodium citrate (9:1
v/
v) as anticoagulant and after centrifugation at 180 ×
g at room temperature for 10 min platelet suspensions were prepared according to the previously described protocol [
69]. Platelet aggregation was measured photometrically in a Whole-Blood aggregometer (Chronolog Corporation, Havertown, PA, USA) under continuous stirring at 900 rpm at 37 °C. Control experiments were done using collagen (platelet agonist) alone.
4.9. Antibacterial Activity
4.9.1. Bacterial Strains
Altogether, four different bacterial strains were used. Naturally luminescent
Vibrio fischeri NRRL-B-11177 was purchased from Aboatox (Turku, Finland). Constitutively luminescent
Escherichia coli MC1061(pSLlux) and
Staphylococcus aureus RN4220(p602/22lux) were constructed earlier by Ivask
et al. [
70].
Bacillus subtilis BR151 was obtained from Turku University (Finland). Two former strains are gram-negative and two latter ones gram-positive bacteria.
4.9.2. Analysis of Antibacterial Activity of PLA2s
Antibacterial activity of sPLA2s was analyzed using two different methods: (i) inhibition of the luminescence of naturally luminescent gram-negative bacterium Vibrio fischeri after 15 minutes of exposure and (ii) inhibition of the growth of gram-negative bacteria Escherichia coli and Staphylococcus aureus and gram-positive bacteria Bacillus subtilis upon 6 hour exposure to PLA2s of various snakes.
4.9.2.1. Bioluminescence Inhibition Assay Using Vibrio fischeri
The
Vibrio fischeri test bacteria were prepared as described in Kurvet
et al. [
71]. Briefly,
V. fischeri bacterial suspension was obtained by rehydration of freeze-dried
V. fischeri Reagent (Aboatox, Turku, Finland) using 2% NaCl, stabilized for 40 min at 4 °C and then at 20 °C for 40 min and then used for testing. 2% NaCl served as a test diluent and as a negative control. 3,5-dichlorophenol was used as a positive control. The assay was performed at 20 °C instead of 15 °C recommended by standard operational procedure of Microtox
™ (AZUR Environmental, Carlsbad, CA, USA) as most luminometers do not allow the temperature adjustment to 15 °C.
Testing was performed essentially as described in Kahru [
50] using 1253 Luminometer and respective software for the data reduction (both BioOrbit, Turku, Finland). Toxicity (15-min EC
50),
i.e., the concentration of svPLA
2 causing a 50% reduction in light output of bacteria after 15-min contact time, was determined from respective concentration-effect curves.
4.9.2.2. Bacterial Growth Inhibition Assays
E. coli, S. aureus and B. subtilis were maintained in LB agar plates (LabM, Lancashire, UK) supplemented with respective antibiotics (see below) at +4 °C. For the toxicity tests, bacteria were cultivated (on a shaker at 200 rpm, 30 °C) overnight in 3 mL of LB medium. As a test medium for the growth inhibition assays and as a diluent for svPLA2s LB medium without NaCl was used. Ampicillin (100 μg/mL) in case of E. coli and kanamycin (50 μg/mL) in case of S. aureus were added to LB medium. No antibiotics were added to B. subtilis culture medium. For the assay, overnight bacterial culture was diluted 1:25 in LB medium containing respective antibiotics (see above). Then, 100 μL of test bacteria was added to 100 μL of the svPLA2 dilution. Each svPLA2 was tested in following concentrations: 500, 250, 125, 62.5 and 31.25 μg/mL. Each svPLA2 concentration was tested in three and the controls in ten replicates. 96-well polystyrene microplates with transparent bottoms and not-transparent sides of the wells (Greiner Bio-One, Frickenhausen, Germany) were used. Optical density of the bacterial suspensions at 600 nm (OD600) was measured using Multiscan Spectrum spectrophotometer (Thermo Scientific, Vantaa, Finland). The measurements were performed in 1 h intervals till 6 h and then also 24 h data were registered. Between the measurements till 6 h the plates were incubated at 30 °C on a shaker (Heidolph Titramax 1000, Schwabach, Germany) at 750 rpm and then statically overnight in the incubator at 30 °C. The inhibition of the growth of bacteria was calculated as percentage of the non-exposed control.
To evaluate the ability of svPLA2-exposed bacteria (after 6 h and 24 h incubation) to grow on solid media, 1 μL of bacterial suspension was streaked onto Petri dishes with LB agar containing no antibiotics. The growth of bacteria was visually checked after incubation of Petri plates at 30 °C for 48 h.
4.10. Human Cell Lines and Toxicity Testing of sPLA2s
The human prostate cancer cell lines PC-3, LNCaP, human chronic myeloid leukemic cell line K-562, breast cancer cell line MCF-7 and mouse melanoma cell line B16-F10 were purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA). PC-3 cells were maintained in DMEM/F-12 medium (Gibco, Grand Island, NY, USA), LNCaP, K-562, MCF-7 and B16-F10 cells in RPMI 1640 medium (Gibco, Grand Island, NY, USA), supplemented with 10% fetal bovine serum (Gibco) and antibiotics (100 units/mL penicillin and 100 μg/mL streptomycin) at 37 °C and 5% CO2 in a fully humidified atmosphere.
4.10.1. Analysis of the Viability of the Cells
The viability was determined by the MTT assay (PC-3 cells) and WST-1 assay (LNCaP, K-562, MCF-7 and B16-F10) based on the reduction of MTT or WST-1 by viable cells, respectively.
4.10.1.1. MTT Assay
Human prostate cancer PC-3 cells were seeded in 96-well plates (Sarstedt, Germany) at a density of 1–2 × 105 cells/ml. After 24 h of incubation 37 °C the cells were incubated with svPLA2s diluted with medium and added to the wells at final concentrations of 10 and 100 μg/mL. The cells not treated with sPLA2 served as a control. After certain time intervals, MTT solution was added to each well at a final concentration of 0.5 mg/mL and the plates were incubated at 37 °C for 4 h. The MTT formazan product was dissolved by addition of 110 μL acidified 2-propanol (in 0.04 N HCl) to each well. The absorbance was detected in micro-plate reader (Multiskan Spectrum, Thermo, Vantaa, Finland) at 540 nm. Cell survival rate was calculated as (absorbance of the treated wells)/(absorbance of the control wells) × 100%.
4.10.1.2. WST-1 Assay
Human LNCaP, K-562, MCF-7 and B16-F10 cells were seeded in 96-well plates at a density of 1–2 × 105 cells/ml. After 24 h of growth cells were incubated with svPLA2s diluted with medium and added to the wells at the desired final concentrations (10 and 100 μg/mL). The cells that were not treated with protein served as control cells. After various time intervals 10 μL/well WST-1 solution was added to each well and the plates were incubated for 1–2 h at 37 °C and 5% CO2. The absorbance of the WST-1 formazan salt was detected in micro-plate reader at 450 nm. Cell survival rate was calculated as (absorbance of the treated wells)/(absorbance of the control wells) × 100%.
4.10.2. Apoptosis Detection Using Annexin V-FITC and Propidium Iodide (PI)
The detection of K-562 cells apoptosis was performed according to the instructions of FITC Annexin-V/Dead Cell Apoptosis Kit with FITC Annexin-V and PI (Invitrogen, Eugene, OR, USA). The suspension of K-562 cells was seeded into 24-well plates (2 × 105 cells/well) on round cover slips and incubated at 37 °C with 5% CO2 for 24 h. After this period, the cells were treated with VBBPLA2 (0.36, 0.72 and 7.23 μM) for 24 h. In case of 0.36 μM the treatment was prolonged to up to 28 h. 4 μM camptothecin-treated cells (4 h) were used as a positive control for apoptosis. The cells were washed twice with cold phosphate-buffered saline (PBS) and 200 μL of Annexin-V binding buffer, 10 μL of Annexin-V-FITC and 10 μL of PI working solution were added. After incubation in the dark for 15 min at room temperature the reaction mixture was removed and the cells were washed with Annexin-V binding buffer. Then, the cover slips with cells were taken out from the wells and the mounted preparations were made. The viability of the treated and non-treated (control) K-562 cells was observed under an epifluorescence microscope Olympus CX41 with a 100× oil immersion objective lens and fluorescence optics (excitation at 488 nm, >515 nm emission for Annexin V-FITC (green) and for propidium iodide (red)). The pictures were taken using an Olympus U-CMAD3 real time colour digital DP71 camera (Tokyo, Japan) using the CellB Software (Olympus Soft Imaging Solutions GmbH, Münster, Germany).