The flavonoid beverage Haelan 951 induces growth arrest and apoptosis in pancreatic carcinoma cell lines in vitro

Background A major challenge in pancreatic cancer treatment is the resistance of human pancreatic cancer cells to apoptosis. Soy isoflavones and calpain inhibition have been suggested to exert inhibitory effects on cancer development and progression. We investigated the effects of the isoflavone containing beverage Haelan 951 and the calpain inhibitor PD150606 on the viability, growth and apoptosis of the human pancreatic cancer cell lines CAPAN-1 and BxPC-3, on the rat pancreatic cancer cell line AR42J, and on human fibroblasts as the control cell line. Methods Cellular viability and proliferation were determined using the LDH cytotoxicity and WST-1 assay, respectively. Apoptosis was detected by flow cytometric analyses of Annexin V-FITC labeled-cells, TUNEL assay and caspase activation. Student’s t test or Mann–Whitney Rank Sum test were used to compare the data. Results Haelan concentrations lower than 8 % showed no cytotoxic effects, whereas higher concentrations led to necrosis. Eight percent Haelan induced significant growth inhibition of CAPAN-1 and BxPC-3 cell lines by 30 % and 35 %, respectively, compared with the control. The proliferation rate of AR42J cells decreased by 50 %, whereas the fibroblasts remained unaffected. An 1.1-fold increase in apoptosis was found in CAPAN-1 cells, whereas the number of apoptotic BxPC-3 cells was elevated 2-fold. The number of apoptotic AR42J cells and fibroblasts was elevated 1.5-fold, each. Inhibition of calpain activity amplified the Haelan-induced growth inhibition of CAPAN-1 and BxPC-3 cells, but failed to amplify the growth inhibition of Haelan-treated AR42J cells. In fibroblasts, calpain inhibition induced Haelan-independent growth inhibition. Calpain inhibition also amplified the Haelan-induced apoptotic activity in all cancer cell lines, but exerted no further effect in fibroblasts. Conclusions The proliferation-inhibiting and apoptosis-inducing effects of Haelan are highly dependent on cell type and concentration administered. The results show for the first time that Haelan may be a promising candidate in the treatment of human pancreatic cancer, and its anticancer activity may be potentiated when administered with calpain inhibitors.


Background
The most common type of pancreatic cancer (PC) is the highly aggressive adenocarcinoma originating from the exocrine pancreas. PC is the fourth most common cause of cancer-related mortality in the US and Europe with a 5-year survival of just 4 % [1,2]. The high mortality and dismal survival rate both strongly suggest that the evaluation of therapeutic agents is urgently needed. A major challenge in the treatment of PC has been the lack of protective responses to various chemotherapies, which has been attributed to the resistance of PC cells to apoptosis [3]. Thus, increasing the sensitivity of tumor cells to apoptosis may be a promising strategy for the development of efficient chemotherapies that extend survival.
Apoptosis is defined as a programmed form of cell death induced to eliminate genetically altered cells without causing severe host reaction. Apoptosis can be induced by various extracellular and intracellular stimuli leading to the activation of three main pathways, the extrinsic (death receptor-mediated), the intrinsic (mitochondrial) and the endoplasmic reticulum stressmediated pathway. An increasing number of studies suggests that naturally occurring compounds may be suitable candidates for cancer treatment by inducing apoptosis, such as bufalin, a component of the Chinese herbal medicine Chan-Su, the 4-herb Chinese medicine formulation PHY906, the traditional Chinese medicine herbal mixture LQ, and [6]-gingerol, a ginger phytochemical [4][5][6][7]. Isoflavones, a subclass of naturally occurring and biologically active polyphenolic phyto-estrogens, have also been shown to possess anticancer activities. They deregulate cell cycle progression, induce apoptosis, function as antioxidants, modulate multiple cell signalling pathways and inhibit tumor invasion [8]. Isoflavones are found in plant-derived foods and beverages such as vegetables, fruits, green tea and wine [9,10]. A very rich source of isoflavones is the soybean, containing the predominant glycoside compounds genistin and daidzin along with other glycosides [10]. Fermentation of soy hydrolyzes the glycosides to form isoflavone aglycones such as genistein, daidzein and others that are absorbed faster and in greater amounts than their glucosides upon oral administration in humans [11].
Several studies on a variety of cancer cell lines suggest that a mixture of isoflavones is more effective in suppressing cancer growth than the isolated compounds alone [12][13][14][15]. Thus, in the present study, we investigated the anticancer effect of the commercially available fermented soy beverage, Haelan 951 (Hael), mainly contains genistein, genistin, and daidzein using the human PC cell lines, BxPC-3 and CAPAN-1, the rat PC cell line, AR42J, and human fibroblasts as control to detect cytotoxic activity to non-cancer cells [16]. A further aim was to investigate whether inhibition of calpain may amplify Hael-induced anticancer activity. Calpains are a family of cytosolic neutral cysteine proteases that are strictly controlled by the cytosolic Ca 2+ concentration and the endogenous inhibitor protein, calpastatin. Calpain, in particular the ubiquitous isoforms μand m-calpain, has been identified to be involved in cancer development and progression, including cell transformation, migration and tumor invasion, apoptosis/survival, as well as angiogenesis via signal-dependent limited cleavage of its substrates [17,18].
Our results show for the first time that Hael may be a promising agent in the treatment of human pancreatic cancer, leading to growth arrest and apoptosis without cytotoxic effects. Inhibition of the calpain activity was found to improve the therapeutic efficacy of Hael.

Cell cultures
The human pancreatic carcinoma cell lines BxPC-3 and CAPAN-1, the rat pancreatic carcinoma cell line AR42J and the human skin fibroblast cell line were obtained from the American Type Culture Collection (Rockville, MD, U.S.A.) The AR42J cells and the fibroblasts were grown in DMEM supplemented with 10 % (v/v) FCS. The CAPAN-1cell line was grown in IMDM supplemented with 10 % (v/v) FBS. The BxPC-3 cell line was cultured in RPMI containing 10 % (v/v) FBS. All culture media were supplemented with 50 U/ml penicillin and 50 μg/ml streptomycin. The cells were grown at 37°C in a 5 % CO 2 humidified atmosphere. Growing cells were checked for viability and confluence by light microscopy. The cells were detached by accutase according to the manufacturer's recommendation.

Exposure of PC cell lines and fibroblasts to increasing concentrations of Hael
The three PC cell lines and human fibroblasts (pro well: 4 x 10 4 cells / 2 ml cell culture medium) were added to 24-well plates including the control and blank. After reaching subconfluence, the medium was removed and the cells were incubated with increasing concentrations of Hael (2 % -32 %) containing in 2 ml of the corresponding cell culture medium for 24 and 48 h. The control cells were incubated with medium only.

Exposure of PC cell lines and fibroblasts to 8 % Hael in combination with calpain inhibitors
The three PC cell lines and human fibroblasts (4 x 10 4 cells/2 ml cell culture medium) were incubated with 8 % Hael in the presence or absence of the calpain inhibitor PD150606 (20 μM) or the Ca 2+ chelator BAPTA-AM (10 μM) for 24 h. The inhibitors were dissolved in DMSO for a final concentration of 1 %. Control and Hael-treated cells without inhibitor were incubated with vehicle.

Determination of cellular viability
After termination of the experiment, cell membrane damage was assessed by measuring the release of lactate dehydrogenase (LDH) into the incubation medium using the LDH test kit and Synchron LX 20 analyzer from Beckman Coulter (Krefeld, Germany).

Cell proliferation assay
To characterize cellular proliferation rate, the WST-1 assay was used. The WST-1 assay is based on the cleavage of the tetrazolium salt WST-1 in viable cells only, leading to the formation of a soluble formazan salt, which can then be measured photometrically. After termination of the cell culture experiment, the cells were washed twice with PBS, and 50 μl WST-1 in 500 μl cell culture medium was added. After 2 h, the absorbance was measured at 450/600 nm using a Benchmark Plus microplate reader (BioRad, Munich, Germany).

Detection of apoptotic cells by the in situ cell death detection kit, POD
Apoptosis leads to cleavage of genomic DNA. For apoptosis detection, these strand breaks can be identified by labeling free 3'-OH termini with modified nucleotides in an enzymatic reaction using the in situ cell death detection kit, POD. Cells were cultured in culture slides (BD Biosciences, Bedford, MA, U.S.A.) and incubated with or without 8 % Hael for 24 h. Thereafter, they were fixed with fixation solution for 2 min on ice. In the next step, 50 μl TUNEL-POD was added. The chamber was closed and incubated for 30 min at 37°C. After three washing steps with PBS, 50 μl substrate solution was added which was followed by a 10 min incubation period at RT. Thereafter, the cells were visualized under a transmission light microscope.

Quantification of apoptosis using the CytoGlo Annexin V-FITC Apoptosis Detection Kit
Cells were harvested, pelleted by centrifugation and washed twice with PBS. Aliquots of 1 x 10 6 cells were suspended in 100 μl binding buffer (10 mM HEPES, 135 mM NaCl, 5 mM CaCl 2 ) followed by the addition of 5 μl staining reagent. After incubation in the dark at RT for 20 min, 400 μl binding buffer was added, and the cells were analyzed using a flow cytometer (Becton Dickinson, Heidelberg, Germany, excitation: 488 nm; emission: 530 nm; software version 1.2). Ten thousand events were measured per sample.

Detection of apoptosis by SR-FLICA multicaspase assay
Apoptosis was detected using the sulforhodamine FLICA (Fluorescent Labeled Inhibitors of Caspases) apoptosis detection kit containing sulforhodamyl-L-valylalanylaspartyl fluoromethyl ketone (SR-VAD-FMK). The FLICA reagent is cell permeable and non-toxic. It reacts covalently with activated caspases and is retained in apoptotic cells, while unbound reagent will diffuse out of the cell.
Aliquots of 10 5 cells were seeded onto chamber slides and grown in their respective cell culture media at 37°C for 24 h. Then, cells were incubated with 8 % Hael for 24 h followed by application of FLICA solution according to the manufacturer's recommendation. After 1 h incubation at 37°C in 5 % CO 2 environment, the medium was removed and DAPI (1.5 μl per 300 μl medium) was added followed by an additional 5 min incubation period. Finally, the cells were observed under a fluorescence microscope Nikon Eclipse E600 using a band pass filter (excitation 510-560 nm, emission 590 nm for red fluorescence) and an UV-filter (excitation 340-380 nm, emission 435-485 nm for DAPI stain). The intensity of the red fluorescence correlates with the concentration of activated caspases.

Statistical methods
Data are expressed as means + SEM. Mean values of normally distributed data with equal variance were compared by Student`s t test. If the normality test failed, the data were compared by Mann-Whitney Rank Sum test. The statistical software package SigmaStat 3.5 from Jandel Corporation (Erkrath, Germany) was used. P ≤ 0.05 was considered as statistically significant.

Effects of different Hael concentrations on the viability of PC cell lines and fibroblasts
The human PC cell lines CAPAN-1 and BxPC-3, the rat PC cell line AR42J and human fibroblasts were incubated with Hael at concentrations ranging from 2 % to 32 % for 24 h (Fig. 1a-d). Cellular viability was determined by measuring the LDH release into the incubation medium. At concentrations of 2 %, 4 % and 8 %, Hael induced no cytotoxic effects in any of the cell lines investigated. However, at a concentration of 16 % Hael, significant damage of the plasma membrane was observed, leading to an increase in the LDH release by 87 % in CAPAN-1 cells, 80 % in BxPC-3 cells (P < 0.05), and by 100 % each in AR42J cells (P < 0.1) and fibroblasts (P < 0.05), versus corresponding control. In response to 32 % Hael, a further dramatic increase in cell damage was recorded in all cell lines investigated, particularly in the BxPC-3 cells.

Effects of different Hael concentrations on the proliferation of PC cell lines and fibroblasts
To investigate the effect of Hael on cellular proliferation, the activity of mitochondrial dehydrogenases was measured using the WST-1 assay (Fig. 2a-d). Concentrations of 2 % and 4 % Hael induced a significant increase in the proliferation of CAPAN-1 cells by approximately 60 % in comparison with the control (P < 0.05). A small increase in proliferation was also observed on the fibroblasts using these concentrations. In AR42J cells, however, concentrations of 2 % and 4 % Hael significantly reduced the proliferation rate. The proliferation rate of BxPC-3 cells at 2 % and 4 % Hael tended to be reduced, although the results were non-significant.
Exposure to 8 % Hael significantly reduced the proliferation rate of all PC cell lines but not of fibroblasts. In particular, the proliferation of CAPAN-1 and BxPC-3 cells was decreased by 30 % (P < 0.001) and 35 % (P < 0.001), respectively. The AR42J cell line displayed a decrease in proliferation rate by 50 % (P < 0.001) when treated with 8 % Hael. Treatment with 16 % or 32 % Hael induced strong cytotoxic effects in all cell lines investigated. Based on these results, a concentration of 8 % Hael was chosen for further experiments.

Effect of 8 % Hael on the proliferation of PC cell lines and fibroblasts at different incubation times
Incubating the cell lines with 8 % Hael for 48 h caused no further decrease in the proliferation rate of CAPAN-1 cells, AR42J cells and fibroblasts when compared to the proliferation rate measured after 24 h (Fig. 3). However, the proliferation of BxPC-3 cells was reduced by 35 % (P < 0.05) at 48 h versus 24 h incubation.

Effect of 8 % Hael on apoptosis in PC cells and fibroblasts
To examine whether Hael causes apoptosis, cells were stained with Annexin V-FITC and flow cytometric analyses were undertaken after 24 h. In CAPAN-1 cells, 8 % Hael increased the number of Annexin V-positive cells 1.1-fold, and in BxPC-3 cells 2.1-fold (P < 0.05) compared to the corresponding control (Fig. 4a, b). The number of apoptotic AR42J cells and fibroblasts was increased by a factor of 1.5 each (P < 0.01 and P < 0.05), respectively, (Fig. 4c, d).
Using the TUNEL POD assay for apoptosis detection, the results also revealed that 8 % Hael induced apoptosis in all cell lines investigated. Thus, in the CAPAN-1 cell population, only a small number of apoptotic cells (stained dark brown) was visible compared with the control, whereas in all other cell lines, the number of apoptotic cells was of greater degree (Fig. 5a-h).
To investigate whether caspase activation may be involved in Hael-induced apoptosis, cells were dually stained with SR-VAD-FMK reagent and DAPI, and viewed through a fluorescence microscope. Cells exhibiting a very bright red staining patter were undergoing apoptosis in a caspase-dependent manner, whereas cells appearing faint red were just in early apoptotic stage. Compared with the corresponding control groups, a greater number of red-colored cells was found in the  Fig. 6a, b), in Hael-treated BxPC-3 cells (compare Fig. 6c, d), in Haeltreated AR42J cells (compare Fig. 6e, f ) and in Haeltreated fibroblasts (compare Fig. 6g, h).

Effect of calpain inhibition and cytosolic Ca 2+ binding on cellular viability and growth inhibition of Hael-treated PC cells and fibroblasts
We first tested whether treatment of cell lines with the specific calpain inhibitor PD150606 or the Ca 2+ chelator BAPTA-AM in combination with 8 % Hael lead to cellular damage. As assessed by the LDH cytotoxicity assay, no cytotoxic effects were found when the cells were incubated with Hael in the presence of PD150606 in comparison with Hael treatment alone (Fig. 7a-d). Exposure to Hael in the presence of BAPTA-AM increased the LDH release of CAPAN-1 and BxPC-3 cells but not of AR42J cells and fibroblasts.

Effect of calpain inhibition and cytosolic Ca 2+ binding on Hael-induced apoptosis in PC cell lines and fibroblasts
Co-treatment of Hael with PD150606 or BAPTA-AM increased the number of apoptotic CAPAN-1 cells 1.2-fold and 1.3-fold, respectively, when compared to Haeltreatment alone (Fig. 4a). A stronger amplification of Hael-induced apoptosis was achieved in the other PC cell lines. Thus, in BxPC-3 cells, treatment of Hael together with PD150606 or BAPTA-AM increased the number of apoptotic cells 1.9-fold (P < 0.05) and 4.8fold (P < 0.05), whereas in AR42J cells, an additional increase by 1.1-fold (P < 0.05) and 1.4-fold (P < 0.05) was observed, respectively, (Fig. 4b, c). In fibroblasts, however, neither PD150606 nor BAPTA-AM amplified the degree of Hael-induced apoptosis (Fig. 4d).

Discussion
In this study, we investigated the effect of the fermented soy-based beverage Hael 951 on cell viability, proliferation and apoptosis in human and rat PC cell lines and human fibroblasts. Hael 951 is rich in soybean proteins, flavonoids, selenium, zinc, and vitamin A, B 2 , B 12 , C, D 3 , E and K. In addition, it contains essential fatty acids such as linolenic and linoleic acids [19]. Our results suggest that the effect of Hael strongly depends on concentration and cell type. Thus, we found that lower concentrations of 2 % and 4 % Hael stimulated the proliferation of human CAPAN-1 cells and fibroblasts within the 24 h observation period but not the proliferation of AR42J and BxPC-3 cells. The stimulating effect may be due to genistein and daidzein, which are two of the major components of Hael. Both compounds have been reported to increase the proliferation of prostate epithelial and estrogen-sensitive human breast cancer (MCF-7) cells, but not of estrogeninsensitive human breast cancer (MDA-MB-231) cells [20][21][22]. In MCF-7 cells, this effect has been attributed to an increase in DNA synthesis [23]. CAPAN-1 cells and fibroblasts are estrogen receptor-expressing cells as well [24,25]. Consequently, Hael-induced increase in the proliferation rate of these cell lines may also be explained with an increase in DNA synthesis. In human BxPC-3 and rat AR42J cells, the low Hael concentrations of 2 % and 4 % were found to induce a small growth inhibition. In response to higher (8 %) concentrations of Hael, the inhibitory effect on cellular proliferation was magnified, leading to significant growth arrest in all cancer cell lines investigated. The proliferation of fibroblasts was not affected by 8 % Hael. In support of these findings, the corresponding LDH activities measured in parallel were unchanged, suggesting that the decrease in the WST-1 levels was not caused by cell membrane damage, but reflects genuine growth inhibition. The finding that the proliferation of BxPC-3 cells was further reduced after 48 h, whereas a similar effect was not found in the other cancer cell lines may indicate that BxPC-3 cells were of higher sensitivity to Hael.
Hael concentrations higher than 8 %, such as 16 % and 32 %, dramatically reduced the WST-1 levels in the cancer cell lines as well as in fibroblasts. These findings were accompanied by increased corresponding LDH releases, suggesting that higher Hael concentrations do not induce growth arrest but exert strong cytotoxic effects. Similarly, high concentrations of the major Hael component genistein have been reported to cause damage to various cell types, including the human ovarian cancer cell line SK-OV-3, and primary rat cortical neurons [12,26,27]. Genistein was also shown to dramatically reduce the number of the pancreatic CAPAN-1, PANC-1 and MIAPaCa-2 cells [28]. Another major Hael  [27,29]. Based on these results, further experiments were performed with 8 % Hael. This concentration is approximately 100-fold higher than that found in the plasma samples obtained from a patient 1 h after ingesting 4-oz of Hael [16]. Investigating the apoptosis-inducing activity, the results show that 8 % Hael induces apoptosis in all PC cells and fibroblasts, in which the CAPAN-1 cells showed the lowest sensitivity to 8 % Hael, and the BxPC-3 cells the highest sensitivity. In addition, the results also reveal that the cells entered the apoptotic pathway in a caspase-dependent manner.
Concerning the molecular mechanisms underlying Hael-induced growth arrest and apoptosis, several explanations can be offered. Flavonoids including genistein and daidzein have been shown to induce DNA damage via inhibition of tyrosine kinases and topoisomerase-II, which in turn may lead to activation of p53 tumorsuppressor protein-dependent pathways [30,31]. Low levels of p53 induced in response to low or repairable stress have been observed to result in cell cycle arrest leading to expression of survival genes that are able to repair any cell damage [32]. The precise point within the cell cycle the flavonoids block seems to be dependent on their concentration, the exposure time, the experimental conditions, and the cell line investigated [33]. Irreparable DNA damage leads to higher p53 expression that initiates apoptosis to prevent the propagation of genetic defects to successive generations of cells [32]. The extent of p53-dependent gene expression has been identified to be cell line-specific as well [34].
In further experiments, we show that inhibition of the calpain activity improves the therapeutic efficacy of Hael. Using the highly specific cell membrane permeable calpain inhibitor PD150606, which does not block other proteases, the results show a significant amplification of Hael-induced growth inhibition in CAPAN-1 and BxPC-3 cells and a downward trend in the AR42J cell proliferation rate. Interestingly, Hael alone failed to induce growth arrest in fibroblasts as already mentioned above, but simultaneous inhibition of calpain led to a small inhibitory effect on proliferation. A variety of studies have shown that p53 is a calpain substrate [35]. Consequently, inhibition of calpain activity may lead to growth arrest by increasing the availability of p53 [36]. Furthermore, calpain has been shown to regulate the cell cycle at multiple points [18]. In cancer cells, the protease cleaves inhibitors of cyclin-dependent kinases p21/ Cip1 and p27/Kip1, which in turn facilitates cell proliferation [17,37]. Therefore, inhibition of calpain activity may lead to growth arrest.  [36,[38][39][40]. There is growing evidence suggesting that calpain cleaves upstream caspases including caspase-3, −8 and −9 leading to inactivation of apoptosis [36,40,41]. Consequently, inhibition of calpain activity should lead to activation of apoptosis as observed in the present study. In Haeltreated fibroblasts, however, calpain inhibition failed to enhance apoptosis, suggesting that the underlying molecular mechanisms are different between non-cancer and cancer cells.
The observation that BAPTA-AM amplified the Haelinduced growth inhibition in all PC cell lines and provoked growth inhibition in Hael-treated fibroblasts indicates that Ca 2+ -dependent mechanisms may contribute to the regulation of cancer cell and non-cancer cell proliferation alike. BAPTA-AM-induced cytosolic Ca 2+ binding also increased the apoptotic activity of Hael in CAPAN-1, BxPC-3 and AR42J cells, but failed to enhance Hael-induced apoptosis in fibroblasts. S100 proteins, which are a large family of Ca 2+ binding proteins of the EF-hand type, may be involved in these observations. S100 proteins have been reported to play a role in the regulation of numerous processes, including proliferation, differentiation, apoptosis, Ca 2+ homeostasis, energy metabolism, inflammation and migration/invasion [42]. Upon Ca 2+ binding, most S100 proteins undergo a conformational change that enables them to interact with their target proteins [43]. Thus, binding of cytosolic Ca 2+ by BAPTA-AM may prevent the activation of S100 proteins, which consequently may lead to an amplification of Hael-induced growth arrest and apoptosis. In support of our assumption, RNAi-mediated knockdown of S100A4 has been reported to block cell growth and motility, and to induce apoptosis in the human pancreatic cancer cell lines BxPC-3, PANC-1 and MIA PaCa-2 via activation of pro-apoptotic signaling proteins including caspase-3, and caspase-9 [44,45]. Similarly, in cardiac fibroblasts, knockdown of S100A4 has been found to significantly suppress cell proliferation via increasing p53 expression, whereas the effect on apoptosis has not been investigated [46]. In summary, our results demonstrate that 8 % Hael exerted no cytotoxic effects on all PC cells investigated as well as on fibroblasts. In addition, the results show that 8 % Hael led to growth inhibition in the PC cells, which was amplified by the inhibition of calpain activity or by cytosolic Ca 2+ binding with the exception of the AR42J cells. In fibroblasts, Hael failed to induce growth arrest, whereas calpain inhibition and cytosolic Ca 2+ , AR42J cells (c) and fibroblasts (d) were incubated with 8 % Haelan or vehicle in the presence or absence of the calpain inhibitor PD150606 or the Ca 2+ chelator BAPTA-AM. After 24 h, the proliferation was measured using the WST-1 assay. Inhibition of calpain activity or Ca 2+ chelation induces an additional decrease in the proliferation of Haelan-treated CAPAN-1 and BxPC3 cells, but not in the AR42J cells. In fibroblasts, Haelan fails to induce growth arrest, whereas calpain inhibition or binding of Ca 2+ initiates this mechanism. The results are expressed as mean + SEM (n = 6-12). *P < 0.05, ***P < 0.001, control vs. Haelan-treated cells, x P < 0.05, xx P < 0.01, xxx P < 0.001, Haelan-treated cells vs. cells treated with Haelan in the presence of PD150606 or BAPTA-AM binding triggered this mechanism. Hael was also found to cause apoptosis in the PC cell lines, which was further amplified when the cells were treated with Hael in combination with calpain inhibitor or Ca 2+ chelator. Hael also induced apoptosis in fibroblasts, but both inhibitors had no apoptosis amplifying effect.

Conclusions
Although the precise mechanisms underlying Haelinduced growth arrest and apoptosis in the presence or absence of calpain inhibitor or Ca 2+ binding compounds have to be elucidated, the results suggest that these agents may be suitable targets for the treatment of human PC.