Malignant melanoma is a very aggressive tumour with poor prognosis and increasing incidence (1), which calls for an urgent development of new therapeutic strategies (2). Drugs that target immune checkpoint inhibitors have largely improved the response rates and survival of patients with advanced melanoma (3), yet there are still many who do not respond to or are ineligible for immune checkpoint and targeted therapies (
Because of direct exposure to a great stress, such as UVB radiation, melanocytes are programmed to survive by increasing the expression of the anti-apoptotic BCL-2 protein, which is also retained in malignant transformation and photocarcinogenesis (6). Considering that apoptosis is a key process suppressing tumour proliferation, targeting BCL-2 proteins in melanoma, regardless of the
Similarly, BCL-2 can bind to Beclin-1, an early regulator of cell autophagy, and inhibit its function, which then disrupts cross-regulation between apoptosis and autophagy and cell homeostasis (7). Autophagic cell death is yet another promising target of melanoma treatment (8), which involves the SQSTM1 and DRAM1 proteins.
Previous studies of halogenated boroxine (HB) [K2(B3O3F4OH)] have shown promising therapeutic effects (9–19), especially in view of the fact that cancer cells are more sensitive to HB than normal cells (11, 12, 19). Several studies reported that HB significantly affected the regulation of apoptosis-related genes in UT-7 human leukaemia (12, 19). However, the relative expression of cell death-related genes has not been studied yet in human melanoma.
Therefore, the aim of our study was to evaluate the effects of HB on GR-M and normal peripheral blood mononuclear (PBM) cell growth under the hypothesis that HB would increase melanoma susceptibility to cell death by deregulating the transcriptional activity of cell death-related genes.
We synthesised HB as a water-soluble white powder (99.99 % purity) at the University of Sarajevo, Faculty of Science, Laboratory for Physical Chemistry as described elsewhere (9–18). HB stock solution was prepared by dissolving 20 mg of HB in 1 mL of the RPMI-1640 culture medium (Sigma-Aldrich, St. Louis, MO, USA).
The GR-M cells (Culture Collections No. 95032301, Public Health England, London, UK) were grown in RPMI-1640 with 10 % of foetal bovine serum (FBS) supplemented with L-glutamine, penicillin, and streptomycin in an incubator (EC160, Nuve, Akyurt/Ankara, Turkey) maintaining a humidified atmosphere 37 °C and 5 % CO2 (20). All reagents for cell cultivation were purchased from Sigma-Aldrich (St. Louis, MO, USA).
The PBM cells were obtained by separation from 3 mL of whole blood using density gradient centrifugation with the Histopaque-1077 separation medium (Merck KGaA, Darmstadt, Germany). Blood was collected by venepuncture into a heparinised vacutainer from a healthy volunteer who previously signed informed consent. Isolated cells were re-suspended in the PBMax Karyotyping Medium (Life Technologies, London, UK) and cultivated in a 96-well plate at 37 °C for 24 h (21).
Both 24-hour cultures were then treated with 0.05, 0.1, 0.2, 0.4, and 0.8 mg/mL of HB and incubated for another 24 h. For negative control we used untreated GR-M and PBM cells.
To analyse gene expression in PBM cells we added 400 µL of peripheral blood to 5 mL of PBMax Karyotyping Medium in 15 mL sterile plastic tubes with a conical bottom (NEST, Wuxi, Jiangsu, China), incubated them at 37 °C for 24 h, and treated as described above.
Alamar blue assay was used to determine the toxicity of HB in the GR-M and PBM cells (22, 23). Each culture containing 10.000 cells/mL was incubated with HB in a 96-well plate for 24 h. Then we added Alamar blue in the amount equal to 10 % of the culture volume, and 2 h later, measured the absorbance at 570 and 620 nm, using a Multiscan FC plate reader (Thermo Fisher Scientific, Vantaa, Finland). Each treatment was done in triplicate. For positive growth control we used cultures without the test substance, while negative control did not contain cells. For blank samples we used the medium alone. Cell growth inhibition was calculated according to the manufacturer’s instructions (Invitrogen, Carlsbad, CA, USA) using correction factor (22, 24), and presented as percentage of positive growth control.
Total RNA was extracted from harvested melanoma cells and peripheral whole blood with a Nucleo Spin RNA isolation kit according to the manufacturer’s instructions (Macherey-Nagel, Düren, Germany) and quantified with a Qubit 2.0 fluorimeter (Life Technologies, London, UK). Total RNA at concentration of 40 ng/µL was used to synthesise copy DNA (cDNA) using High-Capacity cDNA Reverse Transcription Kits (Applied Biosystems, Waltham, MA, USA) according to the manufacturer’s instructions. Primer sequences of target cell death-related genes are presented in Table 1.
Primer sequences used for selected cell death-related genes
Gene | Reference sequence No. (FASTA format) | Primers |
---|---|---|
NM_003766.5 | Forward: CTCCCGAGGTGAAGAGCATC | |
NM_003900.5 | Forward: CCGTGAAGGCCTACCTTCTG | |
NM_000633.3 | Forward: GGGGTCATGTGTGTGGAGAG | |
NM_018370.3 | Forward: TTGGTGCAGCCACGATGTAT |
Target genes and the housekeeping
Expression ratios (of four transcripts) were tested for significances (p<0.05) with a pairwise fixed reallocation randomisation test (26, 27). The test compares the cycle threshold (Ct) values of treated and control samples (target genes).
To determine the significance of cell growth inhibition between HB concentrations in GR-M and PBM cells we relied on one-way analysis of variance (ANOVA), followed by Neuman-Keuls post-hoc analysis (MedCalc 18.9. software, Ostend, Belgium). Correlations between growth inhibition in GR-M and PBM cells were determined with the Pearson correlation coefficient. The level of significance was set to p<0.05.
HB exhibited cytotoxic activity on both GR-M and PBM cells (Figure 1). Higher concentrations (0.2, 0.4, and 0.8 mg/mL) resulted in a significantly higher cell growth inhibition than 0.05 and 0.1 mg/mL (F=12.965; p=0.001) in GR-M cells. In PBM cells growth inhibition was significantly higher with HB concentrations of 0.4 and 0.8 mg/mL compared to 0.05 and 0.1 mg/mL (F=54.861; p<0.001). Growth inhibition correlated significantly between GR-M and PBM cells (Pearson correlation coefficient r=0.633; p=0.01; 95 % CI 0.1789– 0.8649).
Tables 2–5 show changes in the relative expression of cell death-related genes in both cultures exposed to different HB concentrations. In GR-M cells, HB significantly downregulated the relative expression of
Changes in relative
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
![]() | Fold change/P value | ![]() | Fold change/P value | |
down | -3.805/0.672 | up | 2.04/ | |
up | 11.769/ | down | -1.158/0.677 | |
up | 1.568/ | up | 2.14/ | |
down | -10.933/ | down | -1.262/0.169 | |
down | -1.041/0.848 | up | 6.365/ |
HB – halogenated boroxine; GR-M – human Caucasian melanoma; PBM cells – peripheral blood mononuclear cells
Changes in relative
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
![]() | Fold change/P value | ![]() | Fold change/P value | |
up | 1.788/ | up | 3.884/ | |
down | 2.143/0.0815 | up | 1.848/ | |
up | 2.202/0.322 | up | 15.735/ | |
up | 1.04/0.83 | up | 62.542/ | |
down | 3.188/ | up | 72636.933/ |
HB – halogenated boroxine; GR-M – human Caucasian melanoma; PBM cells – peripheral blood mononuclear cells
Changes in relative
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
![]() | Fold change/P value | ![]() | Fold change/P value | |
down | 1.661/0.3405 | up | 15.778/0.667 | |
down | 1.098/0.671 | up | 459.792/ | |
down | 1.209/0.828 | up | 7968.193/ | |
down | 4.195/ | up | 6014.928/ | |
down | 2.344/ | / | / |
HB – halogenated boroxine; GR-M – human Caucasian melanoma; PBM cells – peripheral blood mononuclear cells
Changes in relative
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
![]() | Fold change/P value | ![]() | Fold change/P value | |
up | 1.387/0.1695 | down | 1.078/0.6465 | |
up | 3.643/ | down | 1.951/0.153 | |
up | 11.612/ | up | 5.764/ | |
up | 6.92/ | up | 7.424/ | |
up | 3.295/ | up | 1.004/0.6465 |
HB – halogenated boroxine; GR-M – human Caucasian melanoma; PBM cells – peripheral blood mononuclear cells
The relative expression of
Changes in cell death-related gene expression in GR-M cells confirm our hypothesis that HB would increase melanoma susceptibility to cell death. Our findings corroborate recent
Figure 1
Growth inhibition of GR-M and PBM cells treated with different concentrations of halogenated boroxine; *p<0.05

As for autophagy genes in melanoma cells, we found that significantly downregulated
We also determined a significant upregulation of
Halogenated boroxine inhibited the growth of both GR-M and PBM cells but was significantly more cytotoxic to the tumour cells. Furthermore, it promoted cell death processes in GR-M cells. Even though our study is somewhat limited as it did not include protein analysis that would confirm the gene expression profile, this remains for future








Figure 1

Primer sequences used for selected cell death-related genes
Gene | Reference sequence No. (FASTA format) | Primers |
---|---|---|
NM_003766.5 | Forward: CTCCCGAGGTGAAGAGCATC |
|
NM_003900.5 | Forward: CCGTGAAGGCCTACCTTCTG |
|
NM_000633.3 | Forward: GGGGTCATGTGTGTGGAGAG |
|
NM_018370.3 | Forward: TTGGTGCAGCCACGATGTAT |
Changes in relative BCL-2 gene expression after GR-M and PBM cell treatment with halogenated boroxine compared to negative control
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
|
Fold change/P value |
|
Fold change/P value | |
down | -3.805/0.672 | up | 2.04/ |
|
up | 11.769/ |
down | -1.158/0.677 | |
up | 1.568/ |
up | 2.14/ |
|
down | -10.933/ |
down | -1.262/0.169 | |
down | -1.041/0.848 | up | 6.365/ |
Changes in relative DRAM1 gene expression after GR-M and PBM cell treatment with halogenated boroxine compared to negative control
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
|
Fold change/P value |
|
Fold change/P value | |
down | 1.661/0.3405 | up | 15.778/0.667 | |
down | 1.098/0.671 | up | 459.792/ |
|
down | 1.209/0.828 | up | 7968.193/ |
|
down | 4.195/ |
up | 6014.928/ |
|
down | 2.344/ |
/ | / |
Changes in relative BECN1 gene expression after GR-M and PBM cell treatment with halogenated boroxine compared to negative control
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
|
Fold change/P value |
|
Fold change/P value | |
up | 1.788/ |
up | 3.884/ |
|
down | 2.143/0.0815 | up | 1.848/ |
|
up | 2.202/0.322 | up | 15.735/ |
|
up | 1.04/0.83 | up | 62.542/ |
|
down | 3.188/ |
up | 72636.933/ |
Changes in relative SQSTM1 gene expression after GR-M and PBM cell treatment with halogenated boroxine compared to negative control
HB concentrations (mg/mL) | GR-M cells | PBM cells | ||
---|---|---|---|---|
|
Fold change/P value |
|
Fold change/P value | |
up | 1.387/0.1695 | down | 1.078/0.6465 | |
up | 3.643/ |
down | 1.951/0.153 | |
up | 11.612/ |
up | 5.764/ |
|
up | 6.92/ |
up | 7.424/ |
|
up | 3.295/ |
up | 1.004/0.6465 |