In vitro assessment of a computer-designed potential anticancer agent in cervical cancer cells

Background Computer-based technology is becoming increasingly essential in biological research where drug discovery programs start with the identification of suitable drug targets. 2-Methoxyestradiol (2ME2) is a 17β-estradiol metabolite that induces apoptosis in various cancer cell lines including cervical cancer, breast cancer and multiple myeloma. Owing to 2ME2’s poor in vivo bioavailability, our laboratory in silico-designed and subsequently synthesized a novel 2ME2 analogue, 2-ethyl-3-O-sulphamoyl-estra-1,3,5(10),15-tetraen-17-ol (ESE-15-ol), using receptor- and ligand molecular modeling. In this study, the biological effects of ESE-15-ol (180 nM) and its parent molecule, 2ME2 (1 µM), were assessed on morphology and apoptosis induction in cervical cancer cells. Results Transmission electron microscopy, scanning electron microscopy and polarization-optical transmitted light differential interference contrast (PlasDIC) images demonstrated morphological hallmarks of apoptosis including apoptotic bodies, shrunken cells, vacuoles, reduced cell density and cell debris. Flow cytometry analysis showed apoptosis induction by means of annexin V-FITC staining. Cell cycle analysis showed that ESE-15-ol exposure resulted in a statistically significant increase in the G2M phase (72%) compared to 2ME2 (19%). Apoptosis induction was more pronounced when cells were exposed to ESE-15-ol compared to 2ME2. Spectrophotometric analysis of caspase 8 activity demonstrated that 2ME2 and ESE-15-ol both induced caspase 8 activation by 2- and 1.7-fold respectively indicating the induction of the apoptosis. However, ESE-15-ol exerted all of the above-mentioned effects at a much lower pharmacological concentration (180 nM) compared to 2ME2 (1 µM physiological concentration). Conclusion Computer-based technology is essential in drug discovery and together with in vitro studies for the evaluation of these in silico-designed compounds, drug development can be improved to be cost effective and time consuming. This study evaluated the anticancer potential of ESE-15-ol, an in silico-designed compound in vitro. Research demonstrated that ESE-15-ol exerts antiproliferative activity accompanied with apoptosis induction at a nanomolar concentration compared to the micromolar range required by 2ME2. This study is the first study to demonstrate the influence of ESE-15-ol on morphology, cell cycle progression and apoptosis induction in HeLa cells. In silico-design by means of receptor- and ligand molecular modeling is thus effective in improving compound bioavailability while preserving apoptotic activity in vitro.

colchicine and microtubule-stabilizing agents such as the taxanes (paclitaxel and docetaxel) [4]. Agents that bind to the colchicine-binding site of microtubules are in various stages of clinical trials and include combretastatins, as well as 2-methoxyestradiol (2ME2) [5]. Microtubules are essential for cytoskeleton integrity, embryonic development, cell division, intracellular molecular transport system, gene activation and potentially play a role in cervical cancer treatment [6].
2ME2 is a naturally occurring 17β-estradiol metabolite synthesized from sequential hepatic hydroxylation and methylation by cytochrome P450 enzymes and catechol-O-methyltransferase [7]. 2ME2 exerts estrogen-independent activity by targeting the microtubule skeleton and by inhibiting tumour growth and angiogenesis. In addition, 2ME2 inhibits the tubulin polymerization in vitro, thus disrupting normal microtubule functioning [7]. 2ME2 induces apoptosis by activating the intrinsic-and extrinsic cascade by both caspase dependent-and independent pathways [4]. In addition to the inhibition of microtubule dynamics and induction of cell cycle arrest, the pro-apoptotic activity of 2ME2 has also been associated with stimulation of cellular reactive oxygen species (ROS) production, resulting in the release of cytochrome c from the mitochondria and activation of caspases [7].
In vitro, 2ME2 exerts antiproliferative activity in a wide variety of cell lines including tumorigenic estrogen receptor positive MCF-7 breast cancer cells, cervical cancer HeLa cells and HCT116 colon cancer cells [7,8]. 2ME2 (Panzem ® ) was evaluated in several phase I and II clinical trials [5]. Therapeutic doses in vivo resulted in a metaphase arrest, and, as a consequence, inhibition of cell proliferation and induction of apoptosis [7]. Results from preclinical tumor models in animals suggest that, maintaining a plasma concentration of 2ME2 in the range of 10-56 nM, is required for efficient antitumor activity [9,10].
Undesirable biopharmaceutical properties including rapid metabolism and low bioavailability of 2ME2 resulted in identification of estradiol analogues with improved in vivo efficacy. 2ME2 is metabolized with conjunction at the 3-and 17 positions, together with oxidation at the 17 position [11]. Structure-activity relationships indicated that the addition of a sulfamate group at position 3 of the estradiol backbone improves bioavailability of estradiol analogues and overcomes rapid biodegradation. This improves bioavailability since the sulphamate groups are highly reversible inhibitors of carbonic anhydrase II [5,10]. The latter is most likely responsible for the high bioavailability of the sulphamoylated analogues since reversible uptake by erythrocytes and interaction with carbonic anhydrase II ensures transiting the liver without undergoing first pass metabolism [5].
It is well-recognised that drug discovery and subsequent development is a timely-and expensive process. Computer-based technology that combines chemical-and biological parameters in order to optimize drug identification, development and synthesis. Therefore, computer-based methods for identifying potential anticancer compounds are becoming increasingly important. These chemico-biological approaches in computer-based techniques used in drug discovery are referred to as in silico methods. Commonly used computational approaches include ligandbinding drug design, structure-based drug design (docking studies) and structure-activity relationships [12]. By means of docking studies and structure-activity relationships our laboratory in silico-designed several 17β-estradiol analogues where structure-activity relationships indicate enhanced potency and improved bioavailability [3,5]. This study involved one of these novel compounds namely 2-ethyl-3-O-sulphamoyl-estra-1,3,5(10),15-tetraen-17-ol (ESE-15-ol). Docking studies of ESE-15-ol suggest that the selectivity is due to the double bond in the D-ring that is capable of interacting with histone 61 of the cancer associated carbonic anhydrase (CA) IX [3].
CAIX protein expression can be induced in MDA-MB-231 cells by the iron chelator, desferrioxamine mesylate (DFO) in a manner that results in extracellular acidification due to CAIX over-expression [13]. Reports indicate that ESE-15-ol prevents extracellular acidification in MDA-MB-231 cells due to CAIX expression, suggesting that the compound has the potential to curtail metastatic processes associated with acidotic micro-environmental conditions in tumours [3,13,14].
Previous in vitro crystal violet studies conducted in our laboratory revealed optimal antiproliferative activity exerted by sulphamoylated estradiol derivatives in nanomolar concentration range (110-220 nM) in breast tumourigenic cell lines (MDA-MB-231 and MCF-7), an oesophageal cancer cell line (SNO) and the cervical cancer HeLa cell line used in this study [5]. In addition, Stander et al. [3] reported that estradiol sulphamoylated derivatives inhibited carbonic anhydrase II activity between 167 and 180 ± 10 nM [3]. Since these sulphamoylated compounds are also hypothesized to be transported in the blood bound to carbonic anhydrase II, their influence on morphology of erythrocytes is noteworthy. Ex vivo exposure of 180 nm ESE-15-ol to whole blood for 24 h revealed no significant erythrocyte morphological damage and support future potential for in vivo studies [15].
In this study, the potential anticancer activity of ESE-15-ol, a computer-designed potential anticancer agent was assessed at a pharmacological concentration (180 nM) and compared to 2ME2 (1 µM, physiological concentration) on cell morphology, cell cycle progression and caspase activation in a cervical cancer cells. This merits the efficacy effectiveness of in silico-designed potential anticancer compounds for antiproliferative-, antimitotic-and apoptotic activity in future development of chemotherapeutic agents to be considered as an antitumour agents.

Reagents and materials
The human epithelial cervical cell line (HeLa) was purchased through Sterilab Services (Johannesburg, South Africa) from American Tissue Culture Collection (ATCC) (Maryland, USA). The HeLa cell line is the oldest and utmost circulated immortalized cell line that presents with aggressive growth and is derived from cervical adenocarcinoma [16,17]. HeLa cells were obtained from Hendrietta Lacks, a cervical cancer patient in 1951. The HeLa cell line is immortal and can divide an infinite number of times, is aneuploidy with 82 chromosomes and is infected with human papillomavirus 18 [18,19].
All the required reagents of cell culture analytical grade were purchased from Sigma (St. Louis, USA) unless otherwise specified. Sterile cell culture flasks and plates were purchased from Sterile lab Services (Kempton Park, Johannesburg, South Africa). Penicillin, streptomycin, and fungizone were obtained from Highveld Biological (Pty) Ltd. (Sandringham, South Africa). The Annexin V fluorescein isothiocyanate (FITC) kit was purchased from BIOCOM biotech (Pty) Ltd. (Clubview, South Africa). 2ME2 was purchased from Sigma Chemical Co. (St. Louis, MO, USA). ESE-15-ol was synthesized by iThemba Pharmaceuticals (Pty) Ltd (Modderfontein, Gauteng, South Africa) since compound is not commercially available [5]. Aqueous osmium tetroxide, glutaraldehyde, phosphate buffer, quetol, Reynolds' lead citrate, aqueous uranyl acetate and gold were supplied by the Electron Microscopy Unit of the University of Pretoria from Merck Co. (Munich, Germany). The Cryo-Scanning electron microscope (JEOL 840 with Cryostage) and the JOEL JEM 2100F transmission electron microscope (Electron Microscopy unit, University of Pretoria, South Africa) was used for viewing the prepared samples.

Cell culture
Cells were grown and maintained in 25 cm 2 tissue culture flasks in a humidified atmosphere at 37 °C, 5% carbon dioxide (CO 2 ) in a Forma Scientific water-jacketed incubator (Ohio, United States of America). HeLa cells were routinely cultivated in Dulbecco's Minimum Essential Medium Eagle (DMEM) and supplemented with 10% heat-inactivated fetal calf serum (FCS) (56 °C, 30 min), 100 U/ml penicillin G, 100 μg/ml streptomycin, and fungizone (250 μg/ml). A stock solution of 2ME2 (2 μM) and ESE-15-ol (10,000 μM) compound dissolved in dimethyl sulphoxide (DMSO) were prepared. Both were subsequently diluted with medium to the desired concentrations before exposure of the cells. The medium of control cells was supplemented with an equal volume of DMSO (vehicle-treated control). The DMSO content of the final dilutions never exceeded 0.024% (v/v). Experiments were conducted in 6-well plates or 25 cm 2 cell culture flasks.
For 6-well plates, exponentially growing cells were seeded at 350,000 cells per well in 3 ml maintenance medium on heat-sterilized coverslips. For 25 cm 2 cell culture flasks, exponentially growing HeLa cells (1,000,000) were seeded in 25 cm 2 flask with a final volume of 5 ml maintenance medium. After 24 h incubation at 37 °C to allow for cell adherence, medium was discarded and cells were exposed to ESE-15-ol and 2ME2 at the concentrations 180 nM and 1 µM, respectively. ESE-15-ol concentration of 180 nM was selected since previous studies conducted in our laboratory established optimal antiproliferative activity at this dosage (data not shown). A 2ME2 concentration of 1 µM was chosen as a previous study demonstrated antiproliferative activity the estrogen receptor positive breast epithelial adenocarcinoma MCF-7 cell line [10]. The vehicle control sample composed of DMSO and growth medium and the DMSO content of the final dilutions never exceeded 0.05% (v/v) and was exposed for 24 h for all the experiments.

Polarization-optical transmitted light differential interference contrast
Polarization-optical transmitted light differential interference contrast (PlasDIC) is a method where the cells are illuminated with non-polarized light rendering improved contrast and a clear image [17,[20][21][22]. Plas-DIC provides reproducibly high-quality imaging of individual cells, cell clusters creating a relief-type impression regardless of the of the plastic cell culture vessels thickness compared to the glass-bottom vessels required for differential interference contrast techniques [17,18]. Images were captured before and after the exposure by means of the Axiovert 40 CFL microscope (Carl Zeiss, Gottingen, Germany).

Transmission electron microscopy
Transmission electron microscopy was used to evaluate the influence of ESE-15-ol on the internal cellular structure. Cells were seeded (1,000,000) in a 25 cm 2 flask with an overnight attachment policy [23]. Subsequently, medium was discarded and cells were exposed to the compounds. After 24 h, cells were trypsinized and resuspended in 1 ml medium. Cells were then fixed with 2.5% glutaraldehyde in 0.075 M phosphate buffer for 1 h, rinsed thrice with 0.075 M phosphate buffer, fixed with osmium tetroxide for 30 min, rinsed thrice with distilled water and dehydrated with increasing ethanol concentrations (30,50,70,90, and 100%) [23]. Cells were then infiltrated with 50% quetol in ethanol for 1 h and then with 100% quetol for 4-6 h. Ultra-thin sections was prepared using a microtome and contrasted by means of 4% uranyl acetate-staining for 10 min and rinsed with water. Images were taken using JOEL JEM 2100F transmission electron microscope (Electron Microscopy Unit, University of Pretoria, Pretoria, South Africa) [23].

Scanning electron microscopy
Scanning electron microscopy (SEM) was used to determine the effect of ESE-15-ol on the morphology on the cell surface [23]. Cells were seeded at 300,000 cells per well on heat-sterilized coverslips in 6-well plates. After 24 h, and to allow for attachment, cells were exposed to the compounds (2ME2, ESE-15-ol) and incubated for 24 h. Cells were fixed in 2.5% glutaraldehyde in 0.075 M phosphate buffer for 1 h and rinsed 3 times for 5 min each with 0.075 M phosphate buffer. Cells were fixed in 0.25% aqueous osmium tetroxide for 30 min and rinsed three times in distilled water in a fume cupboard. Samples were dehydrated with increasing concentrations of ethanol (30, 50, 70, 90, 100, 100 and 100%). Samples were covered in hexamethyldisilazane, left to dry in a dessicator overnight, sputter-coated in gold and viewed under a JSM 840 Scanning Electron Microscope JEOUL, Tokyo, Japan [23].

Cell cycle progression
Cell cycle distribution and the detection of a sub-G 1 apoptotic peak were analysed by flow cytometry using propidium iodide (PI) that stains deoxyribonucleic acid (DNA) [8]. HeLa cells (1,000,000) were seeded in 25 cm 2 flask. After 24 h the medium was discarded and cells were exposed to 1 μM 2ME2 and 180 nM ESE-15-ol for 24 h in 5 ml, respectively. Cells were trypsinized and resuspended in 1 ml growth medium. Samples were centrifuged for 5 min at 300×g in order to pellet them. The supernatant was discarded and samples were resuspended in 200 μl of ice-cold phosphate buffer saline (PBS) containing 0.1% FCS. Ice-cold 70% ethanol (4 ml) was added in a drop wise manner on a vortex in order to avoid cell clumping. Samples were stored at 4 °C for 24 h. After 24 h cells were pelleted by centrifuging the cells at 300×g for 5 min. Supernatant was removed and cells were resuspended in 1 ml of PBS containing 40 μg/ml PI, 0.1% triton X-100 and 100 μg/ml RNase A. The solution was incubated at 37 °C, 5% CO 2 for 45 min. PI fluorescence (relative DNA content per cell) was measured with a FC500 System flow cytometer [Beckman Coulter South Africa (Pty) Ltd.] equipped with an air-cooled argon laser excited at 488 nm. Data from at least 10,000 cells were analyzed with CXP software [Beckman Coulter South Africa (Pty) Ltd]. Data from cell debris (particles smaller than apoptotic bodies) and clumps of two or more cells were removed from further analysis. Cell cycle distribution was generated from the histograms by the Cyflogic version 1.2.1 software (Pertu Therho, Turko, Finland). Results were expressed as a percentage of the cells in each phase.

Annexin V-FITC/propidium iodide staining
Apoptotic cells have exposed phosphatidylserine molecules that bind annexin V, while necrotic cells have compromised membranes and thus take up PI. Four different populations of cells were distinguished: those that were unlabelled (viable cells), those that have bound annexin V-FITC only (early apoptotic), those that have been stained with PI (necrotic) and those that have both bound annexin V and been labelled with PI (late apoptotic/necrotic cells) [24]. Analysis was performed using the BioVision Annexin V-FITC reagent kit acquired from BioVision Research Products (Mountain view, California, USA). The 1X binding buffer (supplied in the kit) was prepared as directed. HeLa cells (1,000,000) were seeded in 25 cm 2 flask. After 24 h, the medium was discarded and the cells were exposed to 1 μM 2ME2 and 180 nM ESE-15-ol for 24 h in 5 ml, respectively. Cells were trypsinized and resuspended in 1 ml PBS for washing and samples were centrifuged at 300×g. The supernatant collected was discarded and the pellet was again washed twice with 1 ml of 1X binding buffer, and centrifuged at 300×g for 10 min. Cells were than resuspended in 100 μl of 1X binding buffer. Staining was done by adding annexin V-FITC (10 μl) for 15 min room temperature in the dark. Cells were washed by adding 1 ml of 1X binding buffer and thereafter cells were centrifuged at 300×g for 10 min. Cells were resuspended in 500 μl of 1X binding buffer solution. Subsequently, 5 μl of PI (100 µg/ml) was added and samples were gently mixed. Annexin V (FL1) and PI (FL3) fluorescence were measured in 10,000 cells per sample with a FC500 System flow cytometer [Beckman Coulter South Africa (Pty) Ltd.] equipped with an air-cooled argon laser excited at 488 nm. Results were analysed in Cyflogic version 1.2.1 software (Pertu Therho, Turko, Finland) statistics and expressed as a percentage of cells in three categories namely; viable cells, early apoptotic cells, late apoptosis and necrotic cells.

Caspase 8 activity
Apoptosis is a controlled process resulting in cell death that relies on caspase-dependent proteolytic cascade resulting in the demise of the cell. Apoptosis is generally categorized as one of three modes namely, intrinsic (also known as the mitochondrial pathway), extrinsic (also known as death receptor pathway) and the endoplasmic pathway [25,26]. The intrinsic pathway is triggered by irradiation, starvation and chemicals and takes part via mitochondrial involvement. It is characterised by mitochondrial outer membrane permeabilization and activation of initiator caspase 9 [26,27]. The endoplasmic reticulum pathway is independent of the mitochondria. Any stress including oxidative stress, accumulation of misfolded proteins leads to endoplasmic reticulum stress that possibly results in apoptosis via caspase 12 [28,29]. The extrinsic apoptosis pathway is initiated by the binding of a death ligand to a death receptor resulting in the activation of initiator caspase 8 [30]. The activation of caspase 8 was determined using a FLICE/caspase 8 colorimetric kit [31]. HeLa cells (1,000,000) were seeded in 25 cm 2 flask. After 24 h the medium was discarded and cells were exposed to 1 μM 2ME2 and 180 nM ESE-15-ol for 24 h in 5 ml, respectively. After 24 h exposure to 1 μM 2ME2 and 180 nM ESE-15-ol cells were detached with trypsin and centrifuged at 13,000×g. Cells were resuspended in 50 µl of chilled cell lysis buffer and incubated on ice for 10 min. Cells were centrifuged at 10,000×g for 1 min. Supernatant was transferred to a fresh tube and put on ice. After determination the protein concentration using the bicinchoninic acid (BCA) protein assay (Thermo Fisher Scientific, Johannesburg, South Africa), 100 µg protein/50 µl cell lysis buffer was mixed with 50 µl 2X reaction buffer [containing 10 mM Dithiothreitol (DTT)]. The caspase-specific substrate, 5 µl 4 mM Ac-Ile-Glu-Thr-Asp-p-nitroanilide (Ac-IETD-pNA) was added and the mixture was incubated at 37 °C for 120 min (200 µM final concentration). Absorbance was determined at 405 nm on the EL×800 Universal Microplate Reader available from Bio-Tek Instruments Inc. (Vermont, USA).

Statistical analysis of data
Data were obtained from at least three biological repeats for all experiments. Quantitative data consisted out of cell cycle analysis, annexin V-FITC and caspase 8 assessments. Qualitative data were obtained by means of PlasDIC, transmission electron microscopy and SEM. Quantitative data were statistically analyzed for significance using the Student's t test. P values of <0.05 were regarded as statistically significant. Means were represented in bar charts with T-bars referring to standard deviations. Qualitative experiments were repeated at least thrice where data was obtained from PlasDIC, TEM and SEM. Regarding flow cytometry data from at least 10,000 events was analyzed using Cyflogic 1.2.1 software (Pertu Terho & Cyflo Ltd.).

Polarization-optical transmitted light differential interference contrast
PlasDIC was used to view morphology after exposure to 180 nM ESE-15-ol and 1 µM 2ME2 for 24 h in HeLa cells when compared to cells propagated in growth medium and vehicle-treated cells (Fig. 1). These concentrations were used since previous studies conducted in our laboratory demonstrated optimal antiproliferative activity at these respective concentrations. ESE-15-ol and 2ME2treated HeLa cells demonstrated cell rounding and reduced cell density when compared to cells propagated in growth medium and 0.024% vehicle-treated cells.

Transmission electron microscopy
Transmission electron microscopy was used to demonstrate effects on the internal cellular structure after exposure to 180 nM ESE-15-ol and 1 μM 2ME2 on HeLa cells (Fig. 2). HeLa cells propagated in growth medium and vehicle-treated control cells exhibited normal nuclear membrane and cytoplasm, with no sign of distress. ESE-15-ol and 2ME2 exposure resulted in the formation of vacuoles and apoptotic bodies.

Scanning electron microscopy
SEM was used to show the effects of 180 nM ESE-15-ol and 1 μM 2ME2 on the cell surface morphology. Cells propagated in growth medium and vehicle-treated cells were confluent with no signs of distress (Fig. 3). Cells exposed to ESE-15-ol and 2ME2 demonstrated decreased cell density, rounded cells and apoptotic bodies.

Cell cycle progression
Flow cytometry was used to determine the effect of 180 nM ESE-15-ol and 1 μM 2 ME2 on cell cycle progression (Figs. 4, 5; Table 1). Results were calculated as percentage cells in each stage of the cell cycle. Cell cycle distribution of the cells propagated in growth medium revealed an average of 0.88% in sub-G 1 population, 58% in the G 1 phase, 13% in the S phase and 28% in the G 2 M phase. The vehicle-treated sample revealed an average of 0.75% in sub-G 1 population, 59% in the G1 phase, 13% in the S phase and 28% in the G 2 M phase representing a cell population in logarithmic growth. A statistically significant increase of 17% cells in sub-G 1 was demonstrated in ESE-15-ol treated cells. ESE-15-ol-treated cells showed a decrease in G 1 -(5%) and S phase (7%) and a distinct increase of cells in the G 2 M phase (72%) indicating an increase in cells present in a metaphase block. 2ME2treated cells presented with 7% cells in sub-G 1 , 66% cells in G 1 phase, 8% cells in S phase and 19% of cells in G 2 M phase.

Annexin V-FITC/propidium iodide staining
The presence of cells in apoptosis was investigated by means of flow cytometry and Annexin V-FITC ( Fig. 6; Table 2). HeLa cells propagated in growth medium and 0.024% vehicle-treated cells showed intact cell membrane and no sign of apoptosis with 97% being viable. HeLa cells exposed to ESE-15-ol showed decreased cell viability (25%) accompanied with an increase in cells present in early apoptotic cells (41%), late apoptotic cells (15%) and necrotic cells (19%). 2ME2-treated cells presented with 48% viable cells, 26% early apoptotic cells, 15% late apoptotic cells and 11% necrotic cells.

Caspase 8 activity
Influence of 180 nM ESE-15-ol and 1 μM 2ME2 (24 h) on caspase 8 activity was investigated by means spectrophotometry (Fig. 7). The ratio of caspase 8 activities was measured with reference to cells propagated in growth medium. There was no statistically significant difference with regard to caspase 8 activity in vehicle-treated cells when compared to cells propagated in growth medium. The ESE-15-ol-treated sample showed a 1.7-fold increase in caspase 8 activity when compared to cells propagated in growth medium. 2ME2-treated sample showed twofold increase compared to cells propagated in growth medium (Fig. 7).

Discussion
Computer modelling techniques benefit the drug development industry since this approach reduces the cost of drug development by 50% [32]. In silico-design process takes into account parameters such as activity, absorption, distribution, metabolism and excretion and has resulted in a rational drug identification tool [33]. However, in silico-design methods are still computerbased and can't be directly extrapolated to the efficacy of the compound. Computer-based technologies rely on algorithms that utilize perfect standards and they are not comparable to the biological complexities [34]. Thus, in vitro assessments laboratory testing of these in silico-designed compounds are essential. This study thus evaluated whether an in silico-designed compound (ESE-15-ol) is as effective as docking-and receptor modelling predicts.
Previous research has revealed that 2ME2 plays a crucial role in the induction of apoptosis [8,[35][36][37]. Due to the limited metabolic accessibility and rapid degradation of 2ME2, research in our laboratory in silico-designed and subsequently synthesized novel 2ME2 analogues based on the notion that sulphamate addition increased oestrogenic bioavailability by avoiding hepatic first-pass hepatic metabolism [38]. Therefore, a 2ME2 analogue, ESE-15-ol was in silico-designed in our laboratory [3]. Dose-dependent studies were conducted in our laboratory and the optimal antiproliferative activity in HeLa cells were established at 180 nM of ESE-15-ol (data not shown). Several additional 2ME2 analogues exerted antiproliferative activity within this concentration range (200 nM-1 µM) in cell lines including the MCF-7 cell line and esophageal carcinoma SNO cells [11,39].
Morphological studies of cells exposed to 180 nM ESE-15-ol and 1 μM 2ME2 for 24 h showed decreased cell density, apoptotic bodies, ghost cells, rounded and shrunken cells and cell debris. Previous studies indicated that morphological characteristics of exposure to another 2ME2 analogue, namely 2-ethyl-3-O-sulphamoyl-estra-1,3,5(10)16-tetraene (ESE-16) included cell shrinkage, membrane blebbing condensation of nuclear chromatin into sharply delineated masses that become marginated against the nuclear membrane, vacuolar formation, shrunken round cells, decreased cell density, cell debris, cell distress as well as formation of apoptotic bodies [11]. Sulphamoylated 2ME2 analogues exposed to HeLa cells and 2-methoxyestradiol-bis-sulphamate exposed in MCF-7 cells showed in vitro cytotoxic effect, but did not reflect possible damage to cell membrane integrity [38]. Thus, according to morphological evidence ESE-15-ol behave in a similar manner to 2ME2, but at a pharmacological concentration indicating an improved bioavailability.
Cell cycle progression analysis of ESE-15-ol-treated HeLa cells showed a G 2 M block, as well as increase in sub-G 1 fraction when compared to growth medium and vehicle-treated control cells and 2ME2. Exposure of ovarian and prostate cancer cells to another sulphamoylated 2ME2 analogue, namely 2-methoxyestradiol-bis-sulphamate and ESE-16-exposed MDA-MB-231 cells and ESE-16-exposed HeLa cells for 24 h showed an increase in both G 2 M block and sub-G 1 fraction. After 48 h, nearly all the cells were present in the sub-G 1 fraction [5, 38,  A number of intra-S-phase-related checkpoint proteins involved in DNA repair were downregulated in 2ME2treated MCF-7 cells which indicated that cells are most likely to re-enter mitosis cycle [10].
Flow cytometry study using annexin V-FITC and PI demonstrated that ESE-15-ol and 2ME2 resulted in the induction of apoptosis. However, the apoptotic activity exerted by ESE-15-ol is more prominent at a pharmacological concentration of 180 nM when compared to the apoptotic activity induced by 2ME2 at physiological concentration of 1 μM. Theron et al. [11] reported that HeLa cells exposed to ESE-16 showed loss of cell membrane asymmetry occurring with the translocation of phosphatidylserine to the outside of the cell during apoptosis induction [11]. 2ME2 has been implicated in induction of the apoptotic pathway in several cell lines [39,40]. Similar to our study, ESE-16-treated HeLa cells at 0.5 μM also showed upregulation in caspase 8 activity [38]. The analysis of caspase 8 activity demonstrated a twofold increase in 1 μM 2ME2-treated cells and a 1.7-fold increase in The sub-G 1 population increased to 17% when exposed to ESE-15-ol and 7% after exposure to 2ME2. In addition, exposure to ESE-15-ol resulted in an increased number of cells occupying G 2 M phase (72%) when compared to vehicle-treated cells and cells propagated in growth medium 180 nM ESE-15-ol-treated cells. This study is the first to indicate that the novel in silico-designed estradiol analogue, ESE-15-ol, may act with improved potency as a potential anticancer agent when compared to 2ME2 at a lower dose. Both the source molecule and its analogue resulted in a statistically significant increase in caspase 8 activity demonstrating the involvement of apoptosis.

Conclusion
The role of computational biology is becoming increasingly important in drug design. It remains challenging to accurately predict pharmacological parameters including activity and toxicology of these in silico-designed compounds. By combining structural information and in vitro studies a predictive tool on possible biological responses are provided [41]. Data from this in vitro study supports the concept that ESE-15-ol induced apoptosis in cervical adenocarcinoma (HeLa) cells in response to an increase in the G 2 M block accompanied with increased caspase 8 activity demonstrating the induction of the apoptotic pathway. In this study it was also demonstrated that ESE-15-ol exerted increased potent anticancer activity when compared to 2ME2. This confirms that in silico-designed