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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2017.3228</article-id>
<article-id pub-id-type="publisher-id">ijmm-41-01-0129</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Transforming growth factor &#x003B2;1 promotes migration and invasion in HepG2 cells: Epithelial-to-mesenchymal transition via JAK/STAT3 signaling</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Lin</surname><given-names>Xiao-Long</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref><xref rid="fn1-ijmm-41-01-0129" ref-type="author-notes">&#x0002A;</xref><xref ref-type="corresp" rid="c1-ijmm-41-01-0129"/></contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Liu</surname><given-names>Mihua</given-names></name><xref rid="af2-ijmm-41-01-0129" ref-type="aff">2</xref><xref rid="fn1-ijmm-41-01-0129" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Liu</surname><given-names>Yuanbo</given-names></name><xref rid="af3-ijmm-41-01-0129" ref-type="aff">3</xref><xref rid="fn1-ijmm-41-01-0129" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hu</surname><given-names>Huijun</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Pan</surname><given-names>Yongquan</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zou</surname><given-names>Weiwen</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Fan</surname><given-names>Xiaojuan</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hu</surname><given-names>Xuemei</given-names></name><xref rid="af1-ijmm-41-01-0129" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-ijmm-41-01-0129">
<label>1</label>Department of Pathology, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, Guangdong 516002</aff>
<aff id="af2-ijmm-41-01-0129">
<label>2</label>Department of Clinical Laboratory, Affiliated Nanhua Hospital, University of South China, Hengyang, Hunan 421001</aff>
<aff id="af3-ijmm-41-01-0129">
<label>3</label>Department of Neurology, The Sixth People's Hospital of Huizhou, Huizhou, Guangdong 516211, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-41-01-0129">Correspondence to: Mr. Xiao-Long Lin, Department of Pathology, Huizhou Third People's Hospital, Guangzhou Medical University, 1 Xuebei Street, Huizhou, Guangdong 516002, P.R. China, E-mail: <email>493814078@qq.com</email></corresp><fn id="fn1-ijmm-41-01-0129">
<label>&#x0002A;</label>
<p>Contributed eually</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>11</month>
<year>2017</year></pub-date>
<volume>41</volume>
<issue>1</issue>
<fpage>129</fpage>
<lpage>136</lpage>
<history>
<date date-type="received">
<day>01</day>
<month>06</month>
<year>2016</year></date>
<date date-type="accepted">
<day>25</day>
<month>10</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Lin et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>Transforming growth factor &#x003B2;1 (TGF&#x003B2;1) is a cytokine with multiple functions. TGF&#x003B2;1 significantly induces migration and invasion of liver cancer cells. However, the molecular mechanisms underlying this effect remain unclear. Epithelial-to-mesenchymal transition (EMT) is crucial for the development of invasion and metastasis in human cancers. The aim of the present study was to determine whether TGF&#x003B2;1-induced EMT promoted migration and invasion in HepG2 cells. The underlying mechanism and the effect of EMT on HepG2 cells were also investigated. The results demonstrated that TGF&#x003B2;1 may induce EMT to promote migration and invasion of HepG2 cells, and this effect depends on activation of the Janus kinase/signal transducer and activator of transcription 3 (JAK/STAT3) signaling pathway. JAK/STAT3 signaling is involved in human malignancies, including lung cancer, and is implicated in cell transformation, tumorigenicity, EMT and metastasis. In the present study, TGF&#x003B2;1 also activated JAK/STAT3 signaling in HepG2 cells and promoted Twist expression, but these events were abolished by treatment with the STAT3 inhibitor AG490. Additionally, Twist siRNA blocked TGF&#x003B2;1-induced EMT. Thus, TGF&#x003B2;1 was shown to induce EMT, thereby promoting the migration and invasion of HepG2 cells via JAK/STAT3/Twist signaling.</p></abstract>
<kwd-group>
<kwd>epithelial-to-mesenchymal transition</kwd>
<kwd>transforming growth factor &#x003B2;1</kwd>
<kwd>signal transducer and activator of transcription 3</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Liver cancer is one of the most common malignant tumors worldwide, and its incidence is the second highest in China. Liver cancer cannot be easily detected at an early stage due to the lack of distinct symptoms and the scarcity of clinically specific markers for serodiagnosis. Therefore, the majority of the patients are diagnosed at advanced or late stages, resulting in distant metastasis and a low 5-year survival rate (<xref rid="b1-ijmm-41-01-0129" ref-type="bibr">1</xref>). Thus, the metastasis and invasion of liver cancer must be clinically investigated to prevent progression of this disease and improve its prognosis.</p>
<p>The invasion and metastasis of malignant tumors are regulated and controlled by various factors and mechanisms. Epithelial-to-mesenchymal transition (EMT) is a key mechanism participating in the invasion and metastasis of solid cancers, such as colon, lung and pancreatic cancer (<xref rid="b2-ijmm-41-01-0129" ref-type="bibr">2</xref>&#x02013;<xref rid="b4-ijmm-41-01-0129" ref-type="bibr">4</xref>). However, the association between EMT and the onset and progression of liver cancer has not been fully elucidated. In this context, Lee <italic>et al</italic> (<xref rid="b5-ijmm-41-01-0129" ref-type="bibr">5</xref>) and Giannelli <italic>et al</italic> (<xref rid="b6-ijmm-41-01-0129" ref-type="bibr">6</xref>) previously reported that EMT is involved in the invasion and metastasis of liver cancer cells.</p>
<p>A number of studies reported that transforming growth factor &#x003B2;1 (TGF&#x003B2;1) is a cytokine with multiple functions that promotes EMT (<xref rid="b7-ijmm-41-01-0129" ref-type="bibr">7</xref>,<xref rid="b8-ijmm-41-01-0129" ref-type="bibr">8</xref>). The activation abnormalities in the signal transducer and activator of transcription 3 (STAT3) signaling pathway are associated with tumor onset and progression (<xref rid="b9-ijmm-41-01-0129" ref-type="bibr">9</xref>). The activation of this pathway is regulated and controlled by the upstream factor Janus kinase (JAK). The activation of JAK/STAT3 signaling may directly affects EMT and promotes the invasion and metastasis of tumor cells in lung cancer and ovarian tumors (<xref rid="b10-ijmm-41-01-0129" ref-type="bibr">10</xref>). However, whether the EMT mediated by the JAK/STAT3 signaling pathway promotes TGF&#x003B2;1-induced invasion and metastasis of liver cancer cells has not been clearly determined.</p>
<p>The present study investigated the human liver cancer line HepG2, in which invasion and metastasis were induced by TGF&#x003B2;1. The role of JAK/STAT3 signaling in mediating the involvement of EMT in the invasion and metastasis of HepG2 cells induced by TGF&#x003B2;1 was also determined. Experiments were performed to confirm whether Twist is a target of STAT3. Overall, the aim of this study was to provide new experimental evidence and potential targets for preventing the invasion and metastasis of liver cancer cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The liver cancer cell line HepG2 was purchased from Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences (Shanghai, China). HepG2 cells were cultured in Dulbecco's modified Eagle's medium (DMEM)-high glucose containing trypsin (cat no. SH30022.01B) supplemented with 10% fetal bovine serum (FBS; cat no. SH30084.03) (both from HyClone, Logan, UT, USA), 100 U/ml penicillin (cat no. ST488-1; Beyotime Institute of Biotechnology, Shanghai, China) and 100 U/ml streptomycin (cat no. ST488-2; Beyotime Institute of Biotechnology) at 37&#x000B0;C under 95% air and 5% CO<sub>2</sub>.</p></sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>RNA was extracted from the tissue samples using TRIzol<sup>&#x000AE;</sup> reagent (Thermo Fisher Scientific, Waltham, MA, USA), according to the manufacturer's instructions. Subsequently, cDNA was synthesized using a TaqMan Reverse Transcription Reagents kit (Thermo Fisher Scientific), according to the manufacturer's protocol. The relative expression levels of mRNA were determined using a Power SYBR-Green PCR Master Mix kit (Thermo Fisher Scientific) and normalized to GAPDH. RT-PCR was performed using the Applied Biosystems 7500 Fast Dx Real-Time PCR instrument (cat no. 4425757; Thermo Fisher Scientific) and the following gene-specific primers (Sangon Biotech Co., Ltd., Shanghai, China): GAPDH: Sense, 5&#x02032;-TGCCATCAACGACCCCTTCA-3&#x02032; and antisense, 5&#x02032;-TGACCTTGCCCACAGCCTTG-3&#x02032;; E-cadherin: Sense, 5&#x02032;-AGCTATCCTTGCACCTCAGC-3&#x02032; and antisense, 5&#x02032;-CCCAGGAGTTTGAG-3&#x02032;; N-cadherin: Sense, 5&#x02032;-TCCTGCTCACCACCACTACTT-3&#x02032; and antisense, 5&#x02032;-CTGACAATGACCCCACAGC-3&#x02032;; Smad: Sense, 5&#x02032;-ATAAGCAACCGCCTGAACAT-3&#x02032; and anti-sense, 5&#x02032;-TTACCTGCCTCCTGAAGACC-3&#x02032;; Twist: Sense, 5&#x02032;-GCTGATTGGCACGACCTCT-3&#x02032; and antisense, 5&#x02032;-CACCATCCTCACACCTCTGC-3&#x02032;; and vimentin: Sense, 5&#x02032;-CCAAACTTTTCCTCCCTGAACC-3&#x02032; and antisense, 5&#x02032;-GTGATGCTGAGAAGTTTCGTTGA-3&#x02032;. A control siRNA specific for the red fluorescent protein, 5&#x02032;-CCACTACCTGAGCACCCAG-3&#x02032;, was used as the negative control (sc-37007; Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA). All primers were designed using the National Center for Biotechnology Information Primer-BLAST tool (<ext-link xlink:href="http://www.ncbi.nlm.nih.gov/tools/primer-blast/" ext-link-type="uri">http://www.ncbi.nlm.nih.gov/tools/primer-blast/</ext-link>). PCR was performed under the following conditions: Denaturation at 50&#x000B0;C for 2 min, followed by 38 cycles at 95&#x000B0;C for 15 sec and 60&#x000B0;C for 1 min. Gene expression was normalized to internal controls and fold changes were calculated using the relative quantification method (2<sup>&#x02212;&#x00394;&#x00394;Cq</sup>) (<xref rid="b11-ijmm-41-01-0129" ref-type="bibr">11</xref>).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were washed 3 times with ice-cold PBS and then incubated on ice with 250 <italic>&#x003BC;</italic>l RIPA buffer (cat no. P0013; Beyotime Institute of Biotechnology) with 2.5 <italic>&#x003BC;</italic>l phenylmethylsulfonyl fluoride (cat no. ST506-2; Beyotime Institute of Biotechnology) for 15&#x02013;30 min. The cells were collected and centrifuged at 13,000 &#x000D7; g for 10 min at 4&#x000B0;C. The protein concentrations of the cell lysates were measured in duplicate using a bicinchoninic acid protein assay kit (cat no. 23227; Thermo Fisher Scientific). The protein lysates and 6X loading buffer were mixed at a ratio of 4:1 and then boiled for 5 min at 100&#x000B0;C. Equal amounts of total protein were separated by 10% sodium dodecyl sulphate-polyacrylamide gel electrophoresis and transferred onto polyvinylidene difluoride membranes (cat no. FFP39; Beyotime Institute of Biotechnology). The membranes were immunoblotted with monoclonal mouse &#x003B2;-actin (1:1,000; cat. no. sc-8432), goat anti-human p-STAT3 (1:1,000; cat. no. sc-21876), monoclonal mouse anti-human JAK (1:400; cat. no. sc-376996), monoclonal mouse anti-human STAT3 (1:400; cat no. sc-293151), p-JAK (1:400; cat. no. sc-16773), E-cadherin (1:500; cat. no. sc-21791), N-cadherin (1:400; cat. no. sc-393933) and vimentin (1:400; cat. no. sc-373717) antibodies (all from Santa Cruz Biotechnology, Inc.) at 4&#x000B0;C overnight. All antibodies were diluted with 0.5% bovine serum albumin. Following incubation, the corresponding secondary antibody conjugated with peroxidase and enhanced chemiluminescence reagents (Beyo ECL Plus; cat. no. P0018; Beyotime Institute of Biotechnology) were applied, and the blot was visualized (cat. no. 121-2550; Beijing Liuyi Biotechnology Co., Ltd., Beijing, China). The amount of total protein was semiquantified as ratio to &#x003B2;-actin on each gel.</p></sec>
<sec>
<title>Scattering assay</title>
<p>Scattering assay was performed as previously described (<xref rid="b7-ijmm-41-01-0129" ref-type="bibr">7</xref>). HepG2 cells (3&#x000D7;10<sup>5</sup>/ml) were seeded into each well of a 24-well plate (cat. no. 662102; Greiner Bio-One GmbH, Frickenhausen, Germany), and incubated overnight at 37&#x000B0;C in an atmosphere of 5% CO<sub>2</sub>. The cells were pretreated with 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1 for 48 h at 37&#x000B0;C for 48 h in 95% air and 5% CO<sub>2</sub>. Representative images were captured at a magnification of &#x000D7;20 using the Eclipse TE2000-U inverted microscope (Nikon Corporation, Tokyo, Japan).</p></sec>
<sec>
<title>Invasion and migration assay</title>
<p>The invasion assay was performed using Transwell 24-well plates with 8-<italic>&#x003BC;</italic>m pore polycarbonate membranes (BD Biosciences, Franklin Lakes, NJ, USA). Briefly, the upper side of the membranes was coated with Matrigel (20 <italic>&#x003BC;</italic>g/well) and the membranes were then air-dried for 1 h at 37&#x000B0;C. The lower side of the membranes was coated with 5 <italic>&#x003BC;</italic>g fibronectin, and the treated or untreated HepG2 cells (2&#x000D7;10<sup>5</sup>) in 200 <italic>&#x003BC;</italic>l of DMEM medium with 2.5% FBS were placed in the upper chamber. The lower chamber was filled with DMEM medium with 10% FBS as the chemoattractant. The invasion chamber was incubated for 8 h at 37&#x000B0;C and 5% CO<sub>2</sub>. The cells on the upper surface of the membrane were removed by gentle scrubbing with a cotton swab. The membranes were fixed in a stationary liquid of 95% ethanol and 5% acetic acid for 30 min and stained with crystal violet. The number of cells on the lower surface of the membrane in 5 random visual fields (magnification, &#x000D7;200) was then counted using an Eclipse TE2000-U inverted microscope. Each assay was performed in triplicate.</p></sec>
<sec>
<title>Wound healing assay</title>
<p>The wound healing assay was performed as previously described: HepG2 cells (3&#x000D7;10<sup>5</sup>/ml) were seeded into a 6-well plate (cat. no. 657160; Greiner Bio-One GmbH) in serum-containing medium, and incubated at 37&#x000B0;C in an atmosphere of 5% CO<sub>2</sub> in order to form a confluent monolayer. The monolayer was scratched using a sterile plastic pipette tip (cat. no. CLS4860; Sigma-Aldrich, Merck KGaA, St. Louis, MO, USA), and washed with PBS to remove cell debris. Subsequently, fresh medium was added, and 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1 or 0.1 ml DMSO was added to each well. The scratched mono-layer was incubated at 37&#x000B0;C in an atmosphere of 5% CO<sub>2</sub> for 48 h. Wound closure was measured in 6 random high-power fields at a magnification of &#x000D7;200, using Image-Pro<sup>&#x000AE;</sup>Express software, version 6 (Media Cybernetics, Inc., Rockville, MD, USA) and an Eclipse TE2000-U inverted microscope (<xref rid="b11-ijmm-41-01-0129" ref-type="bibr">11</xref>).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were analyzed using SPSS software, version 1.0 (SPSS, Inc., Chicago, IL, USA) and GraphPad Prism software, version 5.0 (GraphPad Software, Inc., La Jolla, CA, USA). Analysis of variance was conducted followed by the Student's t-test. The data are presented as mean &#x000B1; standard deviation. P&lt;0.05 was considered to indicate statistically significant differences.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>TGF&#x003B2;1 induces migration and invasion of HepG2 cells</title>
<p>To determine the migration and invasion induced by TGF&#x003B2;1, liver cancer HepG2 cells were treated with different concentrations of TGF&#x003B2;1 for 48 h, and the migration and invasion of cancer cells were assessed by wound closure assays and Matrigel Transwell chamber invasion assays. The effects of TGF&#x003B2;1 were observed at concentrations as low as 5 <italic>&#x003BC;</italic>M. As the TGF&#x003B2;1 concentration increased, the migration and invasion of HepG2 cells also increased in a concentration-dependent manner, with the most prominent effects observed at a concentration of 10 <italic>&#x003BC;</italic>M (<xref rid="f1-ijmm-41-01-0129" ref-type="fig">Fig. 1A and B</xref>). These results indicated that TGF&#x003B2;1 induced HepG2 cell migration and invasion in a concentration-dependent manner. Hence, the concentration of 10 <italic>&#x003BC;</italic>M was selected for all further mechanistic studies.</p></sec>
<sec>
<title>TGF&#x003B2;1 induces EMT in HepG2 cells</title>
<p>TGF&#x003B2;1 is a factor that promotes EMT in cancer cells, as previously reported (<xref rid="b7-ijmm-41-01-0129" ref-type="bibr">7</xref>,<xref rid="b8-ijmm-41-01-0129" ref-type="bibr">8</xref>). EMT is an important mechanism of cancer cell invasion and metastasis. The downregulation of E-cadherin expression and the upregulation of vimentin and N-cadherin expression are considered to be markers of EMT. In the present study, TGF&#x003B2;1 also induced cell scattering (<xref rid="f2-ijmm-41-01-0129" ref-type="fig">Fig. 2A</xref>), indicating that TGF&#x003B2;1 induces EMT, thereby increasing the migration and invasion of HepG2 cells. To further investigate whether EMT is involved in TGF&#x003B2;1-induced scattering, migration and invasion of HepG2 cells, the expression of E-cadherin, vimentin and N-cadherin were first detected by qPCR and western blot analysis. As shown in <xref rid="f2-ijmm-41-01-0129" ref-type="fig">Fig. 2B and C</xref>, the expression of vimentin and N-cadherin was upregulated, whereas that of E-cadherin was downregulated following treatment with 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1. These results demonstrated that TGF&#x003B2;1-induced EMT promoted the migration and invasion of HepG2 cells.</p>
<p>Moreover, JAK/STAT3 protein expression was detected by western blot analysis and it was observed that TGF&#x003B2;1 stimulated the expression of p-JAK and p-STAT3. This finding indicates that TGF&#x003B2;1-induced EMT may be activated by JAK/STAT3 signaling.</p></sec>
<sec>
<title>JAK/STAT3 signaling is involved in TGF&#x003B2;1-induced EMT to increase migration and invasion of HepG2 cells</title>
<p>STAT3 is the key transcription factor regulating cell proliferation and survival. STAT3 may be activated by oncostatin M, interferons, interleukin-6 (IL-6) and epidermal growth factor (EGF). It was recently reported that TGF&#x003B2;1 induced JAK/STAT3 signaling to increase migration and invasion in lung carcinoma cells. Based on these reports, we hypothesized that JAK/STAT3 signaling may be involved in TGF&#x003B2;1-induced EMT to increase the migration and invasion in HepG2 cells. To confirm this hypothesis, HepG2 cells were incubated with the STAT3 inhibitor AG490 prior to treatment with TGF&#x003B2;1. As shown in <xref rid="f3-ijmm-41-01-0129" ref-type="fig">Fig. 3A and C</xref>, AG490 significantly suppressed the TGF&#x003B2;1-induced upregulation of N-cadherin and vimentin expression and the downregulation of E-cadherin expression, compared with the TGF&#x003B2;1 group. Furthermore, AG490 treatment significantly reduced the number of TGF&#x003B2;1-induced invasive and migratory cells (<xref rid="f3-ijmm-41-01-0129" ref-type="fig">Fig. 3E and F</xref>), which was consistent with the results obtained from metastasized cell-wound closure (<xref rid="f3-ijmm-41-01-0129" ref-type="fig">Fig. 3D</xref>).</p></sec>
<sec>
<title>Twist is involved in TGF&#x003B2;1-induced EMT depending on STAT3</title>
<p>Smad2 and Twist are important factors regulating EMT through TGF&#x003B2;1. Thus, we hypothesized that TGF&#x003B2;1 induced EMT by upregulating Twist expression via JAK/STAT3 signaling. To confirm this hypothesis, the expression of pSmad2 and Twist in HepG2 cells treated with TGF&#x003B2;1 was first detected. The results revealed that TGF&#x003B2;1 induced the protein expression of pSmad2 and Twist (<xref rid="f4-ijmm-41-01-0129" ref-type="fig">Fig. 4A&#x02013;D</xref>). By contrast, AG490 treatment reversed the TGF&#x003B2;1-induced protein expression of pSmad2 and Twist (<xref rid="f4-ijmm-41-01-0129" ref-type="fig">Fig. 4E&#x02013;G</xref>). Along these lines, TGF&#x003B2;1 induced the protein expression of pSmad2 and Twist in accordance with the activated JAK/STAT3 signaling.</p>
<p>To further determine whether Twist participated in TGF&#x003B2;1-induced EMT, HepG2 cells were transfected with siRNA of Twist. As shown in <xref rid="f5-ijmm-41-01-0129" ref-type="fig">Fig. 5A&#x02013;C</xref>, Twist knockdown significantly suppressed the TGF&#x003B2;1-induced expression of N-cadherin and vimentin, but reversed the TGF&#x003B2;1-inhibited expression of E-cadherin. The TGF&#x003B2;1-induced migration and invasion in HepG2 cells were also reversed through Twist knockdown. Overall, these data strongly suggest that Twist participates in TGF&#x003B2;1-induced EMT to increase the migration and invasion of HepG2 cells via JAK/STAT3 signaling.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Invasion and metastasis are the leading causes of death from liver cancer (<xref rid="b12-ijmm-41-01-0129" ref-type="bibr">12</xref>). The onset and progression of liver cancer are regulated and controlled by various factors, among which EMT is the key mechanism promoting invasion and metastasis (<xref rid="b13-ijmm-41-01-0129" ref-type="bibr">13</xref>). A number of studies demonstrated that molecular markers are altered during EMT in cancer cells; for example, E-cadherin (an epithelial marker) and ZO-1 (a closely connected protein) are downregulated, whereas the levels of molecular markers derived from interstitial cells, including vimentin and N-cadherin, are upregulated. Hence, adhesions among tumor cells are reduced, thereby increasing the invasion and metastasis of cancer cells (<xref rid="b14-ijmm-41-01-0129" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-ijmm-41-01-0129" ref-type="bibr">16</xref>). The occurrence of EMT is affected by various factors. TGF&#x003B2;1 is a key factor that induces and participates in the entire process of EMT (<xref rid="b17-ijmm-41-01-0129" ref-type="bibr">17</xref>&#x02013;<xref rid="b19-ijmm-41-01-0129" ref-type="bibr">19</xref>). In the present study, TGF&#x003B2;1 was found to upregulate vimentin and downregulate E-cadherin expression. Moreover, TGF&#x003B2;1 induced scattering, invasion and metastasis of HepG2 cells. These results demonstrated that TGF&#x003B2;1-induced EMT, thereby promoting the invasion and metastasis of HepG2 cells.</p>
<p>STAT3 is a signal transduction and transcription activator. Abnormal regulation of the STAT3 signaling pathway is associated with tumor occurrence and development (<xref rid="b20-ijmm-41-01-0129" ref-type="bibr">20</xref>). Following activation by cytokines or growth factors, the activated JAK may collect STAT3 monomers to produce homologous or heterogonous dimers; subsequently, nuclei and specific DNA sequences regulate the transcription of target genes (<xref rid="b21-ijmm-41-01-0129" ref-type="bibr">21</xref>). The abnormal expression and activation of STAT3 in various tumor tissues and cell lines (including liver cancer cells) are associated with the invasion and metastasis of tumor cells (<xref rid="b21-ijmm-41-01-0129" ref-type="bibr">21</xref>). EMT is the first focus in studies investigating the invasion and metastasis of tumor cells. The activation of the STAT3 signaling pathway is associated with EMT, invasion and metastasis of tumors. Colomiere <italic>et al</italic> (<xref rid="b22-ijmm-41-01-0129" ref-type="bibr">22</xref>) demonstrated that the JAK&#x00338;STAT3 pathway is aberrantly activated in ovarian cancer tissues. Furthermore, EMT in ovarian cancer cells may be induced by EGF or IL-6 (<xref rid="b23-ijmm-41-01-0129" ref-type="bibr">23</xref>,<xref rid="b24-ijmm-41-01-0129" ref-type="bibr">24</xref>). These results indicated that the action of EGF or IL-6 relies on the activation of JAK&#x00338;STAT3 signaling; EMT induced by EGF or IL-6 may be significantly inhibited by treatment with the JAK&#x00338;STAT3 pathway inhibitor AG490, and the invasion and metastasis of ovarian cancer cells may be reduced. Xiong <italic>et a</italic>l (<xref rid="b25-ijmm-41-01-0129" ref-type="bibr">25</xref>) also reported that AG490 significantly suppressed STAT3 activation; consequently, AG490 treatment upregulated E-cadherin expression but reduced the invasion of tumor cells in colorectal cancer. In the present study, the JAK/STAT3 pathway was activated when the TGF&#x003B2;1-induced EMT promoted the migration and invasion of HepG2 cells, whereas AG490 reversed these effects. Overall, the results demonstrated that TGF&#x003B2;1-induced EMT was inhibited, thereby confirming the involvement of the JAK/STAT3 pathway in EMT induction.</p>
<p>Lee <italic>et al</italic> (<xref rid="b7-ijmm-41-01-0129" ref-type="bibr">7</xref>) reported that JAK&#x00338;STAT3 pathway activation promotes the expression of Twist and, thus, reduces the EMT of breast cancer cells. Cheng <italic>et al</italic> (<xref rid="b17-ijmm-41-01-0129" ref-type="bibr">17</xref>) also reported that the activated STAT3 may directly bind to the STAT3 binding site of the Twist promoter in breast cancer cells. These studies support that STAT3 activation may regulate the expression of Twist, a key transcription factor regulating EMT. In the present study, Twist was downstream from the JAK/STAT3 pathway in HepG2 cells; thus, AG490 treatment was applied for 2 h prior to incubation with TGF&#x003B2;1. Our results demonstrated that the expression of Twist was inhibited by AG490. Overall, TGF&#x003B2;1 induced the expression of Twist in accordance with the JAK/STAT3 pathway activation. Furthermore, we observed that Twist participated in the TGF&#x003B2;1-induced EMT that promoted invasion and metastasis in HepG2 cells. This finding is consistent with the report of Liu <italic>et al</italic> (<xref rid="b26-ijmm-41-01-0129" ref-type="bibr">26</xref>). Thus, these results indicated that TGF&#x003B2;1 upregulated the expression of Twist via the JAK/STAT3 pathway, thereby promoting the invasion and metastasis of HepG2 cells.</p>
<p>The findings of the present study verified the biological functions of TGF&#x003B2;1 in liver cancer HepG2 cells and provided evidence that the TGF&#x003B2;1-induced EMT promoted the invasion and metastasis of HepG2 cells <italic>in vitro</italic>. It was further demonstrated that these actions may be mediated via the JAK/STAT3/Twist signaling pathway. In conclusion, TGF&#x003B2;1 appears to be involved in the progression of liver cancer and represents a potential molecular target for the treatment of this disease.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the Natural Science Foundation of China (grant no. 81600342), the Medical Foundation of Hui Zhou (grant no. 2015y134); the Medical Research Foundation of Guangdong Province (grant no. A2015620); and the Graduate Student Research Innovation Project of Hunan Province (grant no. CX2013B396).</p></ack>
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<floats-group>
<fig id="f1-ijmm-41-01-0129" position="float">
<label>Figure 1</label>
<caption>
<p>Migration and invasion induced by TGF&#x003B2;1 in HepG2 cells. (A) In wound-healing assay, HepG2 cells were treated with TGF&#x003B2;1 at different concentrations (5, 10 and 20 <italic>&#x003BC;</italic>M) for 48 h, and TGF&#x003B2;1-induced cell motility was determined by measuring wound closure at a magnification of &#x000D7;200 with Image-Pro<sup>&#x000AE;</sup> Express software. Scale bar, 10 <italic>&#x003BC;</italic>m. (B) For the migration and invasion assays, HepG2 cells were treated with TGF&#x003B2;1 at different concentrations (5, 10 and 20 <italic>&#x003BC;</italic>M) for 48 h, and the cells were visualized by staining with toluidine blue and counted in 6 random high-power fields at a magnification of &#x000D7;200 using Image-Pro<sup>&#x000AE;</sup> Express software. Scale bar, 5 <italic>&#x003BC;</italic>m. The experiments were performed in triplicate. Data are presented as mean &#x000B1; standard deviation. &#x0002A;&#x0002A;P&lt;0.01 vs. control group. TGF&#x003B2;1, transforming growth factor &#x003B2;1; con, control.</p></caption>
<graphic xlink:href="IJMM-41-01-0129-g00.tif"/></fig>
<fig id="f2-ijmm-41-01-0129" position="float">
<label>Figure 2</label>
<caption>
<p>EMT induced by TGF&#x003B2;1 in HepG2 cells. (A) TGF&#x003B2;1 induced HepG2 cell scattering. Cells were incubated with 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1 for 48 h. Representative images were captured at a magnification of &#x000D7;200 using an Eclipse TE2000-U inverted microscope. Scale bar, 10 <italic>&#x003BC;</italic>m. (B&#x02013;D) qPCR and western blot analysis of EMT markers in HepG2 cells after treatment with 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1 for 48 h. Data are presented as mean &#x000B1; standard deviation of 3 independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 vs. control. (E and F) Western blot analysis revealed that TGF&#x003B2;1 promoted the expression of JAK, p-JAK, STAT3, and p-STAT3. Data are presented as mean &#x000B1; standard deviation of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 vs. control. TGF&#x003B2;1, transforming growth factor &#x003B2;1; con, control; EMT, epithelial-to-mesenchymal transition; qPCR, quantitative polymerase chain reaction; JAK, Janus kinase; STAT3, signal transducer and activator of transcription 3.</p></caption>
<graphic xlink:href="IJMM-41-01-0129-g01.tif"/></fig>
<fig id="f3-ijmm-41-01-0129" position="float">
<label>Figure 3</label>
<caption>
<p>AG490 inhibits TGF&#x003B2;1-induced EMT to increase migration and invasion via JAK/STAT3 signaling in HepG2 cells (A&#x02013;C). Effects of TGF&#x003B2;1 and AG490 on EMT-related protein expression in HepG2 cells. After the cells were treated with TGF&#x003B2;1, AG490 and TGF&#x003B2;1 + AG490 for 48 h, reverse transcription-quantitative polymerase chain reaction and western blot analysis of EMT markers in HepG2 cells were performed. Data are presented as mean &#x000B1; standard deviation of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 vs. TGF&#x003B2;1 group. (D) Wound-healing assay suggested that TGF&#x003B2;1 markedly promoted cell motility. The promoting effects of TGF&#x003B2;1 were abolished by AG490 treatment in HepG2 cells. The experiments were performed in triplicate. Data are presented as mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. TGF&#x003B2;1 group. (E) AG490 inhibited TGF&#x003B2;1 to promote migration and invasion in HepG2 cells. In migration and invasion assays, cells were treated with TGF&#x003B2;1, AG490 and TGF&#x003B2;1 + AG490 for 48 h. The promoting effects of TGF&#x003B2;1 were abolished by AG490 treatment in the HepG2 cells. Cells were visualized by staining with toluidine blue and counted in six random high-power fields at a magnification of &#x000D7;200 using Image-Pro<sup>&#x000AE;</sup> Express software. Scale bar, 10 <italic>&#x003BC;</italic>m. The experiments were performed in triplicate. Data are presented as mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. TGF&#x003B2;1 group. TGF&#x003B2;1, transforming growth factor &#x003B2;1; con, control; EMT, epithelial-to-mesenchymal transition; JAK, Janus kinase; STAT3, signal transducer and activator of transcription 3.</p></caption>
<graphic xlink:href="IJMM-41-01-0129-g02.tif"/></fig>
<fig id="f4-ijmm-41-01-0129" position="float">
<label>Figure 4</label>
<caption>
<p>(A&#x02013;D) AG490 inhibited TGF&#x003B2;1-induced expression of Twist and p-Smad2 in HepG2 cells. The effects of TGF&#x003B2;1 on the expression of p-Smad2 and Twist in HepG2 cells were investigated by incubating HepG2 cells with 10 <italic>&#x003BC;</italic>M TGF&#x003B2;1 for 48 h, followed by reverse transcription-quantitative polymerase chain reaction and western blot analysis of Smad2 and Twist expression. (E&#x02013;G) The expression of p-Smad2 was analyzed by western blot analysis; AG490 inhibited the TGF&#x003B2;1-induced expression of Twist and p-Smad2 in HepG2 cells. The cells were pretreated with AG490 for 2 h and then incubated with or without TGF&#x003B2;1 (10 <italic>&#x003BC;</italic>M) for 48 h, followed by western blot analysis of p-Smad2, Smad2 and Twist expression. The experiments were performed in triplicate. Data are presented as mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. TGF&#x003B2;1 group. TGF&#x003B2;1, transforming growth factor &#x003B2;1; EMT, epithelial-to-mesenchymal transition.</p></caption>
<graphic xlink:href="IJMM-41-01-0129-g03.tif"/></fig>
<fig id="f5-ijmm-41-01-0129" position="float">
<label>Figure 5</label>
<caption>
<p>(A&#x02013;C) Twist siRNA blocked the TGF&#x003B2;1-induced EMT-mediated increase in the migration and invasion of HepG2 cells. Twist siRNA blocked the TGF&#x003B2;1-induced EMT-related protein expression. HepG2 cells were pretreated with Twist siRNA for 12 h and then incubated with or without TGF&#x003B2;1 (10 <italic>&#x003BC;</italic>M) for 48 h. E-cadherin, N-cadherin and vimentin proteins were analyzed by western blotting. (D) Wound-healing assay revealed that TGF&#x003B2;1 markedly promoted cell motility. The promoting effects of TGF&#x003B2;1 were abolished by Twist siRNA treatment in HepG2 cells. (E) Twist siRNA blocked TGF&#x003B2;1-induced migration and invasion in HepG2 cells. HepG2 Cells were pretreated with Twist siRNA for 12 h and then incubated with or without TGF&#x003B2;1 (10 <italic>&#x003BC;</italic>M) for 48 h. Cells were visualized by staining with toluidine blue and counted in six random high-power fields at a magnification of &#x000D7;200 by using Image-Pro<sup>&#x000AE;</sup> Express software. Scale bar, 10 <italic>&#x003BC;</italic>m. The experiments were performed in triplicate. Data are presented as mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. TGF&#x003B2;1 group. TGF&#x003B2;1, transforming growth factor &#x003B2;1; con, control; EMT, epithelial-to-mesenchymal transition.</p></caption>
<graphic xlink:href="IJMM-41-01-0129-g04.tif"/></fig></floats-group></article>
