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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.2019.4391</article-id>
<article-id pub-id-type="publisher-id">ijmm-45-01-0141</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Cordycepin suppresses the migration and invasion of human liver cancer cells by downregulating the expression of CXCR4</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Guo</surname><given-names>Zhongrong</given-names></name><xref rid="af1-ijmm-45-01-0141" ref-type="aff">1</xref><xref rid="fn1-ijmm-45-01-0141" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname><given-names>Wen</given-names></name><xref rid="af2-ijmm-45-01-0141" ref-type="aff">2</xref><xref rid="fn1-ijmm-45-01-0141" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Dai</surname><given-names>Guisen</given-names></name><xref rid="af3-ijmm-45-01-0141" ref-type="aff">3</xref><xref rid="fn1-ijmm-45-01-0141" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Huang</surname><given-names>Yuanliang</given-names></name><xref rid="af4-ijmm-45-01-0141" ref-type="aff">4</xref><xref ref-type="corresp" rid="c1-ijmm-45-01-0141"/></contrib></contrib-group>
<aff id="af1-ijmm-45-01-0141">
<label>1</label>First Department of General Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian 363000</aff>
<aff id="af2-ijmm-45-01-0141">
<label>2</label>Department of Traditional Chinese Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian 362000</aff>
<aff id="af3-ijmm-45-01-0141">
<label>3</label>Department of Hepatobiliary Surgery, Longyan First Hospital, Longyan, Fujian 364000</aff>
<aff id="af4-ijmm-45-01-0141">
<label>4</label>Interventional Diagnosis and Treatment Section, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian 361001, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-45-01-0141">Correspondence to: Professor Yuanliang Huang, Interventional Diagnosis and Treatment Section, The First Affiliated Hospital of Xiamen University, 55 Zhenhai Road, Xiamen, Fujian 361001, P.R. China, E-mail: <email>huangyuanliang9126@163.com</email></corresp><fn id="fn1-ijmm-45-01-0141" fn-type="equal">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2020</year></pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2019</year></pub-date>
<volume>45</volume>
<issue>1</issue>
<fpage>141</fpage>
<lpage>150</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>05</month>
<year>2019</year></date>
<date date-type="accepted">
<day>17</day>
<month>10</month>
<year>2019</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Guo et al.</copyright-statement>
<copyright-year>2020</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>Liver cancer is a worldwide threat to human health. High expression levels of C-X-C chemokine receptor type 4 (CXCR4) have been reported to promote the migration and invasion capacities of liver cancer cells. Cordycepin, extracted from <italic>Cordyceps militaris</italic>, has anti-inflammatory, antioxidant and anticancerous properties. Therefore, in the present study, migration assays, western blotting, reverse transcription-quantitative PCR and immunofluorescence analyses were conducted to determine whether cordycepin was able to suppress the migration and invasion abilities of liver cancer cells by inhibiting CXCR4 expression. The results suggested that cordycepin notably inhibited migration and invasion, and decreased the expression of CXCR4 in a dose-dependent manner. Activation of phosphorylated (p-) NF-&#x003BA;B inhibitor &#x003B1; (I&#x003BA;B&#x003B1;) and p-P65, the principal components of the NF-&#x003BA;B signaling pathway, was also downregulated. In addition, cordycepin markedly suppressed the nuclear translocation of P65, but had no effect on the expression of total I&#x003BA;B&#x003B1; (t-I&#x003BA;B&#x003B1;) and total P65 (t-P65). JSH-23, an inhibitor of the NF-&#x003BA;B pathway, impaired the migration of liver cancer cells, and was found to act synergistically with cordycepin. Furthermore, cordycepin treatment reduced the chemotactic migration ability of liver cancer cells to stromal cell-derived factor 1 (SDF1), which was significantly enhanced following treatment with JSH-23. Collectively, the present results indicated that cordycepin inhibited the nuclear translocation of P65 by preventing p-I&#x003BA;B&#x003B1; activation; this resulted in the downregulation of CXCR4 expression, and subsequently, in the impaired migration and invasion abilities of liver cancer cells and attenuated reactivity to SDF1. The current study revealed a novel mechanism for the antimetastatic activity of cordycepin and its potential to exert positive synergistic effects with other compounds for the treatment of liver cancer.</p></abstract>
<kwd-group>
<kwd>cordycepin</kwd>
<kwd>liver cancer</kwd>
<kwd>C-X-C chemokine receptor type 4</kwd>
<kwd>migration</kwd>
<kwd>invasion</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Liver cancer is a serious pathology with a global impact (<xref rid="b1-ijmm-45-01-0141" ref-type="bibr">1</xref>), and liver cancer-associated morbidity ranks third worldwide, after lung and gastric cancer (<xref rid="b1-ijmm-45-01-0141" ref-type="bibr">1</xref>,<xref rid="b2-ijmm-45-01-0141" ref-type="bibr">2</xref>). In China, the morbidity rate of liver cancer exceeds that of gastric cancer, and it ranks second among all cancer-related deaths (<xref rid="b3-ijmm-45-01-0141" ref-type="bibr">3</xref>-<xref rid="b5-ijmm-45-01-0141" ref-type="bibr">5</xref>). There is currently little indication that this condition will improve in the future, and the number of liver cancer-associated deaths is predicted to increase (<xref rid="b5-ijmm-45-01-0141" ref-type="bibr">5</xref>). As liver cancer exhibits no obvious or specific early stage symptoms, the majority of patients are diagnosed in the advanced stages of disease when metastasis has already occurred, resulting in poor prognosis and a high mortality rate (<xref rid="b1-ijmm-45-01-0141" ref-type="bibr">1</xref>,<xref rid="b6-ijmm-45-01-0141" ref-type="bibr">6</xref>,<xref rid="b7-ijmm-45-01-0141" ref-type="bibr">7</xref>).</p>
<p>Despite the emergence of tumor immunotherapy (<xref rid="b8-ijmm-45-01-0141" ref-type="bibr">8</xref>,<xref rid="b9-ijmm-45-01-0141" ref-type="bibr">9</xref>) and molecular targeted drug therapy (<xref rid="b10-ijmm-45-01-0141" ref-type="bibr">10</xref>,<xref rid="b11-ijmm-45-01-0141" ref-type="bibr">11</xref>), due to low efficiency and side effects, these methods are not widely used in clinical practice for the treatment of liver cancer. At present, the first-line treatment for early liver cancer is surgical resection with adjuvant radiotherapy and chemotherapy (<xref rid="b6-ijmm-45-01-0141" ref-type="bibr">6</xref>,<xref rid="b12-ijmm-45-01-0141" ref-type="bibr">12</xref>), while patients with advanced disease and metastasis often miss the opportunity to benefit from surgery (<xref rid="b13-ijmm-45-01-0141" ref-type="bibr">13</xref>). Additionally, the recurrence of liver cancer is associated with metastasis (<xref rid="b13-ijmm-45-01-0141" ref-type="bibr">13</xref>,<xref rid="b14-ijmm-45-01-0141" ref-type="bibr">14</xref>). Previously, it was believed that tumor metastasis was the result of tumor cell infiltration from the tumor boundary when the tumor had exceeded a certain volume (<xref rid="b14-ijmm-45-01-0141" ref-type="bibr">14</xref>). However, it has been confirmed that metastasis occurs at various disease stages and is closely associated with the tumor microenvironment, including immune, metabolic and inflammatory reactions (<xref rid="b15-ijmm-45-01-0141" ref-type="bibr">15</xref>-<xref rid="b17-ijmm-45-01-0141" ref-type="bibr">17</xref>). The process of tumor metastasis involves numerous factors, and there are currently no available treatments that collectively target these factors. Therefore, the development of effective therapeutic agents is critical.</p>
<p>The stromal cell-derived factor 1 (SDF1)/C-X-C chemo-kine receptor type 4 (CXCR4) pathway is implicated in liver cancer metastasis (<xref rid="b18-ijmm-45-01-0141" ref-type="bibr">18</xref>,<xref rid="b19-ijmm-45-01-0141" ref-type="bibr">19</xref>), and includes the elevated expression of CXCR4. The most common metastatic regions in patients with liver cancer are the lungs and bone marrow, which are both abundant in SDF1 (<xref rid="b19-ijmm-45-01-0141" ref-type="bibr">19</xref>-<xref rid="b21-ijmm-45-01-0141" ref-type="bibr">21</xref>). Mechanistically, the overexpression of CXCR4 was found to promote the migration and invasion of liver cancer cells due to the increased chemotaxis to SDF1 and activation of downstream signaling pathways. Conversely, silencing CXCR4 reduced the metastatic ability of liver cancer cells (<xref rid="b22-ijmm-45-01-0141" ref-type="bibr">22</xref>-<xref rid="b24-ijmm-45-01-0141" ref-type="bibr">24</xref>). Xia <italic>et al</italic> (<xref rid="b25-ijmm-45-01-0141" ref-type="bibr">25</xref>) demonstrated that the natural extract hesperidin not only induced apoptosis, but also decreased the expression of CXCR4 by regulating the activation of the PI3K/Akt signaling pathway in lung cancer cells (<xref rid="b26-ijmm-45-01-0141" ref-type="bibr">26</xref>). Overwhelming evidence has suggested that natural extracts can significantly inhibit the migration and invasion of liver cancer cells by regulating CXCR4 expression (<xref rid="b27-ijmm-45-01-0141" ref-type="bibr">27</xref>-<xref rid="b29-ijmm-45-01-0141" ref-type="bibr">29</xref>); this suggest that these natural extracts may have potential for preventing liver cancer metastasis by blocking the SDF1/CXCR4 pathway.</p>
<p>Cordycepin, extracted from <italic>Cordyceps militaris</italic>, has anti-inflammatory, antioxidant and anticancerous properties (<xref rid="b30-ijmm-45-01-0141" ref-type="bibr">30</xref>-<xref rid="b32-ijmm-45-01-0141" ref-type="bibr">32</xref>). Previous studies have shown that cordycepin inhibits the cell cycle and induces apoptosis in non-small cell lung cancer by activating AMP-activated protein kinase signaling, without affecting the proliferation of normal lung epithelial cells (<xref rid="b33-ijmm-45-01-0141" ref-type="bibr">33</xref>). Additionally, cordycepin significantly inhibited the proliferation and migration of gastric cancer cells in a dose-dependent manner, and induced apoptosis (<xref rid="b34-ijmm-45-01-0141" ref-type="bibr">34</xref>). Furthermore, cordycepin inhibited the migration and invasion abilities of human gastric cancer cells by activating the PI3K/Akt signaling pathway, and ultimately upregulated the expression of the antimetastatic factor C-type lectin-like receptor 2 (<xref rid="b34-ijmm-45-01-0141" ref-type="bibr">34</xref>). However, it is unclear whether cordycepin affects the expression of CXCR4 in liver cancer cells. In a previous study, a range of natural reagents were screened to highlight monomeric compounds that downregulated CXCR4, wherein cordycepin was identified (<xref rid="b34-ijmm-45-01-0141" ref-type="bibr">34</xref>). The aim of the present study was to investigate the role and underlying mechanisms of cordycepin-induced downregulation of CXCR4 in liver cancer cells. These findings may promote its clinical use, alone or in combination with other compounds, for the treatment of liver cancer.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>DMEM and RPMI-1640 medium, as well as fetal bovine serum (FBS), were purchased from Gibco (Thermo Fisher Scientific, Inc.). PrimeScript&#x02122; RT reagent kit (cat. no. RR037A) and One Step TB Green<sup>&#x000AE;</sup> PrimeScript&#x02122; RT-PCR kit (cat. no. RR066A) were obtained from Takara Bio, Inc. Transwell chambers and Matrigel were purchased from BD Biosciences. Rabbit anti-human CXCR4 (cat. no. ab124824), rabbit anti-human total (t-)P65 (cat. no. ab16502), rabbit anti-human phosphorylated (p-)P65 (cat. no. ab86299) and rabbit anti-human &#x003B2;-actin (cat. no. ab179467) primary antibodies, as well as horseradish-peroxidase (HRP)-conjugated goat anti-rabbit (cat. no. ab6721) and HRP-conjugated goat anti-mouse (cat. no. ab6789) secondary antibodies, recombinant human SDF1 protein (cat. no. ab9798) and goat anti-rabbit IgG H&amp;L (Alexa Fluor<sup>&#x000AE;</sup> 555; cat. no. ab150078) were purchased from Abcam. The primary antibodies targeting I&#x003BA;B&#x003B1; (cat. no. 9242), p-I&#x003BA;B&#x003B1; (Ser32/36; cat. no. 9246) and histone H3 (cat. no. 9715) were obtained from Cell Signaling Technology, Inc. PCR primers were synthesized by Shanghai Sangon Biotech Co., Ltd. TRIzol<sup>&#x000AE;</sup> reagent (cat. no. 15596026) and NE-PER&#x02122; Nuclear and Cytoplasmic Extraction Reagents (cat. no. 78833) were purchased from Thermo Fisher Scientific, Inc. The NF-&#x003BA;B activation inhibitor JSH-23 (cat. no. 481408-M) was obtained from Sigma-Aldrich (Merck KGaA).</p></sec>
<sec>
<title>Cell lines and culture</title>
<p>The HepG2 and Huh7 human liver cancer cell lines were purchased from the Cell Bank of Shanghai Institutes for Biological Sciences and maintained within our laboratory. HepG2 cells were cultured in DMEM containing 10% FBS and 1% streptomycin. Huh7 cells were cultured in RPMI-1640 containing 10% FBS and 1% streptomycin. Both cell lines were maintained in a humidified incubator at 37&#x000B0;C with 5% CO<sub>2</sub>, and passaged using 0.25% trypsin EDTA at a confluence of 80-90%. Tumor cells were treated with either cordycepin alone or in combination with the NF-&#x003BA;B pathway inhibitor, JSH-23. Untreated cells were used as the control.</p></sec>
<sec>
<title>Cordycepin and JSH-23 preparation</title>
<p>Cordycepin powder (Santa Cruz Biotechnology, Inc.) was dissolved in DMSO to prepare a 10 mM stock solution, which was then diluted with medium to 1, 5 and 10 <italic>&#x000B5;</italic>M working solutions. JSH-23 was dissolved in DMSO to produce a 1 mM stock solution, and diluted to a working concentration of 1 <italic>&#x000B5;</italic>M using the appropriate medium for each cell type.</p></sec>
<sec>
<title>Migration assay</title>
<p>HepG2 and Huh7 cells were seeded into a 6-well plate at a density of 8&#x000D7;10<sup>5</sup> cells per well. At ~50% confluency, 1, 5 or 10 <italic>&#x000B5;</italic>M cordycepin and/or 1 <italic>&#x000B5;</italic>M JSH-23 was added and the cells were further incubated for 72 h. The cells were then digested using trypsin, and resuspended in serum-free medium; 1&#x000D7;10<sup>4</sup> cells per well were added to the upper chamber of the Transwell insert, and 500 <italic>&#x000B5;</italic>l medium (with 10% FBS) was added to the lower chamber. Following a further 8 h incubation period, the upper chamber was removed and the unmigrated cells were wiped away with a cotton swab. Finally, the cells on the lower chamber were stained with 0.1% crystal violet at 37&#x000B0;C for 15 min, washed, air-dried and counted under an inverted light microscope prior to being photographed. All experiments were repeated three times.</p></sec>
<sec>
<title>Invasion assay</title>
<p>Matrigel working solution (100 <italic>&#x000B5;</italic>l; 500 ng/ml) prepared using serum-free medium was used to pre-coat the polycarbonate membrane of the upper chamber of a Transwell insert. After a 2 h incubation at 37&#x000B0;C, the residual basal medium was removed. The subsequent steps were performed similar to the aforementioned migration assay. Briefly, HepG2 and Huh7 cells (8&#x000D7;10<sup>5</sup> cells per well) were seeded into a 6-well plate and treated with cordycepin or JSH-23 for 72 h. The cells were subsequently added to the upper chamber at a density of 1&#x000D7;10<sup>4</sup> cells per well, and 500 <italic>&#x000B5;</italic>l medium (10% FBS) was added to the lower chamber. The cells were incubated for 24 h, stained and photographed as aforementioned.</p></sec>
<sec>
<title>Chemotaxis assay</title>
<p>As described in the migration assay, cells were seeded into the upper chamber of a Transwell insert at a density of 1&#x000D7;10<sup>4</sup> cells per well, and incubated for 12 h; 500 <italic>&#x000B5;</italic>l medium (serum-free) containing recombinant human SDF1 (500 ng/ml) was added to the lower chamber. After staining with 0.1% crystal violet, the cells were visualized under an inverted light microscope as aforementioned.</p></sec>
<sec>
<title>Reverse transcription-quantitative (RT-q) PCR</title>
<p>Total RNA was extracted from HepG2 and Huh7 cells treated with cordycepin and/or JSH-23 using TRIzol<sup>&#x000AE;</sup> reagent, according to the manufacturer's instructions. The RNA concentration and purity were measured using an ultraviolet spectrophotometer, and A260/A280 in the range of 1.8-2 was regarded as acceptable. Total RNA (1 <italic>&#x000B5;</italic>g) was reverse transcribed into cDNA using the PrimeScriptTM RT reagent according to the manufacturer's instructions. The reverse transcription conditions were 37&#x000B0;C for 15 min, followed by 85&#x000B0;C for 5 sec, and storage at 4&#x000B0;C. Subsequently, qPCR was conducted using a Bio-Rad qPCR instrument (Bio-Rad Laboratories, Inc.) with &#x003B2;-actin as the internal reference. The reaction procedure was as follows: pre-denaturation at 95&#x000B0;C for 2 min, denaturation at 95&#x000B0;C for 15 sec, and annealing at 60&#x000B0;C for 15 sec (repeated for 40 cycles). The relative expression levels of the target gene were calculated using the 2<sup>&#x02212;&#x00394;&#x00394;Cq</sup> method (<xref rid="b35-ijmm-45-01-0141" ref-type="bibr">35</xref>). Each sample was run in triplicate and all experiments were repeated three independent times. The primer sequences were as follows: CXCR4 forward, 5&#x02032;-CGGAATTCCAGCAGGTAGCAAAGTGACG-3&#x02032; and reverse, 5&#x02032;-GACGCCAACATAGACCACCT-3&#x02032;; and &#x003B2;-actin forward, 5&#x02032;-CCTCGCCTTTGCCGATCC-3&#x02032; and reverse, 5&#x02032;-GGATCTTCATGAGGTAGTCAGTC-3&#x02032;.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>HepG2 and Huh7 cells treated with cordycepin or JSH-23 were harvested for total protein extraction using cell lysis buffer for western and IP (Beyotime Institute of Biotechnology), and the protein concentration was determined using the bicinchoninic acid assay method. The protein samples (30 <italic>&#x000B5;</italic>g per lane) were separated by 10% SDS-PAGE, transferred onto a PVDF membrane, and blocked with 5% skim milk at room temperature for 2 h. The membranes were incubated with the primary antibodies overnight at 4&#x000B0;C (&#x003B2;-actin dilution 1:4,000; all other primary antibodies diluted 1:1,000). The membrane was then incubated with the secondary antibody at room temperature for 2-4 h (1:5,000). After washing with TBS/0.1% Tween-20, the bands were visualized using enhanced chemiluminescence solution and images were captured using a gel imager (Bio-Rad Laboratories, Inc.). The gray values were analyzed using Bio-Rad Image Lab Software 5.1 (Bio-Rad Laboratories, Inc.).</p></sec>
<sec>
<title>Nuclear protein extraction using NE-PER&#x02122; nuclear and cytoplasmic extraction reagents</title>
<p>HepG2 and Huh7 cells (5-10&#x000D7;10<sup>6</sup>) treated with cordycepin and/or JSH-23 were collected and washed with cold PBS via centrifugation at 8,000 &#x000D7; g for 10 min (4&#x000B0;C). After discarding the supernatant, the cell pellets were resuspended in pre-cooled Cytoplasmic Extraction Reagent (CER) I, followed by a 10 min incubation on ice. The cells were then vortexed for 5 sec with pre-cooled CER II reagent, and incubated on ice for 1 min. Following centrifugation at 15,000 &#x000D7; g for 10 min, the supernatants (cytoplasmic fraction) were immediately transferred to a pre-chilled EP tube. The pellets were resuspended in pre-cooled Nuclear Extraction Reagent for 40 min on ice, with vortexing at 15 min intervals. Finally, the solution was centrifuged for 10 min at 15,000 &#x000D7; g (4&#x000B0;C), and the supernatants (nuclear fraction) were transferred to a clean pre-cooled EP tube. The nuclear extracts were subsequently analyzed by western blotting.</p></sec>
<sec>
<title>Immunofluorescence</title>
<p>HepG2 and Huh7 cells were cultured on sterile slides and treated with cordycepin and/or JSH-23. The slides were washed with PBS three times for 5 min each, and then fixed with 4% paraformaldehyde for 30 min at room temperature. The slides were washed for a further three times for 5 min each with PBS, followed by permeabilization with PBS/0.25% Triton for 10 min. The slides were then washed once more (PBS, three times for 5 min each) and blocked with 5% bovine serum albumin (BSA) solution for 1 h. Each sample was incubated with rabbit anti-human P65 primary antibody (1:300, diluted in 5% BSA) at 4&#x000B0;C for 12-24 h, washed with PBS three times, and then incubated with goat anti-rabbit Alexa Fluor<sup>&#x000AE;</sup> 555 secondary antibody (1:300, diluted in 5% BSA) at room temperature for 2-3 h. Following further washing with PBS, the slides were stained with DAPI solution (1:10,000) for 5-10 min. Following a final round of washing with PBS, 50% glycerol were added onto each coverslip and the cells were observed under a fluorescence microscope.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data analysis was conducted using SPSS 21.0 (IBM Corp.) and GraphPad Prism 6.0 (GraphPad Software, Inc.). Mean comparisons among multiple groups were performed using one-way analysis of variance with Dunnett's post hoc test. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Cordycepin inhibits the migration and invasion abilities of HepG2 and Huh7 cells, and downregulates the expression of CXCR4</title>
<p>As described previously (<xref rid="b36-ijmm-45-01-0141" ref-type="bibr">36</xref>), relatively high concentrations of cordycepin induce apoptosis and inhibit proliferation of HepG2 cells. To determine an appropriate concentration that has no significant effect on the proliferation of HepG2 and Huh7 cells, a dose-curve experiment was performed in the present study. When the concentration of cordycepin was 1, 5 and 10 <italic>&#x000B5;</italic>M, no significant difference was observed in the proliferation of HepG2 and Huh7 cells by CCK-8 assay, compared with the untreated cells (<xref rid="f1-ijmm-45-01-0141" ref-type="fig">Fig. 1A</xref>). Additionally, as presented in <xref rid="f2-ijmm-45-01-0141" ref-type="fig">Fig. 2</xref>, the migratory and invasive abilities of HepG2 (<xref rid="f2-ijmm-45-01-0141" ref-type="fig">Fig. 2A-D</xref>) and Huh7 cells (<xref rid="f2-ijmm-45-01-0141" ref-type="fig">Fig. 2E-H</xref>) treated with these concentrations of cordycepin (1, 5 and 10 <italic>&#x000B5;</italic>M) were significantly inhibited (P&lt;0.05) in a dose-dependent manner (with the exception of Huh7 cells treated with 1 <italic>&#x000B5;</italic>M cordycepin; P&gt;0.05), compared with the untreated controls. Finally, compared with untreated cells, a significant dose-dependent downregulation of CXCR4 expression was observed by RT-qPCR and western blot assays (P&lt;0.05; <xref rid="f2-ijmm-45-01-0141" ref-type="fig">Fig. 2I-N</xref>). Therefore, three different concentrations of cordycepin (1, 5 and 10 <italic>&#x000B5;</italic>M) were selected for subsequent experiments, which suppressed the cell migratory and invasive capabilities, but had no significant effect on cell proliferation.</p></sec>
<sec>
<title>Cordycepin inhibits the activation of the NF-&#x003BA;B signaling pathway</title>
<p>Human liver cancer cells were treated with 1, 5 and 10 <italic>&#x000B5;</italic>M cordycepin. The expression and activation of NF-&#x003BA;B signaling pathway-related proteins, including t-I&#x003BA;B&#x003B1;, p-I&#x003BA;B&#x003B1;, t-P65 and p-P65, were evaluated by western blotting. As demonstrated in <xref rid="f3-ijmm-45-01-0141" ref-type="fig">Fig. 3</xref>, different concentrations of cordycepin significantly downregulated the activation of I&#x003BA;B&#x003B1; and P65, and the expression levels of p-I&#x003BA;B&#x003B1; and p-P65 (P&lt;0.05). No significant differences were observed in the expression levels of t-I&#x003BA;B&#x003B1; and t-P65.</p></sec>
<sec>
<title>Cordycepin alone, or in combination with JSH-23, restricts the nuclear translocation of P65</title>
<p>To exclude the possibility of an effect of JSH-23 on the viability of HepG2 and Huh7 cells and to select a suitable drug concentration (<xref rid="b37-ijmm-45-01-0141" ref-type="bibr">37</xref>), a CCK-8 assay was performed. The results indicated that concentrations up to 1 <italic>&#x000B5;</italic>M of JSH-23 did not significantly alter cell proliferation compared with the untreated cells (<xref rid="f1-ijmm-45-01-0141" ref-type="fig">Fig. 1B</xref>). As presented in <xref rid="f4-ijmm-45-01-0141" ref-type="fig">Fig. 4</xref>, a significant increase in t-P65 was observed in the cytoplasm of HepG2 (<xref rid="f4-ijmm-45-01-0141" ref-type="fig">Fig. 4A and B</xref>) and Huh7 (<xref rid="f4-ijmm-45-01-0141" ref-type="fig">Fig. 4C and D</xref>) cells following treatment with 10 <italic>&#x000B5;</italic>M cordycepin (P&lt;0.05), as well as a corresponding reduction in the nuclear fraction (P&lt;0.05), compared with the untreated-control groups. Immunofluorescence analysis indicated that the co-administration of 1 <italic>&#x000B5;</italic>M JSH-23 and 10 <italic>&#x000B5;</italic>M cordycepin markedly inhibited the nuclear translocation of P65 in HepG2 (<xref rid="f4-ijmm-45-01-0141" ref-type="fig">Fig. 4E</xref>) and Huh7 cells (<xref rid="f4-ijmm-45-01-0141" ref-type="fig">Fig. 4F</xref>).</p></sec>
<sec>
<title>Synergistic effects of cordycepin and JSH-23 in suppressing the migration and invasion abilities of HepG2 and Huh7 human liver cancer cells</title>
<p>The results of the present study preliminarily suggested that cordycepin inhibited the phosphorylation of I&#x003BA;B, as well as the activation and nuclear localization of P65, altering the expression of its downstream gene, CXCR4. As demonstrated in <xref rid="f5-ijmm-45-01-0141" ref-type="fig">Fig. 5</xref>, treatment with 10 <italic>&#x000B5;</italic>M cordycepin and/or 1 <italic>&#x000B5;</italic>M JSH-23 suppressed the migration (<xref rid="f5-ijmm-45-01-0141" ref-type="fig">Fig. 5A, B, E and F</xref>) and invasion (<xref rid="f5-ijmm-45-01-0141" ref-type="fig">Fig. 5C, D, G and H</xref>) capacities of liver cancer cells compared with untreated controls (P&lt;0.05). Furthermore, the combination treatment revealed a synergistic inhibitory effect (P&lt;0.05; <xref rid="f5-ijmm-45-01-0141" ref-type="fig">Fig. 5</xref>) compared with cordycepin treatment alone.</p></sec>
<sec>
<title>Co-treatment with cordycepin and JSH-23 inhibits the activation of the NF-&#x003BA;B signaling pathway, decreasing the expression of CXCR4 in human liver cancer cells</title>
<p>In order to understand the underlying synergistic mechanism between cordycepin and JSH-23, the expression of NF-&#x003BA;B signaling pathway-associated proteins (t-I&#x003BA;B&#x003B1;, p-I&#x003BA;B&#x003B1;, t-P65 and p-P65) was detected using RT-qPCR and western blotting. As shown in <xref rid="f6-ijmm-45-01-0141" ref-type="fig">Fig. 6</xref>, treatment with cordycepin (10 <italic>&#x000B5;</italic>M) alone reduced I&#x003BA;B&#x003B1; and P65 phosphorylation in HepG2 and Huh7 human liver cancer cells (P&lt;0.05). The co-treatment with cordycepin (10 <italic>&#x000B5;</italic>M) and JSH-23 (1 <italic>&#x000B5;</italic>M) significantly inhibited the expression of CXCR4 (P&lt;0.05; <xref rid="f6-ijmm-45-01-0141" ref-type="fig">Fig. 6</xref>), compared with cordycepin treatment alone. No significant effect on the expression levels of t-I&#x003BA;B&#x003B1; and t-P65 was observed by any of the indicated treatments (<xref rid="f6-ijmm-45-01-0141" ref-type="fig">Fig. 6</xref>).</p></sec>
<sec>
<title>Cordycepin and JSH-23 treatment inhibits the chemotactic migration ability of HepG2 and Huh7 human liver cancer cells to SDF1</title>
<p>SDF1, a specific ligand for CXCR4, was used to detect the chemotactic ability of human liver cancer cells treated with 10 <italic>&#x000B5;</italic>M cordycepin and/or 1 <italic>&#x000B5;</italic>M JSH-23 via Transwell assays. <xref rid="f7-ijmm-45-01-0141" ref-type="fig">Fig. 7</xref> illustrates that cordycepin and JSH-23 monotherapy significantly reduced the chemotactic sensitivity of the cells to SDF1 (P&lt;0.05), and that combination treatment further enhanced this effect compared with the control cells (P&lt;0.05).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Worldwide, liver cancer results in almost one million deaths annually, most of which are associated with metastasis (<xref rid="b1-ijmm-45-01-0141" ref-type="bibr">1</xref>-<xref rid="b3-ijmm-45-01-0141" ref-type="bibr">3</xref>,<xref rid="b12-ijmm-45-01-0141" ref-type="bibr">12</xref>). The treatment of liver cancer remains predominantly based on surgical resection combined with radio-, chemo- and targeted therapy, which inhibit the malignant proliferation of liver cancer cells, but do not inhibit tumor metastasis (<xref rid="b6-ijmm-45-01-0141" ref-type="bibr">6</xref>,<xref rid="b12-ijmm-45-01-0141" ref-type="bibr">12</xref>). For example, 5-fluorouracil and cisplatin primarily inhibit liver cancer cell proliferation and induce apoptosis (<xref rid="b38-ijmm-45-01-0141" ref-type="bibr">38</xref>-<xref rid="b40-ijmm-45-01-0141" ref-type="bibr">40</xref>). Sorafenib, a first-line liver cancer drug, inhibits angiogenesis of liver cancer cells, thereby cutting off the blood supply to tumors and inhibiting the proliferation of tumor cells (<xref rid="b41-ijmm-45-01-0141" ref-type="bibr">41</xref>,<xref rid="b42-ijmm-45-01-0141" ref-type="bibr">42</xref>). However, there are few reports concerning the application of targeted inhibitors of liver cancer metastasis. Cordycepin, a natural fungal compound, has been implicated in a variety of pathophysiological processes (<xref rid="b31-ijmm-45-01-0141" ref-type="bibr">31</xref>,<xref rid="b32-ijmm-45-01-0141" ref-type="bibr">32</xref>), and has been approved for clinical trials due its significant antiviral and anticancerous activities (<xref rid="b43-ijmm-45-01-0141" ref-type="bibr">43</xref>-<xref rid="b46-ijmm-45-01-0141" ref-type="bibr">46</xref>).</p>
<p>Using several functional experiments, the present study demonstrated that cordycepin inhibited the migration and invasion of liver cancer cells <italic>in vitro</italic> and significantly down-regulated the expression of CXCR4. Although the Huh7 cell line is derived from well-differentiated liver cancer, and the HepG2 cell line is commonly used in metabolism-related studies, these two types of cells are widely used in migration and invasion experiments (<xref rid="b47-ijmm-45-01-0141" ref-type="bibr">47</xref>-<xref rid="b50-ijmm-45-01-0141" ref-type="bibr">50</xref>). In the present study, the results suggested that cordycepin had positive effect on two different liver cancer cell lines, which suggests that it might be a valuable drug for cancer treatment. Additionally, the synergistic effect of cordycepin in combination with the NF-&#x003BA;B pathway inhibitor JSH-23 was demonstrated. Previous studies have also shown that CXCR4 is highly expressed in liver cancer tissues (<xref rid="b19-ijmm-45-01-0141" ref-type="bibr">19</xref>), and that liver cancer cells preferentially metastasize to organs and tissues with abundant expression of the CXCR4 ligand SDF1, such as the lungs (<xref rid="b51-ijmm-45-01-0141" ref-type="bibr">51</xref>,<xref rid="b52-ijmm-45-01-0141" ref-type="bibr">52</xref>) and bone marrow (<xref rid="b53-ijmm-45-01-0141" ref-type="bibr">53</xref>-<xref rid="b55-ijmm-45-01-0141" ref-type="bibr">55</xref>). <italic>In vitro</italic> studies have demonstrated that overexpression or silencing of CXCR4 in tumor cells promoted or inhibited, respectively, their migratory and invasive ability (<xref rid="b19-ijmm-45-01-0141" ref-type="bibr">19</xref>,<xref rid="b26-ijmm-45-01-0141" ref-type="bibr">26</xref>). Therefore, the present study preliminarily concluded that cordycepin inhibited the <italic>in vitro</italic> migration and invasion of liver cancer cells by down-regulating the expression of CXCR4.</p>
<p>Mechanistically, the present study revealed that the phosphorylation levels of P65 and I&#x003BA;B&#x003B1; in liver cancer cells changed significantly following cordycepin treatment. A previous study suggested that I&#x003BA;B-molecules form a conjugated complex with the P65/P50 heterodimer, inactivating P65 (<xref rid="b56-ijmm-45-01-0141" ref-type="bibr">56</xref>). When phosphorylated, I&#x003BA;B dissociated from the P65/P50 complex. Free p-I&#x003BA;Bs undergo ubiquitination, while P65 is phosphory-lated and activated. Subsequently, p-P65 enters to nucleus, activating specific transcription factors and increasing the expression of a series of genes (<xref rid="b57-ijmm-45-01-0141" ref-type="bibr">57</xref>,<xref rid="b58-ijmm-45-01-0141" ref-type="bibr">58</xref>). In the present study, cordycepin treatment was found to significantly inhibit I&#x003BA;B&#x003B1; phosphorylation, restricting the nuclear translocation of P65 and preventing transcription factor activation, thereby regulating the expression of CXCR4. These results suggested that cordycepin may regulate the NF-&#x003BA;B pathway by inhibiting I&#x003BA;B&#x003B1; phosphorylation, thereby modulating its downstream targets, which include CXCR4.</p>
<p>JSH-23, an NF-&#x003BA;B pathway inhibitor (<xref rid="b59-ijmm-45-01-0141" ref-type="bibr">59</xref>), has similar effects to cordycepin, but does not significantly influence the phosphorylation status of I&#x003BA;B&#x003B1;. When JSH-23 was combined with cordycepin in the present study, a synergistic inhibitory effect on the migration and invasion capacities of liver cancer cells was observed.</p>
<p>Collectively, the results of the present study demonstrated that cordycepin inhibited the activation and nuclear translocation of P65 by inhibiting the phosphorylation of I&#x003BA;B&#x003B1;, thereby downregulating CXCR4. Furthermore, the inhibitory effects of cordycepin were significantly enhanced following combination with JSH-23, which suggested that cordycepin may have the potential to prevent liver cancer metastasis when used in combination with other therapeutic compounds.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank Rongmu Xia (School of Medicine, Xiamen University, Xiamen, Fujian, China) for repeating part of the experiments and his technical guidance on our experiments.</p></ack>
<sec sec-type="other">
<title>Funding</title>
<p>No funding was received.</p></sec>
<sec sec-type="materials">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p></sec>
<sec sec-type="other">
<title>Authors' contributions</title>
<p>YH conceived and designed the study. ZG, WC and GD performed experiments, data acquisition and analysis. YH wrote the manuscript. All authors read and approved the final manuscript.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Patient consent for publication</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p></sec>
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<floats-group>
<fig id="f1-ijmm-45-01-0141" position="float">
<label>Figure 1</label>
<caption>
<p>Cytotoxicity of different concentrations of cordycepin and JSH-23 to liver cancer cell lines. CCK-8 assays were used to assess cell proliferation following treatment with the indicated concentrations of (A) cordycepin and (B) JSH-23. Error bars indicate standard deviation. Experiments were performed in triplicate. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g00.tif"/></fig>
<fig id="f2-ijmm-45-01-0141" position="float">
<label>Figure 2</label>
<caption>
<p>Cordycepin inhibits the migratory and invasive properties of HepG2 and Huh7 human liver cancer cells, and downregulates the expression of CXCR4. (A) Representative images (scale bar, 100 <italic>&#x000B5;</italic>m) and (B) quantification of migration assays in HepG2 cells. (C) Representative images (scale bar, 100 <italic>&#x000B5;</italic>m) and (D) quantification of invasion assays in HepG2 cells. (E) Representative images (magnification, &#x000D7;200) and (F) quantification of migration assays in Huh7 cells. (G) Representative images (magnification, &#x000D7;200) and (H) quantification of invasion assays in Huh7 cells. (I) Representative blots and (J) densitometry analysis of CXCR4 protein expression levels in HepG2 cells. (K) mRNA expression levels of CXCR4 in HepG2 cells. (L) Representative blots and (M) densitometry analysis of CXCR4 protein expression levels in Huh7 cells. (N) mRNA expression levels of CXCR4 in Huh7 cells. Experiments were performed in triplicate. Error bars indicate standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control. CXCR4, C-X-C chemokine receptor type 4.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g01.tif"/></fig>
<fig id="f3-ijmm-45-01-0141" position="float">
<label>Figure 3</label>
<caption>
<p>Cordycepin inhibits the activation of the NF-&#x003BA;B signaling pathway in HepG2 and Huh7 human liver cancer cells. Cells were treated with the indicated concentrations of cordycepin, and the phosphorylation status of I&#x003BA;B and P65 was analyzed by western botting. (A) Representative blots and (B) densitometry analysis in HepG2 cells. (C) Representative blots and (D) densitometry analysis in Hh7 cells. Error bars indicate standard deviation. Experiments were performed in triplicate. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control. I&#x003BA;B&#x003B1;, NF-&#x003BA;B inhibitor &#x003B1;; p-, phosphorylated; t-, total.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g02.tif"/></fig>
<fig id="f4-ijmm-45-01-0141" position="float">
<label>Figure 4</label>
<caption>
<p>Cordycepin, alone or combined with the NF-&#x003BA;B signaling pathway inhibitor JSH-23, inhibits the nuclear translocation of P65. (A) HepG2 cells were treated with 10 <italic>&#x000B5;</italic>M cordycepin and the levels of t-P65 were examined in the cytoplasmic and the nuclear fractions. Representative blots and (B) quantification is shown. (C) Huh7 cells were treated with 10 <italic>&#x000B5;</italic>M cordycepin and the levels of t-P65 were examined in the cytoplasmic and the nuclear fractions. Representative blots and (D) quantification is shown. (E) Immunofluorescence analysis revealed that the combination of cordycepin (10 <italic>&#x000B5;</italic>M) and JSH-23 (1 <italic>&#x000B5;</italic>M) significantly inhibited the nuclear localization of P65 in HepG2 and (F) Huh7 cells. Magnification, &#x000D7;400. Error bars indicate standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control. t-, total.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g03.tif"/></fig>
<fig id="f5-ijmm-45-01-0141" position="float">
<label>Figure 5</label>
<caption>
<p>Combination treatment with cordycepin and JSH-23 inhibits the migratory and invasive capacities of human liver cancer cells. Cells were treated with 10 <italic>&#x000B5;</italic>M cordycepin, 1 <italic>&#x000B5;</italic>M JSH-23 or their combination, and analyzed for migration and invasion by Transwell assays. (A) Representative images (scale bar, 50 <italic>&#x000B5;</italic>m) and (B) quantification of HepG2 cell migration. (C) Representative images (scale bar, 50 &#x003BC;m) and (D) quantification of HepG2 cell invasion. (E) Representative images (magnification, &#x000D7;100) and (F) quantification of Huh7 cell migration. (G) Representative images (magnification, &#x000D7;100) and (H) quantification of Huh7 cell invasion. Error bars indicate standard deviation. Experiments were performed in triplicate. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control; and <sup>#</sup>P&lt;0.05 vs. cordycepin alone.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g04.tif"/></fig>
<fig id="f6-ijmm-45-01-0141" position="float">
<label>Figure 6</label>
<caption>
<p>Combination treatment with cordycepin and JSH-23 inhibits the activation of NF-&#x003BA;B signaling and downregulates CXCR4 expression. Cells were treated with 10 <italic>&#x000B5;</italic>M cordycepin, 1 <italic>&#x000B5;</italic>M JSH-23 or their combination, and the expression levels of CXCR4 and the phosphorylation status of I&#x003BA;B and P65 were analyzed by western blotting. (A) Representative blots and (B) densitometry analysis in HepG2 cells. (C) Representative blot and (D) densitometry analysis in Huh7 cells. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control; and <sup>#</sup>P&lt;0.05 vs. cordycepin alone. CXCR4, C-X-C chemokine receptor type 4; I&#x003BA;B&#x003B1;, NF-&#x003BA;B inhibitor &#x003B1;; p-, phosphorylated; t-, total.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g05.tif"/></fig>
<fig id="f7-ijmm-45-01-0141" position="float">
<label>Figure 7</label>
<caption>
<p>Combination treatment with cordycepin and JSH-23 inhibits the chemotactic migration ability of human liver cancer cells to SDF1. Cells were treated with 10 <italic>&#x000B5;</italic>M cordycepin, 1 <italic>&#x000B5;</italic>M JSH-23 or their combination, and chemotactic migration towards SDF1 was measured by Transwell assays. (A) Representative images (scale bar, 50 <italic>&#x000B5;</italic>m) and (B) quantification in HepG2 cells. (C) Representative images (magnification, &#x000D7;100) and (D) quantification in Huh7 cells. Data are presented as the means &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 vs. untreated control; and <sup>#</sup>P&lt;0.05 vs. cordycepin alone. SDF1, stromal cell-derived factor 1.</p></caption>
<graphic xlink:href="IJMM-45-01-0141-g06.tif"/></fig></floats-group></article>
