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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2013.1782</article-id>
<article-id pub-id-type="publisher-id">ijo-42-03-1093</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Prostaglandin E<sub>2</sub> promotes liver cancer cell growth by the upregulation of FUSE-binding protein 1 expression</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>MA</surname><given-names>JUAN</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>MENG</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>XIA</surname><given-names>SHU-KAI</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>SHU</surname><given-names>WEI</given-names></name><xref rid="af2-ijo-42-03-1093" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>GUO</surname><given-names>YAN</given-names></name><xref rid="af3-ijo-42-03-1093" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>YAO-HUI</given-names></name><xref rid="af4-ijo-42-03-1093" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>YAN</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>BAI</surname><given-names>XIAO-MING</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>LI</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>HAI</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>MIN</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>YI-PIN</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LENG</surname><given-names>JING</given-names></name><xref rid="af1-ijo-42-03-1093" ref-type="aff"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-ijo-42-03-1093"/></contrib></contrib-group>
<aff id="af1-ijo-42-03-1093">
<label>1</label>Cancer Center, Department of Pathology, Nanjing Medical University</aff>
<aff id="af2-ijo-42-03-1093">
<label>2</label>Stomatology Research Institute, Affiliated Stomatological Hospital, Nanjing Medical University</aff>
<aff id="af3-ijo-42-03-1093">
<label>3</label>Institute of Pediatrics of the Fourth Clinical College, Nanjing Medical University</aff>
<aff id="af4-ijo-42-03-1093">
<label>4</label>Department of Pathology, TCM Hospital of Jiangsu Province, Nanjing 210029, 
<country>P.R. China</country></aff>
<author-notes>
<corresp id="c1-ijo-42-03-1093">Correspondence to: Professor Jing Leng, Cancer Center, Department of Pathology, Nanjing Medical University, 140 Hanzhong Road, Nanjing 210029, P.R. China, E-mail: <email>lengjing@njmu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="epub">
<day>18</day>
<month>01</month>
<year>2013</year></pub-date>
<pub-date pub-type="collection">
<month>3</month>
<year>2013</year></pub-date>
<volume>42</volume>
<issue>3</issue>
<fpage>1093</fpage>
<lpage>1104</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>10</month>
<year>2012</year></date>
<date date-type="accepted">
<day>29</day>
<month>11</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Liver cancer is a common human cancer with a high mortality rate and currently there is no effective chemo-prevention or systematic treatment. Recent evidence suggests that prostaglandin E<sub>2</sub> (PGE<sub>2</sub>) plays an important role in the occurrence and development of liver cancer. However, the mechanisms through which PGE<sub>2</sub> promotes liver cancer cell growth are not yet fully understood. It has been reported that the increased expression of FUSE-binding protein 1 (FBP1) significantly induces the proliferation of liver cancer cells. In this study, we report that PGE<sub>2</sub> promotes liver cancer cell growth by the upregulation of FBP1 protein expression. Treatment with PGE<sub>2</sub> and the E prostanoid 3 (EP3) receptor agonist, sulprostone, resulted in the time-dependent increase in FBP1 protein expression; sulprostone increased the viability of the liver cancer cells. The protein kinase A (PKA) inhibitor, H89, and the adenylate cyclase (AC) inhibitor, SQ22536, inhibited the cell viability accelerated by sulprostone. By contrast, the Gi subunit inhibitor, pertussis toxin (PTX), exhibited no significant effect. Treatment with PGE<sub>2</sub> and sulprostone caused a decrease in JTV1 protein expression, blocked the binding of JTV1 with FBP1, which served as a mechanism for FBP1 degradation, leading to the decreased ubiquitination of FBP1 and the increase in FBP1 protein expression. Furthermore, H89 and SQ22536 prevented the above effects of JTV1 and FBP1 induced by PGE<sub>2</sub> and sulprostone. These findings indicate that the EP3 receptor activated by PGE<sub>2</sub> may couple to Gs protein and activate cyclic AMP (cAMP)-PKA, downregulating the levels of JTV1 protein, consequently inhibiting the ubiquitination of FBP1 and increasing FBP1 protein expression, thus promoting liver cancer cell growth. These observations provide new insights into the mechanisms through which PGE<sub>2</sub> promotes cancer cell growth.</p></abstract>
<kwd-group>
<kwd>FUSE-binding protein 1</kwd>
<kwd>prostaglandin E<sub>2</sub></kwd>
<kwd>E prostanoid 3 receptor</kwd>
<kwd>liver cancer</kwd>
<kwd>JTV1</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Recent studies have shown that mediators of inflammation, such as prostaglandins (PGs), play an important role in tumorigenesis (<xref rid="b1-ijo-42-03-1093" ref-type="bibr">1</xref>,<xref rid="b2-ijo-42-03-1093" ref-type="bibr">2</xref>). Cyclooxygenase-2 (COX-2) is the key enzyme involved, as it triggers PG synthesis. The increased expression of COX-2 and the production of PGs are involved in the genesis of various human cancers, including carcinoma of the liver, colon, stomach, breast and lung (<xref rid="b3-ijo-42-03-1093" ref-type="bibr">3</xref>&#x02013;<xref rid="b7-ijo-42-03-1093" ref-type="bibr">7</xref>). The knockdown of COX-2 gene expression suppresses skin carcinogenesis (<xref rid="b8-ijo-42-03-1093" ref-type="bibr">8</xref>), and the targeted expression of COX-2 promotes colon cancer cell growth (<xref rid="b9-ijo-42-03-1093" ref-type="bibr">9</xref>) and enhances skin tumorigenesis (<xref rid="b8-ijo-42-03-1093" ref-type="bibr">8</xref>). Accumulating evidence has indicated that prostaglandin E<sub>2</sub> (PGE<sub>2</sub>) promotes liver cancer cell growth (<xref rid="b10-ijo-42-03-1093" ref-type="bibr">10</xref>,<xref rid="b11-ijo-42-03-1093" ref-type="bibr">11</xref>); however, the exact mechanisms through which PGE<sub>2</sub> regulates liver cancer development are currently unknown.</p>
<p>PGE<sub>2</sub> signaling stimulates its G-protein-coupled plasma membrane receptors &#x0005B;E prostanoid (EP)1&#x02013;4&#x0005D;, which activate multiple signal transduction pathways leading to downstream responses. The EP1 receptor mainly couples to Gq protein and upregulates the level of intracellular Ca<sup>2&#x0002B;</sup>; EP2 and EP4 receptors couple to Gs protein, activate adenylate cyclase (AC) and increase the production of intracellular cyclic AMP (cAMP); however, the EP3 receptor couples to Gi protein, inactivates AC and decreases the formation of intracellular cAMP (<xref rid="b12-ijo-42-03-1093" ref-type="bibr">12</xref>). Thus, the specific target of PGE<sub>2</sub> in regulating cancer cell growth through EP receptors has not yet been well illustrated.</p>
<p>The EP3 receptor has multiple isoforms generated through alternative mRNA splicing in the carboxyl tail of the EP3 receptor gene. Thus far, 11 mRNA splice variants of the human EP3 receptor have been identified (<xref rid="b13-ijo-42-03-1093" ref-type="bibr">13</xref>&#x02013;<xref rid="b15-ijo-42-03-1093" ref-type="bibr">15</xref>). Evidence of different signal transduction pathways and the regulation of gene expression among different EP3 receptor isoforms has also been demonstrated in a number of studies (<xref rid="b16-ijo-42-03-1093" ref-type="bibr">16</xref>&#x02013;<xref rid="b18-ijo-42-03-1093" ref-type="bibr">18</xref>).</p>
<p>The FUSE-binding proteins (FBPs) are a family of 3 regulatory proteins, termed FBP1, FBP2 and FBP3 (<xref rid="b19-ijo-42-03-1093" ref-type="bibr">19</xref>). FBP1 was initially characterized as a protein targeting the far upstream element, a positive <italic>cis</italic>-element of the human c-<italic>myc</italic> gene (<xref rid="b19-ijo-42-03-1093" ref-type="bibr">19</xref>). In liver, renal and cervix carcinoma cell lines, FBP1 plays a role in tumorigenesis by regulating <italic>c-myc</italic> transcript and protein levels (<xref rid="b19-ijo-42-03-1093" ref-type="bibr">19</xref>&#x02013;<xref rid="b22-ijo-42-03-1093" ref-type="bibr">22</xref>). FBP1 knockdown suppresses cell proliferation (<xref rid="b20-ijo-42-03-1093" ref-type="bibr">20</xref>,<xref rid="b23-ijo-42-03-1093" ref-type="bibr">23</xref>), increases sensitivity to apoptotic stimuli (<xref rid="b23-ijo-42-03-1093" ref-type="bibr">23</xref>) and affects the maintenance of morphology in human hepatocellular carcinoma cells (<xref rid="b20-ijo-42-03-1093" ref-type="bibr">20</xref>). Consistent with these observations, FBP1 knockdown has been shown to impair liver tumor formation in a mouse xenograft transplantation model (<xref rid="b23-ijo-42-03-1093" ref-type="bibr">23</xref>). The overexpression of FBP1 promotes the proliferation of liver cancer cells (<xref rid="b20-ijo-42-03-1093" ref-type="bibr">20</xref>,<xref rid="b22-ijo-42-03-1093" ref-type="bibr">22</xref>,<xref rid="b24-ijo-42-03-1093" ref-type="bibr">24</xref>). FBP1 overexpression significantly correlates with the proliferation and motility of human non-small cell lung cancer cells (<xref rid="b25-ijo-42-03-1093" ref-type="bibr">25</xref>). Thus, FBP1 plays a role in malignant cell transformation. These findings strongly suggest the importance of FBP1 in the development and progression of human cancers.</p>
<p>Our previous studies demonstrated that EP3 receptor agonist upregulated FBP1 protein expression and promoted the proliferation of liver cancer cells (unpublished data). Thus, we hypothesized that PGE<sub>2</sub> may promote liver cancer cell growth through the upregulation of FBP1 expression via the EP3 receptor pathway; the molecular mechanisms involved have not yet been reported.</p>
<p>Our present results revealed that EP3 receptor activated by PGE<sub>2</sub> couples to Gs protein and activates cAMP-protein kinase A (PKA), downregulating the level of JTV1 protein, consequently inhibiting the ubiquitination of FBP1 and increasing FBP1 protein expression, thus promoting liver cancer cell growth.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Antibodies and reagents</title>
<p>PGE<sub>2</sub>, the EP3 receptor agonist, sulprostone, and the Cyclic AMP EIA kit were purchased from Cayman Chemical Co. (Ann Arbor, MI, USA). The cell proliferation assay reagent, WST-1, was purchased from Dojindo Laboratories (Kumamoto, Japan). The human transforming growth factor-&#x003B2;1 (TGF-&#x003B2;<sub>1</sub>) was purchased from R&#x00026;D Systems (Minneapolis, MN, USA). The EP3 receptor selective antagonist, L-798106, the PKA inhibitor, H89, the AC inhibitor, SQ22536, the cAMP analog, db-cAMP, and the Gi inhibitor, pertussis toxin (PTX), were obtained from Sigma-Aldrich (St. Louis, MO, USA). Lipofectamine&#x02122; 2000 and siRNA were purchased from Invitrogen (Carlsbad, CA, USA). Anti-EP3 (AV34104) and anti-&#x003B2;-actin antibodies were obtained from Sigma-Aldrich. Anti-FBP1 antibody (sc-11098) and protein A/G (sc-2003) were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Anti-JTV1 antibody (10424-1-AP) was purchased from Proteintech (Chicago, IL, USA). Anti-ubiquitin antibody (ab19247) was purchased from Abcam (Cambridge, UK). Anti-p-Smad2 (BS4172) and anti-Smad2 (BS1425) antibodies were obtained from Bioworld Technology Inc. (St. Louis Park, MN, USA).</p></sec>
<sec>
<title>Cell lines and culture</title>
<p>CCLP1 human liver cancer cells from the Department of Transplantation Pathology, University of Pittsburgh Medical Center (UPMC; Pittsburgh, PA, USA) were cultured in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM), supplemented with 10&#x00025; FBS, 2 mM L-glutamine, and 50 <italic>&#x003BC;</italic>g/ml gentamicin at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub>.</p></sec>
<sec>
<title>Cell proliferation</title>
<p>Cell growth was determined using the cell proliferation reagent, WST-1, a tetrazolium salt that is cleaved by mitochondrial dehydrogenases in viable cells. Briefly, 100 <italic>&#x003BC;</italic>l of cell suspension (containing 0.5&#x02013;2&#x000D7;10<sup>4</sup> cells) were plated in each well of 96-well plates. Cells were cultured overnight. The cells were then incubated with different treatments at the indicated concentrations and time periods. Cell proliferation reagent, WST-1 (10 <italic>&#x003BC;</italic>l), was subsequently added to each well. The incubation was continued from 30 min to 4 h at 37&#x000B0;C, and absorbance at 450 nm was measured using an automatic ELISA plate reader.</p></sec>
<sec>
<title>Overexpression of EP3-4 plasmid in CCLP1 cells</title>
<p>The CCLP1 cells were exposed to the mixture of Lipofectamine 2000 and EP3-4 plasmid or pcDNA3.1 control vector for 4 h. Following the removal of the transfection mixtures, fresh DMEM with 10&#x00025; fetal bovine serum was added. On the second day, the medium was changed, and the cells were incubated with medium containing 300 <italic>&#x003BC;</italic>g/ml G418 sulfate. Subsequent cultures of selected CCLP1 cells were routinely grown in the presence of selective pressure. Western blot analysis was performed in the selected cells permanently transfected with EP3-4 or control plasmids. The selected cells with the successful increase in EP3-4 expression were subsequently used for further experiments.</p></sec>
<sec>
<title>RNA interference</title>
<p>Cells were transfected with either EP3-4 siRNA or with the negative RNA duplex as the control using Lipofectamine 2000. The depletion of EP3-4 was confirmed by western blot analysis.</p></sec>
<sec>
<title>Preparation of whole cell lysate</title>
<p>At the end of each treatment, cellular extracts were prepared in radio immunoprecipitation assay (RIPA) buffer consisting of 50 mM Tris (pH 7.4), 150 mM NaCl, 1&#x00025; NP-40, 0.25&#x00025; sodium deoxycholate, in the presence of protease inhibitors and phosphatase inhibitors as follows: 2 mM sodium pyrophosphate, 1 mM sodium orthovanadate, 1 mM sodium fluoride, 1 mM EDTA, 0.5 <italic>&#x003BC;</italic>g/ml leupeptin and 1 mM phenyl-methylsulfonyl fluoride (PMSF). After sonication, the whole cell lysate was collected by centrifugation at 10,000 rpm at 4&#x000B0;C for 10 min using a microcentrifuge to remove cell debris. The samples were stored at &#x02212;80&#x000B0;C until use. The protein concentrations in the cell extracts were determined by the Bio-Rad protein assay.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Equal amounts of protein (20 <italic>&#x003BC;</italic>g) or protein purified by immunoprecipitation were separated by 12&#x00025; SDS-PAGE and electrotransferred onto nitrocellulose membranes for western blot analysis. Membranes were blocked with 5&#x00025; defatted milk in TBST (10 mM Tris, pH 7.4, 0.1&#x00025; Tween-20, and 100 mM NaCl) for 1 h at room temperature. Blotted proteins were probed with the primary antibodies overnight at 4&#x000B0;C in TBST containing 1&#x00025; defatted milk. The membranes were then washed and incubated with horseradish peroxidase-conjugated secondary antibodies in TBST for 1 h. Signals were generated by enhanced chemiluminescent reagent (ECL, Amersham) according to the manufacturer&#x02019;s instructions and visualized by exposing with the Bio-Rad system. Quantification was performed using ImageJ software. The results are expressed as the fold change vs. the control.</p></sec>
<sec>
<title>Immunoprecipitation</title>
<p>Cellular extracts (100 <italic>&#x003BC;</italic>g protein) were incubated overnight at 4&#x000B0;C in RIPA buffer with antibody against FBP1 (2 <italic>&#x003BC;</italic>g). Protein A/G-agarose beads were then added. The mixture was gently vortexed and incubated for 2 h at 4&#x000B0;C. The beads were recovered by centrifugation at 10,000 &#x000D7; g and gently washed 3 times with RIPA buffer. SDS sample loading buffer for SDS-PAGE was added, and the mixture was incubated at 100&#x000B0;C for 5 min. The beads were centrifugated, and the supernatants were applied to 12&#x00025; SDS-PAGE.</p></sec>
<sec>
<title>cAMP production</title>
<p>To measure cAMP production, the cells cultured in 6-well plates were serum-starved overnight. The cells were exposed to sulprostone, PGE<sub>2</sub> and the vehicle. After a 10-min incubation, the cells were collected and resuspended in 0.1 M HCl, then a 50-<italic>&#x003BC;</italic>l centrifuged sample was analyzed for cAMP production according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The values are expressed as the means &#x000B1; SD. Data were analyzed by one-way analysis of variance followed by the Student&#x02019;s t-test. A value of p&#x0003C;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of EP3-4 receptor overexpression in CCLP1 cells</title>
<p>As shown in <xref rid="f1-ijo-42-03-1093" ref-type="fig">Fig. 1</xref>, CCLP1 cells were stably transfected with the EP3-4 expression plasmid or the pcDNA3.1 control plasmid. The western blot analysis results showed that the EP3-4 receptor was overexpressed in the EP3-4-pcDNA3.1-transfected CCLP1 cells.</p></sec>
<sec>
<title>Effect of EP3 receptor activation on the growth of CCLP1 cells</title>
<p>The EP3-4- and control plasmid pcDNA3.1-transfected CCLP1 cells were examined for their response to treatment with the EP3 agonist, sulprostone. To determine the proliferation of the cells, the cells were treated with 10 <italic>&#x003BC;</italic>M of EP3 receptor agonist (sulprostone), 10 <italic>&#x003BC;</italic>M PKA inhibitor (H89), 50 <italic>&#x003BC;</italic>M AC inhibitor (SQ22536) and 50 nm Gi subunit inhibitor (PTX) (<xref rid="f2-ijo-42-03-1093" ref-type="fig">Fig. 2</xref>). The treatment of EP3-4-transfected CCLP1 cells with sulprostone for 24 h induced a 35.17&#x00025; increase in cell growth. The treatment of these cells with sulprostone &#x0002B; H89 and sulprostone &#x0002B; SQ22536, dereased the growth rate by 26.5 and 13.5&#x00025; compared to treatment with sulprostone alone. However, PTX had no effect on the cell growth induced by sulprostone. The empty pcDNA3.1-transfected cells showed no response.</p></sec>
<sec>
<title>Sulprostone and PGE<sub>2</sub> induce an increase in FBP1 protein expression in CCLP1 cells</title>
<p>To investigate which molecule was regulated by PGE<sub>2</sub> viathe EP3 receptor, we examined the effects of the EP3 receptor agonist, sulprostone, and PGE<sub>2</sub> on the level of FBP1 protein. By contrast, at the 1-h time-point, the treatment of the empty pcDNA3.1-transfected cells with 10 <italic>&#x003BC;</italic>M sulprostone had no effect on FBP1 protein levels and the increase in FBP1 protein expression was only observed at 2 h (<xref rid="f3-ijo-42-03-1093" ref-type="fig">Fig. 3A</xref>). <xref rid="f3-ijo-42-03-1093" ref-type="fig">Fig. 3B</xref> shows that the treatment of the EP3-4-transfected cells with 10 <italic>&#x003BC;</italic>M sulprostone induced an increase in FBP1 levels in a time-dependent manner. The level of FBP1 protein was rapidly increased within 1 h (1.72-fold increase compared to 0 h). A similar pattern of increased FBP1 protein expression was observed when the cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub>, with a 1.43-fold increase at 1 h compared to 0 h in the EP3-4-transfected cells (<xref rid="f4-ijo-42-03-1093" ref-type="fig">Fig. 4B</xref>). PGE<sub>2</sub> had no effect on the FBP1 protein at 1 h in the empty pcDNA3.1-transfected cells (<xref rid="f4-ijo-42-03-1093" ref-type="fig">Fig. 4A</xref>).</p></sec>
<sec>
<title>Effects of blocking EP3 receptor on PGE<sub>2</sub>-induced increase in FBP1 protein expression in CCLP1 cells</title>
<p>We then examined the direct effects of the EP3 receptor antagonist, L-798106, and EP3-4 siRNA on the PGE<sub>2</sub>-induced increase in FBP1 protein expression. In the EP3-4-transfected cells, treatment with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> and 10 <italic>&#x003BC;</italic>M L-798106 resulted in a 43&#x00025; decrease in FBP1 protein expression induced by PGE<sub>2</sub> (<xref rid="f5-ijo-42-03-1093" ref-type="fig">Fig. 5B</xref>). L-798106 had no effect on the empty pcDNA3.1-transfected cells (<xref rid="f5-ijo-42-03-1093" ref-type="fig">Fig. 5A</xref>). Consistent with these results, the PGE<sub>2</sub> and sulprostone-induced increase in FBP1 protein expression was also blocked by the siRNA suppression of the EP3-4 receptor in the EP3-4-transfected cells (<xref rid="f6-ijo-42-03-1093" ref-type="fig">Fig. 6C</xref>). In the negative siRNA-transfected cells, the levels of FBP1 protein in the PGE<sub>2</sub> and sulprostone groups were 1.46- and 2.02-fold higher compared to those in the the control group (<xref rid="f6-ijo-42-03-1093" ref-type="fig">Fig. 6B</xref>). The effect of the siRNA suppression of the EP3-4 receptor in the EP3-4-transfected cells was detected by western blot analysis (<xref rid="f6-ijo-42-03-1093" ref-type="fig">Fig. 6A</xref>). These findings demonstrate the key role of the EP3 receptor in the regulation of FBP1 protein expression by PGE<sub>2</sub>.</p></sec>
<sec>
<title>Effects of EP3 receptor activation on the cytoplasmic cAMP production in CCLP1 cells</title>
<p>To further investigate whether the EP3 receptor couples to the Gs subunit, we examined the cytoplasmic cAMP production induced by PGE<sub>2</sub> and sulprostone. The EP3-4-transfected cells and the empty pcDNA3.1-transfected cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> and 10 <italic>&#x003BC;</italic>M sulprostone. In the EP3-4-transfected cells, the levels of cAMP induced by PGE<sub>2</sub> and sulprostone were relatively increased by 248.56 and 99.42&#x00025;, respectively. PGE<sub>2</sub> and sulprostone had no effect on the empty pcDNA3.1-transfected cells (<xref rid="f7-ijo-42-03-1093" ref-type="fig">Fig. 7</xref>).</p></sec>
<sec>
<title>Effects of the AC activator, forskolin, cAMP analog, db-cAMP, EP3 agonist, sulprostone, and PGE<sub>2</sub> on PKA inhibitor H89-induced Smad2 phosphorylation in CCLP1 cells</title>
<p>Since PKA downregulates TGF-&#x003B2; activity, we examined the effects of the AC activator, forskolin, the cAMP analog, db-cAMP, the EP3 agonist, sulprostone, and PGE<sub>2</sub> on PKA inhibitor H89-induced Smad2 phosphorylation. <xref rid="f8-ijo-42-03-1093" ref-type="fig">Fig. 8B</xref> shows that in the EP3-4-transfected cells, 10 <italic>&#x003BC;</italic>M H89 treatment induced the rapid phosphorylation of Smad2 (1.49-fold compared to the control). In addition, treatment with 10 <italic>&#x003BC;</italic>M forskolin, 100 <italic>&#x003BC;</italic>M db-cAMP, 10 <italic>&#x003BC;</italic>M sulprostone and 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> reduced the Smad2 phosphorylation induced by H89 by 49, 26, 32 and 38&#x00025;, respectively. As shown in <xref rid="f8-ijo-42-03-1093" ref-type="fig">Fig. 8A</xref>, these reagents had no effect on the empty pcDNA3.1-transfected cells.</p></sec>
<sec>
<title>Effects of the AC activator, forskolin, cAMP analog, db-cAMP, EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1-</sub>induced Smad2 phosphorylation in CCLP1 cells</title>
<p>To further document that PGE<sub>2</sub>-EP3-Gs-PKA inhibits TGF-&#x003B2; activity, we examined the effects of the AC activator ,forskolin, the cAMP analog, db-cAMP, the EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced Smad2 phosphorylation. <xref rid="f9-ijo-42-03-1093" ref-type="fig">Fig. 9B</xref> shows that in the EP3-4-transfected cells, treatment with 2 ng/ml TGF-&#x003B2;<sub>1</sub> induced an increase in the phosphorylation of Smad2 (2.26-fold compared to the control). In addition, treatment with forskolin, db-cAMP, sulprostone and PGE<sub>2</sub> reduced the Smad2 phosphorylation induced by TGF-&#x003B2;<sub>1</sub> by 24, 40, 40 and 30&#x00025;, respectively. As shown in <xref rid="f9-ijo-42-03-1093" ref-type="fig">Fig. 9A</xref>, these reagents had no effect on the empty pcDNA3.1-transfected cells.</p></sec>
<sec>
<title>Effects of the AC activator, forskolin, cAMP analog, db-cAMP, EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced FBP1 and JTV1 protein expression in CCLP1 cells</title>
<p>We then examined the effects of the AC activator, forskolin, the cAMP analog, db-cAMP, the EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced FBP1 and JTV1 protein expression. <xref rid="f10-ijo-42-03-1093" ref-type="fig">Fig. 10B</xref> shows that in the EP3-4-transfected cells, the level of FBP1 protein induced by TGF-&#x003B2;<sub>1</sub> was decreased by 37&#x00025; of the control. The levels of FBP1 protein in the TGF-&#x003B2;<sub>1</sub> &#x0002B; forskolin, TGF-&#x003B2;<sub>1</sub> &#x0002B; db-cAMP, TGF-&#x003B2;<sub>1</sub> &#x0002B; sulprostone and TGF-&#x003B2;<sub>1</sub> &#x0002B; PGE<sub>2</sub> groups were decreased by 1.90-, 1.56-, 1.84-and 1.62-fold, respectively compared to the TGF-&#x003B2;<sub>1</sub> group. The level of JTV1 protein induced by TGF-&#x003B2;<sub>1</sub> was 1.48-fold of the control. The levels of JTV1 protein in the TGF-&#x003B2;<sub>1</sub> &#x0002B; forskolin, TGF-&#x003B2;<sub>1</sub> &#x0002B; db-cAMP, TGF-&#x003B2;<sub>1</sub> &#x0002B; sulprostone and TGF-&#x003B2;<sub>1</sub> &#x0002B; PGE<sub>2</sub> groups were decreased by 54, 45, 44 and 45&#x00025;, respectively compared to the TGF-&#x003B2;<sub>1</sub> group. As shown in <xref rid="f10-ijo-42-03-1093" ref-type="fig">Fig. 10A</xref>, these reagents had no effect on the empty pcDNA3.1-transfected cells. These results indicate that the PGE<sub>2</sub>-EP3-Gs-PKA inhibition of TGF-&#x003B2;<sub>1</sub> regulates the protein expression of FBP1 and JTV1.</p></sec>
<sec>
<title>Effects of the AC activator, forskolin, cAMP analog, db-cAMP, EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced binding of JTV1 with FBP1 and the ubiquitination of FBP1 in CCLP1 cells</title>
<p>As shown in <xref rid="f11-ijo-42-03-1093" ref-type="fig">Fig. 11B</xref>, in the EP3-4-transfected cells, TGF-&#x003B2;<sub>1</sub> treatment induced the binding of JTV1 with FBP1 (1.47-fold of the control) and the ubiquitination of FBP1 (1.76-fold of the control). In addition, the binding of FBP1 with JTV1 in the TGF-&#x003B2;<sub>1</sub> &#x0002B; forskolin, TGF-&#x003B2;<sub>1</sub> &#x0002B; db-cAMP, TGF-&#x003B2;<sub>1</sub> &#x0002B; sulprostone and TGF-&#x003B2;<sub>1</sub> &#x0002B; PGE<sub>2</sub> groups was deceased by 59, 48, 59 and 63&#x00025;, respectively compared to the TGF-&#x003B2;<sub>1</sub> group. The ubiquitination of FBP1 in the TGF-&#x003B2;<sub>1</sub> &#x0002B; forskolin, TGF-&#x003B2;<sub>1</sub> &#x0002B; db-cAMP, TGF-&#x003B2;<sub>1</sub> &#x0002B; sulprostone and TGF-&#x003B2;<sub>1</sub> &#x0002B; PGE<sub>2</sub> groups was deceased by 41, 36, 57 and 33&#x00025;, respectively compared to the TGF-&#x003B2;<sub>1</sub> group. As shown in <xref rid="f11-ijo-42-03-1093" ref-type="fig">Fig. 11A</xref>, these reagents had no effect on the empty pcDNA3.1-transfected cells.</p></sec>
<sec>
<title>Effects of the PKA inhibitor, H89, and AC inhibitor, SQ22536, on sulprostone and PGE<sub>2</sub>-induced FBP1 and JTV1 protein expression in CCLP1 cells</title>
<p>The findings presented above suggested that the activation of cAMP-PKA induced by PGE<sub>2</sub> via the EP3 receptor suppressed TGF-&#x003B2;, regulating the binding of JTV1 with FBP1 and the ubiquitination of FBP1, and thus regulating FBP1 protein expression. To further evaluate this hypothesis, we examined whether the inhibition of cAMP-PKA would alter the levels of JTV1 and FBP1 protein induced by PGE<sub>2</sub> via the EP3 receptor. The cells were treated with sulprostone and PGE<sub>2</sub> in the presence or absence of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, to determine the levels of JTV1 and FBP1 protein. As shown in <xref rid="f12-ijo-42-03-1093" ref-type="fig">Fig. 12B</xref>, in the EP3-4-transfected cells, sulprostone increased the FBP1 protein levels by 82&#x00025; compared to the control. Treatment with H89 and SQ22536 followed by sulprostone decreased the FBP1 protein levels by 42 and 47&#x00025;, respectively compared to treatment with sulprostone alone. Sulprostone decreased the JTV1 protein levels by 40&#x00025; compared to the control. Treatment with H89 and SQ22536 followed by sulprostone increased the JTV1 protein levels by 36 and 66&#x00025;, respectively compared to treatment with sulprostone alone. Consistent with these results, as shown in in <xref rid="f13-ijo-42-03-1093" ref-type="fig">Fig. 13B</xref>, in the EP3-4-transfected cells, PGE<sub>2</sub> increased the FBP1 protein levels by 73&#x00025; compared to the control. Treatment with H89 and SQ22536 followed by PGE<sub>2</sub> decreased the FBP1 protein levels by 22 and 27&#x00025;, respectively compared to treatment with sulprostone alone. PGE<sub>2</sub> decreased the JTV1 protein levels by 20&#x00025; compared to the control. Treatment with H89 and SQ22536 followed by PGE<sub>2</sub> increased the JTV1 protein levels by 61 and 94&#x00025;, respectively compared to treatment with PGE<sub>2</sub> alone. H89 and SQ22536 had no effect on the empty pcDNA3.1-transfected cells (<xref rid="f12-ijo-42-03-1093" ref-type="fig">Figs. 12A</xref> and <xref rid="f13-ijo-42-03-1093" ref-type="fig">13A</xref>).</p></sec>
<sec>
<title>Effects of the PKA inhibitor, H89, and AC inhibitor, SQ22536, on the sulprostone and PGE<sub>2</sub>-mediated binding of JTV1 with FBP1 and the ubiquitination of FBP1 in CCLP1 cells</title>
<p>The cells were treated with sulprostone and PGE<sub>2</sub> in the presence or absence of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, to determine the binding of JTV1 with FBP1 and the ubiquitination of FBP1. As shown in <xref rid="f14-ijo-42-03-1093" ref-type="fig">Fig. 14B</xref>, in the EP3-4-transfected cells, sulprostone decreased the binding of JTV1 with FBP1 by 64&#x00025; compared to the control. The binding of JTV1 with FBP1 following treatment with H89 and SQ22536 followed by sulprostone was increased by 3.31-and 3.39-fold, respectively compared to treatment with sulprostone. Sulprostone decreased the ubiquitination of FBP1 by 31&#x00025; compared to the control. The ubiquitination of FBP1 following treatment with H89 and SQ22536 followed by sulprostone was increased by 1.77- and 1.79-fold, respectively compared to treatment with sulprostone. Consistent with these results, as in shown in <xref rid="f15-ijo-42-03-1093" ref-type="fig">Fig. 15B</xref>, PGE<sub>2</sub> decreased the binding of JTV1 with FBP1 by 44&#x00025; compared to the control. The binding of JTV1 with FBP1 following treatment with H89 and SQ22536 followed by PGE<sub>2</sub> was increased by 2.21- and 2.34-fold, respectively compared to treatment with PGE<sub>2</sub>. PGE<sub>2</sub> decreased the ubiquitination of FBP1 by 30&#x00025; compared to the control. In the EP3-4-transfected cells, the ubiquitination of FBP1 following treatment with H89 and SQ22536 followed by PGE<sub>2</sub> was increased by 1.53- and 1.46-fold, respectively compared to treatment with PGE<sub>2</sub>. H89 and SQ22536 had no effect on the empty pcDNA3.1-transfected cells (<xref rid="f14-ijo-42-03-1093" ref-type="fig">Figs. 14A</xref> and <xref rid="f15-ijo-42-03-1093" ref-type="fig">15A</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>FBPs preferentially bind to single-stranded DNA and to RNA sequences, and are known to act as transcription factors, but have been postulated to regulate transcript stability (<xref rid="b19-ijo-42-03-1093" ref-type="bibr">19</xref>). The FBPs are therefore likely to be multifunctional. FBP1, as the family progenitor, is involved in regulation of multiple physiological functions, such as gene expression and tissue differentiation (<xref rid="b26-ijo-42-03-1093" ref-type="bibr">26</xref>&#x02013;<xref rid="b28-ijo-42-03-1093" ref-type="bibr">28</xref>). FBP1 binds through its 4 K-homology domains to FUSE of the c-<italic>myc</italic> promoter, leading to the upregulation of c-<italic>myc</italic>(<xref rid="b29-ijo-42-03-1093" ref-type="bibr">29</xref>,<xref rid="b30-ijo-42-03-1093" ref-type="bibr">30</xref>). Moreover, inhibition or loss of FBP1 function abrogates <italic>c-myc</italic> expression and arrests cellular proliferation (<xref rid="b26-ijo-42-03-1093" ref-type="bibr">26</xref>,<xref rid="b31-ijo-42-03-1093" ref-type="bibr">31</xref>). FBP1 is developmentally regulated in the mouse and chicken embryonic brain (<xref rid="b32-ijo-42-03-1093" ref-type="bibr">32</xref>) and has been identified as a Parkin substrate (<xref rid="b33-ijo-42-03-1093" ref-type="bibr">33</xref>). FBP1 is present in undifferentiated cells and is downregulated following differentiation (<xref rid="b26-ijo-42-03-1093" ref-type="bibr">26</xref>,<xref rid="b34-ijo-42-03-1093" ref-type="bibr">34</xref>,<xref rid="b35-ijo-42-03-1093" ref-type="bibr">35</xref>). FBP1 is critical for cancer cell growth.</p>
<p>Our findings suggest that PGE<sub>2</sub> and the EP3 receptor agonist, sulprostone, upregulate the level of FBP1 protein and promote liver cancer cell growth. The EP3 receptor inhibitor, L-798106, and EP3-4 siRNA suppressed the increased FBP1 protein expression induced by PGE<sub>2</sub> and sulprostone. These results demonstrate that PGE<sub>2</sub> upregulates FBP1 protein via the EP3 receptor. More significantly, this study provides important experimental evidence and mechanisms for PGE<sub>2</sub>/EP3/FBP1 signaling pathways in liver cancer cells.</p>
<p>According to previous reports, the EP3 receptor couples to the Gi subunit and decreases cytoplasmic cAMP (<xref rid="b12-ijo-42-03-1093" ref-type="bibr">12</xref>). However, in this study, we showed that the Gi subunit inhibitor, PTX, exhibited no significant effect. By contrast, the inhibitor of the Gs subunit pathway suppressed the proliferation of liver cancer cells induced by EP3 receptor activation. Therefore, we hypothesized that the EP3 receptor might couple to the Gs subunit, not the Gi subunit. If the EP3 receptor couples to the Gs subunit, it may increase cytoplasmic cAMP production.</p>
<p>The observations that cytoplasmic cAMP was increased by PGE<sub>2</sub> and the EP3 agonist support our hypothesis. These results indicate that the EP3 receptor may couple to the Gs subunit and upregulate cAMP, which is not consistent with previous data on the EP3 receptor. Moreover, studies supporting our results of the EP3 receptor clarify that the EP3 receptor couples to the Gs subunit, activates AC, increases cAMP, and promotes tumor growth, angiogenesis and metastasis (<xref rid="b36-ijo-42-03-1093" ref-type="bibr">36</xref>&#x02013;<xref rid="b38-ijo-42-03-1093" ref-type="bibr">38</xref>). The G protein consists of &#x003B1;, &#x003B2; and &#x003B3; subunits and is divided into Gs, Gi and Gq, etc. Different types of G proteins mediate various signaling pathways; the Gs protein activates AC, upregulates cAMP production and induces PKA activation; the Gi protein inactivates AC, downregulates cAMP production; and the Gq protein induces the increase in Ca<sup>2&#x0002B;</sup> and the activation of PKC (<xref rid="b12-ijo-42-03-1093" ref-type="bibr">12</xref>,<xref rid="b39-ijo-42-03-1093" ref-type="bibr">39</xref>). In this study, the EP3 receptor activated by PGE<sub>2</sub> coupled to the Gs protein, GDP of G&#x003B1; subunit of Gs exchanged with GTP followed by the dissociation of G&#x003B1; and G&#x003B2;&#x003B3;, leading to AC activation and an increased in cAMP production.</p>
<p>It has been indicated that cAMP activates PKA in adipose cells (<xref rid="b40-ijo-42-03-1093" ref-type="bibr">40</xref>). Our data showed that the PKA inhibitor, H89, and the AC inhibitor, SQ22536, suppressed the increase in FBP1 protein expression, as well as the decrease in JTV1 protein expression, blocked the suppression of the binding of JTV1 with FBP1 and the decreased ubiquitination of FBP1 induced by PGE<sub>2</sub> and sulprostone, which demonstrates that cAMP-PKA is involved in the signaling pathway mediated by the EP3 receptor.</p>
<p>The activation of PKA has been shown to decrease TGF-&#x003B2; activity in osteoblasts (<xref rid="b41-ijo-42-03-1093" ref-type="bibr">41</xref>). TGF-&#x003B2;s are multifunctional cytokines that regulate cell proliferation, differentiation, apoptosis, migration and extracellular matrix production (<xref rid="b42-ijo-42-03-1093" ref-type="bibr">42</xref>&#x02013;<xref rid="b46-ijo-42-03-1093" ref-type="bibr">46</xref>). The TGF-&#x003B2; receptor is composed of a heteromeric complex of transmembrane serine/threonine kinases, the type I, II and III receptors (T&#x003B2;RI, T&#x003B2;RII and T&#x003B2;RIII). Following ligand binding to T&#x003B2;RII, T&#x003B2;RI is recruited to the complex, allowing for the constitutively active T&#x003B2;RII kinase to transphosphorylate and activate the T&#x003B2;RI kinase, which in turn phosphorylates Smad2 and Smad3. Phosphorylated Smad2/3 then binds with Smad4 and translocates to the nucleus, regulating gene transcription.</p>
<p>The present study shows that TGF-&#x003B2;s affect tumor growth and function as tumor suppressors. Transgenic mice overexpressing TGF-&#x003B2; can resist tumorigenesis (<xref rid="b47-ijo-42-03-1093" ref-type="bibr">47</xref>,<xref rid="b48-ijo-42-03-1093" ref-type="bibr">48</xref>), the deletion of T&#x003B2;RII and the destruction of Smad3 and Smad4 genes may enhance tumorigenesis (<xref rid="b49-ijo-42-03-1093" ref-type="bibr">49</xref>&#x02013;<xref rid="b54-ijo-42-03-1093" ref-type="bibr">54</xref>), and the Smad2, Smad4 and T&#x003B2;RII genes mutate or disappear in a number of human tumors (<xref rid="b42-ijo-42-03-1093" ref-type="bibr">42</xref>,<xref rid="b44-ijo-42-03-1093" ref-type="bibr">44</xref>&#x02013;<xref rid="b46-ijo-42-03-1093" ref-type="bibr">46</xref>). Since the TGF-&#x003B2;/Smad pathway can suppress the growth and metastasis of tumors (<xref rid="b55-ijo-42-03-1093" ref-type="bibr">55</xref>&#x02013;<xref rid="b57-ijo-42-03-1093" ref-type="bibr">57</xref>), the blocking of TGF-&#x003B2;/Smad transduction maybe promote tumor growth (<xref rid="b58-ijo-42-03-1093" ref-type="bibr">58</xref>,<xref rid="b59-ijo-42-03-1093" ref-type="bibr">59</xref>).</p>
<p>Our data demonstrate the role of forskolin, db-cAMP, PGE<sub>2</sub> and sulprostone in TGF-&#x003B2;-induced Smad2 phosphorylation. These results illustrate that PGE<sub>2</sub> facilitates cell growth by inhibiting TGF-&#x003B2; activity through the EP3-Gs-cAMP-PKA pathway.</p>
<p>T&#x003B2;RIII is also termed &#x003B2;-glycan, lacks a distinct intracellular signaling motif and may control the stability of the ligand binding capacity of T&#x003B2;RII and has complex effects on signal generation through T&#x003B2;RI. Perhaps PKA activation enhances T&#x003B2;RIII promoter activity and increases the mRNA and protein expression of T&#x003B2;RIII, inhibiting TGF-&#x003B2; activity (<xref rid="b41-ijo-42-03-1093" ref-type="bibr">41</xref>); the mechanisms of the PGE<sub>2</sub> regulation of T&#x003B2;RIII through PKA require further investigation.</p>
<p>It is worth noting that the suppression of cancer cell differentiation induced by TGF-&#x003B2; is related with JTV1 (<xref rid="b60-ijo-42-03-1093" ref-type="bibr">60</xref>). JTV1, another FBP partner, also termed aminoacyl tRNA synthetase complex-interacting multifunctional protein 2 (AIMP2/p38), is a structural subunit of a multi-aminoacyl-tRNA synthetase (ARS) complex (<xref rid="b61-ijo-42-03-1093" ref-type="bibr">61</xref>,<xref rid="b62-ijo-42-03-1093" ref-type="bibr">62</xref>). In response to signals, individual subunits of the ARS complex may be released to participate in a variety of cellular processes, including transcription (<xref rid="b63-ijo-42-03-1093" ref-type="bibr">63</xref>), translational silencing (<xref rid="b64-ijo-42-03-1093" ref-type="bibr">64</xref>), angiogenesis (<xref rid="b65-ijo-42-03-1093" ref-type="bibr">65</xref>) and apoptosis (<xref rid="b61-ijo-42-03-1093" ref-type="bibr">61</xref>,<xref rid="b66-ijo-42-03-1093" ref-type="bibr">66</xref>). For example, following DNA damage, JTV1 is liberated from the ARS complex, phosphorylated in a JNK2-dependent pathway and translocated into the nucleus where it has been suggested to bind and sequester p53 from Mdm2-dependent ubiquitination (<xref rid="b66-ijo-42-03-1093" ref-type="bibr">66</xref>). JTV1 has also been shown to be a substrate of the E3 ligase Parkin (<xref rid="b67-ijo-42-03-1093" ref-type="bibr">67</xref>). The accumulation of JTV1 as a result of Parkin mutation has been speculated to contribute to the characteristic dopaminergic cell death observed in individuals with Parkinson&#x02019;s disease (<xref rid="b67-ijo-42-03-1093" ref-type="bibr">67</xref>). The increasing level of JTV1 protein may inhibit the proliferation of cancer cells (<xref rid="b62-ijo-42-03-1093" ref-type="bibr">62</xref>). TGF-&#x003B2; induces the increase in JTV1 protein levels and promotes its translocation to the nucleus during lung differentiation (<xref rid="b60-ijo-42-03-1093" ref-type="bibr">60</xref>). In the nucleus, JTV1 binds with FBP1 for the ubiquitination and degradation of FBP1 (<xref rid="b62-ijo-42-03-1093" ref-type="bibr">62</xref>). The knockdown of JTV1 increases the levels of FBP1 and <italic>c-myc</italic> in fetal lungs and intestines (<xref rid="b63-ijo-42-03-1093" ref-type="bibr">63</xref>).</p>
<p>Treatment with forskolin, db-cAMP, PGE<sub>2</sub> and sulprostone suppressed the increase in JTV1 protein levels, the binding of JTV1 with FBP1 and the ubiquitination of FBP1 induced by TGF-&#x003B2;. Thus, PGE<sub>2</sub> downregulates JTV1, decreases the binding of FBP1 with JTV1 and reduces the ubiquitination and degradation of FBP1 by TGF-&#x003B2; in liver cancer cells.</p>
<p>In conclusion, in this study, a novel hypothesis is established that the EP3 receptor activated by PGE<sub>2</sub> couples to the Gs protein and activates cAMP-PKA, which inhibits the activity of TGF-&#x003B2;. Moreover, the suppression of TGF-&#x003B2; reduces the level of JTV1 protein, suppresses the binding of JTV1 with FBP1 and the ubiquitination of FBP1, leading to the upregulation of FBP1 protein, stimulating tumor cell growth. This study provides further insight into the mechanisms by which PGE<sub>2</sub> promotes liver cancer cell growth. Our data may thus aid in the prevention and treatment of malignant diseases by novel therapeutic strategies.</p></sec></body>
<back>
<ack>
<p>This study was supported by the National Natural Science Foundation of China (30871015, 81172003) and a Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD).</p></ack>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-ijo-42-03-1093" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of EP3-4 receptor overexpression in CCLP1 cells. CCLP1 cells were transfected with the EP3-4 expression plasmid or the pcDNA3.1 control plasmid. Cells successfully transfected with EP3-4 were selected by 300 <italic>&#x003BC;</italic>g/ml G418. The expression of the EP3-4 receptor protein was confirmed by western blot analysis. Levels of &#x003B2;-actin served as the loading control. pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g00.tif"/></fig>
<fig id="f2-ijo-42-03-1093" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of PTX, H89 and SQ22536 on sulprostone-induced cell growth. The EP3-4-transfected and the empty pcDNA3.1-transfected CCLP1 cells were seeded on 96-well plates in serum-supplemented medium for 24 h to allow attachment. After 24 h of serum starvation, the cells were treated with 10 <italic>&#x003BC;</italic>M sulprostone, 10 <italic>&#x003BC;</italic>M H89, 50 <italic>&#x003BC;</italic>M SQ22536 and 50 nm PTX for 24 h, and cell growth was assessed by using the cell proliferation reagent WST as described in Materials and methods. The data were obtained from 6 individual experiments and are expressed as the mean &#x000B1; SD as a percentage of the respective control. <sup>&#x00023;</sup>p&#x0003C;0.01 comparison of Sul with control. <sup>&#x0002A;</sup>p&#x0003C;0.01 comparison of Sul &#x0002B; H and Sul &#x0002B; SQ with Sul. Sul, sulprostone; H, H89; SQ, SQ22536; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g01.tif"/></fig>
<fig id="f3-ijo-42-03-1093" position="float">
<label>Figure 3</label>
<caption>
<p>Sulprostone induced an increase in FBP1 protein expression in CCLP1 cells. The EP3-4-transfected and the empty pcDNA3.1-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M sulprostone for 0&#x02013;3 h. Equal amounts of cellular protein (20 <italic>&#x003BC;</italic>g) were subjected to SDS-PAGE followed by western blot analysis using specific antibodies for FBP1 and &#x003B2;-actin. The FBP1 protein level was increased in a time-dependent manner. Levels of &#x003B2;-actin served as the loading control. (A) The pcDNA3.1-transfected cells were used as the controls. (B) FBP1 protein levels in EP3-4-transfected CCLP1 cells were detected by western blot analysis. (C) Statistical plots of data from experiments shown in (A) and (B). The results are presented as the means &#x000B1; SD of 3 experiments (<sup>&#x00023;</sup>p&#x0003C;0.05 compared with 0 h). pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g02.tif"/></fig>
<fig id="f4-ijo-42-03-1093" position="float">
<label>Figure 4</label>
<caption>
<p>PGE<sub>2</sub> induced an increase in FBP1 protein expression in CCLP1 cells. The EP3-4-transfected and the empty pcDNA3.1-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> for 0&#x02013;3 h. Equal amounts of cellular protein (20 <italic>&#x003BC;</italic>g) were subjected to SDS-PAGE followed by western blot analysis using specific antibodies for FBP1 and &#x003B2;-actin. The FBP1 protein level was increased in a time-dependent manner. Levels of &#x003B2;-actin served as the loading control. (A) The pcDNA3.1-transfected cells were used as the controls. (B) The FBP1 protein levels in the EP3-4-transfected CCLP1 cells were detected by western blot analysis. (C) Statistical plots of data from experiments shown in (A) and (B). The results are presented as the means &#x000B1; SD of three experiments (<sup>&#x00023;</sup>p&#x0003C;0.05 compared with 0 h). pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g03.tif"/></fig>
<fig id="f5-ijo-42-03-1093" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of EP3 receptor atagonist, L-798106, on PGE<sub>2</sub>-induced increase in FBP1 protein expression. (A) The empty pcDNA3.1-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> in the presence or absence of 10 <italic>&#x003BC;</italic>M EP3 receptor atagonist, L-798106. The cell lysates obtained after 1 h of treatment were prepared for FBP1 and &#x003B2;-actin western blot analysis. (B) The EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> in the presence or absence of 10 <italic>&#x003BC;</italic>M EP3 receptor atagonist, L-798106. The cell lysates obtained after 1 h of treatment were prepared for FBP1 and &#x003B2;-actin western blot analysis. (C) Statistical plots of data from experiments shown in (A) and (B). The results are presented as the means &#x000B1; SD of 3 experiments (<sup>&#x00023;</sup>p&#x0003C;0.05 comparison of PGE<sub>2</sub> with control, <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of the PGE<sub>2</sub> &#x0002B; L and PGE<sub>2</sub> treatment groups of). L, L-798106; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g04.tif"/></fig>
<fig id="f6-ijo-42-03-1093" position="float">
<label>Figure 6</label>
<caption>
<p>Effects of EP3-4 receptor siRNA suppression on the PGE<sub>2</sub> and sulprostone-mediated increase of FBP1 protein expression. (A) The cells overexpressing EP3-4 were transfected with EP3-4R-siRNA using Lipofectamine 2000. The negative RNA duplex was used as the negative control. After 48 h, the suppression of the EP3 receptor was confirmed by western blot analysis. The levels of &#x003B2;-actin served as the loading control. (B) Negative RNA duplex-transfected cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> and 10 <italic>&#x003BC;</italic>M EP3 agonist, sulprostone. The cell lysates obtained after 1 h of treatment were prepared for FBP1 and &#x003B2;-actin western blot analysis. (C) EP3-4R-siRNA transfected cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> and 10 <italic>&#x003BC;</italic>M EP3 agonist, sulprostone. The cell lysates obtained after 1 h of treatment were prepared for FBP1 and &#x003B2;-actin western blot analysis. (D) Statistical plots of data from experiments shown in (B) and (C). The results are presented as the means &#x000B1; SD of 3 experiments (<sup>&#x0002A;</sup>p&#x0003C;0.05 compared with control). Sul, sulprostone.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g05.tif"/></fig>
<fig id="f7-ijo-42-03-1093" position="float">
<label>Figure 7</label>
<caption>
<p>Effects of EP3 receptor activation on the cytoplasmic cAMP production in CCLP1 cells. The EP3-4-transfected and the empty pcDNA3.1-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> and 10 <italic>&#x003BC;</italic>M EP3 agonist, sulprostone for 10 min. The cells were then suspended by 0.1 M HCl. The cell lysates were obtained for cAMP production detection, which was assessed by using the reagents as described in Materials and methods. The data were obtained from 3 individual experiments and are expressed as the mean &#x000B1; SD as a percentage of the respective control. <sup>&#x00023;</sup>p&#x0003C;0.05 compared with control. Sul, sulprostone; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g06.tif"/></fig>
<fig id="f8-ijo-42-03-1093" position="float">
<label>Figure 8</label>
<caption>
<p>Effects of the AC activator, forskolin, cAMP analog, db-cAMP, EP3 agonist, sulprostone and PGE<sub>2</sub> on PKA inhibitor H89-induced Smad2 phosphorylation. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells (B) were treated with 10 <italic>&#x003BC;</italic>M forskolin, 100 <italic>&#x003BC;</italic>M db-cAMP, 10 <italic>&#x003BC;</italic>M sulprostone and 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> for 1 h prior to stimulation with 10 <italic>&#x003BC;</italic>M H89 for 1 h. The cell lysates were obtained for western blot analysis with polyclonal antibodies against p-Smad2 and Smad2. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of H treatment with control. <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of H &#x0002B; For, H &#x0002B; db, H &#x0002B; Sul and H &#x0002B; PGE<sub>2</sub> treatments with H treatment. H, H89; For, forskolin; db, db-cAMP; Sul, sulprostone; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g07.tif"/></fig>
<fig id="f9-ijo-42-03-1093" position="float">
<label>Figure 9</label>
<caption>
<p>Effects of the AC activator, forskolin, the cAMP analog, db-cAMP, the EP3 agonist, sulprostone, and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced Smad2 phosphorylation. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells (B) were treated with 10 <italic>&#x003BC;</italic>M forskolin, 100 <italic>&#x003BC;</italic>M db-cAMP, 10 <italic>&#x003BC;</italic>M sulprostone and 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> for 1 h prior to stimulation with 2 ng/ml TGF-&#x003B2;<sub>1</sub> for 1 h. The cell lysates were obtained for western blot analysis with polyclonal antibodies against p-Smad2 and Smad2. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of T treatment with control, <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of T &#x0002B; For, T &#x0002B; db, T &#x0002B; Sul and T &#x0002B; PGE<sub>2</sub> treatments with T treatment. T, TGF-&#x003B2;<sub>1</sub>; For, forskolin; db, db-cAMP; Sul, sulprostone; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g08.tif"/></fig>
<fig id="f10-ijo-42-03-1093" position="float">
<label>Figure 10</label>
<caption>
<p>Effects of the AC activator, forskolin, the cAMP analog, db-cAMP, the EP3 agonist, sulprostone and PGE<sub>2</sub> on TGF-&#x003B2;<sub>1</sub>-induced FBP1 and JTV1 protein expression. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M forskolin, 100 <italic>&#x003BC;</italic>M db-cAMP, 10 <italic>&#x003BC;</italic>M sulprostone and 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> for 1 h prior to stimulation with 2 ng/ml TGF-&#x003B2;<sub>1</sub> for 1 h. The cell lysates were obtained for western blot analysis with antibodies against FBP1, JTV1 and &#x003B2;-actin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of T treatment with control. <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of T &#x0002B; For, T &#x0002B; db, T &#x0002B; Sul and T &#x0002B; PGE<sub>2</sub> treatments with T treatment. T, TGF-&#x003B2;<sub>1</sub>; For, forskolin; db, db-cAMP; Sul, sulprostone; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g09.tif"/></fig>
<fig id="f11-ijo-42-03-1093" position="float">
<label>Figure 11</label>
<caption>
<p>Effects of the AC activator forskolin, the cAMP analog db-cAMP, the EP3 agonist, sulprostone, and PGE<sub>2</sub> on the TGF-&#x003B2;<sub>1</sub>-induced binding of JTV1 with FBP1 and the ubiquitination of FBP1. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M forskolin, 100 <italic>&#x003BC;</italic>M db-cAMP, 10 <italic>&#x003BC;</italic>M sulprostone and 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> for 1 h prior to stimulation with 2 ng/ml TGF-&#x003B2;<sub>1</sub> for 1 h. The cell lysates were obtained for immunoprecipitation with polyclonal antibody against FBP1. The precipitated pellets were then separated by gel electrophoresis on 12&#x00025; Tris-glycine gels, followed by western blot analysis with polyclonal antibodies against JTV1 and ubiquitin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of T treatment with control, <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of T &#x0002B; For, T &#x0002B; db, T &#x0002B; Sul and T &#x0002B; PGE<sub>2</sub> treatments with T treatment. T, TGF-&#x003B2;<sub>1</sub>; For, forskolin; db, db-cAMP; Sul, sulprostone; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g10.tif"/></fig>
<fig id="f12-ijo-42-03-1093" position="float">
<label>Figure 12</label>
<caption>
<p>Effects of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, on sulprostone-induced FBP1 and JTV1 protein expression. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M sulprostone in the presence or absence of 10 <italic>&#x003BC;</italic>M of the PKA inhibitor, H89, and 50<italic>&#x003BC;</italic>M of the AC inhibitor, SQ22536. The cell lysates were obtained for western blot analysis with antibodies against FBP1, JTV1 and &#x003B2;-actin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of Sul treatment with control, <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of Sul &#x0002B; H and Sul &#x0002B; SQ treatments with Sul treatment. Sul, sulprostone; H, H89; SQ, SQ22536; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g11.tif"/></fig>
<fig id="f13-ijo-42-03-1093" position="float">
<label>Figure 13</label>
<caption>
<p>Effects of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, on PGE<sub>2</sub>-mediated FBP1 and JTV1 protein expression. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> in the presence or absence of 10 <italic>&#x003BC;</italic>M of the PKA inhibitor, H89, and 50 <italic>&#x003BC;</italic>M of the AC inhibitor, SQ22536. The cell lysates were obtained for western blot analysis with antibodies against FBP1, JTV1 and &#x003B2;-actin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of PGE<sub>2</sub> with control. <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of PGE<sub>2</sub> &#x0002B; H and PGE<sub>2</sub> &#x0002B; SQ treatments with PGE<sub>2</sub> treatment. H, H89; SQ, SQ22536; pcDNA, pcDNA3.1.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g12.tif"/></fig>
<fig id="f14-ijo-42-03-1093" position="float">
<label>Figure 14</label>
<caption>
<p>Effects of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, on the sulprostone-induced binding of JTV1 with FBP1 and the ubiquitination of FBP1. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M sulprostone in the presence or absence of 10 <italic>&#x003BC;</italic>M of the PKA inhibitor, H89, and 50 <italic>&#x003BC;</italic>M of the AC inhibitor, SQ22536. The cell lysates were obtained for immunoprecipitation with polyclonal antibody against FBP1. The precipitated pellets were then separated by gel electrophoresis on 12&#x00025; Tris-glycine gels, followed by western blot analysis with polyclonal antibodies against JTV1 and ubiquitin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of Sul treatment with control, <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of Sul &#x0002B; H and Sul &#x0002B; SQ treatments with Sul treatment. Sul, sulprostone; H, H89; SQ, SQ22536; pcDNA, pcDNA3.1; IP, immunoprecipitationl; WB, western blot analysis.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g13.tif"/></fig>
<fig id="f15-ijo-42-03-1093" position="float">
<label>Figure 15</label>
<caption>
<p>Effects of the PKA inhibitor, H89, and the AC inhibitor, SQ22536, on the PGE<sub>2</sub>-mediated binding of JTV1 with FBP1 and the ubiquitination of FBP1. (A) The empty pcDNA3.1-transfected CCLP1 cells and (B) the EP3-4-transfected CCLP1 cells were treated with 10 <italic>&#x003BC;</italic>M PGE<sub>2</sub> in the presence or absence of 10 <italic>&#x003BC;</italic>M of the PKA inhibitor, H89, and 50 <italic>&#x003BC;</italic>M of the AC inhibitor, SQ22536. The cell lysates were obtained for immunoprecipitation with polyclonal antibody against FBP1. The precipitated pellets were then separated by gel electrophoresis on 12&#x00025; Tris-glycine gels, followed by western blot analysis with polyclonal antibodies against JTV1 and ubiquitin. (C) Statistical plots of data from experiments are shown. The data represent an average of 3 independent experiments. <sup>&#x00023;</sup>p&#x0003C;0.05 comparison of PGE<sub>2</sub> treatment with control. <sup>&#x0002A;</sup>p&#x0003C;0.05 comparison of PGE<sub>2</sub> &#x0002B; H and PGE<sub>2</sub> &#x0002B; SQ treatments with PGE<sub>2</sub> treatment. H, H89; SQ, SQ22536; pcDNA, pcDNA3.1; IP, immunoprecipitationl; WB, western blot analysis.</p></caption>
<graphic xlink:href="IJO-42-03-1093-g14.tif"/></fig></sec></back></article>
