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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.2014.2664</article-id>
<article-id pub-id-type="publisher-id">ijo-45-06-2475</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Possible contribution of aminopeptidase N (APN/CD13) to migration and invasion of human osteosarcoma cell lines</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LIANG</surname><given-names>WENQING</given-names></name><xref rid="af1-ijo-45-06-2475" ref-type="aff">1</xref><xref rid="fn1-ijo-45-06-2475" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>GAO</surname><given-names>BO</given-names></name><xref rid="af2-ijo-45-06-2475" ref-type="aff">2</xref><xref rid="fn1-ijo-45-06-2475" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>GUOJIAN</given-names></name><xref rid="af1-ijo-45-06-2475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>WENG</surname><given-names>DONG</given-names></name><xref rid="af1-ijo-45-06-2475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIE</surname><given-names>MINGHUA</given-names></name><xref rid="af1-ijo-45-06-2475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIAN</surname><given-names>YU</given-names></name><xref rid="af1-ijo-45-06-2475" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-45-06-2475"/></contrib></contrib-group>
<aff id="af1-ijo-45-06-2475">
<label>1</label>Department of Orthopedics, Shaoxing People&#x02019;s Hospital, Shaoxing, Zhejiang 312000, P.R. China</aff>
<aff id="af2-ijo-45-06-2475">
<label>2</label>Department of Orthopedics, The 306th Hospital of PLA, Beijing 100101, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-45-06-2475">Correspondence to: Dr Yu Qian, Department of Orthopedics, Shaoxing People&#x02019;s Hospital, 568 Zhongxing North Road, Shaoxing, Zhejiang 312000, P.R. China, E-mail: <email>doctorqy@126.com</email></corresp><fn id="fn1-ijo-45-06-2475">
<label>*</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>12</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>09</month>
<year>2014</year></pub-date>
<volume>45</volume>
<issue>6</issue>
<fpage>2475</fpage>
<lpage>2485</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>07</month>
<year>2014</year></date>
<date date-type="accepted">
<day>02</day>
<month>09</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</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>Osteosarcoma is the most common primary malignancy of the bone. Aminopeptidase N (APN/CD13), a Zn<sup>+2</sup>-dependent ectopeptidase localized on the cell surface, is widely considered to influence the invasion mechanism. This study explores the potential involvement of APN in migration and invasion of human osteosarcoma cells <italic>in vitro</italic> using inhibitors and activators of APN. Cells treated with APN inhibitor bestatin displayed decreased migration and invasion in a Boyden chamber Transwell assay. Western blotting revealed reduced levels of mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K) pathway proteins, reduced phosphorylation of p38, ERK1/2 and JNK and decreased levels of NF-&#x003BA;B. Bestatin treatment also lowered APN, matrix metalloproteinase (MMP)-2 and -9 enzymatic activity and their mRNA expression. Reduced MMP-2 and -9 protein levels were also observed. By comparison, cells treated with cytokine interleukin-6 (IL-6), a stimulator of APN, displayed increased migration and invasion. Western blotting revealed increased levels of MAPK and PI3K pathway proteins, phosphorylated p38, ERK1/2 and JNK, and NF-&#x003BA;B. IL-6 treatment also increased APN and MMP-2 and -9 enzymatic activity. An increase of APN, MMP-2 and -9 mRNA levels, and MMP-2 and -9 protein levels was also observed. Together these experiments reveal potential enzymatic and signalling roles for APN in osteosarcoma and establish a starting point for an in-depth analysis of the role of APN in regulating invasiveness. A deeper knowledge about the regulatory mechanisms of APN may contribute to the development of anti-metastatic therapies.</p></abstract>
<kwd-group>
<kwd>osteosarcoma</kwd>
<kwd>metastasis</kwd>
<kwd>aminopeptidase N</kwd>
<kwd>matrix metalloproteinase</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteosarcoma, the most common primary bone cancer, occurs predominantly in growing adolescents and young adults and is characterized by frequent distant metastasis, particularly to the lung (<xref rid="b1-ijo-45-06-2475" ref-type="bibr">1</xref>). Although the overall survival rate for osteosarcoma has increased to ~70&#x00025;, &lt;30&#x00025; of patients presenting with metastases survive 5 years after the initial diagnosis (<xref rid="b2-ijo-45-06-2475" ref-type="bibr">2</xref>). Since pulmonary metastasis is the major cause of death in osteosarcoma, identifying molecular alterations that lead to metastasis is essential for developing novel therapies.</p>
<p>The first step in metastasis is the migration from the primary tumour site and invasion through the basement membrane. The degradation of the extracellular matrix contributes to the ability of osteosarcoma cells to metastasize. In osteosarcoma the gelatinases matrix metalloproteinase (MMP)-2 and -9 promote invasion and metastasis (<xref rid="b3-ijo-45-06-2475" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-ijo-45-06-2475" ref-type="bibr">5</xref>), intracellular protease m-calpain modulates cell adhesion and motility (<xref rid="b6-ijo-45-06-2475" ref-type="bibr">6</xref>), and urokinase plasminogen activator (uPA) and its receptor uPAR promote cell adhesion, migration and invasion through the activation of plasminogen and pro-MMPs (<xref rid="b7-ijo-45-06-2475" ref-type="bibr">7</xref>). Integrin-&#x003B2;4 (<xref rid="b8-ijo-45-06-2475" ref-type="bibr">8</xref>) and the Wnt/&#x003B2;-catenin (<xref rid="b9-ijo-45-06-2475" ref-type="bibr">9</xref>,<xref rid="b10-ijo-45-06-2475" ref-type="bibr">10</xref>) and Notch (<xref rid="b11-ijo-45-06-2475" ref-type="bibr">11</xref>,<xref rid="b12-ijo-45-06-2475" ref-type="bibr">12</xref>) signalling pathways, both of which activate metalloproteinases (<xref rid="b13-ijo-45-06-2475" ref-type="bibr">13</xref>,<xref rid="b14-ijo-45-06-2475" ref-type="bibr">14</xref>), have also been shown to promote osteosarcoma metastasis. Finally, secreted factors, including the cytokine interleukin-6 (IL-6) (<xref rid="b15-ijo-45-06-2475" ref-type="bibr">15</xref>), parathyroid hormone (PTH), PTH peptides and the PTH receptor (PTHR) (<xref rid="b16-ijo-45-06-2475" ref-type="bibr">16</xref>,<xref rid="b17-ijo-45-06-2475" ref-type="bibr">17</xref>), autocrine motility factor (AMF) (<xref rid="b18-ijo-45-06-2475" ref-type="bibr">18</xref>,<xref rid="b19-ijo-45-06-2475" ref-type="bibr">19</xref>) and matricellular protein Cyr61 (<xref rid="b20-ijo-45-06-2475" ref-type="bibr">20</xref>) are known to promote metastasis.</p>
<p>The expression of both soluble and membrane bound APN is strongly correlated with the invasive capacity of numerous tumour cell types (<xref rid="b21-ijo-45-06-2475" ref-type="bibr">21</xref>&#x02013;<xref rid="b23-ijo-45-06-2475" ref-type="bibr">23</xref>) and APN is widely believed to influence the invasion mechanism. A previous study showed that APN activity is correlated with IL-6-mediated osteosarcoma invasiveness (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>). APN is a zinc-dependent membrane-bound aminopeptidase with a short N-terminal cytoplasmic domain, a single transmembrane part and a large extracellular domain containing the active site. APN is a multifunctional enzyme, which can operate as an enzyme for peptide cleavage, a receptor in endocytosis and/or a signalling molecule in signal transduction. Each of these three mechanisms elicits a different biological effect (<xref rid="b23-ijo-45-06-2475" ref-type="bibr">23</xref>). APN overexpression or altered enzymatic activity has been reported in skin, ovary, thyroid, lung, stomach, colon, kidney, bone and prostate neoplasias (<xref rid="b25-ijo-45-06-2475" ref-type="bibr">25</xref>,<xref rid="b26-ijo-45-06-2475" ref-type="bibr">26</xref>). The mechanism by which APN participates in cell invasion is linked to its enzymatic activity, but APN has also been shown to facilitate signal transduction in endothelial invasion (<xref rid="b27-ijo-45-06-2475" ref-type="bibr">27</xref>).</p>
<p>It has been demonstrated that IL-6 plays an important role in the progression and invasion of tumours by stimulating MMP production (<xref rid="b28-ijo-45-06-2475" ref-type="bibr">28</xref>,<xref rid="b29-ijo-45-06-2475" ref-type="bibr">29</xref>). MMPs have pivotal roles in the degradation of extracellular matrix, and thereby enhance the invasive and metastatic potential in cancer (<xref rid="b30-ijo-45-06-2475" ref-type="bibr">30</xref>,<xref rid="b31-ijo-45-06-2475" ref-type="bibr">31</xref>). In human osteosarcoma, MMP-2 has been implicated in the metastatic process (<xref rid="b32-ijo-45-06-2475" ref-type="bibr">32</xref>) and MMP-9 has been shown to be associated with poor prognosis (<xref rid="b33-ijo-45-06-2475" ref-type="bibr">33</xref>&#x02013;<xref rid="b35-ijo-45-06-2475" ref-type="bibr">35</xref>).</p>
<p>In this study we investigate the effect of APN inhibition and activation on osteosarcoma cell lines using APN inhibitor bestatin and APN activator IL-6. This study creates a platform to further explore APN involvement in osteosarcoma metastasis and identify target signalling networks for novel therapeutic strategies.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The human osteosarcoma cell lines MG63 and U-2 OS were obtained from the Shanghai Institute of Cell Biology (Shanghai, China). The cells were grown under standard conditions in RPMI-1640 and supplemented with 10&#x00025; heat-inactivated FBS and antibiotics/antimycotics (all from Gibco-BRL, Eggenstein, Germany). They were incubated at 37&#x000B0;C in a CO<sub>2</sub> incubator, released from the culture surface using trypsin/EDTA (Gibco-BRL) and counted in a haemocytometer.</p></sec>
<sec>
<title>Cytokines and APN inhibitors</title>
<p>IL-6 and sIL-6R were purchased from R&amp;D Systems (Minneapolis, MN, USA). Bestatin was purchased from Sigma (St. Louis, MO, USA). All treatments with IL-6 were at 1 nM and included 15 nM sIL-6R, which was added to achieve a stable effect in osteoblastic cells (<xref rid="b36-ijo-45-06-2475" ref-type="bibr">36</xref>&#x02013;<xref rid="b39-ijo-45-06-2475" ref-type="bibr">39</xref>).</p></sec>
<sec>
<title>RNA isolation and cDNA synthesis</title>
<p>MG63 or U-2 OS cells (1&#x000D7;10<sup>6</sup> cells/well) were placed in 6-well plates and incubated with factors (IL-6, sIL-6R or bestatin) for the times indicated. Cells were collected and total RNA was extracted from each treatment using the Qiagen RNeasy Mini kit (Qiagen Inc., Valencia, CA, USA). RNA samples were reverse-transcribed at 42&#x000B0;C using the High Capacity cDNA Reverse Transcription kit for 30 min according to the protocol of the supplier (Applied Biosystems, Foster City, CA, USA).</p></sec>
<sec>
<title>Absolute quantitation of APN expression by competitive RT-PCR</title>
<p>The internal competitive standard RNA was obtained using the method designed by Kehlen <italic>et al</italic> and composite primers were synthesized as shown in <xref rid="tI-ijo-45-06-2475" ref-type="table">Table I</xref> (<xref rid="b40-ijo-45-06-2475" ref-type="bibr">40</xref>). For cDNA synthesis, 1,000, 500, 50, 10 or 1 pg APN competitor RNA were added to 5 &#x003BC;g total RNA and reverse-transcribed at 42&#x000B0;C using the High Capacity cDNA Reverse Transcription kit for 30 min according to the protocol of the supplier (Applied Biosystems). Two microliters of cDNA was diluted in 50 &#x003BC;l of PCR reaction solution containing primers 3 and 4. The PCR reaction was performed according to the manufacturer&#x02019;s standard protocol (Qiagen Inc., Hilden, Germany) in a thermal cycler (MaxiCycler PTC-100; MJ Research, Inc., Watertown, MA, USA) for 35 cycles of 60 sec at 94&#x000B0;C, 60 sec at 60&#x000B0;C, and 60 sec at 72&#x000B0;C. Each reaction product (10 &#x003BC;l) was run on a 1.5&#x00025; agarose gel containing 0.1&#x00025; &#x003BC;g/ml ethidium bromide in TAE buffer. The relative intensities of the bands corresponding to the target (573 bp) and internal standard (434 bp) PCR products were visualized with UV light. The relative amounts of target and internal standard products were calculated by densitometric analysis using ImageMaster 1D Prime software (Amersham Pharmacia Biotech, Freiburg, Germany). The ratio of standard to target amplification pro ducts was graphed as a function of the initial amount of internal standard, and lines were drawn from a linear regression analysis using InStat (GraphPad Software, Inc., San Diego, CA, USA). The initial amount of target was calculated from the point where the amount of amplified target equals the amount of amplified standard (ratio D 1). The analysis was performed in triplicate.</p></sec>
<sec>
<title>Quantitative PCR</title>
<p>The following quantitative PCR conditions were used: 2 min at 50&#x000B0;C, 10 min at 95&#x000B0;C, and 40 cycles of 15 sec at 95&#x000B0;C, 1 min at 60&#x000B0;C using 1 &#x003BC;l of the cDNA reverse-transcribed as described above, 2X SYBR-Green PCR Master Mix (Applied Biosystems), and 200 nM forward and reverse primers. The primer sequences were APN forward, GTTCTCCTTCTCCAACCTCATC and reverse, CTGTTTCCTCGTTGTCCTTCT; MMP-2 forward, CCCCAGACAGGTGATCTTGAC and reverse, GCTTGCGAGGGAAGAAGTTG; MMP-9 forward, CGCTGGGCTTAGATCATTCC and reverse, AGGTTGGATACATCACTGCATTAGG; GAPDH forward, ACACCCACTCCTCCACCTTT and reverse, TAGCCAAATTCGTTGTCATACC. Each assay was run on an Applied Biosystems 7300 Real-Time PCR System in triplicate, and expression fold changes were derived using the comparative threshold cycle (CT) method (<xref rid="b41-ijo-45-06-2475" ref-type="bibr">41</xref>,<xref rid="b42-ijo-45-06-2475" ref-type="bibr">42</xref>).</p></sec>
<sec>
<title>Enzyme activity</title>
<p>APN activity was assayed using the substrate alanine p-nitroanilide (Ala-pNA) at a final concentration of 1.5 mM. Confluent cell monolayers in 48-well plates were rinsed three times and incubated at 37&#x000B0;C for 20&#x02013;40 min with pre-warmed substrate. Supernatant p-nitroanilide was measured at an OD of 405 nm by a microplate reader (Anthos Labtec Instruments GmbH, Salzburg, Austria). Assays were run in triplicate, in parallel with cell- and substrate-free blanks. The cells were detached from the plates and counted. Catalytic activity was expressed as pkat/10<sup>6</sup> cells.</p></sec>
<sec>
<title>Gelatin zymography</title>
<p>MMP-2 and -9 activity was determined by gelatin zymography after exposure to IL-6 or bestatin. Cells (1&#x000D7;10<sup>6</sup> cells/well) were plated in 12-well tissue culture plates and incubated in serum-free McCoy&#x02019;s 5A medium in the presence of 1 nM IL-6 or 100 &#x003BC;M bestatin for 24 and 48 h. The conditioned medium was then collected and separated by electrophoresis on 10&#x00025; SDS-PAGE containing 0.2&#x00025; gelatin (Sigma). At the end of electrophoresis, the gels were soaked twice in 2.5&#x00025; Triton X-100 in dH<sub>2</sub>O at 25&#x000B0;C for a total of 60 min, then incubated in substrate buffer (50 mM Tris HCl, 5 mM CaCl<sub>2</sub>, 0.02&#x00025; NaN<sub>3</sub> and 1&#x00025; Triton X-100, pH 8.0) at 37&#x000B0;C for 18 h. Bands corresponding to MMP-2 and -9 activity were visualized by negative staining using 0.2&#x00025; Coomassie Blue in 50&#x00025; methanol and 10&#x00025; acetic acid as described elsewhere (<xref rid="b43-ijo-45-06-2475" ref-type="bibr">43</xref>,<xref rid="b44-ijo-45-06-2475" ref-type="bibr">44</xref>). Bands were quantified using NIH ImageJ software (NIH, Bethesda, MD, USA) as previously described (<xref rid="b45-ijo-45-06-2475" ref-type="bibr">45</xref>,<xref rid="b46-ijo-45-06-2475" ref-type="bibr">46</xref>).</p></sec>
<sec>
<title>In vitro migration and invasion assays</title>
<p>Cell mobility was determined in migration and invasion assays through 24-well Transwell inserts (8 mm pore size) coated with 30 &#x003BC;g type 1 collagen (both from Millipore, Billerica, MA, USA) (migration assay) or Matrigel (BD Biosciences, Bedford, MA, USA) (invasion assay) (<xref rid="b41-ijo-45-06-2475" ref-type="bibr">41</xref>,<xref rid="b44-ijo-45-06-2475" ref-type="bibr">44</xref>). U-2 OS and MG63 cells were maintained in serum-free medium for 24 h, after which they were trypsinized, resuspended in serum-free McCoy&#x02019;s 5A medium and placed in the upper chamber of the Transwell insert (5&#x000D7;10<sup>4</sup> cells/well). Cells were then treated for 24 or 48 h with 1 nM IL-6 or 100 &#x003BC;M bestatin. McCoy&#x02019;s 5A medium containing 10&#x00025; FBS was then placed in the lower chamber. Non-migrating cells in the upper chamber were removed by wiping with a cotton swab. Cells that had penetrated the filter and were located on the lower chamber side of the filter were fixed with 4&#x00025; formaldehyde in PBS, stained with 2&#x00025; crystal violet in 2&#x00025; ethanol and counted under a light microscope at &#x000D7;200 magnification.</p></sec>
<sec>
<title>NF-&#x003BA;B immunofluorescence</title>
<p>Cells placed on 6-well chamber slides were treated with 1 nM IL-6 or 100 &#x003BC;M bestatin for 24 h, immunofluorescence-labeled using a Cellular NF-&#x003BA;B Translocation kit (Beyotime Institute of Biotechnology, Jiangsu, China) according to the manufacturer&#x02019;s protocol. Briefly, after fixing, the cells were stained using anti-NF-&#x003BA;B p65 (1:100) overnight and then stained with Cy3 fluorescein-conjugated secondary antibody followed by nuclear counterstain propidium iodide. Photomicrographs were obtained using a Leica TCS SP2 confocal spectral microscope.</p></sec>
<sec>
<title>Western blotting</title>
<p>U-2 OS cells (1&#x000D7;10<sup>6</sup> cells/well) were placed in 6-well plates and each well was incubated for 24 or 48 h in 1 nM IL-6 or 100 &#x003BC;M bestatin. Cells were harvested and lysed with ice-cold 50 mM potassium phosphate buffer (pH 7.4) containing 2 mM EDTA and 0.1&#x00025; Triton X-100, sonicated and then centrifuged at 13,000 g for 10 min at 4&#x000B0;C. The supernatant was collected and total protein was determined using a Bio-Rad Protein Assay kit (Bio-Rad, Hercules, CA, USA) with bovine serum albumin (BSA) as the standard. At the end of electrophoresis, proteins were electrotransferred to nitrocellulose membranes, blotted with primary antibody against GRB2, PI3K, AKT, PKC, p38, NF-&#x003BA;B p65, p38, ERK1/2, JNK, MMP-2, MMP-9, p-p38, p-ERK1/2 or p-JNK (Cell Signaling Technology, Inc., Danvers, MA, USA) then washed and stained with secondary antibody. Bands were visualized with an enhanced chemiluminescence reagent (ECL&#x02122;; Amersham Biosciences Corp., Piscataway, NJ, USA) and quantified using an NIH Image analyzer (NIH).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the means &#x000B1; standard deviation (SD) from at least three independent experiments. Differences between groups were determined using Student&#x02019;s t-test. P&lt;0.05 was considered to indicate a statistically significant result.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>APN mRNA expression and hydrolysing activity is affected by IL-6 and bestatin</title>
<p>The treatment of human osteosarcoma cell lines HOS and MG63 with cytokine IL-6 has been shown to upregulate APN mRNA (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>). To confirm and extend these observations we first determined APN mRNA expression in human osteosarcoma cells lines U-2 OS and MG63 after exposure to IL-6 (1 nM) for 24 h. Competitive PCR showed that APN mRNA expression in both cell lines increased significantly (<xref rid="f1-ijo-45-06-2475" ref-type="fig">Fig. 1A</xref>). We next investigated whether bestatin, a widely used and potent inhibitor of APN, inhibited APN mRNA expression. A 24 h exposure of U-2 OS and MG63 to 100 &#x003BC;M bestatin decreased the mRNA levels slightly, but nevertheless significantly (<xref rid="f1-ijo-45-06-2475" ref-type="fig">Fig. 1A</xref>).</p>
<p>It has previously been shown that IL-6 treatment of human osteosarcoma cell lines MG63 and HOS significantly increased Ala-pNA hydrolysing activity (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>). We confirmed and extended these observations by investigating APN Ala-pNA hydrolysing activity in the cells lines U-2 OS and MG63 after a 24 h treatment with IL-6 (1 nM) or bestatin (100 &#x003BC;M). As expected, IL-6 treatment significantly increased Ala-pNA hydrolysing activity in both cell lines (<xref rid="f1-ijo-45-06-2475" ref-type="fig">Fig. 1B</xref>). In contrast, the bestatin treatment significantly decreased Ala-pNA hydrolysing activity (<xref rid="f1-ijo-45-06-2475" ref-type="fig">Fig. 1B</xref>). Together these data confirm that IL-6 treatment activates, whereas bestatin treatment inhibits, APN hydrolysing activity and APN mRNA expression in human osteoblast cell lines.</p></sec>
<sec>
<title>Osteosarcoma cell migration and invasion after IL-6 and bestatin treatment</title>
<p>It has previously been demonstrated that a 24 h treatment of human osteosarcoma cell lines HOS and MG63 with IL-6 (1 nM) or bestatin (100 &#x003BC;M) enhances or represses their invasive potential, respectively (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>). To confirm and extend these observations we assessed the invasive potential of cell lines U-2 OS and MG63 exposed to IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 or 48 h. The invasiveness of both MG63 and U-2 OS cells significantly increased upon exposure to IL-6 and significantly decreased upon exposure to bestatin after both 24 and 48 h (<xref rid="f2-ijo-45-06-2475" ref-type="fig">Fig. 2</xref>). We also assessed the migration potential of MG63 and U-2 OS when exposed to IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 or 48 h. The migration of both U-2 OS and MG63 cells significantly increased upon exposure to IL-6 and significantly decreased upon exposure to bestatin after both 24 and 48 h (<xref rid="f3-ijo-45-06-2475" ref-type="fig">Fig. 3</xref>). The data shown here confirm that APN stimulator IL-6 and APN inhibitor bestatin enhance and reduce cell invasiveness and migration, respectively. Since the invasive potential of cell lines HOS and MG63 correlates with the relative enzymatic activity of APN (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>), it is possible that the increased invasive potential and migration of U-2 OS and MG63 cells observed here is also due to increased APN activity.</p></sec>
<sec>
<title>Effect of IL-6 and bestatin on MMP-2 and -9 activity</title>
<p>To investigate whether APN regulates MMP-2 and -9 activity in osteosarcoma cell lines, we measured MMP-2 and -9 enzyme activity by gelatin zymography after inhibiting APN in MG63 and U-2 OS cells with bestatin (100 &#x003BC;M) for 24 and 48 h. We found that both 24- and 48-h bestatin treatments decreased MMP-2 and -9 activity (<xref rid="f4-ijo-45-06-2475" ref-type="fig">Fig. 4A and B</xref>). These results suggest that the decreased invasiveness of bestatin-treated cells could be due APN&#x02019;s reduced activation of MMP-2 and -9. By comparison, a 24 and 48 h incubation of MG63 and U-2 OS cells with IL-6 (1 nM) increases MMP-2 and -9 activity (<xref rid="f4-ijo-45-06-2475" ref-type="fig">Fig. 4A and B</xref>). Together these results raise the possibility that the increased invasiveness of MG63 and U-2 OS by IL-6 could be due to IL-6&#x02019;s activation of MMP-2 and -9 via APN activation.</p></sec>
<sec>
<title>IL-6 and bestatin alter levels and phosphorylation states of signalling proteins</title>
<p>Cell invasion and migration are orchestrated by multiple signalling cascades, including the mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K) pathways (<xref rid="b47-ijo-45-06-2475" ref-type="bibr">47</xref>,<xref rid="b48-ijo-45-06-2475" ref-type="bibr">48</xref>). We determined the effect of APN inhibition on protein levels and phosphorylation states of MAPK and PI3K signalling pathway members by western blotting. The treatment of MG63 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Fig. 5</xref>) and U-2 OS (<xref rid="f6-ijo-45-06-2475" ref-type="fig">Fig. 6</xref>) cell lines with bestatin (100 &#x003BC;M) for 24 h resulted in decreased levels of GRB2, PI3K, AKT, PKC, NF-&#x003BA;B p65 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5A</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6A</xref>), p38, ERK1/2, JNK, p-p38, p-ERK1/2 and p-JNK (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5B</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6B</xref>). By comparison, the treatment of MG63 and U-2 OS cell lines with APN stimulator IL-6 for 24 h resulted in increased levels of GRB2, PI3K, AKT, PKC, NF-&#x003BA;B p65 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5A</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6A</xref>), p38, ERK1/2, JNK, p-p38, p-ERK1/2 and p-JNK (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5B</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6B</xref>). Together these results show that a reduction of APN activity in osteosarcoma cells dampens MAPK and PI3K signalling, as shown by the reduced levels of phosphorylated p38, ERK1/2 and JNK. This raises the possibility that APN might have a signalling function in osteosarcoma invasiveness by activating the transcription factor NF-&#x003BA;B through the MAPK and PI3K pathways. NF-&#x003BA;B would then activate downstream target genes such as MMP-2 and -9.</p>
<p>We next investigated whether the enzymatic activity changes in MMP-2 and -9 upon bestatin or IL-6 treatment could be due to reduced MMP-2 and -9 protein levels. Indeed, we showed by western blotting that the treatment of MG63 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Fig. 5</xref>) and U-2 OS (<xref rid="f6-ijo-45-06-2475" ref-type="fig">Fig. 6</xref>) cell lines with bestatin (100 &#x003BC;M) for 24 h resulted in decreased levels of MMP-2 and -9 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5C</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6C</xref>). By comparison, the treatment of with APN stimulator IL-6 resulted in increased levels of MMP-2 and -9 (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5C</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6C</xref>). We next determined MMP-2 and -9 mRNA levels by quantitative PCR and found that these were reduced upon bestatin treatment and increased upon IL-6 treatment. The changes in MMP-2 and -9 protein and mRNA levels (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Figs. 5D</xref> and <xref rid="f6-ijo-45-06-2475" ref-type="fig">6D</xref>) are therefore in accordance with the changes in MMP-2 and -9 activity (<xref rid="f4-ijo-45-06-2475" ref-type="fig">Fig. 4</xref>).</p></sec>
<sec>
<title>Effect of IL-6 and bestatin on NF-&#x003BA;B p65 signalling</title>
<p>Western blotting revealed that IL-6 and bestatin treatments increased and decreased, respectively, the levels of the transcription factor NF-&#x003BA;B, which has been shown to activate MMP-1, -3 and -9 transcription (<xref rid="b49-ijo-45-06-2475" ref-type="bibr">49</xref>). We therefore investigated the expression and localization of NF-&#x003BA;B in IL-6 or bestatin-treated MG63 and U-2 OS cells by immunocytochemisty with an antibody against the p65 subunit. In untreated cells, NF-&#x003BA;B was visible in both the cytosol and nucleus (control panel in <xref rid="f7-ijo-45-06-2475" ref-type="fig">Fig. 7A and B</xref>). The cytoplasmic form is inactive due to its association with inhibitory protein I&#x003BA;B. IL-6 treatment concentrated the NF-&#x003BA;B p65 in the nucleus (<xref rid="f7-ijo-45-06-2475" ref-type="fig">Fig. 7A and B</xref>), while bestatin reduced overall NF-&#x003BA;B p65 levels, consistent with our western blotting data (<xref rid="f5-ijo-45-06-2475" ref-type="fig">Fig. 5</xref>). These results support our model of MMP-2 and -9 activation by NF-&#x003BA;B, which has been activated by APN signalling via the MAPK or PI3K pathway.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Our study supports the involvement of enzymatic and signalling functions of APN in osteosarcoma invasion. Foremost, the inhibition by bestatin of APN in osteosarcoma cell lines reduces cell invasiveness and migration potential concomitant with a downregulation of APN mRNA and hydrolysing activity. Reduced cell motility is accompanied by reduced MAPK and PI3K signalling and reduced levels of transcription factor NF-&#x003BA;B, and its targets MMP-2 and -9. Together these data support the notion that the reduced invasiveness is caused by reduced APN enzymatic and signalling activity. That is, APN enzymatic activity not only degrades the ECM to facilitate migration but also activates the MAPK and PI3K pathway, leading to activation of MMP-2 and -9. These data place APN in a potentially important position for regulating key signalling pathways which activate MMP-2 and -9 via MAPK and NF-&#x003BA;B to promote invasiveness (<xref rid="f8-ijo-45-06-2475" ref-type="fig">Fig. 8</xref>). Since bestatin is an inhibitor of various leucine and arginine aminopeptidases and an efficient inhibitor of LTA4 hydrolase and lacks selectivity toward exopeptidases (<xref rid="b50-ijo-45-06-2475" ref-type="bibr">50</xref>), further experiments are required to determine whether the decreases in APN, MMP-2 and -9 activity were caused exclusive by bestatin inhibition of APN or its inhibition of other molecules. An exclusive role of APN in activating signalling pathways and MMP-2 and -9 activity was demonstrated with gene silencing of APN by small interfering RNA.</p>
<p>We also show that IL-6 treatment of osteosarcoma cell lines increases cell invasiveness and migration potential concomitant with an upregulation of APN mRNA and hydrolysing activity. Increased cell motility is accompanied by activation of the MAPK and the PI3K signalling pathways. IL-6 treatment also increased levels of transcription factor NF-&#x003BA;B, and its targets MMP-2 and -9. This supports the possibility that APN activation promotes cell invasiveness. It has previously been shown that inflammatory cytokines such as IL-6 increase the invasive capacity of malignant cells (<xref rid="b15-ijo-45-06-2475" ref-type="bibr">15</xref>,<xref rid="b51-ijo-45-06-2475" ref-type="bibr">51</xref>&#x02013;<xref rid="b53-ijo-45-06-2475" ref-type="bibr">53</xref>). An involvement of APN in IL-6-induced osteosarcoma invasiveness has already been suggested because invasiveness correlates with the increased relative enzymatic activity of APN and APN inhibitor bestatin reduces IL-6-induced invasiveness (<xref rid="b24-ijo-45-06-2475" ref-type="bibr">24</xref>). These data do not exclude the possibility that APN activates MMP-2 and -9 via MAPK activation of NF-&#x003BA;B. However, further experiments are required to exclude the involvement of other factors known to be induced by IL-6. For example IL-6 activation of intercellular adhesion molecule-1 (ICAM-1) via the integrin-linked kinase (ILK)/AKT/AP-1 pathway promotes osteosarcoma cell motility (<xref rid="b15-ijo-45-06-2475" ref-type="bibr">15</xref>). IL-6 also promotes invasion and migration of human osteosarcoma cell lines through the signal transducer and activator of transcription 3 (STAT3) signalling pathway (<xref rid="b54-ijo-45-06-2475" ref-type="bibr">54</xref>). Thus to exclude the possibility that our observed effects are due to APN activation and not other IL-6 downstream effectors, a specific activation of APN would be required.</p>
<p>Inflammatory cytokine IL-6 treatment resulted in an activation of all three arms of the MAPK signalling pathway, which regulates diverse processes including gene expression and cell morphology (<xref rid="b48-ijo-45-06-2475" ref-type="bibr">48</xref>). Specifically, we observed increased levels of phosphorylated p38, ERK1/2 and JNK. In addition, IL-6 treatment increased the protein levels of these three MAPKs. Furthermore, levels of NF-&#x003BA;B p65, a downstream effector of IL-6 signalling and a MAPK substrate, were increased. Our analysis of signalling pathway proteins also revealed that IL-6 altered expression levels of PI3K, AKT and PKC, members of the PI3K signalling pathway, whose activation in tumours contributes to metastatic competence (<xref rid="b47-ijo-45-06-2475" ref-type="bibr">47</xref>). In contrast, bestatin had the opposite effect. Together these data establish a signalling footprint of IL-6-stimulated osteosarcoma cells and represent a platform on which to explore crosstalk with signalling pathways activated by APN.</p>
<p>APN performs multiple functions by numerous mechanisms, including the enzymatic cleavage of peptides, endocytosis and signal transduction (<xref rid="b55-ijo-45-06-2475" ref-type="bibr">55</xref>). The strong correlation of APN expression and enzymatic activity with the invasive capacity of numerous cell types makes it an attractive target molecule for therapy. Our study raises the possibility that APN is involved in osteosarcoma metastasis and that its functions do not always depend on its enzymatic activity. APN performs multiple functions by numerous mechanisms, including the enzymatic cleavage of peptides, endocytosis and signal transduction (<xref rid="b56-ijo-45-06-2475" ref-type="bibr">56</xref>). Our study suggests that these mechanisms also occur in osteosarcoma, and lays the foundation for future studies.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The study was supported by the Natural Science Foundation of Zhejiang province (LY13H060005), Public Technology Applied Research Projects of Zhejiang province (2014C33254), General Foundation of Zhejiang province (2013KYA201), General Research Plan B of Zhejiang province (2012KYB213), and Shaoxing Science Project (2013B70081).</p></ack>
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<floats-group>
<fig id="f1-ijo-45-06-2475" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of interleukin-6 (IL-6) and bestatin on APN expression and hydrolysing activity in human osteosarcoma cell lines MG63 and U-2 OS. Cells were treated for 24 h with IL-6 (1 nM) or bestatin (100 &#x003BC;M). (A) Absolute mRNA expression of APN in osteosarcoma cell lines. (B) Alanine p-nitroanilide (Ala-pNA) hydrolysing activity expressed as pkat/10<sup>6</sup> cells. <sup>*</sup>Statistically significant (P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-45-06-2475-g00.gif"/></fig>
<fig id="f2-ijo-45-06-2475" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of interleukin-6 (IL-6) and bestatin on invasive potential of MG63 and U-2 OS cells in a Boyden chamber (Matrigel-coated polycarbonate filters; pore size, 8 &#x003BC;m) treated with IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 and 48 h. Photomicrographs of crystal violet stained (A) MG63 and (B) U-2 OS cells located on the underside of the porous polycarbonate membrane. (C) Quantification by microscopy of MG63 and U-2 OS cells located on the underside of the porous polycarbonate membrane. The average of three independent experiments with duplicate biological samples is given. <sup>*</sup>P&lt;0.05 compared with the untreated control.</p></caption>
<graphic xlink:href="IJO-45-06-2475-g01.gif"/></fig>
<fig id="f3-ijo-45-06-2475" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of interleukin-6 (IL-6) and bestatin on cell migration of MG63 and U-2 OS cells in a Boyden chamber (collagen-coated polycarbonate filters; pore size, 8 &#x003BC;m) treated with IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 and 48 h. Photomicrographs of crystal violet stained (A) MG63 and (B) U-2 OS cells located on the underside of the porous polycarbonate membrane. (C) Quantification by microscopy of MG63 and U-2 OS cells located on underside of the porous polycarbonate membrane. The average of three independent experiments with duplicate biological samples is given. <sup>*</sup>P&lt;0.05 compared with the untreated control.</p></caption>
<graphic xlink:href="IJO-45-06-2475-g02.gif"/></fig>
<fig id="f4-ijo-45-06-2475" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of interleukin-6 (IL-6) and bestatin on matrix metalloproteinase (MMP)-2 and -9 enzyme activities in (A) MG63 and (B) U-2 OS cells treated with IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 and 48 h. Representative zymogram depicting the activity of secreted MMP-2 and -9 using conditioned medium. MMP-2 and -9 activities were determined by densitometric analysis and expressed as a percentage of the control (100&#x00025;).</p></caption>
<graphic xlink:href="IJO-45-06-2475-g03.gif"/></fig>
<fig id="f5-ijo-45-06-2475" position="float">
<label>Figure 5</label>
<caption>
<p>Mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K) pathway proteins in interleukin-6 (IL-6)- and bestatin-treated MG63 cells. Cells were treated with IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 h. The levels of (A) GRB2, PI3K, AKT, PKC, NF-&#x003BA;B p65; (B) p38, ERK1/2, JNK, p-p38, p-ERK1/2 and p-JNKp; (C) matrix metalloproteinase (MMP)-2 and -9 are depicted by SDS-PAGE and western blotting. Results shown here are representative of at least three independent experiments. (D) Relative quantification of MMP-2 and -9 by real-time PCR. The ratios between MMP-2, -9 and GAPDH mRNA are displayed and data represent the mean &#x000B1; standard deviation (SD) in duplicate of at least three independent experiments. <sup>*</sup>P&lt;0.05 was considered significant. &#x003B2;-actin, control.</p></caption>
<graphic xlink:href="IJO-45-06-2475-g04.gif"/></fig>
<fig id="f6-ijo-45-06-2475" position="float">
<label>Figure 6</label>
<caption>
<p>Mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K) pathway proteins in interleukin-6 (IL-6)- and bestatin-treated U-2 OS cells. Cells were treated with IL-6 and bestatin for 24 h. The levels of (A) GRB2, PI3K, AKT, PKC, NF-&#x003BA;B p65; (B) p38, ERK1/2, JNK, p-p38, p-ERK1/2 and p-JNK; (C) matrix metalloproteinase (MMP)-2 and -9 were depicted by SDS-PAGE and western blotting. Results shown are representative of at least three independent experiments. (D) Relative quantification of MMP-2 and -9 by real-time PCR. The ratios between MMP-2, -9 and GAPDH mRNA are displayed and data represent the mean &#x000B1; standard deviation (SD) in duplicate of at least three independent experiments. <sup>*</sup>P&lt;0.05 was considered significant.</p></caption>
<graphic xlink:href="IJO-45-06-2475-g05.gif"/></fig>
<fig id="f7-ijo-45-06-2475" position="float">
<label>Figure 7</label>
<caption>
<p>NF-&#x003BA;B p65 expression after interleukin-6 (IL-6) and bestatin treatment. Immunofluorescent detection of NF-&#x003BA;B p65 (red fluorescence) in (A) MG63 and (B) U-2 OS cultures treated with IL-6 (1 nM) or bestatin (100 &#x003BC;M) for 24 h. Nuclei were counterstained with propidium iodide (blue fluorescence). Photomicrographs were obtained using a Leica TCS SP2 confocal spectral microscope.</p></caption>
<graphic xlink:href="IJO-45-06-2475-g06.gif"/></fig>
<fig id="f8-ijo-45-06-2475" position="float">
<label>Figure 8</label>
<caption>
<p>Possible signalling pathways activated by APN that mediate cell invasion and migration in human osteosarcoma cells. Image adapted from Liao <italic>et al</italic> (<xref rid="b56-ijo-45-06-2475" ref-type="bibr">56</xref>).</p></caption>
<graphic xlink:href="IJO-45-06-2475-g07.gif"/></fig>
<table-wrap id="tI-ijo-45-06-2475" position="float">
<label>Table I</label>
<caption>
<p>Primers used in competitive PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Primers</th>
<th valign="bottom" align="center">Sequences</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="left">GTG ATG GCA GTG GAT GCA CAG CTT CCT GTC CGA GGA CTG TA</td></tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="left">GAT TTA GGT GAC ACT ATA GAA TAC GTG ATG GCA GTG GAT GCA C</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="left">GTG ATG GCA GTG GAT GCA C</td></tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="left">CGT CAC ATT GAG GTT CAG CAG</td></tr></tbody></table></table-wrap></floats-group></article>
