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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.2014.2781</article-id>
<article-id pub-id-type="publisher-id">ijo-46-02-0691</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Mitochondrial dynamics regulates hypoxia-induced migration and antineoplastic activity of cisplatin in breast cancer cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>HAN</surname><given-names>XIAO-JIAN</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-46-02-0691"/></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>ZHANG-JIAN</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>JIANG</surname><given-names>LI-PING</given-names></name><xref rid="af3-ijo-46-02-0691" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>WEI</surname><given-names>YONG-FANG</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIAO</surname><given-names>MING-FANG</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref><xref rid="af3-ijo-46-02-0691" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIAN</surname><given-names>YISONG</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>YONG</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>HUANG</surname><given-names>XUAN</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>JIAN-BIN</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIN</surname><given-names>HONG-BO</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>WAN</surname><given-names>YU-YING</given-names></name><xref rid="af1-ijo-46-02-0691" ref-type="aff">1</xref><xref rid="af2-ijo-46-02-0691" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijo-46-02-0691"/></contrib></contrib-group>
<aff id="af1-ijo-46-02-0691">
<label>1</label>Institute of Translational Medicine, Nanchang University, Nanchang, P.R. China</aff>
<aff id="af2-ijo-46-02-0691">
<label>2</label>Department of Hospital Infection, The Second Affiliated Hospital of Nanchang University, Nanchang, P.R. China</aff>
<aff id="af3-ijo-46-02-0691">
<label>3</label>Department of Pharmacology, School of Pharmaceutical Science, Nanchang University, Nanchang, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-46-02-0691">Correspondence to: Dr Xiao-Jian Han or Dr Yu-Ying Wan, Institute of Translational Medicine, Nanchang University, 1299 Xuefu Road, Honggu District, Nanchang, Jiangxi 330031, P.R. China, E-mail: <email>hanxiaojian@hotmail.com</email>, E-mail: <email>wanyy79@hotmail.com</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>2</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>11</month>
<year>2014</year></pub-date>
<volume>46</volume>
<issue>2</issue>
<fpage>691</fpage>
<lpage>700</lpage>
<history>
<date date-type="received">
<day>02</day>
<month>10</month>
<year>2014</year></date>
<date date-type="accepted">
<day>19</day>
<month>11</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</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>Mitochondria are high dynamic organelles with frequent fission and fusion. Here, we found hypoxia stimulated Drp1 expression, mitochondrial fission and migration in metastatic MDA-MB-231 cells, but not in non-metastatic MCF-7 cells. Inhibition of Drp1-dependent mitochondrial fission by Mdivi-1 or silencing Drp1 attenuated hypoxia-induced mitochondrial fission and migration in MDA-MB-231 cells. On the other hand, cisplatin induced significant apoptosis and mitochondrial fission in MDA-MB-231 cells, but not in MCF-7 cells. Mdivi-1 and silencing Drp1 also efficiently prevented cisplatin-induced MMP decrease, ROS production and apoptosis in MDA-MB-231 cells. Our data suggest that Drp1-dependent mitochondrial fission not only regulates hypoxia-induced migration of breast cancer cells, but also facilitates its sensitivity to chemotherapeutic agents. Thus, targeting Drp1-dependent mitochondrial dynamics may provide a novel strategy to suppress breast cancer metastasis and improve the chemotherapeutic effect in the future.</p></abstract>
<kwd-group>
<kwd>hypoxia</kwd>
<kwd>Drp1</kwd>
<kwd>cell migration</kwd>
<kwd>cisplatin resistance</kwd>
<kwd>breast cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Breast cancer is the most common malignant tumor and the leading cause of cancer death in females worldwide (<xref rid="b1-ijo-46-02-0691" ref-type="bibr">1</xref>). Metastasis to vital organs such as lung, liver, bone and brain is responsible for the majority of breast cancer deaths (<xref rid="b2-ijo-46-02-0691" ref-type="bibr">2</xref>). The migration and invasion are the two main aspects of metastatic activity. For metastasis, cancer cells need to migrate and invade into lymphatic or vascular system, and be colonized the metastatic site (<xref rid="b3-ijo-46-02-0691" ref-type="bibr">3</xref>,<xref rid="b4-ijo-46-02-0691" ref-type="bibr">4</xref>). Increasing evidence suggests that the metastatic activity is mainly activated by two factors: the intrinsic genetic properties of cancer cells and the tumor microenvironment (<xref rid="b5-ijo-46-02-0691" ref-type="bibr">5</xref>,<xref rid="b6-ijo-46-02-0691" ref-type="bibr">6</xref>). Hypoxia is the common characteristic of solid tumor microenvironment, and also the major stimulator of migration and invasion (<xref rid="b7-ijo-46-02-0691" ref-type="bibr">7</xref>,<xref rid="b8-ijo-46-02-0691" ref-type="bibr">8</xref>). It is well documented that hypoxia modifies cellular activities via stabilizing HIF-1&#x003B1;. As a transcription factor, HIF-1&#x003B1; promotes the adaption of tumor cells to hypoxia through upregulating gene expression related to cell mobility, angiogenesis, and glycolysis such as MMPs, VEGF and GLUT1 (<xref rid="b7-ijo-46-02-0691" ref-type="bibr">7</xref>,<xref rid="b9-ijo-46-02-0691" ref-type="bibr">9</xref>,<xref rid="b10-ijo-46-02-0691" ref-type="bibr">10</xref>). Furthermore, HIF-1&#x003B1; overexpression is more frequently observed in the metastases than in the primary tumor of breast cancer, and is correlated with distant metastasis and poor prognosis (<xref rid="b11-ijo-46-02-0691" ref-type="bibr">11</xref>). Therefore, hypoxia plays an important role in the metastasis and poor prognosis of breast cancer.</p>
<p>Mitochondria are vital organelles for ATP production and intracellular Ca<sup>2+</sup> homeostasis. As such, they are involved in a variety of cellular processes, including differentiation, proliferation and apoptosis (<xref rid="b12-ijo-46-02-0691" ref-type="bibr">12</xref>&#x02013;<xref rid="b14-ijo-46-02-0691" ref-type="bibr">14</xref>). Furthermore, mitochondria are highly dynamic organelles with frequent fission and fusion events, and move through the cells (<xref rid="b15-ijo-46-02-0691" ref-type="bibr">15</xref>). Mitochondrial dynamics is important to maintain the normal shape, structure, quantity and function of mitochondria and can respond to a variety of extrinsic environments (<xref rid="b16-ijo-46-02-0691" ref-type="bibr">16</xref>). It has been well-recognized that the abnormal mitochondrial dynamics potentially contributes to tumorigenesis (<xref rid="b17-ijo-46-02-0691" ref-type="bibr">17</xref>). On the other hand, some highly conserved dynamin-related GTPases are identified as the mediator of mitochondrial dynamics. The process of mitochondrial outer membrane fission is mediated by dynamin-related protein 1 (Drp1) and Fis1 in mammalian cells. In contrast, OPA-1 and Mitofusins (Mfn1 and Mfn2) are required for the fusion of mitochondrial inner and outer membrane, respectively (<xref rid="b16-ijo-46-02-0691" ref-type="bibr">16</xref>,<xref rid="b17-ijo-46-02-0691" ref-type="bibr">17</xref>). In a recent study (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>), mitochondrial fission was found to regulate the migration and invasion of breast cancer cells. The Drp1 expression in metastatic MDA-MB-231 cells is higher than that in non-metastatic MCF-7 cells. Drp1-dependent mitochondrial fission redistributes mitochondria in lamellipodial regions and enhances the migratory activity of breast cancer cells through promotion of lamellipodia formation. However, the role of Drp1 in migration of breast cancer cells is only investigated under normoxia, and the different migratory activity between metastatic and non-metastatic breast cancer cells is mainly determined by the intrinsic genetic properties of two cell lines. As mentioned above, metastatic activity can also be stimulated by the local characteristics of tumor microenvironment such as hypoxia. Thus, it is necessary to further investigate the role of mitochondrial dynamics in hypoxia-induced migration of breast cancer cells.</p>
<p>Platinum-based drugs are widely used in the treatment of cancer such as lymphomas, melanoma, head-neck cancer, bladder cancer and gynaecological tumors (<xref rid="b19-ijo-46-02-0691" ref-type="bibr">19</xref>). Cisplatin is the first platinum-based drug, discovered in the 1960s (<xref rid="b20-ijo-46-02-0691" ref-type="bibr">20</xref>). Cisplatin interacts with DNA double strands by formation of interstrand and intrastrand adducts, thereby induces apoptosis in cancer cells through the interference with DNA replication and gene transcription (<xref rid="b21-ijo-46-02-0691" ref-type="bibr">21</xref>). Similar to other chemotherapeutic agents, the effect of cisplatin is commonly limited by the resistance of cancer cells. Cisplatin resistance can be intrinsic or acquired. Intrinsic resistance means that cancer cells retain certain featured gene expression profile contributing to resistance prior to cisplatin treatment. In contrast, the acquired resistance occurs in cancer cells after cisplatin-induced epigenetic modulation and gene mutation (<xref rid="b21-ijo-46-02-0691" ref-type="bibr">21</xref>). Interestingly, recent studies suggest the possible role of mitochondrial dynamics in the acquired cisplatin resistance or sensitivity (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>,<xref rid="b23-ijo-46-02-0691" ref-type="bibr">23</xref>). OPA-1-mediated mitochondrial fusion is potentially responsible for cisplatin-induced resistance in neuroblastoma B50 rat cells (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>). By contrast, Drp1-dependent mitochondrial fission was found to regulate piceatannol-induced cisplatin sensitivity in ovarian cancer (<xref rid="b23-ijo-46-02-0691" ref-type="bibr">23</xref>). Moreover, it was reported that non-metastatic MCF-7 cells were more resistant to cisplatin than metastatic MDA-MB-231 cells (<xref rid="b24-ijo-46-02-0691" ref-type="bibr">24</xref>), and Drp1 expression level in MCF-7 cells is also lower than that in MDA-MB-231 cells (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>). Thus, it is of interest to investigate whether intrinsic Drp1-dependent mitochondrial dynamics regulates cisplatin resistance in breast cancer cells.</p>
<p>In the present study, we found hypoxia upregulated Drp1 expression and stimulated mitochondrial fission in metastatic breast cancer MDA-MB-231, but not in non-metastatic MCF-7 cells. The hypoxia-induced migration in MDA-MB-231 was also stronger than that in MCF-7 cells. Inhibition of Drp1-dependent mitochondrial fission by Mdivi-1 or silencing Drp1 significantly attenuated hypoxia-induced mitochondrial fission and migration in MDA-MB-231 cells. On the other hand, CDDP treatment stimulated mitochondrial fission and induced significant apoptosis in MDA-MB-231 cells, but not in MCF-7 cells. Similarly, inhibition of Drp1-dependent mitochondrial fission by Mdivi-1 or silencing Drp1 effectively prevented CDDP-induced MMP decrease, ROS production and apoptosis in MDA-MB-231 cells. These results indicate the role of Drp1-dependent mitochondrial dynamics in hypoxia-induced migration and antineoplastic activity of cisplatin in breast cancer cells.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>Human breast cancer MDA-MB-231 and MCF-7 cell lines were obtained from the American Type Culture Collection (ATCC). MDA-MB-231 cells were grown in RPMI-1640 media (HyClone, South Logan, UT, USA) supplemented with 10&#x00025; fetal bovine serum (Trans Serum&#x02122;, Beijing, China) and 1&#x00025; penicillin and streptomycin (P/S) (Solarbio, Beijing, China). MCF-7 cells were grown in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (HyClone) with 10&#x00025; fetal bovine serum and 1&#x00025; P/S. For normoxic culture, the cells were maintained in a humidified incubator at 37&#x000B0;C with an atmosphere containing 5&#x00025; CO<sub>2</sub>. For hypoxia treatment, the cells were transferred to a humidified hypoxic incubator (Thermo Scientific, MA, USA) containing 1&#x00025; O<sub>2</sub>, 5&#x00025; CO<sub>2</sub> and 94&#x00025; N<sub>2</sub> at 37&#x000B0;C.</p></sec>
<sec>
<title>Wound healing and transwell assay</title>
<p>The wound healing and transwell assays were carried out as previously described (<xref rid="b25-ijo-46-02-0691" ref-type="bibr">25</xref>). For wound healing assay, MDA-MB-231 and MCF-7 cells were firstly seeded on 35-mm dishes and maintained in growth medium. Briefly, a scratch with constant width was done in monolayer of cells with a 200-&#x003BC;l pipette tip. The cells were washed twice with PBS to remove the suspended cells and further cultured in medium without supplement of fetal bovine serum under normoxia or hypoxia. To inhibit Drp1-dependent mitochondrial fission, Drp1 inhibitor Mdivi-1 (Sigma-Aldrich, St. Louis, MO, USA) at 5 &#x003BC;M and silencing Drp1 with siRNA (Biotend, Shanghai, China) were introduced to cells. Wound closure was photographed at different time-points after scratch by bright-field microscopy (Olympus, Tokyo, Japan).</p>
<p>Transwell assay was performed with transwell chamber (Corning, Inc., NY, USA). In brief, 1.0&#x000D7;10<sup>4</sup> MDA-MB-231 cells or 1.4&#x000D7;10<sup>4</sup> MCF-7 cells were seeded into the upper chamber with 200 &#x003BC;l of serum-free medium. The upper chamber was incubated in 500 &#x003BC;l of complete medium containing 10&#x00025; fetal bovine serum and 1&#x00025; P/S. After normoxic or hypoxic incubation (7-h incubation for MDA-MB-231 and 18-h incubation for MCF-7 cells, respectively), the cells on the top surface of the insert were gently removed with a cotton swab. The migrated cells on lower surface were fixed with 4&#x00025; paraformaldehyde (Sigma-Aldrich) and stained with crystal violet (Sigma-Aldrich) for 30 min. The migrated cells were further photographed and counted in four random fields. All assays were independently repeated at least in triplicate.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>MDA-MB-231 and MCF-7 cells were harvested and lyzed by radioimmunoprecipitation assay (RIPA) lysis buffer (Solarbio) according to the manufacturer&#x02019;s instructions. The whole cell lysates were mixed with equal volume of 2X loading buffer (25&#x00025; glycerol, 2&#x00025; sodium dodecyl sulfate, 5&#x00025; &#x003B2;-mercaptoethanol, 0.01&#x00025; bromophenol blue, and 1 M Tris-HCl), sonicated, boiled for 5 min and stored at &#x02212;20&#x000B0;C prior to use. The cell lysates were subjected to SDS-PAGE gel electrophoresis. After electrophoresis, the proteins were transferred onto PVDF membrane (Millipore, MA, USA). The membrane was blocked with 5&#x00025; skim milk in TBST buffer for 1 h at room temperature, and then immunoblotted for 2 h at room temperature with the following primary antibody: rabbit anti-Drp1 and Mfn2 antibody (Cell Signaling, Boston, MA, USA, 1:1,000), rabbit anti-Mfn1 and OPA-1 antibody (Abcam, Cambridge, UK, 1:1,000), and rabbit anti-GAPDH antibody (Santa Cruz Biotechnology, TX, USA, 1:1,000). After three washes with TBST, the membranes were further incubated with an HRP-conjugated goat anti-rabbit secondary antibody (TransGen Biotech, Beijing, China, 1:2,000) for 2 h at room temperature. Chemiluminescence assay was carried out with Amersham ECL Prime Western Blotting Detection reagents (CWBIO, Beijing, China), and the immunobloting signal was detected using Molelular Imager<sup>&#x000AE;</sup> Chemi DOC<sup>T</sup>XRS<sup>+</sup> system (Bio-Rad, CA, USA).</p></sec>
<sec>
<title>RNA interference</title>
<p>For RNA interference, Drp1 siRNA and scramble siRNA were chemically synthesized (Drp1 siRNAs: 5&#x02032;-GAGGUUAUUGAACGACUCAdTdT-3&#x02032; and 5&#x02032;-TGAGT CGTTCAATAACCTCdTdT-3&#x02032;, scramble siRNAs: 5&#x02032;-UUCUC CGAACGUGUCACGUdTdT-3&#x02032; and 5&#x02032;-ACGUGACACG UUCGGAGAAdTdT-3&#x02032;), respectively. Annealed siRNAs (30 nM) were transfected into MDA-MB-231 cells using Lipofectamine 2000 (Invitrogen, CA, USA) according to the manufacturer&#x02019;s instructions. Drp1 expression was further examined by western blotting to evaluate the silencing efficiency at 24, 48 and 72 h after transfection.</p></sec>
<sec>
<title>Mitochondrial imaging</title>
<p>As described previously (<xref rid="b26-ijo-46-02-0691" ref-type="bibr">26</xref>), pDsRed2-Mito was transfected into MDA-MB-231 and MCF-7 cells with Lipofectamine 2000 to label mitochondria. Briefly, mitochondrial morphology was observed under normoxia and 8 h-hypoxia. In addition, mitochondrial morphology was also examined after treatment with 30 &#x003BC;M of CDDP (Xiya Reagent, Sichuan, China) for 8 h. To examine the role of Drp1 in hypoxia or CDDP-induce mitochondrial dynamics, cells were transfected with Drp1 siRNAs 24 h prior to stimulation or pretreated with 5 &#x003BC;M Mdivi-12 h prior to stimulation. After the indicated treatments, cells were fixed with 4&#x00025; PFA, and mitochondrial morphology was observed under an inverted fluorescence microscope (Olympus, Tokyo, Japan) with excitation at 545 nm.</p></sec>
<sec>
<title>Detection of the intracellular ROS level</title>
<p>MDA-MB-231 cells were cultured to be 90&#x00025; confluent at the time of analysis. To examine the role of Drp1-dependent mitochondrial fission in intracellular ROS production, cells were pretreated with 5 &#x003BC;M Mdivi-1 for 2 h or transfected with Drp1 siRNAs 24 h prior to 30 &#x003BC;M CDDP treatment. To detect the intracellular ROS level, cells were incubated with 10 &#x003BC;M of the fluorescent probe 2&#x02032;,7&#x02032;-dichlorodihydrofluorescein diacetate (DCFH-DA, Sigma-Aldrich) for 30 min at 37&#x000B0;C in the dark. After incubation, the cells were washed twice with PBS and harvested. The fluorescence intensity was measured using flow cytometry (Guava, Millipore Corp.) with the excitation source at 488 nm and emission wavelength of 525 nm. Data analysis was carried out using inCyte software (Guava, Millipore Corp.).</p></sec>
<sec>
<title>Measurement of mitochondrial membrane potential (&#x00394;&#x003C8;m)</title>
<p>The mitochondrial membrane potential (&#x00394;&#x003C8;m) of MDA-MB-231 cells were measured by flow cytometry using tetramethylrhodamine ethyl ester (TMRE, Invitrogen), a potentiometric, cell-permeable fluorescent indicator that accumulates in the highly negatively charged interior of mitochondria. The cells were incubated with 50 nM of TMRE for 20 min at 37&#x000B0;C. After incubation, the cells were washed twice with PBS and harvested for the analysis by flow cytometry with the excitation and emission wavelength at 540 and 575 nm, respectively.</p></sec>
<sec>
<title>Annexin V-FITC/PI apoptosis assay</title>
<p>After the indicated treatments, MDA-MB-231 cells were harvested from each group for apoptosis assay using Annexin V-fluorescein isothiocyanate (Annexin V-FITC) and propidium iodide (PI) (4Abio, Beijing, China) double staining. The cells were resuspended in 100 &#x003BC;l binding buffer with 5 &#x003BC;l Annexin V-FITC and 200 ng PI and incubated for 15 min at room temperature in the dark. Then, the samples were subjected to apoptosis assay and cytometry, and the data were processed using Guawa Nexin software (Guava, Millipore Corp.).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The quantitative data are shown as the mean &#x000B1; SD. Data were analyzed using either Student&#x02019;s t-test to compare two conditions or ANOVA followed by planned comparisons of multiple conditions, and p&lt;0.05 was considered to be significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>The response of MDA-MB-231 and MCF-7 cells to hypoxia is different in mitochondrial dynamics and migration</title>
<p>In the most recent study (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>), it was found that mitochondrial dynamics regulated the migration of breast cancer cells under normoxia. Drp1 expression level in metastatic MDA-MB-231 cells was higher than that in non-metastatic MCF-7 cells. Mitochondrial fission regulated the migration and invasion of breast cancer cells through modifying lamellipodial formation. However, it is still unknown whether mitochondrial dynamics also contributes to the response of breast cancer cells to hypoxia. In the present study, we confirm the migratory activity, Drp1 expression and mitochondrial morphology in MDA-MB-231 and MCF-7 cells. Compared to non-metastatic MCF-7 cells, metastatic MDA-MB-231 cells retained stronger migration, higher Drp1 expression and more fragmented mitochondria (<xref rid="f1-ijo-46-02-0691" ref-type="fig">Fig. 1A&#x02013;C</xref>). These results are consistent with a previous study (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>). To investigate the possible role of hypoxia in mitochondrial dynamics in two cell lines, the expression level of mitochondria-related proteins after hypoxia was examined by western blot assay. As shown in <xref rid="f1-ijo-46-02-0691" ref-type="fig">Fig. 1D</xref>, Drp1 expression was significantly upregulated from 6 to 24 h post-hypoxia in MDA-MB-231 cells, but not in MCF-7 cells. However, the expression of Mfn1, Mfn2 and OPA-1 in two cell lines was not obviously altered up to 24 h after hypoxia. Based on the alteration in mitochondria-related protein expression, mitochondrial morphology after hypoxia in two cell lines was further examined. Hypoxia induced mitochondrial fission in MDA-MB-231 cells, but not in MCF-7 cells (<xref rid="f2-ijo-46-02-0691" ref-type="fig">Fig. 2A</xref>). In addition, the response of two breast cancer cell lines to hypoxia was also different in migration. Both wound healing and transwell assay showed that hypoxia significantly increased the migratory activity in MDA-MB-231 cells, but not in MCF-7 cells (<xref rid="f2-ijo-46-02-0691" ref-type="fig">Fig. 2B&#x02013;F</xref>). These results suggest the possibility that Drp1-dependent mitochondrial fission might contribute to the different response of two breast cancer cell lines to hypoxia.</p></sec>
<sec>
<title>Inhibition of Drp1-dependent mitochondrial fission efficiently attenuates hypoxia-induced migration of MDA-MB-231 cells</title>
<p>In our previous study, we found that hypoxia upregulated the expression of Drp1 and stimulated mitochondrial fission in glioblastoma U251 cells. Drp1-dependent mitochondrial fission was involved in hypoxia-induced migration in U251 cells (<xref rid="b25-ijo-46-02-0691" ref-type="bibr">25</xref>). In the present study, non-metastatic MCF-7 and metastatic MDA-MB-231 cells differently responded to hypoxia in Drp1 expression and migration. To investigate the role of Drp1 in hypoxia-induced migration of MDA-MB-231 cells, Drp1 inhibitor Mdivi-1 and silencing Drp1 by siRNA were used to inhibit Drp1-dependent mitochondrial dynamics. First, the specific knockdown of Drp1 in MDA-MB-231 cells by siRNA was examined by western blot assay. As shown in <xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3A</xref>, Drp1 expression was significantly decreased at 48 and 72 h after transfection of Drp1 siRNA. By contrast, no significant effect of scramble siRNA on Drp1 expression was detected. Importantly, pre-treatment with 5 &#x003BC;M of Mdivi-1 and silencing Drp1 not only efficiently attenuated hypoxia-induced mitochondrial fission in MDA-MB-231 cells (<xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3B</xref>), but also significantly prevented hypoxia-induced migration in MDA-MB-231 cells (<xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3C and D</xref>). Together, these results indicate that Drp1-dependent mitochondrial fission regulates hypoxia-induced migration in metastatic MDA-MB-231 cells.</p></sec>
<sec>
<title>Effect of CDDP on cell survival and mitochondrial dynamics in MDA-MB-231 and MCF-7 cells</title>
<p>CDDP is widely used in the treatment of cancer. However, the sensitivity to CDDP varies in different cancer cells (<xref rid="b19-ijo-46-02-0691" ref-type="bibr">19</xref>). In breast cancer cells, it has been reported that non-metastatic MCF-7 cells are more resistant to CDDP than metastatic MDA-MB-231 cells (<xref rid="b24-ijo-46-02-0691" ref-type="bibr">24</xref>). In the present study, we found that 30 &#x003BC;M of CDDP induced apoptosis in MDA-MB-231 and MCF-7 cells at ~18.5 and 13.2&#x00025;, respectively (<xref rid="f4-ijo-46-02-0691" ref-type="fig">Fig. 4A&#x02013;D</xref>). The result of statistical analysis showed that 30 &#x003BC;M of CDDP induced significant apoptosis in MDA-MB-231 cells, but not in MCF-7 cells (<xref rid="f4-ijo-46-02-0691" ref-type="fig">Fig. 4B and D</xref>). These results are consistent with a previous study (<xref rid="b24-ijo-46-02-0691" ref-type="bibr">24</xref>). In addition, recent studies suggest that mitochondrial dynamics possibly contributes to the CDDP resistance or sensitivity (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>,<xref rid="b23-ijo-46-02-0691" ref-type="bibr">23</xref>). Thereby, we further examined the alteration in mitochondrial morphology after CDDP in two cell lines. As shown in <xref rid="f4-ijo-46-02-0691" ref-type="fig">Fig. 4E</xref>, 30 &#x003BC;M of CDDP stimulated mitochondrial fission in MDA-MB-231 cells, but not in MCF-7 cells. These results indicate that CDDP has different effect on cell survival and mitochondrial dynamics in the two breast cancer cell lines.</p></sec>
<sec>
<title>Inhibition of Drp1-dependent mitochondrial fission desensitizes MDA-MB-231 cells to CDDP</title>
<p>Mitochondria are important organelles for cell survival through ATP production and regulation of intracellular Ca<sup>2+</sup>. In addition, mitochondria are also highly dynamic with frequent fission and fusion (<xref rid="b27-ijo-46-02-0691" ref-type="bibr">27</xref>). Emerging evidence indicates that mitochondrial dynamics is involved in a variety of cellular processes, including proliferation, differentiation and apoptosis (<xref rid="b12-ijo-46-02-0691" ref-type="bibr">12</xref>&#x02013;<xref rid="b14-ijo-46-02-0691" ref-type="bibr">14</xref>). To investigate the role of mitochondrial dynamics in antineoplastic activity of CDDP in MDA-MB-231 cells, Mdivi-1 and silencing Drp1 were used to inhibit Drp1-dependent mitochondrial fission. Apoptosis assay was carried out by flow cytometry using Annexin V-FITC/PI double staining. As shown in <xref rid="f5-ijo-46-02-0691" ref-type="fig">Fig. 5A</xref>, 5 &#x003BC;M of Mdivi-1 and silencing Drp1 efficiently attenuated CDDP-induced mitochondrial fission in MDA-MB-231 cells. Moreover, inhibition of Drp1-dependent mitochondrial fission by Mdivi-1 and silencing Drp1 significantly prevented CDDP-induced apoptosis in MDA-MB-231 cells (<xref rid="f5-ijo-46-02-0691" ref-type="fig">Fig. 5B and C</xref>). These results suggest that Drp1-dependent mitochondrial dynamics contributes to the sensitivity of metastatic MDA-MB-231 cells to CDDP.</p></sec>
<sec>
<title>Drp1-dependent mitochondrial fission on CDDP-induced ROS production and MMP decrease in MDA-MB-231 cells</title>
<p>It was reported that CDDP induced the disruption of mitochondrial dynamics in cancer cells (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>). Moreover, mitochondrial dynamics is relevant to the maintenance of intracellular ROS and MMP (<xref rid="b28-ijo-46-02-0691" ref-type="bibr">28</xref>). Disruption of mitochondrial dynamics disturbs mitochondrial functions, thereby influence intracellular ROS production and MMP (<xref rid="b28-ijo-46-02-0691" ref-type="bibr">28</xref>,<xref rid="b29-ijo-46-02-0691" ref-type="bibr">29</xref>). To investigate the mechanism of mitochondrial dynamics in the antineoplastic activity of CDDP in MDA-MB-231 cells, the intracellular ROS level and MMP were measured. As shown in <xref rid="f6-ijo-46-02-0691" ref-type="fig">Fig. 6</xref>, CDDP treatment increased the intracellular ROS to 1.86-fold of control. In contrast, pre-treatment with Mdivi-1 and silencing Drp1 significantly inhibited CDDP-induced intracellular ROS increment. In addition, CDDP significantly decreased the MMP to 76.1&#x00025; of control. Pre-treatment with Mdivi-1 and silencing Drp1 partially recovered the MMP after CDDP to 84.7 and 88.3&#x00025; of control (<xref rid="f7-ijo-46-02-0691" ref-type="fig">Fig. 7</xref>). Taken together, it suggests that Drp1-dependent mitochondrial dynamics may regulate the antineoplastic activity of CDDP in MDA-MB-231 cells through the impact on intracellular ROS and MMP.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Cancer cells with dis-regulated cell cycle and uncontrolled high proliferation frequently lead to a characteristic hypoxia microenvironment in the central region of solid tumor. Hypoxia is an important factor stimulating the migration and invasion of cancer cells (<xref rid="b7-ijo-46-02-0691" ref-type="bibr">7</xref>,<xref rid="b8-ijo-46-02-0691" ref-type="bibr">8</xref>,<xref rid="b30-ijo-46-02-0691" ref-type="bibr">30</xref>). On the other hand, mitochondria play vital roles in cancer cell survival, proliferation and metastasis though regulation of energy metabolism, Ca<sup>2+</sup> homeostasis, cell cycle and apoptosis (<xref rid="b12-ijo-46-02-0691" ref-type="bibr">12</xref>&#x02013;<xref rid="b14-ijo-46-02-0691" ref-type="bibr">14</xref>). It has been well-recognized that mitochondrial dysfunction is involved in cancer etiology (<xref rid="b31-ijo-46-02-0691" ref-type="bibr">31</xref>&#x02013;<xref rid="b34-ijo-46-02-0691" ref-type="bibr">34</xref>). Furthermore, mitochondria are high dynamic organelles with frequent fission and fusion events (<xref rid="b15-ijo-46-02-0691" ref-type="bibr">15</xref>). The dynamic balance between fission and fusion is important for maintenance of normal mitochondrial architecture and function (<xref rid="b16-ijo-46-02-0691" ref-type="bibr">16</xref>). Some highly conserved GTPases are identified as the mediators of mitochondrial fission and fusion events (<xref rid="b16-ijo-46-02-0691" ref-type="bibr">16</xref>,<xref rid="b17-ijo-46-02-0691" ref-type="bibr">17</xref>). Drp1 regulates mitochondrial outer membrane fission in collaboration with Fis1. In contrast, Mitofusins (Mfn1 and Mfn2) and OPA-1 are required for the fusion of mitochondrial outer and inner membrane, respectively. Recent studies have shed light on the role of Drp1-dependent mitochondrial fission in cancer biology (<xref rid="b17-ijo-46-02-0691" ref-type="bibr">17</xref>,<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>,<xref rid="b35-ijo-46-02-0691" ref-type="bibr">35</xref>,<xref rid="b36-ijo-46-02-0691" ref-type="bibr">36</xref>). The high expression of Drp1 is found in cancers such as neuroblastoma, breast cancer and lung cancer (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>,<xref rid="b35-ijo-46-02-0691" ref-type="bibr">35</xref>,<xref rid="b36-ijo-46-02-0691" ref-type="bibr">36</xref>). Inhibition of Drp1-dependent mitochondrial fission is an effective means to reduce cancer cell growth and enhance spontaneous apoptosis (<xref rid="b37-ijo-46-02-0691" ref-type="bibr">37</xref>). In our recent study (<xref rid="b25-ijo-46-02-0691" ref-type="bibr">25</xref>), we found that hypoxia could promote the transcription and expression of Drp1, and Drp1-dependent mitochondrial fission is involved in hypoxia-induced migration of U251 cells. In addition, another recent study showed Drp1 expression in metastatic MDA-MB-231 cells is higher than that in non-metastatic MCF-7 cells. Under normoxia, Drp1-dependent mitochondrial fission regulates the migration and invasion of breast cancer cells through redistribution of mitochondria and modification of lamellipodia formation (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>). However, the different migratory activity between metastatic and non-metastatic breast cancer cell lines is mainly determined by the intrinsic genetic properties. In fact, migratory activity of cancer cells can be stimulated by the extrinsic environment stress such as hypoxia. Similarly, mitochondria can also respond to the environmental stresses, extracellular stimulations and chemotherapy (<xref rid="b15-ijo-46-02-0691" ref-type="bibr">15</xref>,<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>,<xref rid="b25-ijo-46-02-0691" ref-type="bibr">25</xref>). Thus, it is necessary to investigate the migration of non-metastatic and metastatic breast cancer cell lines under hypoxia, and explored the role of Drp1-dependent mitochondrial fission in hypoxia-induced migration of human breast cancer cells.</p>
<p>In the present study, we examined the migratory activity, Drp1 expression level and mitochondrial morphology in MCF-7 and MDA-MB-231 cells under normoxia. Consistent with the previous studies (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>), stronger migration, higher Drp1 expression level and more fragmented mitochondria were observed in metastatic MDA-MB-231 than that in non-metastatic MCF-7 cells (<xref rid="f1-ijo-46-02-0691" ref-type="fig">Fig. 1A&#x02013;C</xref>). To investigate the response of two breast cancer cell lines to hypoxia, we examined the expression level of GTPases required for mitochondrial fission or fusion (<xref rid="f1-ijo-46-02-0691" ref-type="fig">Fig. 1D</xref>). The expression of Drp1 was increased in MDA-MB-231 cells after hypoxia incubation, especially at 12 and 24 h post-hypoxia. However, this phenomenon was not observed in MCF-7 cells. Furthermore, hypoxia did not significantly affect the expression of mitochondrial fusion protein OPA-1 and Mfn1 in two breast cancer cell lines. Instead, a slight decrease in Mfn2 was detected in both cell lines, especially at 48 h post-hypoxia. Notably, hypoxia stimulated mitochondrial fission and migratory activity in MDA-MB-231 cells, but not in MCF-7 (<xref rid="f2-ijo-46-02-0691" ref-type="fig">Fig. 2</xref>). To examine the possible role of Drp1-dependent mitochondrial fission in hypoxia-induced migration, MDA-MB-231 cells were pre-treated with Mdivi-1, a Drp1 inhibitor. Mdivi-1 (5 &#x003BC;M) efficiently attenuated hypoxia-induced mitochondrial fission and migration of MDA-MB-231 cells (<xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3B&#x02013;D</xref>). However, the Drp1 inhibitor Mdivi-1 could have some off-target effects such as Drp1-independent effect on mitochondrial outer membrane permeabilization (MOMP) (<xref rid="b38-ijo-46-02-0691" ref-type="bibr">38</xref>). Changes in MOMP and other mitochondrial dysfunctions may regulate the migration of cancer cells via reactive oxygen species (<xref rid="b39-ijo-46-02-0691" ref-type="bibr">39</xref>,<xref rid="b40-ijo-46-02-0691" ref-type="bibr">40</xref>). To elucidate the direct involvement of Drp1 in hypoxia-induced migration, silencing Drp1 by siRNA was achieved in MDA-MB-231 cells (<xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3A</xref>). Similar to Mdivi-1, silencing Drp1 efficiently inhibited hypoxia-induced mitochondrial fission and migration in MDA-MB-231 cells (<xref rid="f3-ijo-46-02-0691" ref-type="fig">Fig. 3B&#x02013;D</xref>). Taken together, these results indicate the different response of non-metastatic MCF-7 and metastatic MDA-MB-231 cells to hypoxia in migration are due to Drp1-dependent mitochondrial dynamics.</p>
<p>Cisplatin is widely used in the treatment of cancers (<xref rid="b19-ijo-46-02-0691" ref-type="bibr">19</xref>). Similar to other chemotherapeutic agents, the application of cisplatin faces a stubborn problem, the resistance of cancer cells (<xref rid="b20-ijo-46-02-0691" ref-type="bibr">20</xref>). Cisplatin resistance can be intrinsic or acquired. Intrinsic resistance originates from certain featured gene expression profile in cancer cells. Recently, some evidence implies the possible role of mitochondrial dynamics in cisplatin resistance (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>,<xref rid="b23-ijo-46-02-0691" ref-type="bibr">23</xref>). Drp1-dependent mitochondrial fission improves piceatannol-induced cisplatin sensitivity in ovarian cancer (<xref rid="b23-ijo-46-02-0691" ref-type="bibr">23</xref>). By contrast, OPA-1-mediated mitochondrial fusion is potentially responsible for the acquired cisplatin resistance in neuroblastoma B50 rat cells (<xref rid="b22-ijo-46-02-0691" ref-type="bibr">22</xref>). In a previous (<xref rid="b18-ijo-46-02-0691" ref-type="bibr">18</xref>) and our present studies, Drp1 expression in non-metastatic MCF-7 was lower than that in metastatic MDA-MB-231 cells. Furthermore, it has been reported that MCF-7 cells were more resistant to cisplatin than MDA-MB-231 cells (<xref rid="b24-ijo-46-02-0691" ref-type="bibr">24</xref>). To investigate the role of intrinsic Drp1-dependent mitochondrial dynamics in cisplatin resistance, mitochondrial morphology after cisplatin was examined in two breast cancer cell lines. CDDP induced mitochondrial fission and significant apoptosis in MDA-MB-231, but not in MCF-7 cells (<xref rid="f4-ijo-46-02-0691" ref-type="fig">Fig. 4</xref>). Moreover, inhibition of Drp1-dependent mitochondrial fission by Mdivi-1 or silencing Drp1 efficiently attenuated CDDP-induced ROS production and MMP decrease (<xref rid="f6-ijo-46-02-0691" ref-type="fig">Figs. 6</xref> and <xref rid="f7-ijo-46-02-0691" ref-type="fig">7</xref>), and consequently alleviated the apoptosis of MDA-MB-231 cells induced by CDDP (<xref rid="f5-ijo-46-02-0691" ref-type="fig">Fig. 5</xref>). These results suggest that the cisplatin resistance in MCF-7 cells may originate from the weak Drp1-dependent mitochondrial fission. Instead, the strong Drp1-dependent mitochondrial fission facilitates the sensitivity of MDA-MB-231 cells to CDDP. Therefore, the intrinsic Drp1-dependent mitochondrial dynamics regulates the antineoplastic activity of cisplatin in breast cancer cells, although the underlying mechanism still needs further investigation.</p>
<p>In conclusion, our data show for the first time that Drp1-dependent mitochondrial fission regulates not only hypoxia-induced migration, but also the antineoplastic activity of cisplatin in breast cancer cells. Drp1-dependent mitochondrial fission enhances the migratory activity in metastatic MDA-MB-231 cells under normoxia and hypoxia. In contrast, the lower Drp1 expression impedes the migration of non-metastatic MCF-7 cells under normoxia and its response to hypoxia. On the other hand, Drp1-dependent mitochondrial fission sensitizes MDA-MB-231 cells to cisplatin. The weak Drp1-dependent mitochondrial fission leads to cisplatin resistance in MCF-7 cells. Taken together, Drp1-dependent mitochondrial fission not only promotes metastatic activity of breast cancer cells, but also facilitates its sensitivity to chemotherapeutic agents. Thus, our data suggest that Drp1 may be a potential target for suppressing breast cancer metastasis and improving its chemotherapeutic effect.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the National Natural Science Foundation of China (31360241 and 81472371), the Postgraduate Student Foundation for New Teacher from the Ministry of Education of China (20123601120001), Foundation from Department of Education of Jiangxi Province (GJJ13162) and Graduate innovative special fund project of Jiangxi province (YC2013-S001).</p></ack>
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<floats-group>
<fig id="f1-ijo-46-02-0691" position="float">
<label>Figure 1</label>
<caption>
<p>The different migratory activity, mitochondrial morphology and response to hypoxia between MDA-MB-231 and MCF-7 cells. (A) The migratory activity of MDA-MB-231 and MCF-7 cells under normoxia. The cells were scraped with a 200-&#x003BC;l pipette tip and cultured under normoxia. Cell migration was examined by wound healing assay at the indicated time-points. Scale bar, 100 &#x003BC;m. (B) The Drp1 expression level in MDA-MB-231 and MCF-7 cells under normoxia. GAPDH was used as endogenous reference. (C) The mitochondrial morphology in MDA-MB-231 and MCF-7 cells under normoxia. MDA-MB-231 and MCF-7 cells were transfected with pDsRed2-Mito to label mitochondria. Long scale bar, 20 &#x003BC;m; short scale bar, 5 &#x003BC;m. (D) Effect of hypoxia on the expression of GTPases required for mitochondrial dynamics in MDA-MB-231 and MCF-7 cells. Cells were incubated under hypoxia and harvested for immunoblot assay at the indicated time-points. The expression level of Drp1, Mfn1, Mfn2 and OPA-1 after hypoxia was examined. GAPDH was used as endogenous reference.</p></caption>
<graphic xlink:href="IJO-46-02-0691-g00.gif"/></fig>
<fig id="f2-ijo-46-02-0691" position="float">
<label>Figure 2</label>
<caption>
<p>Hypoxia-induced mitochondrial dynamics and migration are different between MDA-MB-231 and MCF-7 cells. (A) The mitochondrial morphology in MDA-MB-231 and MCF-7 cells under hypoxia. Mitochondrial morphology in MDA-MB-231 and MCF-7 cells was observed prior to hypoxia or after 8 h-hypoxia incubation using fluorescence microscopy. Long scale bar, 20 &#x003BC;m; short scale bar, 5 &#x003BC;m. (B&#x02013;D) Effect of hypoxia on migration of MDA-MB-231 cells. The cells were cultured under normoxia or hypoxia after scratch, and cell migration was examined by wound healing assay at the indicated time-points. Scale bar, 100 &#x003BC;m (B). The migratory activity of MDA-MB-231 cells under normoxia or hypoxia was evaluated by transwell assay. The migrated cells were visualized by microscopy. Scale bar, 100 &#x003BC;m (C). In addition, cell migration was quantified by mean cell counts from at least 9 fields in three independent experiments for each condition. <sup>*</sup>p&lt;0.05 (D). (E&#x02013;G) Effect of hypoxia on migration of MCF-7 cells. The cells were cultured under normoxia or hypoxia after scratch, and cell migration was examined by wound healing assay at the indicated time-points. Scale bar, 100 &#x003BC;m (E). The migratory activity of MCF-7 cells under normoxia or hypoxia was evaluated by transwell assay. The migrated cells were visualized by microscopy. Scale bar, 100 &#x003BC;m (F). Cell migration was also quantified by mean cell counts from at least 9 fields in three independent experiments for each condition (G).</p></caption>
<graphic xlink:href="IJO-46-02-0691-g01.gif"/></fig>
<fig id="f3-ijo-46-02-0691" position="float">
<label>Figure 3</label>
<caption>
<p>Inhibition of Drp1-dependent mitochondrial fission efficiently attenuates hypoxia-induced migration of MDA-MB-231 cells. (A) Silencing Drp1 in MDA-MB-231 cells by siRNA. The cells were transfected with siRNA targeted to Drp1 or scramble siRNA. Whole cell lysate prepared at the indicated time-points after transfection were subjected to immunoblotting for Drp1. GAPDH was used as endogenous reference. (B) Effect of Mdivi-1 and silencing Drp1 on hypoxia-induced mitochondrial fission in MDA-MB-231 cells. The cells were fixed with 4&#x00025; PFA after normoxic or hypoxic incubation for 8 h, and mitochondrial morphology was observed by fluorescence microscopy. To inhibit Drp1-dependent mitochondrial fission, the cells were pretreated with 5 &#x003BC;M Mdivi-1 or transfected with Drp1 siRNA prior to hypoxia. Long scale bar, 20 &#x003BC;m; short scale bar, 5 &#x003BC;m. (C and D) Drp1-dependent mitochondrial fission on hypoxia-induced migration of MDA-MB-231 cells. The migratory activity of MDA-MB-231 cells under normoxia or hypoxia was evaluated by transwell assay. The migrated cells in each condition were visualized by microscopy. Scale bar, 100 &#x003BC;m (C). In addition, cell migration was quantified by mean cell counts from at least 9 fields in three independent experiments for each condition. <sup>*</sup>p&lt;0.05, <sup>**</sup>p&lt;0.01 (D).</p></caption>
<graphic xlink:href="IJO-46-02-0691-g02.gif"/></fig>
<fig id="f4-ijo-46-02-0691" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of CDDP on cell survival and mitochondrial morphology in MDA-MB-231 and MCF-7 cells. (A&#x02013;D) Effect of CDDP on cell survival in MDA-MB-231 and MCF-7 cells. After treatment with 30 &#x003BC;M of CDDP, the apoptosis of two cell lines was examined by flow cytometry using Annexin V-FITC/PI double staining. (A and B) Results of MDA-MB-231 cells. <sup>*</sup>p&lt;0.05. (C and D) Results of MCF-7 cells. (E) Mitochondrial morphology in MDA-MB-231 and MCF-7 cells after CDDP. Mitochondrial morphology in MDA-MB-231 and MCF-7 cells was observed prior to CDDP or at 8 h post CDDP using fluorescence microscopy. Long scale bar, 20 &#x003BC;m; short scale bar, 5 &#x003BC;m.</p></caption>
<graphic xlink:href="IJO-46-02-0691-g03.gif"/></fig>
<fig id="f5-ijo-46-02-0691" position="float">
<label>Figure 5</label>
<caption>
<p>Drp1-dependent mitochondrial fission on the antineoplastic activity of CDDP in MDA-MB-231 cells. (A) Mdivi-1 and silencing Drp1 efficiently attenuated CDDP-induced mitochondrial fission. MDA-MB-231 cells were fixed with 4&#x00025; PFA in each condition, and mitochondrial morphology was observed by fluorescence microscopy. Long scale bar, 20 &#x003BC;m; short scale bar, 5 &#x003BC;m. (B) Drp1-dependent mitochondrial fission on CDDP-induced apoptosis in MDA-MB-231 cells. After the indicated treatments, the apoptosis of MDA-MB-231 cells was examined by flow cytometry using Annexin V-FITC/PI double staining. (C) The quantification of apoptosis in each group was performed. The data present the mean of three independent experiments. <sup>*</sup>p&lt;0.05, <sup>**</sup>p&lt;0.01.</p></caption>
<graphic xlink:href="IJO-46-02-0691-g04.gif"/></fig>
<fig id="f6-ijo-46-02-0691" position="float">
<label>Figure 6</label>
<caption>
<p>Drp1-dependent mitochondrial fission on the intracellular ROS level in MDA-MB-231 cells after CDDP. (A) After the indicated treatments, the intracellular ROS level in MDA-MB-231 cells was examined by flow cytometry using DCFH-DA staining. (B) The relative ROS level was quantified in each group. The data present the mean of at least three independent experiments. <sup>*</sup>p&lt;0.05, <sup>**</sup>p&lt;0.01.</p></caption>
<graphic xlink:href="IJO-46-02-0691-g05.gif"/></fig>
<fig id="f7-ijo-46-02-0691" position="float">
<label>Figure 7</label>
<caption>
<p>Drp1-dependent mitochondrial fission on CDDP-induced MMP decrease in MDA-MB-231 cells. (A) After the indicated treatments, the MMP in MDA-MB-231 cells was examined by flow cytometry using TMRE staining. (B) The relative MMP was quantified in each group. The data present the mean of at least three independent experiments. <sup>*</sup>p&lt;0.05, <sup>**</sup>p&lt;0.01.</p></caption>
<graphic xlink:href="IJO-46-02-0691-g06.gif"/></fig></floats-group></article>
