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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.2015.2889</article-id>
<article-id pub-id-type="publisher-id">ijo-46-05-2021</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Romo1 and the NF-&#x003BA;B pathway are involved in oxidative stress-induced tumor cell invasion</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SORA</given-names></name><xref rid="fn1-ijo-46-05-2021" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>YOON HEE</given-names></name><xref rid="fn1-ijo-46-05-2021" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHUNG</surname><given-names>JIN SIL</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>YOO</surname><given-names>YOUNG DO</given-names></name><xref ref-type="corresp" rid="c1-ijo-46-05-2021"/></contrib>
<aff id="af1-ijo-46-05-2021">Laboratory of Molecular Cell Biology, Graduate School of Medicine, Korea University, Seoul 136-705, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-46-05-2021">Correspondence to: Professor Young Do Yoo, Laboratory of Molecular Cell Biology, Graduate School of Medicine, Korea University, Seoul 136-705, Republic of Korea E-mail: <email>ydy1130@korea.ac.kr</email></corresp><fn id="fn1-ijo-46-05-2021">
<label>*</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>5</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>02</month>
<year>2015</year></pub-date>
<volume>46</volume>
<issue>5</issue>
<fpage>2021</fpage>
<lpage>2028</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>12</month>
<year>2014</year></date>
<date date-type="accepted">
<day>28</day>
<month>01</month>
<year>2015</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>Reactive oxygen species (ROS) are important contributors to tumor cell invasion. ROS enhanced by reactive oxygen species modulator 1 (Romo1) expression has been reported to increase invasive potential and constitutive activation of nuclear factor-&#x003BA;B (NF-&#x003BA;B) in hepatocellular carcinoma (HCC). Therefore, we investigated whether constitutive NF-&#x003BA;B activation due to Romo1 expression is associated with breast cancer tumor cell invasion. In this study, we show that oxidative stress-induced invasion is mediated by Romo1 expression. The Romo1-induced increase of invasive activity was blocked by an inhibitor of &#x003BA;B kinase (IKK). These results demonstrate that tumor cell invasion in response to oxidative stress is associated with Romo1 expression and the NF-&#x003BA;B signaling pathway. Romo1 is therefore a promising therapeutic target for diseases characterized by NF-&#x003BA;B deregulation.</p></abstract>
<kwd-group>
<kwd>reactive oxygen species</kwd>
<kwd>nuclear factor-&#x003BA;B</kwd>
<kwd>tumor invasion</kwd>
<kwd>Romo1</kwd>
<kwd>oxidative stress</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Reactive oxygen species (ROS) are produced endogenously through the electron transport pathway in mitochondria as well as various metabolic pathways (<xref rid="b1-ijo-46-05-2021" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-ijo-46-05-2021" ref-type="bibr">3</xref>). ROS are also generated in response to exogenous stimuli such as chemical stress and irradiation, among others (<xref rid="b2-ijo-46-05-2021" ref-type="bibr">2</xref>,<xref rid="b3-ijo-46-05-2021" ref-type="bibr">3</xref>). They promote tumor progression, including migration, invasiveness and metastasis, by activating a variety of signal cascades (<xref rid="b4-ijo-46-05-2021" ref-type="bibr">4</xref>). ROS induced by 3,5,6-trichloro-2-pyridyloxyacetic acid (TPA) play an important role in cell migration (<xref rid="b4-ijo-46-05-2021" ref-type="bibr">4</xref>). Treatment of mouse mammary epithelial cells with a low dose of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) resulted in morphological changes and an increase in invasive potential (<xref rid="b5-ijo-46-05-2021" ref-type="bibr">5</xref>). Invasive potential of cells has also been reported to be increased by oxidative stress generated from nicotinamide adenine dinucleotide phosphate (NA DPH) oxidase (<xref rid="b6-ijo-46-05-2021" ref-type="bibr">6</xref>).</p>
<p>Nuclear factor-&#x003BA;B (NF-&#x003BA;B) is a transcription factor involved in the regulation of development, cell growth, immune response and inflammation (<xref rid="b4-ijo-46-05-2021" ref-type="bibr">4</xref>,<xref rid="b7-ijo-46-05-2021" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-ijo-46-05-2021" ref-type="bibr">9</xref>). NF-&#x003BA;B is activated by tumor necrosis factor-&#x003B1; (TNF-&#x003B1;) stimuli and is associated with tumor cell survival and tumor progression (<xref rid="b7-ijo-46-05-2021" ref-type="bibr">7</xref>). NF-&#x003BA;B functions as an anti-apoptotic factor, and deregulation of NF-&#x003BA;B is often detected in a variety of cancer cell types (<xref rid="b10-ijo-46-05-2021" ref-type="bibr">10</xref>). NF-&#x003BA;B activity is upregulated in many cancer cells and contributes to tumor cell survival and tumor progression (<xref rid="b11-ijo-46-05-2021" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-ijo-46-05-2021" ref-type="bibr">13</xref>). NF-&#x003BA;B is activated by ROS produced by the mitochondrial respiratory chain (<xref rid="b14-ijo-46-05-2021" ref-type="bibr">14</xref>). Exogenous treatment of H<sub>2</sub>O<sub>2</sub> regulates NF-&#x003BA;B activation through phosphorylation of inhibitor of &#x003BA;B (I&#x003BA;B)&#x003B1; (<xref rid="b15-ijo-46-05-2021" ref-type="bibr">15</xref>). Inhibitor of &#x003BA;B kinase (IKK) is also a mediator of ROS-induced NF-&#x003BA;B activation (<xref rid="b16-ijo-46-05-2021" ref-type="bibr">16</xref>). IKK is composed of IKK&#x003B1; and IKK&#x003B2;, which are catalytic kinases, and IKK&#x003B3;, which is a regulatory kinase (<xref rid="b7-ijo-46-05-2021" ref-type="bibr">7</xref>). Treatment of cells with antioxidants such as N-acetyl-L-cysteine (NAC) or pyrrolidine dithiocarbamate (PDTC) inhibits IKK and NF-&#x003BA;B activation induced by TNF-&#x003B1; or oxidative stress (<xref rid="b17-ijo-46-05-2021" ref-type="bibr">17</xref>). Several studies have demonstrated that constitutive NF-&#x003BA;B activation results from sustained activation of upstream mediators such as IKK or an increase in the rate of I&#x003BA;B degradation (<xref rid="b18-ijo-46-05-2021" ref-type="bibr">18</xref>&#x02013;<xref rid="b20-ijo-46-05-2021" ref-type="bibr">20</xref>). Therefore, cancer cells that show downregulation of NF-&#x003BA;B by I&#x003BA;B are sensitive to cell death triggered by anti-cancer drugs (<xref rid="b21-ijo-46-05-2021" ref-type="bibr">21</xref>). Suppression of NF-&#x003BA;B activity has also been shown to inhibit tumor cell growth in animal models (<xref rid="b13-ijo-46-05-2021" ref-type="bibr">13</xref>,<xref rid="b22-ijo-46-05-2021" ref-type="bibr">22</xref>).</p>
<p>Reactive oxygen species modulator 1 (Romo1) is located in mitochondria, and upregulated Romo1 expression increases cellular ROS levels (<xref rid="b23-ijo-46-05-2021" ref-type="bibr">23</xref>,<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>). It was suggested that ROS derived from Romo1 expression are essential for normal cell growth (<xref rid="b25-ijo-46-05-2021" ref-type="bibr">25</xref>,<xref rid="b26-ijo-46-05-2021" ref-type="bibr">26</xref>). ROS derived from Romo1 are needed for c-Myc induction for cell cycle entry (<xref rid="b27-ijo-46-05-2021" ref-type="bibr">27</xref>). Increased Romo1 expression induced by c-Myc also plays a role in Skp2-mediated c-Myc degradation via a negative-feedback mechanism. Romo1 is involved in cell death triggered by serum deprivation, oxidative stress and TNF-&#x003B1; (<xref rid="b28-ijo-46-05-2021" ref-type="bibr">28</xref>&#x02013;<xref rid="b30-ijo-46-05-2021" ref-type="bibr">30</xref>). Although Romo1 is highly expressed in a variety of cancer cells, the role of Romo1 in cancer progression is unclear (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>). Romo1 triggers DNA damage and its expression is associated with drug-resistance to 5-FU (<xref rid="b31-ijo-46-05-2021" ref-type="bibr">31</xref>,<xref rid="b32-ijo-46-05-2021" ref-type="bibr">32</xref>). Recently, we reported that Romo1 is highly expressed in hepatocellular carcinoma (HCC) and that overexpression of Romo1 is associated with tumor cell invasion (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>). In a subsequent experiment, Romo1 stimulated NF-&#x003BA;B nuclear translocation and DNA-binding activity, and its expression was associated with the constitutive nuclear DNA-binding activity of NF-&#x003BA;B (<xref rid="b33-ijo-46-05-2021" ref-type="bibr">33</xref>). On the basis of these results, we hypothesized that tumor cell invasion induced by Romo1 expression is associated with the NF-&#x003BA;B signaling pathway. To verify this hypothesis, we investigated the correlation between Romo1 expression and NF-&#x003BA;B activation in oxidative stress-induced tumor cell invasion.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>Human breast cancer cell line MDA-MB-231, human hepatocarcinoma cell line Huh-7 and the SV-40 virus-transformed WI-38 (normal lung fibroblasts) cell line WI-38 VA13 were purchased from the Korean Cell Line Bank (Seoul, Korea). Wild-type (WT) mouse embryonic fibroblasts (MEF s) and IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> MEF s were kindly provided by Dr Inder M. Verma (Salk Institute for Biological Studies, La Jolla, CA, USA). Huh-7, MDA-MB-231, and WT, IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> MEFs were cultured in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) (Gibco/Invitrogen Life Technologies, Grand Island, NY, USA) containing 10&#x00025; heat-inactivated fetal bovine serum (FBS) (Life Technologies, Grand Island, NY, USA), 100 U/ml of penicillin, and 100 &#x003BC;g/ml streptomycin. WI-38 VA13 cells were cultured in Eagle&#x02019;s minimal essential medium (EMEM) (Gibco/Invitrogen Life Technologies) supplemented with 10&#x00025; FBS and antibiotics. Cells were grown and maintained at 37&#x000B0;C in a humidified incubator with 5&#x00025; carbon dioxide.</p></sec>
<sec>
<title>Chemicals and reagents</title>
<p>H<sub>2</sub>O<sub>2</sub>, NAC, SB203580 (p38 MAPK inhibitor), PD98059 (MKK1/MEK inhibitor), mouse anti-cytosol-specific-&#x003B2;-actin antibody and anti-F lag (M2) antibody were purchased from Sigma-A ldrich (St. L ouis, MO, USA). IKK-16, rabbit polyclonal anti-I KK&#x003B1; antibody, mouse monoclonal anti-I KK&#x003B2; (H4) antibody and mouse polyclonal anti-p65 antibody were obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA). Mouse monoclonal antibody against Romo1 was obtained from OriGene Technologies (Rockville, MD, USA). MitoSOX Red was purchased from Molecular Probes (Eugene, OR, USA).</p></sec>
<sec>
<title>Cell transfection</title>
<p><italic>Romo1</italic> double-stranded small interfering RNA (siRNA) sequences have been described previously (<xref rid="b27-ijo-46-05-2021" ref-type="bibr">27</xref>,<xref rid="b32-ijo-46-05-2021" ref-type="bibr">32</xref>). Control and <italic>Romo1</italic> siRNA were purchased from Bioneer Corp. (Daejeon, Korea). cDNA s encoding Flag-Romo1 WT were described previously (<xref rid="b29-ijo-46-05-2021" ref-type="bibr">29</xref>). Cells were transfected in 6-well plates or 60-mm dishes using Lipofectamine 2000 (Invitrogen Life Technologies) according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Invasion assay</title>
<p>Invasion assays were performed using polycarbonate nucleopore membranes (Corning, Inc., Corning, NY, USA). Matrigel (1 mg/ml) was coated onto the membrane of a Transwell (6.5 mm in diameter, 8.0 &#x003BC;m pore size). Cells were suspended in serum-free media supplemented with 0.1&#x00025; filtered bovine serum albumin (BSA). Cells were seeded on the Matrigel-coated membrane matrix of the Transwell. Cell culture media containing 10&#x00025; FBS were added to the lower chamber of the Transwell, and cells were incubated for 24 h in a 37&#x000B0;C incubator. Invasive cells were fixed and stained with Hemacolor<sup>&#x000AE;</sup> staining solution (Merck KGaA, Darmstadt, Germany). The number of invasive cells was counted using light microscopy.</p></sec>
<sec>
<title>Immunofluorescence assay</title>
<p>Cells were fixed in 4&#x00025; formaldehyde in phosphate-buffered saline (PBS), for 10 min at room temperature. After fixation, cells were washed with PBS and treated with 0.1&#x00025; Triton X-100 in PBS for 5 min at 4&#x000B0;C. Cells were then treated with blocking solution (2&#x00025; BSA in PBS) for 1 h at 37&#x000B0;C. Cells were incubated with primary antibodies in PBS with 1&#x00025; BSA and 0.1&#x00025; Triton X-100 for 1 h at 37&#x000B0;C. After washing in PBS, cells were incubated with appropriate secondary antibodies in PBS with 1&#x00025; BSA and 0.1&#x00025; Triton X-100 for 30 min at 37&#x000B0;C. After washing in PBS, cells were incubated with DAPI in PBS (1:10,000) for 10 min at room temperature. Cells were then washed three times in PBS and mounted on glass slides. Confocal analysis was performed using an Olympus LX 50 microscope.</p></sec>
<sec>
<title>Measurement of ROS generation</title>
<p>Cellular levels of ROS were determined using MitoSOX Red. Cells were stained with 5 &#x003BC;M MitoSOX Red at 37&#x000B0;C for 20 min. After incubation, cells were washed with PBS, collected in trypsin-E DTA, and suspended in PBS. Fluorescence was measured using a FACScan flow cytometry system (BD Biosciences, Franklin Lakes, NJ, USA).</p></sec>
<sec>
<title>Electrophoretic mobility shift assay (EMSA)</title>
<p>Nuclear proteins were extracted using the NE-PER <sup>&#x000AE;</sup> Nuclear and Cytoplasmic Extraction Reagents kit (Pierce Biotechnology, Inc. Rockford, IL, USA), according to the manufacturer&#x02019;s instructions. EMSAs for NF-&#x003BA;B were performed using the Gelshift&#x02122; Chemiluminescent EMSA kit (Active Motif, Carlsbad, CA, USA) following the manufacturer&#x02019;s instructions. Biotin 3&#x02032;-end-labeled double-stranded NF-&#x003BA;B oligonucleotide (5&#x02032;-AGTTGAGGGGACTTTCCCAGGC-3&#x02032;) was purchased from Bioneer Corp. Nuclear protein-NF-&#x003BA;B-labeled oligonucleotide complexes were separated from free NF-&#x003BA;B-labeled oligonucleotides by electrophoresis through 6&#x00025; (w/v) polyacrylamide gels. After electrophoretic separation, NF-&#x003BA;B-labeled oligonucleotide-protein complexes were transferred to nylon membranes. Membranes were crosslinked, blocked and detected by chemiluminescence.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Protein extracts of cells were separated via electrophoresis and transferred to polyvinylidene difluoride (PVDF) membranes (Millipore, Billerica, MA, USA). After blocking with 10&#x00025; non-fat dry milk in TBST, membranes were incubated overnight with the appropriate primary antibodies and peroxidase-conjugated secondary antibody. Then, appropriate HRP-conjugated secondary antibodies were added, and protein-antibody complexes were visualized using enhanced chemiluminescence (ECL) reagents (Pierce Biotechnology, Inc.).</p></sec>
<sec>
<title>RNA preparation, reverse transcription, and polymerase chain reaction (PCR) analysis</title>
<p>Total cellular RNA was prepared using TRI zol reagent (Invitrogen Life Technologies). To synthesize cDNA s, reverse transcription reactions were performed using the following primers: Romo1 forward, 5&#x02032;-CTGTCTCAGGATCGGAATGCG-3&#x02032; and reverse, 5&#x02032;-CATCGGATGCCCATCCAATG-3&#x02032;; and &#x003B2;-actin forward, 5&#x02032;-GAAATCGTGCGTGACATAGAGAG-3&#x02032; and reverse, 5&#x02032;-CTAGAAGCATTTGCGGTGGACGATGGAGGGGCC-3&#x02032;. Amplification was performed using a MyCycler Thermal Cycler (Bio-Rad, Hercules, CA, USA). Amplified PCR products were separated on a 1&#x00025; agarose gel and visualized using ethidium bromide (EtBr) staining.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed independently at least three times. Data are expressed as means &#x000B1; SDs, as calculated by GraphPad PRISM version 4.02 for Windows (GraphPad Software, Inc., San Diego, CA, USA). P&lt;0.05 was considered statistically significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Romo1-induced invasion involves NF-&#x003BA;B activation</title>
<p>Romo1 expression is known to enhance the invasive activity of tumor cells (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>). Romo1 also contributes to constitutive activation of NF-&#x003BA;B (<xref rid="b33-ijo-46-05-2021" ref-type="bibr">33</xref>). To determine whether constitutive activation of NF-&#x003BA;B is involved in Romo1-induced invasion, we treated cells with the antioxidant NAC, IKK inhibitor (IKK-16), p38 MAPK inhibitor (SB203580) and MKK1/MEK inhibitor (PD98059). Although Romo1-triggered invasion was not affected by inhibitors of p38 and MEK, it was suppressed by treatment with IKK inhibitor or NAC in MDA-MB-231 cells (<xref rid="f1-ijo-46-05-2021" ref-type="fig">Fig. 1A</xref>). Similarly, when Huh-7 cells were treated with NAC, IKK inhibitor, p38 inhibitor, or MEK inhibitor, the same result was obtained (<xref rid="f1-ijo-46-05-2021" ref-type="fig">Fig. 1C</xref>). These results suggest that Romo1-induced invasion is mediated by the NF-&#x003BA;B pathway.</p></sec>
<sec>
<title>Oxidative stress-induced NF-&#x003BA;B activation and tumor cell invasion requires Romo1</title>
<p>Oxidative stress is known to induce cancer cell invasion (<xref rid="b34-ijo-46-05-2021" ref-type="bibr">34</xref>,<xref rid="b35-ijo-46-05-2021" ref-type="bibr">35</xref>). Therefore, we explored whether Romo1 expression is required for oxidative stress-induced invasion of tumor cells. As shown in <xref rid="f2-ijo-46-05-2021" ref-type="fig">Fig. 2A</xref>, cell invasion triggered by H<sub>2</sub>O<sub>2</sub> treatment was blocked by Romo1 knockdown in MDA-MB-231 cells. Similar results were obtained using Huh-7 cells (<xref rid="f2-ijo-46-05-2021" ref-type="fig">Fig. 2C</xref>), suggesting that Romo1 is needed for tumor cell invasion in response to oxidative stress. Romo1 knockdown by <italic>Romo1</italic> siRNA was examined by RT-PCR (data not shown).</p>
<p>NF-&#x003BA;B is a major transcription factor involved in sensing H<sub>2</sub>O<sub>2</sub>-mediated oxidative stress (<xref rid="b14-ijo-46-05-2021" ref-type="bibr">14</xref>,<xref rid="b36-ijo-46-05-2021" ref-type="bibr">36</xref>). To evaluate the role of Romo1 in chronic oxidative stress-induced NF-&#x003BA;B activation, we first confirmed the pathway of activation, that is, H<sub>2</sub>O<sub>2</sub>-Romo1-ROS-NF-&#x003BA;B. Following treatment of WI-38 VA13 cells with H<sub>2</sub>O<sub>2</sub>, Romo1 expression was observed to increase on fluorescence microscopy (<xref rid="f3-ijo-46-05-2021" ref-type="fig">Fig. 3A</xref>). Production of ROS following H<sub>2</sub>O<sub>2</sub> treatment was measured by staining cells with MitoSOX Red (an indicator of mitochondrial superoxide). Flow cytometric analysis showed that Romo1 depletion and NAC treatment partially inhibited H<sub>2</sub>O<sub>2</sub>-mediated ROS production (<xref rid="f3-ijo-46-05-2021" ref-type="fig">Fig. 3B</xref>). To clarify the role of Romo1 in H<sub>2</sub>O<sub>2</sub>-induced NF-&#x003BA;B activation, WI-38 VA13 cells were treated with H<sub>2</sub>O<sub>2</sub> and an EMSA was performed. As shown in <xref rid="f4-ijo-46-05-2021" ref-type="fig">Fig. 4A</xref>, the DNA-binding activity of NF-&#x003BA;B increased following H<sub>2</sub>O<sub>2</sub> treatment, and binding activity was sustained for up to 9 h. H<sub>2</sub>O<sub>2</sub>-mediated NF-&#x003BA;B activation was suppressed by Romo1 knockdown (<xref rid="f4-ijo-46-05-2021" ref-type="fig">Fig. 4B</xref>). This finding was also confirmed in HEK 293 and Huh-7 cells (<xref rid="f4-ijo-46-05-2021" ref-type="fig">Fig. 4C</xref>). These results demonstrated that oxidative stress can induce NF-&#x003BA;B activation through Romo1 expression.</p></sec>
<sec>
<title>Romo1-induced NF-&#x003BA;B activation and invasion of cells involves IKK</title>
<p>Catalytic subunits of the IKK complex, namely IKK&#x003B1; and IKK&#x003B2;, are principally involved in I&#x003BA;B&#x003B1; phosphorylation (<xref rid="b8-ijo-46-05-2021" ref-type="bibr">8</xref>). To determine whether Romo1 regulates NF-&#x003BA;B activation via the IKK complex, we used IKK&#x003B1;-.or IKK&#x003B2;-deficient cells (IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup>) derived from primary MEF s. As shown in <xref rid="f5-ijo-46-05-2021" ref-type="fig">Fig. 5A</xref>, Romo1 expression triggered the nuclear translocation of p65 in WT MEF s. However, the nuclear translocation of p65 was not detectable in IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> cells. In contrast, p65 was partially detectable in the nucleus of IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> cells. This result was confirmed by EMSA, and the same result was observed, as shown in <xref rid="f5-ijo-46-05-2021" ref-type="fig">Fig. 5B</xref>. Expression of IKK&#x003B1; and IKK&#x003B2; was examined by western blot analysis (<xref rid="f5-ijo-46-05-2021" ref-type="fig">Fig. 5C</xref>). Together, these results demonstrate that IKK&#x003B1; is an essential mediator of NF-&#x003BA;B activation induced by Romo1 expression.</p>
<p>To further investigate the importance of IKK&#x003B1; in Romo1-induced invasion, Romo1 was expressed in WT MEF, IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> MEF cells, and Romo1-induced invasion was assessed. As expected, IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> MEF cells were less invasive than WT MEF cells. Romo1-induced invasion was suppressed in IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> cells and was partially suppressed in IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> cells (<xref rid="f6-ijo-46-05-2021" ref-type="fig">Fig. 6</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Oxidative stress is a contributor to cancer cell invasion (<xref rid="b4-ijo-46-05-2021" ref-type="bibr">4</xref>,<xref rid="b37-ijo-46-05-2021" ref-type="bibr">37</xref>). ROS are closely associated with the NF-&#x003BA;B pathway and, as a result, stimulate the MMPs involved in invasion and metastasis (<xref rid="b4-ijo-46-05-2021" ref-type="bibr">4</xref>). A variety of cellular stresses, including carcinogens, cigarette smoke and TPA, may induce NF-&#x003BA;B expression as well as the expression of pro-inflammatory genes (<xref rid="b10-ijo-46-05-2021" ref-type="bibr">10</xref>,<xref rid="b38-ijo-46-05-2021" ref-type="bibr">38</xref>). Romo1 expression is similarly induced by a variety of stresses such as TPA, H<sub>2</sub>O<sub>2</sub> and chemotherapeutic agents (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>,<xref rid="b29-ijo-46-05-2021" ref-type="bibr">29</xref>,<xref rid="b32-ijo-46-05-2021" ref-type="bibr">32</xref>). This implies that stress-induced NF-&#x003BA;B activation could be mediated by Romo1 expression. In the present study, H<sub>2</sub>O<sub>2</sub>-induced NF-&#x003BA;B activation was associated with Romo1 expression (<xref rid="f4-ijo-46-05-2021" ref-type="fig">Fig. 4</xref>). In a previous report, we demonstrated that increased NF-&#x003BA;B activity was decreased by Romo1 knockdown and that Romo1 overexpression induced translocation of NF-&#x003BA;B into the nucleus and its binding to DNA (<xref rid="b33-ijo-46-05-2021" ref-type="bibr">33</xref>). These results indicated that an increase in activity of NF-&#x003BA;B in tumor cells is closely related to Romo1 expression triggered by oxidative stress. Because aberrant NF-&#x003BA;B activation is associated with a variety of inflammatory diseases, drug-development efforts have targeted components of NF-&#x003BA;B signaling such as I&#x003BA;B&#x003B1; degradation, IKK activity and NF-&#x003BA;B binding to DNA (<xref rid="b11-ijo-46-05-2021" ref-type="bibr">11</xref>,<xref rid="b39-ijo-46-05-2021" ref-type="bibr">39</xref>). Our results suggest that Romo1 is another potential therapeutic target for diseases involving NF-&#x003BA;B deregulation.</p>
<p>NF-&#x003BA;B plays a key role in tumor cell invasion (<xref rid="b20-ijo-46-05-2021" ref-type="bibr">20</xref>), therefore we investigated whether oxidative stress-induced Romo1 expression is associated with tumor cell invasion via NF-&#x003BA;B signaling. In previous studies, we showed that TPA-induced invasion of HCC is mediated by Romo1 expression and that Romo1 expression is closely related to constitutive activation of NF-&#x003BA;B (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>,<xref rid="b33-ijo-46-05-2021" ref-type="bibr">33</xref>). Increased NF-&#x003BA;B activity has been reported in many types of cancer cells, and this deregulated NF-&#x003BA;B activity is responsible for cell proliferation, progression and resistance to apoptosis of various tumor cells (<xref rid="b11-ijo-46-05-2021" ref-type="bibr">11</xref>,<xref rid="b12-ijo-46-05-2021" ref-type="bibr">12</xref>,<xref rid="b40-ijo-46-05-2021" ref-type="bibr">40</xref>). In the present study, we showed that Romo1-triggered cell invasion was suppressed by NF-&#x003BA;B inhibition. These results demonstrate that Romo1-induced tumor cell invasion is mediated by NF-&#x003BA;B activation. Constitutive NF-&#x003BA;B activation is also due to Romo1 expression (<xref rid="b33-ijo-46-05-2021" ref-type="bibr">33</xref>). A variety of stresses induce NF-&#x003BA;B activation (<xref rid="b17-ijo-46-05-2021" ref-type="bibr">17</xref>,<xref rid="b41-ijo-46-05-2021" ref-type="bibr">41</xref>). Romo1 expression is also enhanced by various stresses in tumor cells (<xref rid="b24-ijo-46-05-2021" ref-type="bibr">24</xref>). Therefore, we suggest that various types of stress, particularly oxidative stress, promote tumor cell invasion through Romo1 expression and constitutive NF-&#x003BA;B activation.</p>
<p>It has been reported that deregulated NF-&#x003BA;B activation is due to constitutive activation of an upstream mediator, such as IKK, or an increase in the rate of I&#x003BA;B degradation (<xref rid="b18-ijo-46-05-2021" ref-type="bibr">18</xref>,<xref rid="b20-ijo-46-05-2021" ref-type="bibr">20</xref>). IKK&#x003B2; participates in most canonical signaling pathways leading to NF-&#x003BA;B activation. However, IKK&#x003B1; may also participate in ROS-induced NF-&#x003BA;B activation in TNF-&#x003B1;-treated cells (<xref rid="b17-ijo-46-05-2021" ref-type="bibr">17</xref>). In some cells, IKK&#x003B1; plays a prominent role in regulating constitutive NF-&#x003BA;B activity (<xref rid="b19-ijo-46-05-2021" ref-type="bibr">19</xref>). We demonstrated in the current study that tumor cell invasion induced by Romo1 overexpression was blocked by NAC and IKK-16 (<xref rid="f1-ijo-46-05-2021" ref-type="fig">Fig. 1</xref>). This result implied that tumor cell invasion induced by Romo1 expression was mediated by IKK activity. Therefore, we investigated the involvement of IKK by performing experiments in IKK&#x003B1;-.or IKK&#x003B2;-deficient cells. We found that while both IKK&#x003B1; and IKK&#x003B2; contributed to Romo1-induced NF-&#x003BA;B activation, IKK&#x003B1; was the major mediator. The putative role of Romo1 in oxidative stress-induced tumor cell invasion via the NF-&#x003BA;B pathway is summarized in <xref rid="f7-ijo-46-05-2021" ref-type="fig">Fig. 7</xref>. Based on these results and those of previous studies, we suggest that Romo1 is an important upstream mediator of constitutive activation of the NF-&#x003BA;B pathway responsible for tumor cell invasion.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean government (NRF-2012R1A2A2A01045800 and NRF-2013R1A1A2063171) and by a grant from the National R&amp;D Program for Cancer Control, Ministry for Health, Welfare and Family Affairs, Republic of Korea (1020180).</p></ack>
<glossary id="GL">
<title>Abbreviations</title>
<def-list>
<def-item>
<term id="G1">NF-&#x003BA;B</term>
<def>
<p>nuclear factor-&#x003BA;B</p></def></def-item>
<def-item>
<term id="G2">Romo1</term>
<def>
<p>reactive oxygen species modulator 1</p></def></def-item>
<def-item>
<term id="G3">I&#x003BA;B</term>
<def>
<p>inhibitor of &#x003BA;B</p></def></def-item>
<def-item>
<term id="G4">IKK</term>
<def>
<p>inhibitor of &#x003BA;B kinase</p></def></def-item>
<def-item>
<term id="G5">ROS</term>
<def>
<p>reactive oxygen species</p></def></def-item>
<def-item>
<term id="G6">WT</term>
<def>
<p>wild-type</p></def></def-item>
<def-item>
<term id="G7">MEF s</term>
<def>
<p>mouse embryonic fibroblasts</p></def></def-item>
<def-item>
<term id="G8">H<sub>2</sub>O<sub>2</sub></term>
<def>
<p>hydrogen peroxide</p></def></def-item>
<def-item>
<term id="G9">NAC</term>
<def>
<p>N-acetyl-L-cysteine</p></def></def-item>
<def-item>
<term id="G10">EMSA</term>
<def>
<p>electrophoretic mobility shift assay</p></def></def-item>
<def-item>
<term id="G11">TPA</term>
<def>
<p>12-O-tetradecanoylphorbol-13-acetate</p></def></def-item></def-list></glossary>
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<floats-group>
<fig id="f1-ijo-46-05-2021" position="float">
<label>Figure 1</label>
<caption>
<p>Reactive oxygen species modulator 1 (Romo1)-induced invasion of tumor cells via nuclear factor-&#x003BA;B (NF-&#x003BA;B) signaling. Flag-tagged Romo1 was transfected into (A) MDA-MB-231 and (C) Huh-7 cells that were then treated with various inhibitors for 14 h. Cell invasion was measured using a Boyden chamber invasion assay. (B and D) Data are presented as the means &#x000B1; SEs of at least three independent experiments. <sup>*</sup>P&lt;0.05 vs. control and <sup>#</sup>P&lt;0.05; <sup>##</sup>P&lt;0.01 vs. Flag-Romo1 by one-way analysis of variance (ANOVA).</p></caption>
<graphic xlink:href="IJO-46-05-2021-g00.gif"/></fig>
<fig id="f2-ijo-46-05-2021" position="float">
<label>Figure 2</label>
<caption>
<p>Oxidative stress-induced tumor cell invasion mediated by the reactive oxygen species modulator 1 (Romo1). Romo1 induced tumor cell invasion. After (A) MDA-MB-231 and (C) Huh-7 cells were transfected with <italic>Romo1</italic> small interfering RNA (siRNA) for 24 h, cells were treated with hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) for 1 h. Cell culture media were replaced with fresh media without H<sub>2</sub>O<sub>2</sub> and cells were further incubated for 23 h at 37&#x000B0;C. Cell invasion was examined via the Boyden chamber invasion assay. (B and D) Data are presented as means &#x000B1; SEs of at least three independent experiments. <sup>*</sup>P&lt;0.05; <sup>**</sup>P&lt;0.01 vs. control by one-way analysis of variance (ANOVA).</p></caption>
<graphic xlink:href="IJO-46-05-2021-g01.gif"/></fig>
<fig id="f3-ijo-46-05-2021" position="float">
<label>Figure 3</label>
<caption>
<p>Oxidative stress-induced reactive oxygen species (ROS) production through the reactive oxygen species modulator 1 (Romo1). (A) WI-38 VA13 cells treated with hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) (500 &#x003BC;M) for the indicated times were stained with anti-Romo1 antibody (red) and observed by fluorescence microscopy. Images were quantified using MetaMorph software (Universal Imaging Corp., Bedford Hills, NY, USA). <sup>*</sup>P&lt;0.05; <sup>**</sup>P&lt;0.01 vs. untreated control small interfering RNA (siRNA) by two-way analysis of variance (ANOVA). (B) Cells were transfected with <italic>Romo1</italic> siRNA and treated with H<sub>2</sub>O<sub>2</sub> in the presence or absence of N-acetyl-L-cysteine (NAC) for 1 h. After a change of medium and further culture for 2 h, cells were stained with MitoSOX Red for 30 min and ROS levels were measured by flow cytometry. <sup>**</sup>P&lt;0.01 vs. control and <sup>*</sup>P&lt;0.05; <sup>**</sup>P&lt;0.01 vs. control siRNA with treatment of H<sub>2</sub>O<sub>2</sub> by two-way analysis of variance (ANOVA).</p></caption>
<graphic xlink:href="IJO-46-05-2021-g02.gif"/></fig>
<fig id="f4-ijo-46-05-2021" position="float">
<label>Figure 4</label>
<caption>
<p>Oxidative stress-induced nuclear factor-&#x003BA;B (NF-&#x003BA;B) activation of tumor cells through the reactive oxygen species modulator 1 (Romo1). (A) E lectrophoretic mobility shift assay (EMSA) was performed using nuclear extracts isolated at the indicated times from WI-38 VA13 cells treated with hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) for 3 h. (B) EMSA was performed using WI-38 VA13 cells transfected with <italic>Romo1</italic> small interfering RNA (siRNA) and treated with H<sub>2</sub>O<sub>2</sub>. (C) EMSA was performed using HEK 293 cells and Huh-7 cells transfected with <italic>Romo1</italic> siRNA and treated with H<sub>2</sub>O<sub>2</sub>.</p></caption>
<graphic xlink:href="IJO-46-05-2021-g03.gif"/></fig>
<fig id="f5-ijo-46-05-2021" position="float">
<label>Figure 5</label>
<caption>
<p>The reactive oxygen species modulator 1 (Romo1)-induced nuclear factor-&#x003BA;B (NF-&#x003BA;B) activation through the inhibitor of &#x003BA;B kinase (IKK). (A) Wild-type (WT), IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> mouse embryonic fibroblast (MEF) cells were stained with anti-p65 antibody (green) or anti-Flag antibody (red) after Flag-tagged <italic>Romo1</italic> transfection, and subcellular localization of p65 was then observed by confocal microscopy, with 100 cells monitored per experiment. Representative results from three independent experiments are shown. (B) Nuclear extracts were isolated from WT MEF, IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> cells after Flag-tagged <italic>Romo1</italic> transfection, and the DNA-binding activity of NF-&#x003BA;B was determined by electrophoretic mobility shift assay (EMSA). (C) Expression of IKK&#x003B1; and IKK&#x003B2; was evaluated by western blot analysis.</p></caption>
<graphic xlink:href="IJO-46-05-2021-g04.gif"/></fig>
<fig id="f6-ijo-46-05-2021" position="float">
<label>Figure 6</label>
<caption>
<p>Reactive oxygen species modulator 1 (Romo1)-induced cell invasion through the inhibitor of &#x003BA;B kinase (IKK). (A) After Romo1 was expressed in wild-type (WT), IKK&#x003B1;<sup>&#x02212;/&#x02212;</sup> and IKK&#x003B2;<sup>&#x02212;/&#x02212;</sup> mouse embryonic fibroblast (MEF) cells for 14 h, a cell invasion assay was performed using a Boyden chamber. (B) Data are presented as means &#x000B1; SEs of at least three independent experiments. <sup>*</sup>P&lt;0.05 vs. control by one-way analysis of variance (ANOVA).</p></caption>
<graphic xlink:href="IJO-46-05-2021-g05.gif"/></fig>
<fig id="f7-ijo-46-05-2021" position="float">
<label>Figure 7</label>
<caption>
<p>Diagram showing the putative role of the reactive oxygen species modulator 1 (Romo1) and the nuclear factor-&#x003BA;B (NF-&#x003BA;B) pathway in oxidative stress-induced tumor cell invasion.</p></caption>
<graphic xlink:href="IJO-46-05-2021-g06.gif"/></fig></floats-group></article>
