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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.2016.3612</article-id>
<article-id pub-id-type="publisher-id">ijo-49-03-1241</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>5-Azacytidine regulates matrix metalloproteinase-9 expression, and the migration and invasion of human fibrosarcoma HT1080 cells via PI3-kinase and ERK1/2 pathways</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Yu</surname><given-names>Seon-Mi</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Song Ja</given-names></name><xref ref-type="corresp" rid="c1-ijo-49-03-1241"/></contrib>
<aff id="af1-ijo-49-03-1241">Department of Biological Sciences, College of Natural Sciences, Kongju National University, Gongju 32588, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-49-03-1241">Correspondence to: Professor Song Ja Kim, Department of Biological Sciences, Kongju National University, Daehakro 56, Gongju 32588, Republic of Korea, E-mail: <email>ksj85@kongju.ac.kr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>9</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>06</day>
<month>07</month>
<year>2016</year></pub-date>
<volume>49</volume>
<issue>3</issue>
<fpage>1241</fpage>
<lpage>1247</lpage>
<history>
<date date-type="received">
<day>29</day>
<month>04</month>
<year>2016</year></date>
<date date-type="accepted">
<day>21</day>
<month>06</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Abnormal methylation of promoter CpG islands is one of the hallmarks of cancer cells, and is catalyzed by DNA methyltransferases. 5-azacytidine (5-aza C), a methyl-transferase inhibitor, can cause demethylation of promoter regions of diverse genes. Epigenetic processes contribute to the regulation of matrix metalloproteinase (MMP) expression. However, little is known about the mechanisms and effects of 5-aza C on the invasive and migratory capacities of human fibrosarcoma HT1080 cells. In the present study, we found that 5-aza C induces MMP-9 activity, as determined by zymography. HT1080 cell proliferation was determined following 5-aza C administration by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Cell cycle was examined by flow cytometry. 5-aza C treatment inhibited cell proliferation without affecting cell viability. Furthermore, 5-aza C significantly promoted migration and invasion of HT1080 cells. 5-aza C treatment enhanced phosphorylation of extracellular signal-regulated kinase (ERK) and phosphoinositide (PI)3-kinase/Akt, and their inhibitors blocked MMP-9 activity induction, and cellular invasion and migration. Together, these findings suggest that promoter methylation may be one of the mechanisms modulating MMP-9 levels in HT1080 cells, and that 5-aza C-induced MMP-9 production is associated with the activation of ERK and PI3-kinase/Akt signaling pathways.</p></abstract>
<kwd-group>
<kwd>5-azacytidine</kwd>
<kwd>matrix metalloproteinase-9</kwd>
<kwd>migration</kwd>
<kwd>invasion</kwd>
<kwd>HT1080 human fibrosarcoma cells</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Although biochemical and clinical studies have resulted in significant advance of our knowledge of cancer, we have not been able to find a cure for the disease. High invasive and metastatic capacities are critical characteristics of fibrosarcoma, a malignant mesenchymal tumor, that partially account for rapid disease progression and poor prognosis. However, the molecular mechanisms leading to the invasion and metastasis of fibrosarcoma are still poorly understood.</p>
<p>Recently, the crucial role of DNA methylation alterations in human carcinogenesis was emphasized (<xref rid="b1-ijo-49-03-1241" ref-type="bibr">1</xref>). The development and progression of cancer is caused by both, genetic mutations and epigenetic changes, including DNA methylation and histone modifications (<xref rid="b2-ijo-49-03-1241" ref-type="bibr">2</xref>). In mammals, DNA methylation primarily involves a covalent modification of cytosine residues of CpG dinucleotides (<xref rid="b3-ijo-49-03-1241" ref-type="bibr">3</xref>). DNA methylation changes include locus-targeted hypermethylation and global hypomethylation (<xref rid="b4-ijo-49-03-1241" ref-type="bibr">4</xref>). Covalent methylation of DNA CpG islands is catalyzed by methyltransferases that methylate C-5 of cytosine nucleotides. Global cytosine methylation patterns in the mammalian genome appear to be established by a complex interplay of at least three independently encoded DNA methyltransferases (DNMTs): DNMT1, DNMT3A and DNMT3B.</p>
<p>5-aza C is a methyltransferase inhibitor. It is incorporated into the DNA of rapidly growing tumor cells during replication and blocks DNA methylation by trapping DNA methyltransferases on DNA, leading to their intracellular depletion (<xref rid="b5-ijo-49-03-1241" ref-type="bibr">5</xref>). 5-Aza C exerts diverse effects on gene expression (<xref rid="b6-ijo-49-03-1241" ref-type="bibr">6</xref>) and cellular survival (<xref rid="b7-ijo-49-03-1241" ref-type="bibr">7</xref>).</p>
<p>Matrix metalloproteinases (MMPs) are a class of proteolytic enzymes that degrade all extracellular matrix (ECM) components (<xref rid="b8-ijo-49-03-1241" ref-type="bibr">8</xref>). These enzymes regulate the migration of various cancer cells across the ECM, cell growth, angiogenesis and apoptosis. All these processes are essential for the dissemination of neoplastic cells. The MMP family member MMP-9, can degrade collagen, the main component of vascular basement membrane (<xref rid="b9-ijo-49-03-1241" ref-type="bibr">9</xref>). MMP-9 activity is modulated on several levels, including gene transcription (<xref rid="b10-ijo-49-03-1241" ref-type="bibr">10</xref>), mRNA stability (<xref rid="b11-ijo-49-03-1241" ref-type="bibr">11</xref>), secretion (<xref rid="b12-ijo-49-03-1241" ref-type="bibr">12</xref>) and enzymatic activity. MMP-9 gene expression can be regulated by a variety of stimuli, such as interleukin (IL)-1&#x003B2;, tumor necrosis factor &#x003B1;, epidermal growth factor and phorbol esters (<xref rid="b13-ijo-49-03-1241" ref-type="bibr">13</xref>,<xref rid="b14-ijo-49-03-1241" ref-type="bibr">14</xref>). However, the effects of 5-aza C on MMP-9 expression and activity in HT1080 cells have not been completely elucidated.</p>
<p>Therefore, we have studied the effects of 5-aza C on MMP-9 activity, migration and invasion. We demonstrated that 5-aza C enhances migration and invasion of HT1080 cells by activating MMP-9 via phosphoinositide (PI)3-kinase/Akt and extracellular signal-regulated kinase (ERK)1/2 signaling pathways.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>5-aza C was purchased from Sigma-Aldrich (St. Louis, MO, USA). PD 98059 (PD) was purchased from Calbiochem (San Diego, CA, USA) and LY 294002 (LY) was purchased from Tocris Bioscience (Bristol, UK).</p></sec>
<sec>
<title>Cell culture</title>
<p>Human fibrosarcoma HT1080 cells (KCLB no. 10121; Korean Cell Line Bank, Seoul, Korea) were grown in RPMI-1640 medium (Gibco/Invitrogen, Carlsbad, CA, USA) supplemented with 10&#x00025; fetal bovine serum (FBS; Gibco-Invitrogen), penicillin (50 U/ml; Sigma-Aldrich) and streptomycin (50 &#x003BC;g/ml; Sigma-Aldrich), in a humid atmosphere, 5&#x00025; CO<sub>2</sub> and 95&#x00025; air at 37&#x000B0;C.</p></sec>
<sec>
<title>MTT assay</title>
<p>Proliferation of HT1080 cells was determined using colorimetric 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Cells were seeded into 96-well plates (0.5&#x000D7;10<sup>5</sup> cells/well in 100 &#x003BC;l medium) and cultured for 24 h. After an overnight incubation, the cells were treated with 5-aza C concentration gradient (0, 5, 10, or 20 &#x003BC;M) for 24 h, or with 10 &#x003BC;M 5-aza C for the indicated time periods, and then washed with phosphate-buffered saline (PBS). Thereafter, the medium was replaced by fresh medium (200 &#x003BC;l) containing 0.5 mg/ml MTT, and the mixture was incubated for 4 h at 37&#x000B0;C. Following the incubation, 100 &#x003BC;l solubilization buffer (10&#x00025; SDS, 0.01 N HCl) was added to each well to terminate the MTT reaction and dissolve formazan crystals. After agitation for 1 h at room temperature, optical density of the solution in each well was measured at 595 nm using a microplate reader (Molecular Devices, Sunnyvale, CA, USA). Proliferation inhibition rate was calculated as: &#x0005B;1-A<sub>595</sub> (experimental well)/A<sub>595</sub> (control well)&#x0005D; &#x000D7;s 100&#x00025;.</p></sec>
<sec>
<title>Wound-healing assay</title>
<p>HT1080 cell migration was determined by wound-healing assay (<xref rid="b15-ijo-49-03-1241" ref-type="bibr">15</xref>). Briefly, HT1080 cells (5&#x000D7;10<sup>5</sup>/well) were seeded into 35-mm culture dish and after reaching ~90&#x00025; confluence, a scratch was made in the cells with a 10-&#x003BC;l pipette tip. The remaining cells were washed with medium and incubated with 5-aza C in the absence or presence of inhibitors for 24 h. The migration distance of cells was then captured and the images were quantitatively analyzed using ImageJ software (National Institutes of Health, Bethesda, MD, USA). Distances between scratch edges were measured and statistically analyzed (see below).</p></sec>
<sec>
<title>Invasion assay</title>
<p>HT1080 invasion was determined with Transwell Matrigel system (<xref rid="b16-ijo-49-03-1241" ref-type="bibr">16</xref>). Cells (1&#x000D7;10<sup>5</sup> cells/well) were cultured in the top chambers of 24-well Transwell plates (8.0 mm-pore; Corning Costar, Corning, NY, USA) and complete RPMI-1640 medium was added to the bottom chambers. After 24 h, the cells on the surface of the top chamber membrane were removed with a cotton swab. Cells that had migrated to the bottom surface of the top chamber membranes were fixed with 95&#x00025; methanol, stained with 1 mg/ml crystal violet and hematoxylin solution, and counted (20 random fields) under a microscope (magnification, x200). Each experiment was performed in triplicate and repeated at least twice.</p></sec>
<sec>
<title>Flow cytometry</title>
<p>Cells (5&#x000D7;10<sup>5</sup> cells) were grown in 35-mm culture dish to ~80&#x00025; confluence and starved in serum-free medium at 37&#x000B0;C for 12 h. The cells were then treated with 5-aza C for 24 h and harvested in trypsin-EDTA (0.25&#x00025;, pH 7.2) buffer. Cells were washed with PBS prior to suspension in cold propidium iodide (PI) solution (50 &#x003BC;g/ml) in PBS (pH 7.4) containing RNase A (0.1 mg/ml) for 30 min in the dark. After incubation, cell apoptosis and cell cycle distribution were analyzed with a flow cytometer (Partec GmbH, Munster, Germany).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Preparation of cell lysates and western blot analyses were performed as previously described (<xref rid="b17-ijo-49-03-1241" ref-type="bibr">17</xref>). Briefly, equal amounts of proteins from whole cell lysates (20&#x02013;30 &#x003BC;g) were resolved by 8&#x02013;12&#x00025; SDS-polyacrylamide gel electrophoresis and transferred to a nitrocellulose membrane. The membrane was then incubated in blocking buffer comprising 5&#x00025; skimmed milk in Tris-buffered saline with Tween-20 (TBST), at room temperature for 1 h. The blocked membrane was next incubated with primary antibodies, at 4&#x000B0;C, overnight. The following primary antibodies were used: rabbit anti-DNMT-1 polyclonal antibody (1:1,000 dilution; Santa Cruz Biotechnology Inc., Santa Cruz, CA, USA; sc-20701); mouse anti-phospho-Akt polyclonal antibody (1:1,000 dilution; Cell Signaling Technology Inc., Danvers, MA, USA; #9271); rabbit anti-Akt polyclonal antibody (1:1,000 dilution; Santa Cruz Biotechnology; #9272); rabbit anti-phospho-p44/42 MAP kinase (pERK1/2) polyclonal antibody (1:1,000 dilution; Cell Signaling Technology; #9101); rabbit anti-ERK-2 poly-clonal antibody (1:1,000 dilution; Santa Cruz Biotechnology; sc-154). The membrane was washed three times (10 min each) with TBST, and then incubated with secondary antibodies, at room temperature, for 2 h. The following secondary antibodies were used: anti-rabbit IgG antibody (1:3,000 dilution; Sigma-Aldrich; A0545); anti-mouse IgG antibody (1:3,000 dilution Enzo Life Sciences, Inc., Farmingdale, NY, USA; ADI-SAB-100). The antigen-antibody complex was detected with an enhanced chemiluminescence detection kit (Dogen, Seoul, Korea). Protein band intensities were quantified by the ImageJ and normalized to internal &#x003B2;-actin control. Normalized values were plotted and are presented.</p></sec>
<sec>
<title>Zymographic assay of MMP-9 gelatinase activity</title>
<p>MMP-9 gelatinase activity in conditioned media was performed using SDS-PAGE zymography, as previously described (<xref rid="b18-ijo-49-03-1241" ref-type="bibr">18</xref>). Briefly, HT1080 cells were split into 35-mm culture dish. After 24 h, cells were serum-starved in RPMI-1640 medium (Gibco/Invitrogen) for additional 20 h, and then treated with increasing concentrations of 5-aza C (0, 5, 10 and 20 &#x003BC;M) for 24 h. Subsequently, 30 &#x003BC;l conditioned medium was mixed with reducing agent-devoid of 4X SDS sample buffer (62.5 mM Tris, 4&#x00025; SDS, 25&#x00025; glycerol, 0.01&#x00025; bromophenol blue, pH 6.8) and subjected to electrophoresis in 7.5&#x00025; SDS-PAGE gels containing 1 mg/ml gelatin (Sigma-Aldrich). After electrophoresis, gels were washed twice with 2.5&#x00025; (v/v) Triton X-100 for 60 min at room temperature to remove SDS and subsequently incubated overnight at 37&#x000B0;C in a developing buffer containing 10 mM CaCl<sub>2</sub>, 150 mM NaCl, and 50 mM Tris-HCl, pH 8.0, for 24 h. The gels were stained with 0.5&#x00025; Coomassie brilliant blue R-250 in 10&#x00025; acetic acid (v/v) and 50&#x00025; methanol, for ~1 h, and then destained in 50&#x00025; methanol and 10&#x00025; acetic acid solution at room temperature to clearly visualize the digested bands. MMP-9 proteolytic activities were visualized as clear bands against blue background of stained gelatin.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as means &#x000B1; SEM from three independent experiments and compared using one-way ANOVA. For P&lt;0.05, differences were considered statistically significant and are indicated by an asterisk in the figures.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>5-Aza C inhibits the proliferation of HT1080 cells</title>
<p>To evaluate the effect of 5-aza C on cellular proliferation, cells were cultured with increasing 5-aza C concentrations (5, 10 and 20 &#x003BC;M), as described in Materials and methods, and their viability was assessed by MTT assay. 5-Aza C inhibited proliferation of cells in a dose-dependent manner (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1A</xref>). We next performed FACS analysis to investigate the effect of 5-aza C on the cell cycle (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1B</xref>). FACS analysis revealed that 5-aza C induced G<sub>2</sub>/M phase arrest (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1B</xref>). Only 32.2&#x00025; untreated control HT1080 cells were in G<sub>2</sub>/M phase. However, 24 h of treatment with 5, 10 and 20 &#x003BC;M 5-aza C, the proportion of HT1080 cells arrested in the G<sub>2</sub>/M phase increased to 34.8, 42.9 and 62.8&#x00025;, respectively (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1B</xref>). These results indicated that 5-aza C inhibits proliferation in a dose-dependent manner (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1</xref>).</p></sec>
<sec>
<title>5-Aza C induces migration and invasion of HT1080 cells</title>
<p>Metastatic HT1080 cells possess high migration ability and therefore they are suitable for migration and invasion experiments verifying the effects of 5-aza C on tumor metastasis. HT1080 24-h exposure to 5-aza C resulted in significant increase in HT1080 cell migration area and induced the spread of HT1080 cells along wound edges, compared with the untreated control cells (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2A and B</xref>). Next, Matrigel invasion assays were performed with 5-aza C-treated HT1080 cells (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2C</xref>). HT1080 cell invasion capacity was significantly induced by 5-aza C, and the number of invasive cells increased when 5-aza C concentration was increased to 10 &#x003BC;M (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2C</xref>). Approximately 29 and 54&#x00025; induction in invasion was observed after treatment with 5 and 10 &#x003BC;M 5-aza C, respectively, compared with the control (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2C</xref>). Both HT1080 migration and invasion were unaffected by 20 &#x003BC;M 5-aza C treatment (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2B and C</xref>), most possibly due to a cytotoxic, cell-cycle arresting effect of the compound (<xref rid="f1-ijo-49-03-1241" ref-type="fig">Fig. 1B</xref>).</p></sec>
<sec>
<title>5-Aza C induces MMP-9 activity in HT1080 cells</title>
<p>No cytotoxic effect was observed during HT1080 cell treatment with 5-aza C concentrations &lt;10 &#x003BC;M and, therefore, 2&#x02013;10 &#x003BC;M 5-aza C concentrations were used in subsequent experiments. To elucidate the potential mechanisms underlying the meta-static effects of 5-aza C on HT1080 cells, we assessed MMP-9 expression via zymography analysis. As shown in <xref rid="f3-ijo-49-03-1241" ref-type="fig">Fig. 3</xref>, 5-aza C treatment significantly induced MMP-9 expression in a dose- and time-dependent manner when compared with the control (<xref rid="f3-ijo-49-03-1241" ref-type="fig">Fig. 3</xref>). These findings suggested that induction of MMP-9 expression might be involved in the increased migration and invasion of HT1080 cells upon 5-aza C treatment.</p></sec>
<sec>
<title>PI3-kinase/Akt and ERK1/2 MAPK signaling pathways mediate 5-aza C-associated effects in HT1080 cells</title>
<p>To determine whether the MMP-9 activity and metastatic capacities of HT1080 cells induced by 5-aza C were associated with PI3-kinase and mitogen-activated protein kinase (MAPK) signaling pathways, we examined Akt, ERK1/2, p38 kinase and JNK1/2 phosphorylation. As shown in <xref rid="f4-ijo-49-03-1241" ref-type="fig">Fig. 4</xref>, 5-aza C caused a significant increase in phosphorylated Akt and ERK1/2 levels (<xref rid="f4-ijo-49-03-1241" ref-type="fig">Fig. 4</xref>). It also activated the p38 and JNK1/2 signaling pathways (data not shown). 5-aza C-induced MMP-9 activity and HT1080 cell metastatic capacities were significantly attenuated after blocking of ERK1/2 and PI3-kinase/Akt with PD and LY inhibitors, respectively (<xref rid="f5-ijo-49-03-1241" ref-type="fig">Fig. 5</xref>). In contrast, p38 kinase inhibition by SB203580 and JNK1/2 inhibition by SP600125 exerted no apparent effects (data not shown). Collectively, the data indicated that PI3-kinase/Akt and ERK1/2 may be the major pathways mediating 5-aza C-induced MMP-9 activity and metastatic capacities, migration and invasion, of HT1080 cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>MMPs, a family of zinc-dependent endopeptidases, participate in many physiological and pathological processes (<xref rid="b19-ijo-49-03-1241" ref-type="bibr">19</xref>). Imbalance between MMP inhibition and activation is associated with various diseases, including osteoarthritis, rheumatoid arthritis, tumor metastasis, and cardiovascular disease (<xref rid="b19-ijo-49-03-1241" ref-type="bibr">19</xref>&#x02013;<xref rid="b21-ijo-49-03-1241" ref-type="bibr">21</xref>). Secretion of MMPs by structural and inflammatory cells is thought to take part in the processes of cancer metastasis to distant sites (<xref rid="b22-ijo-49-03-1241" ref-type="bibr">22</xref>,<xref rid="b23-ijo-49-03-1241" ref-type="bibr">23</xref>). MMPs are involved in this metastatic progression by initiating turnover of ECM components and modulating cancer cell migration (<xref rid="b24-ijo-49-03-1241" ref-type="bibr">24</xref>). Previous studies have revealed that MMP-9 expression is the strongest in fibrosarcoma cells and has been implicated in tumor invasion and metastasis.</p>
<p>The cancer epigenome is characterized by global alterations in DNA methylation and histone modifications, as well as altered expression profiles of chromatin-modifying enzymes (<xref rid="b25-ijo-49-03-1241" ref-type="bibr">25</xref>). Alteration of global DNA methylation plays a significant role in tumorigenesis and occurs at a variety of genome sequences, including repetitive elements, retrotransposons, CpG-poor promoters, introns and gene deserts (<xref rid="b26-ijo-49-03-1241" ref-type="bibr">26</xref>).</p>
<p>Various epigenetic drugs have been recently identified that can successfully reverse DNA methylation and histone modification abnormalities that occur in cancer (<xref rid="b27-ijo-49-03-1241" ref-type="bibr">27</xref>). DNA methylation inhibitors, such as 5-aza C and decitabine, promote decrease in DNA methylation, inducing gene expression and differentiation of cultured cells. This facilitates our understanding of the potential use of epigenetic drugs in cancer therapy (<xref rid="b28-ijo-49-03-1241" ref-type="bibr">28</xref>). In addition, DNA methylation inhibitors are in clinical use, as part of anticancer strategy, restoring normal function to abnormally hypermethylated genes (<xref rid="b29-ijo-49-03-1241" ref-type="bibr">29</xref>). In particular, 5-aza C inhibits tumor cell proliferation by demethylating and reactivating genes silenced by methylation in cervical cell lines CaSki, C-33A, HeLa and SiHa (<xref rid="b30-ijo-49-03-1241" ref-type="bibr">30</xref>). In contrast, 5-aza C treatment of acute myeloid leukemia might result in enhanced invasiveness of tumor cells via a mechanism involving MMP-9 (<xref rid="b31-ijo-49-03-1241" ref-type="bibr">31</xref>). Previous studies revealed that 5-aza C increased invasiveness of several pancreatic (<xref rid="b32-ijo-49-03-1241" ref-type="bibr">32</xref>) and acute myeloid leukemia cells (<xref rid="b31-ijo-49-03-1241" ref-type="bibr">31</xref>). Similarly, our results indicated that 5-aza C-associated global DNA hypomethylation was accompanied by an increased invasiveness of HT1080 cells.</p>
<p>Considering the above, it is important to understand epigenetic mechanisms used by cells to regulate MMP expression to modulate their invasive properties. In the present study, we focused on the role of DNA methylation alteration in the modulation of MMP-9 activity in human HT1080 fibrosarcoma cells. We demonstrated the biological properties of 5-aza C by showing that 5-aza C treatment increased migration and invasion of HT1080 cells and induced MMP-9 activity, possibly via PI3-kinase/Akt and ERK1/2 pathway activation. We observed a significant increase of migration with 5-aza C concentrations up to ~10 &#x003BC;M. This effect was abolished in the presence of 20 &#x003BC;M 5-aza C, probably because of the compound&#x02019;s anti-proliferative effect (<xref rid="f2-ijo-49-03-1241" ref-type="fig">Fig. 2</xref>).</p>
<p>MAPKs regulate cellular responses, including gene expression, cell proliferation, metabolism and migration (<xref rid="b33-ijo-49-03-1241" ref-type="bibr">33</xref>). Various lines of evidence suggest that MMP-9 expression in corneal epithelial cells (<xref rid="b34-ijo-49-03-1241" ref-type="bibr">34</xref>), osteoblast-like MC3T3-E1 cells (<xref rid="b35-ijo-49-03-1241" ref-type="bibr">35</xref>), tracheal smooth muscle cells (<xref rid="b36-ijo-49-03-1241" ref-type="bibr">36</xref>), and breast epithelial cells (<xref rid="b37-ijo-49-03-1241" ref-type="bibr">37</xref>) is increased via MAPKs, ERK1/2, p38 and JNK1/2 activation. The roles of individual MAPKs in MMP expression vary with cell types and stimuli. For example, activation of p38 kinase might play a crucial role in transforming growth factor &#x003B2;-induced corneal epithelial migration in C57BL/6J mice (<xref rid="b38-ijo-49-03-1241" ref-type="bibr">38</xref>), while ERK1/2 and JNK1/2, rather than p38 kinase, have been associated with the regulation of IL-1&#x003B2; induction of MMP expression in corneal fibroblasts (<xref rid="b39-ijo-49-03-1241" ref-type="bibr">39</xref>). PI3-kinase pathway plays a critical role in a variety of cellular processes by phosphorylating its downstream target Akt. These processes include mitogenic signaling, cytoskeletal remodeling, metabolic control and cell survival (<xref rid="b40-ijo-49-03-1241" ref-type="bibr">40</xref>). In the present study, inhibiting PI3-kinase/Akt activity by LY, or ERK1/2 activity by PD, downregulated not only MMP-9 activity but also HT1080 cell migration (<xref rid="f5-ijo-49-03-1241" ref-type="fig">Fig. 5</xref>).</p>
<p>Collectively, our data suggest that 5-aza C may play an important role in tumor invasiveness through MMP-9 modulation. The potential adverse effects of 5-aza C treatment on tumors need to be evaluated before future clinical applications in therapy of other solid neoplasms.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present was supported by the National Research Foundation of Korea (NRF) grants funded by the Korea government (MSIP) (nos. 2015R1C1A2A01055015 and 2014R1A1A3049653) and the Korean Health Technology R&amp;D Project, Ministry of Health &amp; Welfare, Republic of Korea (A120960-1201-0000300).</p></ack>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term id="G1">MMPs</term>
<def>
<p>matrix metalloproteinases</p></def></def-item>
<def-item>
<term id="G2">5-aza C</term>
<def>
<p>5-azacytidine</p></def></def-item>
<def-item>
<term id="G3">ERK</term>
<def>
<p>extracellular signal-regulated kinase</p></def></def-item>
<def-item>
<term id="G4">PI3- kinase</term>
<def>
<p>phosphoinositide 3-kinase</p></def></def-item>
<def-item>
<term id="G5">ECM</term>
<def>
<p>extracellular matrix</p></def></def-item>
<def-item>
<term id="G6">DNMTs</term>
<def>
<p>DNA methyltransferases</p></def></def-item>
<def-item>
<term id="G7">PD</term>
<def>
<p>PD 98059</p></def></def-item>
<def-item>
<term id="G8">LY</term>
<def>
<p>LY 294002</p></def></def-item></def-list></glossary>
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<floats-group>
<fig id="f1-ijo-49-03-1241" position="float">
<label>Figure 1</label>
<caption>
<p>5-Aza C inhibits proliferation of human fibrosarcoma HT1080 cells. HT1080 cells were treated for 24 h with the indicated concentrations (5, 10 and 20 &#x003BC;M) of 5-aza C. (A) Cell proliferation, as determined by MTT assay. The data are from three independent experiments and are given as means &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with control. (B) Cell cycle DNA distribution, as examined by FACS analysis. The data are representative of three similar experiments. Please see Materials and methods for details.</p></caption>
<graphic xlink:href="IJO-49-03-1241-g00.gif"/></fig>
<fig id="f2-ijo-49-03-1241" position="float">
<label>Figure 2</label>
<caption>
<p>5-Aza C treatment increases migration and invasion of HT1080 cells. (A&#x02013;C) Confluent cell monolayers were scraped and then treated with the indicated concentrations of 5-aza C (5, 10 and 20 &#x003BC;M) for 24 h. (A) Cell migratory ability, as determined by wound-healing assay. The images are representative of three similar experiments. (B) Migrated cell numbers, determined by densitometric measurements with ImageJ. (C) HT1080 invasion ability, as determined by invasion assay. (B and C) The data are from three independent experiments and are given as means &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with control.</p></caption>
<graphic xlink:href="IJO-49-03-1241-g01.gif"/></fig>
<fig id="f3-ijo-49-03-1241" position="float">
<label>Figure 3</label>
<caption>
<p>5-Aza C treatment induces MMP-9 expression. HT1080 cells were treated for 24 h with the indicated 5-aza C concentrations (A, upper image; B, left), or with 10 &#x003BC;M 5-aza C for the indicated time periods (A, lower image; B, right). MMP-9 activity was determined using gelatin zymography, as described in Materials and methods. (B) Relative MMP-9 activities, quantified densitometrically in ImageJ. The images are representative of three similar experiments (A), or are calculated as means &#x000B1; SEM from three independent experiments. <sup>*</sup>P&lt;0.05 compared with control.</p></caption>
<graphic xlink:href="IJO-49-03-1241-g02.gif"/></fig>
<fig id="f4-ijo-49-03-1241" position="float">
<label>Figure 4</label>
<caption>
<p>5-Aza C treatment activates PI3-kinase/Akt and ERK1/2 kinase pathways. HT1080 cells were treated with the indicated 5-aza C concentrations for 24 h (A) or with 10 &#x003BC;M 5-aza C for the indicated time periods (B). DNMT-1, pAkt, Akt, pERK and ERK-2 protein levels were assessed using western blotting with specific antibodies. The images are representative of three independent experiments.</p></caption>
<graphic xlink:href="IJO-49-03-1241-g03.gif"/></fig>
<fig id="f5-ijo-49-03-1241" position="float">
<label>Figure 5</label>
<caption>
<p>PI3-kinase/Akt and ERK1/2 kinase signaling cascades play crucial roles in 5-aza C-induced metastatic capacities of HT1080 cells. HT1080 cells were treated with 10 &#x003BC;M 5-aza C in the absence or presence of ERK1/2 inhibitor PD98059 (PD) and PI3-kinase inhibitor LY294002 (LY). (A) MMP-9 activation, as determined using gelatin zymography (top), and DNMT-1, pAkt, Akt, pERK and ERK-2 levels, as detected by western blotting (bottom). Relative MMP-9 activities were quantified by densitometric measurements with ImageJ (A, right panel). (B) Migratory ability of HT1080 cells, as determined by wound-healing assay. (C) HT1080 invasion ability, as determined by invasion assay. The images are representative of three independent experiments. The data are from three independent experiments and are given as means &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with untreated control. <sup>#</sup>P&lt;0.05 compared with 5-aza C-treated cells.</p></caption>
<graphic xlink:href="IJO-49-03-1241-g04.gif"/></fig></floats-group></article>
