<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<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.2016.3623</article-id>
<article-id pub-id-type="publisher-id">ijo-49-04-1469</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Metabotropic glutamate receptor 3 is involved in B-cell-related tumor apoptosis</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Xiaoling</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref rid="af2-ijo-49-04-1469" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Yu</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref rid="af3-ijo-49-04-1469" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Zhiding</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref rid="af5-ijo-49-04-1469" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Xiaoqian</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhu</surname><given-names>Gaizhi</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref rid="af4-ijo-49-04-1469" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>Han</surname><given-names>Gencheng</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname><given-names>Guojiang</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hou</surname><given-names>Chunmei</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Tianxiao</given-names></name><xref rid="af3-ijo-49-04-1469" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Shen</surname><given-names>Beifen</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Yan</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ma</surname><given-names>Ning</given-names></name><xref rid="af6-ijo-49-04-1469" ref-type="aff">6</xref></contrib>
<contrib contrib-type="author">
<name><surname>Xiao</surname><given-names>He</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-49-04-1469"/></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Renxi</given-names></name><xref rid="af1-ijo-49-04-1469" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-49-04-1469"/></contrib></contrib-group>
<aff id="af1-ijo-49-04-1469">
<label>1</label>Laboratory of Immunology, Institute of Basic Medical Sciences, Beijing 100850, P.R. China</aff>
<aff id="af2-ijo-49-04-1469">
<label>2</label>Department of Nephrology, The 307th Hospital of Chinese People&#x02019;s Liberation Army, Beijing 100850, P.R. China</aff>
<aff id="af3-ijo-49-04-1469">
<label>3</label>College of Pharmacy, Henan University, Kaifeng, Henan 475001, P.R. China</aff>
<aff id="af4-ijo-49-04-1469">
<label>4</label>Institute of Immunology, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, P.R. China</aff>
<aff id="af5-ijo-49-04-1469">
<label>5</label>Laboratory of Cellular and Molecular Immunology, Henan University, Kaifeng, Henan 475001, P.R. China</aff>
<aff id="af6-ijo-49-04-1469">
<label>6</label>Department of Rheumatology, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-49-04-1469">Correspondence to: Dr Renxi Wang or Dr He Xiao, Laboratory of Immunology, Institute of Basic Medical Sciences, P.O. Box 130 (3), 27 Taiping Road, Beijing 100850, P.R. China, E-mail: <email>wang_renxi@yahoo.com</email>, E-mail: <email>yinher2001@yahoo.com</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>10</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>07</month>
<year>2016</year></pub-date>
<volume>49</volume>
<issue>4</issue>
<fpage>1469</fpage>
<lpage>1478</lpage>
<history>
<date date-type="received">
<day>19</day>
<month>05</month>
<year>2016</year></date>
<date date-type="accepted">
<day>11</day>
<month>07</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Cell apoptosis plays a critical role in initiation and progression of tumor and autoimmune diseases, resistance and susceptibility to various therapeutic agents. Our previous study showed that metabotropic glutamate receptor 3 (Grm3) may be involved in autoreactive B-cell apoptosis in a B-cell-depleted agent atacicept-treated lupus-like mice. In the present study, we explore whether Grm3 is involved in the apoptosis in B-cell-related tumor including multiple myeloma and B-cell leukemia. We found that human B-cell leukemia cell line Nalm-6 cells and mouse myeloma cell line SP 2/0 cells could express Grm3. In addition, Grm3 expression emerged mainly in the middle stage of Nalm-6 and SP 2/0 cell apoptosis. Furthermore, apoptosis-induced agents effectively upregulated Grm3 expression in SP 2/0 cells. Critically, Grm3 deficiency promoted tumor progression in an SP 2/0 xenograft mouse model by suppressing cell apoptosis, whereas Grm3 overexpression effectively upregulates SP 2/0 cell apoptosis. Finally, we showed that Grm3 mediated cell apoptosis by Foxo1. Together, our data suggest that Grm3 effectively suppresses the mouse myeloma cell line SP 2/0 cell growth by mediating apoptosis. Thus, Grm3 may be used as an indicator in apoptosis of B-cell-related tumor and a potential target for the treatment of B-cell-related tumor including multiple myeloma and B-cell leukemia.</p></abstract>
<kwd-group>
<kwd>glutamate receptor 3</kwd>
<kwd>multiple myeloma</kwd>
<kwd>SP 2/0 cells</kwd>
<kwd>leukemia</kwd>
<kwd>Nalm-6 cells</kwd>
<kwd>apoptosis</kwd>
<kwd>Foxo1</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Defect of B-cell apoptosis promotes initiation and progression of autoimmune diseases like SLE and B-cell lymphoma including multiple myeloma. The molecular definition of auto-immune lymphoproliferative syndrome (ALPS) previously established that defective apoptosis can lead to autoimmunity in humans (<xref rid="b1-ijo-49-04-1469" ref-type="bibr">1</xref>). Systemic lupus erythematosus (SLE) is a multi-system autoimmune disease characterized by B cell-defective apoptosis and hyperproliferation (<xref rid="b1-ijo-49-04-1469" ref-type="bibr">1</xref>,<xref rid="b2-ijo-49-04-1469" ref-type="bibr">2</xref>). Among many dysregulated molecular pathways and cell types, apoptosis-defective B cells are the most important pathogenic factor in that their capacity to produce pathogenic autoantibodies and their contribution to tissue damage in SLE (<xref rid="b1-ijo-49-04-1469" ref-type="bibr">1</xref>,<xref rid="b3-ijo-49-04-1469" ref-type="bibr">3</xref>). MRL/lpr mice bearing Fas/Fas ligand mutant genes are defective in apoptosis of lymphocytes specifically B cells further to develop autoimmunity and lymphoproliferation disease and are considered as SLE mouse model (<xref rid="b4-ijo-49-04-1469" ref-type="bibr">4</xref>,<xref rid="b5-ijo-49-04-1469" ref-type="bibr">5</xref>). Similarly in autoimmune diseases, alterations of apoptosis play an important role in tumor development (<xref rid="b6-ijo-49-04-1469" ref-type="bibr">6</xref>). Expansion of the malignant clone of B-CLL cells appears to be due to an underlying defect in its ability to undergo apoptosis (<xref rid="b7-ijo-49-04-1469" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-ijo-49-04-1469" ref-type="bibr">9</xref>). These studies suggest that the defect of B-cell apoptosis plays an important role in B-cell-mediated autoimmune diseases like SLE and B-cell-related tumors.</p>
<p>Regulation of apoptosis is responsible for therapy and new therapeutic approaches attempting to treat tumors and autoimmune diseases (<xref rid="b6-ijo-49-04-1469" ref-type="bibr">6</xref>,<xref rid="b10-ijo-49-04-1469" ref-type="bibr">10</xref>&#x02013;<xref rid="b14-ijo-49-04-1469" ref-type="bibr">14</xref>). B cell-activating factor (BAFF) has been regarded as a new therapeutic target in SLE because it promotes B-cell survival and development to block B-cell apoptosis (<xref rid="b15-ijo-49-04-1469" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-ijo-49-04-1469" ref-type="bibr">17</xref>). Interfering BAFF-BAFF-R interaction promotes B-cell apoptosis with small synthetic molecules (<xref rid="b18-ijo-49-04-1469" ref-type="bibr">18</xref>). March 9, 2011, belimumab, a fully human anti-BAFF mAb, was approved by FDA to treat SLE. We and other researchers proved that atacicept, a fusion protein of a BAFF receptor TACI and IgG Fc, had similar clinical results to belimumab (<xref rid="b19-ijo-49-04-1469" ref-type="bibr">19</xref>&#x02013;<xref rid="b21-ijo-49-04-1469" ref-type="bibr">21</xref>). Aberrant BAFF expression protects malignant B-cells from spontaneous or drug-induced apoptosis in B-cell non-Hodgkin lymphoma (B-NHL) patients (<xref rid="b22-ijo-49-04-1469" ref-type="bibr">22</xref>). In addition, belimumab restores sensitivity of chronic lymphoid leukemia cells to direct and Rituximab-induced NK lysis (<xref rid="b23-ijo-49-04-1469" ref-type="bibr">23</xref>). These studies suggest that the mechanisms underlying defect of B-cell apoptosis and therapeutic target are similar in autoimmune diseases such as SLE and B-cell lymphoma.</p>
<p>We further found that metabotropic glutamate receptor 3 (Grm3) may be involved in autoreactive B-cell apoptosis in atacicept-treated lupus-like mice and ligation of Grm3 ameliorates lupus-like disease by reducing B-cell numbers (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>). Because both autoimmune diseases and B-cell lymphoma including multiple myeloma share similar abnormal apoptosis of B cells, we proposed that Grm3 may be involved in apoptosis of B-cell lymphoma including multiple myeloma. Our data demonstrated that Grm3, upregulated by apoptosis-induced agents, effectively induced apoptosis of human B-cell leukemia cell line Nalm-6 cells and mouse myeloma cell line SP 2/0 cells. Thus, Grm3 may be used as a potential target and effective therapeutic indicator for B-cell lymphoma.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Mice</title>
<p>Seven-to-eleven-week-old Balb/c and nude (Severe combined immunodeficient, SCID) mice (Huafukang Technology Corp., Beijing, China), CD19<sup>cre</sup> mice and Foxo1<sup>F/F</sup> (Nanjing Biomedical Research Institute of Nanjing University, Nanjing, China) were bred in our animal facilities under specific pathogen-free conditions. Mice with loxP sites flanking exon 2 of Foxo1 (Foxo1<sup>F/F</sup>) were crossed to mice expressing Cre recombinase under control of the CD19 promoter (CD19<sup>Cre</sup>) to delete Foxo1 in B cells. Care, use and treatment of mice in the present study were in strict agreement with international guidelines for the care and use of laboratory animals. This study was approved by the Animal Ethics Committee of the Beijing Institute of Basic Medical Sciences.</p></sec>
<sec>
<title>Antibodies and reagents</title>
<p>APC-conjugated anti-mouse CD138 (281-2) was from BD Biosciences (San Jose, CA, USA). FITC or PE conjugated anti-mouse Grm3 (bs-12012R) was from Bioss Corp. (Woburn, MA, USA). Anti-Grm3 (ab13193) and anti-&#x003B2;-actin (ab8227) were from Abcam (Cambridge (MA, USA). Anti-mouse Foxo1 (L27 and C29H4) was from Cell Signaling Technology (Danvers, MA, USA). Apoptosis detection kits (70-AP101-100) contained FITC or APC-conjugated Annexin V and PI were from MultiSciences. Grm3 shRNA (MSH042669-HIVU6) and LV81/Grm3 (EX-Mm13188-Lv81) were from GeneCopoeia (Rockville, MD, USA). Foxo1 shRNA (sc-35383-V) was from Santa Cruz Biotechnology (Santa Cruz, CA, USA). FK506 (F4679), nocodazole (M1404), monastrol (M8515), rapamycin (37094) and LPS (L2880) were from Sigma-Aldrich (St. Louis, MO, USA). Bortezomib (M1686) was from Abmole Bioscience Inc. (Houston, TX, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>Human B-cell leukemia cell line Nalm-6 cells and mouse myeloma cell line SP 2/0 cells and human embryonic kidney HEK 293T cells were from the American Type Culture Collection (ATCC; Rockville, MD, USA). Primary B cells were sorted from from CD19<sup>cre/+</sup>Foxo1<sup>F/+</sup> and CD19<sup>cre/+</sup>Foxo1<sup>F/F</sup> mice by using B220 microbeads (autoMACS; Miltenyi Biotec, San Diego, CA, USA). All cells were cultured in RPMI-1640 supplemented with 10&#x00025; fetal calf serum (FCS) and 50 &#x003BC;M 2-mercaptoethanol at 37&#x000B0;C under a 5&#x00025; CO<sub>2</sub>. In some experiments, different concentrations of FK506, nocodazole, monastrol, rapamycin and LPS were added into the culture.</p></sec>
<sec>
<title>Annexin V/PI staining</title>
<p>Annexin V/PI staining was performed as previously described (<xref rid="b25-ijo-49-04-1469" ref-type="bibr">25</xref>). Briefly, cells were centrifuged at 335 &#x000D7; g for 10 min and resuspended in 2 ml 1X phosphate-buffered saline (PBS) &#x02212;/&#x02212; (no calcium, no magnesium). Cells were centrifuged at 335 &#x000D7; g for 10 min and resuspended in 1 ml 1X Annexin V binding buffer. A total of 5 &#x003BC;l Alexa Fluor 488-conjugated Annexin V was added and the tubes incubated in the dark for 15 min at room temperature. A total of 100 &#x003BC;l of 1X Annexin V binding buffer was added to each reaction tube (final volume: ~200 &#x003BC;l). PI (4 &#x003BC;l) was diluted 1:10 in 1X Annexin V binding buffer and a final PI concentration of 2 &#x003BC;g/ml was added in each sample. Tubes were incubated in the dark for 15 min at room temperature. 1X Annexin V binding buffer (500 &#x003BC;) was added to wash the cells. Then the samples were ready to be analyzed by flow cytometry (FACS).</p></sec>
<sec>
<title>Cytometric analysis</title>
<p>Cytometric analysis has been described in our previous studies (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>,<xref rid="b26-ijo-49-04-1469" ref-type="bibr">26</xref>). Briefly, cells (1&#x000D7;10<sup>6</sup> cells/sample) were washed with fluorescence-activated cell sorting staining buffer (phosphate-buffered saline, 2&#x00025; fetal bovine serum or 1&#x00025; bovine serum albumin, 0.1&#x00025; sodium azide). All samples were incubated with anti-Fc receptor Ab (BD Biosciences), prior to incubation with other Abs diluted in fluorescence-activated cell sorting buffer supplemented with 2&#x00025; anti-Fc receptor Ab. The samples were filtered immediately before analysis or cell sorting to remove any clumps. Data collection and analyses were performed on a FACSCalibur flow cytometer using CellQuest software.</p></sec>
<sec>
<title>Quantitative PCR analysis</title>
<p>Quantitative PCR analysis was described in our previous studies (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>). Briefly, total RNA was extracted from B cells with TRIzol (Invitrogen-Life Technologies, Carlsbad, CA, USA). The final RNA pellets were dissolved in 0.1 mM EDTA (2 &#x003BC;l/mg original wet weight). Reverse transcription reactions were carried out on 22 &#x003BC;l of sample using sSuperScript II RNAse H-Reverse Transcriptase (Invitrogen-Life Technologies) in a reaction volume of 40 &#x003BC;l. All samples were diluted in 160 &#x003BC;l nuclease-free water. qPCR was employed to quantify mouse Grm3 gene expression from the cDNA samples. Sequences of primer pairs are available upon request. Mouse Grm3 mRNA expression was normalized to the levels of the &#x003B2;-actin gene.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was described in our previous studies (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>). Briefly, whole-cell lysates were prepared for western blotting and blots were probed with anti-mouse &#x003B2;-actin and anti-mouse Grm3 antibody. Preimmune serum was used in parallel as controls and HRP-conjugated secondary F(ab&#x02032;)2 (Zymed Laboratories, San Francisco, CA, USA) were used in concert with the ECL detection system (Amersham Life Science, Arlington Heights, IL, USA).</p></sec>
<sec>
<title>Control, Grm3 or Foxo1-specific shRNA infected SP 2/0 cells</title>
<p>SP 2/0 cells were infected with control, Grm3 or Foxo1-specific shRNA using standard methods as described in our previous studies (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>,<xref rid="b26-ijo-49-04-1469" ref-type="bibr">26</xref>). Briefly, in a 6-well tissue culture plate, 2&#x000D7;10<sup>5</sup> cells/well were seeded in 2 ml antibiotic-free normal growth medium supplemented with FBS. Cells were incubated for 24 h at 37&#x000B0;C in a CO<sub>2</sub> incubator until 60&#x02013;80&#x00025; confluent. 1&#x000D7; 10<sup>6</sup> infectious units of virus (IFU) of control, Grm3 or Foxo1-specific shRNA-expressing lentivirus and 10 &#x003BC;g/ml polybrene were added into the culture. On day 1 after the infection, the transfection mixture was removed and 1X normal growth medium was added into the culture.</p></sec>
<sec>
<title>EGFP<sup>+</sup> cell sorting</title>
<p>On days 3 after the infection, cells were sorted using multicolor flow cytometry. All flow cytometry data were acquired with FACSCanto, FACSCanto II, or FACSAria (BD Biosciences), gated on live lymphocyte-sized cells on the basis of forward and side scatter, and analyzed using FlowJo software (Tree Star, Inc., Ashland, OR, USA).</p></sec>
<sec>
<title>SP 2/0 xenograft mouse model</title>
<p>To evaluate tumor growth in mouse models, 200 &#x003BC;l of cell suspension from 5&#x000D7;10<sup>6</sup> SP 2/0 expressing GFP/Grm3 shRNA and SP 2/0 cells expressing GFP/control shRNA were subcutaneously injected into the left and right sides of the back of each Balb/c or nude mouse. Mice were sacrificed on day 10 after the injection. Tumor volumes were determined by measuring the major (L) and minor (W) diameters with an electronic caliper. The tumor volume was calculated according to the following formula: Tumor volume = &#x003C0;/6 &#x000D7; L &#x000D7; W<sup>2</sup>.</p></sec>
<sec>
<title>Plasmids and cell transfection</title>
<p>cDNA encoding Foxo1 (1-149), Foxo1 (1-400) and Foxo1 (1-655) corresponding to amino acids 1-149, 1-400, 1-655 of Foxo1 was amplified from cDNA encoding Foxo1 (Addgene, Cambridge, MA, USA) by PCR and subcloned into plasmid pEGFP-N1. SP 2/0 cells were transfected with the appropriate amount of plasmid (5&#x02013;20 &#x003BC;g) using Lipofectamine 2000 according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistics were generated using t-test in GraphPad Prism version 5.0 (GraphPad Software, Inc., La Jolla, CA, USA) and values are represented as mean &#x000B1; standard error of the mean (SEM). Results were considered statistically significant at P&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Grm3 expresses on the surface of B-cell-related tumor cells</title>
<p>To explore whether Grm3 play an important role in the apoptosis in B-cell-related tumor, we first determined whether B-cell-related tumor cell lines can express Grm3. Human B-cell leukemia Nalm-6 cells and mouse myeloma SP 2/0 cells were selected because Pre-B Nalm-6 cells and plasma SP 2/0 cells represent two different stages of B-cell development and two different species (human and mouse). This is proved by our data suggesting that SP 2/0 cells but not Nalm-6 cells express CD138, a marker on the surface of plasma cells (<xref rid="f1-ijo-49-04-1469" ref-type="fig">Fig. 1</xref>). As expected, we found that both Nalm-6 cells and SP 2/0 cells could express Grm3 by flow cytometry (FACS) (<xref rid="f1-ijo-49-04-1469" ref-type="fig">Fig. 1</xref>). However, Grm3 was not expressed in CD138<sup>+</sup> SP 2/0 cells (<xref rid="f1-ijo-49-04-1469" ref-type="fig">Fig. 1</xref>), making us to propose that Grm3 would be expressed in apoptotic cells.</p></sec>
<sec>
<title>Grm3 is expressed in apoptotic cells</title>
<p>To determine whether Grm3 is expressed in apoptotic cells, we used Annexin V and phospholine iodide (PI) staining to mark the apoptotic cells. As expected, we found that Grm3 was expressed in Annexin V<sup>+</sup> and PI<sup>+</sup> cells of SP 2/0 (<xref rid="f2-ijo-49-04-1469" ref-type="fig">Fig. 2A</xref>) and Nalm-6 (<xref rid="f2-ijo-49-04-1469" ref-type="fig">Fig. 2B</xref>) cells, whereas live cells did not express Grm3. These results suggest that Grm3 is expressed in apoptotic cells.</p>
<p>To examine which apoptotic stage Grm3 expression emerged, we used Annexin V and PI co-staining assay to distinguish different apoptotic stages. We analyzed mean fluorescence intensity (MFI) of Grm3 expression in Annexin V<sup>&#x02212;</sup>PI<sup>&#x02212;</sup>, Annexin V<sup>+</sup>PI<sup>&#x02212;</sup>, Annexin V<sup>+</sup>PI<sup>lo</sup>, Annexin V<sup>+</sup>PI<sup>hi</sup>, Annexin V-PI<sup>hi</sup> cell subpopulations (<xref rid="f3-ijo-49-04-1469" ref-type="fig">Fig. 3</xref>, left panel). The data demonstrated that Grm3 MFIis the highest in Annexin V<sup>+</sup>PI<sup>lo</sup> cell subpopulation of SP 2/0 (<xref rid="f3-ijo-49-04-1469" ref-type="fig">Fig. 3A</xref>) and Nalm-6 (<xref rid="f3-ijo-49-04-1469" ref-type="fig">Fig. 3B</xref>) cells. These results suggest that Grm3 is expressed mainly in the middle stage of apoptosis.</p></sec>
<sec>
<title>Apoptosis-induced drugs can effectively induce Grm3 expression</title>
<p>To determine whether apoptosis-induced drugs can effectively induce Grm3 expression, we first used FK506 (tacrolimus), a generally applied immunosuppressant in organ transplantation and recently reported to induce apoptosis in prostate cancer (<xref rid="b27-ijo-49-04-1469" ref-type="bibr">27</xref>). We found that 2.5 &#x003BC;g/ml FK506 could effectively induce SP 2/0 cell apoptosis (<xref rid="f4-ijo-49-04-1469" ref-type="fig">Fig. 4A</xref>). Furthermore, qPCR (<xref rid="f4-ijo-49-04-1469" ref-type="fig">Fig. 4B</xref>) and western blot analysis (<xref rid="f4-ijo-49-04-1469" ref-type="fig">Fig. 4C and D</xref>) assays demonstrated that apoptosis significantly upregulated Grm3 mRNA and protein expression in SP 2/0 cells. In addition, FACS analysis showed that FK506 dose-dependently induced Grm3 expression in SP 2/0 cells (<xref rid="f4-ijo-49-04-1469" ref-type="fig">Fig. 4E</xref>). Compared with SP 2/0 cells, human embryonic kidney 293T cells could not effectively be induced to express Grm3 (<xref rid="f4-ijo-49-04-1469" ref-type="fig">Fig. 4F</xref>). These results are in line with our previous study suggesting that Grm3 expression was induced mainly in B cells (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>).</p>
<p>Low dose of bortezomib, first-line drug in patients with newly diagnosed multiple myeloma, could effectively induce apoptosis and Grm3 expression (<xref rid="f5-ijo-49-04-1469" ref-type="fig">Fig. 5</xref>). Antineoplastic agents such as nocodazole and monastrol could also effectively induce apoptosis and Grm3 expression (<xref rid="f5-ijo-49-04-1469" ref-type="fig">Fig. 5</xref>). However, rapamycin, a drug which prevents activation of T cells and B cells by inhibiting the production of interleukin-2 (IL-2) in organ transplantation, could not induce SP 2/0 cell apoptosis (<xref rid="f5-ijo-49-04-1469" ref-type="fig">Fig. 5</xref>). Therefore, it could not effectively induce Grm3 expression (<xref rid="f5-ijo-49-04-1469" ref-type="fig">Fig. 5</xref>). Together, our data suggest that apoptosis-induced drugs can effectively induce Grm3 expression in SP 2/0 cells.</p></sec>
<sec>
<title>Grm3 deficiency promotes SP 2/0 xenograft tumor progression by suppressing cell apoptosis</title>
<p>To explore the role of Grm3 in B-cell-related tumor cell apoptosis, we first used Grm3-specific shRNA to knock down the Grm3 expression in SP2/0 cells. We found that the level of EGFP expression is negatively associated with cell apoptosis in Grm3 shRNA-infected SP 2/0 cells, whereas the level of EGFP expression is positively associated with cell apoptosis in control shRNA-infected SP 2/0 cells (<xref rid="f6-ijo-49-04-1469" ref-type="fig">Fig. 6A</xref>). In addition, FACS analysis demonstrated that Grm3 shRNA effectively depleted Grm3 expression in EGFP<sup>+</sup> cells (<xref rid="f6-ijo-49-04-1469" ref-type="fig">Fig. 6B</xref>). Together, our data suggest that Grm3 deficiency suppresses SP 2/0 cell apoptosis. Furthermore, we found that Grm3 deficiency could effectively reduce FK506-, rapamycin-, monastrol- or nocodazole-induced SP 2/0 cell apoptosis (<xref rid="f6-ijo-49-04-1469" ref-type="fig">Fig. 6C&#x02013;E</xref>).</p>
<p>To further determine the effect of Grm3 deficiency on <italic>in vivo</italic> tumor progression, SP 2/0 xenograft mouse models were developed in Balb/c and nude mice. SP 2/0 cells were infected with control- or Grm3-specific shRNA (with EGFP)-expressing lentivirus and sorted by FACS based on EGFP expression. EGFP<sup>+</sup> cells/mouse (5&#x000D7;10<sup>6</sup>) were subcutaneously injected into Balb/C (5 mice/group) or nude (2 mice/group) mice. Our data demonstrated that Grm3 deficiency promoted <italic>in vivo</italic> tumor progression in Balb/c and nude mice (<xref rid="f7-ijo-49-04-1469" ref-type="fig">Fig. 7A</xref>). Tumor volumes and average tumor weights from each group were also measured. The results showed that Grm3 deficiency upregulated tumor volumes and weights in Balb/c, although the difference was not significant, whereas Grm3 deficiency significantly upregulated <italic>in vivo</italic> tumor volumes and weights in nude mice (<xref rid="f7-ijo-49-04-1469" ref-type="fig">Fig. 7B and C</xref>). Together, our results suggest that Grm3 deficiency promotes SP 2/0 xenograft tumor progression.</p>
<p>To further explore the role of Grm3 in SP 2/0 cell apoptosis, we overexpressed Grm3 in SP 2/0 cells. We used control- or Grm3-expressing Lv81 (with EGFP) lentivirus to infect SP 2/0 cells. We analyzed cell apoptosis in EGFP<sup>+</sup> cells by FACS. The results demonstrated that Grm3 overexpression upregulates cell apoptosis (<xref rid="f8-ijo-49-04-1469" ref-type="fig">Fig. 8</xref>).</p></sec>
<sec>
<title>Grm3 mediates cell apoptosis by Foxo1</title>
<p>Grm3 are linked to the inhibition of the cyclic AMP cascade (<xref rid="b24-ijo-49-04-1469" ref-type="bibr">24</xref>) and cAMP-PKA has been shown to phosphorylate FoxO1 (<xref rid="b28-ijo-49-04-1469" ref-type="bibr">28</xref>). These results suggest that Grm3 may promote Foxo1 expression by suppressing Foxo1 phosphorylation. Thus, we proposed that Foxo1 mediated mechanisms underlie Grm3-induced SP 2/0 cell apopotosis. We first examined the effect of Grm3 deficiency on Foxo1 expression in SP 2/0 cells. The data demonstrated that compared with control, or Grm3-specific shRNA-infected SP 2/0 cells reduced Foxo1 expression in SP 2/0 cells (<xref rid="f9-ijo-49-04-1469" ref-type="fig">Fig. 9A</xref>). The results suggest that Grm3 deficiency reduce Foxo1 expression in SP 2/0 cells. To explore direct effect of Foxo1 on SP2/0 cells, SP 2/0 cells were transfected with plasmids pEGFP-N1 expressing Foxo1 (1-149), Foxo1 (1-400) or Foxo1 (1-655). The data showed that full-length Foxo1 could upregulate SP 2/0 cell apoptosis (<xref rid="f9-ijo-49-04-1469" ref-type="fig">Fig. 9B</xref>). In addition, we used Foxo1-specific shRNA to reduce Foxo1 expression in SP 2/0 cells. The results suggest that Foxo1-deficiency reduced FK506-induced SP 2/0 cell apoptosis (<xref rid="f9-ijo-49-04-1469" ref-type="fig">Fig. 9C</xref>). The effect of Foxo1-deficiency on cell apoptosis was approved by using B cells from CD19<sup>cre/+</sup>Foxo1<sup>F/+</sup> and CD19<sup>cre/+</sup>Foxo1<sup>F/F</sup> (<xref rid="f9-ijo-49-04-1469" ref-type="fig">Fig. 9D</xref>). Together, our data suggest that Grm3 mediates cell apoptosis by regulating Foxo1 expression.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Cancer is a multifaceted disease comprising a combination of genetic, metabolic and signalling aberrations, which severely disrupt the normal homeostasis of cell growth and death (<xref rid="b29-ijo-49-04-1469" ref-type="bibr">29</xref>). Cell apoptosis is closely associated with tumor resistance and susceptibility to various therapeutic agents (<xref rid="b30-ijo-49-04-1469" ref-type="bibr">30</xref>). We found here that apoptosis-induced drugs could effectively induce apoptosis-controlled Grm3 expression in human B-cell leukemia cell line Nalm-6 cells and mouse myeloma cell line SP 2/0 cells. Compared with anticancer drugs, immunosuppressor rapamycin could not effectively induce Grm3 expression. Thus, Grm3 may be used as a susceptible indicator to various therapeutic agent-induced apoptosis of B-cell-related tumor. The impairment of cell death function is also often the reason for the development of chemotherapeutic resistance encountered during treatment (<xref rid="b29-ijo-49-04-1469" ref-type="bibr">29</xref>). Undoubtedly, the mechanism underlying cell apoptosis will lead to novel anticancer agents (<xref rid="b30-ijo-49-04-1469" ref-type="bibr">30</xref>). Our data suggest that apoptosis-controlled Grm3 may be a potential target for treatment of B-cell-related tumor.</p>
<p>Grm3 belongs to the metabotropic glutamate G protein-coupled receptor family that has been divided into 3 groups on the basis of sequence homology, putative signal transduction mechanisms and pharmacologic properties. GRM3 gene has been found to be associated with bipolar affective disorder (<xref rid="b31-ijo-49-04-1469" ref-type="bibr">31</xref>). In addition, GRM3 expression is also reported in various types of human malignancies including glioma, ganglioglioma, laryngeal cell carcinoma and adrenocortical tumor and considered a key regulator of cell proliferation in these cancers. Furthermore, activating mutations in Grm3 was also identified in melanoma (<xref rid="b32-ijo-49-04-1469" ref-type="bibr">32</xref>). We showed here that Grm3 could be induced on the surface of B-cell-related tumor Nalm-6 cells and SP 2/0 cells by apoptosis-induced drugs. The study provides evidence for Grm3 expression in the middle stage of B-cell-related tumor cell apoptosis.</p>
<p>Grm3, a group II receptor, is linked to the inhibition of the cyclic AMP cascade. Some literature demonstrates that cAMP/protein kinase A (PKA) induces apoptosis such as in immature T cells by inducing pro-apoptotic protein BIM (<xref rid="b33-ijo-49-04-1469" ref-type="bibr">33</xref>), in aluminum chloride-treated lymphocytes by inhibiting NF-&#x003BA;B (<xref rid="b34-ijo-49-04-1469" ref-type="bibr">34</xref>). Other studies suggest that elevation of cAMP levels inhibits apoptosis such as in doxorubicin-treated Nalm-6 cells through induction of BAD phosphorylation and inhibition of p53 accumulation (<xref rid="b35-ijo-49-04-1469" ref-type="bibr">35</xref>), in arsenic trioxide-treated acute promyelocytic leukemia cells by blocking caspase-3 activation (<xref rid="b36-ijo-49-04-1469" ref-type="bibr">36</xref>). These results suggest that cAMP/PKA signaling pathway played a suppressive role in tumor cell apoptosis such as leukemia cells and Nalm-6. Thus, Grm3 may suppress cAMP/PKA signaling pathway to promote drug-induced Nalm-6 and SP 2/0 cell apoptosis.</p>
<p>cAMP/PKA reduces the nuclear localization of Foxo1 by phosphorylation (<xref rid="b28-ijo-49-04-1469" ref-type="bibr">28</xref>,<xref rid="b37-ijo-49-04-1469" ref-type="bibr">37</xref>) and phosphorylated Foxo1 protein are ubiquitin-dependently de-gradated (<xref rid="b38-ijo-49-04-1469" ref-type="bibr">38</xref>). In accordance with these studies, our data showed here that Grm3, the inhibitor of the cyclic AMP cascade, induced Foxo1 expression. Recently, Foxo1 has been reported as a tumor suppressor in cervical cancer (<xref rid="b39-ijo-49-04-1469" ref-type="bibr">39</xref>). In addition, Foxo1 downregulation contributes to the oncogenic program of primary mediastinal B-cell lymphoma (<xref rid="b40-ijo-49-04-1469" ref-type="bibr">40</xref>). Substantial literature demonstrates that Foxo1 suppressed tumor by inducing apoptosis (<xref rid="b41-ijo-49-04-1469" ref-type="bibr">41</xref>,<xref rid="b42-ijo-49-04-1469" ref-type="bibr">42</xref>). In accordance with these studies, our data suggest that Grm3 limits multiple myeloma SP2/0 cell growth by inducing Foxo1-mediated apoptosis.</p>
<p>The majority of multiple myeloma patients relapse with the current treatment strategies, raising the need for alternative therapeutic approaches. Cellular immunotherapy is a rapidly evolving field and currently being translated into clinical trials with encouraging results in several cancer types, including multiple myeloma (<xref rid="b43-ijo-49-04-1469" ref-type="bibr">43</xref>). Remarkable progress in gene expression profiling of B-cell lymphoma have led to the development of a variety of tumor-specific regimens. Novel agents target directly the pathways involved in signal transduction, leads to cancer cell apoptosis (<xref rid="b44-ijo-49-04-1469" ref-type="bibr">44</xref>). Bortezomib is the first therapeutic proteasome inhibitor approved by the US FDA for treating relapsed multiple myeloma. We found here that compared with other anticancer drugs such as nocodazole and monastrol, bortezomib was the most effective drug in inducing SP 2/0 cell apoptosis and Grm3 expression. It is worth to further explore whether Grm3 can be used as an indicator in B-cell-related tumor susceptibility to therapeutic agents and a potential target in the treatment of B-cell-related tumor including multiple myeloma.</p>
<p>In conclusion, apoptosis-induced agents such as FK506, bortezomib, nocodazole, monastrol effectively induced Grm3 expression in human B-cell leukemia cell line Nalm-6 cells and mouse myeloma cell line SP 2/0 cells. Critically, Grm3 deficiency promotes SP 2/0 xenograft tumor progression by suppressing cell apoptosis, whereas Grm3 overexpression effectively upregulates SP 2/0 cell apoptosis. Finally, we showed that Grm3 mediated cell apoptosis by Foxo1. Together, our results suggest that Grm3 may be an indicator in B-cell-related tumor susceptibility to various therapeutic agents. It is worth further study whether Grm3 can be used as a potential target in the treatment of B-cell-related tumors including multiple myeloma and B-cell leukemia.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the National Basic Research Program 973 Grants (2013CB530506 and 2015CB553704), the National Nature and Science Fund (81471529, 81401332, 81272320, 81471540 and 81472647), the Key Program of the Beijing Natural Science Foundation (7141007) and the Service Industry Scientific Research of National Health and Family Planning Commission of China (2015SQ00192).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijo-49-04-1469"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Belot</surname><given-names>A</given-names></name><name><surname>Kasher</surname><given-names>PR</given-names></name><name><surname>Trotter</surname><given-names>EW</given-names></name><name><surname>Foray</surname><given-names>AP</given-names></name><name><surname>Debaud</surname><given-names>AL</given-names></name><name><surname>Rice</surname><given-names>GI</given-names></name><name><surname>Szynkiewicz</surname><given-names>M</given-names></name><name><surname>Zabot</surname><given-names>MT</given-names></name><name><surname>Rouvet</surname><given-names>I</given-names></name><name><surname>Bhaskar</surname><given-names>SS</given-names></name><etal/></person-group><article-title>Protein kinase c&#x003B4; deficiency causes mendelian systemic lupus erythematosus with B cell-defective apoptosis and hyperproliferation</article-title><source>Arthritis Rheum</source><volume>65</volume><fpage>2161</fpage><lpage>2171</lpage><year>2013</year><pub-id pub-id-type="doi">10.1002/art.38008</pub-id><pub-id pub-id-type="pmid">23666743</pub-id><pub-id pub-id-type="pmcid">4066615</pub-id></element-citation></ref>
<ref id="b2-ijo-49-04-1469"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rahman</surname><given-names>A</given-names></name><name><surname>Isenberg</surname><given-names>DA</given-names></name></person-group><article-title>Systemic lupus erythematosus</article-title><source>N Engl J Med</source><volume>358</volume><fpage>929</fpage><lpage>939</lpage><year>2008</year><pub-id pub-id-type="doi">10.1056/NEJMra071297</pub-id><pub-id pub-id-type="pmid">18305268</pub-id></element-citation></ref>
<ref id="b3-ijo-49-04-1469"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Anolik</surname><given-names>JH</given-names></name></person-group><article-title>B cell biology and dysfunction in SLE</article-title><source>Bull NYU Hosp Jt Dis</source><volume>65</volume><fpage>182</fpage><lpage>186</lpage><year>2007</year><pub-id pub-id-type="pmid">17922667</pub-id></element-citation></ref>
<ref id="b4-ijo-49-04-1469"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Furukawa</surname><given-names>F</given-names></name></person-group><article-title>Animal models of cutaneous lupus erythematosus and lupus erythematosus photosensitivity</article-title><source>Lupus</source><volume>6</volume><fpage>193</fpage><lpage>202</lpage><year>1997</year><pub-id pub-id-type="doi">10.1177/096120339700600215</pub-id><pub-id pub-id-type="pmid">9061668</pub-id></element-citation></ref>
<ref id="b5-ijo-49-04-1469"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname><given-names>PL</given-names></name><name><surname>Eisenberg</surname><given-names>RA</given-names></name></person-group><article-title>Lpr and gld: Single gene models of systemic autoimmunity and lymphoproliferative disease</article-title><source>Annu Rev Immunol</source><volume>9</volume><fpage>243</fpage><lpage>269</lpage><year>1991</year><pub-id pub-id-type="doi">10.1146/annurev.iy.09.040191.001331</pub-id><pub-id pub-id-type="pmid">1910678</pub-id></element-citation></ref>
<ref id="b6-ijo-49-04-1469"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Favaloro</surname><given-names>B</given-names></name><name><surname>Allocati</surname><given-names>N</given-names></name><name><surname>Graziano</surname><given-names>V</given-names></name><name><surname>Di Ilio</surname><given-names>C</given-names></name><name><surname>De Laurenzi</surname><given-names>V</given-names></name></person-group><article-title>Role of apoptosis in disease</article-title><source>Aging (Albany, NY)</source><volume>4</volume><fpage>330</fpage><lpage>349</lpage><year>2012</year><pub-id pub-id-type="doi">10.18632/aging.100459</pub-id></element-citation></ref>
<ref id="b7-ijo-49-04-1469"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reed</surname><given-names>JC</given-names></name></person-group><article-title>Molecular biology of chronic lymphocytic leukemia</article-title><source>Semin Oncol</source><volume>25</volume><fpage>11</fpage><lpage>18</lpage><year>1998</year><pub-id pub-id-type="pmid">9482522</pub-id></element-citation></ref>
<ref id="b8-ijo-49-04-1469"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Dawson</surname><given-names>MI</given-names></name><name><surname>Mohammad</surname><given-names>R</given-names></name><name><surname>Rishi</surname><given-names>AK</given-names></name><name><surname>Farhana</surname><given-names>L</given-names></name><name><surname>Feng</surname><given-names>KC</given-names></name><name><surname>Leid</surname><given-names>M</given-names></name><name><surname>Peterson</surname><given-names>V</given-names></name><name><surname>Zhang</surname><given-names>XK</given-names></name><name><surname>Edelstein</surname><given-names>M</given-names></name><etal/></person-group><article-title>Induction of apoptosis of human B-CLL and ALL cells by a novel retinoid and its nonretinoidal analog</article-title><source>Blood</source><volume>100</volume><fpage>2917</fpage><lpage>2925</lpage><year>2002</year><pub-id pub-id-type="doi">10.1182/blood.V100.8.2917</pub-id><pub-id pub-id-type="pmid">12351403</pub-id></element-citation></ref>
<ref id="b9-ijo-49-04-1469"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kitada</surname><given-names>S</given-names></name><name><surname>Andersen</surname><given-names>J</given-names></name><name><surname>Akar</surname><given-names>S</given-names></name><name><surname>Zapata</surname><given-names>JM</given-names></name><name><surname>Takayama</surname><given-names>S</given-names></name><name><surname>Krajewski</surname><given-names>S</given-names></name><name><surname>Wang</surname><given-names>HG</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Bullrich</surname><given-names>F</given-names></name><name><surname>Croce</surname><given-names>CM</given-names></name><etal/></person-group><article-title>Expression of apoptosis-regulating proteins in chronic lymphocytic leukemia: Correlations with In vitro and In vivo chemoresponses</article-title><source>Blood</source><volume>91</volume><fpage>3379</fpage><lpage>3389</lpage><year>1998</year><pub-id pub-id-type="pmid">9558396</pub-id></element-citation></ref>
<ref id="b10-ijo-49-04-1469"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Burz</surname><given-names>C</given-names></name><name><surname>Berindan-Neagoe</surname><given-names>I</given-names></name><name><surname>Balacescu</surname><given-names>O</given-names></name><name><surname>Irimie</surname><given-names>A</given-names></name></person-group><article-title>Apoptosis in cancer: Key molecular signaling pathways and therapy targets</article-title><source>Acta Oncol</source><volume>48</volume><fpage>811</fpage><lpage>821</lpage><year>2009</year><pub-id pub-id-type="doi">10.1080/02841860902974175</pub-id><pub-id pub-id-type="pmid">19513886</pub-id></element-citation></ref>
<ref id="b11-ijo-49-04-1469"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jazirehi</surname><given-names>AR</given-names></name></person-group><article-title>Regulation of apoptosis-associated genes by histone deacetylase inhibitors: Implications in cancer therapy</article-title><source>Anticancer Drugs</source><volume>21</volume><fpage>805</fpage><lpage>813</lpage><year>2010</year><pub-id pub-id-type="doi">10.1097/CAD.0b013e32833dad91</pub-id><pub-id pub-id-type="pmid">20679890</pub-id></element-citation></ref>
<ref id="b12-ijo-49-04-1469"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Neznanov</surname><given-names>N</given-names></name><name><surname>Komarov</surname><given-names>AP</given-names></name><name><surname>Neznanova</surname><given-names>L</given-names></name><name><surname>Stanhope-Baker</surname><given-names>P</given-names></name><name><surname>Gudkov</surname><given-names>AV</given-names></name></person-group><article-title>Proteotoxic stress targeted therapy (PSTT): Induction of protein misfolding enhances the antitumor effect of the proteasome inhibitor bortezomib</article-title><source>Oncotarget</source><volume>2</volume><fpage>209</fpage><lpage>221</lpage><year>2011</year><pub-id pub-id-type="doi">10.18632/oncotarget.246</pub-id><pub-id pub-id-type="pmid">21444945</pub-id><pub-id pub-id-type="pmcid">3260823</pub-id></element-citation></ref>
<ref id="b13-ijo-49-04-1469"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eberhard</surname><given-names>Y</given-names></name><name><surname>Gronda</surname><given-names>M</given-names></name><name><surname>Hurren</surname><given-names>R</given-names></name><name><surname>Datti</surname><given-names>A</given-names></name><name><surname>MacLean</surname><given-names>N</given-names></name><name><surname>Ketela</surname><given-names>T</given-names></name><name><surname>Moffat</surname><given-names>J</given-names></name><name><surname>Wrana</surname><given-names>JL</given-names></name><name><surname>Schimmer</surname><given-names>AD</given-names></name></person-group><article-title>Inhibition of SREBP1 sensitizes cells to death ligands</article-title><source>Oncotarget</source><volume>2</volume><fpage>186</fpage><lpage>196</lpage><year>2011</year><pub-id pub-id-type="doi">10.18632/oncotarget.239</pub-id><pub-id pub-id-type="pmid">21406729</pub-id><pub-id pub-id-type="pmcid">3260812</pub-id></element-citation></ref>
<ref id="b14-ijo-49-04-1469"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Goldberg</surname><given-names>AA</given-names></name><name><surname>Beach</surname><given-names>A</given-names></name><name><surname>Davies</surname><given-names>GF</given-names></name><name><surname>Harkness</surname><given-names>TA</given-names></name><name><surname>Leblanc</surname><given-names>A</given-names></name><name><surname>Titorenko</surname><given-names>VI</given-names></name></person-group><article-title>Lithocholic bile acid selectively kills neuroblastoma cells, while sparing normal neuronal cells</article-title><source>Oncotarget</source><volume>2</volume><fpage>761</fpage><lpage>782</lpage><year>2011</year><pub-id pub-id-type="doi">10.18632/oncotarget.338</pub-id><pub-id pub-id-type="pmid">21992775</pub-id><pub-id pub-id-type="pmcid">3248158</pub-id></element-citation></ref>
<ref id="b15-ijo-49-04-1469"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vincent</surname><given-names>FB</given-names></name><name><surname>Morand</surname><given-names>EF</given-names></name><name><surname>Mackay</surname><given-names>F</given-names></name></person-group><article-title>BAFF and innate immunity: New therapeutic targets for systemic lupus erythematosus</article-title><source>Immunol Cell Biol</source><volume>90</volume><fpage>293</fpage><lpage>303</lpage><year>2012</year><pub-id pub-id-type="doi">10.1038/icb.2011.111</pub-id><pub-id pub-id-type="pmid">22231653</pub-id></element-citation></ref>
<ref id="b16-ijo-49-04-1469"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vincent</surname><given-names>FB</given-names></name><name><surname>Morand</surname><given-names>EF</given-names></name><name><surname>Schneider</surname><given-names>P</given-names></name><name><surname>Mackay</surname><given-names>F</given-names></name></person-group><article-title>The BAFF/APRIL system in SLE pathogenesis</article-title><source>Nat Rev Rheumatol</source><volume>10</volume><fpage>365</fpage><lpage>373</lpage><year>2014</year><pub-id pub-id-type="doi">10.1038/nrrheum.2014.33</pub-id><pub-id pub-id-type="pmid">24614588</pub-id></element-citation></ref>
<ref id="b17-ijo-49-04-1469"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>N</given-names></name><name><surname>He</surname><given-names>Y</given-names></name><name><surname>Xiao</surname><given-names>H</given-names></name><name><surname>Han</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>G</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>K</given-names></name><name><surname>Hou</surname><given-names>C</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Marrero</surname><given-names>B</given-names></name><etal/></person-group><article-title>BAFF maintains T-cell survival by inducing OPN expression in B cells</article-title><source>Mol Immunol</source><volume>57</volume><fpage>129</fpage><lpage>137</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.molimm.2013.08.014</pub-id></element-citation></ref>
<ref id="b18-ijo-49-04-1469"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moon</surname><given-names>EY</given-names></name><name><surname>Yi</surname><given-names>KY</given-names></name><name><surname>Lee</surname><given-names>S</given-names></name></person-group><article-title>An increase in B cell apoptosis by interfering BAFF-BAFF-R interaction with small synthetic molecules</article-title><source>Int Immunopharmacol</source><volume>11</volume><fpage>1523</fpage><lpage>1533</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.intimp.2011.05.009</pub-id><pub-id pub-id-type="pmid">21620999</pub-id></element-citation></ref>
<ref id="b19-ijo-49-04-1469"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nestorov</surname><given-names>I</given-names></name><name><surname>Munafo</surname><given-names>A</given-names></name><name><surname>Papasouliotis</surname><given-names>O</given-names></name><name><surname>Visich</surname><given-names>J</given-names></name></person-group><article-title>Pharmacokinetics and biological activity of atacicept in patients with rheumatoid arthritis</article-title><source>J Clin Pharmacol</source><volume>48</volume><fpage>406</fpage><lpage>417</lpage><year>2008</year><pub-id pub-id-type="doi">10.1177/0091270008315312</pub-id><pub-id pub-id-type="pmid">18303125</pub-id></element-citation></ref>
<ref id="b20-ijo-49-04-1469"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>N</given-names></name><name><surname>Xing</surname><given-names>C</given-names></name><name><surname>Xiao</surname><given-names>H</given-names></name><name><surname>He</surname><given-names>Y</given-names></name><name><surname>Han</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>G</given-names></name><name><surname>Hou</surname><given-names>C</given-names></name><name><surname>Marrero</surname><given-names>B</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><etal/></person-group><article-title>BAFF suppresses IL-15 expression in B cells</article-title><source>J Immunol</source><volume>192</volume><fpage>4192</fpage><lpage>4201</lpage><year>2014</year><pub-id pub-id-type="doi">10.4049/jimmunol.1302132</pub-id><pub-id pub-id-type="pmid">24670802</pub-id></element-citation></ref>
<ref id="b21-ijo-49-04-1469"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carbonatto</surname><given-names>M</given-names></name><name><surname>Yu</surname><given-names>P</given-names></name><name><surname>Bertolino</surname><given-names>M</given-names></name><name><surname>Vigna</surname><given-names>E</given-names></name><name><surname>Steidler</surname><given-names>S</given-names></name><name><surname>Fava</surname><given-names>L</given-names></name><name><surname>Daghero</surname><given-names>C</given-names></name><name><surname>Roattino</surname><given-names>B</given-names></name><name><surname>Onidi</surname><given-names>M</given-names></name><name><surname>Ardizzone</surname><given-names>M</given-names></name><etal/></person-group><article-title>Nonclinical safety, pharmacokinetics, and pharmacodynamics of atacicept</article-title><source>Toxicol Sci</source><volume>105</volume><fpage>200</fpage><lpage>210</lpage><year>2008</year><pub-id pub-id-type="doi">10.1093/toxsci/kfn105</pub-id><pub-id pub-id-type="pmid">18522929</pub-id></element-citation></ref>
<ref id="b22-ijo-49-04-1469"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>JY</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name></person-group><article-title>Role of BAFF/BAFF-R axis in B-cell non-Hodgkin lymphoma</article-title><source>Crit Rev Oncol Hematol</source><volume>91</volume><fpage>113</fpage><lpage>122</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.critrevonc.2014.02.004</pub-id><pub-id pub-id-type="pmid">24629840</pub-id></element-citation></ref>
<ref id="b23-ijo-49-04-1469"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wild</surname><given-names>J</given-names></name><name><surname>Schmiedel</surname><given-names>BJ</given-names></name><name><surname>Maurer</surname><given-names>A</given-names></name><name><surname>Raab</surname><given-names>S</given-names></name><name><surname>Prokop</surname><given-names>L</given-names></name><name><surname>Stevanovi&#x00107;</surname><given-names>S</given-names></name><name><surname>D&#x000F6;rfel</surname><given-names>D</given-names></name><name><surname>Schneider</surname><given-names>P</given-names></name><name><surname>Salih</surname><given-names>HR</given-names></name></person-group><article-title>Neutralization of (NK-cell-derived) B-cell activating factor by Belimumab restores sensitivity of chronic lymphoid leukemia cells to direct and Rituximab-induced NK lysis</article-title><source>Leukemia</source><volume>29</volume><fpage>1676</fpage><lpage>1683</lpage><year>2015</year><pub-id pub-id-type="doi">10.1038/leu.2015.50</pub-id><pub-id pub-id-type="pmid">25710310</pub-id></element-citation></ref>
<ref id="b24-ijo-49-04-1469"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>N</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Xing</surname><given-names>C</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Wei</surname><given-names>Y</given-names></name><name><surname>Han</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>G</given-names></name><name><surname>Hou</surname><given-names>C</given-names></name><name><surname>Shen</surname><given-names>B</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><etal/></person-group><article-title>Ligation of metabotropic glutamate receptor 3 (Grm3) ameliorates lupus-like disease by reducing B cells</article-title><source>Clin Immunol</source><volume>160</volume><fpage>142</fpage><lpage>154</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.clim.2015.05.016</pub-id><pub-id pub-id-type="pmid">26071318</pub-id></element-citation></ref>
<ref id="b25-ijo-49-04-1469"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rieger</surname><given-names>AM</given-names></name><name><surname>Nelson</surname><given-names>KL</given-names></name><name><surname>Konowalchuk</surname><given-names>JD</given-names></name><name><surname>Barreda</surname><given-names>DR</given-names></name></person-group><article-title>Modified annexin V/propidium iodide apoptosis assay for accurate assessment of cell death</article-title><source>J Vis Exp</source><volume>50</volume><fpage>2597</fpage><year>2011</year><pub-id pub-id-type="pmid">21540825</pub-id><pub-id pub-id-type="pmcid">3169266</pub-id></element-citation></ref>
<ref id="b26-ijo-49-04-1469"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Wei</surname><given-names>Y</given-names></name><name><surname>Xiao</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Han</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>G</given-names></name><name><surname>Hou</surname><given-names>C</given-names></name><name><surname>Ma</surname><given-names>N</given-names></name><name><surname>Shen</surname><given-names>B</given-names></name><etal/></person-group><article-title>A novel IL-23p19/Ebi3 (IL-39) cytokine mediates inflammation in Lupus-like mice</article-title><source>Eur J Immunol</source><volume>46</volume><fpage>1343</fpage><lpage>1350</lpage><year>2016</year><pub-id pub-id-type="doi">10.1002/eji.201546095</pub-id><pub-id pub-id-type="pmid">27019190</pub-id></element-citation></ref>
<ref id="b27-ijo-49-04-1469"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kawahara</surname><given-names>T</given-names></name><name><surname>Kashiwagi</surname><given-names>E</given-names></name><name><surname>Ide</surname><given-names>H</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Zheng</surname><given-names>Y</given-names></name><name><surname>Ishiguro</surname><given-names>H</given-names></name><name><surname>Miyamoto</surname><given-names>H</given-names></name></person-group><article-title>The role of NFATc1 in prostate cancer progression: Cyclosporine A and tacrolimus inhibit cell proliferation, migration, and invasion</article-title><source>Prostate</source><volume>75</volume><fpage>573</fpage><lpage>584</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/pros.22937</pub-id><pub-id pub-id-type="pmid">25631176</pub-id></element-citation></ref>
<ref id="b28-ijo-49-04-1469"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>JW</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Pullikotil</surname><given-names>P</given-names></name><name><surname>Quon</surname><given-names>MJ</given-names></name></person-group><article-title>Protein kinase A-alpha directly phosphorylates FoxO1 in vascular endothelial cells to regulate expression of vascular cellular adhesion molecule-1 mRNA</article-title><source>J Biol Chem</source><volume>286</volume><fpage>6423</fpage><lpage>6432</lpage><year>2011</year><pub-id pub-id-type="doi">10.1074/jbc.M110.180661</pub-id></element-citation></ref>
<ref id="b29-ijo-49-04-1469"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Long</surname><given-names>JS</given-names></name><name><surname>Ryan</surname><given-names>KM</given-names></name></person-group><article-title>New frontiers in promoting tumour cell death: Targeting apoptosis, necroptosis and autophagy</article-title><source>Oncogene</source><volume>31</volume><fpage>5045</fpage><lpage>5060</lpage><year>2012</year><pub-id pub-id-type="doi">10.1038/onc.2012.7</pub-id><pub-id pub-id-type="pmid">22310284</pub-id></element-citation></ref>
<ref id="b30-ijo-49-04-1469"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Horwacik</surname><given-names>I</given-names></name><name><surname>Rokita</surname><given-names>H</given-names></name></person-group><article-title>Targeting of tumor-associated ganglio-sides with antibodies affects signaling pathways and leads to cell death including apoptosis</article-title><source>Apoptosis</source><volume>20</volume><fpage>679</fpage><lpage>688</lpage><year>2015</year><pub-id pub-id-type="doi">10.1007/s10495-015-1103-7</pub-id><pub-id pub-id-type="pmid">25673107</pub-id></element-citation></ref>
<ref id="b31-ijo-49-04-1469"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kandaswamy</surname><given-names>R</given-names></name><name><surname>McQuillin</surname><given-names>A</given-names></name><name><surname>Sharp</surname><given-names>SI</given-names></name><name><surname>Fiorentino</surname><given-names>A</given-names></name><name><surname>Anjorin</surname><given-names>A</given-names></name><name><surname>Blizard</surname><given-names>RA</given-names></name><name><surname>Curtis</surname><given-names>D</given-names></name><name><surname>Gurling</surname><given-names>HM</given-names></name></person-group><article-title>Genetic association, mutation screening, and functional analysis of a Kozak sequence variant in the metabotropic glutamate receptor 3 gene in bipolar disorder</article-title><source>JAMA Psychiatry</source><volume>70</volume><fpage>591</fpage><lpage>598</lpage><year>2013</year><pub-id pub-id-type="doi">10.1001/jamapsychiatry.2013.38</pub-id><pub-id pub-id-type="pmid">23575746</pub-id></element-citation></ref>
<ref id="b32-ijo-49-04-1469"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prickett</surname><given-names>TD</given-names></name><name><surname>Wei</surname><given-names>X</given-names></name><name><surname>Cardenas-Navia</surname><given-names>I</given-names></name><name><surname>Teer</surname><given-names>JK</given-names></name><name><surname>Lin</surname><given-names>JC</given-names></name><name><surname>Walia</surname><given-names>V</given-names></name><name><surname>Gartner</surname><given-names>J</given-names></name><name><surname>Jiang</surname><given-names>J</given-names></name><name><surname>Cherukuri</surname><given-names>PF</given-names></name><name><surname>Molinolo</surname><given-names>A</given-names></name><etal/></person-group><article-title>Exon capture analysis of G protein-coupled receptors identifies activating mutations in GRM3 in melanoma</article-title><source>Nat Genet</source><volume>43</volume><fpage>1119</fpage><lpage>1126</lpage><year>2011</year><pub-id pub-id-type="doi">10.1038/ng.950</pub-id><pub-id pub-id-type="pmid">21946352</pub-id><pub-id pub-id-type="pmcid">3376644</pub-id></element-citation></ref>
<ref id="b33-ijo-49-04-1469"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zambon</surname><given-names>AC</given-names></name><name><surname>Wilderman</surname><given-names>A</given-names></name><name><surname>Ho</surname><given-names>A</given-names></name><name><surname>Insel</surname><given-names>PA</given-names></name></person-group><article-title>Increased expression of the pro-apoptotic protein BIM, a mechanism for cAMP/protein kinase A (PKA)-induced apoptosis of immature T cells</article-title><source>J Biol Chem</source><volume>286</volume><fpage>33260</fpage><lpage>33267</lpage><year>2011</year><pub-id pub-id-type="doi">10.1074/jbc.M111.268979</pub-id><pub-id pub-id-type="pmid">21808067</pub-id><pub-id pub-id-type="pmcid">3190928</pub-id></element-citation></ref>
<ref id="b34-ijo-49-04-1469"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>F</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Cao</surname><given-names>Z</given-names></name><name><surname>Song</surname><given-names>M</given-names></name><name><surname>Fu</surname><given-names>Y</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name></person-group><article-title>cAMP/PKA signaling pathway induces apoptosis by inhibited NF-&#x003BA;B in aluminum chloride-treated lymphocytes in vitro</article-title><source>Biol Trace Elem Res</source><volume>170</volume><fpage>424</fpage><lpage>431</lpage><year>2016</year><pub-id pub-id-type="doi">10.1007/s12011-015-0461-x</pub-id></element-citation></ref>
<ref id="b35-ijo-49-04-1469"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fatemi</surname><given-names>A</given-names></name><name><surname>Kazemi</surname><given-names>A</given-names></name><name><surname>Kashiri</surname><given-names>M</given-names></name><name><surname>Safa</surname><given-names>M</given-names></name></person-group><article-title>Elevation of cAMP levels inhibits doxorubicin-induced apoptosis in Pre- B ALL NALM-6 cells through induction of BAD phosphorylation and inhibition of P53 accumulation</article-title><source>Int J Mol Cell Med</source><volume>4</volume><fpage>94</fpage><lpage>102</lpage><year>2015</year><pub-id pub-id-type="pmid">26261798</pub-id><pub-id pub-id-type="pmcid">4499571</pub-id></element-citation></ref>
<ref id="b36-ijo-49-04-1469"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Safa</surname><given-names>M</given-names></name><name><surname>Mousavizadeh</surname><given-names>K</given-names></name><name><surname>Noori</surname><given-names>S</given-names></name><name><surname>Pourfathollah</surname><given-names>A</given-names></name><name><surname>Zand</surname><given-names>H</given-names></name></person-group><article-title>cAMP protects acute promyelocytic leukemia cells from arsenic trioxide-induced caspase-3 activation and apoptosis</article-title><source>Eur J Pharmacol</source><volume>736</volume><fpage>115</fpage><lpage>123</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2014.04.040</pub-id><pub-id pub-id-type="pmid">24815320</pub-id></element-citation></ref>
<ref id="b37-ijo-49-04-1469"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cochran</surname><given-names>BJ</given-names></name><name><surname>Bisoendial</surname><given-names>RJ</given-names></name><name><surname>Hou</surname><given-names>L</given-names></name><name><surname>Glaros</surname><given-names>EN</given-names></name><name><surname>Rossy</surname><given-names>J</given-names></name><name><surname>Thomas</surname><given-names>SR</given-names></name><name><surname>Barter</surname><given-names>PJ</given-names></name><name><surname>Rye</surname><given-names>KA</given-names></name></person-group><article-title>Apolipoprotein A-I increases insulin secretion and production from pancreatic &#x003B2;-cells via a G-protein-cAMP-PKA-FoxO1-dependent mechanism</article-title><source>Arterioscler Thromb Vasc Biol</source><volume>34</volume><fpage>2261</fpage><lpage>2267</lpage><year>2014</year><pub-id pub-id-type="doi">10.1161/ATVBAHA.114.304131</pub-id><pub-id pub-id-type="pmid">25147338</pub-id></element-citation></ref>
<ref id="b38-ijo-49-04-1469"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vogt</surname><given-names>PK</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name><name><surname>Aoki</surname><given-names>M</given-names></name></person-group><article-title>Triple layer control: Phosphorylation, acetylation and ubiquitination of FOXO proteins</article-title><source>Cell Cycle</source><volume>4</volume><fpage>908</fpage><lpage>913</lpage><year>2005</year><pub-id pub-id-type="doi">10.4161/cc.4.7.1796</pub-id><pub-id pub-id-type="pmid">15917664</pub-id></element-citation></ref>
<ref id="b39-ijo-49-04-1469"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Gui</surname><given-names>LS</given-names></name><name><surname>Zhao</surname><given-names>XL</given-names></name><name><surname>Zhu</surname><given-names>LL</given-names></name><name><surname>Li</surname><given-names>QW</given-names></name></person-group><article-title>FOXO1 is a tumor suppressor in cervical cancer</article-title><source>Genet Mol Res</source><volume>14</volume><fpage>6605</fpage><lpage>6616</lpage><year>2015</year><pub-id pub-id-type="doi">10.4238/2015.June.18.3</pub-id><pub-id pub-id-type="pmid">26125868</pub-id></element-citation></ref>
<ref id="b40-ijo-49-04-1469"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xie</surname><given-names>L</given-names></name><name><surname>Ritz</surname><given-names>O</given-names></name><name><surname>Leith&#x000E4;user</surname><given-names>F</given-names></name><name><surname>Guan</surname><given-names>H</given-names></name><name><surname>F&#x000E4;rbinger</surname><given-names>J</given-names></name><name><surname>Weitzer</surname><given-names>CD</given-names></name><name><surname>Gehringer</surname><given-names>F</given-names></name><name><surname>Bruederlein</surname><given-names>S</given-names></name><name><surname>Holzmann</surname><given-names>K</given-names></name><name><surname>Vogel</surname><given-names>MJ</given-names></name><etal/></person-group><article-title>FOXO1 downregulation contributes to the oncogenic program of primary mediastinal B-cell lymphoma</article-title><source>Oncotarget</source><volume>5</volume><fpage>5392</fpage><lpage>5402</lpage><year>2014</year><pub-id pub-id-type="doi">10.18632/oncotarget.2107</pub-id><pub-id pub-id-type="pmid">24977668</pub-id><pub-id pub-id-type="pmcid">4170625</pub-id></element-citation></ref>
<ref id="b41-ijo-49-04-1469"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hwang</surname><given-names>KE</given-names></name><name><surname>Park</surname><given-names>DS</given-names></name><name><surname>Kim</surname><given-names>YS</given-names></name><name><surname>Kim</surname><given-names>BR</given-names></name><name><surname>Park</surname><given-names>SN</given-names></name><name><surname>Lee</surname><given-names>MK</given-names></name><name><surname>Park</surname><given-names>SH</given-names></name><name><surname>Yoon</surname><given-names>KH</given-names></name><name><surname>Jeong</surname><given-names>ET</given-names></name><name><surname>Kim</surname><given-names>HR</given-names></name></person-group><article-title>Prx1 modulates the chemosensitivity of lung cancer to docetaxel through suppression of FOXO1-induced apoptosis</article-title><source>Int J Oncol</source><volume>43</volume><fpage>72</fpage><lpage>78</lpage><year>2013</year><pub-id pub-id-type="pmid">23615915</pub-id></element-citation></ref>
<ref id="b42-ijo-49-04-1469"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marshall</surname><given-names>AD</given-names></name><name><surname>Picchione</surname><given-names>F</given-names></name><name><surname>Geltink</surname><given-names>RI</given-names></name><name><surname>Grosveld</surname><given-names>GC</given-names></name></person-group><article-title>PAX3-FOXO1 induces up-regulation of Noxa sensitizing alveolar rhabdomyosarcoma cells to apoptosis</article-title><source>Neoplasia</source><volume>15</volume><fpage>738</fpage><lpage>748</lpage><year>2013</year><pub-id pub-id-type="doi">10.1593/neo.121888</pub-id><pub-id pub-id-type="pmid">23814486</pub-id><pub-id pub-id-type="pmcid">3689237</pub-id></element-citation></ref>
<ref id="b43-ijo-49-04-1469"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Binsfeld</surname><given-names>M</given-names></name><name><surname>Fostier</surname><given-names>K</given-names></name><name><surname>Muller</surname><given-names>J</given-names></name><name><surname>Baron</surname><given-names>F</given-names></name><name><surname>Schots</surname><given-names>R</given-names></name><name><surname>Beguin</surname><given-names>Y</given-names></name><name><surname>Heusschen</surname><given-names>R</given-names></name><name><surname>Caers</surname><given-names>J</given-names></name></person-group><article-title>Cellular immunotherapy in multiple myeloma: Lessons from preclinical models</article-title><source>Biochim Biophys Acta</source><volume>1846</volume><fpage>392</fpage><lpage>404</lpage><year>2014</year><pub-id pub-id-type="pmid">25109893</pub-id></element-citation></ref>
<ref id="b44-ijo-49-04-1469"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Witkowska</surname><given-names>M</given-names></name><name><surname>Smolewski</surname><given-names>P</given-names></name></person-group><article-title>Emerging immunotherapy and strategies directly targeting B cells for the treatment of diffuse large B-cell lymphoma</article-title><source>Immunotherapy</source><volume>7</volume><fpage>37</fpage><lpage>46</lpage><year>2015</year><pub-id pub-id-type="doi">10.2217/imt.14.93</pub-id><pub-id pub-id-type="pmid">25572478</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijo-49-04-1469" position="float">
<label>Figure 1</label>
<caption>
<p>Grm3 expresses on the surface of B-cell-related tumor cells. Human B-cell leukemia cell line Nalm-6 and mouse myeloma cell line SP 2/0 cells were stained with fluorescence-conjugated anti-mouse CD138 and Grm3 antibodies and analyzed by flow cytometry (FACS). Isotype was used as the staining control. Quadrants indicate percentage of Grm3- or CD138-expressing cells. Data are representative of six independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g00.gif"/></fig>
<fig id="f2-ijo-49-04-1469" position="float">
<label>Figure 2</label>
<caption>
<p>Grm3 is expressed in apoptotic cells. (A) SP 2/0 and (B) Nalm-6 cells were stained with fluorescence-conjugated anti-mouse Grm3 antibody, Annexin V and phospholine iodide (PI), and analyzed by FACS. Isotype and no staining were used as the staining control. Quadrants indicate percentage of Grm3-expressing, Annexin-V- and PI-staining cells. Data are representative of six independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g01.gif"/></fig>
<fig id="f3-ijo-49-04-1469" position="float">
<label>Figure 3</label>
<caption>
<p>Grm3 is expressed mainly in the middle stage of apoptosis. (A) SP 2/0 and (B) Nalm-6 cells were stained with fluorescence-conjugated anti-mouse Grm3 antibody, Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of Annexin V- and PI-staining cells (left panel). Mean fluorescence intensity (MFI) of Grm3 expression in Annexin V<sup>&#x02212;</sup>PI<sup>&#x02212;</sup>, Annexin V<sup>+</sup>PI<sup>&#x02212;</sup>, Annexin V<sup>+</sup>PI<sup>lo</sup>, Annexin V<sup>+</sup>PI<sup>hi</sup>, Annexin V<sup>&#x02212;</sup>PI<sup>hi</sup> cell subpopulations were analyzed by FACS (right panel). Data are representative of six independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g02.gif"/></fig>
<fig id="f4-ijo-49-04-1469" position="float">
<label>Figure 4</label>
<caption>
<p>Apoptosis-induced reagent FK506 upregulates Grm3 expression. (A&#x02013;D) SP 2/0 cells were cultured for 24 h in the medium with 2.5 &#x003BC;g/ml apoptosis-induced reagent FK506. (A) Cells were stained with PI and analyzed by FACS. Quadrants indicate percentage of PI-staining cells. (B&#x02013;D) Grm3 mRNA and protein expression analyzed by qPCR (B) and western blot (C) assays, respectively. (D) Band intensities of Grm3 and GAPDH in (C) were quantified by Image-Pro Plus 5.0 software. The density ratios of Grm3 to GAPDH are shown. (E and F) SP 2/0 (E) and 293T (F) cells were cultured for 24 h in the medium with 2.5 and 5 &#x003BC;g/ml FK506. Cells were stained with fluorescence-conjugated anti-mouse Grm3 antibody and PI, and analyzed by FACS. Isotype and no staining were used as the staining control. Quadrants indicate percentage of Grm3-expressing and PI-staining cells. (B and D) Data are shown as mean &#x000B1; SEM (n=3) of three independent experiments. <sup>*</sup>P&lt;0.05, <sup>***</sup>P&lt;0.001, (two tailed Student&#x02019;s t-test).</p></caption>
<graphic xlink:href="IJO-49-04-1469-g03.gif"/></fig>
<fig id="f5-ijo-49-04-1469" position="float">
<label>Figure 5</label>
<caption>
<p>Bortezomib, nocodazole, monastrol and rapamycin induce apoptosis and Grm3 expression. SP 2/0 cells were cultured for 24 h in the medium contained with 0, 0.05 and 0.25 &#x003BC;g/ml bortezomib, 1, 4 and 10 &#x003BC;g/ml nocodazole, 10, 50 and 100 &#x003BC;g/ml monastrol, and 1, 10 and 50 &#x003BC;g/ml rapamycin. Cells were stained with fluorescence-conjugated anti-mouse Grm3 antibody and Annexin V, and analyzed by FACS. Quadrants indicate percentage of Grm3-expressing and Annexin V-staining cells. Data are representative of six independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g04.gif"/></fig>
<fig id="f6-ijo-49-04-1469" position="float">
<label>Figure 6</label>
<caption>
<p>Grm3 deficiency suppresses cell apoptosis. SP 2/0 cells were infected with control- or Grm3-specific shRNA (with EGFP)-expressing lentivirus. On day 3 after infection, cells were collected. (A) Cells were stained with Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of EGFP<sup>&#x02212;</sup>, EGFP<sup>lo</sup> and EGFP<sup>hi</sup>-expressing cells (left panel), Annexin V- and PI-staining cells in EGFP<sup>&#x02212;</sup>, EGFP<sup>lo</sup> and EGFP<sup>hi</sup> cell subpopulations (right panel). (B) Cells were stained with fluorescence-conjugated anti-mouse Grm3 antibody, and analyzed by FACS. Quadrants indicate percentage of Grm3-expressing cells in EGFP<sup>+</sup> cells. (C&#x02013;E) EGFP<sup>+</sup> cells were sorted by FACS and cultured in the medium contained with 10 &#x003BC;g/ml FK506 (C and D), 2.5 &#x003BC;g/ml FK506, 50 &#x003BC;g/ml rapamycin, 25 &#x003BC;g/ml monastrol, 10 &#x003BC;g/ml nocodazole (E). Quadrants indicate percentage of Annexin V- and PI-staining cells. (A&#x02013;E) Data are representative of three independent experiments. (D) Data are shown as mean &#x000B1; SEM (n=3) of three independent experiments. <sup>**</sup>P&lt;0.01, <sup>***</sup>P&lt;0.001, (two tailed Student&#x02019;s t-test).</p></caption>
<graphic xlink:href="IJO-49-04-1469-g05.gif"/></fig>
<fig id="f7-ijo-49-04-1469" position="float">
<label>Figure 7</label>
<caption>
<p>Grm3 deficiency promotes tumor progression in the SP 2/0 xenograft mouse model. SP 2/0 cells were infected with control- or Grm3-specific shRNA (with EGFP)-expressing lentivirus. On day 3 after infection, EGFP<sup>+</sup> cells were sorted by FACS and 5&#x000D7;10<sup>6</sup> EGFP<sup>+</sup> cells/mouse were subcutaneously injected into Balb/C (5 mice/group) or nude (2 mice/group) mice. Day 10, pictures of subcutaneous tumor tissues from each group are shown (A), tumor volumes (B) and average tumor weights (C) from each group were measured at sacrifice. Data are shown as mean &#x000B1; SEM (n=10 for Balb/c mice, n=4 for nude mice) of two independent experiments. <sup>*</sup>P&lt;0.05, (two tailed Student&#x02019;s t-test).</p></caption>
<graphic xlink:href="IJO-49-04-1469-g06.gif"/></fig>
<fig id="f8-ijo-49-04-1469" position="float">
<label>Figure 8</label>
<caption>
<p>Grm3 overexpression upregulates cell apoptosis. SP 2/0 cells were infected with control- or Grm3-expressing Lv81 (with EGFP) lentivirus. Day 3 after the infection, cells were collected. Cells were stained with Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of EGFP<sup>+</sup> cells (upper panel), Annexin V- and PI-staining cells (lower panel). Data are representative of three independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g07.gif"/></fig>
<fig id="f9-ijo-49-04-1469" position="float">
<label>Figure 9</label>
<caption>
<p>Grm3 mediates cell apoptosis by Foxo1. (A) SP 2/0 cells were infected with control- or Grm3-specific shRNA (with EGFP)-expressing lentivirus. On days 3 after infection, EGFP<sup>+</sup> cells were sorted by FACS and subjected to western blot analysis. (B) SP 2/0 cells were transfected for 24 h with plasmids pEGFP-N1 expressing Foxo1 (1-149), Foxo1 (1-400) or Foxo1 (1-655) and cultured for 24 h in the medium with 2.5 &#x003BC;g/ml FK506. Day 3 after transfection, cells were stained with Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of Annexin V- and PI-staining cells in EGFP<sup>+</sup> cells. (C) SP 2/0 cells were infected with control- or Foxo1-specific shRNA (with EGFP)-expressing lentivirus. Day 3 after infection, cells were collected and cultured for 24 h in the medium contained with 5 &#x003BC;g/ml FK506. Cells were stained with Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of EGFP-expressing cells (upper panel), Annexin V- and PI-staining cells in EGFP<sup>+</sup> cell subpopulations (lower panel). (D) B cells from CD19<sup>cre/+</sup>Foxo1<sup>F/+</sup> and CD19<sup>cre/+</sup>Foxo1<sup>F/F</sup> mice were cultured for 24 h in the medium contained with 1 &#x003BC;g/ml LPS plus 2.5 &#x003BC;g/ml FK506 or 0.05 &#x003BC;g/ml Bortezomib. Cells were stained with Annexin V and PI, and analyzed by FACS. Quadrants indicate percentage of Annexin V- and PI-staining cells. (A&#x02013;D) Data are representative of three independent experiments.</p></caption>
<graphic xlink:href="IJO-49-04-1469-g08.gif"/></fig></floats-group></article>
