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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.2016.3793</article-id>
<article-id pub-id-type="publisher-id">ijo-50-01-0272</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Upregulation of SMAD4 by MZF1 inhibits migration of human gastric cancer cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Lee</surname><given-names>Jin-Hee</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Sung-Su</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lee</surname><given-names>Hun Seok</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref><xref rid="af4-ijo-50-01-0272" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hong</surname><given-names>Sungyoul</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Rajasekaran</surname><given-names>Nirmal</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Li-Hui</given-names></name><xref rid="af5-ijo-50-01-0272" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>Choi</surname><given-names>Joon-Seok</given-names></name><xref rid="af6-ijo-50-01-0272" ref-type="aff">6</xref><xref ref-type="corresp" rid="c1-ijo-50-01-0272"/></contrib>
<contrib contrib-type="author">
<name><surname>Shin</surname><given-names>Young Kee</given-names></name><xref rid="af1-ijo-50-01-0272" ref-type="aff">1</xref><xref rid="af2-ijo-50-01-0272" ref-type="aff">2</xref><xref rid="af3-ijo-50-01-0272" ref-type="aff">3</xref><xref ref-type="corresp" rid="c2-ijo-50-01-0272"/></contrib></contrib-group>
<aff id="af1-ijo-50-01-0272">
<label>1</label>Research Institute of Pharmaceutical Science, Department of Pharmacy, College of Pharmacy, Seoul National University, Seoul</aff>
<aff id="af2-ijo-50-01-0272">
<label>2</label>The Center for Anti-cancer Companion Diagnostics, Institutes of Entrepreneurial BioConvergence, Seoul National University, Seoul</aff>
<aff id="af3-ijo-50-01-0272">
<label>3</label>Tumor Microenvironment Global Core Research Center, Seoul National University, Seoul</aff>
<aff id="af4-ijo-50-01-0272">
<label>4</label>Technical Research Center, Genobio, Seoul, Republic of Korea</aff>
<aff id="af5-ijo-50-01-0272">
<label>5</label>Department of Pharmacology, School of Life Science and Biopharmaceutics, Shenyang Pharmaceutical University, Shenyang, Liaoning, P.R. China</aff>
<aff id="af6-ijo-50-01-0272">
<label>6</label>Department of Pharmaceutical Microbiology, College of Pharmacy, Catholic University, Daegu, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijo-50-01-0272">Correspondence to: Professor Joon-Seok Choi, Department of Pharmaceutical Microbiology, College of Pharmacy, Catholic University, Hayang-ro 13-13, Kyeongsan-si, Daegu 38430, Republic of Korea, E-mail: <email>joonschoi@naver.com</email></corresp>
<corresp id="c2-ijo-50-01-0272">Professor Young Kee Shin, Laboratory of Molecular Pathology, Department of Pharmacy, College of Pharmacy, Seoul National University, 599 Gwanak-ro, Gwanak-gu, Seoul 151-742, Republic of Korea, E-mail: <email>ykeeshin@snu.ac.kr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>01</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>06</day>
<month>12</month>
<year>2016</year></pub-date>
<volume>50</volume>
<issue>1</issue>
<fpage>272</fpage>
<lpage>282</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>09</month>
<year>2016</year></date>
<date date-type="accepted">
<day>24</day>
<month>11</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year></permissions>
<abstract>
<p>SMAD4 is a tumor suppressor that is frequently inactivated in many types of cancer. The role of abnormal expression of SMAD4 has been reported in developmental processes and the progression of various human cancers. The expression level of SMAD4 has been related to the survival rate in gastric cancer patients. However, the molecular mechanism underlying transcriptional regulation of SMAD4 remains largely unknown. In the present study, we characterized the promoter region of <italic>SMAD4</italic> and identified myeloid zinc finger 1 (MZF1), as a putative transcription factor. MZF1 directly bound to a core region of the <italic>SMAD4</italic> promoter and stimulated transcriptional activity. We also found that the expression of MZF1 influences the migration ability of gastric adenocarcinoma cells. Collectively, our results showed that MZF1 has a role in cellular migration of gastric cancer cells via promoting an increase in intracellular SMAD4 levels. This study might provide new evidence for the molecular basis of the tumor suppressive effect of the MZF1-SMAD4 axis, a new therapeutic target in advanced human gastric cancer.</p></abstract>
<kwd-group>
<kwd>myeloid zinc finger 1</kwd>
<kwd>SMAD4</kwd>
<kwd>migration</kwd>
<kwd>gastric cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>SMAD4, a key regulator of TGF-&#x003B2; signaling, has a critical role in cell growth, differentiation, migration and apoptosis. Initially, <italic>SMAD4</italic> was identified as a tumor suppressor gene at a homozygous deleted region on human chromosome 18q21.1 in pancreatic ductal adenocarcinoma (<xref rid="b1-ijo-50-01-0272" ref-type="bibr">1</xref>). SMAD4 inactivation at the gene or protein expression level has been shown to be essential for the progression of various tumors (<xref rid="b2-ijo-50-01-0272" ref-type="bibr">2</xref>&#x02013;<xref rid="b7-ijo-50-01-0272" ref-type="bibr">7</xref>). It is well known that SMAD4 functional inactivation occurs by loss of heterozygosity (LOH) (<xref rid="b6-ijo-50-01-0272" ref-type="bibr">6</xref>,<xref rid="b8-ijo-50-01-0272" ref-type="bibr">8</xref>&#x02013;<xref rid="b10-ijo-50-01-0272" ref-type="bibr">10</xref>), gene mutation (<xref rid="b11-ijo-50-01-0272" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-ijo-50-01-0272" ref-type="bibr">13</xref>), promoter hypermethylation (<xref rid="b14-ijo-50-01-0272" ref-type="bibr">14</xref>), ubiquitin-mediated degradation (<xref rid="b15-ijo-50-01-0272" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-ijo-50-01-0272" ref-type="bibr">17</xref>) and blocking nucleo-cytoplasmic shuttling in many types of cancer (<xref rid="b18-ijo-50-01-0272" ref-type="bibr">18</xref>&#x02013;<xref rid="b20-ijo-50-01-0272" ref-type="bibr">20</xref>). Many studies have shown that the LOH or mutations of <italic>SMAD4</italic> are associated with a poor prognosis in advanced gastric cancer patients (<xref rid="b21-ijo-50-01-0272" ref-type="bibr">21</xref>&#x02013;<xref rid="b23-ijo-50-01-0272" ref-type="bibr">23</xref>). We have also reported that SMAD4 expression is frequently downregulated in human gastric cancer by <italic>SMAD4</italic> LOH or partial promoter methylation, and its alteration correlates with gastric cancer progression (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). However, this does not seem to be enough to explain the functional loss of SMAD4. Our results suggested a possibility of the downregulation of SMAD4 being affected by another mechanism. Recent studies have analyzed the genetic structure and function of the <italic>SMAD4</italic> promoter region, and predicted several interacting transcription factors, including SP1, ETS1, NRF1 and HSF1 (<xref rid="b25-ijo-50-01-0272" ref-type="bibr">25</xref>). These results propose a strong potential that SMAD4 expression is regulated by positive or negative transcription factors binding at the <italic>SMAD4</italic> promoter region. However, the function of transcription factors for SMAD4 transcriptional activation is still not completely understood.</p>
<p>Myeloid zinc finger 1 (MZF1/MZF1A/MZF1B/ZNF42) is a member of SCAN-zinc finger (SCAN-ZF) transcription factor family and has been mentioned in a number of cancers and cellular functions. MZF1 is a bi-functional transcription factor that can act as both a transcriptional repressor and activator, and is involved in cellular differentiation, proliferation, migration and apoptosis in various types of cancer (<xref rid="b26-ijo-50-01-0272" ref-type="bibr">26</xref>). The mechanism of how MZF1 is involved in cancer development, including its target molecules, is still elusive. For example, MZF1 reduces tumor invasiveness through transcriptional suppression of MMP2 (<xref rid="b27-ijo-50-01-0272" ref-type="bibr">27</xref>) and IGF1R (<xref rid="b28-ijo-50-01-0272" ref-type="bibr">28</xref>&#x02013;<xref rid="b30-ijo-50-01-0272" ref-type="bibr">30</xref>) and transcriptional activation of TNFRSF10B (DR5) (<xref rid="b31-ijo-50-01-0272" ref-type="bibr">31</xref>) and FPN (ferroportin) (<xref rid="b32-ijo-50-01-0272" ref-type="bibr">32</xref>) in human solid tumors. Moreover, MZF1 interacts with the tumor suppressor LDOC1 and enhances its apoptotic activity (<xref rid="b33-ijo-50-01-0272" ref-type="bibr">33</xref>). However, several reports have demonstrated that overexpression of MZF1 increases proliferation, migration, and metastasis through regulation of its diverse target genes in cancer cells (<xref rid="b34-ijo-50-01-0272" ref-type="bibr">34</xref>&#x02013;<xref rid="b36-ijo-50-01-0272" ref-type="bibr">36</xref>). Therefore, there needs to be future work carried out that clarifies and confirms the role of MZF1 in cancer.</p>
<p>In the present study, we identified MZF1 as a putative transcription factor of <italic>SMAD4</italic>, and found that the transcriptional level of SMAD4 is increased by MZF1. In addition, we showed that MZF1 overexpression inhibits the migration of gastric cancer cells, highlighting SMAD4 as a new target for the tumor migration suppressor effect of MZF1 in gastric cancer cells, and the present study suggests potential reasons for SMAD4 transcriptional repression during tumor progression. Furthermore, our result support the notion that the MZF1-SMAD4 axis signaling mechanism could be a potential target in the treatment of gastric cancer.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>Human gastric carcinoma cells were obtained from the Korean Cell Line Bank (KCLB; Seoul, Korea). All cell lines were authenticated by short tandem repeat (STR) analysis at the characterized cell line core facility at Abion, Inc., (Seoul, Korea) during the study. The gastric carcinoma cells were maintained in RPMI-1640 medium (HyClone Laboratories, Inc., Logan, UT, USA), supplemented with 10% fetal bovine serum (FBS; HyClone Laboratories) and 1% penicillin/streptomycin (HyClone Laboratories). Cells were grown in a humidified atmosphere with 5% CO<sub>2</sub> at 37&#x000B0;C and routinely tested for mycoplasma infection using Myco VALiD Mycoplasma PCR detection kit (Intron Biotechnology, Gyeonggi-do, Korea).</p></sec>
<sec>
<title>Expression plasmid, si-RNA and transfection</title>
<p>Cells were transfected with MZF1 expression plasmid using FuGENE HD transfection reagent (Promega, Madison, WI, USA) and then incubated for 24 h. si-SMAD4 duplexes were synthesized by Invitrogen using the following sequence: 5&#x02032;-GGU CAG CCA GCU ACU UAC CAU CAU A-3&#x02032;. si-MZF1 duplexes were synthesized by Cosmo Genetech Co., Ltd., (Seoul, Korea) using the following sequence: 5&#x02032;-CUA CUG UAG GUG UCC AAU A-3&#x02032;) (<xref rid="b35-ijo-50-01-0272" ref-type="bibr">35</xref>). Co-transfection of siRNA and plasmid was performed using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's instruction.</p></sec>
<sec>
<title>Gene constructs</title>
<p>Luciferase reporter constructs were cloned using the restriction map of the BAC729G3 bacterial artificial chromosome (BAC) clone from the RPCI-11 human BAC library (Invitrogen), which covers the alternative promoter region of <italic>SMAD4</italic>. The &#x02212;1752 bp upstream region of the SMAD4 transcription start site and two intra-gene region (+20 to +427 and +15422 to +16746) were subcloned into the pGL3 basic vector (Promega). Deletion and mutant constructs of putative <italic>SMAD4</italic> promoters were generated by PCR. For generation of point mutation, Pfu-DNA polymerase and DpnI were used. All constructs were confirmed by sequencing.</p></sec>
<sec>
<title>Luciferase assay</title>
<p>After 24 h of transfection, cells were lysed with luciferase assay buffer. Then, the luciferase activity was measured using the Dual-luciferase reporter assay system according to the manufacturer's instructions (Promega) and was followed by luminescence measurement in a GENios Pro microplate reader (Tecan Trading AG, Mannedorf, Switzerland).</p></sec>
<sec>
<title>Electrophoretic mobility shift assay (EMSA) and chromatin immunoprecipitation (ChIP)</title>
<p>Nuclear extract of MKN74 cells were prepared by Qproteome Nuclear Protein kit (Qiagen, Hilden, Germany) and quantified by Pierce BCA assay kit (Thermo Fisher Scientific, Waltham, MA, USA). DNA mobility shift assays were performed with the following double-stranded oligonucleotides: MZF1 5&#x02032;-CTC GGA GCG GGA <underline>GGC G</underline>GG GGC AGC CGG GAG AAA GG-3&#x02032;. Two complementary oligonucleotides (1000 pmol of each) were annealed and 5 pmol of the annealed oligonucleotides were 5&#x02032;-end-labeled with &#x0005B;&#x003B3;-<sup>32</sup>P&#x0005D;-ATP (Amersham Biosciences, Uppsala, Sweden) using T<sub>4</sub> polynucleotide kinase (New England Biolabs, Inc., Ipswich, MA, USA). Labeled products were purified on a Sephadex G-25 column (Amersham Biosciences). For antibody supershift analysis, nuclear extracts were incubated for 30 min in binding buffer containing 7.5% glycerol, 15 mM Tris-HCl, pH 7.5, 75 mM NaCl, 1.5 mM EDTA, pH 8.0, 1.5 mM dithiothreitol, 0.3% Nonidet P-40 and 1 <italic>&#x000B5;</italic>g of poly (dI-dC), and then with the probe for 40 min at 37&#x000B0;C, and with 2 <italic>&#x000B5;</italic>g of antibodies overnight at 4&#x000B0;C or &#x02212;20&#x000B0;C. The primary antibodies used were as follows: His-probe (sc-8036) was purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA) and MZF1 (ab64866) was purchased from Abcam (Cambridge, UK). For the competition assays, 100-fold excess amount of unlabeled competitor was premixed with the radiolabeled probe before addition of the binding mixture. DNA-protein complexes were resolved on 6% non-denaturing PAGE gel at 250 V for 2.5 h. After separation, the gels were dried and exposed to the phosphor screen. The relevant protein-DNA probe complexes were analyzed by a BAS-1500 Image Analyzer (Fujifilm, Tokyo, Japan). ChIP assays were performed using the EZ-ChIP Kit (Millipore, Bedford, MA, USA) according to the manufacturer's instructions. Immunoprecipitation was performed with MZF1 antibody or rabbit IgG antibody (Santa Cruz Biotechnology). DNA was analyzed by conventional PCR directed to specific regions of the <italic>SMAD4</italic> promoter and were amplified using the respective forward and reverse primers: ChIP I (forward) 5&#x02032;-CTCCCTCAAACAGGCCTTCGC-3&#x02032; and (reverse) 5&#x02032;-CAG CTT TCC TTT CTC CCG GCT-3&#x02032;; ChIP II (forward) 5&#x02032;-AGC CGG GAG AAA GGA AAG CTG-3&#x02032; and (reverse) 5&#x02032;-CCA AAC CGC TCC GTT ACC GCA-3&#x02032;. PCR was performed for 30 cycles at 94&#x000B0;C (30 sec), 60&#x000B0;C (30 sec) and 72&#x000B0;C (30 sec).</p></sec>
<sec>
<title>Quantitative real-time (RT) PCR</title>
<p>Total RNA was extracted by TRIzol (Invitrogen) and reversely transcribed to cDNA using the SuperScript II First-Strand Synthesis system (Invitrogen). Following cDNA synthesis, qRT-PCR was performed as described in a dual system LightCycler (Roche Diagnostics) and the expression levels of target genes relative to HPRT (control) were determined by a SYBR-Green-based comparative CT method (relative fold change = 2<sup>&#x02212;&#x00394;&#x00394;CT</sup>). Primers used are as follows: SMAD4 5&#x02032;-TGG CCC AGG ATC AGT AGG T-3&#x02032; (forward) and 5&#x02032;-CAT CAA CAC CAA TTC CAG CA-3&#x02032; (reverse); CTBP1 5&#x02032;-ACT GCG TGA CCC TGC ACT-3&#x02032; (forward) and 5&#x02032;-GCC CCT TGT CTC ATC TGC-3&#x02032; (reverse). All primers were purchased from Cosmo Genetech Co., Ltd. (Seoul, Korea).</p></sec>
<sec>
<title>Immunoblotting analysis</title>
<p>Whole cell lysates were prepared in RIPA buffer supplemented with protease inhibitor cocktail (Roche Diagnostics). Lysates were centrifuged at 4&#x000B0;C, 15,000 rpm for 20 min. Equal amounts of protein samples were electrophoretically separated by SDS-PAGE and transferred to nitrocellulose membrane. Membranes were blocked in TBS-T (Tris-buffered saline with 0.05% Tween-20) containing 5% non-fat dry milk and then incubated overnight at 4&#x000B0;C with the primary antibodies &#x0005B;SMAD4 (sc-7966), MZF1, GAPDH (FL-335)&#x0005D; diluted in the same buffer. GAPDH was used as loading control. Membranes were washed with TBS-T and incubated with horseradish peroxidase-conjugated secondary antibodies (Pierce, Rockford, IL, USA). The results were visualized with ECL reaction.</p></sec>
<sec>
<title>Screening analysis of transcription factor binding site (TFBS)</title>
<p>MatInspector (Genomatix Software GmbH, Munich, Germany; <ext-link ext-link-type="uri" xlink:href="http://www.genomatix.de">http://www.genomatix.de</ext-link>) was used to locate regulatory elements within the aforementioned core promoter region, and the internet-based TFSEARCH: Searching TFBS program (<ext-link ext-link-type="uri" xlink:href="http://www.cbrc.jp/research/db/TFSEARCH.html">http://www.cbrc.jp/research/db/TFSEARCH.html</ext-link>) was used to localize the putative transcription factor binding sites within the 5&#x02032;-flanking region of <italic>SMAD4</italic>. Alignment of human and mouse promoter sequences was performed with NCBI's Ensemble interface. Furthermore, mouse and chimpanzee <italic>SMAD4</italic> promoter sequences were compared with human genomic sequences for conservation of the MZF1 binding motif.</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation assays were performed using the EZ-Cytox kit (Daeil Lab Service, Co., Ltd., Seoul, Korea) according to the manufacturer's instructions. WST assays were performed as previously described (<xref rid="b37-ijo-50-01-0272" ref-type="bibr">37</xref>). Cell were seeded at the density of 1&#x000D7;10<sup>5</sup> cells and transfected with the expression vector.</p></sec>
<sec>
<title>Cell migration assay</title>
<p>Cell migration was analyzed using 24-well Transwell plates with polycarbonate membranes (Corning Costar, Corning, Ny, USA). For Transwell migration assay, cells were transfected with expression vectors encoding wild-type (WT)-MZF1 or si-MZF1. Cells were prepared 24 h post-transfection and then loaded into the upper compartment. After incubation for 24 h at 37&#x000B0;C, the cell number was detected with a GENios Pro microplate reader (Tecan Trading AG) using 485/535 nm filter set as previously described. The migration assay was performed in at least three independent experiments. Values are expressed as percentages compared to the control. The <italic>in vitro</italic> wound-healing assay was performed to examine the migration on gastric cancer cells transfected with WT-MZF1 vectors or si-MZF1. Transfected cells were grown on 96-well plates with their respective culture media. After the growing cell layers had reached confluence, wounds were prepared by a single scratch on the monolayer using a wound maker and the wounded layers were washed with phosphate-buffered saline (PBS) to remove the cell debris. Cell plates were applied to the IncuCyte ZOOM (Essen BioScience, Inc., Ann Arbor, MI, USA) and scanned every 1 h for 24 or 48 h. The wound-healing assay was performed in triplicate in at least three independent experiments.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The results were compared using one-way ANOVA analysis followed by the Turkey's test for multiple comparisons. Means were considered significant, at P&lt;0.05. Statistical analysis was performed using a GraphPad Prism package for personal computers (GraphPad Software, Inc., San Diego, CA, USA). Results were considered significant at P&lt;0.05, P&lt;0.01 or P&lt;0.001. All the data with error bars are presented as mean &#x000B1; SD for at least three independent experiments.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>MZF1 positively regulates SMAD4 promoter activity and expression</title>
<p>To explore the transcriptional regulator candidates of the <italic>SMAD4</italic> promoter, we investigated the region from &#x02212;1752 to +84 (1836 bp) to the transcription start site using bioinformatic tools, such as MatInspector professional software and the internet-based TFSEARCH database. In our previous study, we identified the transcriptional start site of <italic>SMAD4</italic> by reverse transcription-PCR and nucleotide sequencing, and we reported that hypermethylation of CpG site within this region might be related to the transcriptional silencing of SMAD4 (<xref rid="b37-ijo-50-01-0272" ref-type="bibr">37</xref>). Our previous results on the identity of the transcription start site were consistent with the European Molecular Biology Laboratory database (<ext-link ext-link-type="uri" xlink:href="http://www.ensembl.org">http://www.ensembl.org</ext-link>), despite of the presence of several alternative transcripts encoding exon 1 and exon 2 of <italic>SMAD4</italic>. In this analysis, we screened three transcription factors, HSF1, RUNX1 (AML-1) and MZF1, which have a higher likelihood of interaction than other transcription factor candidates (<xref rid="f1-ijo-50-01-0272" ref-type="fig">Fig. 1A</xref>). According to previous reports, we first performed a comparison analysis of reported smad4 promoter regions in HEK293T and SNU638. HEK293T cell was used as positive control (<xref rid="b25-ijo-50-01-0272" ref-type="bibr">25</xref>). The basal promoter activity of these three different <italic>SMAD4</italic> promoter regions was investigated using a vector constructs: Luc-1752 (&#x02212;1752 to +84), Roth <italic>et al</italic> (<xref rid="b38-ijo-50-01-0272" ref-type="bibr">38</xref>) (+20 to +427) and Minami <italic>et al</italic> (<xref rid="b39-ijo-50-01-0272" ref-type="bibr">39</xref>) (+15422 to 16746). As shown in <xref rid="f1-ijo-50-01-0272" ref-type="fig">Fig. 1B</xref>, luciferase activity of the &#x02212;1752 to +84 (Luc-1752) construct was nearly 80 to 150-fold increased compared with the pGL3 control, whereas the other constructs did not have effect on <italic>SMAD4</italic> promoter activity. Our data suggested that the &#x02212;1752 to +84 region is essential for basal <italic>SMAD4</italic> promoter activity, we further concentrated on the role of this region. The transcriptional activity of these three transcription factors on the <italic>SMAD4</italic> promoter region was investigated using a vector construct 'Luc-1752', a luciferase-conjugated <italic>SMAD4</italic> promoter region. As shown in <xref rid="f1-ijo-50-01-0272" ref-type="fig">Fig. 1C</xref>, transient co-transfection of Luc-1752 and the MZF1 expression vector exhibited over a 2.5-fold increase in the induction on transcriptional activity of <italic>SMAD4</italic> promoter. However, co-transfection of Luc-1752 with HSF1 or AML-1 (RUNX1) did not reveal an increase in the <italic>SMAD4</italic> promoter activity. Next, we analyzed SMAD4 and MZF1 expression in 13 gastric cancer cell lines. We found that <italic>SMAD4</italic> mRNA (r= 0.28, P= 0.002) and SMAD4 protein (r=0.35, P=0.38) levels showed a close correlation with MZF1 protein level (<xref rid="f1-ijo-50-01-0272" ref-type="fig">Fig. 1D</xref>). In particular, their expression was substantially decreased in KATOIII, MKN28, MKN74, NCI-N87 and SNU5 cells, whereas MKN1, SNU484, SNU620 and SNU668 had relatively high levels of their expression. In addition, ectopic expression of MZF1 increased SMAD4 levels in MKN74 cells (low expresser), whereas si-MZF1 transfection decreased SMAD4 levels in MKN1 cell (high expresser). MZF1 affects SMAD4 expression at both the mRNA and protein levels in gastric cancer cell lines (<xref rid="f1-ijo-50-01-0272" ref-type="fig">Fig. 1E</xref>). These results suggest that <italic>SMAD4</italic> is a novel target gene of the transcription factor MZF1.</p></sec>
<sec>
<title>MZF1 directly binds to MEB2 (&#x02212;80 to &#x02212;77) of SMAD4 promoter region</title>
<p>To analyze the core region enabling MZF1-mediated transcriptional activation on the <italic>SMAD4</italic> promoter, we generated four constructs, each containing a partial deletion mutant in the <italic>SMAD4</italic> promoter, luc-1011, -371, -216 and -41 for luciferase assaying (<xref rid="f2-ijo-50-01-0272" ref-type="fig">Fig. 2A</xref>). As shown in <xref rid="f2-ijo-50-01-0272" ref-type="fig">Fig. 2A</xref>, transient co-transfection of the MZF1-expressing vector and each partial deletion mutant construct exhibited induction in <italic>SMAD4</italic> promoter activity from 1.7- to 3-fold. Among them, the Luc-216 construct showed the highest SMAD4 promoter activity under MZF1 overexpression. In further bioinformatic analysis, we identified four putative MZF1-binding elements (MBE) on the Luc-216-containing partially deleted <italic>SMAD4</italic> promoter region (nucleotides &#x02212;216 to +84): MBE 1 (&#x02212;102 to &#x02212;99), MBE 2 (&#x02212;80 to &#x02212;77), MBE 3 (&#x02212;52 to &#x02212;49) and MBE 4 (&#x02212;12 to &#x02212;9). To demonstrate essential MZF1-binding element, we generated mutant reporter constructs containing mutated MBE sequences (5&#x02032;-AAAAG-3&#x02032;) that disturb MZF1 binding. According to the results (<xref rid="f2-ijo-50-01-0272" ref-type="fig">Fig. 2B</xref>, left panel), mutation of MBE2 showed loss of promoter activity, whereas other mutated MBEs exhibited over 1.5-fold increase in induction compared to the negative control (<xref rid="f2-ijo-50-01-0272" ref-type="fig">Fig. 2B</xref>, right panel). These results show that MZF1 could positively regulate <italic>SMAD4</italic> promoter activity and its critical binding region might be MBE2 (&#x02212;80 to &#x02212;77) located from &#x02212;216 to +84 in the <italic>SMAD4</italic> promoter. To examine the direct binding of MZF1 to the <italic>SMAD4</italic> promoter region, we performed ChIP assays and EMSAs. For ChIP analysis, we produced ChIP I and ChIP II sequences containing two independent MBE sites and we also designed, an EMSA probe (<xref rid="f3-ijo-50-01-0272" ref-type="fig">Fig. 3A</xref>). In ChIP analysis, MZF1 directly bound to the ChIP I sequence containing MBE1 and MBE2 sites (<xref rid="f3-ijo-50-01-0272" ref-type="fig">Fig. 3B</xref>). Moreover, EMSA revealed that MZF1 specifically interacted with the EMSA probe containing the MBE2 site (<xref rid="f3-ijo-50-01-0272" ref-type="fig">Fig. 3C</xref>) and addition of an MZF1 antibody to the reaction mixture for EMSA resulted in a supershifted band. These results indicate that MZF1 directly bind to MEB2 (&#x02212;80 to &#x02212;77) of <italic>SMAD4</italic> promoter region.</p></sec>
<sec>
<title>MZF1 inhibits migration of gastric cancer cells</title>
<p>To elucidate the molecular function of MZF1 in gastric cancer cells, we performed proliferation assay using WST reagent and cell cycle analysis by flow cytometry after overexpression or knockdown of MZF1. As shown in <xref rid="f4-ijo-50-01-0272" ref-type="fig">Fig. 4A</xref>, transient transfection of WT-MZF1 did not affect MKN28 and MKN74 cell proliferation and siRNA-mediated knockdown of endogenous MZF1 neither affected MKN1 and AGS cell proliferation, nor did it affect the cell cycle change of the 4 cell lines (<xref rid="f4-ijo-50-01-0272" ref-type="fig">Fig. 4B</xref>). Next, we investigated whether MZF1 influences migration of gastric cancer cells. We performed migration assay using the Transwell migration assay and wound-healing assay. As a result, cell migration was substantially decreased and increased by transfection of WT-MZF1 and si-MZF1 (<xref rid="f4-ijo-50-01-0272" ref-type="fig">Fig. 4C and D</xref>). These results support the idea that MZF1 overexpression might negatively regulate migration, but does not have an effect on cell proliferation and growth of gastric cancer cells.</p></sec>
<sec>
<title>MZF1 suppresses cancer cell migration by enhancing SMAD4 expression</title>
<p>According to previous reports, SMAD4 plays an important role in the regulation of cancer cell migration, and therefore, we analyzed whether MZF1 suppresses cancer cell migration through regulation of SMAD4 expression. As shown in the <xref rid="f5-ijo-50-01-0272" ref-type="fig">Fig. 5A</xref>, co-transfection of MZF1 and SMAD4 into MKN28 cells significantly exhibited suppressive effect on cellular migration in the wound-healing assay. Consistent with this, the inhibitory effect on migration by overexpression of MZF1 and SMAD4 is reinforced due to MZF1-mediated increase in the expression of SMAD4. We next examined whether silencing of SMAD4 expression inhibits MZF1-mediated cellular migration in human gastric cancer MKN74 cells. Transient overexpression of MZF1 revealed over 30% reduction of MKN74 migration. In addition, co-transfection of si-SMAD4 restored this MZF1-induced reduction of migration in a dose-dependent manner (<xref rid="f5-ijo-50-01-0272" ref-type="fig">Fig. 5B</xref>). Likewise, the data from immunoblotting analysis showed that a knockdown of SMAD4 expression increased phosphorylation of AKT and expression of &#x003B2;-catenin, which are key regulatory molecules in migration. As would be expected, downregulation of AKT phosphorylation and suppression of &#x003B2;-catenin expression was observed when MZF1 was overexpressed (<xref rid="f5-ijo-50-01-0272" ref-type="fig">Fig. 5C</xref>). In summary, our findings indicated that MZF1 transcriptionally upregulates expression of SMAD4, and this MZF1-mediated expression of SMAD4 act as a suppressor of cancer migration in gastric cancer cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Gastric cancer is one of the most commonly diagnosed malignancies worldwide. Many risk factors have been associated with the development of gastric cancer and the multifactorial pathogenic mechanisms including gastric adenomas, polyps, and <italic>Helicobacter pylori</italic> infection (<xref rid="b23-ijo-50-01-0272" ref-type="bibr">23</xref>). SMAD4 is a multifunctional protein and its tumor suppressor effect has been reported in many studies (<xref rid="b40-ijo-50-01-0272" ref-type="bibr">40</xref>&#x02013;<xref rid="b42-ijo-50-01-0272" ref-type="bibr">42</xref>). The loss of SMAD4 expression is an especially common feature in human gastric cancer and is a critical event in the development and progression of gastric cancer (<xref rid="b22-ijo-50-01-0272" ref-type="bibr">22</xref>,<xref rid="b23-ijo-50-01-0272" ref-type="bibr">23</xref>).</p>
<p>The well-known mechanisms of SMAD4 inactivation can be divided into five groups: i) LOH is related to mechanisms of SMAD4 inactivation. Previous studies have demonstrated that deletion of SMAD4 frequently occurred in various cancers including those of the brain (<xref rid="b6-ijo-50-01-0272" ref-type="bibr">6</xref>), lung (<xref rid="b9-ijo-50-01-0272" ref-type="bibr">9</xref>), bladder (<xref rid="b10-ijo-50-01-0272" ref-type="bibr">10</xref>) and colon (<xref rid="b8-ijo-50-01-0272" ref-type="bibr">8</xref>). We have also reported that <italic>SMAD4</italic> LOH was detected in 20 of 70 (29%) gastric cancer patients. Loss of SMAD4 expression occurred in 10 of 20 (50%) LOH-positive cases. LOH of the <italic>SMAD4</italic> locus was correlated with loss of <italic>SMAD4</italic> mRNA and SMAD4 protein expression in gastric carcinoma and gastric cancer cells (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). ii) SMAD4 inactivation occurs by <italic>SMAD4</italic> mutation, which is frequently associated with pancreatic (<xref rid="b13-ijo-50-01-0272" ref-type="bibr">13</xref>), head and neck (<xref rid="b11-ijo-50-01-0272" ref-type="bibr">11</xref>) and colon (<xref rid="b12-ijo-50-01-0272" ref-type="bibr">12</xref>) cancers. Mutational events of SMAD4 in various cancers were correlated with loss of SMAD4 expression, which is associated with tumor malignant progression (<xref rid="b1-ijo-50-01-0272" ref-type="bibr">1</xref>). However, SMAD4 mutation is an infrequent occurrence. We have also reported that SMAD4 mutations were not found in tissue samples of gastric carcinoma (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). iii) SMAD4 reduction is associated with promoter hypermethylation. Previously, SMAD4 methylation has been studied in colon and prostate cancer. The methylation-specific PCR primers used in these studies were designed in the +20 to +427 region of the current <italic>SMAD4</italic> transcription start site (<xref rid="b14-ijo-50-01-0272" ref-type="bibr">14</xref>,<xref rid="b38-ijo-50-01-0272" ref-type="bibr">38</xref>). However, we were the first group to confirm the location of the <italic>SMAD4</italic> transcription start site that is different from the previously reported SMAD4 promoter region. We have reported that <italic>SMAD4</italic> methylation is correlated with loss of SMAD4 expression. However, <italic>SMAD4</italic> promoter methylation was rare in gastric cancer progression (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). iv) Functional loss of SMAD4 occurs by ubiquitin-mediated degradation. For instance, SMAD4 is targeted for degradation through interactions with proteins including Jun-activating binding protein 1 (JAB1) (<xref rid="b16-ijo-50-01-0272" ref-type="bibr">16</xref>), SCF&#x003B2;-TrCP-ubiquitin ligase complex (<xref rid="b15-ijo-50-01-0272" ref-type="bibr">15</xref>), and the carboxyl-terminus of Hsc-70 interacting protein (CHIP) (<xref rid="b17-ijo-50-01-0272" ref-type="bibr">17</xref>). v) SMAD4 is inactivated as a result of interference in the nucleus-cytoplasm shuttle of SMAD4. SMAD4 shuttles continuously between the cytoplasm and the nucleus (<xref rid="b27-ijo-50-01-0272" ref-type="bibr">27</xref>). We have also reported that nuclear expression, and not cytoplasmic expression, is strongly correlated with the prognosis in gastric cancer (<xref rid="b43-ijo-50-01-0272" ref-type="bibr">43</xref>). Nucleocytoplasmic shuttling is specific for SMAD4-induced target gene regulation and the process can involve R-SMADs. Previous studies indicated that the activation of SMAD4 nuclear export signal (NES) depends on the nuclear transport receptor CEM 1 (<xref rid="b19-ijo-50-01-0272" ref-type="bibr">19</xref>). In addition, some retention factors, such as microtubules (<xref rid="b20-ijo-50-01-0272" ref-type="bibr">20</xref>), or nuclear import proteins, such as ELF (embryonic liver fodrin) (<xref rid="b18-ijo-50-01-0272" ref-type="bibr">18</xref>), could also be involved in the subcellular distribution of SMAD4. Taken together, these factors are highly significant for SMAD4 functional inactivation. However, this does not seem to be enough to explain the functional loss of SMAD4. Therefore, in this study, we focused on the regulation of SMAD4 expression by transcription factors and searched for new transcription factors based on the <italic>SMAD4</italic> promoter region we previously reported (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). In the present study, we show that expression levels of MZF1 and SMAD4 are low and extremely low, respectively, in cells including KATOIII, MKN28, MKN74, NCI-N87 and SNU5. Moreover, protein expression of MZF1 is correlated with <italic>SMAD4</italic> mRNA (r=0.28, P= 0.002) and SMAD4 protein expression (r= 0.35, P= 0.38) in gastric cancer cell lines. Our previous studies showed that loss of SMAD4 expression was caused by LOH (AGS, KATOIII, MKN28, MKN74, SNU5 and SNU216), promoter methylation (NCI-N87) and mutation (SNU216). These correlations were more increased when SNU216 cell with a <italic>SMAD4</italic> LOH and mutation were removed: <italic>SMAD4</italic> mRNA and MZF1 protein (r= 0.52, P= 0.003), <italic>SMAD4</italic> protein and MZF1 protein (r=0.65, P=0.28). Our data suggested that SMAD4 inactivation may be caused by not only by LOH or promoter methylation but also by abnormal expression of MZF1. This suggests that MZF1 may contribute to mechanistic inactivation of SMAD4 in gastric cancers. After investigation, we found that SMAD4 expression was increased by the transcription factor MZF1 in gastric cancer cells, regulated through its direct binding to the <italic>SMAD4</italic> promoter region. This is the first study reporting a positive transcriptional regulator for SMAD4. In a previous study, it was shown that overexpression of MZF1 inhibits cancer cell migration and tumorigenesis (<xref rid="b27-ijo-50-01-0272" ref-type="bibr">27</xref>,<xref rid="b44-ijo-50-01-0272" ref-type="bibr">44</xref>). MZF1 is a multifunctional protein and its underlying molecular mechanisms have not been fully clarified. Some studies have found that the overexpression of MZF1 inhibits apoptosis and promotes oncogenesis (<xref rid="b45-ijo-50-01-0272" ref-type="bibr">45</xref>,<xref rid="b46-ijo-50-01-0272" ref-type="bibr">46</xref>) showing that MZF1 might function as a potential oncogene contributing to the development and progression of human cancers (<xref rid="b34-ijo-50-01-0272" ref-type="bibr">34</xref>). Although the role of MZF1 in tumorigenesis is still controversial, we show that overexpression of MZF1 inhibits gastric cancer cell migration through decreased AKT and &#x003B2;-catenin expression. Interestingly, SMAD4 is a well-known tumor migration suppressor; it elicits its antitumor effects by blocking &#x003B2;-catenin signaling and SMAD4 directly suppresses the Wnt/&#x003B2;-catenin signaling activity in colon cancer cells by decreasing <italic>&#x003B2;-catenin</italic> mRNA expression (<xref rid="b47-ijo-50-01-0272" ref-type="bibr">47</xref>). In addition, the loss of SMAD4 activity activates the AKT pathway through upregulation of anti-apoptotic proteins including BCL2, BCL2L2 (BCLW) and survivin (<xref rid="b48-ijo-50-01-0272" ref-type="bibr">48</xref>). Moreover, we found that SMAD4 regulated the suppression of WNT/&#x003B2;-catenin signaling by downregulating the oncoprotein AURKA in cancer (<xref rid="b49-ijo-50-01-0272" ref-type="bibr">49</xref>) and contributed to the tumor suppressor function of Tob1 including apoptosis and inhibiting proliferation, migration, and invasion in gastric cancer cells (<xref rid="b37-ijo-50-01-0272" ref-type="bibr">37</xref>,<xref rid="b50-ijo-50-01-0272" ref-type="bibr">50</xref>). Considering this fact, although both MZF1 and SMAD4 have exhibited functions of migration suppression, MZF1 likely inhibits cancer cell migration in conjunction with SMAD4. In this study, we found that SMAD4 plays a critical role in MZF1-inhibited gastric cancer cell migration. The migration suppressor function of MZF1 is possible through regulation of SMAD4 expression. The present study provides new insight into the molecular basis for the tumor suppressive effect of the MZF1-SMAD4 axis in gastric cancer cells. Taken together, SMAD4 is a novel target of MZF1, which promotes the tumor suppressor function of MZF1 in gastric tumorigenesis. This finding indicates that low expression of MZF1 is linked to transcriptional repression of SMAD4, at least in gastric cancer progression. We suggest that MZF1-SMAD4 signaling may represent a new therapeutic target in advanced human gastric cancer.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by a grant (nos. NRF-2014R1A1A1008685 and NRF-2015R1C1A2A01055635) from the National Research Foundation of Korea (NRF) by the Ministry of Science and ICT &amp; Future Planning. Also, we thank Dr Tara L. Sander (Medical College of Wisconsin, Milwaukee, Wisconsin) for MZF1 (pcDNA 3.1-MZF1b-myc/His(&#x02212;)) vector.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijo-50-01-0272"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyaki</surname><given-names>M</given-names></name><name><surname>Kuroki</surname><given-names>T</given-names></name></person-group><article-title>Role of Smad4 (DPC4) inactivation in human cancer</article-title><source>Biochem Biophys Res Commun</source><volume>306</volume><fpage>799</fpage><lpage>804</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0006-291X(03)01066-0</pub-id><pub-id pub-id-type="pmid">12821112</pub-id></element-citation></ref>
<ref id="b2-ijo-50-01-0272"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamada</surname><given-names>S</given-names></name><name><surname>Fujii</surname><given-names>T</given-names></name><name><surname>Kanda</surname><given-names>M</given-names></name><name><surname>Sugimoto</surname><given-names>H</given-names></name><name><surname>Nomoto</surname><given-names>S</given-names></name><name><surname>Kodera</surname><given-names>Y</given-names></name></person-group><article-title>Clinical significance of SMAD4 expression in resectable pancreatic cancer: Correlation with tumor progression and recurrence pattern</article-title><source>Cancer Res</source><volume>74</volume><issue>19 Suppl</issue><fpage>3831</fpage><year>2014</year><pub-id pub-id-type="doi">10.1158/1538-7445.AM2014-3831</pub-id></element-citation></ref>
<ref id="b3-ijo-50-01-0272"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sasaki</surname><given-names>S</given-names></name><name><surname>Yamamoto</surname><given-names>H</given-names></name><name><surname>Kaneto</surname><given-names>H</given-names></name><name><surname>Ozeki</surname><given-names>I</given-names></name><name><surname>Adachi</surname><given-names>Y</given-names></name><name><surname>Takagi</surname><given-names>H</given-names></name><name><surname>Matsumoto</surname><given-names>T</given-names></name><name><surname>Itoh</surname><given-names>H</given-names></name><name><surname>Nagakawa</surname><given-names>T</given-names></name><name><surname>Miyakawa</surname><given-names>H</given-names></name><etal/></person-group><article-title>Differential roles of alterations of p53, p16, and SMAD4 expression in the progression of intraductal papillary-mucinous tumors of the pancreas</article-title><source>Oncol Rep</source><volume>10</volume><fpage>21</fpage><lpage>25</lpage><year>2003</year></element-citation></ref>
<ref id="b4-ijo-50-01-0272"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mikami</surname><given-names>T</given-names></name><name><surname>Ookawa</surname><given-names>K</given-names></name><name><surname>Shimoyama</surname><given-names>T</given-names></name><name><surname>Fukuda</surname><given-names>S</given-names></name><name><surname>Saito</surname><given-names>H</given-names></name><name><surname>Munakata</surname><given-names>A</given-names></name></person-group><article-title>KAI1, CAR, and Smad4 expression in the progression of colorectal tumor</article-title><source>J Gastroenterol</source><volume>36</volume><fpage>465</fpage><lpage>469</lpage><year>2001</year><pub-id pub-id-type="doi">10.1007/s005350170069</pub-id><pub-id pub-id-type="pmid">11480790</pub-id></element-citation></ref>
<ref id="b5-ijo-50-01-0272"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Horvath</surname><given-names>LG</given-names></name><name><surname>Henshall</surname><given-names>SM</given-names></name><name><surname>Kench</surname><given-names>JG</given-names></name><name><surname>Turner</surname><given-names>JJ</given-names></name><name><surname>Golovsky</surname><given-names>D</given-names></name><name><surname>Brenner</surname><given-names>PC</given-names></name><name><surname>O'Neill</surname><given-names>GF</given-names></name><name><surname>Kooner</surname><given-names>R</given-names></name><name><surname>Stricker</surname><given-names>PD</given-names></name><name><surname>Grygiel</surname><given-names>JJ</given-names></name><etal/></person-group><article-title>Loss of BMP2, Smad8, and Smad4 expression in prostate cancer progression</article-title><source>Prostate</source><volume>59</volume><fpage>234</fpage><lpage>242</lpage><year>2004</year><pub-id pub-id-type="doi">10.1002/pros.10361</pub-id><pub-id pub-id-type="pmid">15042598</pub-id></element-citation></ref>
<ref id="b6-ijo-50-01-0272"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>SM</given-names></name><name><surname>Zhao</surname><given-names>ZW</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Zhao</surname><given-names>JP</given-names></name><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Hou</surname><given-names>F</given-names></name><name><surname>Gao</surname><given-names>GD</given-names></name></person-group><article-title>Reduced expression of SMAD4 in gliomas correlates with progression and survival of patients</article-title><source>J Exp Clin Cancer Res</source><volume>30</volume><fpage>70</fpage><year>2011</year><pub-id pub-id-type="doi">10.1186/1756-9966-30-70</pub-id><pub-id pub-id-type="pmid">21791112</pub-id><pub-id pub-id-type="pmcid">3160899</pub-id></element-citation></ref>
<ref id="b7-ijo-50-01-0272"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>van Hattem</surname><given-names>A</given-names></name><name><surname>Brosens</surname><given-names>L</given-names></name><name><surname>de Leng</surname><given-names>W</given-names></name><name><surname>Morsink</surname><given-names>F</given-names></name><name><surname>ten Kate</surname><given-names>FJ</given-names></name><name><surname>Iacobuzio-Donahue</surname><given-names>CA</given-names></name><name><surname>Giardiello</surname><given-names>FM</given-names></name><name><surname>Offerhaus</surname><given-names>J</given-names></name></person-group><article-title>SMAD4 Protein expression in polyps of juvenile polyposis syndrome mirrors genetic status but does not reflect neoplastic progression</article-title><source>Gastroenterology</source><volume>136</volume><fpage>A452</fpage><lpage>A453</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/S0016-5085(09)62081-3</pub-id></element-citation></ref>
<ref id="b8-ijo-50-01-0272"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>P</given-names></name><name><surname>Klingbiel</surname><given-names>D</given-names></name><name><surname>Saridaki</surname><given-names>Z</given-names></name><name><surname>Ceppa</surname><given-names>P</given-names></name><name><surname>Curto</surname><given-names>M</given-names></name><name><surname>McKee</surname><given-names>TA</given-names></name><name><surname>Roth</surname><given-names>A</given-names></name><name><surname>Tejpar</surname><given-names>S</given-names></name><name><surname>Delorenzi</surname><given-names>M</given-names></name><name><surname>Bosman</surname><given-names>FT</given-names></name><etal/></person-group><article-title>Reduced expression of Smad4 is associated with poor survival in colon cancer</article-title><source>Clin Cancer Res</source><volume>22</volume><fpage>3037</fpage><lpage>3047</lpage><year>2016</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-15-0939</pub-id><pub-id pub-id-type="pmid">26861460</pub-id></element-citation></ref>
<ref id="b9-ijo-50-01-0272"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xie</surname><given-names>M</given-names></name><name><surname>He</surname><given-names>C</given-names></name><name><surname>Wei</surname><given-names>S</given-names></name></person-group><article-title>Relationship between expression of TGF-&#x003B2;1, Smad2, Smad4 and prognosis of patients with resected non-small cell lung cancer</article-title><source>Zhongguo Fei Ai Za Zhi</source><volume>18</volume><fpage>543</fpage><lpage>548</lpage><year>2015</year><comment>In Chinese</comment><pub-id pub-id-type="pmid">26383977</pub-id></element-citation></ref>
<ref id="b10-ijo-50-01-0272"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>ZY</given-names></name><name><surname>Yang</surname><given-names>LY</given-names></name><name><surname>Zhang</surname><given-names>YJ</given-names></name><name><surname>Peng</surname><given-names>KL</given-names></name><name><surname>Qi</surname><given-names>L</given-names></name></person-group><article-title>Smad4 and TGF-beta1 expression and clinical significance in bladder transitional cell carcinoma</article-title><source>Zhong Nan Da Xue Xue Bao Yi Xue Ban</source><volume>31</volume><fpage>363</fpage><lpage>366</lpage><year>2006</year><comment>In Chinese</comment><pub-id pub-id-type="pmid">16859125</pub-id></element-citation></ref>
<ref id="b11-ijo-50-01-0272"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qiu</surname><given-names>W</given-names></name><name><surname>Sch&#x000F6;nleben</surname><given-names>F</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Su</surname><given-names>GH</given-names></name></person-group><article-title>Disruption of transforming growth factor beta-Smad signaling pathway in head and neck squamous cell carcinoma as evidenced by mutations of SMAD2 and SMAD4</article-title><source>Cancer Lett</source><volume>245</volume><fpage>163</fpage><lpage>170</lpage><year>2007</year><pub-id pub-id-type="doi">10.1016/j.canlet.2006.01.003</pub-id></element-citation></ref>
<ref id="b12-ijo-50-01-0272"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyaki</surname><given-names>M</given-names></name><name><surname>Iijima</surname><given-names>T</given-names></name><name><surname>Konishi</surname><given-names>M</given-names></name><name><surname>Sakai</surname><given-names>K</given-names></name><name><surname>Ishii</surname><given-names>A</given-names></name><name><surname>Yasuno</surname><given-names>M</given-names></name><name><surname>Hishima</surname><given-names>T</given-names></name><name><surname>Koike</surname><given-names>M</given-names></name><name><surname>Shitara</surname><given-names>N</given-names></name><name><surname>Iwama</surname><given-names>T</given-names></name><etal/></person-group><article-title>Higher frequency of Smad4 gene mutation in human colorectal cancer with distant metastasis</article-title><source>Oncogene</source><volume>18</volume><fpage>3098</fpage><lpage>3103</lpage><year>1999</year><pub-id pub-id-type="doi">10.1038/sj.onc.1202642</pub-id><pub-id pub-id-type="pmid">10340381</pub-id></element-citation></ref>
<ref id="b13-ijo-50-01-0272"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blackford</surname><given-names>A</given-names></name><name><surname>Serrano</surname><given-names>OK</given-names></name><name><surname>Wolfgang</surname><given-names>CL</given-names></name><name><surname>Parmigiani</surname><given-names>G</given-names></name><name><surname>Jones</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Parsons</surname><given-names>DW</given-names></name><name><surname>Lin</surname><given-names>JC</given-names></name><name><surname>Leary</surname><given-names>RJ</given-names></name><name><surname>Eshleman</surname><given-names>JR</given-names></name><etal/></person-group><article-title>SMAD4 gene mutations are associated with poor prognosis in pancreatic cancer</article-title><source>Clin Cancer Res</source><volume>15</volume><fpage>4674</fpage><lpage>4679</lpage><year>2009</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-09-0227</pub-id><pub-id pub-id-type="pmid">19584151</pub-id><pub-id pub-id-type="pmcid">2819274</pub-id></element-citation></ref>
<ref id="b14-ijo-50-01-0272"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aitchison</surname><given-names>AA</given-names></name><name><surname>Veerakumarasivam</surname><given-names>A</given-names></name><name><surname>Vias</surname><given-names>M</given-names></name><name><surname>Kumar</surname><given-names>R</given-names></name><name><surname>Hamdy</surname><given-names>FC</given-names></name><name><surname>Neal</surname><given-names>DE</given-names></name><name><surname>Mills</surname><given-names>IG</given-names></name></person-group><article-title>Promoter methylation correlates with reduced Smad4 expression in advanced prostate cancer</article-title><source>Prostate</source><volume>68</volume><fpage>661</fpage><lpage>674</lpage><year>2008</year><pub-id pub-id-type="doi">10.1002/pros.20730</pub-id><pub-id pub-id-type="pmid">18213629</pub-id></element-citation></ref>
<ref id="b15-ijo-50-01-0272"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wan</surname><given-names>M</given-names></name><name><surname>Tang</surname><given-names>Y</given-names></name><name><surname>Tytler</surname><given-names>EM</given-names></name><name><surname>Lu</surname><given-names>C</given-names></name><name><surname>Jin</surname><given-names>B</given-names></name><name><surname>Vickers</surname><given-names>SM</given-names></name><name><surname>Yang</surname><given-names>L</given-names></name><name><surname>Shi</surname><given-names>X</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name></person-group><article-title>Smad4 protein stability is regulated by ubiquitin ligase SCF beta-TrCP1</article-title><source>J Biol Chem</source><volume>279</volume><fpage>14484</fpage><lpage>14487</lpage><year>2004</year><pub-id pub-id-type="doi">10.1074/jbc.C400005200</pub-id><pub-id pub-id-type="pmid">14988407</pub-id></element-citation></ref>
<ref id="b16-ijo-50-01-0272"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wan</surname><given-names>M</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>Y</given-names></name><name><surname>Bai</surname><given-names>S</given-names></name><name><surname>Wu</surname><given-names>L</given-names></name><name><surname>Shi</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>N</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name></person-group><article-title>Jab1 antagonizes TGF-beta signaling by inducing Smad4 degradation</article-title><source>EMBO Rep</source><volume>3</volume><fpage>171</fpage><lpage>176</lpage><year>2002</year><pub-id pub-id-type="doi">10.1093/embo-reports/kvf024</pub-id><pub-id pub-id-type="pmid">11818334</pub-id><pub-id pub-id-type="pmcid">1083965</pub-id></element-citation></ref>
<ref id="b17-ijo-50-01-0272"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Xin</surname><given-names>H</given-names></name><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Huang</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Fu</surname><given-names>XY</given-names></name><name><surname>Chang</surname><given-names>Z</given-names></name></person-group><article-title>CHIP mediates degradation of Smad proteins and potentially regulates Smad-induced transcription</article-title><source>Mol Cell Biol</source><volume>24</volume><fpage>856</fpage><lpage>864</lpage><year>2004</year><pub-id pub-id-type="doi">10.1128/MCB.24.2.856-864.2004</pub-id><pub-id pub-id-type="pmid">14701756</pub-id><pub-id pub-id-type="pmcid">343794</pub-id></element-citation></ref>
<ref id="b18-ijo-50-01-0272"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>Y</given-names></name><name><surname>Katuri</surname><given-names>V</given-names></name><name><surname>Dillner</surname><given-names>A</given-names></name><name><surname>Mishra</surname><given-names>B</given-names></name><name><surname>Deng</surname><given-names>CX</given-names></name><name><surname>Mishra</surname><given-names>L</given-names></name></person-group><article-title>Disruption of transforming growth factor-beta signaling in ELF beta-spectrin-deficient mice</article-title><source>Science</source><volume>299</volume><fpage>574</fpage><lpage>577</lpage><year>2003</year><pub-id pub-id-type="doi">10.1126/science.1075994</pub-id><pub-id pub-id-type="pmid">12543979</pub-id></element-citation></ref>
<ref id="b19-ijo-50-01-0272"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Inman</surname><given-names>GJ</given-names></name><name><surname>Nicol&#x000E1;s</surname><given-names>FJ</given-names></name><name><surname>Hill</surname><given-names>CS</given-names></name></person-group><article-title>Nucleocytoplasmic shuttling of Smads 2, 3, and 4 permits sensing of TGF-beta receptor activity</article-title><source>Mol Cell</source><volume>10</volume><fpage>283</fpage><lpage>294</lpage><year>2002</year><pub-id pub-id-type="doi">10.1016/S1097-2765(02)00585-3</pub-id><pub-id pub-id-type="pmid">12191474</pub-id></element-citation></ref>
<ref id="b20-ijo-50-01-0272"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Alvarez</surname><given-names>R</given-names><suffix>Jr</suffix></name><name><surname>Feng</surname><given-names>XH</given-names></name><name><surname>Goldschmidt-Clermont</surname><given-names>PJ</given-names></name></person-group><article-title>Microtubule binding to Smads may regulate TGF beta activity</article-title><source>Mol Cell</source><volume>5</volume><fpage>27</fpage><lpage>34</lpage><year>2000</year><pub-id pub-id-type="doi">10.1016/S1097-2765(00)80400-1</pub-id><pub-id pub-id-type="pmid">10678166</pub-id></element-citation></ref>
<ref id="b21-ijo-50-01-0272"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wagner</surname><given-names>AD</given-names></name><name><surname>Moehler</surname><given-names>M</given-names></name></person-group><article-title>Development of targeted therapies in advanced gastric cancer: Promising exploratory steps in a new era</article-title><source>Curr Opin Oncol</source><volume>21</volume><fpage>381</fpage><lpage>385</lpage><year>2009</year><pub-id pub-id-type="doi">10.1097/CCO.0b013e32832c42e0</pub-id><pub-id pub-id-type="pmid">19412098</pub-id></element-citation></ref>
<ref id="b22-ijo-50-01-0272"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Powell</surname><given-names>SM</given-names></name><name><surname>Harper</surname><given-names>JC</given-names></name><name><surname>Hamilton</surname><given-names>SR</given-names></name><name><surname>Robinson</surname><given-names>CR</given-names></name><name><surname>Cummings</surname><given-names>OW</given-names></name></person-group><article-title>Inactivation of Smad4 in gastric carcinomas</article-title><source>Cancer Res</source><volume>57</volume><fpage>4221</fpage><lpage>4224</lpage><year>1997</year><pub-id pub-id-type="pmid">9331080</pub-id></element-citation></ref>
<ref id="b23-ijo-50-01-0272"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>DM</given-names></name><name><surname>Zhu</surname><given-names>HX</given-names></name><name><surname>Zhao</surname><given-names>QH</given-names></name><name><surname>Zhang</surname><given-names>ZZ</given-names></name><name><surname>Wang</surname><given-names>SZ</given-names></name><name><surname>Wang</surname><given-names>ML</given-names></name><name><surname>Gong</surname><given-names>WD</given-names></name><name><surname>Tan</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>ZD</given-names></name></person-group><article-title>Genetic variations in the SMAD4 gene and gastric cancer susceptibility</article-title><source>World J Gastroenterol</source><volume>16</volume><fpage>5635</fpage><lpage>5641</lpage><year>2010</year><pub-id pub-id-type="doi">10.3748/wjg.v16.i44.5635</pub-id><pub-id pub-id-type="pmid">21105199</pub-id><pub-id pub-id-type="pmcid">2992684</pub-id></element-citation></ref>
<ref id="b24-ijo-50-01-0272"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>LH</given-names></name><name><surname>Kim</surname><given-names>SH</given-names></name><name><surname>Lee</surname><given-names>JH</given-names></name><name><surname>Choi</surname><given-names>YL</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name><name><surname>Park</surname><given-names>TS</given-names></name><name><surname>Hong</surname><given-names>YC</given-names></name><name><surname>Wu</surname><given-names>CF</given-names></name><name><surname>Shin</surname><given-names>YK</given-names></name></person-group><article-title>Inactivation of SMAD4 tumor suppressor gene during gastric carcinoma progression</article-title><source>Clin Cancer Res</source><volume>13</volume><fpage>102</fpage><lpage>110</lpage><year>2007</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-06-1467</pub-id><pub-id pub-id-type="pmid">17200344</pub-id></element-citation></ref>
<ref id="b25-ijo-50-01-0272"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Calva</surname><given-names>D</given-names></name><name><surname>Dahdaleh</surname><given-names>FS</given-names></name><name><surname>Woodfield</surname><given-names>G</given-names></name><name><surname>Weigel</surname><given-names>RJ</given-names></name><name><surname>Carr</surname><given-names>JC</given-names></name><name><surname>Chinnathambi</surname><given-names>S</given-names></name><name><surname>Howe</surname><given-names>JR</given-names></name></person-group><article-title>Discovery of SMAD4 promoters, transcription factor binding sites and deletions in juvenile polyposis patients</article-title><source>Nucleic Acids Res</source><volume>39</volume><fpage>5369</fpage><lpage>5378</lpage><year>2011</year><pub-id pub-id-type="doi">10.1093/nar/gkr091</pub-id><pub-id pub-id-type="pmid">21421563</pub-id><pub-id pub-id-type="pmcid">3141234</pub-id></element-citation></ref>
<ref id="b26-ijo-50-01-0272"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eguchi</surname><given-names>T</given-names></name><name><surname>Prince</surname><given-names>T</given-names></name><name><surname>Wegiel</surname><given-names>B</given-names></name><name><surname>Calderwood</surname><given-names>SK</given-names></name></person-group><article-title>Role and regulation of myeloid zinc finger protein 1 in cancer</article-title><source>J Cell Biochem</source><volume>116</volume><fpage>2146</fpage><lpage>2154</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/jcb.25203</pub-id><pub-id pub-id-type="pmid">25903835</pub-id></element-citation></ref>
<ref id="b27-ijo-50-01-0272"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tsai</surname><given-names>SJ</given-names></name><name><surname>Hwang</surname><given-names>JM</given-names></name><name><surname>Hsieh</surname><given-names>SC</given-names></name><name><surname>Ying</surname><given-names>TH</given-names></name><name><surname>Hsieh</surname><given-names>YH</given-names></name></person-group><article-title>Overexpression of myeloid zinc finger 1 suppresses matrix metalloproteinase-2 expression and reduces invasiveness of SiHa human cervical cancer cells</article-title><source>Biochem Biophys Res Commun</source><volume>425</volume><fpage>462</fpage><lpage>467</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2012.07.125</pub-id><pub-id pub-id-type="pmid">22846578</pub-id></element-citation></ref>
<ref id="b28-ijo-50-01-0272"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>George</surname><given-names>SK</given-names></name><name><surname>Vishwamitra</surname><given-names>D</given-names></name><name><surname>Manshouri</surname><given-names>R</given-names></name><name><surname>Shi</surname><given-names>P</given-names></name><name><surname>Amin</surname><given-names>HM</given-names></name></person-group><article-title>The ALK inhibitor ASP3026 eradicates NPM-ALK<sup>+</sup> T-cell anaplastic large-cell lymphoma in vitro and in a systemic xenograft lymphoma model</article-title><source>Oncotarget</source><volume>5</volume><fpage>5750</fpage><lpage>5763</lpage><year>2014</year><pub-id pub-id-type="doi">10.18632/oncotarget.2170</pub-id><pub-id pub-id-type="pmid">25026277</pub-id><pub-id pub-id-type="pmcid">4170597</pub-id></element-citation></ref>
<ref id="b29-ijo-50-01-0272"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vishwamitra</surname><given-names>D</given-names></name><name><surname>Curry</surname><given-names>CV</given-names></name><name><surname>Alkan</surname><given-names>S</given-names></name><name><surname>Shi</surname><given-names>P</given-names></name><name><surname>Amin</surname><given-names>HM</given-names></name></person-group><article-title>Sumoylation sustains the stability of NPM-ALK oncogenic protein and facilitates its nuclear accumulation in T-cell anaplastic large-cell lymphoma</article-title><source>Blood</source><volume>124</volume><fpage>3586</fpage><year>2014</year></element-citation></ref>
<ref id="b30-ijo-50-01-0272"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vishwamitra</surname><given-names>D</given-names></name><name><surname>Shi</surname><given-names>P</given-names></name><name><surname>Wilson</surname><given-names>D</given-names></name><name><surname>Manshouri</surname><given-names>R</given-names></name><name><surname>Vega</surname><given-names>F</given-names></name><name><surname>Schlette</surname><given-names>EJ</given-names></name><name><surname>Amin</surname><given-names>HM</given-names></name></person-group><article-title>Expression and effects of inhibition of type I insulin-like growth factor receptor tyrosine kinase in mantle cell lymphoma</article-title><source>Haematologica</source><volume>96</volume><fpage>871</fpage><lpage>880</lpage><year>2011</year><pub-id pub-id-type="doi">10.3324/haematol.2010.031567</pub-id><pub-id pub-id-type="pmid">21330319</pub-id><pub-id pub-id-type="pmcid">3105649</pub-id></element-citation></ref>
<ref id="b31-ijo-50-01-0272"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Horinaka</surname><given-names>M</given-names></name><name><surname>Yoshida</surname><given-names>T</given-names></name><name><surname>Tomosugi</surname><given-names>M</given-names></name><name><surname>Yasuda</surname><given-names>S</given-names></name><name><surname>Sowa</surname><given-names>Y</given-names></name><name><surname>Sakai</surname><given-names>T</given-names></name></person-group><article-title>Myeloid zinc finger 1 mediates sulindac sulfide-induced upregulation of death receptor 5 of human colon cancer cells</article-title><source>Sci Rep</source><volume>4</volume><fpage>6000</fpage><year>2014</year><pub-id pub-id-type="doi">10.1038/srep06000</pub-id><pub-id pub-id-type="pmid">25102912</pub-id><pub-id pub-id-type="pmcid">4126006</pub-id></element-citation></ref>
<ref id="b32-ijo-50-01-0272"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Yang</surname><given-names>K</given-names></name><name><surname>Du</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>S</given-names></name></person-group><article-title>Myeloid zinc-finger 1 (MZF-1) suppresses prostate tumor growth through enforcing ferroportin-conducted iron egress</article-title><source>Oncogene</source><volume>34</volume><fpage>3839</fpage><lpage>3847</lpage><year>2015</year><pub-id pub-id-type="doi">10.1038/onc.2014.310</pub-id></element-citation></ref>
<ref id="b33-ijo-50-01-0272"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Inoue</surname><given-names>M</given-names></name><name><surname>Takahashi</surname><given-names>K</given-names></name><name><surname>Niide</surname><given-names>O</given-names></name><name><surname>Shibata</surname><given-names>M</given-names></name><name><surname>Fukuzawa</surname><given-names>M</given-names></name><name><surname>Ra</surname><given-names>C</given-names></name></person-group><article-title>LDOC1, a novel MZF-1-interacting protein, induces apoptosis</article-title><source>FEBS Lett</source><volume>579</volume><fpage>604</fpage><lpage>608</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.febslet.2004.12.030</pub-id><pub-id pub-id-type="pmid">15670815</pub-id></element-citation></ref>
<ref id="b34-ijo-50-01-0272"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mudduluru</surname><given-names>G</given-names></name><name><surname>Vajkoczy</surname><given-names>P</given-names></name><name><surname>Allgayer</surname><given-names>H</given-names></name></person-group><article-title>Myeloid zinc finger 1 induces migration, invasion, and in vivo metastasis through Axl gene expression in solid cancer</article-title><source>Mol Cancer Res</source><volume>8</volume><fpage>159</fpage><lpage>169</lpage><year>2010</year><pub-id pub-id-type="doi">10.1158/1541-7786.MCR-09-0326</pub-id><pub-id pub-id-type="pmid">20145042</pub-id></element-citation></ref>
<ref id="b35-ijo-50-01-0272"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rafn</surname><given-names>B</given-names></name><name><surname>Nielsen</surname><given-names>CF</given-names></name><name><surname>Andersen</surname><given-names>SH</given-names></name><name><surname>Szyniarowski</surname><given-names>P</given-names></name><name><surname>Corcelle-Termeau</surname><given-names>E</given-names></name><name><surname>Valo</surname><given-names>E</given-names></name><name><surname>Fehrenbacher</surname><given-names>N</given-names></name><name><surname>Olsen</surname><given-names>CJ</given-names></name><name><surname>Daugaard</surname><given-names>M</given-names></name><name><surname>Egebjerg</surname><given-names>C</given-names></name><etal/></person-group><article-title>ErbB2-driven breast cancer cell invasion depends on a complex signaling network activating myeloid zinc finger-1-dependent cathepsin B expression</article-title><source>Mol Cell</source><volume>45</volume><fpage>764</fpage><lpage>776</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.molcel.2012.01.029</pub-id><pub-id pub-id-type="pmid">22464443</pub-id></element-citation></ref>
<ref id="b36-ijo-50-01-0272"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>QW</given-names></name><name><surname>Reed</surname><given-names>E</given-names></name><name><surname>Zhong</surname><given-names>XS</given-names></name><name><surname>Thornton</surname><given-names>K</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Yu</surname><given-names>JJ</given-names></name></person-group><article-title>MZF1 possesses a repressively regulatory function in ERCC1 expression</article-title><source>Biochem Pharmacol</source><volume>71</volume><fpage>761</fpage><lpage>771</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.bcp.2005.12.015</pub-id><pub-id pub-id-type="pmid">16426580</pub-id></element-citation></ref>
<ref id="b37-ijo-50-01-0272"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kundu</surname><given-names>J</given-names></name><name><surname>Wahab</surname><given-names>SM</given-names></name><name><surname>Kundu</surname><given-names>JK</given-names></name><name><surname>Choi</surname><given-names>YL</given-names></name><name><surname>Erkin</surname><given-names>OC</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Park</surname><given-names>SG</given-names></name><name><surname>Shin</surname><given-names>YK</given-names></name></person-group><article-title>Tob1 induces apoptosis and inhibits proliferation, migration and invasion of gastric cancer cells by activating Smad4 and inhibiting &#x003B2;-catenin signaling</article-title><source>Int J Oncol</source><volume>41</volume><fpage>839</fpage><lpage>848</lpage><year>2012</year><pub-id pub-id-type="pmid">22710759</pub-id><pub-id pub-id-type="pmcid">3582759</pub-id></element-citation></ref>
<ref id="b38-ijo-50-01-0272"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roth</surname><given-names>S</given-names></name><name><surname>Laiho</surname><given-names>P</given-names></name><name><surname>Salovaara</surname><given-names>R</given-names></name><name><surname>Launonen</surname><given-names>V</given-names></name><name><surname>Aaltonen</surname><given-names>LA</given-names></name></person-group><article-title>No SMAD4 hypermethylation in colorectal cancer</article-title><source>Br J Cancer</source><volume>83</volume><fpage>1015</fpage><lpage>1019</lpage><year>2000</year><pub-id pub-id-type="doi">10.1054/bjoc.2000.1387</pub-id><pub-id pub-id-type="pmid">10993648</pub-id><pub-id pub-id-type="pmcid">2363563</pub-id></element-citation></ref>
<ref id="b39-ijo-50-01-0272"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Minami</surname><given-names>R</given-names></name><name><surname>Kitazawa</surname><given-names>R</given-names></name><name><surname>Maeda</surname><given-names>S</given-names></name><name><surname>Kitazawa</surname><given-names>S</given-names></name></person-group><article-title>Analysis of 5&#x02032;-flanking region of human Smad4 (DPC4) gene</article-title><source>Biochim Biophys Acta</source><volume>1443</volume><fpage>182</fpage><lpage>185</lpage><year>1998</year><pub-id pub-id-type="doi">10.1016/S0167-4781(98)00217-6</pub-id><pub-id pub-id-type="pmid">9838102</pub-id></element-citation></ref>
<ref id="b40-ijo-50-01-0272"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schwarte-Waldhoff</surname><given-names>I</given-names></name><name><surname>Schmiegel</surname><given-names>W</given-names></name></person-group><article-title>Smad4 transcriptional pathways and angiogenesis</article-title><source>Int J Gastrointest Cancer</source><volume>31</volume><fpage>47</fpage><lpage>59</lpage><year>2002</year><pub-id pub-id-type="doi">10.1385/IJGC:31:1-3:47</pub-id></element-citation></ref>
<ref id="b41-ijo-50-01-0272"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>W</given-names></name><name><surname>Huang</surname><given-names>C</given-names></name><name><surname>Cen</surname><given-names>G</given-names></name><name><surname>Jiang</surname><given-names>T</given-names></name><name><surname>Cao</surname><given-names>J</given-names></name><name><surname>Huang</surname><given-names>K</given-names></name><name><surname>Qiu</surname><given-names>Z</given-names></name></person-group><article-title>SMAD4 and its role in pancreatic cancer</article-title><source>Tumour Biol</source><volume>36</volume><fpage>111</fpage><lpage>119</lpage><year>2015</year><pub-id pub-id-type="doi">10.1007/s13277-014-2883-z</pub-id></element-citation></ref>
<ref id="b42-ijo-50-01-0272"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Malkoski</surname><given-names>SP</given-names></name><name><surname>Wang</surname><given-names>XJ</given-names></name></person-group><article-title>Two sides of the story? Smad4 loss in pancreatic cancer versus head-and-neck cancer</article-title><source>FEBS Lett</source><volume>586</volume><fpage>1984</fpage><lpage>1992</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.febslet.2012.01.054</pub-id><pub-id pub-id-type="pmid">22321641</pub-id><pub-id pub-id-type="pmcid">3285395</pub-id></element-citation></ref>
<ref id="b43-ijo-50-01-0272"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SH</given-names></name><name><surname>Lee</surname><given-names>SH</given-names></name><name><surname>Choi</surname><given-names>YL</given-names></name><name><surname>Wang</surname><given-names>LH</given-names></name><name><surname>Park</surname><given-names>CK</given-names></name><name><surname>Shin</surname><given-names>YK</given-names></name></person-group><article-title>Extensive alteration in the expression profiles of TGFB pathway signaling components and TP53 is observed along the gastric dysplasia-carcinoma sequence</article-title><source>Histol Histopathol</source><volume>23</volume><fpage>1439</fpage><lpage>1452</lpage><year>2008</year><pub-id pub-id-type="pmid">18830930</pub-id></element-citation></ref>
<ref id="b44-ijo-50-01-0272"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vishwamitra</surname><given-names>D</given-names></name><name><surname>Curry</surname><given-names>CV</given-names></name><name><surname>Alkan</surname><given-names>S</given-names></name><name><surname>Song</surname><given-names>YH</given-names></name><name><surname>Gallick</surname><given-names>GE</given-names></name><name><surname>Kaseb</surname><given-names>AO</given-names></name><name><surname>Shi</surname><given-names>P</given-names></name><name><surname>Amin</surname><given-names>HM</given-names></name></person-group><article-title>The transcription factors Ik-1 and MZF1 downregulate IGF-IR expression in NPM-ALK<sup>+</sup> T-cell lymphoma</article-title><source>Mol Cancer</source><volume>14</volume><fpage>53</fpage><year>2015</year><pub-id pub-id-type="doi">10.1186/s12943-015-0324-2</pub-id></element-citation></ref>
<ref id="b45-ijo-50-01-0272"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gaboli</surname><given-names>M</given-names></name><name><surname>Kotsi</surname><given-names>PA</given-names></name><name><surname>Gurrieri</surname><given-names>C</given-names></name><name><surname>Cattoretti</surname><given-names>G</given-names></name><name><surname>Ronchetti</surname><given-names>S</given-names></name><name><surname>Cordon-Cardo</surname><given-names>C</given-names></name><name><surname>Broxmeyer</surname><given-names>HE</given-names></name><name><surname>Hromas</surname><given-names>R</given-names></name><name><surname>Pandolfi</surname><given-names>PP</given-names></name></person-group><article-title>Mzf1 controls cell proliferation and tumorigenesis</article-title><source>Genes Dev</source><volume>15</volume><fpage>1625</fpage><lpage>1630</lpage><year>2001</year><pub-id pub-id-type="doi">10.1101/gad.902301</pub-id><pub-id pub-id-type="pmid">11445537</pub-id><pub-id pub-id-type="pmcid">312729</pub-id></element-citation></ref>
<ref id="b46-ijo-50-01-0272"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deng</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>G</given-names></name><name><surname>Jin</surname><given-names>Y</given-names></name><name><surname>Luo</surname><given-names>X</given-names></name><name><surname>Xia</surname><given-names>X</given-names></name><name><surname>Gong</surname><given-names>J</given-names></name><name><surname>Hu</surname><given-names>J</given-names></name></person-group><article-title>p55PIK transcriptionally activated by MZF1 promotes colorectal cancer cell proliferation</article-title><source>BioMed Res Int</source><volume>2013</volume><fpage>868131</fpage><year>2013</year><pub-id pub-id-type="doi">10.1155/2013/868131</pub-id><pub-id pub-id-type="pmid">23509792</pub-id><pub-id pub-id-type="pmcid">3591147</pub-id></element-citation></ref>
<ref id="b47-ijo-50-01-0272"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tian</surname><given-names>X</given-names></name><name><surname>Du</surname><given-names>H</given-names></name><name><surname>Fu</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>K</given-names></name><name><surname>Li</surname><given-names>A</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name></person-group><article-title>Smad4 restoration leads to a suppression of Wnt/beta-catenin signaling activity and migration capacity in human colon carcinoma cells</article-title><source>Biochem Biophys Res Commun</source><volume>380</volume><fpage>478</fpage><lpage>483</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2009.01.124</pub-id><pub-id pub-id-type="pmid">19284991</pub-id></element-citation></ref>
<ref id="b48-ijo-50-01-0272"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Bae</surname><given-names>S</given-names></name><name><surname>Singh</surname><given-names>K</given-names></name><name><surname>Washington</surname><given-names>MK</given-names></name><name><surname>Datta</surname><given-names>PK</given-names></name></person-group><article-title>Loss of Smad4 in colorectal cancer induces resistance to 5-fluorouracil through activating Akt pathway</article-title><source>Br J Cancer</source><volume>110</volume><fpage>946</fpage><lpage>957</lpage><year>2014</year><pub-id pub-id-type="doi">10.1038/bjc.2013.789</pub-id><pub-id pub-id-type="pmid">24384683</pub-id><pub-id pub-id-type="pmcid">3929873</pub-id></element-citation></ref>
<ref id="b49-ijo-50-01-0272"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jia</surname><given-names>L</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Wu</surname><given-names>CF</given-names></name><name><surname>Kundu</surname><given-names>J</given-names></name><name><surname>Park</surname><given-names>SG</given-names></name><name><surname>Kim</surname><given-names>RN</given-names></name><name><surname>Wang</surname><given-names>LH</given-names></name><name><surname>Erkin</surname><given-names>&#x000D6;C</given-names></name><name><surname>Choi</surname><given-names>JS</given-names></name><name><surname>Chae</surname><given-names>SW</given-names></name><etal/></person-group><article-title>SMAD4 suppresses AURKA-induced metastatic phenotypes via degradation of AURKA in a TGFbeta-independent manner</article-title><source>Mol Cancer Res</source><volume>12</volume><fpage>1779</fpage><lpage>1795</lpage><year>2014</year><pub-id pub-id-type="doi">10.1158/1541-7786.MCR-14-0191</pub-id><pub-id pub-id-type="pmid">25061104</pub-id></element-citation></ref>
<ref id="b50-ijo-50-01-0272"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Kundu</surname><given-names>J</given-names></name><name><surname>Kim</surname><given-names>RN</given-names></name><name><surname>Shin</surname><given-names>YK</given-names></name></person-group><article-title>Transducer of ERBB2.1 (TOB1) as a tumor suppressor: A mechanistic perspective</article-title><source>Int J Mol Sci</source><volume>16</volume><fpage>29815</fpage><lpage>29828</lpage><year>2015</year><pub-id pub-id-type="doi">10.3390/ijms161226203</pub-id><pub-id pub-id-type="pmid">26694352</pub-id><pub-id pub-id-type="pmcid">4691146</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijo-50-01-0272" position="float">
<label>Figure 1</label>
<caption>
<p>MZF1 positively regulates <italic>SMAD4</italic> promoter activity and expression. (A) Schematic presentation of 5&#x02032;-flanking region of human <italic>SMAD4</italic> promoter (top line) and current <italic>SMAD4</italic> gene structure (middle line). Black square, Calva <italic>et al</italic> (<xref rid="b25-ijo-50-01-0272" ref-type="bibr">25</xref>); Dot, Roth <italic>et al</italic> (<xref rid="b38-ijo-50-01-0272" ref-type="bibr">38</xref>); slash, Minami <italic>et al</italic> (<xref rid="b39-ijo-50-01-0272" ref-type="bibr">39</xref>); Gray, Wang <italic>et al</italic> (<xref rid="b24-ijo-50-01-0272" ref-type="bibr">24</xref>). Three transcription factors binding site locus in the <italic>SMAD4</italic> promoter and reporter construction for luciferase assay. (B) The basal promoter activity of the three different <italic>SMAD4</italic> promoter regions. (C) Transcription factor MZF1 activation of the SMAD4 promoter. Relative luciferase activity was normalized by the wild-type <italic>Renilla</italic> luciferase activity. Data represent the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 (Student's t-test). (D) qRT-PCR and immunoblotting assays of SMAD4 and immunoblotting assay of MZF1 in gastric cancer cell lines. <italic>SMAD4</italic> mRNA and SMAD4 protein levels showed a close correlation with MZF1 protein level: weak correlation (+0.1 to +0.3), clear correlation (+0.3 to +0.7), strong correlation (+0.7 to +1.0). (E) Cells were transfected with WT-MZF1 or si-MZF1 and <italic>SMAD4</italic> mRNA, and protein expression was determined by qRT-PCR and immunoblotting assays. The qRT-PCR values in D and E were normalized to the housekeeping gene CTBP1. IB, immunoblot. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 (Student's t-test).</p></caption>
<graphic xlink:href="IJO-50-01-0272-g00.jpg"/>
<graphic xlink:href="IJO-50-01-0272-g01.jpg"/></fig>
<fig id="f2-ijo-50-01-0272" position="float">
<label>Figure 2</label>
<caption>
<p>Identification of a critical region controlling SMAD4 expression. (A) An MZF1 binding element in the <italic>SMAD4</italic> promoter and reporter construction for luciferase assay. Asterisk indicates MZF1 binding element. Promoter assay for <italic>SMAD4</italic> induction by MZF1. Relative luciferase activity was normalized by the wild-type <italic>Renilla</italic> luciferase activity. Data represent the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 (Student's t-test). (B) Schematic presentation of MEB (MZF1 binding element) in Luc-216 construct and mutation construct. Loss of <italic>SMAD4</italic> promoter activity of MZF1 by MEB2 site mutation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 (Student's t-test).</p></caption>
<graphic xlink:href="IJO-50-01-0272-g02.jpg"/></fig>
<fig id="f3-ijo-50-01-0272" position="float">
<label>Figure 3</label>
<caption>
<p><italic>SMAD4</italic> is a direct transcription target of MZF1. (A) Schematic presentation of ChIP assay regions (ChIP I and ChIP II) and EMSA probe. (B) ChIP assay for MZF1 binding to the <italic>SMAD4</italic> promoter. No DNA, negative control. (C) EMSA for MZF1 interaction with the MEB2 site (&#x02212;81 to &#x02212;77).</p></caption>
<graphic xlink:href="IJO-50-01-0272-g03.jpg"/></fig>
<fig id="f4-ijo-50-01-0272" position="float">
<label>Figure 4</label>
<caption>
<p>MZF1 inhibits gastric cancer cell migration. (A) MZF1 effect on cell proliferation. MKN28, MKN74, MKN1 and AGS cells were transfected with WT-MZF1 (2 <italic>&#x000B5;</italic>g) or si-MZF1 (20 nM) for 24 h and analyzed with WST assay. (B) No effect of MZF1 on cell cycle using FACS analysis. (C and D) Role of MZF1 in cancer cell migration. The Transwell migration assay determined cell migration in MKN28, MKN74, MKN1 and AGS cells transfected with WT-MZF1 or si-MZF1. The wound healing assay determined cell migration in MKN28, MKN74, MKN1 and AGS cells transfected with WT-MZF1 or si-MZF1. Data represent the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 (Student's t-test).</p></caption>
<graphic xlink:href="IJO-50-01-0272-g04.jpg"/></fig>
<fig id="f5-ijo-50-01-0272" position="float">
<label>Figure 5</label>
<caption>
<p>Requirement of functional SMAD4 for MZF1 suppresses cancer cell migration. (A) MZF1 effect on SMAD4 inhibits cancer cell migration. A wound-healing assay was performed MKN28 cells transfected with WT-SMAD4 and WT-MZF1. Data represent the mean &#x000B1; SD. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 (Student's t-test). (B and C) Role of SMAD4 and MZF1 in inhibiting cancer cell migration. Transwell assay and immunoblotting were performed using MKN74 cells transfected with WT-MZF1 and si-SMAD4. Data represent the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 (Student's t-test).</p></caption>
<graphic xlink:href="IJO-50-01-0272-g05.jpg"/></fig></floats-group></article>
