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<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.2017.4078</article-id>
<article-id pub-id-type="publisher-id">ijo-51-03-0907</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>BMP7 mediates the anticancer effect of honokiol by upregulating p53 in HCT116 cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Rong-Xing</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref><xref rid="fn1-ijo-51-03-0907" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ren</surname><given-names>Wen-Yan</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref><xref rid="fn1-ijo-51-03-0907" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ma</surname><given-names>Yan</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Liao</surname><given-names>Yun-Peng</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Han</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhu</surname><given-names>Jia-Hui</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Jiang</surname><given-names>Hai-Tao</given-names></name><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref><xref rid="af3-ijo-51-03-0907" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname><given-names>Ke</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>He</surname><given-names>Bai-Cheng</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijo-51-03-0907"/></contrib>
<contrib contrib-type="author">
<name><surname>Sun</surname><given-names>Wen-Juan</given-names></name><xref rid="af1-ijo-51-03-0907" ref-type="aff">1</xref><xref rid="af2-ijo-51-03-0907" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijo-51-03-0907"/></contrib></contrib-group>
<aff id="af1-ijo-51-03-0907">
<label>1</label>Department of Pharmacology, School of Pharmacy, Chongqing Medical University</aff>
<aff id="af2-ijo-51-03-0907">
<label>2</label>Key Laboratory for Biochemistry and Molecular Pharmacology of Chongqing, Chongqing Medical University</aff>
<aff id="af3-ijo-51-03-0907">
<label>3</label>Department of Orthorpedic, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-51-03-0907">Correspondence to: Professors Wen-Juan Sun or Bai-Cheng He, Department of Pharmacology, School of Pharmacy, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong, Chongqing 400016, P.R. China, E-mail: <email>1115494605@qq.com</email>, E-mail: <email>hebaicheng99@yahoo.com</email> or <email>894704897@qq.com</email></corresp><fn id="fn1-ijo-51-03-0907">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>07</month>
<year>2017</year></pub-date>
<volume>51</volume>
<issue>3</issue>
<fpage>907</fpage>
<lpage>917</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>04</month>
<year>2017</year></date>
<date date-type="accepted">
<day>14</day>
<month>07</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year></permissions>
<abstract>
<p>Colorectal cancer (CRC) is the second leading cause of cancer death. Hence, there is a great need to explore new efficacious drugs for the treatment of CRC. Honokiol (HNK), a natural product extracted from magnolia bark, processes various biological activities, including anticancer. In this study, we introduced cell viability assay, western blotting, real-time PCR and immunofluorescent staining to determine the anticancer effect of HNK, and the possible mechanism underlying this biological process. We found that HNK can inhibit the proliferation and induce apoptosis in HCT116 cells in a concentration- and time-dependent manner. HNK activates p53 in HCT116 and other colon cancer cells. Exogenous p53 potentiates the anticancer of HNK, while p53 inhibitor decreases this effect of HNK. Moreover, HNK upregulates the expression of bone morphogenetic protein 7 (BMP7) in colon cancer cells; Exogenous BMP7 enhances the anticancer activity of HNK and BMP7 specific antibody reduces this effect of HNK. For mechanism, we found that HNK cannot increase the level of Smad1/5/8; Exogenous BMP7 potentiates the HNK-induced activation of p53. On the contrary, BMP7 specific antibody inhibits the HNK-induced activation of p53 in colon cancer cells and partly decreases the total level of p53. Our findings suggested that HNK may be a promising anticancer drug for CRC; activation of p53 plays an important role in the anticancer activity of HNK, which may be initialized partly by the HNK-induced upregulation of BMP7.</p></abstract>
<kwd-group>
<kwd>honokiol</kwd>
<kwd>colon cancer</kwd>
<kwd>anti-proliferation</kwd>
<kwd>apoptosis</kwd>
<kwd>p53</kwd>
<kwd>bone morphogenetic protein 7</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Colorectal cancer (CRC) is one of the most common malignancies of gastrointestinal system (<xref rid="b1-ijo-51-03-0907" ref-type="bibr">1</xref>). Although the treatment of CRC has been developed substantially in the past decades, the prognosis of CRC remains unsatisfactory (<xref rid="b2-ijo-51-03-0907" ref-type="bibr">2</xref>,<xref rid="b3-ijo-51-03-0907" ref-type="bibr">3</xref>). Therefore, there is still an urgent clinical need to explore new and effective drugs for the treatment of CRC.</p>
<p>The traditional medicine (TM) and their derivatives is one of the most important source for anticancer drugs and multiple drugs from TM have been used for the treatment of CRC for decades, such as camptothecin, vincristine and paclitaxel (<xref rid="b4-ijo-51-03-0907" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-ijo-51-03-0907" ref-type="bibr">6</xref>). Honokiol (HNK) is a biphenolic natural product, which was extracted from the bark and leaves of Magnoliaplant spp (<xref rid="b7-ijo-51-03-0907" ref-type="bibr">7</xref>). During the past decades, HNK has been extensively studied for its multiple pharmacological activities against several diseases such as anticancer, anti-oxidative, anti-angiogenesis, anti-inflammatory and inhibition the transformation of malignant papillae to carcinomas <italic>in vitro</italic> and <italic>in vivo</italic> assays (<xref rid="b8-ijo-51-03-0907" ref-type="bibr">8</xref>,<xref rid="b9-ijo-51-03-0907" ref-type="bibr">9</xref>). HNK may exerts such activities through various signaling pathways and molecules, such as STAT3, epidermal growth factor receptor (EGFR), nuclear factor-&#x003BA;B (NF-&#x003BA;B), cell survival signaling, cell cycle, and inflammatory mediators (<xref rid="b10-ijo-51-03-0907" ref-type="bibr">10</xref>&#x02013;<xref rid="b13-ijo-51-03-0907" ref-type="bibr">13</xref>). It has been reported that HNK shows anticancer activities in CRC (<xref rid="b14-ijo-51-03-0907" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-ijo-51-03-0907" ref-type="bibr">16</xref>), but the explicit mechanism under this effect remains unclear.</p>
<p>As a tumor suppressor, p53 has been targeted by various anticancer reagents. Evidence indicated that the anticancer activity of HNK can also be mediated by upregulating p53 in CRC (<xref rid="b14-ijo-51-03-0907" ref-type="bibr">14</xref>), but how HNK regulates p53 is unknown. Bone morphogenetic proteins (BMPs) belong to the transforming growth factor-&#x003B2; (TGF-&#x003B2;) super-family and plays an important role in regulating the proliferation and differentiation in epithelium of colon and rectum (<xref rid="b17-ijo-51-03-0907" ref-type="bibr">17</xref>,<xref rid="b18-ijo-51-03-0907" ref-type="bibr">18</xref>). The aberrant signal of BMPs has been involved in the cause and progress of CRC (<xref rid="b19-ijo-51-03-0907" ref-type="bibr">19</xref>,<xref rid="b20-ijo-51-03-0907" ref-type="bibr">20</xref>). BMPs can inhibit Wnt pathway p53-dependently (<xref rid="b21-ijo-51-03-0907" ref-type="bibr">21</xref>). BMP7, as a member of BMPs, plays an important role in regulating the osteogenic differentiation in mesenchymal stem cells (<xref rid="b22-ijo-51-03-0907" ref-type="bibr">22</xref>). Apart from this, it has been reported that BMP7 also possesses anticancer activity in CRC, which may be mediated through the non-canonical BMPs/Smads pathway (<xref rid="b23-ijo-51-03-0907" ref-type="bibr">23</xref>,<xref rid="b24-ijo-51-03-0907" ref-type="bibr">24</xref>). However, the concrete molecular mechanism need to be deciphered further.</p>
<p>In this study, we determined the anticancer effect of HNK in HCT116 cells and analyzed the role of p53 or BMP7 in the anticancer activity of HNK. Moreover, we dissected the possible relationship between p53 and BMP7 in HCT116 cells.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and drug preparations</title>
<p>The HCT116 cell line was obtained from the American Type Culture Collection (ATCC; Manassas, VA, USA). Cells were cultured in Dulbecco's modified Eagle's medium (DMEM) with 10% fetal bovine serum(FBS), 100 U/ml of penicillin and 100 <italic>&#x000B5;</italic>g/ml of streptomycin at 37&#x000B0;C with 5% CO<sub>2</sub>. HNK was obtained from Hao-Xuan Bio-Tech Co., Ltd. (Xi'an, China) and dissolved with DMSO to 10 mmol/l as stock, stored at &#x02212;20&#x000B0;C.</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation and viability assay was measured with crystal violet staining and CCK-8 assay. Briefly, cells were plated at a density of 5000 cells per well in 96-well plates with 300 <italic>&#x000B5;</italic>l medium in the presence of different concentrations of HNK for 24, 48 and 72 h. 10 <italic>&#x000B5;</italic>l CCK-8 per 100 <italic>&#x000B5;</italic>l cell medium was added to each well and cells were incubated for 2 h at 37&#x000B0;C. The optical absorbance of each well was measured with a microplate reader (BioTek, Winooski, VT, USA) at 450 nm. Each assay was carried out in triplicate.</p></sec>
<sec>
<title>Flow cytometric analysis of cell cycle</title>
<p>Cells were seeded into 6-well plates and treated with different concentrations of HNK for 48 h. Cells were collected and washed with phosphate buffered saline (PBS, 4&#x000B0;C), fixed with cold (4&#x000B0;C) 70% ethanol, washed with 50% ethanol, 30% ethanol and PBS sequentially. Finally, cells were stained with 1 ml propidium iodide (PI, 20 mg/ml) containing RNase (1 mg/ml) in PBS for 30 min and followed by flow cytometry analysis. Each assay was carried out in triplicate.</p></sec>
<sec>
<title>Annexin V-EGFP staining</title>
<p>Cells were cultured in 24-well plates and treated with different concentrations of HNK for 24 h. Cells were stained with Annexin V-EGFP Apoptosis Detection kits (Keygen, Nanjing, China) according to the manufacturer's instructions. Briefly, cells were washed with cold PBS and then treated with 200 <italic>&#x000B5;</italic>l binding buffer. Then, 2 <italic>&#x000B5;</italic>l Annexin V-EGFP working solution was added to each well and incubated for 15 min. Finally, the plate was washed extensively and images were taken with a fluorescent microscope. Each assay was carried out in triplicate.</p></sec>
<sec>
<title>Construction of the BMP7 and p53 recombinant adenovirus</title>
<p>The recombinant adenovirses were constructed with the AdEasy system (<xref rid="b25-ijo-51-03-0907" ref-type="bibr">25</xref>). Briefly, the coding sequence (CDS) of human BMP7, p53 and green fluorescent protein (GFP) were amplified from the EST clone. Then, the fragments were cloned into shuttle vector pAdTrace, respectively. The shuttle vectors were linearized and transfected to HEK293 cells for the package of the recombinant adenoviruses, which were designated as AdBMP7 and Adp53. The recombinant adenoviruses were tagged with green GFP for tracking the viruses, and the recombinant adenovirus expressing GFP (AdGFP) only was used as vehicle control.</p></sec>
<sec>
<title>Immunofluorescent staining</title>
<p>Cells were plated into 48-well plates and treated with different concentrations of HNK as design. Following treatment for 48 h, cells were fixed with cold (4&#x000B0;C) methanol for 15 min, washed with cold PBS and permeablized with 0.5% Triton X-100. Cells were blocked with 5% BSA at room temperature for 1 h, followed by incubating with primary antibody for p53 or BMP7, the homologous IgG were used as negative control, followed by incubating with FITC-labeled anti-goat IgG for 1 h. Finally, cells were stained with DAPI (1 <italic>&#x000B5;</italic>g/ml). The images were taken under an inverted microscope. Each assay was carried out in triplicate.</p></sec>
<sec>
<title>Reverse transcription (RT) and real-time polymerase chain reaction (PCR) analysis</title>
<p>The cells were plated in T25 flask and treated with different concentration of HNK. At the scheduled time-point, total RNA were extracted with TRIzol reagent (Invitrogen, Carlsbad, CA, USA), and followed by RT reaction to generate cDNA template. The cDNA products were used as templates for real-time PCR to detect the expression level of target genes. All data of each sample were normalized with expression of glyceraldehyde-3-phosphate dehydrogenase (GAPDH). The primer sequences for this investigation are presented in <xref rid="tI-ijo-51-03-0907" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Western blot assay</title>
<p>Cells were seeded in 6-well plates and treated with different concentrations of HNK and/or combined with corresponding recombinant adenovirus or inhibitor. At the scheduled time point, all cells were lysed, collected and the lysates were denatured by boiling for 10 min. All samples were subjected to electrophoresis with SDS-PAGE and transfered to polyvinylidene fluoride membranes, blotted with corresponding primary antibodies and the secondary antibodies conjugated with horseradish peroxidase successively. Then, the target proteins were developed with SuperSignal West Femto Substrate (#34095, Thermo Scientific, Rockford, IL, USA). Each assay was done in triplicate.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The statistical analysis was performed with the Student's t-test between the control and the treatment group. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of HNK on the proliferation of colon cancer cells</title>
<p>In this study, we first tested the anti-proliferation effect of HNK in the three colon cancer cells HCT116, LoVo and SW620. The results showed HNK can inhibit the proliferation of all the three cell lines, and HCT116 cells are more susceptible to HNK (<xref rid="f1-ijo-51-03-0907" ref-type="fig">Fig. 1A</xref>). Therefore, we selected HCT116 cells for the following investigation. The cell cycle analysis results showed that HNK arrest cell cycle at G2 phase (<xref rid="f1-ijo-51-03-0907" ref-type="fig">Fig. 1B</xref>). The PCR and western blot analysis results showed that HNK increases the expression of the proliferation cell nuclear antigen (PCNA) in HCT116 cells (<xref rid="f1-ijo-51-03-0907" ref-type="fig">Fig. 1C and D</xref>). These data indicated HNK can inhibit the proliferation of colon cancer cells.</p></sec>
<sec>
<title>Effects of HNK on apoptosis in HCT116 cells</title>
<p>Next, we determined the effect of HNK on apoptosis in HCT116 cells. The PCR and western blot assay showed that HNK can upregulate the expression of Bad concentration-dependently (<xref rid="f2-ijo-51-03-0907" ref-type="fig">Fig. 2A and B</xref>). Flow cytometry analysis results showed that HNK can increase the ratio of apoptotic cells (<xref rid="f2-ijo-51-03-0907" ref-type="fig">Fig. 2C</xref>). The Annexin V-EGFP staining results showed that HNK can increase the apoptosis in HCT116 cells (<xref rid="f2-ijo-51-03-0907" ref-type="fig">Fig. 2D</xref>). These data suggested that HNK can induce apoptosis in colon cancer cells.</p></sec>
<sec>
<title>Effects of HNK on p53 in HCT116 cells</title>
<p>It is well known that p53 is a tumor suppressor, which has been the target of many anticancer agents. Therefore, we scheduled to determine whether p53 is involved in the anticancer effect of HNK in HCT116 cells. Western blot analysis results showed that HNK increases the level of p53-concentration-dependently, as well as the phosphorylation of p53 (<xref rid="f3-ijo-51-03-0907" ref-type="fig">Fig. 3A</xref>). The real-time PCR assay results showed that HNK can also upregulate the mRNA expression of p53 in HCT116 cells (<xref rid="f3-ijo-51-03-0907" ref-type="fig">Fig. 3B</xref>). To confirm the effect of HNK on p53, we introduced immunofluorescent staining. The results recaptured the effect of HNK on increasing the level of p53 in HCT116 cells (<xref rid="f3-ijo-51-03-0907" ref-type="fig">Fig. 3C</xref>). With further western blot assay, we found the same effect of HNK on p53 in LoVo and SW620 colon cancer cells (<xref rid="f3-ijo-51-03-0907" ref-type="fig">Fig. 3D and E</xref>). All the data indicated that p53 may play an essential role in the anti-proliferation effect of HNK in HCT116 cells.</p></sec>
<sec>
<title>Effects of p53 on the anti-proliferation effect of HNK in colon cancer cells</title>
<p>We next evaluated the effect of p53 on the anticancer effect of HNK in the available colon cancer cells. The CCK-8 assay results showed that exogenous p53 or HNK can both inhibit the proliferation of HCT116 cells, while the combination of exogenous p53 can apparently enhance the anti-proliferation effect of HNK; specific inhibitor of p53 can not only partly increase the proliferation of HCT116 cells, but also greatly attenuate the anti-proliferation effect of HNK (<xref rid="f4-ijo-51-03-0907" ref-type="fig">Fig. 4A and B</xref>). Similar results were found in LoVo cells (<xref rid="f4-ijo-51-03-0907" ref-type="fig">Fig. 4C and D</xref>) and SW620 cells (<xref rid="f4-ijo-51-03-0907" ref-type="fig">Fig. 4E and F</xref>). These data suggested that p53 plays an important role in the anti-proliferation effect of HNK in HCT116 cell, but how HNK upregulates p53 remains unknown.</p></sec>
<sec>
<title>Effects of HNK on BMP7 in colon cancer cells</title>
<p>Although p53 may mediate the anti-proliferation effect of HNK in colon cancer cells, the mechanism underlying this process is unclear. Thus, we next tried to unveil how HNK upregulates p53 in colon cancer cells. BMPs is one of the sub-groups of TGF-&#x003B2; super-family, which play an important role in regulating proliferation, and differentiation. Our previous studies demonstrated that exogenous BMP7 can inhibit the proliferation of colon cancer cells. Therefore, we determined whether HNK can affect the expression of BMP7 in HCT116 cells. The real-time PCR analysis results showed that HNK increases the mRNA expression of BMP7 notably (<xref rid="f5-ijo-51-03-0907" ref-type="fig">Fig. 5A</xref>). The western blot and immunofluorescent staining results confirmed that HNK can upregulate the expression of BMP7 in HCT116 cells (<xref rid="f5-ijo-51-03-0907" ref-type="fig">Fig. 5B and C</xref>). Western blot assay results showed the endogenous level of BMP7 in HCT116 cells is higher than that of FHC cells (<xref rid="f5-ijo-51-03-0907" ref-type="fig">Fig. 5D</xref>). Further analysis of the results exhibited that HNK can also increase the protein level of BMP7 in LoVo and SW620 cells (<xref rid="f5-ijo-51-03-0907" ref-type="fig">Fig. 5E and F</xref>). These data suggested that BMP7 may also be involved in the anti-proliferation effect of HNK in colon cancer cells.</p></sec>
<sec>
<title>Effects of BMP7 on the anti-proliferation effect of HNK in colon cancer cells</title>
<p>We next analyzed the effect of BMP7 on the anti-proliferation effect of HNK in HCT116 cells. The CCK-8 assay results showed that either HNK or exogenous BMP7 can inhibit the proliferation of HCT116 cell, but the BMP7 specific antibody can promote the proliferation of the cells; Combination of exogenous BMP7 enhances the anti-proliferation effect of HNK, while the anti-proliferation effect of HNK in HCT116 cells can be substantially reversed by the combination of BMP7 specific antibody (<xref rid="f6-ijo-51-03-0907" ref-type="fig">Fig. 6A and B</xref>). Simiar results were recaptured in LoVo cells (<xref rid="f6-ijo-51-03-0907" ref-type="fig">Fig. 6C and D</xref>) and SW620 cells (<xref rid="f6-ijo-51-03-0907" ref-type="fig">Fig. 6E and F</xref>). Therefore, these data indicated that the anti-proliferation effect of HNK may be partly mediated by upregulating BMP7 in colon cancer cells, but how BMP7 exerts such function remains unknown.</p></sec>
<sec>
<title>Effects of BMP7 on p53 affected by HNK in colon cancer cells</title>
<p>As BMPs usually exert their biological functions through BMPs/Smads pathway and HNK can upregulate the expression of BMP7, we first detected whether HNK can activate BMPs/Smads signal pathway in HCT116 cells. The western blot analysis results showed that there are no substantial change either on the total level of Smad1/5/8 or the level of phosphorylated Smad1/5/8 (<xref rid="f7-ijo-51-03-0907" ref-type="fig">Fig. 7A</xref>), which implied that the anti-proliferation effect of BMP7 may not be mediated through the canonical BMPs/Smads pathway. Since HNK upregulates p53 as well as BMP7, we speculated that BMP7 may be associated with the upregulation of p53 induced by HNK. Western blot assay results showed that exogenous BMP7 increases the level of total and phosphorylated p53 in HCT116 cells, which become more pronounced when combined with HNK (<xref rid="f7-ijo-51-03-0907" ref-type="fig">Fig. 7B</xref>). Specific antibody of BMP7 reduces the total level of p53 and markedly decreases the level of phosphorylated p53 induced by HNK in HCT116 cells (<xref rid="f7-ijo-51-03-0907" ref-type="fig">Fig. 7C</xref>). Similar results showed that specific antibody of BMP7 can also decrease the total and phosphorylated level of p53 in LoVo and SW620 cells, respectively (<xref rid="f7-ijo-51-03-0907" ref-type="fig">Fig. 7D and E</xref>). These results strongly suggested that the effect of HNK on upregulating p53 may be partly mediated by the HNK-induced BMP7.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>HNK, as a phenolic compounds, is extracted from the bark and leaves of Chinese medicinal Magnolia plant spp. Increasing evidence indicated that HNK exhibits anticancer activity in various types of cancer cells, such as breast cancer, lung cancer, leukemia, colon cancer and other types of cancers (<xref rid="b16-ijo-51-03-0907" ref-type="bibr">16</xref>,<xref rid="b26-ijo-51-03-0907" ref-type="bibr">26</xref>&#x02013;<xref rid="b29-ijo-51-03-0907" ref-type="bibr">29</xref>). Therefore, HNK may be a promising candidate for chemotherapy. However, the explicit mechanism for this activity remains unclear. In the present study, we demonstrated that HNK can exert obvious anti-proliferation activity in colon cancer cells. Mechanically, we found that this effect of HNK in colon cancer cells may be partly mediated by the activation of p53, which may be resulted from the HNK-induced up regulation of BMP7. Our findings demonstrated that HNK may be a potential candidate drug for colon cancer, and BMP7 may be a plausible target for colon cancer treatment, although the mechanism of how HNK upregulates BMP7 remains unknown.</p>
<p>Colon cancer is one of the leading malignancies in alimentary system. Although the treatment for colon cancer have been developed greatly in the past decades, the prognosis remains unsatisfactory. There is still an urgent need to develop new and efficacious drugs for the treatment of colon cancer. Natural products and/or their derivates have been validated for colon cancer treatment for several decades, such as camptothecin, vincristine and paclitaxel (<xref rid="b4-ijo-51-03-0907" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-ijo-51-03-0907" ref-type="bibr">6</xref>). Therefore, the active compounds from natural product may also be an important source for chemotherapy agents. HNK, a biphenolic natural product isolated from the bark and leaves of Magnolia plant spp, has been demonstrated possessing excellent anticancer activity for various cancer cells (<xref rid="b26-ijo-51-03-0907" ref-type="bibr">26</xref>). Our data also confirmed that HNK exerts efficacious anticancer effect in colon cells which suggested that HNK may be a potential anticancer agent for colon cancer. However, the mechanism underlying this biological function of HNK remains unknown. Multiple molecules and signals have been shown involved in the pathogenic cause of colon cancer, such as mutation in Wnt signal pathway, TP53 gene, and disfunction of TGF-&#x003B2; pathway and PTEN (<xref rid="b30-ijo-51-03-0907" ref-type="bibr">30</xref>&#x02013;<xref rid="b32-ijo-51-03-0907" ref-type="bibr">32</xref>). As a well-known tumor suppressor, p53 has shown function losses or mutation in colon cancer (<xref rid="b33-ijo-51-03-0907" ref-type="bibr">33</xref>,<xref rid="b34-ijo-51-03-0907" ref-type="bibr">34</xref>). Therefore, p53 is thought as a classical target for the treatment of colon cancer. For this reason, we investigated whether HNK can affect the status of p53 in colon cells. The results showed that HNK obviously increases the level of p53; exogenous p53 enhances the anticancer effect of HNK obviously, while inhibition of p53 attenuates this effect of HNK in HCT116, LoVo and SW620 cells. Therefore, the anti-proliferation activity of HNK in colon cancer cells may be mediated by the up regulation of p53, but how HNK activates p53 remains unclear.</p>
<p>Bone morphogenetic proteins (BMPs) belong to the super-family of transform growth factor-&#x003B2; (TGF-&#x003B2;). BMPs play an important role in regulating proliferation and differentiation (<xref rid="b35-ijo-51-03-0907" ref-type="bibr">35</xref>). BMPs usually exhibit their biological function through BMPs/Smads signal pathway called the canonical BMPs/Smads signal pathway. In this pathway, BMPs function as ligands to bind with the BMP receptors, including BMPRI and BMPRII. It will recruit and phosphorylate BMPR1 when BMPR2 binds with corresponding ligands. Then, Smad1, Smad5 and Smad8 will become phosphorylated and form complex with Smad4. Finally, the complex translocates into nucleus and regulates the downstream targets (<xref rid="b36-ijo-51-03-0907" ref-type="bibr">36</xref>,<xref rid="b37-ijo-51-03-0907" ref-type="bibr">37</xref>). It has been reported that the aberrant BMP signaling pathway is associated with the cause of colon cancer (<xref rid="b38-ijo-51-03-0907" ref-type="bibr">38</xref>,<xref rid="b39-ijo-51-03-0907" ref-type="bibr">39</xref>). Mutations or disfunction of BMP pathway have been found in juvenile polyposis, an inherited polyposis syndrome that predisposes to colorectal cancer (<xref rid="b40-ijo-51-03-0907" ref-type="bibr">40</xref>). BMP2 can inhibit the proliferation of colon cancer, inactivation of BMP3 is involved with the development of colon cancer and BMP9 may mediate the anticancer effect of resveratrol in colon cancer cells (<xref rid="b41-ijo-51-03-0907" ref-type="bibr">41</xref>&#x02013;<xref rid="b43-ijo-51-03-0907" ref-type="bibr">43</xref>). BMP7 is one of the BMPs members, also known as osteogenic protein-1 (OP-1). Increasing evidence indicated that BMP7 is also involved in cancer. The expression of BMP7 in breast cancer cells was higher than that of normal cells (<xref rid="b44-ijo-51-03-0907" ref-type="bibr">44</xref>). Manning <italic>et al</italic> analyzed the tumor or normal samples from colon cancer patient with microarray and found that the mRNA level of BMP7 was twice in colorectal tumors than that of normal tissues (<xref rid="b45-ijo-51-03-0907" ref-type="bibr">45</xref>). Our previous study demonstrated that Oridonin, an extract of active compound from the traditional Chinese medicine, exhibits efficacious anticancer activity against colon cancer through upregulating the expression of BMP7 (<xref rid="b24-ijo-51-03-0907" ref-type="bibr">24</xref>). Thus, we speculated that the anticancer activity of HNK may also be related with BMP7. The PCR and western blot analysis results provided evidence that BMP7 is a target of HNK. The cell viability assay results indicated that upregulation of BMP7 may partly mediate the anti-proliferation activity of HNK in colon cancer. However, the explicit mechanism underlying this process is unknown.</p>
<p>It has been reported that BMP7 may exert the anticancer effect with a Smad4-independent pathway (<xref rid="b46-ijo-51-03-0907" ref-type="bibr">46</xref>). It remains unknown whether BMP7 mediates the anti-proliferation of HNK in colon cancer in the same way. With western blot assay, we found that HNK exhibits no significant effect on the total and phosphorylated level of Smad1/5/8. This finding suggested that BMP7 may mediate the anti-proliferation effect of HNK through non-canonical BMPs/Smads pathway. However, the detail mechanism remains unclear. It has been reported that p53 and &#x00394;Np63&#x003B1; may be a subset of TGF&#x003B2; and BMPs regulated SMAD target genes in the mammary epithelium (<xref rid="b47-ijo-51-03-0907" ref-type="bibr">47</xref>). In colorectal cancer, the effect of BMPs' signal on Wnt pathway may dependent on the status of Smad4 and p53 (<xref rid="b21-ijo-51-03-0907" ref-type="bibr">21</xref>). BMP4 induced apoptosis in myeloma may also be mediated by p53 (<xref rid="b48-ijo-51-03-0907" ref-type="bibr">48</xref>). The evidence suggested that the effect of BMP7 on the anti-proliferation activity of HNK in colon cancer may be mediated by p53. Our data demonstrated that HNK can also upregulate p53 in HCT116 and other colon cancer cells. Herein, we speculated that the HNK-induced upregulation of p53 may result from BMP7. With western blot assay, we found that exogenous expression of BMP7 can elevate the level of p53 induced by HNK, while it can be dramatically diminished by the specific antibody of BMP7 in HCT116, LoVo and SW620 cells. Therefore, the HNK-induced upregulation of p53 may result from BMP7, which is upregulated by HNK.</p>
<p>Taken together, our investigation demonstrated that HNK may be an efficacious anticancer agent for colon cancer. HNK-induced upregulation of p53 may partly mediate the anticancer activity of HNK, and the effect of HNK on p53 may depend on the upregulation of BMP7. The details about how HNK regulates the expression of BMP7 need to be intensively deciphered.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The authors would like to thank Professor Tong-Chuan He (Medical Center of the University of Chicago) for his generous provision of the recombinant adenoviruses. The present study was supported by research grants from the Natural Science Foundation of China (grants nos. NSFC 81372120 and 81572226 to B.-C. He).</p></ack>
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<floats-group>
<fig id="f1-ijo-51-03-0907" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of HNK on the proliferation of colon cancer cells. (A) CCK-8 assay results show the effect of HNK on the proliferation of colon cancer cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control). (B) Flow cytometery analysis results show the effect of HNK on cell cycle arrest in HCT116 cells. (C) Real-time PCR assay results show the effect of HNK on the mRNA level of PCNA in HCT116 cells (48 h; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control). (D) Western blot assay results show the effect of HNK on the protein level of PCNA in HCT116 cells.</p></caption>
<graphic xlink:href="IJO-51-03-0907-g00.tif"/></fig>
<fig id="f2-ijo-51-03-0907" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of HNK on apoptosis in HCT116 cells. (A) Real-time PCR assay results show the effect of HNK on the mRNA level of Bad in HCT116 cells (48 h; <sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control). (B) Western blot assay results show the effect of HNK on the protein level of Bad in HCT116 cells. (C) Flow cytometry analysis results show the effect of HNK on inducing apoptosis in HCT116 cells. (D) Annexin V-EGFP staining results show apoptosis induced by HNK in HCT116 cells.</p></caption>
<graphic xlink:href="IJO-51-03-0907-g01.tif"/></fig>
<fig id="f3-ijo-51-03-0907" position="float">
<label>Figure 3</label>
<caption>
<p>Effects of HNK on p53 in colon cancer cells. (A) Western blot assay results show the effect of HNK on the total or phophorylated level of p53 in HCT116 cells. (B) Real-time PCR assay results show the effect of HNK on the mRNA level of p53 in HCT116 cells (48 h; <sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control). (C) Immunofluorescent staining results show the effect of HNK on the level of p53 in HCT116 cells. (D) Western blot assay results show the effect of HNK on the total or phophorylated level of p53 in LoVo cells. (E) Western blot assay results show the effect of HNK on the total or phophorylated level of p53 in SW620 cells.</p></caption>
<graphic xlink:href="IJO-51-03-0907-g02.tif"/></fig>
<fig id="f4-ijo-51-03-0907" position="float">
<label>Figure 4</label>
<caption>
<p>Effects of p53 on the anti-proliferation effect of HNK in HCT116 cells. (A) CCK-8 assay results show the effect of exogenous p53 on the anti-proliferation effect of HNK in HCT116 cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (B) CCK-8 assay results show the effect of p53 specific inhibitor on the anti-proliferation effect of HNK in HCT116 cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only; PFT: p53 inhibitor). (C) CCK-8 assay results show the effect of exogenous p53 on the anti-proliferation effect of HNK in LoVo cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (D) CCK-8 assay results show the effect of p53 specific inhibitor on the anti-proliferation effect of HNK in LoVo cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only; PFT: p53 inhibitor). (E) CCK-8 assay results show the effect of exogenous p53 on the anti-proliferation effect of HNK in SW620 cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (F) CCK-8 assay results show the effect of p53 specific inhibitor on the anti-proliferation effect of HNK in SW620 cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only; PFT: p53 inhibitor).</p></caption>
<graphic xlink:href="IJO-51-03-0907-g03.tif"/></fig>
<fig id="f5-ijo-51-03-0907" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of HNK on BMP7 in colon cancer cells. (A) Real-time PCR assay results show the effect of HNK on the mRNA level of BMP7 in HCT116 cells (48 h; <sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control). (B) Western blot assay results show the effect of HNK on the level of BMP7 in HCT116 cells. (C) Immunofluorescent staining results show the effect of HNK on the level of BMP7 in HCT116 cells. (D) Western blot analysis results show the endogenous expression level of BMP7 in FHC and HCT116 cells. (E) Western blot assay results show the effect of HNK on the level of BMP7 in LoVo cells. (F) Western blot assay results show the effect of HNK on the level of BMP7 in SW620 cells.</p></caption>
<graphic xlink:href="IJO-51-03-0907-g04.tif"/></fig>
<fig id="f6-ijo-51-03-0907" position="float">
<label>Figure 6</label>
<caption>
<p>Effects of BMP7 on the anticancer effect of HNK in HCT116 cells. (A) CCK-8 assay results show the effect of exogenous BMP7 on the anti-proliferation effect of HNK in HCT116 cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (B) CCK-8 assay results show the effect of BMP7 specific antibody on the anti-proliferation effect of HNK in HCT116 cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (C) CCK-8 assay results show the effect of exogenous BMP7 on the anti-proliferation effect of HNK in LoVo cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>#</sup>P&lt;0.05 vs. the group treated with HNK only, <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (D) CCK-8 assay results show the effect of BMP7 specific antibody on the anti-proliferation effect of HNK in LoVo cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (E) CCK-8 assay results show the effect of exogenous BMP7 on the anti-proliferation effect of HNK in SW620 cells (<sup>&#x0002A;</sup>P&lt;0.05 vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only). (F) CCK-8 assay results show the effect of BMP7 specific antibody on the anti-proliferation effect of HNK in SW620 cells (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>##</sup>P&lt;0.01 vs. the group treated with HNK only).</p></caption>
<graphic xlink:href="IJO-51-03-0907-g05.tif"/></fig>
<fig id="f7-ijo-51-03-0907" position="float">
<label>Figure 7</label>
<caption>
<p>Effects of BMP7 on p53 in colon cancer cells. (A) Western blot assay results show the effect of HNK on the level of total or phosphorylated Smad1/5/8 in HCT116 cells. (B) Western blot assay results show the effect of exogenous BMP7 on p53 which were affected by HNK in HCT116 cells. (C) Western blot assay results show the effect of BMP7 specific antibody on p53 which were affected by HNK in HCT116 cells. (D) Western blot assay results show the effect of BMP7 specific antibody on p53 which were affected by HNK in LoVo cells. (E) Western blot assay results show the effect of BMP7 specific antibody on p53 which were affected by HNK in SW620 cells.</p></caption>
<graphic xlink:href="IJO-51-03-0907-g06.tif"/></fig>
<table-wrap id="tI-ijo-51-03-0907" position="float">
<label>Table I</label>
<caption>
<p>The primers used for PCR assay.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Gene</th>
<th valign="top" align="left">Primer sequence (5&#x02032;-3&#x02032;)</th></tr></thead>
<tbody>
<tr>
<td rowspan="2" valign="top" align="left">GAPDH</td>
<td valign="top" align="left">F: CAACGAATTTGGCTACAGCA</td></tr>
<tr>
<td valign="top" align="left">R: AGGGGAGATTCAGTGTGGTG</td></tr>
<tr>
<td rowspan="2" valign="top" align="left">PCNA</td>
<td valign="top" align="left">F: GGCTCTAGCCTGACAAATGC</td></tr>
<tr>
<td valign="top" align="left">R: GCCTCCAACACCTTCTTGAG</td></tr>
<tr>
<td rowspan="2" valign="top" align="left">Bad</td>
<td valign="top" align="left">F: CGGAGGATGAGTGACGAGTT</td></tr>
<tr>
<td valign="top" align="left">R: CGGAGGATGAGTGACGAGTT</td></tr>
<tr>
<td rowspan="2" valign="top" align="left">P53</td>
<td valign="top" align="left">F: GTCGGTGGGTTGGTAGTTTCTA</td></tr>
<tr>
<td valign="top" align="left">R: AAAAAGAAATTGACCCTGAGCA</td></tr>
<tr>
<td rowspan="2" valign="top" align="left">BMP7</td>
<td valign="top" align="left">F: GGCAGGACTGGATCATCG</td></tr>
<tr>
<td valign="top" align="left">R: AAGTGGACCAGCGTCTGC</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijo-51-03-0907">
<p>F, forward; R, reverse.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
