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<?release-delay 0|0?>
<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.2018.4325</article-id>
<article-id pub-id-type="publisher-id">ijo-52-05-1465</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Disruption of IGF-1R signaling by a novel quinazoline derivative, HMJ-30, inhibits invasiveness and reverses epithelial-mesenchymal transition in osteosarcoma U-2 OS cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Chiu</surname><given-names>Yu-Jen</given-names></name><xref rid="af1-ijo-52-05-1465" ref-type="aff">1</xref><xref rid="af2-ijo-52-05-1465" ref-type="aff">2</xref><xref rid="fn1-ijo-52-05-1465" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Hour</surname><given-names>Mann-Jen</given-names></name><xref rid="af3-ijo-52-05-1465" ref-type="aff">3</xref><xref rid="fn1-ijo-52-05-1465" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Jin</surname><given-names>Yi-An</given-names></name><xref rid="af4-ijo-52-05-1465" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lu</surname><given-names>Chi-Cheng</given-names></name><xref rid="af5-ijo-52-05-1465" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>Tsai</surname><given-names>Fuu-Jen</given-names></name><xref rid="af6-ijo-52-05-1465" ref-type="aff">6</xref><xref rid="af7-ijo-52-05-1465" ref-type="aff">7</xref><xref rid="af8-ijo-52-05-1465" ref-type="aff">8</xref></contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname><given-names>Tai-Lin</given-names></name><xref rid="af9-ijo-52-05-1465" ref-type="aff">9</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ma</surname><given-names>Hsu</given-names></name><xref rid="af1-ijo-52-05-1465" ref-type="aff">1</xref><xref rid="af2-ijo-52-05-1465" ref-type="aff">2</xref><xref rid="af10-ijo-52-05-1465" ref-type="aff">10</xref></contrib>
<contrib contrib-type="author">
<name><surname>Juan</surname><given-names>Yu-Ning</given-names></name><xref rid="af11-ijo-52-05-1465" ref-type="aff">11</xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Yang</surname><given-names>Jai-Sing</given-names></name><xref rid="af11-ijo-52-05-1465" ref-type="aff">11</xref><xref ref-type="corresp" rid="c1-ijo-52-05-1465"/></contrib></contrib-group>
<aff id="af1-ijo-52-05-1465">
<label>1</label>Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veteran General Hospital</aff>
<aff id="af2-ijo-52-05-1465">
<label>2</label>Department of Surgery, School of Medicine, National Yang Ming University, Taipei 112</aff>
<aff id="af3-ijo-52-05-1465">
<label>3</label>School of Pharmacy, China Medical University, Taichung 404</aff>
<aff id="af4-ijo-52-05-1465">
<label>4</label>Department of Dermatology, Taipei Medical University Hospital, Taipei 110</aff>
<aff id="af5-ijo-52-05-1465">
<label>5</label>Department of Pharmacy, Buddhist Tzu Chi General Hospital, Hualien 970</aff>
<aff id="af6-ijo-52-05-1465">
<label>6</label>Genetics Center, Department of Medical Research, China Medical University Hospital</aff>
<aff id="af7-ijo-52-05-1465">
<label>7</label>School of Chinese Medicine, China Medical University</aff>
<aff id="af8-ijo-52-05-1465">
<label>8</label>Department of Medical Genetics, China Medical University Hospital, Taichung 404</aff>
<aff id="af9-ijo-52-05-1465">
<label>9</label>Institute of Biochemistry and Molecular Biology, National Yang Ming University, Taipei 112</aff>
<aff id="af10-ijo-52-05-1465">
<label>10</label>Department of Surgery, National Defense Medical Center, Taipei 114</aff>
<aff id="af11-ijo-52-05-1465">
<label>11</label>Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-ijo-52-05-1465">Correspondence to: Dr Jai-Sing Yang, Department of Medical Research, China Medical University Hospital, China Medical University, 2 Yude Road, Taichung 40447, Taiwan, R.O.C., E-mail: <email>jaisingyang@gmail.com</email></corresp><fn id="fn1-ijo-52-05-1465">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>05</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>16</day>
<month>03</month>
<year>2018</year></pub-date>
<volume>52</volume>
<issue>5</issue>
<fpage>1465</fpage>
<lpage>1478</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>11</month>
<year>2017</year></date>
<date date-type="accepted">
<day>01</day>
<month>03</month>
<year>2018</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Chiu et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>Osteosarcoma is the most common primary malignancy of the bone and is characterized by local invasion and distant metastasis. Over the past 20 years, long-term outcomes have reached a plateau even with aggressive therapy. Overexpression of insulin-like growth factor 1 receptor (IGF-1R) is associated with tumor proliferation, invasion and migration in osteosarcoma. In the present study, our group developed a novel quinazoline derivative, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline (HMJ-30), in order to disrupt IGF-1R signaling and tumor invasiveness in osteosarcoma U-2 OS cells. Molecular modeling, immune-precipitation, western blotting and phosphorylated protein kinase sandwich ELISA assays were used to confirm this hypothesis. The results demonstrated that HMJ-30 selectively targeted the ATP-binding site of IGF-1R and inhibited its downstream phosphoinositide 3-kinase/protein kinase B, Ras/mitogen-activated protein kinase, and I&#x003BA;K/nuclear factor-&#x003BA;B signaling pathways in U-2 OS cells. HMJ-30 inhibited U-2 OS cell invasion and migration and downregulated protein levels and activities of matrix metalloproteinase (MMP)-2 and MMP-9. An increase in protein levels of tissue inhibitor of metalloproteinase (TIMP)-1 and TIMP-2 was also observed. Furthermore, HMJ-30 caused U-2 OS cells to aggregate and form tight clusters, and these cells were flattened, less elongated and displayed cobblestone-like shapes. There was an increase in epithelial markers and a decrease in mesenchymal markers, indicating that the cells underwent the reverse epithelial-mesenchymal transition (EMT) process. Overall, these results demonstrated the potential molecular mechanisms underlying the effects of HMJ-30 on invasiveness and EMT in U-2 OS cells, suggesting that this compound deserves further investigation as a potential anti-osteosarcoma drug.</p></abstract>
<kwd-group>
<kwd>osteosarcoma U-2 OS cells</kwd>
<kwd>insulin-like growth factor 1 receptor</kwd>
<kwd>HMJ-30</kwd>
<kwd>epithelial-mesenchymal transition</kwd>
<kwd>invasiveness</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteosarcoma is the most common primary malignancy of the bone in adolescents and is characterized by local invasion and distant metastasis (<xref rid="b1-ijo-52-05-1465" ref-type="bibr">1</xref>). The survival rate has improved with the use of multi-agent chemotherapy, from 11% with surgical resection alone in the 1960s to 70% with the addition of chemotherapy by the mid-1980s (<xref rid="b2-ijo-52-05-1465" ref-type="bibr">2</xref>). However, long-term outcomes have reached a plateau over the past 20 years (<xref rid="b3-ijo-52-05-1465" ref-type="bibr">3</xref>). Tumor progression to the invasive and metastatic states increases morbidity and mortality in cancer and represents the most formidable obstacle to successful treatment (<xref rid="b4-ijo-52-05-1465" ref-type="bibr">4</xref>). Overall, ~30% of patients with a localized form of the disease and 80% of patients with a metastatic form of the disease at the point of initial diagnosis will relapse. These patients cannot be described as cured, and they have &#x0003C;20% chance of long-term survival despite aggressive therapies. Conventional chemotherapies frequently induce drug-resistance and cause severe side effects (<xref rid="b5-ijo-52-05-1465" ref-type="bibr">5</xref>,<xref rid="b6-ijo-52-05-1465" ref-type="bibr">6</xref>). For these reasons, novel therapies are required to treat patients with osteosarcomas.</p>
<p>Insulin-like growth factor 1 receptor (IGF-1R) belongs to the large class of tyrosine kinase receptors that are activated by IGF-1 and by the associated growth factor IGF-2. The ligand-receptor interaction initiates receptor autophosphorylation of tyrosine residues and subsequently activates multiple signalling pathways, including the mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase (PI3K) signaling pathways (<xref rid="b7-ijo-52-05-1465" ref-type="bibr">7</xref>). IGF-1R has been demonstrated to be not only a key regulator of normal physiological cell processes, but also to serve important functions in carcinogenesis and tumor development, including tumor growth, progression, invasion and metastasis (<xref rid="b8-ijo-52-05-1465" ref-type="bibr">8</xref>&#x02013;<xref rid="b10-ijo-52-05-1465" ref-type="bibr">10</xref>).</p>
<p>The IGF system is an important regulator of bone formation and homeostasis (<xref rid="b11-ijo-52-05-1465" ref-type="bibr">11</xref>). During the adolescent growth spurt, elevated levels of IGF-1 coincide with a high prevalence of osteosarcoma, suggesting that IGF-1 may contribute to the pathogenesis of osteosarcoma (<xref rid="b5-ijo-52-05-1465" ref-type="bibr">5</xref>,<xref rid="b12-ijo-52-05-1465" ref-type="bibr">12</xref>). Previous studies have reported that human osteosarcoma cell lines display functional IGF-1R on their surface (<xref rid="b13-ijo-52-05-1465" ref-type="bibr">13</xref>,<xref rid="b14-ijo-52-05-1465" ref-type="bibr">14</xref>). In human primary osteosarcoma tissue samples, the levels of IGF-R, IGF-1, and IGF-2 were increased compared with positive control cell lines (<xref rid="b15-ijo-52-05-1465" ref-type="bibr">15</xref>,<xref rid="b16-ijo-52-05-1465" ref-type="bibr">16</xref>). <italic>In vitro</italic>, inhibition of growth and invasiveness may result from downregulation of IGF-IR (<xref rid="b14-ijo-52-05-1465" ref-type="bibr">14</xref>,<xref rid="b17-ijo-52-05-1465" ref-type="bibr">17</xref>). Furthermore, IGF-1R blockade increases radio-sensitivity and induces apoptosis in multidrug-resistant osteosarcoma cell lines (<xref rid="b5-ijo-52-05-1465" ref-type="bibr">5</xref>,<xref rid="b14-ijo-52-05-1465" ref-type="bibr">14</xref>). These results suggest that compounds which specifically inhibit the function of IGF-1R tyrosine kinase in cancer cells may potentially be an effective treatment strategy. Early studies have revealed that analogues of and antagonists to growth hormone-releasing hormone decrease serum IGF-1 levels and inhibit tumor growth in mice, but failed in their phase 1 clinical trial (<xref rid="b18-ijo-52-05-1465" ref-type="bibr">18</xref>,<xref rid="b19-ijo-52-05-1465" ref-type="bibr">19</xref>). An alternative approach has been to block the interaction of IGF-1R with IGF-1 and IGF-2 by targeting IGF-1R, and, most importantly, to downregulate the receptor by internalization and degradation via the endosome (<xref rid="b20-ijo-52-05-1465" ref-type="bibr">20</xref>). In the present study, our group developed a novel quinazoline derivative, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline (HMJ-30; <xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1A</xref>), to disrupt IGF-IR signaling and inhibit tumor invasion and migration in osteosarcoma cells.</p>
<p>Epithelial-mesenchymal transition (EMT) is a program of biological development in which cells lose their epithelial characteristics and gain mesenchymal properties during embryogenesis, as well as for the maintenance of homeostasis and the architecture of epithelial structures during adult life (<xref rid="b21-ijo-52-05-1465" ref-type="bibr">21</xref>). EMT is controlled by receptor tyrosine kinase pathways (<xref rid="b22-ijo-52-05-1465" ref-type="bibr">22</xref>). Over the last decade, accumulating evidence has suggested that EMT regulated by similar pathways is recapitulated during solid tissue epithelial cancer progression and invasion, thereby contributing to the formation of metastases (<xref rid="b23-ijo-52-05-1465" ref-type="bibr">23</xref>). Mesenchymal-epithelial transition (MET) is the reverse of EMT, and serves an important function in the formation of somites and in kidney morphogenesis. This reverse process is characterized by cytoskeletal reorganization with the reactivation of epithelial cell markers and the loss of mesenchymal cell markers (<xref rid="b24-ijo-52-05-1465" ref-type="bibr">24</xref>). However, relevant literature is comparatively rare, particularly concerning cancer.</p>
<p>Quinazoline derivatives have diverse pharmacological properties, including anti-microbial, anti-malarial, analgesic, sedative, hypoglycemic, anti-tubercular and anticancer activities (<xref rid="b25-ijo-52-05-1465" ref-type="bibr">25</xref>). In the past 10 years, a large number of experimental studies have demonstrated that novel quinazoline derivatives are able to selectively inhibit important pathways through blocking growth factor receptors, including epithelial growth factor receptor, vascular endothelial growth factor, platelet-derived growth factor, ErbB2 and c-Src (<xref rid="b26-ijo-52-05-1465" ref-type="bibr">26</xref>&#x02013;<xref rid="b30-ijo-52-05-1465" ref-type="bibr">30</xref>). One of the most well-characterized derivatives is gefitinib (Iressa), which is the first selective inhibitor of epidermal growth factor receptor that binds to the adenosine triphosphate (ATP)-binding site of the receptor to deter non-small cell lung cancer (<xref rid="b31-ijo-52-05-1465" ref-type="bibr">31</xref>). There are no reports on quinazoline derivatives targeting IGF-1R, or concerning the potential anticancer effects. Our group recently designed and synthesized quinazoline series compounds, and one of these compounds, HMJ-30, presented in <xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1A</xref>, may be a novel anti-IGF-1R agent (<xref rid="b32-ijo-52-05-1465" ref-type="bibr">32</xref>,<xref rid="b33-ijo-52-05-1465" ref-type="bibr">33</xref>). The present study investigated the novel quinazoline derivative HMJ-30, which inhibits invasiveness in U-2 OS cells, and elucidated the potential signaling pathways.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals</title>
<p>HMJ-30 was designed and synthesized by Dr Mann-Jen Hour (School of Pharmacy, China Medical University, Taichung, Taiwan). Dimethyl sulfoxide (DMSO), potassium phosphate, trypan blue, propidium iodide (PI), Triton X-100, Tris-HCl, MTT and ribonuclease-A were obtained from Sigma-Aldrich; Merck KGaA (Darmstadt, Germany). McCoy's 5a medium, L-glutamine, fetal bovine serum (FBS), trypsin-EDTA, penicillin G and streptomycin were obtained from Gibco; Thermo Fisher Scientific (Waltham, MA, USA). Antibodies against phosphorylated (p-) protein kinase B (AKT) (cat. no. 4060), AKT (cat. no. 4691), p-extracellular signal-regulated kinase (ERK) (cat. no. 4370), ERK (cat. no. 4695), p-c-Jun amino-terminal kinase (JNK) (cat. no. 4668), JNK (cat. no. 9252), p-p38 (cat. no. 4511), p38 (cat. no. 8690), p-IGF-1R &#x003B2; (Tyr1131)/insulin receptor &#x003B2; (IR&#x003B2;; Tyr1146) (cat. no. 3021), and Ras (cat. no. 3965) were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). Antibodies against &#x003B2;-actin (cat. no. sc-47778), &#x003B1;-tubulin (cat. no. sc-5286), IGF-1R (cat. no. sc-9038), IR (cat. no. sc-710), PI3K (p85) (cat. no. sc-1637), IKK (cat. no. sc-7607), nuclear factor-&#x003BA;B (NF-&#x003BA;B; p65) (cat. no. sc-372), p-I&#x003BA;B (cat. no. sc-8404), I&#x003BA;B (cat. no. sc-371), matrix metalloproteinase (MMP)-2 (cat. no. sc-13595), MMP-9 (cat. no. sc-21733), tissue inhibitor of metalloproteinase (TIMP)-1 (cat. no. sc-5538), TIMP-2 (cat. no. sc-5539), and all goat anti-mouse (cat. no. sc-2005) and anti-rabbit (cat. no. sc-2004) immunoglobulin (IgG)-horseradish peroxidase (HRP) secondary antibodies were purchased from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). Epithelial cadherin (E-cadherin) (cat. no. 07-697), &#x003B2;-catenin (cat. no. 05-613), fibronectin (cat. no. CP70) and vimentin (cat. no. CBL202) primary antibodies were from EMD Millipore (Billerica, MA, USA). Materials and chemicals for electrophoresis were obtained from Bio-Rad Laboratories, Inc. (Hercules, CA, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>U-2 OS, a human osteogenic sarcoma cell line, was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan). U-2 OS cells were cultured in 75 cm<sup>2</sup> tissue culture flasks with 90% McCoy's 5a medium containing 1.5 mM L-glutamine adjusted to 1.5 mg/l sodium bicarbonate and supplemented with 10% FBS and 1% penicillin-streptomycin (100 U/ml penicillin G and 100 <italic>&#x003BC;</italic>g/ml streptomycin) at 37&#x000B0;C under a humidified 5% CO<sub>2</sub> atmosphere, as previously described (<xref rid="b33-ijo-52-05-1465" ref-type="bibr">33</xref>&#x02013;<xref rid="b36-ijo-52-05-1465" ref-type="bibr">36</xref>).</p></sec>
<sec>
<title>Cell viability assay</title>
<p>To evaluate the cytotoxicity of HMJ-30 in osteocarcinoma U-2 OS cells, an MTT assay was performed. Briefly, viable cells were counted on a Neubauer chamber with a microscope. U-2 OS cells were placed in a 96-well cell culture plate at an initial concentration of 1&#x000D7;10<sup>5</sup> cells/ml, and treated with HMJ-30 at different concentrations (0, 5, 10, 20, and 40 <italic>&#x003BC;</italic>M) or with 0.1% DMSO for 24 h at 37&#x000B0;C. Following a 24 h incubation period, MTT solution (0.5 mg/ml) was added to each well for 4 h at 37&#x000B0;C. Subsequently, the culture medium was removed, and the formazan crystals formed by oxidation of the MTT solution were dissolved with DMSO in isopropanol and measured spectrophotometrically at 490 nm. The cell survival ratio was expressed as a percentage of the control, as previously described (<xref rid="b37-ijo-52-05-1465" ref-type="bibr">37</xref>&#x02013;<xref rid="b39-ijo-52-05-1465" ref-type="bibr">39</xref>).</p></sec>
<sec>
<title>Phase-contrast microscopy of morphological changes</title>
<p>U-2 OS cells were cultured in 24-well plates at a density of 2.5&#x000D7;10<sup>5</sup> cells/well/ml prior to treatment with 20 <italic>&#x003BC;</italic>M HMJ-30. Following treatment with HMJ-30 for 24 h at 37&#x000B0;C, morphological changes were determined using a phase-contrast microscope (&#x000D7;200 and &#x000D7;400) as previously described (<xref rid="b6-ijo-52-05-1465" ref-type="bibr">6</xref>).</p></sec>
<sec>
<title>Wound healing assay</title>
<p>To determine cell migration, U-2 OS cells were placed in a 6-well tissue culture plate for 24 h and grown to 80&#x02013;90% confluence. Individual wells were scratched with a micropipette tip to create a denuded zone of constant width (1 mm). Cells were then cultured in serum-free McCoy's 5a medium and incubated with 0, 5, 10, 20, and 40 <italic>&#x003BC;</italic>M of HMJ-30 or with 0.1% DMSO for 24 h at 37&#x000B0;C. Cells were photographed under phase-contrast microscopy (&#x000D7;100) as previously described (<xref rid="b35-ijo-52-05-1465" ref-type="bibr">35</xref>,<xref rid="b40-ijo-52-05-1465" ref-type="bibr">40</xref>,<xref rid="b41-ijo-52-05-1465" ref-type="bibr">41</xref>).</p></sec>
<sec>
<title>Transwell assay</title>
<p>Cell invasion was measured using a Matrigel-coated invasion chamber. Initially, a 24-well Transwell insert with 8 <italic>&#x003BC;</italic>m porosity polycarbonate filters (EMD Millipore) recoated with 30 <italic>&#x003BC;</italic>g Englebreth-Holm-Swarm sarcoma tumor matrix (EHS Matrigel Basement Membrane Matrix) at 25&#x000B0;C for 1 h to form a genuine reconstituted basement membrane. Cells were then maintained for 24 h in serum-free McCoy's 5a medium. The serum-starved cells were then re-suspended in serum-free medium and placed in the upper chamber of the Transwell insert (5&#x000D7;10<sup>4</sup> cells/well) and treated with different concentrations of HMJ-30 (0, 5, 10, 20 and 40 <italic>&#x003BC;</italic>M) or with 0.1% DMSO for 24 h at 37&#x000B0;C. The culture medium supplemented with 10% FBS was added to the lower chamber. The cells were then incubated at 37&#x000B0;C in a humidified atmosphere with 95% air and 5% CO<sub>2</sub> to allow sufficient time for invasion. Following incubation for 24 h, the cells were fixed with 4% formaldehyde for 15 min in phosphate-buffered-saline (PBS) and stained with 2% crystal violet for 5 min at room temperature. Finally, the non-invading cells in the top well were removed with a cotton swab, and the invading cells which penetrated through the Matrigel to the bottom wells were counted under a light microscope (&#x000D7;200) as previously described (<xref rid="b6-ijo-52-05-1465" ref-type="bibr">6</xref>,<xref rid="b36-ijo-52-05-1465" ref-type="bibr">36</xref>,<xref rid="b42-ijo-52-05-1465" ref-type="bibr">42</xref>).</p></sec>
<sec>
<title>Gelatin zymography</title>
<p>To determine the activity of MMP-2 and MMP-9, gelatin zymography was used. Briefly, U-2 OS cells were treated with HMJ-30 at different concentrations (0, 5, 10, 20 and 40 <italic>&#x003BC;</italic>M) or with 0.1% DMSO for 24 h at 37&#x000B0;C in the absence of serum. Cells were then collected and separated by dilution in a zymography sample buffer. Samples were mixed with loading buffer and electrophoresed on 10% sodium dodecyl sulfate (SDS)-polyacrylamide gel with 0.1% gelatin. Gels were washed twice in denaturing buffer (2.5% Triton X-100 in double-distilled H<sub>2</sub>O), and incubated with development buffer (50 mM Tris, pH 7.5, 200 mM NaCl, 5 mM CaCl<sub>2</sub>, 1 mM ZnCl<sub>2</sub>, 0.02% Briji-35) at 37&#x000B0;C for 18 h, stained with 0.5% Coomassie blue G-250 for 1 h, and de-stained with de-staining solution. Non-staining bands indicating proteolytic activities were digitized using a scanning digital system and analyzed using NIH image software. MMP-2 (72-62 kDa) and MMP-9 (92-85 kDa) activity was expressed as the ratio to MMP-2 standard to avoid differences among gels (<xref rid="b43-ijo-52-05-1465" ref-type="bibr">43</xref>).</p></sec>
<sec>
<title>Molecular modeling of the HMJ-30-protein complex</title>
<p>The crystal structure of the IGF-1R kinase domain complexed with a benzimidazole (Protein Data Bank code = 2oj9) was retrieved from the Protein Data Bank (<ext-link xlink:href="http://www.rcsb.org/pdb" ext-link-type="uri">http://www.rcsb.org/pdb</ext-link>). Automated docking was then performed. LigandFit, within the software package Discovery Studio 2.5 (Accelrys, San Diego, CA, USA) was used to evaluate and predict the <italic>in silico</italic> binding free energy of the inhibitors within the macromolecules. First, the prepare protein protocol was used to prepare the 2oj9 protein structure, including standardizing atom names, inserting missing atoms in residues and removing alternate conformations, inserting missing loop regions based on SEQRES data, optimizing short and medium size loop regions with Looper Algorithm, minimizing the remaining loop regions, and calculating pK and protonate structure. A binding pocket of the native benzimidazole ligand was selected as the binding site for the present study. Following typing of the receptor model with the CHARMm forcefield, the binding site was identified by the LigandFit flood-filling algorithm. This docking protocol employed total ligand flexibility, whereby the final ligand conformations were determined by the Monte Carlo conformation search method set to a variable number of trial runs. The docked ligands were further refined using <italic>in situ</italic> ligand minimization with the Smart Minimizer algorithm. Each minimization was performed in two steps, first using the steepest descent minimization for 200 cycles and then using conjugate gradient minimization, until the average gradient fell below 0.01 kcal/mol. All atoms within 6.0 &#x000C5; of the inhibitor were allowed to relax during the minimization, whereas those atoms beyond 6.0 &#x000C5; were held rigid. Finally, the Dock score was used to estimate the binding free energies of the ligands. Among the docked conformations, the pose with the highest value of Dock score was selected for the calculation of binding free energy (&#x02206;Gb) and inhibition constant (Ki).</p></sec>
<sec>
<title>Tyrosine kinase assay</title>
<p>An assay to determine tyrosine kinase activity was performed according to the manufacturer's protocols (Tyrosine kinase assay kit; EMD Millipore). U-2 OS cells were plated in 12-well plates at an initial density of 5.0&#x000D7;10<sup>6</sup> cells and incubated with 0, 20 or 40 <italic>&#x003BC;</italic>M of HMJ-30 or with 10 <italic>&#x003BC;</italic>M picopodophyllotoxin (PPP) (Sigma-Aldrich; Merck KGaA) for 6 h at 37&#x000B0;C. Cells were harvested and total proteins were collected under non-denaturing conditions. Samples were incubated with tyrosine kinase reaction buffer for 30 min at 30&#x000B0;C, followed by the addition of p-tyrosine (4G10) antibodies at a 1:5,000 dilution for 3 min at room temperature, and then detected using an ELISA reader (Anthos 2001) (Anthos Labtec Instruments GmbH, Salzburg, Austria) at a 450 nm wavelength, as previously described (<xref rid="b44-ijo-52-05-1465" ref-type="bibr">44</xref>).</p></sec>
<sec>
<title>Phosphorylated protein kinase sandwich ELISA assay</title>
<p>p-IGF-1R &#x003B2; (Tyr1131) (cat. no. 7302), p-p38 MAPK (Thr180/Tyr182) (cat. no. 7946), p-p44/42 MAPK (Thr202/Tyr204) (cat. no. 7177), and p-Akt (Thr308) (cat. no. 7252) assays were performed according to the manufacturer's protocols (PathScan Sandwich ELISA kits; Cell Signaling Technology, Inc.). In total, ~1&#x000D7;10<sup>7</sup> U-2 OS cells/ml were plated on 24-well plates and treated with 0, 20 or 40 <italic>&#x003BC;</italic>M of HMJ-30 or with specific protein kinase inhibitors (10 <italic>&#x003BC;</italic>M PPP, U0126, SB203580 or wortmannin; Sigma-Aldrich; Merck KGaA) for 6 h at 37&#x000B0;C. These cells were harvested and total proteins were collected. Samples were incubated in appropriate antibody-coated microwells for 2 h at 37&#x000B0;C or overnight at 4&#x000B0;C. To each well, 100 <italic>&#x003BC;</italic>l of the appropriate antibody was added for 1 h at 37&#x000B0;C, and HRP-linked secondary antibody was added for 30 min at 37&#x000B0;C. Absorbance was measured with an ELISA reader (Anthos 2001) at a wavelength of 450 nm as previously described (<xref rid="b45-ijo-52-05-1465" ref-type="bibr">45</xref>).</p></sec>
<sec>
<title>Immunoprecipitation of IGF-1R and IR proteins</title>
<p>U-2 OS cells were seeded in a 10-cm dish at an initial concentration of 1.0&#x000D7;10<sup>7</sup> cells and treated with 20 or 40 <italic>&#x003BC;</italic>M HMJ-30 or with 0.1% DMSO for 6 h. Cells were then harvested and total proteins were collected using PRO-PREP Protein Extraction Solution (iNtRON Biotechnology, Seongnam, Korea). Samples were incubated with IGF-1R or IR antibodies overnight at 4&#x000B0;C, followed by adding A/G-agarose beads with gentle rocking for 3 h at 4&#x000B0;C. Following centrifugation at 300 x g for 10 min at 4&#x000B0;C, the pellets were washed with 1X cell lysis buffer and re-suspended in 3X SDS sample buffer. These samples were subjected to 10% SDS gel electrophoresis followed by incubation with p-tyrosine (4G10) or p-IGF-1R &#x003B2; (Tyr1131)/IR&#x003B2; (Tyr1146) antibodies at a 1:1,000 dilution overnight at 4&#x000B0;C to measure specific protein levels, as previously described (<xref rid="b45-ijo-52-05-1465" ref-type="bibr">45</xref>).</p></sec>
<sec>
<title>Immunostaining and confocal laser microscopy</title>
<p>U-2 OS cells (5&#x000D7;10<sup>4</sup> cells/well) plated on a 4-well chamber slide were treated with 20 <italic>&#x003BC;</italic>M HMJ-30 or with 0.1% DMSO for 24 h. Cells were then fixed in 4% ice formaldehyde for 5 min at room temperature and placed in 1% bovine serum albumin (Sigma-Aldrich; Merck KGaA) containing 0.1% Triton X-100 at 37&#x000B0;C for 30 min. Subsequently, the cells were washed twice with PBS for 5 min and incubated with primary antibodies against E-cadherin (1:250 dilution), &#x003B2;-catenin (1:250 dilution), fibronectin (1:250 dilution), and vimentin (1:250 dilution) overnight at 4&#x000B0;C and then exposed to specific secondary antibodies &#x0005B;fluorescein isothiocyanate-conjugated goat anti-mouse (cat. no. 31569) or anti-rabbit (cat. no. 31635) IgG antibodies; Invitrogen; Thermo Fisher Scientific&#x0005D; at a 1:500 dilution for 1 h at room temperature, followed by DNA staining with PI. Photomicrographs were obtained using a Leica TCS SP2 confocal spectral microscope (Leica Microsystems GmbH, Wetzlar, Germany) as previously described (<xref rid="b46-ijo-52-05-1465" ref-type="bibr">46</xref>,<xref rid="b47-ijo-52-05-1465" ref-type="bibr">47</xref>).</p></sec>
<sec>
<title>Western blotting</title>
<p>To analyze the expression of proteins associated with invasiveness, western blot analysis was performed. Briefly, the U-2 OS cells were plated in 10 cm-dish at an initial concentration of 1.0&#x000D7;10<sup>7</sup> cells and treated with HMJ-30 at different concentrations (0, 10, 20, and 40 <italic>&#x003BC;</italic>M) or with 0.1% DMSO for 6 or 24 h at 37&#x000B0;C. Cells were harvested and total proteins were collected using PRO-PREP Protein Extraction Solution (iNtRON Biotechnology). Protein samples were quantified using the Pierce bicinchoninic acid (BCA) Protein assay kit (Pierce; Thermo Fisher Scientific). Samples (40 <italic>&#x003BC;</italic>g) were electrophoresed by 10% SDS-polyacrylamide gel electrophoresis and transferred onto nitrocellulose membranes (Invitrogen; Thermo Fisher Scientific). The membranes were then incubated in blocking solution (0.1% Tween-20 in PBS plus 5% powdered non-fat milk) for 1 h at room temperature, and incubated overnight at 4&#x000B0;C with each of the indicated primary antibodies &#x0005B;MMP-9, MMP-2, TIMP-1, TIMP-2, E-cadherin, &#x003B2;-catenin, vimentin, fibronectin, Ras, p-ERK, ERK, p-JNK, JNK, p-p38, p38, PI3K (p85), p-AKT, AKT, IKK, p-I&#x003BA;B, I&#x003BA;B, NF-&#x003BA;B (p65), &#x003B2;-actin and &#x003B1;-tubulin&#x0005D; (1:1,000 dilution) diluted in blocking solution. Subsequently, the membranes were washed with PBST three times for 10 min and incubated with the appropriate HRP-conjugated secondary IgG antibodies (1:10,000 dilution; HRP-conjugated goat anti-rabbit and goat anti-mouse IgG) for 1 h at room temperature and then washed three times in PBST. Bands were detected using enhanced chemiluminescence with ECL reagents (GE Healthcare Life Sciences, Little Chalfont, UK) and exposed to X-OMAT AR films (Kodak, Rochester, NY, USA). The auto-radiograms were scanned on a UMAX PowerLook Scanner (UMAX Technologies, Fremont, CA, USA) with Photoshop CS5 software (Adobe Systems, Inc., San Jose, CA, USA), as previously described (<xref rid="b43-ijo-52-05-1465" ref-type="bibr">43</xref>,<xref rid="b48-ijo-52-05-1465" ref-type="bibr">48</xref>).</p></sec>
<sec>
<title>Analysis of NF-&#x003BA;B binding using an electrophoretic mobility shift assay (EMSA)</title>
<p>Nuclear proteins were extracted from U-2 OS cells following treatment with 20 <italic>&#x003BC;</italic>M HMJ-30 or 10 <italic>&#x003BC;</italic>M ammonium pyrrolidinedithiocarbamate (PDTC; NF-&#x003BA;B inhibitor) (Sigma-Aldrich; Merck KGaA) for 12 h at 37&#x000B0;C using the NE-PER Nuclear and Cytoplasmic Extraction Reagents kit (Pierce; Thermo Fisher Scientific, Inc.). The protein concentrations were determined using the Pierce BCA Protein assay kit (Pierce; Thermo Fisher Scientific), and biotin end-labeled oligonucleotide sequences (5&#x02032;-Biotin-GATCCAGGGGACTTTCCCTAGC-3&#x02032;) corresponding to the consensus site of NF-&#x003BA;B were designed. Nuclear extract proteins (5 <italic>&#x003BC;</italic>g) were used for EMSA with a LightShift Chemiluminescent EMSA kit (Pierce; Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. Biotin end-labeled duplex DNA was incubated with a nuclear extract or purified factor and electrophoresed on a 6% non-denaturing polyacrylamide native gel. For competition experiments, a 100-fold excess of unlabeled double-stranded oligonucleotide was added to the reaction. Then, the DNA was rapidly transferred to a positively-charged nitrocellulose membrane, UV cross-linked and probed with streptavidin-HRP conjugate (1:300 dilution) with gentle agitation for 15 min at room temperature. Bands were detected by enhanced chemiluminescence with ECL reagents (GE Healthcare Life Sciences) and exposed to X-OMAT AR films (Kodak) as previously described (<xref rid="b35-ijo-52-05-1465" ref-type="bibr">35</xref>,<xref rid="b49-ijo-52-05-1465" ref-type="bibr">49</xref>).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All data were expressed as the mean &#x000B1; standard deviation from three separate experiments. Statistical analysis was performed using one-way analysis of variance followed by Dunnett's test, with SPSS software version 16.0 (SPSS, Inc., Chicago, IL, USA). <sup>&#x0002A;</sup>P&#x0003C;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>HMJ-30 selectively targets insulin-like growth factor 1 receptor (IGF-1R)</title>
<p>Our group synthesized a series of quinazoline derivatives targeting tyrosine kinase signaling to inhibit tumor invasion and migration. One of these compounds, HMJ-30 (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1A</xref>), was proposed to actively target IGF-1R. This hypothesis was tested using western blotting, immune-precipitation, kinase activity assays and a computational modeling program. HMJ-30 reduced protein levels of p-IGF-1R (Tyr 1131) and p-tyrosin (4G10) which are determined by immune-precipitation and western blotting (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1B</xref>). Several small molecule inhibitors of IGF-1R tyrosine kinases have been developed and they are currently undergoing clinical investigations (<xref rid="b50-ijo-52-05-1465" ref-type="bibr">50</xref>). However, this approach may be unsatisfactory as co-inhibition of IR is expected to cause hyperglycemia, and this potential effect results from a high protein sequence similarity between the kinase domains of IGF-1R and IR (<xref rid="b51-ijo-52-05-1465" ref-type="bibr">51</xref>). In the present study, p-IR and p-tyrosine (4G10) protein expression levels were evaluated using immune-precipitation and western blotting, and the results revealed that there was no statistical significance between HMJ-30-treated groups and the control (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1C</xref>). The effects of HMJ-30 on p-IGF-1R (Tyr1131) and tyrosine kinase in U-2 OS cells were further investigated. p-IGF-1R (Tyr1131) protein expression was significantly downregulated (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1D</xref>). Tyrosine kinase activity was significantly downregulated, as measured using a kinase assay (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1E</xref>). PPP, which has been reported to act as a non-competitive, potent and specific inhibitor of IGF-1R <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b52-ijo-52-05-1465" ref-type="bibr">52</xref>), was used as a positive control, and was also revealed to reduce kinase activity.</p></sec>
<sec>
<title>Molecular modeling of HMJ-30 and IGF-1R interaction</title>
<p>In order to predict the major target site of HMJ-30, a docking simulation of HMJ-30 and IGF-1R was performed using the program Discovery Studio Modeling 2.5 (Accelrys). The three-dimensional crystalline structure of the IGF-1R kinase domain in complex with a benzimidazole was downloaded from the RCSB Protein Data Bank website. The computational modeling of the HMJ-30 and IGF1R interaction indicated that HMJ-30 is able to bind to the ATP-binding site of IGF-1R. The interaction between HMJ-30 and IGF-1R is involved in the F-H interaction of 6-fluoro with Ile<sup>1130</sup>, the F-H interaction of 2-(3-fluoro) phenyl with Met<sup>1052</sup> and Ala<sup>1001</sup>, the hydrophobic interactions of the quinazoline ring with Met<sup>1126</sup> and Thr<sup>1127,</sup> and the hydrophobic interactions of 2-(3-fluoro)phenyl with Met<sup>1049</sup> and Glu<sup>1050</sup> (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1F</xref>). These interactions made HMJ-30 bind readily to IGF-1R, with low potential energy. Furthermore, the structure of HMJ-30 superimposes well onto the benzimidazole inhibitor (A)-3-&#x0005B;(5-(1H-imidazol-1-yl)-7-methyl-1H-benzimidazol-2-yl)-4-&#x0005B;(pyridin-2-yl-methyl) amino&#x0005D;pyridin-2(1H)-one (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1F</xref>, bottom). Therefore, HMJ-30 may be an IGF-1R inhibitor.</p></sec>
<sec>
<title>HMJ-30 inhibits invasion in U-2 OS cells</title>
<p>To determine the effect of HMJ-30 on U-2 OS cell invasion, wound and Transwell assays were used. HMJ-30 inhibited cell migration in a concentration-dependent manner (<xref rid="f2-ijo-52-05-1465" ref-type="fig">Fig. 2A and B</xref>). HMJ-30 also inhibited cell invasion in a concentration-dependent manner (<xref rid="f2-ijo-52-05-1465" ref-type="fig">Fig. 2C and D</xref>). Tumor cell viability was inhibited, however, only following treatment with 40 <italic>&#x003BC;</italic>M HMJ-30 for 24 h (<xref rid="f2-ijo-52-05-1465" ref-type="fig">Fig. 2E</xref>). These data suggested that a concentration of HMJ-30 &#x0003C;40 <italic>&#x003BC;</italic>M primarily inhibited tumor migration and invasion, but toxicity in U-2 OS cells may require a higher concentration and an increased incubation time.</p></sec>
<sec>
<title>HMJ-30 inhibits MMP-2 and MMP-9 protein activity and expression levels in U-2 OS cells</title>
<p>Previous studies have reported that tumor invasion requires the degradation of basement membranes and proteolysis of the extracellular matrix (ECM) (<xref rid="b4-ijo-52-05-1465" ref-type="bibr">4</xref>). Multiple proteolytic enzymes, including MMPs and serine proteinases, are involved in tumor-host interactions to transmigrate limiting basement membranes and the ECM (<xref rid="b53-ijo-52-05-1465" ref-type="bibr">53</xref>). MMP-2 and MMP-9 serve an important function in cancer cell invasion, and degrade type IV collagen and gelatin which are primarily found in the basal lamina (<xref rid="b54-ijo-52-05-1465" ref-type="bibr">54</xref>). To further evaluate the invasive activity, protein levels of MMP-2 and MMP-9 were determined by gelatin zymography, sandwich ELISA assay and western blotting. HMJ-30 significantly inhibited MMP-2 and MMP-9 activity (<xref rid="f3-ijo-52-05-1465" ref-type="fig">Fig. 3A and B</xref>) and protein levels (<xref rid="f3-ijo-52-05-1465" ref-type="fig">Fig. 3C and D</xref>).</p>
<p>The tissue inhibitors of metalloproteinase (TIMP) family, which includes TIMP-1 to TIMP-4, is a group of endogenous MMP inhibitors that serve a central post-translational regulatory role in the majority of known MMPs (<xref rid="b55-ijo-52-05-1465" ref-type="bibr">55</xref>). TIMP-1, the inducible form, has been identified as an inhibitor of the majority of metalloproteinases. TIMP-2, a primarily constitutive protein, has been observed interacting with MMP-1, -2, -9 and -14 (<xref rid="b55-ijo-52-05-1465" ref-type="bibr">55</xref>,<xref rid="b56-ijo-52-05-1465" ref-type="bibr">56</xref>). The present study evaluated the protein levels of TIMP-1 and TIMP-2, which were revealed to be significantly increased in HMJ-30-treated U-2 OS cells (<xref rid="f3-ijo-52-05-1465" ref-type="fig">Fig. 3D</xref>). These results suggested that HMJ-30 may also be involved in the regulation of MMP-2 and MMP-9 activity.</p></sec>
<sec>
<title>HMJ-30 induces morphological changes and inhibits EMT in U-2 OS cells</title>
<p>During the progression and invasion of solid tissue epithelial cancers, tumor cells will lose their epithelial characteristics and gain mesenchymal properties, thus undergoing EMT (<xref rid="b23-ijo-52-05-1465" ref-type="bibr">23</xref>). In contrast, previous studies have reported that the reactivation of epithelial characteristics and the loss of mesenchymal cell markers causes cells to undergo a reverse EMT process, which is also known as MET. The reverse process has been revealed to be associated with the inhibition of invasion and migration in cancer cells (<xref rid="b57-ijo-52-05-1465" ref-type="bibr">57</xref>&#x02013;<xref rid="b59-ijo-52-05-1465" ref-type="bibr">59</xref>). To evaluate whether or not HMJ-30 induces MET in U-2 OS cells, morphological changes and mesenchymal/epithelial cell markers were investigated. HMJ-30-treated U-2 OS cells acquired a flattened, less elongated and cobblestone-like shape, which is typical of epithelial cell appearance (<xref rid="f4-ijo-52-05-1465" ref-type="fig">Fig. 4A</xref>). Furthermore, the cells were more aggregated and formed tighter clusters compared with the control group. Expression of vimentin and fibronectin (mesenchymal markers) and of E-cadherin and &#x003B2;-catenin (epithelial markers) were evaluated by immunofluorescent staining and western blotting. HMJ-30-treated U-2 OS cells gained E-cadherin and &#x003B2;-catenin (epithelial markers) and lost vimentin and fibronectin protein (mesenchymal markers) (<xref rid="f4-ijo-52-05-1465" ref-type="fig">Fig. 4B and C</xref>). These results indicated that MET acts as an important anti-invasive function in HMJ-30-treated U-2 OS cells.</p></sec>
<sec>
<title>HMJ-30 inhibits invasiveness through IGF-1R-mediated Ras/MAPK, PI3K/AKT and NF-&#x003BA;B signaling pathways in U-2 OS cells</title>
<p>Activated IGF-IR initiates signaling through two primary cascades, the PI3K/AKT and Ras/MAPK pathways (<xref rid="b7-ijo-52-05-1465" ref-type="bibr">7</xref>). These cascades serve critical functions in diverse cellular processes (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>). MAPKs are part of a phosphorylation regulatory system composed of three sequentially activated kinases, ERK1/2, p38 kinase and c-Jun amino-terminal kinases (JNKs) (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>). To elucidate the potential molecular signaling pathways in HMJ-30-treated U-2 OS cells, the levels of associated proteins in the PI3K/AKT and Ras/MAPK signaling pathways were assessed using western blotting. Key phosphorylated proteins in these signaling pathways were reconfirmed via sandwich ELISA assay. HMJ-30 caused a decrease in the protein levels of Ras, p-ERK1/2, p-p38, and p-JNK in U-2 OS cells (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5A</xref>). Inhibitors of MEK 1 and MEK 2 (U0126) and p38 (SB203580) also reduced the protein levels of p-p44/22 MAPK (ERK) and p-p38, respectively (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5B and C</xref>). HMJ-30 caused a decrease in the protein levels of PI3K (p85) and p-AKT in U-2 OS cells (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5D</xref>). Inhibitors of PI3K (wortmannin) also reduced the protein expression of p-AKT (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5E</xref>).</p>
<p>The PI3K and AKT signaling pathway allows the translocation of NF-&#x003BA;B to the nucleus to regulate gene transcription. The accumulation of I&#x003BA;B, resulting from the decrease of the phosphorylation of I&#x003BA;B by IKKs, prevents the translocation of NF-&#x003BA;B and the activation of transcription by retaining NF-&#x003BA;B in the cytoplasm (<xref rid="b61-ijo-52-05-1465" ref-type="bibr">61</xref>). NF-&#x003BA;B serves an important function in the modulation of the expression of oncogenes, including MMP-2/9, cyclin D1, cell survival proteins and vascular endothelial growth factor; the activities of which are associated with the growth as well as the invasive and metastatic propertoes of cancer cells (<xref rid="b61-ijo-52-05-1465" ref-type="bibr">61</xref>,<xref rid="b62-ijo-52-05-1465" ref-type="bibr">62</xref>). HMJ-30 caused a decrease in protein levels of IKK and NF-&#x003BA;B (p65) and an increase in the protein level of I&#x003BA;B, as confirmed by western blotting (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5F</xref>). HMJ-30 caused a decrease in the protein levels of IKK and NF-&#x003BA;B (p65) and an increase in the protein levels of I&#x003BA;B (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5F</xref>). Furthermore, HMJ-30 caused a decrease in NF-&#x003BA;B activity, and the inhibitor of NF-&#x003BA;B, PDTC, also reduced the activity of NF-&#x003BA;B, as determined by EMSA (<xref rid="f5-ijo-52-05-1465" ref-type="fig">Fig. 5G</xref>). These results suggested that HMJ-30 inhibited PI3K/AKT, Ras/MAPK, and I&#x003BA;B/NF-&#x003BA;B signaling pathways in U-2 OS cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Several quinazoline derivatives have been developed to act as potent and selective inhibitors of the growth factor receptor tyrosine kinase (<xref rid="b25-ijo-52-05-1465" ref-type="bibr">25</xref>). The quinazoline ring has been reported to occupy the adenine binding site of the tyrosine kinase receptor, and to inhibit its phosphorylation. Anilinoquinazolines have also been reported to act as potent therapeutic agents in invasive cancers to prevent metastasis (<xref rid="b27-ijo-52-05-1465" ref-type="bibr">27</xref>). Our group has designed and synthesized several anilinoquinazolines in order to inhibit tumor metastasis. One of these compounds, HMJ-30 (<xref rid="f1-ijo-52-05-1465" ref-type="fig">Fig. 1A</xref>), selectively targeted the ATP binding site of IGF-1R and downregulated MAPKs, as well as PI3K/AKT signaling. In order to gain further insights into HMJ-30 inhibiting the IGF-1R signaling pathway in human osteosarcoma, the antitumor effects in HMJ-30-treated U-2 OS cells were evaluated. The U-2 OS cell line, with its spindle-like morphology (<xref rid="f4-ijo-52-05-1465" ref-type="fig">Fig. 4A</xref>), was established by Ponten and Saksela from the osteosarcoma of a 15-year old Caucasian female (<xref rid="b63-ijo-52-05-1465" ref-type="bibr">63</xref>). <italic>In vitro</italic> studies have demonstrated that U-2 OS cells grow via autocrine stimulation by expressing IGF-IR and insulin-like growth factor-II/mannose-6-phosphate (IGF-II/M6P) receptors, and synthesizing and secreting IGF-like peptides (<xref rid="b13-ijo-52-05-1465" ref-type="bibr">13</xref>). Initially, migration and invasion were evaluated in HMJ-30-treated U-2 OS cells. HMJ-30 inhibited cell migration and invasion in a concentration-dependent manner (<xref rid="f2-ijo-52-05-1465" ref-type="fig">Fig. 2</xref>). These results are in agreement with a previous study <italic>in vitro</italic> which revealed that the downregulation of endogenous IGF-1R expression by lentivirus-mediated RNAi reduces tumor invasion in osteosarcoma cells (<xref rid="b14-ijo-52-05-1465" ref-type="bibr">14</xref>). The present study revealed that &#x0003C;40 <italic>&#x003BC;</italic>M HMJ-30 inhibited tumor migration and invasion; whereas a higher concentration and an increased incubation time induced toxicity in U-2 OS cells.</p>
<p>The degradation of basement membranes and the proteolysis of the ECM has been reported to enable tumors to migrate into adjacent tissues or transmigrate, limiting basement membranes and extracellular matrices (<xref rid="b4-ijo-52-05-1465" ref-type="bibr">4</xref>). MMPs are zinc-dependent endopeptidases and serve a major function in ECM degradation and remodeling. Previous studies have demonstrated that overexpression of MMPs, particularly the gelatinases MMP-2 and MMP-9, is associated with the invasive properties of several tumor cell lines (<xref rid="b54-ijo-52-05-1465" ref-type="bibr">54</xref>,<xref rid="b64-ijo-52-05-1465" ref-type="bibr">64</xref>). The results of the present study demonstrated that HMJ-30 decreased the protein activities and levels of MMP-2 and MMP-9 in U-2 OS cells (<xref rid="f3-ijo-52-05-1465" ref-type="fig">Fig. 3</xref>).</p>
<p>Regulation of MMPs consists of three levels: i) gene expression; ii) activation of the latent pro-enzymes; and iii) inhibition by tissue inhibitor of metalloproteinases (TIMPs) (<xref rid="b4-ijo-52-05-1465" ref-type="bibr">4</xref>,<xref rid="b54-ijo-52-05-1465" ref-type="bibr">54</xref>,<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>,<xref rid="b66-ijo-52-05-1465" ref-type="bibr">66</xref>). MMP gene expression at the transcriptional and post-transcriptional levels is regulated through multiple signaling pathways, and is directed by the protein kinases (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>). Highly selective inhibitors of PI3K (wortmannin), MEK (U0126), p38 MAPK (SB203580) and JNK (SP600125) confirm the regulation of MMP gene expression by the PI3K/AKT and Ras/MAPK pathways (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>). The transcription factor, NF-&#x003BA;B, has binding sites in the promoter of MMPs genes, including MMP-2 and -9. PDTC, an inhibitor of NF-&#x003BA;B, determined the modulation of MMP production (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>,<xref rid="b62-ijo-52-05-1465" ref-type="bibr">62</xref>). In a recent study, IGF-1R signaling was reported to act as a positive and negative regulator of MMP expression and function (<xref rid="b64-ijo-52-05-1465" ref-type="bibr">64</xref>). Based on previous studies and present results, it would appear that HMJ-30 suppressed MMP-2 and MMP-9 expression through IGF-1R-mediated PI3K/AKT and Ras/MAPK signaling pathways in U-2 OS cells. On the other hand, the upregulation of TIMP-1 and TIMP-2 suggests that HMJ-30 may be involved in post-translational regulation of MMP activity. Normally, the expression of the majority of MMPs is low in tissue; however, as it is required for remodeling ECM, it is induced by several extracellular stimuli (<xref rid="b60-ijo-52-05-1465" ref-type="bibr">60</xref>). MMPs in human cancers have functions beyond ECM degradation. They induce cancer cells to produce numerous growth factors, cytokines and chemokines which contribute to the expression of MMPs by stromal cells, creating a favorable environment for metastasis (<xref rid="b53-ijo-52-05-1465" ref-type="bibr">53</xref>). The present study indicated that the upregulation of TIMP-1 and TIMP-2 by HMJ-30 may not only inhibit MMPs produced by U-2 OS cells, but may also reduce the activity of stromal-derived MMPs.</p>
<p>Epithelial cells form layers kept together by specialized membrane structures which limit the movement of epithelial cells to the two-dimensional space of the epithelial plane. In contrast, mesenchymal cells only have focal contacts with their neighbors without forming organized cell layers, which are elongated and motile in a three-dimensional space, enriching MMPs (<xref rid="b66-ijo-52-05-1465" ref-type="bibr">66</xref>). During cancer progression, EMT occurs in which epithelial cells lose their epithelial characteristics and gain mesenchymal properties (<xref rid="b23-ijo-52-05-1465" ref-type="bibr">23</xref>). These differentiated mesenchymal cells easily spread into tissues surrounding the original tumor, as well as travelling to other locations. Finally, the disseminated tumor cells undergo a reverse EMT process, MET, recapitulating the corresponding primary tumors at the site of metastasis to establish a secondary tumor (<xref rid="b23-ijo-52-05-1465" ref-type="bibr">23</xref>). Previous studies have reported that specific inhibition of tumor invasion and migration reactivates epithelial characteristics and lose mesenchymal cell markers, resulting in MET in malignancies (<xref rid="b57-ijo-52-05-1465" ref-type="bibr">57</xref>&#x02013;<xref rid="b59-ijo-52-05-1465" ref-type="bibr">59</xref>). Pax3 has also been reported to induce the formation of multi-layered condensed cell aggregates with epithelial characteristics and regulated phenotypic mesenchymal-epithelial interconversion in osteogenic Saos-2 cells (<xref rid="b67-ijo-52-05-1465" ref-type="bibr">67</xref>,<xref rid="b68-ijo-52-05-1465" ref-type="bibr">68</xref>). However, few further discussions concerning the association between metastasis and MET in osteosarcoma cells have occurred. HMJ-30-treated U-2 OS cells acquired a flattened, less elongated and cobblestone-like shape, which is typical of an epithelial appearance, and underwent MET as determined by an increase of epithelial markers and a reduction of mesenchymal markers (<xref rid="f4-ijo-52-05-1465" ref-type="fig">Fig. 4</xref>).</p>
<p>E-cadherin is a key component of intercellular junctions, and spans membranes to hook into E-cadherin molecules on adjacent cells. &#x003B2;-catenin, an intracellular attachment protein, binds to the intracellular domain of E-cadherin and links E-cadherin to the intracellular cytoskeletons. The E-cadherin/&#x003B2;-catenin complex therefore provides the major strength underlying cell-cell associations, establishing cell polarity and supporting the cellular structure. Loss of E-cadherin and junction complex has been implicated in the gain of invasive potential by cancer cells (<xref rid="b69-ijo-52-05-1465" ref-type="bibr">69</xref>). In the present study, HMJ-30 upregulated protein levels of E-cadherin and &#x003B2;-catenin around the cytoplasm and membrane (<xref rid="f4-ijo-52-05-1465" ref-type="fig">Fig. 4B and C</xref>). One interpretation of these results is that HMJ-30 caused tumor cell aggregation and formed tight clusters through increasing cell-cell junctions to limit the invasion and migration of these differentiated epithelial cells from the primary site.</p>
<p>Several transcription factors, including Snail, Slug, Twist, and zinc finger E-box binding homeobox 1 (Zeb1), are crucial to EMT. NF-&#x003BA;B was recently demonstrated to be essential for EMT and metastasis via binding to the Snail promoter and increasing its activity (<xref rid="b70-ijo-52-05-1465" ref-type="bibr">70</xref>). Furthermore, inhibition of NF-&#x003BA;B prevented EMT in Ras-transformed epithelial cells and caused a reversal of EMT in mesenchymal cells, suggesting that the induction and maintenance of EMT critically depend on NF-&#x003BA;B activity (<xref rid="b71-ijo-52-05-1465" ref-type="bibr">71</xref>). Activation of IGF-1R kinase was also reported to cause EMT and promote metastasis in prostate and breast epithelial tumors through PI3K/AKT and Ras/MAPK signaling, increasing the transcriptional actives of Snail and Zeb1 (<xref rid="b70-ijo-52-05-1465" ref-type="bibr">70</xref>,<xref rid="b72-ijo-52-05-1465" ref-type="bibr">72</xref>). In the present study, blockage of IGF-1R by HMJ-30 reduced NF-&#x003BA;B activity and downregulated PI3K/AKT and Ras/MAPK pathway signaling, resulting in MET in U-2 OS cells.</p>
<p>In conclusion, the present study has demonstrated that HMJ-30 inhibits tumor invasiveness and induces mesenchymal-epithelial transition via selective blockage of IGF-1R signaling, involving PI3K/AKT and Ras/MAPK pathways in human osteosarcoma U-2 OS cells. Furthermore, this occurred without targeting IR, which indicated that HMJ-30 causes fewer toxic side-effects compared with the conventional chemotherapy. Downregulated protein levels and MMP-2 and MMP-9 activity, and upregulated TIMP-1 and TIMP-2 protein levels indicated that HMJ-30 not only inhibited MMP gene expression but also acted through post-translational regulation. HMJ-30 induced dramatic morphology changes in U-2 OS cells and increased the expression of epithelial markers and reduced mesenchymal markers, suggesting that HMJ-30 treatment inhibited invasiveness in tumor cells. The proposed signal pathways underlying HMJ-30-induced IGF-1R blockage are presented in <xref rid="f6-ijo-52-05-1465" ref-type="fig">Fig. 6</xref>. These results provide important information regarding the potential molecular mechanisms of the effect of HMJ-30 on osteosarcoma, and confirm that HMJ-30 may be a candidate osteosarcoma drug in the future.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>Not applicable.</p></ack>
<fn-group><fn id="fn2-ijo-52-05-1465">
<p><bold>Funding</bold></p>
<p>The present study was supported by the Ministry of Science and Technology, Taiwan (grant no. MOST 104-2320-B-039-004-MY3), and China Medical University Hospital (grant no. DMR-106-122).</p></fn><fn id="fn3-ijo-52-05-1465">
<p><bold>Availability of data and materials</bold></p>
<p>The data sets generated during the study are available from the corresponding author on reasonable request.</p></fn><fn id="fn4-ijo-52-05-1465">
<p><bold>Authors' contributions</bold></p>
<p>YJC, MJH and JSY conceived and designed the experiments. YAJ, CCL and TLC performed the experiments. FJT, HM and YNJ analyzed the data. YJC, MJH and JSY wrote and modified the paper. All authors read and approved the final manuscript.</p></fn><fn id="fn5-ijo-52-05-1465">
<p><bold>Ethics approval and consent to participate</bold></p>
<p>Not applicable.</p></fn><fn id="fn6-ijo-52-05-1465">
<p><bold>Consent for publication</bold></p>
<p>Not applicable.</p></fn><fn id="fn7-ijo-52-05-1465">
<p><bold>Competing interests</bold></p>
<p>The authors declare that they have no competing interests.</p></fn></fn-group>
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<floats-group>
<fig id="f1-ijo-52-05-1465" position="float">
<label>Figure 1</label>
<caption>
<p>HMJ-30 selectively targets the IGF-1R ATP binding site. (A) The chemical structure of HMJ-30. (B) Following treatment with 0, 20, and 40 <italic>&#x003BC;</italic>M HMJ-30 for 6 h, U-2 OS cells were harvested and total proteins were collected. IGF-1R was evaluated by immune-precipitation and p-IGF-1R (Tyr<sup>1131</sup>) and p-tyrosin (4G10) were evaluated by western blotting. (C) Following treatment with 0, 20 and 40 <italic>&#x003BC;</italic>M HMJ-30 or with PPP for 6 h, cells were harvested and total proteins were collected. IR was evaluated by immune-precipitation, and p-IR (Tyr<sup>1146</sup>) was evaluated by western blotting. (D) p-IGF-1R (Tyr 1131) protein levels were evaluated by ELISA. (E) Tyrosine kinase activity was evaluated using a tyrosine kinase assay. (F) In order to predict the major target site of HMJ-30 to IGF-1R, the docking simulation of HMJ-30 and IGF-1R was performed using a computational modeling program. The interactions reveal that HMJ-30 binds readily to the ATP-binding site of IGF-1R with low potential energy. The superimposed image is of HMJ-30 (yellow color) and benzimidazole inhibitor A (gray color). The data represents the mean &#x000B1; standard deviation of three experiments. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. control. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino) quinazoline; IGF-1R, insulin-like growth factor 1 receptor; ATP, adenosine trisphosphate; p-, phosphorylated; PPP, picropodophyllotoxin; IR, insulin receptor.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g00.jpg"/></fig>
<fig id="f2-ijo-52-05-1465" position="float">
<label>Figure 2</label>
<caption>
<p>HMJ-30 suppresses invasion and migration in human osteogenic sarcoma U-2 OS cells. (A) Following incubation with 0, 5, 10, 20, and 40 <italic>&#x003BC;</italic>M HMJ-30 for 24 h in serum-free medium, cells were photographed, and (B) migrated cells were quantified. (C) The invasion of U-2 OS cells was measured using Matrigel-coated invasion chambers. Following treatment with the indicated concentrations of HMJ-30 and incubation for 24 h, the invading cells which penetrated through the Matrigel to the bottom wells were counted under a light microscope (&#x000D7;200), and (D) cell invasion was quantified. (E) Following treatment with 0, 5, 10, 20, and 40 <italic>&#x003BC;</italic>M HMJ-30 for 24 h, the cell viability of U-2 OS cells was evaluated. The data represents the mean &#x000B1; standard deviation of three experiments. <sup>&#x0002A;</sup>P&#x0003C;0.05 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. 0 <italic>&#x003BC;</italic>M. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g01.jpg"/></fig>
<fig id="f3-ijo-52-05-1465" position="float">
<label>Figure 3</label>
<caption>
<p>HMJ-30 inhibits MMP-2 and MMP-9 activity and expression levels in human osteogenic sarcoma U-2 OS cells. (A) Gelatin zymography was used to measure the activity of MMP-2 and MMP-9, and (B) MMP-9 and MMP-2 levels were quantified. (C) Following treatment with 0, 5, 10, 20 and 40 <italic>&#x003BC;</italic>M HMJ-30 for 24 h, MMP-9 and MMP-2 protein levels were determined by sandwich ELISA. (D) Protein levels of MMP-2, MMP-9, TIMP-1, and TIMP-2 were evaluated by western blotting. The data represents the mean &#x000B1; standard deviation of three experiments. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. control. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline; MMP, matrix metalloproteinase; TIMP, tissue inhibitor of metalloproteinase.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g02.jpg"/></fig>
<fig id="f4-ijo-52-05-1465" position="float">
<label>Figure 4</label>
<caption>
<p>HMJ-30 alters cell morphology and inhibits epithelial-mesenchymal transition in human osteogenic sarcoma U-2 OS cells. (A) Following treatment with 0 and 20 <italic>&#x003BC;</italic>M HMJ-30 for 24 h, cells were photographed using phase-contrast microscopy. U-2 OS cells were scattered; however, HMJ-30-treated cells were more aggregated and formed tight clusters (top, &#x000D7;200). The U-2 OS cells had spindle-like morphology; however, HMJ-30-treated cells gained flattened, less elongated and cobblestone-like shapes (bottom, &#x000D7;400). (B) Epithelial markers (E-cadherin and &#x003B2;-catenin; top) and mesenchymal markers (vimentin and fibronectin; bottom) were evaluated by immunofluorescent staining. (C) The protein levels of E-cadherin, &#x003B2;-catenin, vimentin and fibronectin were evaluated by western blotting. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline; E-cadherin, epithelial cadherin.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g03.jpg"/></fig>
<fig id="f5-ijo-52-05-1465" position="float">
<label>Figure 5</label>
<caption>
<p>HMJ-30 inhibits the Ras/MAPK, PI3K/AKT, and NF-&#x003BA;B signaling pathways in human osteogenic sarcoma U-2 OS cells. (A) Protein levels of Ras, p-ERK, p-JNK and p-p38 were downregulated, as determined by western blotting. Expression of the key proteins in MAPK signaling, (B) p-ERK (p-p44/42) and (C) p-p38, were reconfirmed using ELISA assays. (D) The protein levels of PI3K (p85) and p-AKT were downregulated, as determined by western blot-ting. (E) The key protein in p-AKT was reconfirmed by ELISA assay. (F) Protein levels of IKK, p-I&#x003BA;B and NF-&#x003BA;B (p65) were downregulated, as determined by western blotting. (G) NF-&#x003BA;B binding activity was determined using an electrophoretic mobility shift assay. Inhibitors of p44/22 MAPK (U0126), p38 (SB203580), PI3K (wortmannin) and NF-&#x003BA;B (PDTC), as positive controls, reduced protein kinase levels. The data represents the mean &#x000B1; standard deviation of three experiments. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. control. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline; MAPK, mitogen-activated protein kinase; PI3K, phosphoinositide 3-kinase; AKT, protein kinase B; NF-&#x003BA;B, nuclear factor-&#x003BA;B; p-, phosphorylated; ERK, extracelullar signal-regulated kinase; JNK, c-Jun amino-terminal kinase; PDTC, ammonium pyrrolidinedithiocarbamate.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g04.jpg"/></fig>
<fig id="f6-ijo-52-05-1465" position="float">
<label>Figure 6</label>
<caption>
<p>The proposed signaling pathways underlying HMJ-30-induced inhibition of invasiveness and EMT in human osteogenic sarcoma U-2 OS cells. HMJ-30, 6-fluoro-2-(3-fluorophenyl)-4-(cyanoanilino)quinazoline; EMT, epithelial-mesenchymal transition; p-, phosphorylated; IGF-1R, insulin-like growth factor 1 receptor; PI3K, phosphoinositide 3-kinase; ERK, extracelullar signal-regulated kinase; JNK, c-Jun amino-terminal kinase; AKT, protein kinase B; MMP, matrix metalloproteinase.</p></caption>
<graphic xlink:href="IJO-52-05-1465-g05.jpg"/></fig></floats-group></article>
