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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2020.4954</article-id>
<article-id pub-id-type="publisher-id">ijo-56-02-0630</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Inhibition of TPA-induced metastatic potential by morin hydrate in MCF-7 human breast cancer cells via the Akt/GSK-3&#x003B2;/c-Fos signaling pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Lee</surname><given-names>Kyu-Shik</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Nam</surname><given-names>Gi Suk</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Baek</surname><given-names>Junyoung</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Soyoung</given-names></name></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Nam</surname><given-names>Kyung-Soo</given-names></name><xref ref-type="corresp" rid="c1-ijo-56-02-0630"/></contrib>
<aff id="af1-ijo-56-02-0630">Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju, Gyeongsangbuk 38066, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-56-02-0630">Correspondence to: Professor Kyung-Soo Nam, Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju, Gyeongsangbuk 38066, Republic of Korea, E-mail: <email>namks@dongguk.ac.kr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>02</month>
<year>2020</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>01</month>
<year>2020</year></pub-date>
<volume>56</volume>
<issue>2</issue>
<fpage>630</fpage>
<lpage>640</lpage>
<history>
<date date-type="received">
<day>22</day>
<month>06</month>
<year>2019</year></date>
<date date-type="accepted">
<day>08</day>
<month>11</month>
<year>2019</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2020, Spandidos Publications</copyright-statement>
<copyright-year>2020</copyright-year></permissions>
<abstract>
<p>Plant flavonoid 2&#x02032;,3,4&#x02032;,5,7-pentahydroxyflavone (morin hydrate), isolated from the family Moraceae (<italic>Morus alba</italic> L.), is known to have anti-inflammatory and anticancer effects. However, its pharmaceutical effects on metastasis have not been fully elucidated to date. Therefore, the current study investigated the effects of morin hydrate on cancer metastasis in MCF-7 human breast cancer cells. The results showed that morin hydrate suppressed 12-O-tetradecanoylphorbol-13-acetate (TPA)-indu ced cell migration and invasion via the inhibition of matrix metal-loproteinase (MMP)-9 activity. Furthermore, gene expression level of MMP-9, MMP-7, urokinase plasminogen activator (uPA), uPA receptor (uPAR) and fibronectin were significantly decreased by morin hydrate treatment. Morin hydrate inhibited the phosphorylation of Akt and glycogen synthase kinase (GSK)-3&#x003B2;, and downregulated the expression of an activator protein-1 subunit c-Fos. In addition, the GSK-3&#x003B2; phosphorylation and c-Fos expression were suppressed by PI3K/Akt pathway inhibitors, LY294002 and wortmannin. Taken together, these results demonstrated that morin hydrate reduced the metastatic potential in TPA-treated MCF-7 human breast cancer cells via the inhibition of MMPs, uPA and uPAR, and the underlying Akt/GSK-3&#x003B2;/c-Fos pathway. Therefore, the present investigation suggested that morin hydrate may be a natural substance with a preventive potential for metastasis in breast cancer cells.</p></abstract>
<kwd-group>
<kwd>morin hydrate</kwd>
<kwd>metastasis</kwd>
<kwd>Akt</kwd>
<kwd>glycogen synthase kinase-3&#x003B2;</kwd>
<kwd>breast cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Although advanced techniques are being developed to treat breast cancer, which is the most common cancer among women, its mortality is still steadily increasing each year (<xref rid="b1-ijo-56-02-0630" ref-type="bibr">1</xref>). Previous studies demonstrated that mortality was closely associated with metastasis: The 5-year survival rate of breast cancer patients diagnosed with non-metastasized tumor was &#x02265;90%, while the survival rate of metastatic breast cancer patients was ~27% (<xref rid="b2-ijo-56-02-0630" ref-type="bibr">2</xref>,<xref rid="b3-ijo-56-02-0630" ref-type="bibr">3</xref>). Therefore, it is necessary to understand the mechanism of metastasis in cancer to improve the 5-year survival rate and lower the risk of recurrence.</p>
<p>Metastasis entails a number of complex steps, including detachment of primary cancer cells, migration, invasion, and attachment of detached cancer cells at secondary sites (<xref rid="b4-ijo-56-02-0630" ref-type="bibr">4</xref>). During these steps, matrix metalloproteinases (MMPs), urokinase plasminogen activator (uPA), and uPA receptor (uPAR) play important roles in the degradation of extracellular matrix (ECM) and basement membrane (<xref rid="b5-ijo-56-02-0630" ref-type="bibr">5</xref>,<xref rid="b6-ijo-56-02-0630" ref-type="bibr">6</xref>). Among MMPs, MMP-9 plays an important role in breast cancer metastasis. Several investigations have revealed the relationship between the MMP-9 level and metastasis in breast cancer patients or breast cancer cell models (<xref rid="b6-ijo-56-02-0630" ref-type="bibr">6</xref>-<xref rid="b10-ijo-56-02-0630" ref-type="bibr">10</xref>). Certain studies observed a high metastatic potential in MMP-9-overexpressing breast cancer cells (<xref rid="b11-ijo-56-02-0630" ref-type="bibr">11</xref>,<xref rid="b12-ijo-56-02-0630" ref-type="bibr">12</xref>). Furthermore, other researchers demonstrated that the inhibition of MMP-9 expression decreased the metastatic potential in breast cancer cells, implicating that the inhibition of MMP-9 expression may be a useful strategy for the prevention of metastasis in breast cancer (<xref rid="b7-ijo-56-02-0630" ref-type="bibr">7</xref>,<xref rid="b13-ijo-56-02-0630" ref-type="bibr">13</xref>). uPA, which activates MMP-9 and degrades ECM and BM via catalyzing plasmin production, is also a key proteolytic enzyme for breast cancer metastasis (<xref rid="b6-ijo-56-02-0630" ref-type="bibr">6</xref>). Furthermore, certain clinical studies showed that the prognosis and recurrence rate of breast cancer were linked with the uPA level in tumor tissue or serum, indicating that uPA is an important prognostic factor in breast cancer (<xref rid="b5-ijo-56-02-0630" ref-type="bibr">5</xref>,<xref rid="b14-ijo-56-02-0630" ref-type="bibr">14</xref>,<xref rid="b15-ijo-56-02-0630" ref-type="bibr">15</xref>). Taken together, these previous studies demonstrated that the monitoring of MMP-9 and uPA is an important strategy for the prevention of metastasis in breast cancer.</p>
<p>A number of studies demonstrated that the metastatic potential in various cancer models was predominantly linked with the transcriptional regulation of MMP-9 and uPA, mediated by activator protein-1 (AP-1) and/or NF-&#x003BA;B (<xref rid="b16-ijo-56-02-0630" ref-type="bibr">16</xref>,<xref rid="b17-ijo-56-02-0630" ref-type="bibr">17</xref>). Furthermore, several investigations revealed that natural substances and/or chemicals reversed the 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced metastatic potential via the regulation of MMP-9 and/or uPA expression through the regulation of c-Jun and/or c-Fos expression in breast cancer cells (<xref rid="b7-ijo-56-02-0630" ref-type="bibr">7</xref>,<xref rid="b18-ijo-56-02-0630" ref-type="bibr">18</xref>,<xref rid="b19-ijo-56-02-0630" ref-type="bibr">19</xref>). These investigations imply that AP-1 is an important transcription factor for the regulation of MMP-9 and uPA expression in breast cancer cells.</p>
<p>Fibronectin plays an important role in MMP-9 secretion and is a potent marker of poor breast cancer prognosis (<xref rid="b20-ijo-56-02-0630" ref-type="bibr">20</xref>,<xref rid="b21-ijo-56-02-0630" ref-type="bibr">21</xref>). When cancer cells are released from the primary tumor and invade other tissues, several proteases, such as MMP-9, uPA, uPAR and MMP-7, are involved in this process. Fibronectin participates in metastasis via stimulating MMP-9 secretion and increasing the metastatic potential (<xref rid="b22-ijo-56-02-0630" ref-type="bibr">22</xref>-<xref rid="b27-ijo-56-02-0630" ref-type="bibr">27</xref>). Furthermore, migration and invasion of MCF-7 cells were triggered by fibronectin treatment with the EMT-like morphological change (<xref rid="b20-ijo-56-02-0630" ref-type="bibr">20</xref>). The aforementioned investigations demonstrate the importance of fibronectin in the regulation of metastatic potential in cancer.</p>
<p>Plant flavonoid 2&#x02032;,3,4&#x02032;,5,7-pentahydroxyflavone (morin hydrate), naturally occurring in almonds, bilberries, Moraceae family and leaves of <italic>Cudranaia tricuspidata</italic> Buread, has various physiological properties, including antihypertensive, antiangiogenic, hepatoprotective, and anti-inflammatory activities (<xref rid="b28-ijo-56-02-0630" ref-type="bibr">28</xref>-<xref rid="b30-ijo-56-02-0630" ref-type="bibr">30</xref>). However, the physiological activity of morin hydrate in hormone receptor-positive breast cancer has not been fully elucidated to date. The current study investigated the effects of morin hydrate on the TPA-induced metastatic potential in MCF-7 hormone receptor-positive human breast cancer cells.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>Morin hydrate, bicinchoninic acid (BCA) solution, TPA, hematoxylin, eosin, and sulforhodamine B (SRB) were purchased from Sigma-Aldrich; Merck KGaA. DMEM, insulin solution, trypsin and antibiotic/antimycotic solution were acquired from Welgene, Inc. Trichloroacetic acid (TCA) was purchased from Samchun Pure Chemical Co., Ltd., and 30% polyacrylamide solution, protease inhibitor cocktail, and phosphatase inhibitor cocktail were obtained from GenDEPOT. Primary antibodies for Akt (cat. no. 4691), phospho-Akt (cat. no. 4060), ERK1/2 (cat. no. 4695), phospho-ERK1/2 (cat. no. 4370), JNK (cat. no. 9258), phospho-JNK (cat. no. 4668), p38 mitogen-activated protein kinase (MAPK; cat. no. 8690), phospho-p38 MAPK (cat. no. 4511), NF-&#x003BA;B (cat. no. 8242), phospho-NF-&#x003BA;B (cat. no. 3033), c-Jun (cat. no. 9165), c-Fos (cat. no. 2250), glycogen synthase kinase (GSK)-3&#x003B2; (cat. no. 5676), phospho-GSK-3&#x003B1;/&#x003B2; (cat. no. 9331) and GAPDH (cat. no. 5174) were purchased from Cell Signaling Technology, Inc., and goat anti-rabbit immunoglobulin G-horseradish peroxidase-conjugated antibody (cat. no. 31460) was from Thermo Fisher Scientific, Inc. PI3K/Akt inhibitors LY294002 and wortmannin were obtained from LC Laboratories and Cayman Chemical Company, respectively. Primers for reverse transcription-quantitative PCR (RT-qPCR) were synthesized by Bioneer Corporation.</p></sec>
<sec>
<title>Cell culture</title>
<p>MCF-7 human breast cancer cells were obtained from the Korean Cell Line Bank. The cells were grown in DMEM supplemented with 10% FBS (American Type Culture Collection), 10 <italic>&#x000B5;</italic>g/ml insulin and 1% antimycotic/antibiotic mixture at 37&#x000B0;C in 5% CO<sub>2</sub> atmosphere. The cells were serum-starved for 24 h prior to the addition of conditioned DMEM containing morin hydrate (0-200 <italic>&#x000B5;</italic>M) and/or 100 nM TPA at 37&#x000B0;C in 5% CO<sub>2</sub> atmosphere. All cell culture experiments were performed at 37&#x000B0;C in a 5% CO<sub>2</sub> atmosphere in DMEM.</p></sec>
<sec>
<title>Analysis of cytotoxic effect of morin hydrate</title>
<p>A total of 5,000 cells were seeded into a 96-well plate in each well and attached for 24 h in DMEM supplemented with 10% FBS. Then, DMEM supplemented with 10% FBS in each well was replaced with conditioned DMEM containing 5% FBS and various concentration of morin hydrate. The cells were further incubated for 24, 48 or 72 h; then the conditioned DMEM was removed. The cells were fixed with 20% TCA solution for 1 h, washed with tap water, and dried for 2 h, all at room temperature. To stain the dried cells, 0.4% SRB solution was added into each well and stored at room temperature for 30 min. The stained cells were rinsed with 1% acetic acid and dried at room temperature. Then, 100 <italic>&#x000B5;</italic>l of 10 mM Tris-HCl (pH 5.0) buffer was added in each well to dissolve SRB, and absorption was measured at a wavelength of 510 nm by a SpectraMax<sup>&#x000AE;</sup> M2e microplate reader (Molecular Devices, LLC).</p></sec>
<sec>
<title>Wound healing cell migration assay</title>
<p>A total of 5&#x000D7;10<sup>5</sup> cells/well were seeded into collagen-coated six-well plates and attached for 24 h in DMEM supplemented with 10% FBS. Then, the cell monolayers were scratched by 1 ml micropipette tip and DMEM supplemented with 10% FBS was removed by aspiration. Then, the cell monolayers were washed by PBS to remove detached cells and serum-starved for 24 h in serum-free DMEM. Then, serum-free DMEM was removed and the cell monolyers were treated with various concentration of morin hydrate dissolved in DMEM containing 1% FBS for 1 h prior to taking photographs. Then, the cells were further administrated with TPA to trigger cell migration for 24 h and the scratch zones were observed and photographed. The change of the width of the scratch zone was observed and images were captured with Nikon light microscope (Nikon Corporation).</p></sec>
<sec>
<title>Matrigel invasion assay</title>
<p>A total of 3&#x000D7;10<sup>4</sup> cells were plated in the upper chambers of 24-well transwell plates (8-<italic>&#x000B5;</italic>m-pore; Corning Inc.) in cold serum-free DMEM. For the invasion assay, plates were coated with the Matrigel<sup>&#x000AE;</sup> (BD Biosciences) for 1 h. DMEM supplemented 10% FBS were added in the lower chambers; then, the cells were cultured for 24 h in the upper chamber. The media in the upper chambers were replaced with serum-free DMEM and various concentrations of morin hydrate. The media in lower chambers were replaced with new DMEM supplemented with 10% FBS. After 1 h, TPA was added into the upper chambers as an inducer for invasion. The cells were further incubated for 24 h at 37&#x000B0;C in 5% CO<sub>2</sub> atmosphere. The cells that migrated through or invaded the polycarbonate filter were fixed with 100% methanol and stained with heamatoxylin and eosin Y solution for 10 min. The stained cells were observed with light microscope and images were captured using an inverted optical microscope. ImageJ (version 1.6.0_20) was used for data analysis (National Institutes of Health).</p></sec>
<sec>
<title>Analysis of MMP-9 activity by gelatin zymography</title>
<p>A total of 5&#x000D7;10<sup>5</sup> cells/well were attached for 24 h and then further cultured for 24 h in FBS-free DMEM for serum-starvation. The cells were treated with various concentrations of morin hydrate with 100 nM TPA for 24 h. The DMEM were electrophoresed with 8% non-denaturing SDS-PAGE containing 0.1% (v/v) gelatin. The gel was washed with 0.25% Triton X-100 solution to remove SDS and incubated at 37&#x000B0;C in a reaction buffer &#x0005B;5 mM CaCl<sub>2</sub>, 0.04% NaN<sub>3</sub> and 50 mM Tris-HCl&#x0005D; overnight to confirm the gelatinase activity of MMP-9. Bands were visualized by Coomassie brilliant blue R staining for 1 h and images were captured with LAS-4000 image analyzer (Fujifilm). ImageJ was used for data analysis.</p></sec>
<sec>
<title>Analysis of the change of nuclear c-Fos level by PI3K/Akt inhibitors</title>
<p>A total of 5&#x000D7;10<sup>5</sup> cells/well were attached for 24 h and then further cultured for 24 h in FBS-free DMEM for serum-starvation. The cells were pretreated for 24 h with various concentrations of morin hydrate and further incubated with or without Akt inhibitors, LY294002 (20 <italic>&#x000B5;</italic>M) and wortmannin (20 <italic>&#x000B5;</italic>M), for 30 min prior to TPA treatment for 1 h at 37&#x000B0;C. Then, the cells were harvested and analyzed by western blotting.</p></sec>
<sec>
<title>RNA isolation and RT-qPCR</title>
<p>The cells were treated with morin hydrate and 100 nM TPA for 24 h after 24-h attachment and 24-h serum-starvation. To isolate total RNA, the cells were harvested by trypsinization, collected by centrifugation at room temperature for 3 min at 1,000 &#x000D7; g and lysed with easy-BLUE&#x02122; Total RNA Extraction kit (Intron Biotechnology, Inc.). The extraction of total RNA from the lysed cells was performed in accordance with the manufacturer&#x02019;s protocol. Total RNA (1 <italic>&#x000B5;</italic>g) was used for cDNA synthesis. RT reaction was performed to synthesize cDNA in 1X GoScript&#x02122; reaction buffer containing 2 mM MgCl<sub>2</sub> with GoScript Reverse Transcriptase, 0.5 mM dNTPs (Promega Corporation) and pd(N)9 Random Primers (Takara Bio, Inc.). qPCR was performed using Q Green Sybr Green Master Mix kit (CellSafe Co., Ltd.) using Eco&#x02122; Real-Time PCR system (Illumina, Inc.). The following thermocycling conditions were used: Initial denaturation at 95&#x000B0;C for 5 min; 45 cycles of 95&#x000B0;C for 10 sec, 60&#x000B0;C for 20 sec and 72&#x000B0;C for 20 sec. Relative mRNA expression was automatically calculated using EcoStudy software (version 5.0.49; Illumina, Inc.). The primer sequences for PCR amplification are presented in <xref rid="tI-ijo-56-02-0630" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Nuclear fractionation</title>
<p>A total of 5&#x000D7;10<sup>5</sup> cells/well were attached for 24 h and then further cultured for 24 h in FBS-free DMEM for serum-starvation. The cells were pretreated with or without morin hydrate for 24 h and then further incubated with or without TPA for 1 h with serum-free DMEM. Then, DMEM was removed, the cells were washed twice with ice-cold PBS and treated with a hypotonic buffer (20 mM Tris-HCl pH 7.4, 10 mM NaCl and 3 mM MgCl<sub>2</sub>) containing phosphatase and protease inhibitor cocktails. The cells were collected using a rubber policeman scraper, transferred to new microtubes and incubated for 15 min on ice. Then, 1/8 vol 10% NP-40 (Sigma-Aldrich; Merck KGaA) was added and the cells were vortexed for 10 sec at the highest speed setting. The cells were incubated on ice for 10 min and centrifuged at 2,500 &#x000D7; g for 10 min at 4&#x000B0;C. The supernatants were removed as the cytosolic fraction, and the pellet was lysed for 30 min on ice with the Cell Extraction Buffer (Invitrogen; Thermo Fisher Scientific, Inc.) containing phosphatase and protease inhibitor cocktails. The lysates were separated by centrifugation at 14,000 &#x000D7; g for 30 min at 4&#x000B0;C and the supernatants were removed as the nuclear fraction.</p></sec>
<sec>
<title>Western blotting</title>
<p>A total of 5&#x000D7;10<sup>5</sup> cells/well were attached for 24 h and then further cultured for 24 h in FBS-free DMEM for serum-starvation. The cells were pretreated with or without morin hydrate for 24 h and then further incubated with or without TPA for 30 min with serum-free DMEM. Then, DMEM was removed, the cells were washed twice with ice-cold PBS, and whole cell lysates were prepared with radioimmunoprecipitation assay lysis buffer (Biosesang) supplemented with protease inhibitor and phosphatase inhibitor cocktails. The lysed cells were centrifuged at 14,000 &#x000D7; g for 10 min at 4&#x000B0;C, and the supernatants were collected as the whole cell lysate and stored at -80&#x000B0;C until further use. Equal amounts (20 <italic>&#x000B5;</italic>g) of protein form the whole cell lysate, nuclear fraction or cytosolic fraction were subjected to 8 or 10% SDS-PAGE and transferred to PVDF membranes (Pall Life Sciences). Blocking was performed with 5% non-fat dry milk or 1% bovine serum albumin (BSA; Santa Cruz Biotechnology, Inc.) in Tris-buffered saline-Tween (TBST; 50 mM Tris-HCl, 150 mM NaCl, 0.1% Tween-20) solution for 1 h at room temperature. The primary antibodies for target proteins were diluted at 1:3,000 in 5% non-fat dry milk or 1% BSA in TBST solution, and the reactions for primary antibodies were conducted overnight at 4&#x000B0;C. Subsequently, the membrane was washed by TBST solution, covered with secondary antibody diluted at 1:5,000 in TBS solution and incubated for 1 h at room temperature. The target protein bands were detected by a chemiluminescent substrate &#x0005B;100 mM Tris (pH 8.5; BioShop Canada, Inc.), 1.25 mM luminol, 198 <italic>&#x000B5;</italic>M coumaric acid and 0.01% hydrogen peroxide (all Sigma-Aldrich; Merck KGaA)&#x0005D; and images were captured using LAS-4000 image analyzer. The band densities were analyzed with Scion Image software (Alpha 4.0.3.2; Scion Corporation).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were analyzed using one-way ANOVA followed by Turkey post hoc test, using SPSS software (version 20.0; IBM Corp.). The values are presented as the mean &#x000B1; SD. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of morin hydrate on MCF-7 human breast cancer cell viability</title>
<p>Previous studies showed that morin hydrate had no cytotoxic activity in KEL FIB human fibroblast cells and EA.hy 926 human umbilical endothelial cells (<xref rid="b31-ijo-56-02-0630" ref-type="bibr">31</xref>,<xref rid="b32-ijo-56-02-0630" ref-type="bibr">32</xref>). Therefore, the current study firstly tested the effects of morin hydrate on cell viability in MCF-7 human breast cancer cells using an SRB colorimetric assay. MTT assay was not used, as the absorbance of insoluble formazan produced by MTT reagents is affected by morin hydrate. The result of the current study showed that cell viability of MCF-7 cells was slightly decreased after treatment with 0-200 <italic>&#x000B5;</italic>M morin hydrate and the maximum reduction rate of &gt;20% was observed after treatment with 200 <italic>&#x000B5;</italic>M morin hydrate for 72 h (<xref rid="f1-ijo-56-02-0630" ref-type="fig">Fig. 1A</xref>). Furthermore, the reduction of cell viability was associated with the delayed cell growth (<xref rid="f1-ijo-56-02-0630" ref-type="fig">Fig. 1B</xref>). These results suggested that morin hydrate had a weak antiproliferative activity when administered at a concentration range of 150-200 <italic>&#x000B5;</italic>M in MCF-7 hormone receptor-positive human breast cancer cells.</p></sec>
<sec>
<title>Effect of morin hydrate on TPA-induced migration and invasion of MCF-7 human breast cancer cells</title>
<p>The current study assessed whether morin hydrate could prevent TPA-induced metastatic potential in MCF-7 human breast cancer cells using cell migration and invasion assays. The result showed that TPA-enhanced cell migration was decreased by morin hydrate treatment in a concentration-dependent manner (<xref rid="f2-ijo-56-02-0630" ref-type="fig">Fig. 2A and C</xref>). Furthermore, the invasiveness promoted by TPA was also reversed by the presence of morin hydrate in MCF-7 cells in a concentration-dependent manner (<xref rid="f2-ijo-56-02-0630" ref-type="fig">Fig. 2B and D</xref>). These results suggest that morin hydrate could suppress the TPA-induced metastatic potential in MCF-7 cells.</p></sec>
<sec>
<title>Effect of morin hydrate on metastatic factors in TPA-treated MCF-7 cells</title>
<p>As indicated above, morin hydrate decreased the invasiveness of MCF-7 cells induced by TPA. Therefore, the current study further evaluated the effects of morin hydrate on MMP-9 activity and expression levels of MMP-9, uPA, uPAR, fibronectin and MMP-7. According to the gelatin zymographic analysis, the proteolytic activity of MMP-9 enhanced by TPA was significantly suppressed by 150 and 200 <italic>&#x000B5;</italic>M morin hydrate treatment in MCF-7 cells (<xref rid="f3-ijo-56-02-0630" ref-type="fig">Fig. 3A</xref>). Furthermore, MMP-9, uPA, uPAR and MMP-7 transcription levels were also decreased by morin hydrate supplementation in a concentration-dependent manner (<xref rid="f3-ijo-56-02-0630" ref-type="fig">Fig. 3B and C</xref>). In addition, gene expression of fibronectin, a known EMT factor, was significantly reduced by morin hydrate treatment (<xref rid="f3-ijo-56-02-0630" ref-type="fig">Fig. 3C</xref>). However, TPA did not affect the expression of E-cadherin and N-cadherin which are also EMT factors (data not shown). The results suggested that morin hydrate could prevent the participation of MMP-9 activity induced by TPA via negative regulation of MMP-9, uPA, uPAR, fibronectin and MMP-7.</p></sec>
<sec>
<title>Morin hydrate inhibits TPA-induced phosphorylation of Akt and GSK-3&#x003B2; and the expression of c-Fos</title>
<p>The current study evaluated the effects of morin hydrate on the phosphorylation levels of Akt, MAPK and GSK3&#x003B2;, as well as on the expression levels of AP-1 subunits c-Jun and c-Fos. The result showed that morin hydrate suppressed the phosphorylation of Akt and GSK-3&#x003B2;, in addition to the expression of c-Fos induced by TPA, in a concentration-dependent manner (<xref rid="f4-ijo-56-02-0630" ref-type="fig">Fig. 4A-C</xref>). By contrast, phosphorylation levels of ERK1/2 and NF-&#x003BA;B, and the expression of c-Jun, which are also involved in the regulation of expression of metastasis-enhancing factors, were not affected by morin hydrate treatment (<xref rid="f4-ijo-56-02-0630" ref-type="fig">Fig. 4C and D</xref>). JNK and p38 phosphorylation levels were also not altered by treatment with morin hydrate (data not shown). These results suggest that the inhibition of expression of metastasis-enhancing factors by morin hydrate may be associated with the reversal of Akt and GSK3&#x003B2; phosphorylation and inhibition of c-Fos expression.</p></sec>
<sec>
<title>Morin hydrate decreases the TPA-induced nuclear c-Fos level</title>
<p>Therefore, the current study assessed the effect of morin hydrate on the nuclear localization of c-Fos and c-Jun. Morin hydrate decreased the nuclear c-Fos level increased by TPA, in a concentration-dependent manner (<xref rid="f5-ijo-56-02-0630" ref-type="fig">Fig. 5A and B</xref>). However, the nuclear c-Jun level was not changed by morin hydrate treatment (<xref rid="f5-ijo-56-02-0630" ref-type="fig">Fig. 5A</xref>). These results imply that morin hydrate could inhibit AP-1 transcriptional activity by decreasing the c-Fos level in the nucleus. The change of the nuclear c-Fos level was also associated with altered whole cell c-Fos expression.</p></sec>
<sec>
<title>Akt inhibitors suppress GSK-3&#x003B2; phosphorylation and c-Fos expression</title>
<p>The results of the current study revealed that morin hydrate inhibited Akt and GSK-3&#x003B2; phosphorylation, and c-Fos expression (<xref rid="f6-ijo-56-02-0630" ref-type="fig">Fig. 6A</xref>), without the change of ERK and NF-&#x003BA;B phosphorylation (<xref rid="f4-ijo-56-02-0630" ref-type="fig">Fig. 4D</xref>). Therefore, the current study tested the effects of PI3K/Akt inhibitors, LY294002 and wortmannin, on Akt and GSK-3&#x003B2; phosphorylation and c-Fos expressions. The PI3K/Akt inhibitors downregulated the TPA-induced Akt and GSK-3&#x003B2; phosphorylation as well as the c-Fos expression. These results suggested that the inhibitory effect of morin hydrate on the metastatic potential may be regulated by the inhibition of the PI3K/Akt-mediated GSK-3&#x003B2; phosphorylation and c-Fos expression (<xref rid="f6-ijo-56-02-0630" ref-type="fig">Fig. 6B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Metastasis is one of the major causes of poor prognosis of patients with cancer. Therefore, prevention of metastasis is an important strategy for effective cancer therapy. Metastasis is primarily regulated by a number of factors, including MMPs, uPA and uPAR. Numerous investigations revealed that the inhibition of metastasis was linked with the regulation of MMPs, uPA and/or uPAR activities and/or expression levels (<xref rid="b5-ijo-56-02-0630" ref-type="bibr">5</xref>,<xref rid="b6-ijo-56-02-0630" ref-type="bibr">6</xref>,<xref rid="b18-ijo-56-02-0630" ref-type="bibr">18</xref>,<xref rid="b33-ijo-56-02-0630" ref-type="bibr">33</xref>-<xref rid="b35-ijo-56-02-0630" ref-type="bibr">35</xref>). In the present study, morin hydrate suppressed cell migration and invasiveness in TPA-treated MCF-7 human breast cancer cells, and delayed cell growth. Furthermore, MMP-9 activity was markedly decreased by morin hydrate. In addition, the expression levels of metastasis-enhancing factors, such as MMP-7, MMP-9, uPA, and uPAR, were decreased by morin hydrate, in a concentration-dependent manner. MMP-9 is a secretory protein activated by plasmin produced by the uPA/uPAR system, and its secretion is triggered by fibronectin (<xref rid="b21-ijo-56-02-0630" ref-type="bibr">21</xref>,<xref rid="b36-ijo-56-02-0630" ref-type="bibr">36</xref>). MMP-9 activity is closely associated with its gene expression (<xref rid="b13-ijo-56-02-0630" ref-type="bibr">13</xref>,<xref rid="b35-ijo-56-02-0630" ref-type="bibr">35</xref>). In addition, Wang <italic>et al</italic> (<xref rid="b37-ijo-56-02-0630" ref-type="bibr">37</xref>) reported that enhanced cell invasion and increased MMP-2 and MMP-9 secretion were shown in MMP-7-transfected MCF-7 cells, suggesting that MMP-7 participates in MMP-9 activation. In the present study, morin hydrate only reduced MMP-9 expression but also prevented MMP-9 activation and secretion via the inhibition of MMP-7, fibronectin, uPA and uPAR gene expression. Consequently, the results demonstrated that the inhibition of TPA-induced metastatic potential by morin hydrate in MCF-7 human breast cancer cells was linked with the downregulation of metastasis-enhancing factor expression and the diminishment of MMP-9 activity.</p>
<p>The expression of metastasis-enhancing factors, such as MMP-9, uPA and uPAR, is predominantly regulated by Akt and MAPK and involves the JNK, ERK, and p38 signaling pathways. GSK-3&#x003B2; is also a key protein involved in the EMT, Wnt signaling and metastasis in breast cancer (<xref rid="b38-ijo-56-02-0630" ref-type="bibr">38</xref>). Furthermore, the activity of AP-1, which is an important transcription factor regulating MMP-9, uPA, and uPAR expression, is directly regulated by GSK-3&#x003B2; (<xref rid="b39-ijo-56-02-0630" ref-type="bibr">39</xref>). Previous studies showed that enhanced migration of MCF-7 human breast cancer cells was mediated by the induction of GSK-3&#x003B2; phosphory-lation (<xref rid="b40-ijo-56-02-0630" ref-type="bibr">40</xref>,<xref rid="b41-ijo-56-02-0630" ref-type="bibr">41</xref>). These studies implied that the inhibition of metastatic potential was linked with the suppressive regulation of GSK-3&#x003B2; phosphorylation. In the current study, morin hydrate suppressed not only cell migration and invasion, but also the phosphorylation of GSK-3&#x003B2; induced by TPA in MCF-7 cells, in a concentration-dependent manner. A previous study revealed that the activation of protein kinase C (PKC) by TPA lead to the inactivation of GSK-3&#x003B2;, inducing the activation of AP-1 and promotion of tumorigenesis (<xref rid="b42-ijo-56-02-0630" ref-type="bibr">42</xref>). In the current study, morin hydrate inhibited the expression of AP-1 subunit c-Fos induced by TPA and this inhibition was associated with the inhibition of GSK-3&#x003B2; phosphorylation. Furthermore, nuclear level of c-Fos was also markedly decreased by morin hydrate, in a concentration-dependent manner. Therefore, morin hydrate may attenuate the metastatic potential through the inhibition of metastasis-enhancing factors, such as MMP-9, uPA, and uPAR, via downregulation of AP-1 transcriptional activity and activation of GSK-3&#x003B2;. Consequently, these results demonstrate that the suppressive effect of morin hydrate on the TPA-induced metastatic potential is linked with the GSK-3&#x003B2;-controlled inhibition of metastasis-enhancing factors.</p>
<p>TPA is a PKC activator that enhances cancer metastasis on the cellular level. TPA-mediated activations of Akt and MAPK play important roles in the induction of metastatic potential (<xref rid="b43-ijo-56-02-0630" ref-type="bibr">43</xref>). Akt is a well-known regulator of GSK-3&#x003B2; activity (<xref rid="b44-ijo-56-02-0630" ref-type="bibr">44</xref>,<xref rid="b45-ijo-56-02-0630" ref-type="bibr">45</xref>) and c-Fos expression may also be regulated by Akt (<xref rid="b46-ijo-56-02-0630" ref-type="bibr">46</xref>). The present investigation showed that TPA-induced Akt phosphorylation was reversed by morin hydrate along with the suppression of GSK-3&#x003B2; phosphorylation, c-Fos expression, and nuclear c-Fos level. Furthermore, LY294002 and wortmannin, which are Akt/PI3K inhibitors, inhibited TPA-induced GSK-3&#x003B2; phosphorylation and c-Fos expression. By contrast, morin hydrate did not affect to phosphorylation of ERK and NF-&#x003BA;B induced by TPA. The transcriptional activity of AP-1 is closely linked with the nuclear localization of its subunits, c-Jun and c-Fos. These results demonstrated that the inhibition of TPA-induced metastatic potential by morin hydrate in MCF-7 cells was regulated via the Akt/GSK-3&#x003B2;/c-Fos signaling pathway. Therefore, this investigation demonstrated that Akt acted as a key regulator of morin hydrate-mediated prevention of metastasis in MCF-7 human breast cancer cells.</p>
<p>The current study revealed the antimetastatic potential of morin hydrate in TPA-treated MCF-7 human breast cancer cells. This effect was shown at high concentrations (150-200 <italic>&#x000B5;</italic>M) of morin hydrate. At doses of 150 and 200 <italic>&#x000B5;</italic>M, morin hydrate inhibited the growth of MCF-7 cells. Gene expression levels of metastatic factors, such as MMP-7, MMP-9, fibronectin, uPA and uPAR, were downregulated at lower morin hydrate concentrations (50-200 <italic>&#x000B5;</italic>M); however, TPA-induced MMP-9 activity, Akt and GSK-3&#x003B2; phosphorylation and c-Fos expression were significantly reversed at 150 and 200 <italic>&#x000B5;</italic>M morin hydrate. It may be hypothesized that the inhibition of metastatic potential by morin hydrate in TPA-treated MCF-7 cells was closely linked with the suppression of cell growth.</p>
<p>Although anticarcinogenic and anticancer activities of morin hydrate were previously evaluated in animal and cancer cells and no toxicity of morin hydrate (10 and 50 mg/kg) was revealed in a mouse model following daily injection for 7 days, the effects of morin hydrate on metastasis remain to be fully assessed (<xref rid="b30-ijo-56-02-0630" ref-type="bibr">30</xref>). The present investigation showed the antimeta-static activity of morin hydrate in TPA-treated MCF-7 cells and it was revealed that the antimetastatic potential was induced by the Akt/GSK-3&#x003B2;-mediated inhibition of c-Fos expression. In conclusion, the present investigation demonstrated that morin hydrate, at the concentration range of 150-200 <italic>&#x000B5;</italic>M, is a potent substance that may prevent the metastasis of breast cancer. However, further research in patient-derived xenografts or 3D tumor models is required to assess the potential for clinical use.</p></sec></body>
<back>
<sec sec-type="other">
<title>Funding</title>
<p>This research was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (grant no. 2018R1D1A1B07047758).</p></sec>
<sec sec-type="materials">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p></sec>
<sec sec-type="other">
<title>Author&#x02019;s contributions</title>
<p>KSL and KSN designed the experiments. KSL, GSN and JB performed experiments. KSL, SK and KSN analyzed the data. KSL wrote the manuscript. KSL, SK and KSN reviewed the manuscript. All authors confirmed and approved the final manuscript.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Patient consent for publication</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p></sec>
<ack>
<title>Acknowledgments</title>
<p>Not applicable.</p></ack>
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<floats-group>
<fig id="f1-ijo-56-02-0630" position="float">
<label>Figure 1</label>
<caption>
<p>Viability of MCF-7 cells is slightly decreased by morin hydrate. Cell viabilities were measured at 24, 48 and 72 h after treatment with various concentration of morin hydrate. Sulforhodamine B method was used for the assessment of cytotoxic activity of morin hydrate. The same data were presented in a different manner to confirm whether the change of cell viability was caused by cell death. (A) Cell viabilities were analyzed to determine whether the change of cell viabilities was caused by cell growth inhibition without cell death. Cell viabilities at 24, 48 and 72 h were compared with 0 <italic>&#x000B5;</italic>M morin hydrate-treated sample. (B) Each cell viability was compared with 0 <italic>&#x000B5;</italic>M morin hydrate-treated sample at 24 h. Three independent experiments were performed. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 vs. 0 <italic>&#x000B5;</italic>M morin hydrate.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g00.tif"/></fig>
<fig id="f2-ijo-56-02-0630" position="float">
<label>Figure 2</label>
<caption>
<p>Migration and invasion of MCF-7 cells induced by TPA are reversed by morin hydrate. (A) Inhibition of cell migration by morin hydrate. Cell monolayers were scratched and serum-starved for 24 h and then scratch zones were observed as 0 h after pre-treatment with various concentration of morin hydrate for 1 h and further observed at 24 h after treating cells with or without TPA. Magnification, &#x000D7;40. (B) Inhibition of cell invasion by morin hydrate. Invasiveness was assessed at 24 h after treating cells with or without TPA and various concentrations of morin hydrate. Images of cells that invaded into the lower surface of the membrane were captured using Nikon DS-U3 Digital Sight microscope camera. Magnification, &#x000D7;100 (C) Four sections of scratched areas were randomly selected and the width of the wounds was measured by ImageJ. (D) The membranes were divided into four sections and the number invaded cells was counted by ImageJ. Small triangles indicate invaded cells. Three independent experiments were performed. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.0001 vs. TPA only. TPA, 12-O-tetradecanoylphorbol-13-acetate.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g01.tif"/></fig>
<fig id="f3-ijo-56-02-0630" position="float">
<label>Figure 3</label>
<caption>
<p>Morin hydrate inhibits MMP-9 activity and MMP-9 transcription induced by TPA. (A) Suppression of gelatinase activity of MMP-9 by morin hydrate. MMP-9 activity was induced by TPA for 24 h with or without morin hydrate. Conditioned DMEM was collected and subjected by 8% non-denaturing SDS-PAGE containing 0.1% gelatin. Clear bands images were captured with LAS-4000 image analyzer. (B) Morin hydrate-mediated downregulation of gene expression of metastasis-associated factors including (B) MMP-9 and (C) uPA, uPAR, fibronectin and MMP-7. GAPDH was used as the internal control. Three independent experiments were performed. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001, <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.0001 and <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.00001 vs. TPA only. TPA, 12-O-tetradecanoylphorbol-13-acetate; MMP, matrix metalloproteinase; uPA, urokinase plasminogen activator; uPAR, uPA receptor.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g02.tif"/></fig>
<fig id="f4-ijo-56-02-0630" position="float">
<label>Figure 4</label>
<caption>
<p>Morin hydrate reverses the phosphorylation of Akt and GSK-3&#x003B2; and inhibits the expression of c-Fos induced by TPA. (A) Reversal of TPA-induced Akt phosphorylation by morin hydrate. (B) Inhibition of TPA-induced GSK-3&#x003B2; phosphorylation by morin hydrate. (C) Suppression of TPA-induced c-Fos expression by morin hydrate. (D) Effect of morin hydrate on TPA-induced NF-&#x003BA;B and ERK 1/2 phosphorylation. Whole cell lysates were prepared with radio-immunoprecipitation assay lysis buffer and then subjected by 10% SDS-PAGE. Bands were developed using a chemiluminescent substance and images were captured using an LSA-4000 image analyzer. GAPDH was used as an internal control. Three independent experiments were performed. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. TPA only. TPA, 12-O-tetradecanoylphorbol-13-acetate; GSK, glycogen synthase kinase; p, phospho; t, total.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g03.tif"/>
<graphic xlink:href="IJO-56-02-0630-g04.tif"/></fig>
<fig id="f5-ijo-56-02-0630" position="float">
<label>Figure 5</label>
<caption>
<p>TPA-increased nuclear c-Fos level is decreased by morin hydrate. (A) Nuclear and cytosolic protein fractions were extracted and subjected to 10% SDS-PAGE. Bands were developed using a chemiluminescent substance and images were captured by LSA-4000 image analyzer. Lamin B1 and GAPDH was used as the internal controls for nuclear and cytosolic expression, respectively. Three independent experiments were performed. (B) Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. TPA only. TPA, 12-O-tetradecanoylphorbol-13-acetate.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g05.tif"/></fig>
<fig id="f6-ijo-56-02-0630" position="float">
<label>Figure 6</label>
<caption>
<p>Decrease in nuclear c-Fos level by morin hydrate is regulated by the Akt-mediated signaling pathway. (A) Akt inhibitors, LY294002 and wort-mannin, and morin hydrate, inhabited the phosphorylation of Akt and GSK-3&#x003B2; as well as the expression of c-Fos induced by TPA. The cells were pretreated with morin hydrate for 24 h and treated with Akt inhibitors, LY (20 <italic>&#x000B5;</italic>M) and wort (20 <italic>&#x000B5;</italic>M), for 30 min prior to TPA treatment for 1 h at 37&#x000B0;C. The whole cell lysates were subjected to 10% SDS-PAGE. Bands were developed by a chemiluminescent substance and images were captured using LSA-4000 image analyzer. GAPDH was used as the internal control. Three independent experiments were performed. Data are presented as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 and <sup>#</sup>P&lt;0.0001 vs. TPA only. (B) Proposed mechanism of morin hydrate-mediated inhibition of TPA-induced expression of metastasis-enhancing factors. TPA, 12-O-tetradecanoylphorbol-13-acetate; GSK, glycogen synthase kinase. LY, LY294002; Wort, wortmannin; p, phospho; t, total; MMP, matrix metalloproteinase; uPA, urokinase plasminogen activator; uPAR, uPA receptor.</p></caption>
<graphic xlink:href="IJO-56-02-0630-g06.tif"/></fig>
<table-wrap id="tI-ijo-56-02-0630" position="float">
<label>Table I</label>
<caption>
<p>Nucleotide sequences for primers used in quantitative PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Target</th>
<th colspan="2" valign="bottom" align="center">Primer sequence (5&#x02032;-3&#x02032;)
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">Forward</th>
<th valign="bottom" align="center">Reverse</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Fibronectin</td>
<td valign="top" align="left">CAGTGGGAGACCTCGAGAAG</td>
<td valign="top" align="left">TCCCTCGGAACATCAGAAAC</td></tr>
<tr>
<td valign="top" align="left">MMP-7</td>
<td valign="top" align="left">GGGACTCCTACCCATTTG</td>
<td valign="top" align="left">CAGCGTTCATCCTCATCG</td></tr>
<tr>
<td valign="top" align="left">MMP-9</td>
<td valign="top" align="left">GGGACGCAGACATCGTCATC</td>
<td valign="top" align="left">TCGTCATCGTCGAAATGGGC</td></tr>
<tr>
<td valign="top" align="left">uPA</td>
<td valign="top" align="left">GGAGATGAAGTTTGAGGTGG</td>
<td valign="top" align="left">GGTCTGTATAGTCCGGGATG</td></tr>
<tr>
<td valign="top" align="left">uPAR</td>
<td valign="top" align="left">CACAAAACTGCCTCCTTCCT</td>
<td valign="top" align="left">AATCCCCGTTGGTCTTACAC</td></tr>
<tr>
<td valign="top" align="left">E-cadherin</td>
<td valign="top" align="left">CGACCCAACCCAAGAATCTA</td>
<td valign="top" align="left">AGGCTGTGCCTTCCTACAGA</td></tr>
<tr>
<td valign="top" align="left">N-cadherin</td>
<td valign="top" align="left">TGAGCCTGAAGCCAACCTTA</td>
<td valign="top" align="left">AGGTCCCCTGGAGTTTTCTG</td></tr>
<tr>
<td valign="top" align="left">GAPDH</td>
<td valign="top" align="left">CTGCTCCTCCTGTTCGACAGT</td>
<td valign="top" align="left">CCGTTGACTCCGACCTTCAC</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijo-56-02-0630">
<p>MMP, matrix metalloproteinase; uPA, urokinase plasminogen activator; uPAR, uPA receptor.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
