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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="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2014.2912</article-id>
<article-id pub-id-type="publisher-id">mmr-11-03-2241</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Downregulation of gangliotetraosylceramide and &#x003B2;1,3-galactosyltransferase-4 gene expression by Smads during transforming growth factor &#x003B2;-induced epithelial-mesenchymal transition</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>GUO</surname><given-names>JIA</given-names></name><xref rid="af1-mmr-11-03-2241" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SONG</surname><given-names>BO</given-names></name><xref rid="af1-mmr-11-03-2241" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>XIANG</given-names></name><xref rid="af2-mmr-11-03-2241" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>CHENHUI</given-names></name><xref rid="af1-mmr-11-03-2241" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>GANGLONG</given-names></name><xref rid="af1-mmr-11-03-2241" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>XIAOMIN</given-names></name><xref rid="af3-mmr-11-03-2241" ref-type="aff">3</xref><xref rid="af4-mmr-11-03-2241" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>GUAN</surname><given-names>FENG</given-names></name><xref rid="af1-mmr-11-03-2241" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-mmr-11-03-2241"/></contrib></contrib-group>
<aff id="af1-mmr-11-03-2241">
<label>1</label>Key Laboratory of Carbohydrate Chemistry and Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi, Jiangsu 214122, P.R. China</aff>
<aff id="af2-mmr-11-03-2241">
<label>2</label>Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu 214122, P.R. China</aff>
<aff id="af3-mmr-11-03-2241">
<label>3</label>Department of Oncological Surgery, The First Affiliated Hospital, School of Medicine, Xi&#x02019;an Jiaotong University, Xi&#x02019;an, Shaanxi 710061, P.R. China</aff>
<aff id="af4-mmr-11-03-2241">
<label>4</label>Center of Breast Oncology, Shaanxi Province Tumor Hospital, Xi&#x02019;an, Shaanxi 710061, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-11-03-2241">Correspondence to: Professor Feng Guan, Key Laboratory of Carbohydrate Chemistry and Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, 1800 Lihu Avenue, Wuxi, Jiangsu 214122, P.R. China, E-mail: <email>fengguan@jiangnan.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>11</month>
<year>2014</year></pub-date>
<volume>11</volume>
<issue>3</issue>
<fpage>2241</fpage>
<lpage>2247</lpage>
<history>
<date date-type="received">
<day>17</day>
<month>12</month>
<year>2013</year></date>
<date date-type="accepted">
<day>28</day>
<month>07</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>The process of epithelial-mesenchymal transition (EMT) is essential for the proliferation and metastasis of tumor cells. Our previous study demonstrated that the expression of gangliotetraosylceramide (Gg4) and the transcription of UDP-Gal: &#x003B2;1,3-galactosyltransferase-4 (&#x003B2;3GalT4), a gene which controls the expression of Gg4, are reduced during transforming growth factor (TGF)-&#x003B2;-induced EMT in normal murine mammary gland (NMuMG) cells. The present study revealed that the transcription level of <italic>&#x003B2;3GalT4</italic> in patients with breast cancer was decreased compared with healthy control subjects. However, the molecular basis underlying these effects remains to be elucidated. Analysis of the <italic>&#x003B2;3GalT4</italic> promoter sequence revealed a putative Smad-binding element (SBE) of Smad4, which is a transcriptional factor in TGF&#x003B2; responses and forms a complex with Smad3. To clarify the association between the Smad3/4 complex and the <italic>&#x003B2;3GalT4</italic> gene during EMT in NMuMG cells, an electrophoretic mobility shift assay and a chromatin immunoprecipitation assay were performed. The Smad3/4 complex was found to bind directly to the SBE of the <italic>&#x003B2;3GalT4</italic> promoter. Overexpression of Smad3 and Smad4 through stable transfection had no notable effect on cell phenotype, but did alter the expression of various EMT protein markers. Treatment with TGF&#x003B2; reduced the expression of Gg4 and the mRNA levels of the <italic>&#x003B2;3GalT4</italic> gene in Smad3- and Smad4-overexpressing cells compared with vector-transfected cells. Expression of the epithelial markers E-cadherin and &#x003B2;-catenin decreased in parallel with the reduction in Gg4. These findings suggested that the activated Smad3/4 complex downregulated the expression of Gg4 and the <italic>&#x003B2;3GalT4</italic> gene through translocation into the nucleus and binding to the <italic>&#x003B2;3GalT4</italic> promoter.</p></abstract>
<kwd-group>
<kwd>gangliotetraosylceramide</kwd>
<kwd>&#x003B2;1,3-galactosyltransferase-4</kwd>
<kwd>epithelial-mesenchymal transition</kwd>
<kwd>Smads</kwd>
<kwd>transcription factor</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Glycosphingolipids (GSLs), consisting of a hydrophobic ceramide backbone and a hydrophilic carbohydrate residue, are an important type of glycolipid found in all animal cell surface membranes. GSLs are important in a variety of normal physiological processes and pathological conditions, including embryogenesis, immune responses, signal transduction as well as tumor initiation and progression (<xref rid="b1-mmr-11-03-2241" ref-type="bibr">1</xref>&#x02013;<xref rid="b6-mmr-11-03-2241" ref-type="bibr">6</xref>). However, the mechanisms underlying the regulation of GSL biosynthesis remain to be elucidated.</p>
<p>Previous studies have demonstrated that epithelial-mesenchymal transition (EMT) is an important process in disease development, particularly in tumor metastasis. During EMT, cells undergo a morphological change from epithelial cells, arranged in a cobblestone-like monolayer, to dispersed mesenchymal cells, which are spindle-shaped. They also exhibit a reduction in the expression of epithelial cell marker molecules, including E-cadherin (E-cad) and an increase in the expression of mesenchymal cell marker molecules, including fibronectin, N-cadherin (N-cad) and vimentin. Furthermore, they exhibit enhanced motility, enabling them to invade neighboring tissues through the extracellular matrix (<xref rid="b7-mmr-11-03-2241" ref-type="bibr">7</xref>,<xref rid="b8-mmr-11-03-2241" ref-type="bibr">8</xref>). Transforming growth factor-&#x003B2; (TGF&#x003B2;) is commonly used to induce EMT in cancer cell models. Our previous study demonstrated a decrease in the expression of gangliotetraosylceramide (Gg4) and in the transcription of the &#x003B2;1,3-galactosyltransferase-4 (<italic>&#x003B2;3GalT4)</italic> gene during a TGF&#x003B2;-induced EMT process in normal murine mammary gland (NMuMG) cells (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>). The expression of Gg4 and the key epithelial markers E-cad and &#x003B2;-catenin reduced with a similar time course during EMT. Immunoprecipitation assays confirmed the interaction between Gg4, E-cad and &#x003B2;-catenin and suggested that the EMT process is modulated by Gg4 through its interaction with E-cad and &#x003B2;-catenin at the NMuMG cell surface (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>,<xref rid="b10-mmr-11-03-2241" ref-type="bibr">10</xref>). However, the molecular mechanism underlying the reduced gene transcription of <italic>&#x003B2;3GalT4</italic> during TGF&#x003B2;-induced EMT remains to be elucidated.</p>
<p>TGF&#x003B2; signal transmission involves numerous biochemical pathways, including the TGF&#x003B2;/Smads signaling pathway (<xref rid="b11-mmr-11-03-2241" ref-type="bibr">11</xref>). In this pathway, TGF&#x003B2; activates receptor-regulated SMAD (R-Smads) proteins, Smad2 and Smad3, through receptor-induced phosphorylation, thereby reducing the affinity of R-Smads for cytoplasmic anchors and increasing their accumulation in the nucleus (<xref rid="b11-mmr-11-03-2241" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-mmr-11-03-2241" ref-type="bibr">13</xref>). R-Smads and Smad4 located in the nucleus recruit co-activators/repressors and bind to the promoters of target genes to regulate their transcription (<xref rid="b14-mmr-11-03-2241" ref-type="bibr">14</xref>). The Smad3/4 complex can bind directly to a DNA sequence (5&#x02032;-GTCT-3&#x02032;) termed the Smad-binding element (SBE) (<xref rid="b15-mmr-11-03-2241" ref-type="bibr">15</xref>,<xref rid="b16-mmr-11-03-2241" ref-type="bibr">16</xref>). Analysis of the <italic>&#x003B2;3GalT4</italic> promoter has revealed a number of potential binding sites for transcription factors, including a Smad4-binding site (5&#x02032;-GTCTAGAC-3&#x02032;) (<xref rid="b17-mmr-11-03-2241" ref-type="bibr">17</xref>). However, to the best of our knowledge, there is no experimental evidence that the reduced gene expression of <italic>&#x003B2;3GalT4</italic> by TGF&#x003B2; is regulated via Smads in general or in particular via the Smad3/4 complex.</p>
<p>In the present study, the transcription levels of the <italic>&#x003B2;3GalT4</italic> gene was detected in patients with breast cancer, and the association between Smad3/4 and Gg4 during the EMT process was further studied.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell lines, culture and samples</title>
<p>NMuMG epithelial cells were obtained from the American Type Culture Collection (Manassas, VA, USA) and cultured in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM; HyClone, Logan, UT, USA) containing 10&#x00025; fetal bovine serum (HyClone), 10 &#x003BC;g/ml insulin (Sigma-Aldrich, St. Louis, MO, USA) and 1X penicillin/streptomycin (Gibco-BRL, Carlsbad, CA, USA) at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub>.</p>
<p>All samples from the patients with breast cancer and the healthy controls were collected at the First Affiliated Hospital of Xi&#x02019;an, Jiaotong University (Xi&#x02019;an, China). The patient characteristics are shown in <xref rid="tI-mmr-11-03-2241" ref-type="table">Table I</xref>. The present study followed the tenets of the Declaration of Helsinki for the Use of Human Subjects. The present study was approved by the Ethics Committee of Jiangnan University (Wuxi, Jiangsu, China) and written informed consent was obtained from all patients and healthy donors.</p></sec>
<sec>
<title>Antibodies and reagents</title>
<sec>
<title>Antibodies</title>
<p>Mouse anti-Gg4 immunoglobulin (Ig)M monoclonal antibody (mAb) TKH7 (Kjeldsen and Hakomor, unpublished data) was donated by Dr S. Hakomori (Biomembrane Institute, Seattle, WA, USA). The primary antibodies used were mouse anti-E-cad IgG2a monoclonal antibody and mouse-anti-&#x003B2; catenin IgG1 monoclonal antibody (BD Biosciences, San Jose, CA, USA), mouse anti-N-cad IgG1 and rabbit anti-RNA polymerase II (Pol II) IgG polyclonal antibody (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA), mouse anti-vimentin IgG1 monoclonal antibody and anti-&#x003B2; tubulin IgG1 monoclonal antibody (Sigma-Aldrich), rabbit anti-Smad3 mAb IgG monoclonal antibody and anti-Smad4 polyclonal antibody (Cell Signaling Technology, Boston, MA, USA). The secondary antibodies used were horseradish peroxidase (HRP)-labeled goat anti-mouse IgG and HRP-labeled goat anti-rabbit IgG (Beyotime Institute of Biotechnology, Haimen, China) and HRP-labeled goat anti-mouse IgM (Southern Biotech, Birmingham, Alabama, USA).</p></sec>
<sec>
<title>Reagents</title>
<p>TGF&#x003B2; was obtained from BD Biosciences and Asialo-ganglio-N-tetraosylceramide (asialo-GM1; Gg4), GM1, GM2, GM3 and GM4 were obtained from Matreya Inc. (Pleasant Gap, PA, USA). Other reagents used were obtained from Sigma-Aldrich, unless described otherwise.</p></sec></sec>
<sec>
<title>Expression of recombinant hexahistidine (His<sub>6</sub>)-tagged Smad3 and Smad4 proteins in Escherichia coli (E. coli)</title>
<p>The following primers were used to amplify the gene for mouse Smad3: Smad3p28, forward 5&#x02032;-GGAATTTCATATTCGTCCATCCTGCCC-3&#x02032;, <italic>Nde</italic>I and Smad3cDNA, reverse 5&#x02032;-CCGCTCGAGACCCGCTCCCTTTACTCCTA-3&#x02032;, <italic>Xho</italic>I. The following primers were used were used to amplify the gene for mouse Smad4: Smad4p28, forward 5&#x02032;-GGAATTTCATATGGACAATATGTCTATAACAAATAC-3&#x02032;, <italic>Nde</italic>I and Smad4cDNA, reverse 5&#x02032;-GGAATTCCTGAGATCTCAGTCTAAAGGCT-3&#x02032;, <italic>Eco</italic>RI. The polymerase chain reaction (PCR) fragments were inserted into the expression vector pET-28a (+) to generate pET28-Smad3 and pET28-Smad4 and introduced into <italic>E. coli</italic> BL21 (DE3) for protein expression. The recombinant His<sub>6</sub>-tagged Smad3 and Smad4 proteins produced by isopropyl &#x003B2;-D-1-thiogalactopyranoside induction were purified on a Ni<sup>2+</sup>-NTA spin column (Roche Diagnostics, Basel, Switzerland).</p></sec>
<sec>
<title>Electrophoretic mobility shift assay (EMSA)</title>
<p>EMSAs were performed using a 2nd Generation DIG Gel Shift kit (Roche Diagnostics) according to the manufacturer&#x02019;s instructions. The probes were amplified using PCR and labeled with digoxigenin (DIG) at the 3&#x02032;-terminal end. The probes, proteins and poly(deoxyinosinic-deoxycytidylic) in binding buffer &#x0005B;100 mM Hepes, pH 7.6; 5 mM EDTA; 50 mM (NH<sub>4</sub>)<sub>2</sub>S0<sub>4</sub>; 5 mM DTT; Tween 20, 1&#x00025; (w/v); 150 mM KCl; Roche Diagnostics, Basel, Switzerland&#x0005D; were mixed and incubated at 25&#x000B0;C for 30 min prior to adding 5 &#x003BC;l loading buffer. The protein-DNA complex and free DNA were separated on native 5&#x00025; polyacrylamide gels and transferred onto nylon membranes. The membranes were treated according to the manufacturer&#x02019;s instructions and the bands on the membranes were detected using a Chemi Doc XRS chemiluminescent imaging system (Bio-Rad, Hercules, CA, USA).</p></sec>
<sec>
<title>Chromatin immunoprecipitation (ChIP) assay</title>
<p>ChIP assays were performed, as described previously (<xref rid="b18-mmr-11-03-2241" ref-type="bibr">18</xref>). In brief, NMuMG cells were grown in regular medium (DMEM medium containing 10&#x00025; fetal bovine serum) for 24 h, following which the medium was replaced by regular medium containing 2 ng/ml TGF&#x003B2; and the cells were incubated for 48 h at 37&#x000B0;C and then fixed in DMEM containing 1&#x00025; formaldehyde. ChIP was performed using the anti-Smad4 antibody. Anti-Pol II antibody immunoprecipitated with a Pol II-actin promoter complex was used as a positive control. DNA was extracted and pellets were purified using a Quick DNA purification kit (Beijing CoWin Biotech. Co., Beijing, China). The DNA template (2 &#x003BC;l) was used for PCR with the following primers: &#x003B2;3GalT4pL, forward 5&#x02032;-GGTGTGTTAGGGGACTGGT-3&#x02032; and reverse 5&#x02032;-TGGACTGTGCAGCCTGAT-3&#x02032; for the <italic>&#x003B2;3GalT4</italic> promoter; pNon, forward 5&#x02032;-CTGAGGGTCTTGAGGGTGAG-3&#x02032; and reverse 5&#x02032;-CTCTTCCTCCTGGGAAAACC-3&#x02032; for the nonspecific DNA fragment and pactinp forward 5&#x02032;-TCAATCTCGCTTTCTCTCTCG-3&#x02032; and reverse 5&#x02032;-CAA CGAAGGAGCTGCAAAG-3&#x02032; for the actin promoter.</p></sec>
<sec>
<title>Cell transfection</title>
<p>The protein coding regions of the genes were amplified by PCR using the following primers: Smad3cDNA, forward &#x02018;5-CCCAAGCTTGCCACCATGTCGTCCATCCTGCCC-3&#x02032;, <italic>Hin</italic>dIII, and Smad3cDNA, reverse for the <italic>smad3</italic> gene. Smad4cDNA, forward &#x02018;5-GGGGTACCCCCTTGAACAAATGGACAATATGT-3&#x02032;, <italic>Kpn</italic>I, and Smad4cDNA, reverse for the <italic>smad4</italic> gene. The products were digested and ligated into vector pcDNA3.1 (Invitrogen Life Technologies, Carlsbad, CA, USA). The constructed plasmids were transfected into NMuMG cells using Lipofectamine 2000 (Invitrogen Life Technologies). Stable transfectants were selected by screening with the antibiotic G418 and confirmed by western blot analysis.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were harvested and lysed in radioimmunoprecipitation assay buffer. Protein lysates were analyzed by SDS-PAGE and western blot analysis, as described previously (<xref rid="b10-mmr-11-03-2241" ref-type="bibr">10</xref>).</p></sec>
<sec>
<title>Semiquantitative and quantitative reverse transcription (RT)-PCR analysis</title>
<p>RNA was extracted using an RNApure Tissue kit (Beijing CoWin Biotech, Co.). RNA samples were treated with DNase I and assessed by PCR to rule out chromosomal DNA contamination. Each RNA sample was reverse transcribed using ReverTra Ace-&#x003B1;-<sup>&#x000AE;</sup> (Toyobo, Shanghai, China). Semiquantitative and quantitative RT-PCR analysis were performed to determine the transcription levels of various genes using the following primers: &#x003B2;3GalT4real, forward 5&#x02032;-CTCTTCCTCCTGGGAAAACC-3&#x02032; and reverse 5&#x02032;-CTGAGGGTCTTGAGGGTGAG-3&#x02032; for the <italic>&#x003B2;3GalT4</italic> gene and Tubulinreal, forward 5&#x02032;-ATCTACCTGTCGGAGCATGG-3&#x02032; and reverse 5&#x02032;-GCCTCCCGATCTATGATGTC-3&#x02032; for the <italic>Tubulin</italic> gene. The following thermocycler conditions were used for RT-qPCR: 95&#x000B0;C for 10 min, 40 cycles of 95&#x000B0;C for 10 sec and 60&#x000B0;C for 1 min in a 15 &#x003BC;l reaction system using an UltraSYBR mixture (Beijing CoWin Biotech, Co.). The DNA products were analyzed using CFX manager software (version 3.0.1224.1015; Bio-Rad).</p></sec>
<sec>
<title>GSL extraction, analysis and immunostaining</title>
<p>GSL extraction, high performance thin layer chromatography (HPTLC) analysis and immunostaining were performed, as described previously (<xref rid="b19-mmr-11-03-2241" ref-type="bibr">19</xref>). Cells were harvested following washing with PBS, extracted with 2 ml isopropanol/hexane/water (55:25:20) by sonication for 30 min and centrifuged at 1082 &#x000D7; g for 5 min. The extracts were dried in a nitrogen stream. Redissolved GSLs were incubated in 0.1 M NaOH in methanol at 40&#x000B0;C for 2 h to hydrolyze the phospholipids and then neutralized with 1 M HCl. The hydrolyzed phospholipids were removed by hexane and the remaining solution was evaporated and dissolved in 1 ml distilled water. The solution was applied to a Sep-Pak C18 cartridge (Varian Medical Systems, Palo Alto, CA, USA) and washed with water. The total GSLs were eluted with 2 ml chloroform/methanol (2:1) and stained using 0.5&#x00025; orcinol in 2 M sulfuric acid. Gg4 bands were then immunostained using mAb TKH7 on HPTLC plates (EMD Biosciences, Inc., San Diego, CA, USA).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were analyzed using a two-tailed two-sample t-test assuming equal variance using GraphPad Prism 5 software (GraphPad Software Inc., La Jolla, CA, USA). P&#x02264;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of &#x003B2;3GalT4 at the mRNA level in breast cancer and healthy control subjects</title>
<p>Our previous study demonstrated that the transcription levels of <italic>&#x003B2;3GalT4</italic> were decreased during TGF&#x003B2;-induced EMT in NMuMG cells (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>). To determine the expression of <italic>&#x003B2;3GalT4</italic> in breast cancer, the expression of <italic>&#x003B2;3GalT4</italic> at the mRNA level in different clinical samples was determined using RT-qPCR. As shown in <xref rid="tI-mmr-11-03-2241" ref-type="table">Table I</xref>, a significant reduction in the expression of <italic>&#x003B2;3GalT4</italic> was detected in the patients with breast cancer compared with the healthy control subjects. This suggested that decreased expression of the <italic>&#x003B2;3GalT4</italic> gene is often present during breast cancer progression.</p></sec>
<sec>
<title>Interaction between Smad3/4 and the &#x003B2;3GalT4 promoter</title>
<p>The Smad3 and Smad4 proteins have a &#x02018;Mad-homology 1&#x02019; domain, a DNA-binding module stabilized by a bound zinc atom, at the N-terminus (<xref rid="b11-mmr-11-03-2241" ref-type="bibr">11</xref>). Smad3 and Smad4 can bind to DNA directly via the SBE (<xref rid="b16-mmr-11-03-2241" ref-type="bibr">16</xref>). A previous study of the <italic>&#x003B2;3GalT4</italic> promoter (<xref rid="b17-mmr-11-03-2241" ref-type="bibr">17</xref>) revealed a Smad4 binding site between positions -788 and -795 (5&#x02032;-GTCTAGAC-3&#x02032;) relative to the <italic>&#x003B2;3GalT4</italic> transcriptional start point (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1A</xref>). In the present study, EMSAs and ChIP assays were performed to identify the interactions between Smads and the <italic>&#x003B2;3GalT4</italic> promoter.</p>
<p>EMSAs were performed using full-length recombinant His<sub>6</sub>-Smad3 and -Smad4 proteins expressed in <italic>E. coli</italic>. The probe used was a 237 bp DNA fragment of the <italic>&#x003B2;3GalT4</italic> promoter, amplified using the forward and reverse &#x003B2;3GalT4pL primers and labeled with DIG. The probe was clearly retarded on the EMSA gel by the Smad3/4 complex and became more notable as the quantity of Smad3 increased (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1B</xref>). This finding indicated that Smad4 alone bound to the probe with low affinity, whereas the Smad3/4 complex enhanced the retardation more specifically. To eliminate nonspecific binding, unlabeled probes were used in a competitive EMSA assay. The retarded band was eliminated completely by a 100 or 200-fold excess of unlabeled <italic>&#x003B2;3GalT4</italic> promoter probe, whereas an unlabeled nonspecific probe, amplified by the forward and reverse pNon primers had no effect (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1C</xref>). Xia <italic>et al</italic> (<xref rid="b17-mmr-11-03-2241" ref-type="bibr">17</xref>) reported that a DNA fragment (5&#x02032;-GTCTAGAC-3&#x02032;) of the <italic>&#x003B2;3GalT4</italic> promoter is a Smad4 binding site. To assess the relative contribution of the SBE, EMSAs were performed using an unlabeled probe containing either the intact SBE (<italic>&#x003B2;3GalT4p</italic>) or a mutated sequence lacking SBE (<italic>&#x003B2;3GalT4pm</italic>). The affinity of Smad3/4 for <italic>&#x003B2;3GalT4pm</italic> was eliminated completely compared with <italic>&#x003B2;3GalT4p</italic> (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1D</xref>). These findings indicated that the SBE is essential for Smad3/4 binding activity.</p>
<p>ChIP assays are commonly used to determine DNA-protein binding regions. In the present study, NMuMG cells were treated with TGF&#x003B2; and formaldehyde was used to fix the cross-linking between the Smad3/4 proteins and their DNA target. The cross-linked DNA was extracted and fragmented by sonication and an anti-Smad4 antibody was used to screen the DNA fragments attached to the Smad4 protein. The forward and reverse &#x003B2;3GalT4pL primers used in the above EMSAs were also used in the ChIP assays. PCR products of the correct size were obtained from the input DNA and the immunoprecipitated DNA, whereas no such PCR bands were detected in the control experiments, which used the same DNA fragment as the template, but without specific antibody addition. Negative control bands were amplified only with input DNA using the non-specific primers used in the EMSAs (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1E</xref>). Antibodies directed to Pol II, an enzyme responsible for transcription of protein-coding genes, were used as positive controls to ensure the accuracy of the ChIP results. Forward and reverse pactinp primers were used to detect the PCR band. Taken together, the findings from the EMSAs and ChIP assays indicated that the Smad3/4 complex bound specifically to the <italic>&#x003B2;3GalT4</italic> promoter directly through the SBE.</p></sec>
<sec>
<title>Morphological alterations resulting from overexpression of Smad3 or Smad4</title>
<p>Our previous study demonstrated that the <italic>&#x003B2;3GalT4</italic> gene, responsible for the expression of Gg4, is downregulated during the EMT process in NMuMG cells (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>). Smads are key factors in this process. In the present study, to clarify the association between Smad3/4 and <italic>&#x003B2;3GalT4</italic>, Smad3 and Smad4 overexpression cells were constructed. NMuMG cells containing empty vector pcDNA3.1 were described as &#x02018;mock&#x02019;.</p>
<p>The two transfectants, when cultured in normal DMEM, exhibited a flattened epithelial morphology similar to that of the mock (<xref rid="f2-mmr-11-03-2241" ref-type="fig">Fig. 2A</xref>), indicating that neither Smad3 nor Smad4 affected the expression of genes that control cell morphology. Exogenously added TGF&#x003B2; activated the TGF&#x003B2;/Smads signaling pathway and altered cell shape, with the transfectants and mock cells converted to a fibroblastic morphology (<xref rid="f2-mmr-11-03-2241" ref-type="fig">Fig. 2A</xref>).</p>
<p>Reduced expression of the epithelial marker E-cad and increased expression of the mesenchymal markers N-cad and vimentin are characteristic processes of EMT. Cells overexpressing Smad3 and Smad4 demonstrated a markedly enhanced expression of vimentin and N-cad and a reduced expression of E-cad and &#x003B2;-catenin, which forms a complex with E-cad stabilizing the cell-cell junction (<xref rid="f2-mmr-11-03-2241" ref-type="fig">Fig. 2B and C</xref>). TGF&#x003B2; treatment intensified the enhanced and reduced expression of the EMT markers mentioned above. These findings suggested that the genes controlling these markers are regulated by Smads and involved in the TGF&#x003B2;/Smads pathway via different regulatory mechanisms.</p></sec>
<sec>
<title>Level of &#x003B2;3GalT4 transcription in transfectants cells</title>
<p>To determine whether the <italic>&#x003B2;3GalT4</italic> gene is positively or negatively regulated by Smad3/4, the transcription levels of <italic>&#x003B2;3GalT4</italic> in two transfectants, as above, and mock were evaluated by semiquantitative and quantitative RT-PCR using the forward and reverse &#x003B2;3GalT4real primers. TGF&#x003B2; treatment caused a reduction in <italic>&#x003B2;3GalT4</italic> expression (<xref rid="f3-mmr-11-03-2241" ref-type="fig">Fig. 3A and B</xref>) and the degree of reduction was greater in the transfectants compared with the mock (<xref rid="f3-mmr-11-03-2241" ref-type="fig">Fig. 3B</xref>). These findings suggested that, following activation of the TGF&#x003B2;/Smads signaling pathway by TGF&#x003B2;, the Smads complex is translocated into the nucleus, binds to the <italic>&#x003B2;3GalT4</italic> promoter and downregulates its transcription.</p></sec>
<sec>
<title>Gg4 expression in transfectants cells</title>
<p>In our previous study, the mRNA levels of Gg4 and <italic>&#x003B2;3GalT4</italic> were reduced during TGF&#x003B2;-induced EMT and the reduction in Gg4 was associated with decreased expression of E-cad and &#x003B2;-catenin (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>). In the present study, total GSL fractions from transfectants and mock, with or without TGF&#x003B2; treatment, were prepared and analyzed using HPTLC. The level of Gg4 expression decreased in parallel with the levels of E-cad and &#x003B2;-catenin (<xref rid="f3-mmr-11-03-2241" ref-type="fig">Fig. 3C and D</xref>). These findings suggested that the Smad3/4 complex affects the expression of Gg4 by suppressing mRNA levels of <italic>&#x003B2;3GalT4</italic> and that Gg4 interacts closely with the E-cad/&#x003B2;-catenin complex to stabilize the cell-cell junction.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The enzyme &#x003B2;3GalT4 is responsible for the synthesis of Gg4 in the ganglioside biosynthetic pathway. The decreasing expression of its gene, <italic>&#x003B2;3GalT4,</italic> in the TGF&#x003B2;-induced EMT of NMuMG cells and in human breast cancer samples indicated its relevance to the formation and development of breast cancer (<xref rid="tI-mmr-11-03-2241" ref-type="table">Table I</xref>). Therefore, the present study investigated the molecular mechanism underlying the reduced transcription of the <italic>&#x003B2;3GalT4</italic> gene during TGF&#x003B2;-induced EMT. A 1.4 kb promoter sequence upstream of the <italic>&#x003B2;3GalT4</italic> gene appears to include a number of potential binding sites for transcription factors, including Smad4 (<xref rid="b17-mmr-11-03-2241" ref-type="bibr">17</xref>). In the present study, NMuMG cells, which undergo EMT when treated with TGF&#x003B2;, were used as a model to investigate the involvement of the Smad3/4 complex in the regulation of <italic>&#x003B2;3GalT4</italic> expression. The results of EMSAs and ChIP assays demonstrated that the Smad3/4 complex bound directly to the <italic>&#x003B2;3GalT4</italic> promoter (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1B, C and E</xref>). Sequence analysis by Xia <italic>et al</italic> revealed an SBE site (5&#x02032;-GTCTAGAC-3&#x02032;) between positions -788 and -795 relative to the <italic>&#x003B2;3GalT4</italic> transcriptional start point (<xref rid="b17-mmr-11-03-2241" ref-type="bibr">17</xref>). In order to evaluate the role of this sequence in the interaction between Smads and DNA, an SBE mutated probe was generated for competitive EMSA (<xref rid="f1-mmr-11-03-2241" ref-type="fig">Fig. 1D</xref>). The results demonstrated that the SBE is important in Smads-DNA affinity binding.</p>
<p>Although Smads are key in the EMT process, NMuMG cells overexpressing either Smad3 or Smad4 did not exhibit notable morphological changes. These Smad3/4-overexpressing cells were highly sensitive to TGF&#x003B2; treatment. Previous studies demonstrated that R-Smads and Smad4 constantly shuttle between the nucleus and cytoplasm, regardless of the presence or absence of a signal (<xref rid="b20-mmr-11-03-2241" ref-type="bibr">20</xref>&#x02013;<xref rid="b22-mmr-11-03-2241" ref-type="bibr">22</xref>). An activated Smads complex is typically expressed at a low level to maintain normal physiological functions, and R-Smads are present in an unphosphorylated form without sensing signals (<xref rid="b23-mmr-11-03-2241" ref-type="bibr">23</xref>). These findings may explain why the overexpression of Smads in NMuMG cells in the present study did not cause notable phenotypic changes (<xref rid="f2-mmr-11-03-2241" ref-type="fig">Fig. 2A</xref>). The overexpression of Smad3/4 did cause enhanced expression of the mesenchymal markers vimentin and N-cad and reduced the expression of the epithelial marker E-cad and the intracellular signal transducer &#x003B2;-catenin (<xref rid="f2-mmr-11-03-2241" ref-type="fig">Fig. 2B and C</xref>). It appeared that EMT markers were regulated by the Smad transcription factors, as also indicated by previous studies (<xref rid="b24-mmr-11-03-2241" ref-type="bibr">24</xref>&#x02013;<xref rid="b26-mmr-11-03-2241" ref-type="bibr">26</xref>). The direct or indirect mechanisms whereby Smad3/4 affect EMT markers remain to be elucidated.</p>
<p>Our previous study demonstrated that, during TGF&#x003B2;-induced EMT in NMuMG cells, the expression of the <italic>&#x003B2;3GalT4</italic> gene and Gg4 are downregulated and Gg4 acts as an inhibitor of EMT, possibly by interacting with E-cad and &#x003B2;-catenin (<xref rid="b9-mmr-11-03-2241" ref-type="bibr">9</xref>,<xref rid="b10-mmr-11-03-2241" ref-type="bibr">10</xref>). In the present study, the activated Smad3/4 complex was found to downregulate the expression of <italic>&#x003B2;3GalT4</italic> and the associated levels of mRNA in TGF&#x003B2;-treated cells (<xref rid="f3-mmr-11-03-2241" ref-type="fig">Fig. 3A and B</xref>). Consistent with this finding, the expression of Gg4, E-cad and &#x003B2;-catenin were all reduced in the TGF&#x003B2;-treated cells (<xref rid="f3-mmr-11-03-2241" ref-type="fig">Fig. 3C and D</xref>). Exogenous TGF&#x003B2; presumably activated the Smads to form a complex and stimulated the translocation of this complex into the nucleus, where it bound to target genes, including <italic>&#x003B2;3GalT4</italic>, in the TGF&#x003B2;/Smads signaling pathway.</p>
<p>In conclusion, the present study demonstrated that the activated Smad3/4 complex downregulated the expression of the <italic>&#x003B2;3GalT4</italic> gene responsible for ganglioside expression through translocation into the nucleus and binding to the <italic>&#x003B2;3GalT4</italic> promoter. The findings of the present study suggest that Gg4 is important in the TGF&#x003B2;/Smads signaling pathway. Subsequent studies are required to assess this hypothesis and to elucidate the mechanisms whereby Gg4 and other GSLs are involved in the TGF&#x003B2;-mediated EMT processes.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the National Science Foundation for Young Scientists of China (grant no. 81201572), the Natural Science Foundation of Jiangsu Province, China (grant no. BK2012113), the Fundamental Research Funds for the Central Universities (grant no. JUSRP51319B) and Jiangsu Planned Projects for Postdoctoral Research Funds (grant no. 1201011C). The authors would like to thank Dr S. Anderson for editing the English of the manuscript.</p></ack>
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<floats-group>
<fig id="f1-mmr-11-03-2241" position="float">
<label>Figure 1</label>
<caption>
<p>Analysis of Smad3/4 complex binding to the <italic>&#x003B2;3GalT4</italic> promoter. (A) Smad4 binding site (5&#x02032;-GTCTAGAC-3&#x02032;) located between positions -788 and -795, relative to the transcriptional start point of the <italic>&#x003B2;3GalT4</italic> promoter. (B) EMSA. Each lane contained 0.3 nM labeled probe. Smad4 protein (900 ng) was loaded. Smad3 (400, 600, 800 and 1000 ng) was loaded on lanes 3&#x02013;6, respectively. (B&#x02013;D) Black arrow indicates retarded DNA fragments; white arrow indicates free probes. (C) EMSA to eliminate the nonspecific binding of the Smad3/4 proteins. The labeled probe and 100 or 200-fold excess of the unlabeled probe were used in competitive assays. A fragment of <italic>actin</italic> promoter was used as a nonspecific probe. (D) Determination of the binding sites of Smad3/4. Top: Nucleotide sequence of part of the <italic>&#x003B2;3GalT4</italic> promoter region and SBE. All probes used were 40 bp. <italic>Not</italic>I sites were generated at the SBE site to produce a mutated probe. Underlined nucleotides were changed: Bottom: EMSA using the unlabeled probe and mutated or intact DNA fragment. (E) ChIP assays. Input DNA, a DNA fragment immunoprecipitated with anti-Smad4 antibody (lane &#x02018;S&#x02019;) and a DNA fragment immunoprecipitated with IgG (lanes &#x02018;-&#x02019;) were used as templates for the polymerase chain reaction. A nonspecific DNA region was used as a negative control. Anti-Pol II antibodies that immunoprecipitated the Pol II-actin promoter complexes were used as a positive control. &#x003B2;3GalT4, &#x003B2;1,3-galactosyltransferase-4; EMSA, electrophoretic mobility shift assay; SBE, Smad4 binding element.</p></caption>
<graphic xlink:href="MMR-11-03-2241-g00.gif"/></fig>
<fig id="f2-mmr-11-03-2241" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of Smad3 or Smad4 overexpression in NMuMG cells. (A) Morphological changes. Cells were cultured in 6-well plates and treated with 2 ng/ml TGF&#x003B2; for 48 h. Images were captured under phase-contrast microscopy. (B and C) Expression of EMT markers in the transfected cells. Cells were cultured in 6-well plates and treated with or without 2 ng/ml TGF&#x003B2; for 48 h. The cells were harvested and lysed in radioimmunoprecipitation assay buffer. Lysates (10 &#x003BC;g protein/well) were subjected to SDS-PAGE and western blot analysis and the expression of the markers N-cad, vimentin, E-cad and &#x003B2;-catenin was analyzed by western blot analysis, as described in Materials and methods. Representative western blot analysis results and expression levels relative to Tubulin are expressed as the mean &#x000B1; standard deviation from triplicate experiments. <sup>*</sup>0.01&lt;P&#x02264;0.05 vs. mock. <sup>**,</sup>0.001&lt;P&#x02264;0.01 vs. mock; <sup>***</sup>P&#x02264;0.001 vs. mock. NMuMG, normal murine mammary gland; TGF, transforming growth factor; E-cad, E-cadherin; N-cad, N-cadherin.</p></caption>
<graphic xlink:href="MMR-11-03-2241-g01.gif"/></fig>
<fig id="f3-mmr-11-03-2241" position="float">
<label>Figure 3</label>
<caption>
<p>Expression of the <italic>&#x003B2;3GalT4</italic> gene and Gg4 in Smads-overexpressing cells. Cells (2&#x000D7;10<sup>5</sup>/well) were cultured and treated with 2 ng/ml TGF&#x003B2; for 48 h.(A) Semiquantitative and (B) quantitative reverse transcription polymerase chain reactions were performed, as described in the Materials and methods. The housekeeping gene <italic>tubulin</italic> was used as a loading control. Data were analyzed using the 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> method and expressed as fold change in gene expression relative to mock. NS, not significant (P&gt;0.05). <sup>*</sup>0.01&lt;P&#x02264;0.05 vs. mock. <sup>**</sup>0.001&lt;P&#x02264;0.01 (<italic>&#x003B2;3GalT4</italic> gene vs. mock). (C and D) Cells (~2&#x000D7;10<sup>6</sup>) were cultured in 100 mm dishes and harvested. Total GSLs were extracted with isopropanol/hexane/water (55:25:20) for high performance thin layer chromatography detection and immunostained with TKH7. &#x003B2;3GalT4, &#x003B2;1,3-galactosyltransferase-4; Gg4, gangliotetraosylceramide; TGF, transforming growth factor; GM, Asialo-ganglio-N-tetraosylceramide; NMuMG, normal murine mammary gland.</p></caption>
<graphic xlink:href="MMR-11-03-2241-g02.gif"/></fig>
<table-wrap id="tI-mmr-11-03-2241" position="float">
<label>Table I</label>
<caption>
<p>Patient/disease characteristics and level of <italic>&#x003B2;3GalT4</italic> mRNA in patients with breast cancer.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Sample no.</th>
<th valign="bottom" align="center">Age (years)</th>
<th valign="bottom" align="center">Tumor size (cm)</th>
<th valign="bottom" align="center">TNM<xref rid="tfn2-mmr-11-03-2241" ref-type="table-fn">a</xref> classification</th>
<th valign="bottom" align="center"><italic>&#x003B2;3GalT4</italic> expression (relative fold change)</th></tr></thead>
<tbody>
<tr>
<td colspan="5" valign="top" align="left">Healthy donors</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Normal 1</td>
<td valign="top" align="center">49</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Normal 2</td>
<td valign="top" align="center">54</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1.00 &#x000B1; 0.237</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Normal 3</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1.26 &#x000B1; 0.174</td></tr>
<tr>
<td colspan="5" valign="top" align="left">Cancer samples</td></tr>
<tr>
<td valign="top" align="left">&#x02003;1</td>
<td valign="top" align="center">54</td>
<td valign="top" align="center">multifocal</td>
<td valign="top" align="left">T2N3M0 IIIc</td>
<td valign="top" align="center">0.04&#x000B1; 0.005<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;2</td>
<td valign="top" align="center">39</td>
<td valign="top" align="center">1.6</td>
<td valign="top" align="left">T1N0M0 I</td>
<td valign="top" align="center">0.26&#x000B1;0.055<xref rid="tfn3-mmr-11-03-2241" ref-type="table-fn">b</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;3</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">2.3</td>
<td valign="top" align="left">T2N1M0 IIb</td>
<td valign="top" align="center">0.09&#x000B1;0.005<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;4</td>
<td valign="top" align="center">60</td>
<td valign="top" align="center">6.0</td>
<td valign="top" align="left">T4N1M0 IIIb</td>
<td valign="top" align="center">0.18&#x000B1;0.006<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;5</td>
<td valign="top" align="center">57</td>
<td valign="top" align="center">2.5</td>
<td valign="top" align="left">T2N0M0 IIa</td>
<td valign="top" align="center">0.04&#x000B1;0.007<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;6</td>
<td valign="top" align="center">33</td>
<td valign="top" align="center">2.0</td>
<td valign="top" align="left">T1N1M0 IIa</td>
<td valign="top" align="center">0.55&#x000B1;0.053<xref rid="tfn3-mmr-11-03-2241" ref-type="table-fn">b</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;7</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">2.5</td>
<td valign="top" align="left">T2N1M0 IIb</td>
<td valign="top" align="center">0.02&#x000B1;0.003<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr>
<tr>
<td valign="top" align="left">&#x02003;8</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">2.0</td>
<td valign="top" align="left">T1N3M0 IIIc</td>
<td valign="top" align="center">0.17&#x000B1;0.045<xref rid="tfn4-mmr-11-03-2241" ref-type="table-fn">c</xref></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-mmr-11-03-2241">
<p>RT-qPCR analysis of <italic>&#x003B2;3GalT4</italic> transcription levels in breast cancer samples. The RNAs were prepared from tissues and reverse transcribed into cDNA. RT-qPCR was performed and the housekeeping gene <italic>tubulin</italic> was used as a loading control. Data were analyzed using the 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> method and expressed as relative fold change</p></fn><fn id="tfn2-mmr-11-03-2241">
<label>a</label>
<p>Tumor Node Metastasis. TNM classification according to the American Joint Committee on Cancer and the Union for International Cancer Control.</p></fn><fn id="tfn3-mmr-11-03-2241">
<label>b</label>
<p>0.001&lt;P&#x02264;0.01;</p></fn><fn id="tfn4-mmr-11-03-2241">
<label>c</label>
<p>P&lt;0.001.</p></fn><fn id="tfn5-mmr-11-03-2241">
<p>RT-qPCR, reverse transcription quantitative polymerase chain reaction; &#x003B2;3GalT4, &#x003B2;1,3-galactosyltransferase-4.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
