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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.2015.4345</article-id>
<article-id pub-id-type="publisher-id">mmr-12-05-7629</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Inhibition of migration and induction of apoptosis in LoVo human colon cancer cells by polysaccharides from <italic>Ganoderma lucidum</italic></article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LIANG</surname><given-names>ZENG-ENNI</given-names></name><xref rid="af1-mmr-12-05-7629" ref-type="aff">1</xref><xref rid="af2-mmr-12-05-7629" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>YI</surname><given-names>YOU-JIN</given-names></name><xref rid="af3-mmr-12-05-7629" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>GUO</surname><given-names>YU-TONG</given-names></name><xref rid="af4-mmr-12-05-7629" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>REN-CAI</given-names></name><xref rid="af2-mmr-12-05-7629" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-12-05-7629"/></contrib>
<contrib contrib-type="author">
<name><surname>HU</surname><given-names>QIU-LONG</given-names></name><xref rid="af2-mmr-12-05-7629" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIONG</surname><given-names>XING-YAO</given-names></name><xref rid="af2-mmr-12-05-7629" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-12-05-7629"/></contrib></contrib-group>
<aff id="af1-mmr-12-05-7629">
<label>1</label>Hunan Agricultural Product Processing Institute, Changsha, Hunan 410128, P.R. China</aff>
<aff id="af2-mmr-12-05-7629">
<label>2</label>Colleges of Horticulture and Landscape, Hunan Agricultural University, Changsha, Hunan 410128, P.R. China</aff>
<aff id="af3-mmr-12-05-7629">
<label>3</label>Food Science and Technology, Hunan Agricultural University, Changsha, Hunan 410128, P.R. China</aff>
<aff id="af4-mmr-12-05-7629">
<label>4</label>State Key Laboratory of Sub-Health Intervention Technology, State Administration of Traditional Chinese Medicine, Changsha, Hunan 410128, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-12-05-7629">Correspondence to: Professor Xing-Yao Xiong or Professor Ren-Cai Wang, College of Horticulture and Landscape, Hunan Agricultural University, 1 Nongda Road, Changsha, Hunan 410128, P.R. China, E-mail: <email>xiongxy@hunau.net</email>, E-mail: <email>cavepeoper@gmail.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>09</month>
<year>2015</year></pub-date>
<volume>12</volume>
<issue>5</issue>
<fpage>7629</fpage>
<lpage>7636</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>09</month>
<year>2014</year></date>
<date date-type="accepted">
<day>27</day>
<month>07</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Liang et al.</copyright-statement>
<copyright-year>2015</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><italic>Ganoderma lucidum</italic> polysaccharides (GLPs), which were purified from the medicinal herb <italic>G. lucidum</italic> followed by ethanol precipitation, protein depletion using the Sevage assay, purification using DEAE-cellulose (DE-52), dialysis and the use of ultrafiltration membranes, are used as an ingredient in traditional anticancer treatments in China. The aim of the current study was to evaluate the anticancer effects and investigate the underlying molecular mechanisms of GLPs on LoVo human colon cancer cells. The results demonstrated that the GLP-mediated anticancer effect in LoVo cells was characterized by cytotoxicity, migration inhibition, enhanced DNA fragmentation, morphological alterations and increased lactate dehydrogenase release. Furthermore, the activation of caspases-3, -8 and -9 was involved in GLP-stimulated apoptosis. Additionally, treatment with GLPs promoted the expression of Fas and caspase-3 proteins, whilst reducing the expression of cleaved poly(ADP-ribose) polymerase. These data indicate that GLPs demonstrate potential antitumor activity in human colon cancer cells, predominantly through the inhibition of migration and induction of apoptosis. Furthermore, activation of the Fas/caspase-dependent apoptosis pathway is involved in the cytotoxicity of GLPs.</p></abstract>
<kwd-group>
<kwd><italic>Ganoderma lucidum</italic> polysaccharides</kwd>
<kwd>human colon cancer</kwd>
<kwd>apoptosis</kwd>
<kwd>death receptor pathway</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Colon cancer is a malignant tumor arising from the inner wall of the large intestine. It is aggressive and progresses rapidly (<xref rid="b1-mmr-12-05-7629" ref-type="bibr">1</xref>,<xref rid="b2-mmr-12-05-7629" ref-type="bibr">2</xref>). Previous epidemiological studies have indicated that the incidence rate increases with age (<xref rid="b3-mmr-12-05-7629" ref-type="bibr">3</xref>). Almost 25% of cases present with metastases at the initial diagnosis and approximately half of patients with colon cancer will develop metastases, contributing to the high mortality rate of this disease (<xref rid="b4-mmr-12-05-7629" ref-type="bibr">4</xref>). Furthermore, the majority of chemotherapeutic/chemopreventive agents including imatinib, doxorubicin and methotrexate have detrimental effects on patients' health (<xref rid="b5-mmr-12-05-7629" ref-type="bibr">5</xref>&#x02013;<xref rid="b7-mmr-12-05-7629" ref-type="bibr">7</xref>). Certain natural compounds from Chinese medicinal herbs have been identified to be cytotoxic to cancer cells whilst remaining non-toxic to normal cells, including taxinol, taxanes, camptothecins, epipodophyllo, curcumin, genistein and perillyl alcohol (<xref rid="b8-mmr-12-05-7629" ref-type="bibr">8</xref>,<xref rid="b9-mmr-12-05-7629" ref-type="bibr">9</xref>). Therefore, the evaluation and development of the anticancer activity of medicinal herbs is important for the improvement of anticancer agents. To date, the majority of polysaccharides and polysaccharide-protein complexes isolated from fungi have been reported to account for their anticancer activities in clinical therapy for patients with cancer (<xref rid="b10-mmr-12-05-7629" ref-type="bibr">10</xref>,<xref rid="b11-mmr-12-05-7629" ref-type="bibr">11</xref>).</p>
<p><italic>G. lucidum</italic> is a fungi that has been used in Asia as a health tonic to promote longevity for thousands of years (<xref rid="b12-mmr-12-05-7629" ref-type="bibr">12</xref>). Polysaccharides derived from <italic>G. lucidum</italic> (GLPs) have a wide range of biological and pharmacological properties, including anticarcinoma effects, and as such have attracted attention in the biochemical and medical fields. GLPs have been demonstrated to induce suppression of cell growth and apoptosis in different types of cancer cells, with minimal negative effects on normal cells (<xref rid="b13-mmr-12-05-7629" ref-type="bibr">13</xref>). Further studies have demonstrated that GLPs directly or indirectly mediate cancer cell death through diverse mechanisms (<xref rid="b14-mmr-12-05-7629" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-mmr-12-05-7629" ref-type="bibr">16</xref>). GLPs act as potential immunomodulators that indirectly inhibit cancer cells by increasing the activity of host immune cells (<xref rid="b14-mmr-12-05-7629" ref-type="bibr">14</xref>,<xref rid="b17-mmr-12-05-7629" ref-type="bibr">17</xref>). GLPs have been demonstrated to be able to directly induce cell differentiation of leukemia cells by caspase cleavage and p53 activation (<xref rid="b18-mmr-12-05-7629" ref-type="bibr">18</xref>). Additionally, GLPs may suppress Hep2 cells via the regulation of hepatic miRNAs and immune-associated miRNAs (<xref rid="b15-mmr-12-05-7629" ref-type="bibr">15</xref>), and may reverse drug resistance by inhibition of the expression of resistance genes in the SKOV-3/DDP resistant ovarian cancer cell line (<xref rid="b19-mmr-12-05-7629" ref-type="bibr">19</xref>). Therefore, polysaccharides from <italic>G. lucidum</italic> may represent a safe and effective agent in cancer therapy. In a previous study, combination treatment with GLPs and 5-fluorouracil (5-FU) resulted in synergistic cytotoxicity, apoptosis and cell cycle arrest in human colon cancer cells (<xref rid="b20-mmr-12-05-7629" ref-type="bibr">20</xref>). However, the detailed apoptotic mechanism mediated by GLPs in human colon cancer cells remains to be fully elucidated.</p>
<p>In the present study, the inhibitory effect of high-molecular-weight GLPs (&gt;10 kDa) on LoVo human colon cancer cells and the possible associated molecular mechanisms were investigated.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Drugs and chemicals</title>
<p>Dulbecco's modified Eagle's medium (DMEM) high glucose and fetal bovine serum (FBS) were obtained from Gibco Life Technologies (Carlsbad, CA, USA). 5-FU (&gt;99% purity) was purchased from Shanghai Bangcheng Chemical Co., Ltd. (Shanghai, China). MTT, the Lactate Dehydrogenase (LDH) Cytotoxicity Assay kit and the Caspase-3, -8 and -9 Activity Assay kits were purchased from Beyotime Institute of Biotechnology (Nantong, China). The rabbit polyclonal primary antibodies against &#x003B2;-actin (1:4,000; 20536-1-AP), Fas (1:1,000; 13098-1-AP) and caspase-3 (1:500; 19677-1-AP) were purchased from Proteintech Group, Inc. (Chicago, IL, USA) and the goat anti-rabbit horseradish peroxidase (HRP)-labeled secondary antibody (1:3,000; sc-2004) was purchased from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). All chemicals were of analytical grade unless otherwise specified.</p></sec>
<sec>
<title>Isolation and characterization of GLPs</title>
<p>Slices of <italic>G. lucidum</italic> (Leyss. ex. Fr.) Karst. were provided by the State Key Laboratory of Sub-Health Intervention Technology, State Administration of Traditional Chinese Medicine (Changsha, China). Samples were ground to a fine powder and refluxed in three volumes of methanol/chloroform solvent (1:2, v/v; Sinopharm Chemical Reagent Co., Ltd., Shanghai, China) and 80% ethanol three times (6 h/each time). The residues were dried, suspended in ~15 vol distilled water and were concentrated with vacuum rotary evaporator (EYELA Auto Jack NAJ-100; Tokyo Rikakikai Co., Ltd., Tokyo, Japan) vacuum filtration three times for 6 h each time at 95&#x000B0;C. The combined concentrated solution was ethanol precipitated and then deproteinized using a Sevage assay (<xref rid="b21-mmr-12-05-7629" ref-type="bibr">21</xref>). The extracts were purified using DEAE-cellulose (DE 52; Sigma-Aldrich, St. Louis, MO, USA), dialyzed with 3000 MWCO regenerated cellulose dialysis tubing (Spectrum Laboratories, Inc., Rancho Dominguez, CA, USA), concentrated and freeze-dried. The crude polysaccharides extraction yield was calculated by dividing the final weight of crude extract by the initial weight of the samples. Purified GLPs (10 mg/ml) were ultrafiltered using Biomax-500, Biomax-300, Ultracel PL-100 and Ultracel PL-30 membranes (EMD Millipore, Billerica, MA, USA) with a molecular weight cut-off of 50, 30, 10 and 3 kDa, and the five freeze-dried fractions were weighed for analysis of molecular weight composition. Three fractions of polysaccharides with high molecular weight (&gt;10 kDa) were pooled and further analyzed. Polysaccharide content was calculated by the phenol-sulfuric acid method (<xref rid="b22-mmr-12-05-7629" ref-type="bibr">22</xref>). Protein and nucleic acid were determined by UV spectrum analysis (UV-1800; Shimadzu Corporation, Kyoto, Japan), and uronic acid was determined by the 3,5-dimethylphenol method (<xref rid="b23-mmr-12-05-7629" ref-type="bibr">23</xref>). The infrared spectra were recorded with a Fourier Transform-Infrared Spectrometer (Thermo Fisher Scientific, Madison, WI, USA) in the range of 400&#x02013;4,000 cm<sup>&#x02212;1</sup>. GLPs were hydrolyzed with 1 mol/l H<sub>2</sub>SO<sub>4</sub> (Sinopharm Chemical Reagent Co., Ltd.) for 8 h at 100&#x000B0;C, and cooled prior to centrifugation at 2,400 x g for 30 min at room temperature using centrifugal filters (Amicon Ultra-4; EMD Millipore). The GLPs were then dried in the rotary evaporator, then monosaccharide components were analyzed by high-performance anion exchange chromatography on a Dionex ICS-3000 Ion Chromatograph System (Thermo Fisher Scientific).</p></sec>
<sec>
<title>Cell culture</title>
<p>The human LoVo colon carcinoma cell line was obtained from the Institute of Basic Medical Sciences (Beijing, China). Cells were maintained in DMEM high glucose supplemented with 10% FBS in an incubator at 37&#x000B0;C and 5% CO<sub>2</sub>.</p></sec>
<sec>
<title>Cell viability assay</title>
<p>LoVo cells at a density of 3&#x000D7;10<sup>4</sup> cells/well were cultured in 96-well plates. Following culture for 24 h, cells were incubated with fresh medium containing various concentrations of GLPs (0.313, 0.625, 1.25, 2.5, 5 and 10 mg/ml) at the predetermined time intervals (24, 48 and 72 h). A total of 50 <italic>&#x000B5;</italic>g/ml 5-FU was used as a positive control, while untreated cells served as a negative control. Subsequently, 20 <italic>&#x000B5;</italic>l MTT solution (5 mg/ml in phosphate-buffered saline, PBS; pH 7.4; Sinopharm Chemical Reagent Co., Ltd.) was added, followed by incubation for 4 h in the dark. Subsequent to the removal of the media, purple formazan crystals were dissolved in 150 <italic>&#x000B5;</italic>l dimethyl sulfoxide (Beijing Solarbio Science &amp; Technology Co., Ltd., Beijing, China). The absorbance at 492 nm was measured using a microplate reader (MK3; Thermo Fisher Scientific, Waltham, MA, USA).</p></sec>
<sec>
<title>Scratch-wound assay</title>
<p>Following the formation of a cell mono-layer in the 24-well plate, lines were scratched in the layer using 10 <italic>&#x000B5;</italic>l pipette tips. Following the removal of non-adherent cells by PBS, adherent cells were incubated with various concentrations of GLPs (0, 0.625, 1.25, 2.5, 5 and 10 mg/ml) for 48 h at 37&#x000B0;C (50 <italic>&#x000B5;</italic>g/ml 5-FU as a positive control). Three different views at each concentration were imaged using an inverted microscope (IMT-2; Olympus, Tokyo, Japan) and analyzed using ImageJ software, version 1.42 (National Institutes of Health, Bethesda, MD, USA).</p></sec>
<sec>
<title>Electron microscopy</title>
<p>The GLP-treated cell suspension was fixed with 2.5% glutaraldehyde (Sigma-Aldrich) for 2 h, followed by fixation with 1% osmium tetroxide (OsO<sub>4</sub>; Sigma-Aldrich) for a further 2 h. Cells were rinsed in PBS three times prior to dehydration in an ascending ethanol series (50, 70, 80, 90, 95 and 100%). Following infiltration in 50% Quetol 651 (Nisshin EM, Tokyo, Japan) for 1 h and 100% Quetol 651 for 6 h, cells were polymerized at 60&#x000B0;C for 39 h. Samples were subsequently sectioned into 100 nm-thick sections with a Leica UC6 micro-tome (Leica Microsystems, Inc., Buffalo Grove, IL, USA) and dyed with 4% uranyl acetate (Sigma-Aldrich) for 10 min. Transmission electron microscopy (TEM) was performed using a JEOL JEM-1230 (JEOL, Ltd., Tokyo, Japan) microscope. For scanning electron microscopy (SEM; JSM-6380LV; JEOL, Ltd.), LoVo cells were exposed to different concentrations of GLPs in six-well plates for 48 h. Subsequently, cells were fixed in 1% glutaraldehyde and 1% OsO<sub>4</sub>, dehydrated in an ethanol series (50&#x02013;100%, v/v) and dried by critical-point drying with the JSM-6380LV microscope. Following gold sputtering also with the JSM-6380LV microscope, digital images were obtained using the scanning electron microscope.</p></sec>
<sec>
<title>Measurement of DNA fragmentation</title>
<p>Cells were incubated with GLPs (2.5, 5 and 10 mg/ml) or 5-FU (50 <italic>&#x000B5;</italic>g/ml) for 24 h, followed by resuspension in 70% ethanol for 4 h at &#x02212;20&#x000B0;C. Following centrifugation at 1,000 x g for 5 min at 4&#x000B0;C, the precipitate was dissolved in 40 <italic>&#x000B5;</italic>l phosphate-citric acid buffer (pH 7.8; 91.5 parts 0.5 M Na<sub>2</sub>HPO<sub>4</sub> and 8.5 parts of 0.23 M NaH<sub>2</sub>PO<sub>4</sub>) and continuously incubated at room temperature for 45 min with intermittent agitation. The supernatant was mixed with 3 <italic>&#x000B5;</italic>l 1 mg/ml RNaseA and 3 <italic>&#x000B5;</italic>l 0.25% NP40 (Beijing Solarbio Science &amp; Technology Co., Ltd.) at 37&#x000B0;C for 30 min. DNA fragmentation was analyzed by gel electrophoresis on a 1.2% (w/v) agarose gel (Sigma-Aldrich). The gel was visualized by staining with ethidium bromide (Amresco LLC, Solon, OH, USA) and the images were captured using the UVP GDS-8000 Bioimaging System (UVP, Inc. Upland, CA, USA).</p></sec>
<sec>
<title>LDH release assay</title>
<p>Following culturing for 48 h with or without different concentrations of GLPs (0, 1.25, 2.5 and 5 mg/ml), the supernatant was collected and added to a new 96-well plate (200 <italic>&#x000B5;</italic>l/well). Subsequently, LDH release was calculated using a LDH Cytotoxicity Assay kit according to the manufacturer's instructions. The plates were analyzed using the MK3 micro-plate reader at a wavelength of 450 nm.</p></sec>
<sec>
<title>Measurement of caspase-3, -8 and -9 activity</title>
<p>The activity of caspases-3, -8 and -9 was quantified using the Caspase-3, -8 and -9 Activity kits according to the manufacturer's instructions. Briefly, cells were treated for 24 h with GLPs (0, 2.5 and 5 mg/ml). Following production of the pellet by centrifugation at 600 x g for 5 min at 4&#x000B0;C, cells were washed with PBS two times and subsequently lysed using lysis reagent (Beyotime Institute of Biotechnology) in an ice bath for 15 min. The supernatants were incubated with 80 <italic>&#x000B5;</italic>l reaction buffer (1% NP-40, 20 mM Tris-HCl, pH 7.5, 137 mM NaCl and 10% glycerol; Beyotime Institute of Biotechnology) and 10 <italic>&#x000B5;</italic>l substrate at 37&#x000B0;C for 2 h. At the end of the incubation, the absorbance of cleavage (pNA) was measured with the MK3 microplate reader at 405 nm.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>GLP-treated cells were collected, washed with ice-cold PBS and lysed in radioimmunoprecipitation assay buffer (Applygen Technologies, Inc., Beijing, China) for 30 min at 4&#x000B0;C. Protein concentration was determined using the Bradford assay (Bio-Rad Laboratories, Inc., Hercules, CA, USA). Total protein was subjected to electrophoresis on 12% SDS-PAGE (Beyotime Institute of Biotechnology) and transferred onto polyvinylidene fluoride membranes (EMD Millipore). Subsequently, the membranes were incubated with rabbit anti-Fas (1:1,000), rabbit anti-caspase-3 (1:500) and mouse anti-&#x003B2;-actin (1:4,000) at 4&#x000B0;C overnight. Membranes were then incubated with HRP-labeled secondary antibodies (1:3,000) at room temperature for 1.5 h. The signal was detected using enhanced chemiluminescence reagents (Thermo Fisher Scientific) for western blot analysis. The relative abundance of bands was quantified using ImageJ software.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as the mean &#x000B1; standard deviation. Statistical analyses were performed with Student's t-test using SPSS software, version 18.0 (SPSS, Inc., Chicago, IL, USA). P&lt;0.01 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Preparation of GLPs</title>
<p>The yield of crude polysaccharides was ~3.08%. The molecular weight composition of polysaccharides &gt;10 kDa was: 10&#x02013;30 kDa, 32.1%; 30&#x02013;50 kDa, 21.8%; and &gt;50 kDa, 46.1%. Using UV scanning, the absence of nucleic acids and proteins in the GLPs was indicated by minimal absorption at 260 and 280 nm. GLPs were comprised of 89% carbohydrate and 11% uronic acid. The peaks of infrared spectroscopy at 847 and 922 cm<sup>&#x02212;1</sup> indicated that the purified GLPs predominantly consisted of &#x003B1;-polysaccharides (<xref rid="b24-mmr-12-05-7629" ref-type="bibr">24</xref>). The results of the monosaccharide composition analysis were in agreement and indicated that GLPs were composed of arabinose, galactose, glucose and cellose at the molar ratios of 11:3:3:1. GLPs were prepared as a stock of 10 mg/ml in DMEM high glucose containing 10% FBS and stored at &#x02212;20&#x000B0;C.</p></sec>
<sec>
<title>Cytotoxic effects of GLPs on LoVo cells</title>
<p>As presented in <xref rid="f1-mmr-12-05-7629" ref-type="fig">Fig. 1</xref>, the inhibitory rates of GLPs (0.313, 0.625, 1.25, 2.5, 5 and 10 mg/ml) at 72 h were 43.6, 53.0, 62.5, 74.9, 78.6 and 99.3%, respectively, compared with the control. The half maximal inhibitory concentration (IC<sub>50</sub>) values at 24, 48 and 72 h were 6.94, 1.67 and 0.63 mg/ml, respectively. The results demonstrate that GLPs significantly reduced cell viability in a dose- and time-dependent manner (P&lt;0.01), suggesting that GLPs possess a potent cytotoxicity against human colon cancer cells.</p></sec>
<sec>
<title>GLPs inhibit cell migration in LoVo cells</title>
<p>At 48 h, the scratch wounds were completely repaired by the migration of untreated cells, whilst the wounds were maintained in GLP-incubated cells as indicated by examination using light microscopy (<xref rid="f2-mmr-12-05-7629" ref-type="fig">Fig. 2A</xref>). In particular, LoVo cells treated with GLP concentrations of 5 and 10 mg/ml did not migrate towards the wound area compared with the untreated cells. As presented in <xref rid="f2-mmr-12-05-7629" ref-type="fig">Fig. 2B</xref>, exposure to GLPs (0.625&#x02013;10 mg/ml) resulted in a reduction in the number of migratory cells from 95.9&#x02013;56.9% (P&lt;0.01), indicating that GLPs are able to dose-dependently suppress cell migration in LoVo cells.</p></sec>
<sec>
<title>GLP-mediated morphological alterations in LoVo cells</title>
<p>To investigate the cell death induced by GLPs, morphological characteristics of cells were observed by SEM and TEM. SEM observations demonstrated that untreated cells exhibited a uniform distribution and numerous microvilli on the cell surface (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3A&#x02013;a and A&#x02013;d</xref>). In GLP-treated cells, morphological alterations were observed including low cellular density (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3A&#x02013;b and A&#x02013;c</xref>), a reduction in the number or disappearance of microvilli and the formation of apoptotic bodies (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3A&#x02013;e and A&#x02013;f</xref>). In the TEM study, untreated cells displayed microvilli on the cell surface and a dispersed chromatin pattern (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3B&#x02013;a</xref>). Following incubation with 5 mg/ml GLPs, the induction of cell death was indicated by cell shrinkage, microvilli loss, cell membrane blebbing (arrow in <xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3B&#x02013;b</xref>) and cytoplasm marginalization (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3B&#x02013;b</xref>). Subsequently, the cells broke up into membrane-bound apoptotic bodies (arrow in <xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3B&#x02013;c</xref>). Following exposure to 10 mg/ml GLPs, apoptotic bodies were degraded by lysosomal enzymes (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3B&#x02013;d</xref>).</p></sec>
<sec>
<title>Induction of DNA fragmentation and LDH release by GLPs in LoVo cells</title>
<p>DNA fragmentation and the level of LDH released into the culture medium were used as indexes for evaluating apoptosis. The results demonstrated that GLPs induced DNA fragmentation following treatment with various doses of GLPs (1.25&#x02013;10 mg/ml), presented in <xref rid="f4-mmr-12-05-7629" ref-type="fig">Fig. 4A</xref>. The LDH release assay demonstrated that GLP-induced LDH release was significantly increased (P&lt;0.01), and this effect was dose-dependent (<xref rid="f4-mmr-12-05-7629" ref-type="fig">Fig. 4B</xref>), further supporting the role of apoptosis in GLP-mediated cytotoxicity.</p></sec>
<sec>
<title>Analysis of GLP-induced apoptotic pathways involved in LoVo cells</title>
<p>The addition of GLPs to cultured cells increased the activity of caspases-3, -8 and -9 in a dose-dependent manner (P&lt;0.01), indicating GLP-mediated apoptosis occurred via the caspase-dependent pathway in LoVo cells (<xref rid="f5-mmr-12-05-7629" ref-type="fig">Fig. 5</xref>). Using western blotting, the effect of GLPs on the expression of proteins associated with apoptosis, including Fas, caspase-3 and poly(ADP-ribose) polymerase (PARP) was further investigated. As presented in <xref rid="f6-mmr-12-05-7629" ref-type="fig">Fig. 6</xref>, the level of caspase-3 protein was significantly increased compared with the control group at 12 h and reached its maximum level at 24 h, which is in agreement with the results of caspase activity assay. In addition, the levels of Fas and PARP were increased and reduced, respectively, in a dose-dependent manner (P&lt;0.01). These results suggest a possible association between GLP-induced apoptosis and the activation of the Fas/caspase-dependent pathway.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>As important ingredients in <italic>G. lucidum</italic>, GLPs have been demonstrated to reduce drug toxicity caused by chemotherapy (<xref rid="b25-mmr-12-05-7629" ref-type="bibr">25</xref>), whilst additionally possessing antitumor activity without exhibiting adverse effects. These effects have been reported to be mediated through the activation of the immune response and the induction of apoptosis in a range of cancer cells (<xref rid="b26-mmr-12-05-7629" ref-type="bibr">26</xref>,<xref rid="b27-mmr-12-05-7629" ref-type="bibr">27</xref>). The anticancer activity of polysaccharides is known to be affected by their chemical structure, chemical components, conformation, molecular mass and solubility in water (<xref rid="b28-mmr-12-05-7629" ref-type="bibr">28</xref>,<xref rid="b29-mmr-12-05-7629" ref-type="bibr">29</xref>). In general, GLPs with a backbone of &#x003B2;-(<xref rid="b1-mmr-12-05-7629" ref-type="bibr">1</xref>,<xref rid="b3-mmr-12-05-7629" ref-type="bibr">3</xref>)-D-glucan and a high branching ratio, have been implicated to exhibit anticancer activity (<xref rid="b30-mmr-12-05-7629" ref-type="bibr">30</xref>,<xref rid="b31-mmr-12-05-7629" ref-type="bibr">31</xref>). Additionally, high molecular weight GLPs exhibit greater antineoplastic activity than low molecular weight GLPs (<xref rid="b32-mmr-12-05-7629" ref-type="bibr">32</xref>). Previous studies have demonstrated that GLPs, in addition to other chemical structures, possess anticancer effects <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b33-mmr-12-05-7629" ref-type="bibr">33</xref>&#x02013;<xref rid="b35-mmr-12-05-7629" ref-type="bibr">35</xref>). GLPs comprising of 1,3-, 1,4- and 1,6-linked &#x003B2;-D-glucopyranosyl have been demonstrated to enhance the proliferation of T- and B-lymphocytes <italic>in vitro</italic>, and GLPs consisting of 1,4-linked &#x003B1;-D-glucopyranosyl residues and 1,6-linked &#x003B2;-D-galactopyranosyl residues exhibited immune-stimulating activity in mice (<xref rid="b36-mmr-12-05-7629" ref-type="bibr">36</xref>). Pan <italic>et al</italic> (<xref rid="b37-mmr-12-05-7629" ref-type="bibr">37</xref>) isolated GLPs with a molecular weight of 78 kDa, which were composed of D-galactose, D-glucose and L-rhamnose in a molar ratio of 1.00:3.22:1.15. In the current study, GLPs (molecular weight &gt;10 kDa) with &#x003B1;-glycosidic linkages were obtained from <italic>G. lucidum</italic>. The purified GLPs were predominantly composed of four kinds of monosaccharides, arabinose, galactose, glucose and cellose, at a molar ratio of 11:3:3:1, which was similar to a previous study (<xref rid="b38-mmr-12-05-7629" ref-type="bibr">38</xref>). The anticancer effect on human colon cancer LoVo cells was investigated in the current study. In an MTT assay, 0.313&#x02013;10 mg/ml GLPs demonstrated a time- and concentration-dependent inhibition of LoVo cells (<xref rid="f1-mmr-12-05-7629" ref-type="fig">Fig. 1</xref>), suggesting GLPs possess potential cytotoxic properties against LoVo cancer cells.</p>
<p>Cell migration serves an important role in numerous physiological processes, such as cell differentiation and proliferation (<xref rid="b39-mmr-12-05-7629" ref-type="bibr">39</xref>). Unregulated cell migration is responsible for cancer formation, relapse and metastasis, ultimately leading to development of malignant tumors (<xref rid="b40-mmr-12-05-7629" ref-type="bibr">40</xref>). Therefore, the inhibition of this process is a potential therapeutic strategy for controlling tumor growth. In the current study, significant suppression of migration was observed in the scratch-wound assay in LoVo cells following incubation with GLPs at doses of 0.625&#x02013;10 mg/ml (<xref rid="f2-mmr-12-05-7629" ref-type="fig">Fig. 2</xref>). This demonstrated that GLPs additionally act as an inducer for migration inhibition <italic>in vitro</italic>.</p>
<p>Apoptosis serves a role in the suppression of tumor progression and elimination of unwanted cells in various biological systems, and serves a key role in cell death induced by anticancer drugs (<xref rid="b41-mmr-12-05-7629" ref-type="bibr">41</xref>). Apoptotic cells exhibit characteristic morphological alterations including cell shrinkage, membrane blebbing, chromatin cleavage, formation of apoptotic bodies and nuclear condensation (<xref rid="b42-mmr-12-05-7629" ref-type="bibr">42</xref>). In the current study, using electron microscopy (TEM and SEM), the ultrastructural alterations that indicate apoptosis were examined, including the appearance of pyknotic nuclei (chromatin condensation and marginalization), nuclear fragmentation and apoptotic body formation (<xref rid="f3-mmr-12-05-7629" ref-type="fig">Fig. 3</xref>). Following exposure of LoVo cells to GLPs, DNA fragments were observed, exhibiting exhibiting clear fragmentation by GLP treatment, particularly at 5 and 10 mg/ml GLP (<xref rid="f4-mmr-12-05-7629" ref-type="fig">Fig. 4A</xref>). Additionally, GLPs induced LDH release into the culture medium (<xref rid="f4-mmr-12-05-7629" ref-type="fig">Fig. 4B</xref>) (<xref rid="b43-mmr-12-05-7629" ref-type="bibr">43</xref>). These observations indicate that apoptosis occurred in the LoVo human cancer cells upon treatment with GLPs, suggesting that GLPs may exert their anticancer effects on LoVo cells through an apoptotic pathway.</p>
<p>The organized process of apoptosis is controlled by a signaling network, which includes the following pathways: Mitogen-activated protein kinase/extracellular signal-related kinase, calpain/apoptosis inducing factor, mitochondrial and the death receptor pathways (<xref rid="b44-mmr-12-05-7629" ref-type="bibr">44</xref>). Fas serves an important role in mediating apoptosis in the death receptor pathway. It stimulates an apoptotic signal by binding to Fas ligand (FasL) expressed on the surface of neighboring cells, which in turn results in the recruitment of specialized adaptor proteins and the activation of caspase cascades (<xref rid="b45-mmr-12-05-7629" ref-type="bibr">45</xref>,<xref rid="b46-mmr-12-05-7629" ref-type="bibr">46</xref>). Increasing evidence suggests that activation of FasL/Fas may mediate activation downstream of caspase-8, followed by the activation of caspases-9 and -3 (<xref rid="b47-mmr-12-05-7629" ref-type="bibr">47</xref>). Additionally, apoptosis is able to occur by the caspase-8 independent FasL/Fas-mediated death receptor pathway (<xref rid="b48-mmr-12-05-7629" ref-type="bibr">48</xref>). Mitochondria contain several potentially apoptogenic factors including cytochrome <italic>c</italic> and pro-caspases-3 and -9, which are associated with the mitochondrial apoptotic pathway (<xref rid="b49-mmr-12-05-7629" ref-type="bibr">49</xref>,<xref rid="b50-mmr-12-05-7629" ref-type="bibr">50</xref>). Selenium-enriched GLP-induced apoptosis has been demonstrated to be associated with a reduction in the mitochondrial membrane potential, an increase in cytosolic levels of cytochrome <italic>c</italic> and an increase in the activity of PARP, caspase-3 and caspase-9, with no obvious activation of caspase-8 in human breast cancer cells (<xref rid="b27-mmr-12-05-7629" ref-type="bibr">27</xref>). In the current study, to further understand the mechanisms of GLP-induced apoptosis in human colon cancer LoVo cells, the activity of caspases and the expression levels of proteins associated with apoptosis were investigated. These data indicated that GLPs significantly increased the activity of caspases-3, -8 and -9 in a time-dependent manner (<xref rid="f5-mmr-12-05-7629" ref-type="fig">Fig. 5</xref>). Additionally, GLP-induced apoptosis was observed to involve cleavage of PARP and the upregulation of Fas and caspase-3 (<xref rid="f6-mmr-12-05-7629" ref-type="fig">Fig. 6</xref>). It is conceivable that GLPs may exert their anticancer activity through the death receptor signaling pathway in LoVo cells.</p>
<p>In conclusion, GLPs exhibited significant cytotoxicity in LoVo cells in a time- and concentration-dependent manner. The anticancer effects of GLPs were associated with the induction of apoptosis and suppression of cell migration. In addition, these data demonstrate that GLPs induced apoptosis via a Fas/caspase-8 dependent pathway. The current study provides a new perspective for further research on the toxicology and pharmacology of GLPs as a potential candidate for the treatment or prevention of colon cancer.</p></sec></body>
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<ack>
<title>Acknowledgments</title>
<p>The authors would like to thank to Dr Zebin Huang who supplied the human colon cancer cells and would like to thank Professor Dongbo Liu and Professor Zhilan Xia for providing the <italic>G. lucidum</italic>.</p></ack>
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<floats-group>
<fig id="f1-mmr-12-05-7629" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of GLPs on inhibitory rate. Cells were treated with 0.313, 0.625, 1.25, 2.5, 5 and 10 mg/ml GLP for 24, 48 and 72 h. The relative inhibitory rate was determined using the following formula: &#x0005B;1-A490 (treated with GLP)/A490 (control)&#x0005D; &#x000D7;100%. Data represent the mean &#x000B1; standard deviation of five experiments (n=5); P&lt;0.05 vs. untreated cells. GLP, <italic>G. lucidum</italic> poly-saccharide.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g00.jpg"/></fig>
<fig id="f2-mmr-12-05-7629" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of GLP concentration on the migration of LoVo cells. (A) Cells were visualized following a 48 h treatment with various concentrations of GLP (magnification, &#x000D7;100). The black vertical lines define the areas for counting migrated cells. (B) The number of migrated cells was quantitatively assessed using ImageJ software. Data presented as the mean &#x000B1; standard error; <sup>&#x0002A;</sup>P&lt;0.01 vs. control group. GLP, <italic>G. lucidum</italic> polysaccharide; Cell count/ind, cell count/index.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g01.jpg"/></fig>
<fig id="f3-mmr-12-05-7629" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of GLPs on the morphology of LoVo cells. Cells were exposed to 0, 5 and 10 mg/ml GLP for 48 h. (A) Appearance of LoVo cells under scanning electron microscopy. (A-a-A-c) Magnification, &#x000D7;1,000; (A-d-A-f) magnification, &#x000D7;5,000. (B) Morphological observation of LoVo cells by transmission electron microscopy (magnification, &#x000D7;10,000). Black arrows, empty vacuole; white arrows, apoptotic bodies. GLP, <italic>G. lucidum</italic> polysaccharide.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g02.jpg"/></fig>
<fig id="f4-mmr-12-05-7629" position="float">
<label>Figure 4</label>
<caption>
<p>GLP-induced DNA fragmentation and LDH release in LoVo cells. (A) Cells were incubated with various concentrations of GLPs for 24 h, following which DNA was isolated and examined on a 1.2% agarose gel. Lane 1, 10 mg/ml GLPs; lane 2, 5 mg/ml GLPs; lane 3, 2.5 mg/ml GLPs; lane 4, 1.25 mg/ml GLPs. (B) LDH release was measured in GLP-treated and control cultures. Values are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.01 vs. control group. GLP, <italic>G. lucidum</italic> polysaccharide; bp, base pairs; LDH, lactate dehydrogenase.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g03.jpg"/></fig>
<fig id="f5-mmr-12-05-7629" position="float">
<label>Figure 5</label>
<caption>
<p>Activity of caspase-3, -8 and -9 in GLP-treated LoVo cells. Caspase activities of cells incubated with 0, 2.5 and 5 mg/ml GLPs for 48 h. Values are presented as the mean &#x000B1; standard deviation of independent experiments performed in triplicate. <sup>&#x0002A;</sup>P&lt;0.01 vs. control group. GLP, <italic>G. lucidum</italic> polysaccharide.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g04.tif"/></fig>
<fig id="f6-mmr-12-05-7629" position="float">
<label>Figure 6</label>
<caption>
<p>Effect of GLPs on the expression levels of proteins associated with apoptosis in LoVo cells. Cells were incubated with 5 mg/ml GLPs for the indicated time period (0, 12, 24, 36 and 48 h). The cell lysates were collected and subjected to western blot analysis. (A) Images of blots for Fas, caspase-3 and PARP antibody-bound proteins; (B) The histogram indicates that there were significant increases in Fas and caspase-3 protein levels and a significant reduction in PARP protein expression following GLP treatment. Values are expressed as the mean &#x000B1; standard deviation (n=3). <sup>&#x0002A;</sup>P&lt;0.01 vs. control group. GLP, <italic>G. lucidum</italic> polysaccharide; PARP, poly(ADP) ribose polymerase.</p></caption>
<graphic xlink:href="MMR-12-05-7629-g05.jpg"/></fig></floats-group></article>
