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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.2015.4492</article-id>
<article-id pub-id-type="publisher-id">mmr-13-01-0469</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Effect of GnT-V knockdown on the proliferation, migration and invasion of the SMMC7721/R human hepatocellular carcinoma drug-resistant cell line</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>BO</given-names></name><xref rid="fn1-mmr-13-01-0469" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>SU</surname><given-names>SONG</given-names></name><xref rid="fn1-mmr-13-01-0469" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>MENG-YU</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>LEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>QING-DA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>KAI</given-names></name><xref ref-type="corresp" rid="c1-mmr-13-01-0469"/></contrib>
<aff id="af1-mmr-13-01-0469">Department of Hepatobiliary Surgery, The Affiliated Hospital of Sichuan Medical University, Luzhou, Sichuan 646000, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-mmr-13-01-0469">Correspondence to: Dr Kai He, Department of Hepatobiliary Surgery, The Affiliated Hospital of Sichuan Medical University, 8 Taiping Street, Luzhou, Sichuan 646000, P.R. China, E-mail: <email>hekailzyy@163.com</email></corresp><fn id="fn1-mmr-13-01-0469">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>10</month>
<year>2015</year></pub-date>
<volume>13</volume>
<issue>1</issue>
<fpage>469</fpage>
<lpage>476</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>02</month>
<year>2015</year></date>
<date date-type="accepted">
<day>24</day>
<month>09</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Li et al.</copyright-statement>
<copyright-year>2016</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>Hepatocellular carcinoma (HCC) is a commonly occurring malignant tumor, with a high incidence rate. The present study aimed to investigate the effect of knocking down the N-glycosyltransferase-V (GnT-V) protein on the proliferation, migration and invasion of the human HCC drug-resistant cell line, SMMC7721/R. SMMC7721/R cells with GnT-V-knockdown (SMMC-7721/R-GnT-V) were constructed using the method of lentiviral transfection. The expression of GnT-V was assessed using reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and western blotting. Cell proliferation was determined using an MTT assay, and the extent of cellular apoptosis was assessed using flow cytometric analysis. Additionally, the metastatic ability of the cells <italic>in vitro</italic> was analyzed using cell adhesion and invasion assays. Western blotting was used to investigate the protein expression levels of caspase-3, caspase-9, Bcl-2, Bax, matrix metalloproteinase (MMP)-2 and MMP-9, and RT-qPCR was used to determine the mRNA expression levels of the genes for the breast cancer resistance protein and P-glycoprotein in the SMMC-7721/R cells. Taken together, the results of the present study revealed that the knockdown of GnT-V significantly suppressed the proliferation, migration and invasion (P&lt;0.05) of the SMMC-7721/R cells. Furthermore, the possible mechanism underlying these phenomena may be associated with the induction of mitochondria-mediated apoptosis, inhibition of the degradation of the extracellular matrix and an enhancement of the drug-sensitivity. GnT-V-knockdown may therefore be used to treat drug-resistant HCC in the future.</p></abstract>
<kwd-group>
<kwd>hepatocellular carcinoma</kwd>
<kwd>SMMC-7721/R cell</kwd>
<kwd>N-glycosyltransferase-V</kwd>
<kwd>migration</kwd>
<kwd>invasion</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Hepatocellular carcinoma (HCC) is one of the most common malignant tumor types, with a rate of incidence that is increasing worldwide (<xref rid="b1-mmr-13-01-0469" ref-type="bibr">1</xref>). According to the 'Word Cancer Report 2014' of the Word Health Organization, new cases reported of HCC and the mortality rate in China are the highest worldwide, with an incidence rate of ~25.7/100,000 individuals (<xref rid="b2-mmr-13-01-0469" ref-type="bibr">2</xref>). Previous studies reported that the predominant risk factor of HCC in China is chronic infection by hepatitis B virus, although other major risk factors include infection with the hepatitis C virus, an excessive alcohol consumption, tobacco smoking and aflatoxins (<xref rid="b3-mmr-13-01-0469" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-mmr-13-01-0469" ref-type="bibr">5</xref>). At present, observable symptoms of HCC at an early stage are lacking, and therefore clinically symptomatic HCC is often only identified when the disease is already well advanced in patients, which makes treatment difficult, and the prognosis is poor (<xref rid="b1-mmr-13-01-0469" ref-type="bibr">1</xref>). In common with a number of other types of tumor, distant metastasis is the major cause of mortality for patients with HCC. Therefore, the ability to control the dissemination of cancer cells at an early stage is the focus of numerous studies.</p>
<p>N-glycosyltransferase-V (GnT-V), as a key member of the glycosyltransferase family, is closely associated with the proliferation, migration and invasion of cancer cells (<xref rid="b6-mmr-13-01-0469" ref-type="bibr">6</xref>&#x02013;<xref rid="b7-mmr-13-01-0469" ref-type="bibr">7</xref>). Previous studies reported that GnT-V is commonly overexpressed in various advanced tumor types, including prostate cancer, oral squamous cell carcinoma, colorectal and breast cancer, gastric cancer cells and ovarian mucinous cancer (<xref rid="b8-mmr-13-01-0469" ref-type="bibr">8</xref>&#x02013;<xref rid="b13-mmr-13-01-0469" ref-type="bibr">13</xref>). Notably, previous studies identified that the downregulation of GnT-V markedly suppressed the proliferation and migration of tumor cells, and induced cell apoptosis (<xref rid="b11-mmr-13-01-0469" ref-type="bibr">11</xref>,<xref rid="b14-mmr-13-01-0469" ref-type="bibr">14</xref>,<xref rid="b15-mmr-13-01-0469" ref-type="bibr">15</xref>). Preliminary experiments in our laboratory demonstrated that GnT-V is highly expressed in SMMC7721 cells (unpublished data), although the effect of reducing the expression of GnT-V on the proliferation, migration and invasion of SMMC7721/R cells remains to be fully elucidated.</p>
<p>In the present study, the role of GnT-V-knockdown on the growth of human HCC was investigated. The expression of GnT-V was suppressed in SMMC7721/R cells using short hairpin (sh)RNA analysis, and the effects of GnT-V-knockdown on the proliferation, adhesion, invasion and apoptosis of the SMMC7721/R cells <italic>in vitro</italic> were examined. Furthermore, the potential mechanisms underlying the observed effects were investigated using western blotting and reverse transcription-quantitative polymerase chain reaction (RT-qPCR).</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Reagents and cell lines</title>
<p>The human SMMC7721 HCC cell line was obtained from the Shanghai Cell Bank of the Chinese Academy of Sciences (Shanghai, China). The human HCC drug-resistant cell line (SMMC7721/R) was developed from the SMMC7721 cell line using continuous exposure to adriamycin, as previously described (<xref rid="b16-mmr-13-01-0469" ref-type="bibr">16</xref>). The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), 0.25% trypsin solution, sodium dodecyl sulfate (SDS), phosphate-buffered saline (PBS) and Giemsa stain were obtained from Sigma-Aldrich (St. Louis, MO, USA). The annexin V/fluorescein isothiocyanate (FITC) kit and Matrigel&#x02122; were purchased from BD Biosciences (San Jose, CA, USA), and Transwell<sup>&#x000AE;</sup> culture chambers were purchased from Corning Costar, Inc. (Corning, NY, USA). Propidium iodide (PI) was purchased from Beyotime Institute of Biotechnology (Jiangsu, China). Rabbit GAPDH polyclonal antibody (cat no. sc-25778; 1:200 dilution), rabbit B-cell lymphoma 2 (Bcl-2) polyclonal antibody (cat no. sc-492; 1:200 dilution), rabbit Bcl-2-associated X protein (Bax) polyclonal antibody (cat no. sc-493; 1:200 dilution), rabbit matrix metalloproteinase (MMP)-2 polyclonal antibody (cat no. sc-10736; 1:200 dilution), rabbit MMP-9 polyclonal antibody (cat no. sc-10737; 1:200 dilution) and goat-anti-rabbit horseradish-peroxidase-conjugated secondary antibody (cat no. sc-2004; 1:10,000 dilution) were obtained from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). Rabbit polyclonal antibody to active caspase-3 (cat no. ab2302; 1:200 dilution) and rabbit polyclonal antibody to active caspase-9 (cat no. ab2324; 1:200 dilution) were obtained from Abcam (Cambridge, MA, USA). The enhanced chemiluminescence (ECL) reagent was provided by Beyotime Institute of Biotechnology (Haimen, China).</p></sec>
<sec>
<title>Cell culture and transient transfection</title>
<p>The SMMC7721/R cells were cultured in Gibco BRL<sup>&#x000AE;</sup> RPMI-1640 medium, supplemented with 10% fetal bovine serum (Thermo Fisher Scientific, Inc., Waltham, MA, USA) and 1% penicillin and streptomycin (Beyotime Institute of Biotechnology) at 37&#x000B0;C in a 5% CO<sub>2</sub> humidified atmosphere.</p>
<p>The expression of GnT-V was knocked down using short-hairpin (sh)RNAs in a pGenesil-4 shRNA lentiviral vector provided by Wuhan Cell Marker and Machine Technology Co., Ltd. (Wuhan, China). The recombinant lentiviruses were transfected into SMMC7721/R cells using Invitrogen<sup>&#x000AE;</sup> Lipofectamine 2000 reagent (Thermo Fisher Scientific, Inc.). The stably transfected cells were selected in RPMI-1640 medium, containing G418, and were termed SMMC7721/R-GnT-V and SMMC7721/R-GnT-V/NC, (signifying treatment with control vector, or as a control group, respectively).</p></sec>
<sec>
<title>RT-qPCR</title>
<p>The mRNA expression levels of GnT-V, the breast cancer resistance protein (BCRP) and P-glycoprotein &#x0005B;also termed the ATP-binding cassette, subfamily B protein (ANCB1)&#x0005D; were quantified using SYBR Green-based RT-qPCR analysis (Bio-Rad Laboratories, Shanghai, China). The primer sequences are listed in <xref rid="tI-mmr-13-01-0469" ref-type="table">Table I</xref> (<xref rid="b17-mmr-13-01-0469" ref-type="bibr">17</xref>,<xref rid="b18-mmr-13-01-0469" ref-type="bibr">18</xref>). The total RNA from cells was isolated using RNAiso Plus extraction reagent (Takara Biotechnology Co., Ltd., Dalian, China). Subsequently, cDNA was synthesized from 1 <italic>&#x000B5;</italic>g total RNA using PrimeScript&#x02122; RT reagent kits (Takara Biotechnology Co., Ltd.). The cDNAs were amplified using SYBR Green mixture on a CFX96 Touch Real-Time PCR Detection system (Bio-Rad Laboratories). The cycle threshold values were normalized against the amplification of GAPDH, and the relative mRNA expression levels of GnT-V, BCRP and ABCB1 were assessed using 2<sup>&#x02212;&#x02206;&#x02206;Cq</sup> relative quantitative analysis of each sample. All samples were analyzed in triplicate.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The cells were lysed using western blotting and an immunoprecipitation cell lysis buffer kit (Sangon Biotech Co., Ltd., Shanghai, China) and the total proteins were quantified using a bicinchoninic acid protein assay reagent kit (Sangon Biotech Co., Ltd.). The total protein (20 <italic>&#x000B5;</italic>g) was loaded onto SDS-polyacrylamide electrophoresis gels (Bio-Rad Laboratories), and subsequently transferred onto a nitrocellulose filter membrane (Bio-Rad Laboratories). Anti-Bcl2, Bax, caspase-3, caspase-9, MMP-2, MMP-9 and GAPDH antibodies were used to assess the corresponding protein expression at 4&#x000B0;C for 12 h. The horseradish-peroxidase-conjugated anti-rabbit and anti-rat immunoglobulins were used as secondary antibodies, and the immunoreactive bands were visualized using ECL-detecting reagents.</p></sec>
<sec>
<title>MTT assay</title>
<p>A total of 5&#x000D7;10<sup>3</sup> cells/well were seeded into 96-well plates, and following an incubation for 0, 12, 24 or 48 h, the proliferation of the cells was determined using an MTT assay, according to the manufacturer's protocol. Subsequently, the optical density values were measured at 490 nm using a 96-well plate reader (Thermo Scientific<sup>&#x000AE;</sup> Multiscan MK3; Thermo Fisher Scientific, Inc.).</p></sec>
<sec>
<title>Apoptosis assay using flow cytometric analysis</title>
<p>The extent of cell apoptosis was analyzed using an Annexin V-FITC kit (BD Biosciences) according to the manufacturer's instructions. In brief, cells were harvested following an overnight incubation in serum-free medium and 5&#x000D7;10<sup>4</sup> cells were washed with PBS and stained PI and Annexin V for flow-cytometric analysis on a FACSCalibur flow cytometer (BD Biosciences). The percentage of cells undergoing early-stage apoptosis was determined by quantifying the Annexin V-positive and the PI-negative cell population, whereas the percentage of cells undergoing late-stage apoptosis was determined by quantifying the Annexin V-positive and the PI-positive cell population. Finally, data were analyzed using FlowJo 7.6 software (FlowJo, LLC, Ashland, OR, Canada).</p></sec>
<sec>
<title>Cell adhesion assay</title>
<p>Matrigel&#x02122;-coated 12-well plates were used to assess cell adhesion. Prior to use, the cells were grown until they reached 90% confluence on 12-well plates, and they were subsequently cultured in serum-free RPMI-1640 medium for 24 h. The cells were harvested following an overnight incubation in serum-free medium and subsequently suspended in RPMI-1640 medium containing 10% fetal bovine serum (FBS), prior to adding the cells to 12-well plates that were pre-coated with Matrigel&#x02122; (2&#x000D7;10<sup>4</sup> cells/well). Following an incubation for 1 h at 37&#x000B0;C in 5% CO<sub>2</sub>, the unattached cells were removed by washing the cells twice with warmed PBS, and the number of adhering cells was determined using the Giemsa staining method for 10 min. The stained cells were observed under an optical microscope (IX53; Olympus, Tokyo, Japan).</p></sec>
<sec>
<title>In vitro invasion assay</title>
<p>The invasive ability of the cells was measured using Transwell culture chambers with Matrigel&#x02122;. Briefly, the cells were grown until they reached 90% confluence on 24-well plates, and they were subsequently cultured in the serum-free RPMI-1640 medium for 24 h prior to use. A series of 24-well plates and Transwell well culture chambers pro-coated with Matrigel&#x02122; were washed in PBS for 5 min, and dried immediately. Aliquots of 0.75 ml RPMI-1640 medium supplemented with 10% FBS were added to the upper chamber and 0.5 ml cells (at a density of 1&#x000D7;10<sup>5</sup>/ml) in RPMI-1640 medium, containing 1% FBS, were placed in the upper chamber. Following incubation for 48 h at 37&#x000B0;C in 5% CO<sub>2</sub>, the number of cells which had invaded through the Matrigel&#x02122;-coated polyvinylidene fluoride filter was determined by counting the cells stained with 0.5% crystal violet solution. The stained cells were observed under an optical microscope (IX53; Olympus).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are expressed as the mean &#x000B1; standard deviation. The data analysis was performed using the SPSS 19.0 statistical software package (IBM SPSS, Armonk, NY, USA), and one-way analysis of variance was used to compare the means between two groups. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of GnT-V in SMMC7721/R cells following transfection</title>
<p>Following transfection, the expression of GnT-V in the SMMC7721/R cells was determined using RT-qPCR and western blotting. As shown in <xref rid="f1-mmr-13-01-0469" ref-type="fig">Fig. 1A</xref>, the gene expression of GnT-V was markedly downregulated in the SMMC-7721/R-GnT-C cells compared with the control and mock groups. This trend was also observed in the protein expression level of GnT-V following transfection (<xref rid="f1-mmr-13-01-0469" ref-type="fig">Fig. 1B</xref>). These results indicated that GnT-V-knockdown in the SMMC-7721/R cells was successful.</p></sec>
<sec>
<title>GnT-V-knockdown inhibits the proliferation of the SMMC7721/R cells</title>
<p>The proliferation of the SMMC-7721/R cells was assessed using an MTT assay following transfection. As shown in <xref rid="f2-mmr-13-01-0469" ref-type="fig">Fig. 2</xref>, compared with the two control cell groups, the proliferation of the SMMC-7721/R-GnT-C cells decreased significantly at 12, 24 and 48 h following transfection (P&lt;0.01 for all the time points). However, no significant differences were identified between the untreated SMMC-7721/R and the SMMC-7721/R-GnT-V/NC groups (P&gt;0.05). These results therefore revealed that GnT-V-knockdown significantly inhibited the proliferation of the SMMC-7721/R cells.</p></sec>
<sec>
<title>Downregulation of GnT-V enhances cell apoptosis</title>
<p>The extent of cell apoptosis was analyzed using flow cytometry to investigate whether the antiproliferative effect of GnT-V downregulation was associated with apoptosis in the SMMC-7721/R cells. As shown in <xref rid="f3-mmr-13-01-0469" ref-type="fig">Fig. 3</xref>, the apoptosis rate of the GnT-V knockdown group was significantly higher compared with that in the untreated SMMC-7721/R cells and the SMMC-7721/R-GnT-V/NC group (43.5, 4.2 and 6.3%, respectively), which indicated that decreasing the expression of GnT-V may markedly increase the levels of apoptosis in the SMMC-7721/R cells.</p></sec>
<sec>
<title>Downregulation of GnT-V inhibits cell adhesion and invasion in vitro</title>
<p>To determine the role of GnT-V on the <italic>in vitro</italic> adhesion and invasion of the SMMC-7721/R cells, cell adhesion and invasion assays were performed. As shown in <xref rid="f4-mmr-13-01-0469" ref-type="fig">Fig. 4A</xref>, compared with the untreated cells and the mock group, cell adhesion was significantly inhibited by GnT-V-knockdown in the SMMC-7721/R cell line. Notably, the results of the cell invasion assay were similar to those of the cell adhesion assay (<xref rid="f4-mmr-13-01-0469" ref-type="fig">Fig. 4B</xref>). The results of these experiments revealed that down-regulating the expression of GnT-V clearly suppressed the adhesion and the invasion of the SMMC-7721/R cells <italic>in vitro</italic>.</p></sec>
<sec>
<title>Protein expression levels of caspase-3, caspase-9, Bcl-2, Bax, MMP-2 and MMP-9</title>
<p>Thus far, the experiments performed in the present study revealed that GnT-V-knockdown may inhibit the proliferation, adhesion and invasion of the SMMC-7721/R cells <italic>in vitro</italic>. To further investigate the possible mechanisms underlying these changes, the protein expression levels of caspase-3, caspase-9, Bcl-2, Bax, MMP-2 and MMP-9 were assessed by western blotting. As shown in <xref rid="f5-mmr-13-01-0469" ref-type="fig">Figs. 5</xref><xref rid="f6-mmr-13-01-0469" ref-type="fig"/>&#x02013;<xref rid="f7-mmr-13-01-0469" ref-type="fig">7</xref>, no significant differences were observed between the untreated SMMC-7721/R cells and the SMMC-7721/R-GnT-V/NC group with respect to the expression levels of any of the proteins. Notably, compared with the untreated SMMC-7721/R cells and the SMMC-7721/R-GnT-V/NC group, the protein expression levels of caspase-3, caspase-9, Bcl-2, MMP-2 and MMP-9 were clearly decreased in the GnT-V knockdown group, whereas the protein expression of Bax was markedly upregulated.</p></sec>
<sec>
<title>mRNA expression levels of BCRP and ANCB1</title>
<p>To further examine whether GnT-V-knockdown affected the drug-sensitivity of the SMMC-7721/R cells, the mRNA expression levels of BCRP and ABCB1 were assessed by RT-qPCR. As shown in <xref rid="f8-mmr-13-01-0469" ref-type="fig">Fig. 8</xref>, the expression levels of these genes were markedly reduced in the GnT-V-knockdown cells compared with the untreated SMMC-7721/R cells and the SMMC-7721/R-GnT-V/NC group.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, GnT-V knockdown <italic>in vitro</italic> was revealed to markedly decrease the proliferation, migration and invasion of human HCC drug-resistant SMMC-7721/R cells. In addition, the inhibitory effects may be involved in inducing apoptosis of the cells, in inhibiting the degradation of the extracellular matrix (ECM) and in restoring drug-sensitivity. Previous studies reported that protein glycosylation exerts a crucial role in cell growth, differentiation and tumor metastasis, and &#x003B2;1,6-branched oligosaccharides are key compounds associated with the process of malignant transformation (<xref rid="b6-mmr-13-01-0469" ref-type="bibr">6</xref>,<xref rid="b19-mmr-13-01-0469" ref-type="bibr">19</xref>,<xref rid="b20-mmr-13-01-0469" ref-type="bibr">20</xref>). A previous study demonstrated that GnT-V is an important glycosyltransferase, which promotes this malignant transformation process by catalyzing the formation of &#x003B2;1,6-branched oligosaccharides (<xref rid="b19-mmr-13-01-0469" ref-type="bibr">19</xref>). Furthermore, GnT-V is overexpressed in various malignant tumor types, thereby promoting the malignant transformation process (<xref rid="b21-mmr-13-01-0469" ref-type="bibr">21</xref>,<xref rid="b22-mmr-13-01-0469" ref-type="bibr">22</xref>). Therefore, it was hypothesized that reducing the expression of GnT-V may provide a suitable strategy for ameliorating the progression of certain tumor types. To determine the effect of downregulating the expression of GnT-V on the progression of HCC, a GnT-V-knockdown cell model was successfully constructed by transferring short hairpin (sh) RNA into SMMC-7721/R cells.</p>
<p>As demonstrated by preliminary <italic>in vitro</italic> experiments in our group, GnT-V-knockdown markedly decreased the proliferation, migration and invasion of human HCC drug-resistant SMMC-7721/R cells (unpublished data). Notably, increased levels of apoptosis were also observed in the GnT-V-knockdown cells. According to these results, the antiproliferative effects of GnT-V-knockdown on SMMC-7721/R cells may be closely associated with the increased apoptosis that is induced by the downregulation of the expression of GnT-V. Apoptosis, or programmed cell death, is a complex biological process, which is important for the development and maintenance of cells. It was reported that caspases exert a crucial role during cell apoptosis (<xref rid="b23-mmr-13-01-0469" ref-type="bibr">23</xref>). Among them, caspase-3 is an important effector of cell mortality, whereas caspase-9 functions as a crucial upstream activator (<xref rid="b23-mmr-13-01-0469" ref-type="bibr">23</xref>). In the present study, the protein expression levels of caspase-3 and caspase-9 were significantly upregulated in the GnT-V-knockdown SMMC-7721/R cells, which was consistent with the results of a previous study performed in H7721 human HCC cells (<xref rid="b21-mmr-13-01-0469" ref-type="bibr">21</xref>). Furthermore, the proteins Bcl-2 and Bax are also essential for cell apoptosis, functioning as the predominant controller and mediator of apoptosis, respectively, and the ratio of Bcl-2 to Bax is a key factor determining whether the switch to apoptosis is made (<xref rid="b24-mmr-13-01-0469" ref-type="bibr">24</xref>,<xref rid="b25-mmr-13-01-0469" ref-type="bibr">25</xref>). The results of the present study demonstrated that the protein expression level of Bcl-2 was downregulated, whereas that of Bax was upregulated. Furthermore, GnT-V-knockdown may increase the expression of Bcl-2, whereas the protein expression of caspase-3, caspase-9 and Bax were decreased. Therefore, inhibiting the expression of GnT-V promoted mitochondrial-associated apoptosis, which is mediated by caspase-3, caspase-9, Bcl-2 and Bax.</p>
<p>Furthermore, previous studies demonstrated that GnT-V exerts an important role in the metastasis/invasion of various types of tumor. For example, a close association was identified between GnT-V activity and tumor invasiveness in the sera of patients with HCC (<xref rid="b19-mmr-13-01-0469" ref-type="bibr">19</xref>). Additionally, <italic>in vitro</italic> GnT-V-knockdown may decrease the invasive ability of the BGC823 gastric cancer cell line (<xref rid="b11-mmr-13-01-0469" ref-type="bibr">11</xref>). Notably, the present results demonstrated that suppressing the expression of GnT-V markedly reduced cell-to-cell adherence and the invasive abilities of the SMMC-7721/R cells. Cellular metastasis and invasion is a complex and crucial process in cancer. It is well known that cell-to-cell adherence and invasion of the ECM is responsible for malignant neoplasms, and ECM and basement membranes are predominantly degraded by MMPs (<xref rid="b26-mmr-13-01-0469" ref-type="bibr">26</xref>). MMP-2 and MMP-9 exert key roles in degrading the ECM components, and are also important in tumor progression, as demonstrated by their overexpression in advanced tumor types (<xref rid="b27-mmr-13-01-0469" ref-type="bibr">27</xref>,<xref rid="b28-mmr-13-01-0469" ref-type="bibr">28</xref>). The mRNA expression of MMP-2 and MMP-9 were demonstrated to be upregulated in HCCs, although they were expressed with different intensities, and had a different cellular origin (<xref rid="b29-mmr-13-01-0469" ref-type="bibr">29</xref>). The mRNA expression of MMP-9 was higher in HCCs with capsular infiltration compared with HCCs that lacked capsular infiltration, whereas the mRNA expression of MMP-2 exhibited no marked difference between tumorous and non-tumorous tissues (<xref rid="b30-mmr-13-01-0469" ref-type="bibr">30</xref>). In the present study, the protein expression levels of MMP-2 and MMP-9 were markedly decreased in the SMMC-7721/R-GnT-V cells. According to these results, the reduced invasive ability of the SMMC-7721/R-GnT-V cells is closely associated with the downregulation of the protein expression of MMP-2 and MMP-9.</p>
<p>In addition, multidrug resistance (MDR), resulting from the overexpression of MDR proteins, is a major obstacle in cancer chemotherapy. A number of previous studies revealed that MDR proteins are predominantly encoded by ATP-binding cassette (ABC) families, which may mediate drug efflux to the cytomembrane, leading to lower levels of chemicals in the plasma (<xref rid="b31-mmr-13-01-0469" ref-type="bibr">31</xref>,<xref rid="b32-mmr-13-01-0469" ref-type="bibr">32</xref>). BCRP and ABCB1, as members of the ABC transporter family of proteins, are important mediators of MDR in cancer cells (<xref rid="b33-mmr-13-01-0469" ref-type="bibr">33</xref>&#x02013;<xref rid="b35-mmr-13-01-0469" ref-type="bibr">35</xref>). The overexpression of BCRP and ABCB1 was frequently identified in various tumor types, including HCC, ovarian tumor and breast cancer (<xref rid="b36-mmr-13-01-0469" ref-type="bibr">36</xref>&#x02013;<xref rid="b39-mmr-13-01-0469" ref-type="bibr">39</xref>). In the present study, the mRNA expression of BCRP and ANCB1 was notably reduced in the GnT-V-knockdown SMMC-7721/R cells, indicating that GnT-V-knockdown may improve the sensitivity of the human HCC drug-resistant cell line, SMMC7721/R, to chemotherapies.</p>
<p>In conclusion, GnT-V-knockdown inhibited the proliferation, migration and invasion of human HCC drug-resistant SMMC7721/R cells <italic>in vitro</italic>. The underlying mechanisms may be associated with the induction of mitochondrial-mediated apoptosis, a suppression of the degradation of ECM components of the basement membrane, and a strengthening of the drug sensitivity of the cells.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by the Support Program of the Department of Science and Technology of Sichuan Province (no. 2009JY0096).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-13-01-0469"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lafaro</surname><given-names>KJ</given-names></name><name><surname>Demirjian</surname><given-names>AN</given-names></name><name><surname>Pawlik</surname><given-names>TM</given-names></name></person-group><article-title>Epidemiology of hepatocellular carcinoma</article-title><source>Surg Oncol Clin N Am</source><volume>24</volume><fpage>1</fpage><lpage>17</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.soc.2014.09.001</pub-id></element-citation></ref>
<ref id="b2-mmr-13-01-0469"><label>2</label><element-citation publication-type="book"><person-group person-group-type="editor"><name><surname>Stewart</surname><given-names>BW</given-names></name><name><surname>Wild</surname><given-names>CP</given-names></name></person-group><source>World Cancer Report 2014</source><publisher-name>IARC</publisher-name><publisher-loc>Nonserial Publication</publisher-loc><year>2014</year></element-citation></ref>
<ref id="b3-mmr-13-01-0469"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nordenstedt</surname><given-names>H</given-names></name><name><surname>White</surname><given-names>DL</given-names></name><name><surname>El-Serag</surname><given-names>HB</given-names></name></person-group><article-title>The changing pattern of epidemiology in hepatocellular carcinoma</article-title><source>Dig Liver Dis</source><volume>42</volume><issue>Suppl 3</issue><fpage>S206</fpage><lpage>S214</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/S1590-8658(10)60507-5</pub-id><pub-id pub-id-type="pmid">20547305</pub-id><pub-id pub-id-type="pmcid">3392755</pub-id></element-citation></ref>
<ref id="b4-mmr-13-01-0469"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>El-Serag</surname><given-names>HB</given-names></name><name><surname>Kanwal</surname><given-names>F</given-names></name></person-group><article-title>Epidemiology of hepatocellular carcinoma in the United States: Where are we? Where do we go?</article-title><source>Hepatology</source><volume>60</volume><fpage>1767</fpage><lpage>1775</lpage><year>2014</year><pub-id pub-id-type="doi">10.1002/hep.27222</pub-id><pub-id pub-id-type="pmid">24839253</pub-id><pub-id pub-id-type="pmcid">4211957</pub-id></element-citation></ref>
<ref id="b5-mmr-13-01-0469"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kew</surname><given-names>MC</given-names></name><name><surname>Kew</surname><given-names>MC</given-names></name></person-group><article-title>Hepatocellular carcinoma: Epidemiology and risk factors</article-title><source>J Hepa Carc</source><volume>1</volume><fpage>115</fpage><lpage>125</lpage><year>2014</year></element-citation></ref>
<ref id="b6-mmr-13-01-0469"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chakraborty</surname><given-names>AK</given-names></name><name><surname>Pawelek</surname><given-names>JM</given-names></name></person-group><article-title>GnT-V, macrophage and cancer metastasis: A common link</article-title><source>Clin Exp Metastasis</source><volume>20</volume><fpage>365</fpage><lpage>373</lpage><year>2003</year><pub-id pub-id-type="doi">10.1023/A:1024007915938</pub-id><pub-id pub-id-type="pmid">12856724</pub-id></element-citation></ref>
<ref id="b7-mmr-13-01-0469"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Song</surname><given-names>K</given-names></name><name><surname>Ko</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>YS</given-names></name></person-group><article-title>Role of N-acetylglucosaminyltra nsferase-V and galectin-3 binding protein in anoikis stress of cancer cells (788.1)</article-title><source>FASEB J</source><volume>28</volume><fpage>781</fpage><lpage>788</lpage><year>2014</year></element-citation></ref>
<ref id="b8-mmr-13-01-0469"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Murata</surname><given-names>K</given-names></name><name><surname>Miyoshi</surname><given-names>E</given-names></name><name><surname>Kameyama</surname><given-names>M</given-names></name><name><surname>Ishikawa</surname><given-names>O</given-names></name><name><surname>Kabuto</surname><given-names>T</given-names></name><name><surname>Sasaki</surname><given-names>Y</given-names></name><name><surname>Hiratsuka</surname><given-names>M</given-names></name><name><surname>Ohigashi</surname><given-names>H</given-names></name><name><surname>Ishiguro</surname><given-names>S</given-names></name><name><surname>Ito</surname><given-names>S</given-names></name><etal/></person-group><article-title>Expression of N-acetylglucosaminyltransferase V in colorectal cancer correlates with metastasis and poor prognosis</article-title><source>Clin Cancer Res</source><volume>6</volume><fpage>1772</fpage><lpage>1777</lpage><year>2000</year><pub-id pub-id-type="pmid">10815896</pub-id></element-citation></ref>
<ref id="b9-mmr-13-01-0469"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Handerson</surname><given-names>T</given-names></name><name><surname>Camp</surname><given-names>R</given-names></name><name><surname>Harigopal</surname><given-names>M</given-names></name><name><surname>Rimm</surname><given-names>D</given-names></name><name><surname>Pawelek</surname><given-names>J</given-names></name></person-group><article-title>&#x003B2;1, 6-branched oligosaccharides are increased in lymph node metastases and predict poor outcome in breast carcinoma</article-title><source>Clin Cancer Res</source><volume>11</volume><fpage>2969</fpage><lpage>2973</lpage><year>2005</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-04-2211</pub-id><pub-id pub-id-type="pmid">15837749</pub-id></element-citation></ref>
<ref id="b10-mmr-13-01-0469"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Takahashi</surname><given-names>N</given-names></name><name><surname>Yamamoto</surname><given-names>E</given-names></name><name><surname>Ino</surname><given-names>K</given-names></name><name><surname>Miyoshi</surname><given-names>E</given-names></name><name><surname>Nagasaka</surname><given-names>T</given-names></name><name><surname>Kajiyama</surname><given-names>H</given-names></name><name><surname>Shibata</surname><given-names>K</given-names></name><name><surname>Nawa</surname><given-names>A</given-names></name><name><surname>Kikkawa</surname><given-names>F</given-names></name></person-group><article-title>High expression of N-acetylglucosaminyltransferase V in mucinous tumors of the ovary</article-title><source>Oncol Rep</source><volume>22</volume><fpage>1027</fpage><lpage>1032</lpage><year>2009</year><pub-id pub-id-type="pmid">19787216</pub-id></element-citation></ref>
<ref id="b11-mmr-13-01-0469"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>B</given-names></name><name><surname>Sun</surname><given-names>L</given-names></name><name><surname>Cao</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Wu</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Ge</surname><given-names>Y</given-names></name><name><surname>Fu</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name></person-group><article-title>Downregulation of the GnT-V gene inhibits metastasis and invasion of BGC823 gastric cancer cells</article-title><source>Oncol Rep</source><volume>29</volume><fpage>2392</fpage><lpage>2400</lpage><year>2013</year><pub-id pub-id-type="pmid">23563846</pub-id></element-citation></ref>
<ref id="b12-mmr-13-01-0469"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seto</surname><given-names>K</given-names></name><name><surname>Uchida</surname><given-names>F</given-names></name><name><surname>Baba</surname><given-names>O</given-names></name><name><surname>Yamatoji</surname><given-names>M</given-names></name><name><surname>Karube</surname><given-names>R</given-names></name><name><surname>Warabi</surname><given-names>E</given-names></name><name><surname>Sakai</surname><given-names>S</given-names></name><name><surname>Hasegawa</surname><given-names>S</given-names></name><name><surname>Yamagata</surname><given-names>K</given-names></name><name><surname>Yanagawa</surname><given-names>T</given-names></name><etal/></person-group><article-title>Negative expression of N-acetylglucosaminyltransferase V in oral squamous cell carcinoma correlates with poor prognosis</article-title><source>Springerplus</source><volume>2</volume><fpage>657</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/2193-1801-2-657</pub-id><pub-id pub-id-type="pmid">24349959</pub-id><pub-id pub-id-type="pmcid">3863399</pub-id></element-citation></ref>
<ref id="b13-mmr-13-01-0469"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Liu</surname><given-names>Q</given-names></name><name><surname>Wei</surname><given-names>T</given-names></name><name><surname>Zhu</surname><given-names>W</given-names></name><name><surname>Meng</surname><given-names>H</given-names></name><name><surname>Guo</surname><given-names>L</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name></person-group><article-title>Inhibition of N-acetylglucosaminyltransferase V enhances sensitivity of radiotherapy in human prostate cancer</article-title><source>Biochem Biophys Res Commun</source><volume>451</volume><fpage>345</fpage><lpage>351</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2014.06.097</pub-id><pub-id pub-id-type="pmid">25117443</pub-id></element-citation></ref>
<ref id="b14-mmr-13-01-0469"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>HB</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Zhao</surname><given-names>JH</given-names></name><name><surname>Chen</surname><given-names>HL</given-names></name></person-group><article-title>Down-regulation of N-acetylglucosaminyltransferase V by tumorigenesis- or metastasis-suppressor gene and its relation to metastatic potential of human hepatocarcinoma cells</article-title><source>J Cell Biochem</source><volume>79</volume><fpage>370</fpage><lpage>385</lpage><year>2000</year><pub-id pub-id-type="doi">10.1002/1097-4644(20001201)79:3&lt;370::AID-JCB30&gt;3.0.CO;2-Z</pub-id><pub-id pub-id-type="pmid">10972975</pub-id></element-citation></ref>
<ref id="b15-mmr-13-01-0469"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Taniguchi</surname><given-names>N</given-names></name><name><surname>Ihara</surname><given-names>S</given-names></name><name><surname>Saito</surname><given-names>T</given-names></name><name><surname>Miyoshi</surname><given-names>E</given-names></name><name><surname>Ikeda</surname><given-names>Y</given-names></name><name><surname>Honke</surname><given-names>K</given-names></name></person-group><article-title>Implication of GnT-V in cancer metastasis: A glycomic approach for identification of a target protein and its unique function as an angiogenic cofactor</article-title><source>Glycoconj J</source><volume>18</volume><fpage>859</fpage><lpage>865</lpage><year>2001</year><pub-id pub-id-type="doi">10.1023/A:1022292223878</pub-id></element-citation></ref>
<ref id="b16-mmr-13-01-0469"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>JY</given-names></name><name><surname>Luo</surname><given-names>HY</given-names></name><name><surname>Lin</surname><given-names>QY</given-names></name><name><surname>Liu</surname><given-names>ZM</given-names></name><name><surname>Yan</surname><given-names>LN</given-names></name><name><surname>Lin</surname><given-names>P</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Lei</surname><given-names>S</given-names></name></person-group><article-title>Subcellular daunorubicin distribution and its relation to multidrug resistance phenotype in drug-resistant cell line SMMC-7721/R</article-title><source>World J Gastroenterol</source><volume>8</volume><fpage>644</fpage><lpage>649</lpage><year>2002</year><pub-id pub-id-type="doi">10.3748/wjg.v8.i4.644</pub-id><pub-id pub-id-type="pmid">12174371</pub-id><pub-id pub-id-type="pmcid">4656313</pub-id></element-citation></ref>
<ref id="b17-mmr-13-01-0469"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>GP</given-names></name><name><surname>Chen</surname><given-names>XP</given-names></name><name><surname>Ye</surname><given-names>L</given-names></name></person-group><article-title>The role of BCRP in hepatocellular carcinoma multidrug resistance and mechanism</article-title><source>J Abdom Surg</source><volume>5</volume><fpage>24</fpage><year>2006</year></element-citation></ref>
<ref id="b18-mmr-13-01-0469"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Albermann</surname><given-names>N</given-names></name><name><surname>Schmitz-Winnenthal</surname><given-names>FH</given-names></name><name><surname>Z'graggen</surname><given-names>K</given-names></name><name><surname>Volk</surname><given-names>C</given-names></name><name><surname>Hoffmann</surname><given-names>MM</given-names></name><name><surname>Haefeli</surname><given-names>WE</given-names></name><name><surname>Weiss</surname><given-names>J</given-names></name></person-group><article-title>Expression of the drug transporters MDR1/ABCB1, MRP1/ABCC1, MRP2/ABCC2, BCRP/ABCG2, and PXR in peripheral blood mononuclear cells and their relationship with the expression in intestine and liver</article-title><source>Biochem Pharmacol</source><volume>70</volume><fpage>949</fpage><lpage>958</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.bcp.2005.06.018</pub-id><pub-id pub-id-type="pmid">16054595</pub-id></element-citation></ref>
<ref id="b19-mmr-13-01-0469"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yanagi</surname><given-names>M</given-names></name><name><surname>Aoyagi</surname><given-names>Y</given-names></name><name><surname>Suda</surname><given-names>T</given-names></name><name><surname>Mita</surname><given-names>Y</given-names></name><name><surname>Asakura</surname><given-names>H</given-names></name></person-group><article-title>N-Acetylglucosaminyltransferase V as a possible aid for the evaluation of tumor invasiveness in patients with hepatocellular carcinoma</article-title><source>J Gastroenterol Hepatol</source><volume>16</volume><fpage>1282</fpage><lpage>1289</lpage><year>2001</year><pub-id pub-id-type="doi">10.1046/j.1440-1746.2001.02612.x</pub-id></element-citation></ref>
<ref id="b20-mmr-13-01-0469"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dosaka-Akita</surname><given-names>H</given-names></name><name><surname>Miyoshi</surname><given-names>E</given-names></name><name><surname>Suzuki</surname><given-names>O</given-names></name><name><surname>Itoh</surname><given-names>T</given-names></name><name><surname>Katoh</surname><given-names>H</given-names></name><name><surname>Taniguchi</surname><given-names>N</given-names></name></person-group><article-title>Expression of N-acetylglucosaminyltransferase v is associated with prognosis and histology in non-small cell lung cancers</article-title><source>Clin Cancer Res</source><volume>10</volume><fpage>1773</fpage><lpage>1779</lpage><year>2004</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-1047-3</pub-id><pub-id pub-id-type="pmid">15014031</pub-id></element-citation></ref>
<ref id="b21-mmr-13-01-0469"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>P</given-names></name><name><surname>Chen</surname><given-names>HJ</given-names></name><name><surname>Wang</surname><given-names>QY</given-names></name><name><surname>Chen</surname><given-names>HL</given-names></name></person-group><article-title>Down regulation of N-acetylglucosaminyltransferase V facilitates all-transretinoic acid to induce apoptosis of human hepatocarcinoma cells</article-title><source>Mol Cell Biochem</source><volume>284</volume><fpage>103</fpage><lpage>110</lpage><year>2006</year><pub-id pub-id-type="doi">10.1007/s11010-005-9022-5</pub-id><pub-id pub-id-type="pmid">16411021</pub-id></element-citation></ref>
<ref id="b22-mmr-13-01-0469"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyoshi</surname><given-names>E</given-names></name><name><surname>Terao</surname><given-names>M</given-names></name><name><surname>Kamada</surname><given-names>Y</given-names></name></person-group><article-title>Physiological roles of N-ac etylglucosaminyltransferase V (GnT-V) in mice</article-title><source>BMB Rep</source><volume>45</volume><fpage>554</fpage><lpage>559</lpage><year>2012</year><pub-id pub-id-type="doi">10.5483/BMBRep.2012.45.10.190</pub-id><pub-id pub-id-type="pmid">23101508</pub-id></element-citation></ref>
<ref id="b23-mmr-13-01-0469"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nicholson</surname><given-names>DW</given-names></name></person-group><article-title>Caspase structure, proteolytic substrates, and function during apoptotic cell death</article-title><source>Cell Death Differ</source><volume>6</volume><fpage>1028</fpage><lpage>1042</lpage><year>1999</year><pub-id pub-id-type="doi">10.1038/sj.cdd.4400598</pub-id><pub-id pub-id-type="pmid">10578171</pub-id></element-citation></ref>
<ref id="b24-mmr-13-01-0469"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Beerheide</surname><given-names>W</given-names></name><name><surname>Tan</surname><given-names>YJ</given-names></name><name><surname>Teng</surname><given-names>E</given-names></name><name><surname>Ting</surname><given-names>AE</given-names></name><name><surname>Jedpiyawongse</surname><given-names>A</given-names></name><name><surname>Srivatanakul</surname><given-names>P</given-names></name></person-group><article-title>Downregulation of proapoptotic proteins Bax and Bcl-X(S) in p53 overexpressing hepatocellular carcinomas</article-title><source>Biochem Biophys Res Commun</source><volume>273</volume><fpage>54</fpage><lpage>61</lpage><year>2000</year><pub-id pub-id-type="doi">10.1006/bbrc.2000.2891</pub-id><pub-id pub-id-type="pmid">10873563</pub-id></element-citation></ref>
<ref id="b25-mmr-13-01-0469"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deng</surname><given-names>B</given-names></name><name><surname>Zhang</surname><given-names>XF</given-names></name><name><surname>Zhu</surname><given-names>XC</given-names></name><name><surname>Huang</surname><given-names>H</given-names></name><name><surname>Jia</surname><given-names>HL</given-names></name><name><surname>Ye</surname><given-names>QH</given-names></name><name><surname>Dong</surname><given-names>QZ</given-names></name><name><surname>Qin</surname><given-names>LX</given-names></name></person-group><article-title>Correlation and prognostic value of osteopontin and Bcl-2 in hepatocellular carcinoma patients after curative resection</article-title><source>Oncol Rep</source><volume>30</volume><fpage>2795</fpage><lpage>2803</lpage><year>2013</year><pub-id pub-id-type="pmid">24065086</pub-id></element-citation></ref>
<ref id="b26-mmr-13-01-0469"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stetler-Stevenson</surname><given-names>WG</given-names></name><name><surname>Aznavoorian</surname><given-names>S</given-names></name><name><surname>Liotta</surname><given-names>LA</given-names></name></person-group><article-title>Tumor cell interactions with the extracellular matrix during invasion and metastasis</article-title><source>Annu Rev Cell Biol</source><volume>9</volume><fpage>541</fpage><lpage>573</lpage><year>1993</year><pub-id pub-id-type="doi">10.1146/annurev.cb.09.110193.002545</pub-id><pub-id pub-id-type="pmid">8280471</pub-id></element-citation></ref>
<ref id="b27-mmr-13-01-0469"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schmalfeldt</surname><given-names>B</given-names></name><name><surname>Prechtel</surname><given-names>D</given-names></name><name><surname>H&#x000E4;rting</surname><given-names>K</given-names></name><name><surname>Sp&#x000E4;the</surname><given-names>K</given-names></name><name><surname>Rutke</surname><given-names>S</given-names></name><name><surname>Konik</surname><given-names>E</given-names></name><name><surname>Fridman</surname><given-names>R</given-names></name><name><surname>Berger</surname><given-names>U</given-names></name><name><surname>Schmitt</surname><given-names>M</given-names></name><name><surname>Kuhn</surname><given-names>W</given-names></name><etal/></person-group><article-title>Increased expression of matrix metalloproteinases (MMP)-2, MMP-9, and the urokinase-type plasminogen activator is associated with progression from benign to advanced ovarian cancer</article-title><source>Clin Cancer Res</source><volume>7</volume><fpage>2396</fpage><lpage>2404</lpage><year>2001</year><pub-id pub-id-type="pmid">11489818</pub-id></element-citation></ref>
<ref id="b28-mmr-13-01-0469"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Karahan</surname><given-names>N</given-names></name><name><surname>G&#x000FC;ney</surname><given-names>M</given-names></name><name><surname>Baspinar</surname><given-names>S</given-names></name><name><surname>Oral</surname><given-names>B</given-names></name><name><surname>Kapucuoglu</surname><given-names>N</given-names></name><name><surname>Mungan</surname><given-names>T</given-names></name></person-group><article-title>Expression of gelatinase (MMP-2 and MMP-9) and cyclooxygenase-2 (COX-2) in endometrial carcinoma</article-title><source>Eur J Gynaecol Oncol</source><volume>28</volume><fpage>184</fpage><lpage>188</lpage><year>2007</year><pub-id pub-id-type="pmid">17624083</pub-id></element-citation></ref>
<ref id="b29-mmr-13-01-0469"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>M&#x000E4;&#x000E4;tt&#x000E4;</surname><given-names>M</given-names></name><name><surname>Soini</surname><given-names>Y</given-names></name><name><surname>Liakka</surname><given-names>A</given-names></name><name><surname>Autio-Harmainen</surname><given-names>H</given-names></name></person-group><article-title>Differential expression of matrix metalloproteinase (MMP)-2, MMP-9, and membrane type 1-MMP in hepatocellular and pancreatic adenocarcinoma: Implications for tumor progression and clinical prognosis</article-title><source>Clin Cancer Res</source><volume>6</volume><fpage>2726</fpage><lpage>2734</lpage><year>2000</year><pub-id pub-id-type="pmid">10914717</pub-id></element-citation></ref>
<ref id="b30-mmr-13-01-0469"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arii</surname><given-names>S</given-names></name><name><surname>Mise</surname><given-names>M</given-names></name><name><surname>Harada</surname><given-names>T</given-names></name><name><surname>Furutani</surname><given-names>M</given-names></name><name><surname>Ishigami</surname><given-names>S</given-names></name><name><surname>Niwano</surname><given-names>M</given-names></name><name><surname>Mizumoto</surname><given-names>M</given-names></name><name><surname>Fukumoto</surname><given-names>M</given-names></name><name><surname>Imamura</surname><given-names>M</given-names></name></person-group><article-title>Overexpression of matrix metalloproteinase 9 gene in hepatocellular carcinoma with invasive potential</article-title><source>Hepatology</source><volume>24</volume><fpage>316</fpage><lpage>322</lpage><year>1996</year><pub-id pub-id-type="doi">10.1002/hep.510240206</pub-id><pub-id pub-id-type="pmid">8690399</pub-id></element-citation></ref>
<ref id="b31-mmr-13-01-0469"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dean</surname><given-names>M</given-names></name><name><surname>Hamon</surname><given-names>Y</given-names></name><name><surname>Chimini</surname><given-names>G</given-names></name></person-group><article-title>The human ATP-binding cassette (ABC) transporter superfamily</article-title><source>J Lipid Res</source><volume>42</volume><fpage>1007</fpage><lpage>1017</lpage><year>2001</year><pub-id pub-id-type="pmid">11441126</pub-id></element-citation></ref>
<ref id="b32-mmr-13-01-0469"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gillet</surname><given-names>JP</given-names></name><name><surname>Efferth</surname><given-names>T</given-names></name><name><surname>Remacle</surname><given-names>J</given-names></name></person-group><article-title>Chemotherapy-induced resistance by ATP-binding cassette transporter genes</article-title><source>Biochim Biophys Acta</source><volume>1775</volume><fpage>237</fpage><lpage>262</lpage><year>2007</year><pub-id pub-id-type="pmid">17572300</pub-id></element-citation></ref>
<ref id="b33-mmr-13-01-0469"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haimeur</surname><given-names>A</given-names></name><name><surname>Conseil</surname><given-names>G</given-names></name><name><surname>Deeley</surname><given-names>RG</given-names></name><name><surname>Cole</surname><given-names>SP</given-names></name></person-group><article-title>The MRP-related and BCRP/ABCG2 multidrug resistance proteins: Biology, substrate specificity and regulation</article-title><source>Curr Drug Metab</source><volume>5</volume><fpage>21</fpage><lpage>53</lpage><year>2004</year><pub-id pub-id-type="doi">10.2174/1389200043489199</pub-id><pub-id pub-id-type="pmid">14965249</pub-id></element-citation></ref>
<ref id="b34-mmr-13-01-0469"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leslie</surname><given-names>EM</given-names></name><name><surname>Deeley</surname><given-names>RG</given-names></name><name><surname>Cole</surname><given-names>SP</given-names></name></person-group><article-title>Multidrug resistance proteins: Role of P-glycoprotein, MRP1, MRP2, and BCRP (ABCG2) in tissue defense</article-title><source>Toxicol Appl Pharmacol</source><volume>204</volume><fpage>216</fpage><lpage>237</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.taap.2004.10.012</pub-id><pub-id pub-id-type="pmid">15845415</pub-id></element-citation></ref>
<ref id="b35-mmr-13-01-0469"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Natarajan</surname><given-names>K</given-names></name><name><surname>Xie</surname><given-names>Y</given-names></name><name><surname>Baer</surname><given-names>MR</given-names></name><name><surname>Ross</surname><given-names>DD</given-names></name></person-group><article-title>Role of breast cancer resistance protein (BCRP/ABCG2) in cancer drug resistance</article-title><source>Biochem Pharmacol</source><volume>83</volume><fpage>1084</fpage><lpage>1103</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.bcp.2012.01.002</pub-id><pub-id pub-id-type="pmid">22248732</pub-id><pub-id pub-id-type="pmcid">3307098</pub-id></element-citation></ref>
<ref id="b36-mmr-13-01-0469"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maliepaard</surname><given-names>M</given-names></name><name><surname>van Gastelen</surname><given-names>MA</given-names></name><name><surname>de Jong</surname><given-names>LA</given-names></name><name><surname>Pluim</surname><given-names>D</given-names></name><name><surname>van Waardenburg</surname><given-names>RC</given-names></name><name><surname>Ruevekamp-Helmers</surname><given-names>MC</given-names></name><name><surname>Floot</surname><given-names>BG</given-names></name><name><surname>Schellens</surname><given-names>JH</given-names></name></person-group><article-title>Overexpression of the BCRP/MXR/ABCP gene in a topotecan-selected ovarian tumor cell line</article-title><source>Cancer Res</source><volume>59</volume><fpage>4559</fpage><lpage>4563</lpage><year>1999</year><pub-id pub-id-type="pmid">10493507</pub-id></element-citation></ref>
<ref id="b37-mmr-13-01-0469"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robey</surname><given-names>RW</given-names></name><name><surname>Medina-P&#x000E9;rez</surname><given-names>WY</given-names></name><name><surname>Nishiyama</surname><given-names>K</given-names></name><name><surname>Lahusen</surname><given-names>T</given-names></name><name><surname>Miyake</surname><given-names>K</given-names></name><name><surname>Litman</surname><given-names>T</given-names></name><name><surname>Senderowicz</surname><given-names>AM</given-names></name><name><surname>Ross</surname><given-names>DD</given-names></name><name><surname>Bates</surname><given-names>SE</given-names></name></person-group><article-title>Overexpression of the ATP-binding cassette half-transporter, ABCG2 (Mxr/BCrp/ABCP1), in flavopiridol-resistant human breast cancer cells</article-title><source>Clin Cancer Res</source><volume>7</volume><fpage>145</fpage><lpage>152</lpage><year>2001</year><pub-id pub-id-type="pmid">11205902</pub-id></element-citation></ref>
<ref id="b38-mmr-13-01-0469"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname><given-names>Z</given-names></name><name><surname>Brakora</surname><given-names>KA</given-names></name><name><surname>Seiden</surname><given-names>MV</given-names></name></person-group><article-title>Inhibition of ABCB1 (MDR1) and ABCB4 (MDR3) expression by small interfering RNA and reversal of paclitaxel resistance in human ovarian cancer cells</article-title><source>Mol Cancer Ther</source><volume>3</volume><fpage>833</fpage><lpage>838</lpage><year>2004</year><pub-id pub-id-type="pmid">15252144</pub-id></element-citation></ref>
<ref id="b39-mmr-13-01-0469"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sukowati</surname><given-names>CH</given-names></name><name><surname>Rosso</surname><given-names>N</given-names></name><name><surname>Pascut</surname><given-names>D</given-names></name><name><surname>Anfuso</surname><given-names>B</given-names></name><name><surname>Torre</surname><given-names>G</given-names></name><name><surname>Francalanci</surname><given-names>P</given-names></name><name><surname>Croc&#x000E8;</surname><given-names>LS</given-names></name><name><surname>Tiribelli</surname><given-names>C</given-names></name></person-group><article-title>Gene and functional up-regulation of the BCRP/ABCG2 transporter in hepatocellular carcinoma</article-title><source>BMC Gastroenterol</source><volume>12</volume><fpage>160</fpage><year>2012</year><pub-id pub-id-type="doi">10.1186/1471-230X-12-160</pub-id><pub-id pub-id-type="pmid">23153066</pub-id><pub-id pub-id-type="pmcid">3538657</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-mmr-13-01-0469" position="float">
<label>Figure 1</label>
<caption>
<p>Expression of GnT-V in SMMC7721/R cells following transient transfection. (A) The effect of GnT-V-knockdown on the mRNA expression levels of GnT-V was determined by RT-qPCR. (B) The effect of GnT-V-knockdown on the protein expression levels of GnT-V was determined by western blotting. &#x0002A;&#x0002A;P&lt;0.01, compared with the SMMC7721/R cells; <sup>&#x02206;&#x02206;</sup>P&lt; 0.01, compared with the SMMC7721/R- GnT-V/NC group. GnT-V, N-glycosyltransferase-V; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g00.jpg"/></fig>
<fig id="f2-mmr-13-01-0469" position="float">
<label>Figure 2</label>
<caption>
<p>Assessment of cell proliferation using a 3-(4,5-dimethylthi-azol-2-yl)-2,5-diphenyltetrazolium bromide assay. Following transient transfection, cell proliferation was determined at 12, 24 or 48 h (n=3). <sup>&#x0002A;</sup>P&lt;0.05; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the SMMC7721/R cells; <sup>&#x00394;</sup>P&lt;0.05; &#x00394;&#x00394;P&lt;0.01, compared with the SMMC7721/R-GnT-V/NC group. OD, optical density; GnT-V, N-glycosyltransferase-V.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g01.jpg"/></fig>
<fig id="f3-mmr-13-01-0469" position="float">
<label>Figure 3</label>
<caption>
<p>Cell apoptosis, as determined using flow cytometric analysis. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the SMMC7721/R cells; <sup>&#x02206;&#x02206;</sup>P&lt;0.01, compared with the SMMC7721/R-GnT-V/NC group. GnT-V, N-glycosyltransferase-V; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g02.jpg"/></fig>
<fig id="f4-mmr-13-01-0469" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of downregulating the expression of GnT-V on cell adhesion and invasion <italic>in vitro</italic>. The results of (A) the cell adhesion assay and (B) the invasion assay <italic>in vitro</italic> are shown. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with SMMC7721/R cells; <sup>&#x02206;&#x02206;</sup>P&lt;0.01, compared with the SMMC7721/R-GnT-V/NC group. GnT-V, N-glycosyltransferase-V; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g03.jpg"/></fig>
<fig id="f5-mmr-13-01-0469" position="float">
<label>Figure 5</label>
<caption>
<p>Expression of caspase-3 and caspase-9 in the SMMC7721/R, SMMC7721/R-GnT-V/NC and SMMC7721/R-GnT-C cells. The protein expression levels of caspase-3 and caspase-9 in the cells was determined by western blotting. GAPDH, glyceraldehyde-3-phosphate dehydrogenase; GnT-V, N-glycosyltransferase-V;. SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g04.jpg"/></fig>
<fig id="f6-mmr-13-01-0469" position="float">
<label>Figure 6</label>
<caption>
<p>Expression of Bcl-2 and Bax in the SMMC7721/R, SMMC7721/R-GnT-V/NC and SMMC7721/R-GnT-C cells. The protein expression levels of Bcl-2 and Bax in the cells was determined by western blotting. GAPDH, glyceraldehyde-3-phosphate dehydrogenase; GnT-V, N-glycosyltransferase-V; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g05.jpg"/></fig>
<fig id="f7-mmr-13-01-0469" position="float">
<label>Figure 7</label>
<caption>
<p>Expression of MMP-2 and MMP-9 in the SMMC7721/R, SMMC7721/R-GnT-V/NC and SMMC7721/R-GnT-V cells. The protein expression levels of MMP-2 and MMP-9 in the cells was determined by western blotting. GAPDH, glyceraldehyde-3-phosphate dehydrogenase; GnT-V, N-glycosyltransferase-V; MMP, matrix metal-loproteinase; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g06.jpg"/></fig>
<fig id="f8-mmr-13-01-0469" position="float">
<label>Figure 8</label>
<caption>
<p>mRNA expression of BCRP and ABCB1 in the SMMC7721/R, SMMC7721/R-GnT-V/NC and SMMC7721/R-GnT-C cells. The mRNA expression of BCRP and ANCB1 in the cells was determined by western blotting. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the SMMC7721/R cells; <sup>&#x02206;&#x02206;</sup>P&lt;0.01, compared with the SMMC7721/R- GnT-V/NC group. ABCB1, ATP-binding cassette, subfamily B; BCRP, breast cancer resistance protein; GnT-V, N-glycosyltransferase-V; SMMC7721/R-GnT-V/NC, cells treated with control vector; SMMC7721/R-GnT-V, SMMC7721/R cells with GnT-V-knockdown.</p></caption>
<graphic xlink:href="MMR-13-01-0469-g07.jpg"/></fig>
<table-wrap id="tI-mmr-13-01-0469" position="float">
<label>Table I</label>
<caption>
<p>Primers for reverse transcription-quantitative polymerase chain reaction used in the present study.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Gene</th>
<th valign="top" align="center">Sequence (5&#x02032;-3&#x02032;)</th>
<th valign="top" align="center">Amplicon size (bp)</th>
<th valign="top" align="center">Reference</th></tr></thead>
<tbody>
<tr>
<td rowspan="2" valign="top" align="left">GAPDH</td>
<td valign="top" align="left">Forward: GACCCCTTCATTGACCTCAAC</td>
<td valign="top" align="left">219</td>
<td valign="top" align="left">(<xref rid="b17-mmr-13-01-0469" ref-type="bibr">17</xref>)</td></tr>
<tr>
<td valign="top" align="left">Reverse: CTTCTCCATGGTGGTGAAGA</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/></tr>
<tr>
<td rowspan="2" valign="top" align="left">GnT-V</td>
<td valign="top" align="left">Forward: GAAAATGGAATCTGAACCCTCA</td>
<td valign="top" align="left">160</td>
<td valign="top" align="left">(<xref rid="b11-mmr-13-01-0469" ref-type="bibr">11</xref>)</td></tr>
<tr>
<td valign="top" align="left">Reverse: ACTTTGCCATACACAAGGGACT</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/></tr>
<tr>
<td rowspan="2" valign="top" align="left">BCRP</td>
<td valign="top" align="left">Forward: CACCACCTCCTTCTGTCATCAA</td>
<td valign="top" align="left">127</td>
<td valign="top" align="left">(<xref rid="b17-mmr-13-01-0469" ref-type="bibr">17</xref>)</td></tr>
<tr>
<td valign="top" align="left">Reverse: GGCACCTATAACCAGTCCCAGTA</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/></tr>
<tr>
<td rowspan="2" valign="top" align="left">ABCB1</td>
<td valign="top" align="left">Forward: CCCATCATTGCAATAGCAGG</td>
<td valign="top" align="left">158</td>
<td valign="top" align="left">(<xref rid="b18-mmr-13-01-0469" ref-type="bibr">18</xref>)</td></tr>
<tr>
<td valign="top" align="left">Reverse: TGTTCAAACTTCTGCTCCTGA</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-mmr-13-01-0469">
<p>GADPH, glyceraldehyde-3-phosphate dehydrogenase; ABCB1, ATP-binding cassette, subfamily B protein (or P-glycoprotein); BCRP, breast cancer resistance protein; GnT-V, N-glycosyltransferase-V.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
