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<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.2015.4671</article-id>
<article-id pub-id-type="publisher-id">mmr-13-02-1141</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Anticancer effect of eupatilin on glioma cells through inhibition of the Notch-1 signaling pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>YAWEI</given-names></name><xref rid="af1-mmr-13-02-1141" ref-type="aff">1</xref><xref rid="fn1-mmr-13-02-1141" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>HOU</surname><given-names>HONGWEI</given-names></name><xref rid="af2-mmr-13-02-1141" ref-type="aff">2</xref><xref rid="fn1-mmr-13-02-1141" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>MING</given-names></name><xref rid="af3-mmr-13-02-1141" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>YANG</given-names></name><xref rid="af4-mmr-13-02-1141" ref-type="aff">4</xref><xref ref-type="corresp" rid="c1-mmr-13-02-1141"/></contrib>
<contrib contrib-type="author">
<name><surname>SUN</surname><given-names>LAN</given-names></name><xref rid="af3-mmr-13-02-1141" ref-type="aff">3</xref><xref ref-type="corresp" rid="c2-mmr-13-02-1141"/></contrib></contrib-group>
<aff id="af1-mmr-13-02-1141">
<label>1</label>Department of Electromyography, Tianjin Hospital, Tianjin 300211, R. China</aff>
<aff id="af2-mmr-13-02-1141">
<label>2</label>Department of Infection Control, Hebei Chest Hospital, Shijiazhuang, Hebei 050048, R. China</aff>
<aff id="af3-mmr-13-02-1141">
<label>3</label>Basic Medical Institution, Shanghai Jiaotong University, Shanghai 200025, R. China</aff>
<aff id="af4-mmr-13-02-1141">
<label>4</label>Department of Orthopedics, Tianjin Hospital, Tianjin 300211, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-13-02-1141">Correspondence to: Dr Yang Yang, Department of Orthopedics, Tianjin Hospital, 406 Jiefang Nan Road, Hexi, Tianjin 300211, P.R. China, E-mail: <email>yangyang-8686@163.com</email></corresp>
<corresp id="c2-mmr-13-02-1141">Dr Lan Sun, Basic Medical Institution, Shanghai Jiaotong University, 227 Chongqin Nan Road, Shanghai 200025, P.R. China, E-mail: <email>sun_lan21@163.com</email></corresp><fn id="fn1-mmr-13-02-1141">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>02</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>12</month>
<year>2015</year></pub-date>
<volume>13</volume>
<issue>2</issue>
<fpage>1141</fpage>
<lpage>1146</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>04</month>
<year>2015</year></date>
<date date-type="accepted">
<day>19</day>
<month>11</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Wang 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>Eupatilin, one of the major flavonoids in <italic>Artemisia asiatica</italic> Nakai (Asteraceae), has been reported to possess antitumor properties. However, thus far there have been no reports regarding the effects of eupatilin on glioma. Therefore, in the current study the effects of eupatilin on glioma and the underlying molecular mechanism were explored. The effect of eupatilin on cell viability was detected by the MTT assay. Cell invasion and migration were performed with Transwell assays and cell apoptosis was determined by flow cytometric analysis. Notch-1 knockdown cells were established by transfection with Notch-1 small interfering RNA (siRNA). The expression levels of Notch-1 were detected by quantitative reverse transcription-polymerase chain reaction and western blotting. The results of the present study indicated that eupatilin exhibits an anticancer effect on glioma cells. Eupatilin inhibited proliferation, reduced cell invasion and migration, and promoted the apoptosis of glioma cells. Additionally, it suppressed Notch-1 expression. Knockdown of Notch-1 by siRNA contributed to the inhibitory effect of eupatilin on proliferation and invasion of glioma cells. In conclusion, eupatilin had an inhibitory effect on proliferation, invasion and migration, and promoted apoptosis of glioma cells through suppression of the Notch-1 signaling pathway. Therefore, eupatilin may have potential as an effective agent for the treatment of glioma.</p></abstract>
<kwd-group>
<kwd>eupatilin</kwd>
<kwd>glioma</kwd>
<kwd>proliferation</kwd>
<kwd>invasion</kwd>
<kwd>Notch-1</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Glioma is a common type of brain tumor, accounting for 40&#x02013;50% of all intracranial tumors, which vary in size and are highly invasive (<xref rid="b1-mmr-13-02-1141" ref-type="bibr">1</xref>,<xref rid="b2-mmr-13-02-1141" ref-type="bibr">2</xref>). Generally, gliomas are treated via surgery, radiotherapy and chemotherapy; however, it is difficult to remove them completely due to the resistance of tumor cells to radiotherapy. This may lead to a relapse of the residual nidus, resulting in high recurrence, high mortality and low cure rates (<xref rid="b3-mmr-13-02-1141" ref-type="bibr">3</xref>,<xref rid="b4-mmr-13-02-1141" ref-type="bibr">4</xref>). Therefore, it is important to develop novel agents for more effective treatment.</p>
<p>Eupatilin is a pharmacologically active flavonoid extracted from <italic>Artemisia asiatica</italic> Nakai (Asteraceae) and a primary active component of DA-9601 for mucosal protection (<xref rid="b5-mmr-13-02-1141" ref-type="bibr">5</xref>,<xref rid="b6-mmr-13-02-1141" ref-type="bibr">6</xref>). It has anti-inflammatory properties and is widely used for treatment of gastritis and peptic ulcers (<xref rid="b7-mmr-13-02-1141" ref-type="bibr">7</xref>). Additionally, it has anti-oxidative effects against gastric mucosal damage and may enhance regeneration of damaged mucosa (<xref rid="b8-mmr-13-02-1141" ref-type="bibr">8</xref>). Recently, eupatilin was identified to exhibit an antitumor effect. Cheong <italic>et al</italic> (<xref rid="b9-mmr-13-02-1141" ref-type="bibr">9</xref>) reported that eupatilin inhibits angiogenesis in gastric cancer cells by blocking the expression of signal transducer and activator of transcription 3, and the expression of vascular endothelial growth factor (VEGF). Park <italic>et al</italic> (<xref rid="b10-mmr-13-02-1141" ref-type="bibr">10</xref>) determined that eupatilin may be used as a chemo-preventive and antimetastatic agent in human gastric cancer. Eupatilin also suppressed the growth of human endometrial cancer cells via arrest of the cell cycle at the G2/M phase through upregulation of p21 (<xref rid="b11-mmr-13-02-1141" ref-type="bibr">11</xref>).</p>
<p>However, to the best of our knowledge, there have been no reports regarding the effects of eupatilin on glioma. Therefore, in the present study aimed to investigate the effects of eupatilin on glioma mechanisms underlying these effects. The results demonstrated that eupatilin has inhibitory effects on proliferation, invasion and migration, and promotes the apoptosis of glioma cells via suppression of the Notch-1 signaling pathway. Additionally, knockdown of Notch-1 enhanced the inhibitory effects of eupatilin on glioma cell growth and invasion.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The LN229 and U87MG human glioma cell lines were obtained from the American Type Culture Collection (Manassas, VA, USA) and then cultured at 37&#x000B0;C in Dulbecco's modified Eagle's medium (Bio-Rad Laboratories, Inc., Hercules, CA, USA) supplemented with 10% fetal bovine serum (FBS; Sigma-Aldrich, St. Louis, MO, USA), 100 U/ml penicillin (Sigma-Aldrich) and 100 mg/ml streptomycin (Sigma-Aldrich) in a 5% CO<sub>2</sub> saturated humidity incubator.</p></sec>
<sec>
<title>Cell viability assay</title>
<p>The LN229 and U87MG cells were seeded in 96-well culture plates at a density of 5&#x000D7;10<sup>4</sup> cells/well. Following 24 h, they were treated with 12.5, 25 or 50 <italic>&#x000B5;</italic>M eupatilin (Sigma-Aldrich) for 24, 48, 72 or 96 h. Control group cells were treated with 0.1% dimethylsulfoxide (DMSO; Sigma-Aldrich) in culture medium. Subsequent to treatment application, all cells were incubated with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT; Sigma-Aldrich) solution for 24 h at 37&#x000B0;C. Then DMSO was added in each well and shaken for 10 min at room temperature. The optical density was measured with an enzyme-linked immunosorbent assay reader (BioTek Instruments, Inc., Winooski, VT, USA) at a wavelength of 570 nm. Each experiment was performed at least three times.</p></sec>
<sec>
<title>Cell invasion and migration assays</title>
<p>Cell invasion and migration assays were performed with a Transwell chamber (EMD Millipore, Boston, MA, USA) that was placed in a 24-well plate. The cells were pretreated with 0, 12.5, 25 and 50 <italic>&#x000B5;</italic>M eupatilin for 24 h and then suspended in 50 <italic>&#x000B5;</italic>l serum-free medium (Sigma-Aldrich). The cells were also used for invasion assays, cells at a density of 6&#x000D7;10<sup>3</sup> cells/well were added to the upper chamber and complete medium (Sigma-Aldrich) was added to the lower chamber. The chambers were separated with a polycarbonate membrane was coated with 20 <italic>&#x000B5;</italic>l Matrigel (BD Biosciences, San Jose, CA, USA). The cells were then incubated for 36 h at 37&#x000B0;C, those remaining in the upper chamber were removed with cotton swabs and the ones on the bottom surface of the membrane were fixed and stained with methanol and Giemsa (Sigma-Aldrich), respectively, and then counted under an optical microscope (&#x000D7;200; CX31; Olympus Corporation, Tokyo, Japan). The migration assay was performed as described above, except that Matrigel was not applied to the membrane.</p></sec>
<sec>
<title>Cell apoptosis assay</title>
<p>Cell apoptosis was detected with Annexin V-fluorescein isothiocyanate (FITC; Abcam, Cambridge, MA, USA) and propidium iodide (PI; Abcam) staining followed by flow cytometric analysis. Briefly, U87MG cells were seeded in 24-well culture plates at a density of 4&#x000D7;10<sup>4</sup> cells/well. Eupatilin at concentrations of 0, 12.5, 25 and 50 <italic>&#x000B5;</italic>M was added to the plates after 24 h. The cells were cultured for 48 h at 37&#x000B0;C and then harvested via centrifugation at 1,000 &#x000D7; g for 10 min. The cells were incubated with Annexin V-FITC and PI for 15 min at room temperature. Apoptosis was analyzed using flow cytometry (FC500; BD Biosciences).</p></sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>The total RNA was extracted from the eupatilin-treated U87MG cells with TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) in accordance with the manufacturer's protocol. cDNA synthesis was conducted using 5 <italic>&#x000B5;</italic>g of the total RNA with M-MuLV reverse transcriptase (Clontech Laboratories, Inc., Palo Alto, CA, USA). The genes of interest were amplified with the following primers: Forward: 5&#x02032;-TCAGCGGGATCCACTGTGAG-3&#x02032; and reverse: 5&#x02032;-ACACAGGCAGGTGAACGAGTTG-3&#x02032; for Notch-1; and forward: 5&#x02032;-CTCCATCCTGGCCTCGCTGT-3&#x02032; and reverse: 5&#x02032;-GCTGTCACCTTCACCGTTCC-3&#x02032; for &#x003B2;-actin. &#x003B2;-actin was used as a control. The PCR was run for 30 cycles at 94&#x000B0;C (denaturation) for 30 sec, at 55&#x000B0;C (annealing) for 30 sec and at 72&#x000B0;C (extension) for 20 sec. The experiment was performed for three times. The data obtained was calculated using the comparative Cq method (2<sup>&#x02212;&#x00394;&#x00394;Cq</sup>) as previously described (<xref rid="b12-mmr-13-02-1141" ref-type="bibr">12</xref>).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The U87MG cells were treated with 0, 12.5, 25 and 50 <italic>&#x000B5;</italic>M eupatilin for 24 h and then immersed in a lysis buffer containing 40 mmol/l Tris-HCl, 1 mmol/l EDTA, 150 mmol/l KCl, 100 mmol/l NaVO<sub>3</sub>, 1% Triton X-100, and 1 mmol/l phenylmethylsulfonyl fluoride (pH 7.5). The protein was separated by 10% sodium dodecyl sulphate-polyacrylamide gel electrophoresis (Sigma-Aldrich) and then transferred onto nitrocellulose membranes (Bio-Rad Laboratories, Inc.). The membranes were treated with 5% non-fat milk in Tris-buffered saline (TBS) at room temperature for 1 h and then incubated overnight at 4&#x000B0;C with primary mouse monoclonal anti-human Notch-1 (1:1,500; Santa Cruz Biotechnology, Inc., Dallas, TX, USA; cat. no. sc-373944) or &#x003B2;-actin (1:1,000; Santa Cruz Biotechnology, Inc.; cat. no. sc-8432). The membranes were then washed three times with TBS and Tween-20 (TBST) for 10 min at room temperature. Subsequently, the membranes were incubated with a bovine anti-mouse horseradish peroxidase-conjugated secondary antibody (1:3,000; Santa Cruz Biotechnology, Inc.; cat. no. sc-2370) for 1 h at room temperature and then washed three times for 10 min with TBST and once with TBS. Immunoreactive bands were detected by enhanced chemiluminescence (GE Healthcare Life Sciences, Freiburg, Germany). The optical densities of the bands were quantified using a Gel-Pro Analyzer, version 4.0 (Media Cybernetics, Inc,, Rockville, MD, USA).</p></sec>
<sec>
<title>Small interfering RNA (siRNA)-Notch-1 and cell transfection</title>
<p>The siRNA sequences were as follows: Sense 5&#x02032;-ACGAAGAACAGAAGCACAAAGGCGG-3&#x02032; and antisense 5&#x02032;-CCGCCUUUGUGCUUCUGUUCUUCGU-3&#x02032; for Notch-1; and sense 5&#x02032;-UUCUCCGAACGUGUCACGUTT-3&#x02032; and anti-sense 5&#x02032;-ACGUGACACGUUCGGAGAATT-3&#x02032; for scramble control. Prior to transduction (24 h), U87MG cells, at a density of 5&#x000D7;10<sup>4</sup> cells/well, were seeded into 6-well plates and then cultured in 2 ml basic culture medium containing 5% FBS until the cells were 70% confluent. The cells were then transfected with Notch-1 siRNA or the scramble control siRNA, using Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) according to the protocol described in C&#x000F4;t&#x000E9; <italic>et al</italic> (<xref rid="b13-mmr-13-02-1141" ref-type="bibr">13</xref>). Subsequently, the transfected cells were treated with 0, 12.5, 25 and 50 <italic>&#x000B5;</italic>M eupatilin for 48 h.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed at least three times and the data were expressed as the mean &#x000B1; standard deviation. The differences between the sample means were compared using one-way analysis of variance using SPSS, version 19 (IBM SPSS, Armonk, NY, USA). P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Eupatilin inhibits the viability of glioma cells</title>
<p>The effect of eupatilin on the viability of glioma cells was investigated using an MTT assay. As demonstrated by <xref rid="f1-mmr-13-02-1141" ref-type="fig">Fig. 1</xref>, higher doses of eupatilin significantly reduced LN229 and U87MG cell viability (P&lt;0.05; <xref rid="f1-mmr-13-02-1141" ref-type="fig">Fig. 1A and B</xref>) compared with the control group. Additionally, exposing the cells to eupatilin for a longer time period enhanced its effect on cell viability. These observations indicate that eupatilin may inhibit the viability of LN229 and U87MG cells.</p></sec>
<sec>
<title>Eupatilin inhibits the invasion and migration of glioma cells</title>
<p>The effect of eupatilin on invasion and migration of glioma cells was also determined. First, we examined the effect of eupatilin on invasion of glioma cells using a transwell chamber with Matrigel. As demonstrated in <xref rid="f2-mmr-13-02-1141" ref-type="fig">Fig. 2A and B</xref>, the treatment of LN229 and U87MG cells with 0, 12.5, 25 and 50 <italic>&#x000B5;</italic>M eupatilin for 24 h resulted in inhibition of cell invasion in a dose-dependent manner. Subsequently, the effect of eupatilin on migration of glioma cells was also investigated using a Transwell chamber without Martrigel being applied. <xref rid="f2-mmr-13-02-1141" ref-type="fig">Fig. 2C and D</xref> demonstrates that the number of eupatilin-treated cells that migrated into the lower chamber was significantly reduced, compared with the control group (P&lt;0.05).</p></sec>
<sec>
<title>Eupatilin promotes the apoptosis of glioma cells</title>
<p>Following treatment with eupatilin for 48 h, apoptosis of U87MG cells stained with Annexin V-FITC and PI was determined by flow cytometric analysis. As presented in <xref rid="f3-mmr-13-02-1141" ref-type="fig">Fig. 3</xref>, the apoptotic rate of the cells in the eupatilin treatment group was significantly higher than in the control group, indicating that eupatilin induced the apoptosis of glioma cells (P&lt;0.05).</p></sec>
<sec>
<title>Eupatilin reduces Notch-1 expression in glioma cells</title>
<p>Notch-1 is a transmembrane receptor which is often important for the proliferation and invasion of tumor cells (<xref rid="b14-mmr-13-02-1141" ref-type="bibr">14</xref>). The current study determined how eupatilin affects Notch-1 expression using RT-PCR and western blot analysis. The protein and mRNA expression levels of Notch-1 following treatment with different concentrations of eupatilin were significantly reduced compared with the control group in a dose-dependent manner (P&lt;0.05; <xref rid="f4-mmr-13-02-1141" ref-type="fig">Fig. 4</xref>). Therefore, eupatilin may suppress Notch-1 expression in glioma cells.</p></sec>
<sec>
<title>Downregulation of Notch-1 by siRNA potentiates the eupatilin-induced inhibition of proliferation and invasion of glioma cells</title>
<p>In order to further examine the effect of Notch-1 glioma cells, Notch-1 was downregulated in U87MG cells using siRNA. The transfected cells were treated with eupatilin of different concentrations for 48 h. The protein expression levels of Notch-1 were detected by western blot analysis (<xref rid="f5-mmr-13-02-1141" ref-type="fig">Fig. 5A</xref>). The combination of Notch-1 siRNA and eupatilin treatment led to inhibition of proliferation and invasion of glioma cells to a greater extent than that observed following treatment with eupatilin only (<xref rid="f5-mmr-13-02-1141" ref-type="fig">Fig. 5B and C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The current study determined that eupatilin has an anticancer effect on glioma cells. This was demonstrated by the inhibition of cell viability, decreased migration and proliferation, and increased apoptosis of glioma cells. Additionally, eupatilin suppressed Notch-1 expression and when combined with a knockdown of Notch-1 by siRNA its anticancer effect was increased.</p>
<p>Cell proliferation is important for cell survival and it is also an essential biological feature of tumor formation. Therefore, one aim of tumor treatment is to inhibit tumor proliferation. The present study determined that eupatilin may suppress the proliferation of viable glioma cells in a dose-dependent manner. Consistent with these results, Son <italic>et al</italic> (<xref rid="b15-mmr-13-02-1141" ref-type="bibr">15</xref>) reported that eupatilin also exhibited an inhibitory effect on the proliferation of human aortic smooth muscle cells. In addition, eupatilin inhibited the proliferation of ras-transformed human breast epithelial cells (<xref rid="b16-mmr-13-02-1141" ref-type="bibr">16</xref>).</p>
<p>Reducing metastasis may also be a promising method for tumor treatment, as a high rate of metastasis often results in a poor prognosis. In order to reduce metastasis, invasion and migration of tumor cells should be inhibited. The present study aimed to observe the effect of eupatilin on invasion and migration of glioma cells using Transwell assays. Overall, eupatilin decreased the migration and invasion abilities of glioma cells in a dose-dependent manner. These results were consistent with previous studies that focused on gastric and aortic cells (<xref rid="b10-mmr-13-02-1141" ref-type="bibr">10</xref>,<xref rid="b15-mmr-13-02-1141" ref-type="bibr">15</xref>). Therefore, eupatilin may be used to suppress the invasion and migration of glioma cells.</p>
<p>Triggering apoptosis in cancer cells may be an important method for treating cancer (<xref rid="b17-mmr-13-02-1141" ref-type="bibr">17</xref>,<xref rid="b18-mmr-13-02-1141" ref-type="bibr">18</xref>). Seo and Surh (<xref rid="b19-mmr-13-02-1141" ref-type="bibr">19</xref>) revealed that eupatilin may induce apoptosis in human promyelocytic leukemia cells. In addition, Kim <italic>et al</italic> (<xref rid="b20-mmr-13-02-1141" ref-type="bibr">20</xref>) demonstrated that eupatilin may induce apoptosis in human gastric cancer cells. In accordance with these studies, the present study identified that eupatilin may promote apoptosis in glioma cells in a concentration-dependent manner.</p>
<p>The Notch signaling pathway is important for regulating cell proliferation and apoptosis (<xref rid="b21-mmr-13-02-1141" ref-type="bibr">21</xref>,<xref rid="b22-mmr-13-02-1141" ref-type="bibr">22</xref>). It has been reported that the Notch signaling pathway has a context-dependent function in tumorigenesis, either acting in an antiproliferative or oncogenic manner (<xref rid="b23-mmr-13-02-1141" ref-type="bibr">23</xref>). For example, the Notch gene suppresses proliferation and induces apoptosis in certain tumor cells, such as lung adenocarcinoma and hepatocellular carcinoma cells; however, it functions as an oncogene in the majority of solid tumors, such as glioma and breast cancer (<xref rid="b24-mmr-13-02-1141" ref-type="bibr">24</xref>&#x02013;<xref rid="b27-mmr-13-02-1141" ref-type="bibr">27</xref>). For example, Wang <italic>et al</italic> (<xref rid="b28-mmr-13-02-1141" ref-type="bibr">28</xref>) reported that the Notch signaling pathway contributes to glioma growth. Additionally, it has been demonstrated that the Notch signaling pathway is important in the development of glioma and may regulate proliferation of glioma cells (<xref rid="b29-mmr-13-02-1141" ref-type="bibr">29</xref>). There is growing evidence that Notch-1 may affect the growth and invasion of glioma cells and its downregulation may inhibit proliferation and promote apoptosis (<xref rid="b26-mmr-13-02-1141" ref-type="bibr">26</xref>,<xref rid="b30-mmr-13-02-1141" ref-type="bibr">30</xref>,<xref rid="b31-mmr-13-02-1141" ref-type="bibr">31</xref>). The present study determined that eupatilin may reduce Notch-1 expression in glioma cells. When this was combined with knockdown of Notch-1 by siRNA the inhibitory effect on glioma cell proliferation and invasion was greater. These results suggested that eupatilin inhibited proliferation, invasion and migration, and induced apoptosis through the suppression of the Notch-1 signaling pathway in glioma cells.</p>
<p>In conclusion, eupatilin exhibited an inhibitory effect on the proliferation, invasion and migration of glioma cells, in addition to promoting apoptosis via suppression of the Notch-1 signaling pathway. Therefore, eupatilin may be a potential agent for treatment of glioma.</p></sec></body>
<back>
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<floats-group>
<fig id="f1-mmr-13-02-1141" position="float">
<label>Figure 1</label>
<caption>
<p>Eupatilin inhibits the viability of glioma cells. Higher concentrations of eupatilin markedly limited the viability of (A) LN229 and (B) U87MG cells. Data are expressed as the mean &#x000B1; standard deviation of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 vs. the control group.</p></caption>
<graphic xlink:href="MMR-13-02-1141-g00.jpg"/></fig>
<fig id="f2-mmr-13-02-1141" position="float">
<label>Figure 2</label>
<caption>
<p>Eupatilin inhibits the invasion and migration of glioma cells. The number of invaded (A) LN229 and (B) U87MG cells following treatment with eupatilin. The number of (C) LN229 and (D) U87MG cells migrating through the membrane. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. the control group.</p></caption>
<graphic xlink:href="MMR-13-02-1141-g01.jpg"/></fig>
<fig id="f3-mmr-13-02-1141" position="float">
<label>Figure 3</label>
<caption>
<p>Eupatilin promotes the apoptosis of glioma cells. (A) U87MG cells were treated with 12.5, 25 and 50 <italic>&#x000B5;</italic>M eupatilin for 24 h, and cell apoptosis was examined by flow cytometric analysis. (B) Columns present mean data obtained from three independent experiments. Data are expressed as mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05 vs. the control group. FITC, fluorescein isothiocyanate.</p></caption>
<graphic xlink:href="MMR-13-02-1141-g02.jpg"/></fig>
<fig id="f4-mmr-13-02-1141" position="float">
<label>Figure 4</label>
<caption>
<p>Eupatilin reduces Notch-1 expression in glioma cells. The mRNA and protein expression levels of Notch-1 in U87MG cells were assessed using (A) reverse transcription-quantitative polymerase chain reaction and (B) western blot analysis, respectively. Expression levels of Notch-1 mRNA and protein in eupatilin treatment groups were significantly lower compared with the control group. (C) Quantification of the western blot. Data are expressed as the mean &#x000B1; standard deviation of three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05 vs. the control group.</p></caption>
<graphic xlink:href="MMR-13-02-1141-g03.jpg"/></fig>
<fig id="f5-mmr-13-02-1141" position="float">
<label>Figure 5</label>
<caption>
<p>Downregulation of Notch-1 by siRNA potentiated eupatilin-induced proliferation and invasion inhibition in glioma cells. (A) Notch-1 protein expression level in the siRNA-Notch-1-transfected group was significantly reduced compared with the control group as determined by western blot analysis. siRNA-Notch-1 enhanced eupatilin-inhibited (B) proliferation and (C) invasion of U87MG cells. <sup>&#x0002A;</sup>P&lt;0.05 vs. the scramble control. siRNA, small interfering RNA.</p></caption>
<graphic xlink:href="MMR-13-02-1141-g04.jpg"/></fig></floats-group></article>
