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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.2017.6359</article-id>
<article-id pub-id-type="publisher-id">mmr-15-05-3259</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Tanshinone IIA increases protein expression levels of PERK, ATF6, IRE1&#x03B1;, CHOP, caspase-3 and caspase-12 in pancreatic cancer BxPC-3 cell-derived xenograft tumors</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Chiu</surname><given-names>Tsung-Lang</given-names></name>
<xref rid="af1-mmr-15-05-3259" ref-type="aff">1</xref>
<xref rid="af2-mmr-15-05-3259" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Su</surname><given-names>Chin Cheng</given-names></name>
<xref rid="af3-mmr-15-05-3259" ref-type="aff">3</xref>
<xref rid="af4-mmr-15-05-3259" ref-type="aff">4</xref>
<xref rid="af5-mmr-15-05-3259" ref-type="aff">5</xref>
<xref rid="af6-mmr-15-05-3259" ref-type="aff">6</xref>
<xref rid="c1-mmr-15-05-3259" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-15-05-3259"><label>1</label>Division of Neurooncology, Neuro-Medical Scientific Center, Buddhist Tzu-Chi General Hospital, Hualien 97004, Taiwan, R.O.C.</aff>
<aff id="af2-mmr-15-05-3259"><label>2</label>College of Medicine, Tzu Chi University, Hualien 97004, Taiwan, R.O.C.</aff>
<aff id="af3-mmr-15-05-3259"><label>3</label>Tumor Research Center of Integrative Medicine, Changhua Christian Hospital, Changhua 500-06, Taiwan, R.O.C.</aff>
<aff id="af4-mmr-15-05-3259"><label>4</label>Department of Surgery, Changhua Christian Hospital, Changhua 500-06, Taiwan, R.O.C.</aff>
<aff id="af5-mmr-15-05-3259"><label>5</label>Comprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua 500-06, Taiwan, R.O.C.</aff>
<aff id="af6-mmr-15-05-3259"><label>6</label>School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-mmr-15-05-3259"><italic>Correspondence to</italic>: Dr Chin Cheng Su, Tumor Research Center of Integrative Medicine, Changhua Christian Hospital, 135 Nanxiao Street, Changhua 500-06, Taiwan, R.O.C., E-mail: <email>succ.maeva@msa.hinet.net</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>05</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>22</day><month>03</month><year>2017</year></pub-date>
<volume>15</volume>
<issue>5</issue>
<fpage>3259</fpage>
<lpage>3263</lpage>
<history>
<date date-type="received"><day>07</day><month>02</month><year>2016</year></date>
<date date-type="accepted"><day>27</day><month>01</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Tanshinone (Tan)-IIA is a derivative of phenanthrenequinone and the main active ingredient isolated from Salviae miltiorrhizae radix (Danshen). Previous studies have demonstrated that Tan-IIA increased the protein expressions levels of protein kinase RNA-like endoplasmic reticulum kinase (PERK), activating transcription factor (ATF) 6, caspase-12 and CCAAT-enhancer-binding protein homologous protein (CHOP), to induce endoplasmic reticulum (ER) stress and apoptosis in human pancreatic cancer BxPC-3 cells. However, to the best of our knowledge, the effects of Tan-IIA on pancreatic cancer cells have not been investigated <italic>in vivo</italic>. Further studies are required to elucidate the therapeutic potential of Tan-IIA in inducing ER stress in cancer cells <italic>in vivo</italic>. The present study aimed to investigate the effects of Tan-IIA on the expression of ER stress-related proteins in BxPC-3-derived xenograft tumors. A total of 30 male severe combined immunodeficiency mice (age, 4 weeks) were implanted with BxPC-3 cells (2&#x00D7;10<sup>6</sup>/0.2 ml) and subsequently treated with various doses of Tan-IIA (0, 30 and 90 mg/kg) for 4 weeks. After mice were sacrificed on day 33, the xenograft tumors were dissected and total protein was extracted for western blot analysis. The results of the present study demonstrated that Tan-IIA inhibited the growth of BxPC-3-derived xenograft tumors. In addition, Tan-IIA increased the protein expression levels of PERK, ATF6, caspase-12, inositol-requiring enzyme (IRE) 1&#x03B1;, eukaryotic initiation factor (eIF) 2&#x03B1;, phosphorylated (p)-c-Jun N-terminal kinase (JNK), CHOP and caspase-3 in a dose-dependent manner. These results indicated that Tan-IIA induced ER stress via increasing the protein expression levels of PERK, ATF6, caspase-12, IRE1&#x03B1;, eIF2&#x03B1;, p-JNK, CHOP and caspase-3 in BxPC-3 cells <italic>in vivo</italic>. Therefore, it may be hypothesized that Tan-IIA has potential for the development of novel therapeutic strategies for the treatment of patients with pancreatic cancer.</p>
</abstract>
<kwd-group>
<kwd>tanshinone IIA</kwd>
<kwd>BxPC-3 cells</kwd>
<kwd>ER stress</kwd>
<kwd><italic>in vivo</italic></kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Although many efforts have been made to improve the efficacy of therapeutic strategies for the treatment of pancreatic cancer, current chemotherapeutic options remain unsatisfactory (<xref rid="b1-mmr-15-05-3259" ref-type="bibr">1</xref>). In 2016, pancreatic cancer was reported as the 4th leading cause of cancer-associated mortality in the USA, the estimated death in males was 21,450 and in females 20,330 (<xref rid="b2-mmr-15-05-3259" ref-type="bibr">2</xref>), stressing the need for the development of novel therapeutic agents for pancreatic cancer. Tanshinone (Tan)-IIA (C<sub>19</sub>H<sub>18</sub>O<sub>3</sub>) is one of the active constituents of the plant-derived traditional Chinese medicine Danshen (<xref rid="b3-mmr-15-05-3259" ref-type="bibr">3</xref>,<xref rid="b4-mmr-15-05-3259" ref-type="bibr">4</xref>). Tan-IIA has been reported to possess anti-cancer potential; it has been demonstrated to induce apoptosis in prostate cancer cells (<xref rid="b5-mmr-15-05-3259" ref-type="bibr">5</xref>). Tan-IIA has also been reported to inhibit the proliferation of A549 human non-small cell lung cancer cells via decreasing the expression of vascular endothelial growth factor and its receptor (<xref rid="b6-mmr-15-05-3259" ref-type="bibr">6</xref>). Yang <italic>et al</italic> reported that Tan-IIA inhibited the growth of human glioma stem cells via inducing apoptosis <italic>in vitro</italic> and <italic>in vivo</italic> in a dose-dependent manner (<xref rid="b7-mmr-15-05-3259" ref-type="bibr">7</xref>). Munagala <italic>et al</italic> suggested that Tan-IIA may have potential as a therapeutic agent for the prevention and treatment of cervical and other human papilloma virus-related types of cancer (<xref rid="b8-mmr-15-05-3259" ref-type="bibr">8</xref>). It has previously been reported that Tan-IIA may exert cytotoxic effects in human pancreatic cancer MIAPaCa-2 (<xref rid="b9-mmr-15-05-3259" ref-type="bibr">9</xref>) and BxPC-3 cells (<xref rid="b10-mmr-15-05-3259" ref-type="bibr">10</xref>), and it induced endoplasmic reticulum (ER) stress to inhibit the growth of BxPC-3 cells <italic>in vitro</italic> (<xref rid="b11-mmr-15-05-3259" ref-type="bibr">11</xref>). Further <italic>in vivo</italic> studies are required to elucidate the mechanisms underlying the ER-related effects of Tan-IIA in BxPC-3 cells. The present study investigated the <italic>in vivo</italic> effects of Tan-IIA on the expression of ER stress-related proteins in BxPC3-derived xenograft tumors.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Chemicals and reagents</title>
<p>The BxPC-3 human pancreatic cancer cell line was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan). Tan-IIA, sodium deoxycholate, leupeptin, Triton X-100, Tris-HCl, sodium pyruvate, HEPES, RPMI-1640, trypsin-EDTA, mouse anti-&#x03B2;-actin antibody (cat. no. A5441; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany), penicillin-streptomycin, dimethyl sulfoxide, potassium phosphates and were obtained from Merck KGaA. Fetal bovine serum (FBS) and glutamine were obtained from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Tris-glycine-SDS buffer (10X), Tween-20 and glycine were obtained from Ameresco, Inc. (Framingham, MA, USA). BioMax film was obtained from Kodak (Rochester, NY, USA). Anti-protein kinase RNA-like endoplasmic reticulum kinase (PERK) (cat. no. 9956), anti-inositol-requiring enzyme 1&#x03B1; (IRE1&#x03B1;) (cat. no. 9956), anti-phosphorylated (p)-c-Jun N-terminal (JNK) (cat. no. 9910), anti-CCAAT-enhancer-binding protein homologous protein (CHOP) (cat. no 9956) and anti-caspase-3 (cat. no 9661) antibodies were obtained from Cell Signaling Technology, Inc. (Danvers, MA, USA). Anti-caspase 12 (cat. no. ab62484), anti-activating transcription factor 6 (ATF6) (cat. no. ab37149) and anti-eukaryotic initiation factor 2&#x03B1; (elF2&#x03B1;) (cat. no. ab5369) antibodies were obtained from Abcam (Cambridge, UK). Anti-B-cell lymphoma 2 (Bcl-2) antibody (cat. no. NB100-92142) was obtained from Novus Biologicals, LLC (Littleton, CO, USA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>Human pancreatic adenocarcinoma BxPC-3 cells were cultured as previously described (<xref rid="b10-mmr-15-05-3259" ref-type="bibr">10</xref>,<xref rid="b11-mmr-15-05-3259" ref-type="bibr">11</xref>). Briefly, BxPC-3 cells were maintained in RPMI-1640 medium supplemented with 10&#x0025; FBS, 10,000 U/ml penicillin and 10 mg/ml streptomycin, at 37&#x00B0;C in a humidified atmosphere containing 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>In vivo studies</title>
<p>Cultured BxPC3 cells (2&#x00D7;10<sup>6</sup>/0.2 ml) were implanted into 4-week old, male nude severe combined immunodeficiency (SCID) mice (n=30) via subcutaneous injection over the flank area. Mice were maintained in a pathogen-free environment (Laboratory Animal Center of Tzu Chi University, Hualien, Taiwan). SCID mice implanted with BxPC-3 cells were randomly divided into 3 groups (n=10 per group) to receive 3 different weekly doses of Tan-IIA (0, 30 and 90 mg/kg). Tan-IIA was dissolved in corn oil and administered intraperitoneally on weeks 1, 3 and 5 following xenotransplantation. Volumes of the xenograft tumors were measured every other week. Tumor volume was estimated according to the following formula: Tumor volume (mm<sup>3</sup>)=LxW<sup>2</sup>/2, where L refers to tumor length and W refers to tumor width. On day 35 following xenotransplantation SCID mice were sacrificed by CO<sub>2</sub> inhalation, the xenograft tumors were dissected and total protein was extracted from the tumors. Subsequently, protein expression levels of PERK, ATF6, caspase-12/caspase-3, IRE1&#x03B1;, eIF2&#x03B1;, p-JNK, CHOP and Bcl-2 in the xenograft tumors were assessed using western blot analysis.</p>
<p>All experimental procedures were approved by the Institutional Animal Care and Use Committee of Tzu Chi University (approval no. CCH-AE-101-010).</p>
</sec>
<sec>
<title>Protein preparation</title>
<p>Total protein was extracted from xenograft tumors. Following dissection, tumors were homogenized and lysed in ice-cold whole cell lysis buffer containing protease inhibitors (BioVision, Inc., Milpitas, CA, USA). The lysates were incubated for 30 min at 4&#x00B0;C with agitation and were centrifuged at 12,281 &#x00D7; g for 10 min. Protein concentration was measured using the bicinchoninic acid protein assay kit (Pierce; Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was conducted as previously described (<xref rid="b10-mmr-15-05-3259" ref-type="bibr">10</xref>,<xref rid="b11-mmr-15-05-3259" ref-type="bibr">11</xref>). Briefly, equal amounts of extracted protein samples (10 &#x00B5;g) were separated by 12&#x0025; SDS-PAGE (Bio-Rad Laboratories, Inc., Hercules, CA, USA) and transferred onto polyvinylidene difluoride membranes, which were blocked for 1 h at 4&#x00B0;C with blocking buffer [5&#x0025; dried skimmed milk in solution containing 50 mM Tris-HCl (pH 8.0), 2 mM CaCl<sub>2</sub>, 80 mM sodium chloride, 0.05&#x0025; Tween-20 and 0.02&#x0025; sodium azide (Merck KGaA)]. The membranes were incubated for 2 h at room temperature with the following primary antibodies: PERK, ATF6, caspase-3, caspase-12, IRE1&#x03B1;, eIF2&#x03B1;, p-JNK, CHOP, Bcl-2 (all diluted to 1:1,000) and &#x03B2;-actin (diluted to 1:5,000). Subsequently, they were incubated at room temperature for 1 h with anti-rabbit (cat. no. sc-2004) or anti-mouse (cat. no. sc-2005) immunoglobulin G-horseradish peroxidase-conjugated secondary antibodies (1:5,000; Santa Cruz Biotechnology Inc., Dallas, TX, USA). The membranes were washed 3 times for 10 min with 1X PBS with 0.05&#x0025; Tween-20. The protein bands were visualized on X-ray film using an enhanced chemiluminescence detection system (PerkinElmer, Inc., Waltham, MA, USA) and quantified using ImageJ version 1.44 (National Institute of Health, Bethesda, MD, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The statistical significance of the difference between groups was assessed by one-way analysis of variance followed by Dunnett&#x0027;s test. Data are expressed as the mean &#x00B1; standard deviation. P&#x003C;0.05 was considered to indicate a statistically significant difference. The analysis was performed using IBM SPSS software version 20.0 (IBM SPSS, Armonk, NY, USA).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effects of Tan-IIA on BxPC3-derived tumor xenografts</title>
<p>Mice implanted with BxPC-3-derived tumor xenografts were treated with 3 doses of Tan-IIA (0, 30 and 90 mg/kg) for 4 weeks. Tan-IIA was demonstrated to impair xenograft tumor growth in a dose-dependent manner (<xref rid="f1-mmr-15-05-3259" ref-type="fig">Fig. 1</xref>). In addition, protein expression of PERK, ATF6, caspase-3, caspase-12, IRE1&#x03B1;, eIF2&#x03B1;, p-JNK, CHOP and Bcl-2 was assessed using western blot analysis, with &#x03B2;-actin as an internal control. The present results revealed that Tan-IIA significantly increased the protein expression levels of PERK (<xref rid="f2-mmr-15-05-3259" ref-type="fig">Fig. 2A</xref>), ATF6 (<xref rid="f2-mmr-15-05-3259" ref-type="fig">Fig. 2B</xref>), caspase-12 (<xref rid="f2-mmr-15-05-3259" ref-type="fig">Fig. 2C</xref>), IRE1&#x03B1; (<xref rid="f2-mmr-15-05-3259" ref-type="fig">Fig. 2D</xref>), elF2&#x03B1; (<xref rid="f3-mmr-15-05-3259" ref-type="fig">Fig. 3A</xref>), p-JNK (<xref rid="f3-mmr-15-05-3259" ref-type="fig">Fig. 3B</xref>), CHOP (<xref rid="f3-mmr-15-05-3259" ref-type="fig">Fig. 3C</xref>) and caspase-3 (<xref rid="f4-mmr-15-05-3259" ref-type="fig">Fig. 4A</xref>) in a dose-dependent manner. Conversely, treatment with Tan-IIA resulted in a significant dose-dependent decrease in Bcl-2 protein expression levels (<xref rid="f4-mmr-15-05-3259" ref-type="fig">Fig. 4B</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The induction of ER stress is one of the underlying mechanisms involved in therapeutic strategies for cancer (<xref rid="b12-mmr-15-05-3259" ref-type="bibr">12</xref>). It has previously been reported that the activation of upstream elements, such as IRE1&#x03B1; and PERK, consequently results in an increase in their downstream targets eIF2&#x03B1;, p-JNK and CHOP (<xref rid="b13-mmr-15-05-3259" ref-type="bibr">13</xref>). CHOP has been demonstrated to inhibit the protein expression of Bcl-2. When the unfolded protein response exceeds a threshold, damaged cells become apoptotic, through a mechanism that may involve the caspase-12- and ATF6-mediated induction of the CHOP signaling pathway (<xref rid="b14-mmr-15-05-3259" ref-type="bibr">14</xref>,<xref rid="b15-mmr-15-05-3259" ref-type="bibr">15</xref>). Pan <italic>et al</italic> reported that Tan-IIA may enhance the apoptosis of CaSki advanced cervical carcinoma cells, through the activation of intrinsic mitochondrial and ER stress-associated pathways (<xref rid="b16-mmr-15-05-3259" ref-type="bibr">16</xref>). In addition, Chiu <italic>et al</italic> demonstrated that Tan-IIA inhibited the growth of human prostate cancer cells through the induction of ER stress <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b17-mmr-15-05-3259" ref-type="bibr">17</xref>). The present study revealed that Tan-IIA suppressed the growth of BxPC-3-derived xenograft tumors, as tumor volume was demonstrated to be decreased in mice following 28 days of Tan-IIA treatment compared with in untreated mice (<xref rid="f1-mmr-15-05-3259" ref-type="fig">Fig. 1</xref>). In addition, Tan-IIA increased the protein expression levels of PERK, ATF6, caspase-12, IRE1&#x03B1;, elF2&#x03B1;, p-JNK, CHOP and caspase-3 in BxPC-3-derived xenograft tumors in a dose-dependent manner. Conversely, treatment with Tan-IIA resulted in a dose-dependent decrease of Bcl-2 protein expression levels in BxPC-3-derived xenograft tumors. The present results indicated that Tan-IIA may promote apoptosis through the induction of ER stress in xenograft tumors derived from BxPC-3 cells. These results are in accordance with an <italic>in vitro</italic> study that demonstrated that Tan-IIA induced ER stress via increasing the expression of PERK, IRE1&#x03B1;, caspase-12 and ATF6. These proteins stimulated the overexpression of their downstream elements elF2&#x03B1; and p-JNK, and the target protein CHOP, which resulted in decreased Bcl-2 expression, mitochondrial dysfunction and increased caspase-3-mediated apoptosis (<xref rid="b11-mmr-15-05-3259" ref-type="bibr">11</xref>).</p>
<p>In conclusion, the present study suggested that Tan-IIA may exert tumor-suppressing effects via inducing ER stress in cancer cells, and may have potential as a novel therapeutic strategy for the treatment of patients with pancreatic cancer.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Research Section of the Changhua Christian Hospital, Changhua, Taiwan (grant no. 103-CCH-IRP-023).</p>
</ack>
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<floats-group>
<fig id="f1-mmr-15-05-3259" position="float">
<label>Figure 1.</label>
<caption><p>Effects of Tan-IIA administration on BxPC-3-derived xenograft tumors. Mice bearing BxPC-3-derived xenograft tumors were treated with various doses of Tan-IIA (0, 30 and 90 mg/kg). Tumor volumes were measured every other week. The tumor volume was estimated according to the formula: Tumor volume (mm<sup>3</sup>)=LxW<sup>2</sup>/2. Tumor volume was significantly reduced following 29 days of treatment with a high dose of Tan-IIA (90 mg/kg) compared with the control group. Data are expressed as the mean &#x00B1; standard deviation. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. Tan, Tanshinone; L, tumor length; W, tumor width.</p></caption>
<graphic xlink:href="MMR-15-05-3259-g00.tif"/>
</fig>
<fig id="f2-mmr-15-05-3259" position="float">
<label>Figure 2.</label>
<caption><p>Protein expression levels of PERK, ATF6, caspase-12 and IRE1&#x03B1; in BxPC-3-derived xenograft tumors following treatment with Tan-IIA. Mice bearing BxPC-3-derived xenograft tumors were treated with various doses of Tan-IIA (0, 30 and 90 mg/kg). Tumors were dissected and western blot analysis was performed to assess protein expression levels. Tan-IIA increased the protein expression levels of (A) PERK, (B) ATF6, (C) caspase-12 and (D) IRE1&#x03B1; in a dose-dependent manner. Data are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 compared with the control group. PERK, protein kinase RNA-like endoplasmic reticulum kinase; ATF, activating transcription factor; IRE, inositol-requiring enzyme; Tan, Tanshinone.</p></caption>
<graphic xlink:href="MMR-15-05-3259-g01.tif"/>
</fig>
<fig id="f3-mmr-15-05-3259" position="float">
<label>Figure 3.</label>
<caption><p>Protein expression levels of eIF2&#x03B1;, p-JNK and CHOP in BxPC-3-derived xenograft tumors following treatment with Tan-IIA. Mice bearing BxPC-3-derived xenograft tumors were treated with various doses of Tan-IIA (0, 30 and 90 mg/kg). Tumors were dissected and western blot analysis was performed to assess protein expression levels. Tan-IIA increased the protein expression levels of (A) eIF2&#x03B1;, (B) p-JNK and (C) CHOP in a dose-dependent manner. Data are expressed as the mean &#x00B1; standard deviation. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 compared with the control group. eIF, eukaryotic initiation factor; p, phosphorylated; JNK, c-Jun N-terminal kinase; CHOP, CCAAT-enhancer-binding protein homologous protein; Tan, Tanshinone.</p></caption>
<graphic xlink:href="MMR-15-05-3259-g02.tif"/>
<graphic xlink:href="MMR-15-05-3259-g03.tif"/>
<graphic xlink:href="MMR-15-05-3259-g04.tif"/>
</fig>
<fig id="f4-mmr-15-05-3259" position="float">
<label>Figure 4.</label>
<caption><p>Protein expression levels of caspase-3 and Bcl-2 in BxPC-3-derived xenograft tumors following treatment with Tan-IIA. Mice bearing BxPC-3-derived xenograft tumors were treated with various doses of Tan-IIA (0, 30 and 90 mg/kg). Tumors were dissected and western blot analysis was performed to assess protein expression levels. Tan-IIA (A) increased the protein expression levels of caspase-3 and (B) decreased the protein expression levels of Bcl-2 in a dose-dependent manner. Data are expressed as the mean &#x00B1; standard deviation. &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 compared with the control group. Bcl, B-cell lymphoma; Tan, Tanshinone.</p></caption>
<graphic xlink:href="MMR-15-05-3259-g05.tif"/>
<graphic xlink:href="MMR-15-05-3259-g06.tif"/>
</fig>
</floats-group>
</article>
