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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.2017.6804</article-id>
<article-id pub-id-type="publisher-id">mmr-16-02-2128</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Gossypol induces cell death by activating apoptosis and autophagy in HT-29 cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Ming-Dong</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Li-Yi</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Pi-Hong</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>You</surname><given-names>Tao</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Fei-Hai</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Sun</surname><given-names>Wei-Jian</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/>
<xref rid="c1-mmr-16-02-2128" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Zhi-Qiang</given-names></name>
<xref rid="af1-mmr-16-02-2128" ref-type="aff"/>
<xref rid="c1-mmr-16-02-2128" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-16-02-2128">Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-16-02-2128"><italic>Correspondence to</italic>: Dr Wei-Jian Sun or Dr Zhi-Qiang Zheng, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Road, Wenzhou, Zhejiang 325000, P.R. China, E-mail: <email>gracegang123@126.com</email>, E-mail: <email>wzwktougao@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>02</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>19</day><month>06</month><year>2017</year></pub-date>
<volume>16</volume>
<issue>2</issue>
<fpage>2128</fpage>
<lpage>2132</lpage>
<history>
<date date-type="received"><day>04</day><month>04</month><year>2016</year></date>
<date date-type="accepted"><day>27</day><month>02</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Gossypol is a polyphenolic, yellowish compound derived from cottonseed extract. The present study examined the effects of gossypol on the apoptosis and autophagy of HT-29 cells. A Cell Counting Kit-8 assay, Annexin V-FITC, JC-1 staining and western blotting were used to identify the viability of cells, stages of apoptosis and the expression levels of the signaling proteins. Gossypol promoted apoptosis and induced the loss of mitochondrial membrane potential. Further investigation of the apoptotic mechanism revealed that gossypol increased the ratio of B-cell lymphoma 2 (Bcl-2)-associated X protein/Bcl-2 protein levels and upregulated the expression of caspase-3. Gossypol also enhanced the activity of microtubule-associated protein light chain 3 LC3-II and Beclin-1 and downregulated LC3-I, in a dose-dependent manner. Together, these finding suggested that gossypol may be a novel and potential antitumor agent.</p>
</abstract>
<kwd-group>
<kwd>gossyplol</kwd>
<kwd>apoptosis</kwd>
<kwd>autophagy</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Colorectal cancer, including cancerous growths in the colon, appendix and rectum, is the third most commonly diagnosed cancer in men and the second most common in women, with an estimated 1,400,000 cases and a mortality rate of 693,900 worldwide in 2012 (<xref rid="b1-mmr-16-02-2128" ref-type="bibr">1</xref>). Current treatment for colon cancer includes surgery, radiation, physical rehabilitation, nutritional therapy and chemotherapy using cytotoxic drugs (<xref rid="b2-mmr-16-02-2128" ref-type="bibr">2</xref>). However, these treatments are not curative. Therefore, effective anticancer drugs for colon cancer are required.</p>
<p>Gossypol is a polyphenolic, yellowish compound derived from cottonseed extract. It is extensively used as a contraceptive agent in men (<xref rid="b3-mmr-16-02-2128" ref-type="bibr">3</xref>,<xref rid="b4-mmr-16-02-2128" ref-type="bibr">4</xref>). Gossypol has been identified as a promising anticancer agent. Moon <italic>et al</italic> (<xref rid="b3-mmr-16-02-2128" ref-type="bibr">3</xref>) demonstrated that gossypol effectively inhibited tumor necrosis factor-&#x03B1;-induced expression of intercellular adhesion molecule 1 by activating the suppression of nuclear factor-&#x03BA;B, and <italic>in vitro</italic> invasion and adhesion in human breast cancer cells. Another study demonstrated that gossypol reduced the viability of three prostate cancer cell lines with a half-maximal inhibitory concentration (IC<sub>50</sub>) of between 3 and 5 &#x00B5;mol/l. In addition, gossypol effectively inhibited prostate tumor-initiating cell-driven tumor growth in a NOD/SCID xenograft model, in addition to inducing DNA damage and activating p53 (<xref rid="b5-mmr-16-02-2128" ref-type="bibr">5</xref>). Knowledge of the molecular mechanisms underlying the anticancer effects of gossypol against HT-29 human colonic cancer cells is limited. Autophagy and apoptosis are two evolutionarily conserved programmed cell death mechanisms, which occur in several physiological conditions (<xref rid="b6-mmr-16-02-2128" ref-type="bibr">6</xref>). Autophagy and apoptosis are dysregulated in cancer cells (<xref rid="b6-mmr-16-02-2128" ref-type="bibr">6</xref>); therefore, the present study examined the effects of gossypol on the apoptosis and autophagy of HT-29 cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Compounds and reagents</title>
<p>Gossypol (&#x003E;98&#x0025; pure) was purchased from LKT Laboratories, Inc. (Hanzhou, China) and reconstituted in DMSO (Sigma-Aldrich; Merck Millipore, Darmstadt, Germany). RPMI-1640 medium and fetal bovine serum (FBS) were obtained from Gibco; Thermo Fisher Scientific, Inc. (Waltham, MA, USA). The Cell counting Kit-8 (CCK-8), 5,5&#x2032;,6,6&#x2032;-tetra-chloro-1,1&#x2032;,3,3&#x2032;-tetra-ethylbenzimidalyl-carbocyanineiodide (JC-1) and Annexin V/PI apoptosis detection kits were purchased from Beyotime Institute of Biotechnology (Nanjing, China). Antibodies against Caspase-3, B-cell lymphoma 2 (Bcl-2), Bcl-2-associated X protein (Bax), microtubule-associated protein light chain 3 (LC3), Beclin-1, Cytochrome c (Cyt-c) and &#x03B2;-actin were commercially available from MBL International Co. (Boston, MA, USA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The HT-29 human colon cancer cells were purchased from the American Type Culture Collection (Manassas, VA, USA). The cells were cultured in RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 10&#x0025; FBS (Gibco; Thermo Fisher Scientific, Inc.), 100 U/ml penicillin and 100 mg/ml streptomycin (Gibco; Thermo Fisher Scientific, Inc.) in a humidified atmosphere in a 5&#x0025; CO<sub>2</sub> incubator at 37&#x00B0;C.</p>
</sec>
<sec>
<title>CCK-8 assay</title>
<p>The growth-inhibitory effect of gossypol was determined using a CCK-8 assay. Briefly, the HT-29 human colon cancer cells were seeded at a density of 1&#x00D7;104 cells/100 &#x00B5;l/well in 96-well plates and were cultured overnight for attachment. Following 24 h of incubation, the HT-29 cells were incubated with gossypol (5, 10, 20, 40 or 80 &#x00B5;M/l) in 96-well plates for 24 h at 37&#x00B0;C. Following incubation, 10 &#x00B5;l CCK-8 solution was added to each well and incubated at 37&#x00B0;C for 4 h, and the absorbance was measured using a microplate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA) at 450 nm.</p>
</sec>
<sec>
<title>Analysis of cell apoptosis</title>
<p>Apoptosis kits were used to detect the effect of gossypol on the HT-29 cells. The cells (5&#x00D7;104 cells/well) were treated with gossypol (20 and 40 &#x00B5;M/l) for 24 h at 37&#x00B0;C. The cells were harvested and washed with ice-cold PBS, resuspended with binding buffer, and simultaneously stained with Annexin-V-FITC and PI for 5&#x2013;15 min. The cells were then analyzed immediately using flow cytometry.</p>
</sec>
<sec>
<title>Mitochondrial membrane potential (&#x0394;&#x03A8;m) assay</title>
<p>JC-1 staining was used to detect changes in &#x0394;&#x03A8;m. The cells (2&#x00D7;105 cells/well) were seeded in 6-well plates and treated with or without gossypol (20 and 40 &#x00B5;M/l) for 24 h. Following incubation; the collected cells were incubated with 5 &#x00B5;g/ml JC-1 in culture medium for 15 min at 37&#x00B0;C. The staining solution was removed and the cells were washed twice with JC-1 staining buffer. The cell-associated fluorescence was analyzed using a FACSCalibur flow cytometer.</p>
</sec>
<sec>
<title>Western blot analysis of Caspase-3, Bax, Bcl-2, LC3, Beclin-1, Cyt-c and &#x03B2;-actin</title>
<p>The HT-29 cells were seeded at a density of 1&#x00D7;105 cells/well in 6-well plates and, following incubation for 24 h, the cells were treated with gossypol (20 and 40 &#x00B5;M/l) for 24 h and then harvested. The expression levels of Bcl-2, Caspase-3, Bax, LC3 and Beclin-1, and the release of mitochondrial Cyt-c were then assessed using western blot analysis. Proteins were extracted from HT-29 cells using a total protein extraction kit (Beyotime Institute of Biotechnology, Shanghai, China) according to the instructions of the manufacturer. Protein concentrations were determined using a BCA protein assay kit (Beyotime Institute of Biotechnology). Aliquots of cell lysates containing 20 &#x00B5;l of protein were separated on a 12&#x0025; SDS-PAGE gel, and transferred onto PVDF membranes. The membranes were blocked with TBST buffer containing 10 mM Tris-HCl (pH 7.5), 150 mM NaCl and 0.05&#x0025; Tween-20, containing 5&#x0025; skimmed milk, and were then incubated with polyclonal antibodies against Bcl-2 (cat. no. 2876; 1:500), Bax (cat. no. sc-493; 1:500), caspase-3 (sc-16647; 1:1,000), Cyt-c (cat. no. 250621; 1:1,000), LC3 (cat. no. 4108; 1:1,000), beclin-1 (cat. no. 4122; 1:500) and &#x03B2;-actin (cat. no. 4967; 1:1,000) overnight at 4&#x00B0;C, respectively. The membrane was then incubated with either HRP-conjugated goat anti-rabbit IgG (cat. no. sc-2005; 1:10,000; Santa Cruz Biotechnology, Inc., Dallas, TX, USA) or goat anti-mouse IgG (cat. no. sc-2004; 1:10,000; Santa Cruz Biotechnology, Inc.) secondary antibodies for 1.5 h at room temperature. Peroxidase activity was detected via ECL visualization of the bands. The images were analyzed and quantified using a Quantity One software version 4.6.2 (Bio-Rad Laboratories, Inc.).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analyses were performed using SPSS version 10.0 (SPSS Inc., Chicago, IL, USA). Data are expressed as the mean &#x00B1; standard deviation. Statistical comparisons were performed using Student&#x0027;s t-test. P&#x003C;0.05 was considered significant a statistically significant difference between groups.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Inhibitory effects of gossypol on HT-29 cells</title>
<p>A CCK-8 assay was performed to assess the inhibitory effects of gossypol on the HT-29 cells. The cells were cultured with 5&#x2013;80 &#x00B5;M/l gossypol for 12, 24 and 48 h. As shown in <xref rid="f1-mmr-16-02-2128" ref-type="fig">Fig. 1</xref>, gossypol inhibited the growth of HT-29 cells in a time- and dose-dependent manner, with a 12 h IC<sub>50</sub> of 31.20 &#x00B5;M/l, 24 h IC<sub>50</sub> of 23.60 &#x00B5;M/l and 48 h IC<sub>50</sub> of 17.97 &#x00B5;M/l. The two concentrations of 20 and 40 &#x00B5;M/l were selected for the following experiments.</p>
</sec>
<sec>
<title>Effect of gossypol on apoptosis</title>
<p>To determine the induction of cell apoptosis by gossypol, an Annexin V and PI staining assay based on flow cytometry was used. As shown in <xref rid="f2-mmr-16-02-2128" ref-type="fig">Fig. 2</xref>, there were significant changes in the proportions of early and late apoptotic, or necrotic HT-29 cells following exposure to gossypol for 24 h. Compared with the control group, the proportion of early apoptotic cells increased from 5.88 to 46.24&#x0025; and the proportions of late apoptotic cells increased from 4.67 to 28.55&#x0025;.</p>
</sec>
<sec>
<title>Effects of gossypol on &#x0394;&#x03A8;m</title>
<p>A loss of &#x0394;&#x03A8;m was detected by the fluorescent dye, JC-1. As shown in <xref rid="f3-mmr-16-02-2128" ref-type="fig">Fig. 3</xref>, treatment with gossypol (20 and 40 &#x00B5;M/l) for 24 h induced a loss in the &#x0394;&#x03A8;m of the HT-29 cells, suggesting damage to the mitochondria.</p>
</sec>
<sec>
<title>Expression of proteins of the apoptotic pathway</title>
<p>To investigate the mechanism underlying gossypol-induced apoptosis, the effects of gossypol on the modification of apoptosis-associated proteins were examined. The results of the western blot analysis demonstrated that gossypol led to an increase in the protein levels of Bax, and decrease in the levels of Bcl-2 in the HT-29 cells following treatment with gossypol at concentrations of 20 and 40 &#x00B5;M/l (<xref rid="f4-mmr-16-02-2128" ref-type="fig">Fig. 4A and B</xref>). Gossypol also promoted the activation of caspase-3 (<xref rid="f4-mmr-16-02-2128" ref-type="fig">Fig. 4C</xref>).</p>
</sec>
<sec>
<title>Autophagy is induced by gossypol in HT-29 cells</title>
<p>The activity of autophagy in HT-29 cells was evaluated following treatment with gossypol. Alterations in the levels of autophagy marker proteins, LC3-I and LC3-II, in HT-29 cells were detected using western blot analysis. As shown in <xref rid="f5-mmr-16-02-2128" ref-type="fig">Fig. 5</xref>, the ratio of LC3-II/LC3-I and Beclin-1 were enhanced in a dose-dependent manner following exposure to gossypol (20 and 40 &#x00B5;M/l) for 24 h.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The aims of the present study were to evaluate the antitumor activities of gossypol and the possible underlying molecular mechanism. Gossypol inhibited the proliferation of HT-29 cells in a concentration-dependent manner. The loss of &#x0394;&#x03A8;m is a hallmark of the early-stage of apoptosis (<xref rid="b7-mmr-16-02-2128" ref-type="bibr">7</xref>). Mitochondrial involvement in gossypol-induced apoptosis was assessed using JC-1 staining, and Annexin V and PI double-staining was used to differentiate early and late apoptosis. The proportions of early and late apoptotic cells were higher, compared with those in the control group.</p>
<p>The signal of apoptosis in several human cancer cells in response to antitumor agents is upregulation of the mitochondrial apoptotic pathway triggered by an alteration in the ratio of Bax/Bcl-2 and the activation of caspases (<xref rid="b8-mmr-16-02-2128" ref-type="bibr">8</xref>,<xref rid="b9-mmr-16-02-2128" ref-type="bibr">9</xref>). In the present study, proteins associated with mitochondria-dependent apoptosis were measured in the HT-29 cells. The expression of Bcl-2 was significantly decreased following gossypol exposure (20 and 40 &#x00B5;M/l) for 24 h, whereas the expression of Bax was markedly increased. Therefore, the ratio of Bax/Bcl-2 was increased. A high Bax/Bcl-2 ratio leads to the release of Cyt-c and activates caspase 3, which is the final step in apoptosis (<xref rid="b10-mmr-16-02-2128" ref-type="bibr">10</xref>,<xref rid="b11-mmr-16-02-2128" ref-type="bibr">11</xref>). In the present study, caspase-3 was significantly increased following gossypol exposure (20 and 40 &#x00B5;M/l) for 24 h. These results suggested that gossypol induced apoptosis via the mitochondrial apoptotic pathway.</p>
<p>In addition to apoptosis, the present study investigated the autophagic effects of gossypol on the proliferation of HT-29 cells. A number of studies have reported that autophagy eliminates cancer cells, thus autophagy is important in the fight against cancer. It has been found that autophagy suppresses the development of carcinogenesis (<xref rid="b12-mmr-16-02-2128" ref-type="bibr">12</xref>,<xref rid="b13-mmr-16-02-2128" ref-type="bibr">13</xref>). LC3 and Beclin 1 are the most well-known markers of autophagy. During autophagy, LC3 is transformed from LC3-I to LC3-II for movement onto isolated membranes and autophagosomes (<xref rid="b14-mmr-16-02-2128" ref-type="bibr">14</xref>,<xref rid="b15-mmr-16-02-2128" ref-type="bibr">15</xref>). In the present study, the ratio of LC3-II/LC3-I was increased and the expression of Beclin 1 was upregulated following treatment with gossypol. Therefore, apoptosis and autophagy were induced in the HT-29 cells following gossypol treatment. Apoptosis is involved in eliminating damaged cells and tumor cells.</p>
<p>Although the molecular processes of apoptosis and autophagy differ, the end result of their actions is to remove unnecessary cells (<xref rid="b16-mmr-16-02-2128" ref-type="bibr">16</xref>). The combinatorial use of anticancer agents, which induce autophagy and apoptosis, can be an effective therapeutic strategy and be used in treatment against cancer. The data presented in the present study demonstrated that gossypol induced apoptosis and autophagy, and can offer potential as a promising anticancer agent for the treatment of colorectal cancer due to its specific antitumor activity.</p>
</sec>
</body>
<back>
<ref-list>
<title>References</title>
<ref id="b1-mmr-16-02-2128"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Torre</surname><given-names>LA</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name><name><surname>Siegel</surname><given-names>RL</given-names></name><name><surname>Ferlay</surname><given-names>J</given-names></name><name><surname>Lortet-Tieulent</surname><given-names>J</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name></person-group><article-title>Global cancer statistics, 2012</article-title><source>CA Cancer J Clin</source><volume>65</volume><fpage>87</fpage><lpage>108</lpage><year>2012</year><pub-id pub-id-type="doi">10.3322/caac.21262</pub-id></element-citation></ref>
<ref id="b2-mmr-16-02-2128"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>SY</given-names></name><name><surname>Debnath</surname><given-names>T</given-names></name><name><surname>Kim</surname><given-names>SK</given-names></name><name><surname>Lim</surname><given-names>BO</given-names></name></person-group><article-title>Anti-cancer effect and apoptosis induction of cordycepin through DR3 pathway in the human colonic cancer cell HT-29</article-title><source>Food Chem Toxicol</source><volume>60</volume><fpage>439</fpage><lpage>447</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.fct.2013.07.068</pub-id><pub-id pub-id-type="pmid">23941773</pub-id></element-citation></ref>
<ref id="b3-mmr-16-02-2128"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moon</surname><given-names>DO</given-names></name><name><surname>Choi</surname><given-names>YH</given-names></name><name><surname>Moon</surname><given-names>SK</given-names></name><name><surname>Kim</surname><given-names>WJ</given-names></name><name><surname>Kim</surname><given-names>GY</given-names></name></person-group><article-title>Gossypol decreases tumor necrosis factor-&#x03B1;-induced intercellular adhesion molecule-1 expression via suppression of NF-&#x03BA;B activity</article-title><source>Food Chem Toxicol</source><volume>49</volume><fpage>999</fpage><lpage>1005</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.fct.2011.01.006</pub-id><pub-id pub-id-type="pmid">21223991</pub-id></element-citation></ref>
<ref id="b4-mmr-16-02-2128"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Balakrishnan</surname><given-names>K</given-names></name><name><surname>Wierda</surname><given-names>WG</given-names></name><name><surname>Keating</surname><given-names>MJ</given-names></name><name><surname>Gandhi</surname><given-names>V</given-names></name></person-group><article-title>Gossypol, a BH3 mimetic, induces apoptosis in chronic lymphocytic leukemia cells</article-title><source>Blood</source><volume>112</volume><fpage>1971</fpage><lpage>1980</lpage><year>2008</year><pub-id pub-id-type="doi">10.1182/blood-2007-12-126946</pub-id><pub-id pub-id-type="pmid">18566329</pub-id><pub-id pub-id-type="pmcid">2518898</pub-id></element-citation></ref>
<ref id="b5-mmr-16-02-2128"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Volate</surname><given-names>SR</given-names></name><name><surname>Kawasaki</surname><given-names>BT</given-names></name><name><surname>Hurt</surname><given-names>EM</given-names></name><name><surname>Milner</surname><given-names>JA</given-names></name><name><surname>Kim</surname><given-names>YS</given-names></name><name><surname>White</surname><given-names>J</given-names></name><name><surname>Farrar</surname><given-names>WL</given-names></name></person-group><article-title>Gossypol induces apoptosis by activating p53 in prostate cancer cells and prostate tumor-initiating cells</article-title><source>Mol Cancer Ther</source><volume>9</volume><fpage>461</fpage><lpage>470</lpage><year>2010</year><pub-id pub-id-type="doi">10.1158/1535-7163.MCT-09-0507</pub-id><pub-id pub-id-type="pmid">20124455</pub-id><pub-id pub-id-type="pmcid">2820604</pub-id></element-citation></ref>
<ref id="b6-mmr-16-02-2128"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lisiak</surname><given-names>N</given-names></name><name><surname>Paszel-Jaworska</surname><given-names>A</given-names></name><name><surname>Bednarczyk-Cwynar</surname><given-names>B</given-names></name><name><surname>Zaprutko</surname><given-names>L</given-names></name><name><surname>Kaczmarek</surname><given-names>M</given-names></name><name><surname>Rybczy&#x0144;ska</surname><given-names>M</given-names></name></person-group><article-title>Methyl 3-hydroxyimino-11-oxoolean-12-en-28-oate (HIMOXOL), a synthetic oleanolic acid derivative, induces both apoptosis and autophagy in MDA-MB-231 breast cancer cells</article-title><source>Chem Biol Interact</source><volume>208</volume><fpage>47</fpage><lpage>57</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.cbi.2013.11.009</pub-id><pub-id pub-id-type="pmid">24291674</pub-id></element-citation></ref>
<ref id="b7-mmr-16-02-2128"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhu</surname><given-names>J</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>GN</given-names></name><name><surname>Tai</surname><given-names>G</given-names></name><name><surname>Ye</surname><given-names>XS</given-names></name></person-group><article-title>Cell cycle arrest, apoptosis and autophagy induced by iminosugars on K562 cells</article-title><source>Eur J Pharmacol</source><volume>731</volume><fpage>65</fpage><lpage>72</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2014.03.013</pub-id><pub-id pub-id-type="pmid">24657462</pub-id></element-citation></ref>
<ref id="b8-mmr-16-02-2128"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Elmore</surname><given-names>S</given-names></name></person-group><article-title>Apoptosis: A review of programmed cell death</article-title><source>Toxicol Pathol</source><volume>35</volume><fpage>495</fpage><lpage>516</lpage><year>2007</year><pub-id pub-id-type="doi">10.1080/01926230701320337</pub-id><pub-id pub-id-type="pmid">17562483</pub-id><pub-id pub-id-type="pmcid">2117903</pub-id></element-citation></ref>
<ref id="b9-mmr-16-02-2128"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>Z</given-names></name><name><surname>Klionsky</surname><given-names>DJ</given-names></name></person-group><article-title>Mammalian autophagy: Core molecular machinery and signaling regulation</article-title><source>Curr Opin Cell Biol</source><volume>22</volume><fpage>124</fpage><lpage>131</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.ceb.2009.11.014</pub-id><pub-id pub-id-type="pmid">20034776</pub-id></element-citation></ref>
<ref id="b10-mmr-16-02-2128"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Qian</surname><given-names>W</given-names></name><name><surname>Han</surname><given-names>X</given-names></name></person-group><article-title>Microcystin-LR induces autophagy and apoptosis in rat Sertoli cells in vitro</article-title><source>Toxicon</source><volume>76</volume><fpage>84</fpage><lpage>93</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.toxicon.2013.09.005</pub-id><pub-id pub-id-type="pmid">24047964</pub-id></element-citation></ref>
<ref id="b11-mmr-16-02-2128"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sawada</surname><given-names>M</given-names></name><name><surname>Nakashima</surname><given-names>S</given-names></name><name><surname>Banno</surname><given-names>Y</given-names></name><name><surname>Yamakawa</surname><given-names>H</given-names></name><name><surname>Hayashi</surname><given-names>K</given-names></name><name><surname>Takenaka</surname><given-names>K</given-names></name><name><surname>Nishimura</surname><given-names>Y</given-names></name><name><surname>Sakai</surname><given-names>N</given-names></name><name><surname>Nozawa</surname><given-names>Y</given-names></name></person-group><article-title>Ordering of ceramide formation, caspase activation, and Bax/Bcl-2 expression during etoposide-induced apoptosis in C6 glioma cells</article-title><source>Cell Death Differ</source><volume>7</volume><fpage>761</fpage><lpage>772</lpage><year>2000</year><pub-id pub-id-type="doi">10.1038/sj.cdd.4400711</pub-id><pub-id pub-id-type="pmid">11042671</pub-id></element-citation></ref>
<ref id="b12-mmr-16-02-2128"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berardi</surname><given-names>DE</given-names></name><name><surname>Campod&#x00F3;nico</surname><given-names>PB</given-names></name><name><surname>D&#x00ED;az Bessone</surname><given-names>MI</given-names></name><name><surname>Urtreger</surname><given-names>AJ</given-names></name><name><surname>Todaro</surname><given-names>LB</given-names></name></person-group><article-title>Autophagy: Friend or foe in breast cancer development, progression, and treatment</article-title><source>Int J Breast Cancer</source><volume>2011</volume><fpage>595092</fpage><year>2011</year><pub-id pub-id-type="doi">10.4061/2011/595092</pub-id><pub-id pub-id-type="pmid">22295229</pub-id><pub-id pub-id-type="pmcid">3262577</pub-id></element-citation></ref>
<ref id="b13-mmr-16-02-2128"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carew</surname><given-names>JS</given-names></name><name><surname>Kelly</surname><given-names>KR</given-names></name><name><surname>Nawrocki</surname><given-names>ST</given-names></name></person-group><article-title>Autophagy as a target for cancer therapy: New developments</article-title><source>Cancer Manag Res</source><volume>4</volume><fpage>357</fpage><lpage>365</lpage><year>2012</year><pub-id pub-id-type="pmid">23091399</pub-id><pub-id pub-id-type="pmcid">3474143</pub-id></element-citation></ref>
<ref id="b14-mmr-16-02-2128"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Backer</surname><given-names>JM</given-names></name></person-group><article-title>The regulation and function of Class III PI3Ks: Novel roles for Vps34</article-title><source>Biochem J</source><volume>410</volume><fpage>1</fpage><lpage>17</lpage><year>2008</year><pub-id pub-id-type="doi">10.1042/BJ20071427</pub-id><pub-id pub-id-type="pmid">18215151</pub-id></element-citation></ref>
<ref id="b15-mmr-16-02-2128"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Petiot</surname><given-names>A</given-names></name><name><surname>Ogier-Denis</surname><given-names>E</given-names></name><name><surname>Blommaart</surname><given-names>EF</given-names></name><name><surname>Meijer</surname><given-names>AJ</given-names></name><name><surname>Codogno</surname><given-names>P</given-names></name></person-group><article-title>Distinct classes of phosphatidylinositol 3&#x2032;-kinases are involved in signaling pathways that control macroautophagy in HT-29 cells</article-title><source>J Biol Chem</source><volume>275</volume><fpage>992</fpage><lpage>998</lpage><year>2000</year><pub-id pub-id-type="doi">10.1074/jbc.275.2.992</pub-id><pub-id pub-id-type="pmid">10625637</pub-id></element-citation></ref>
<ref id="b16-mmr-16-02-2128"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maiuri</surname><given-names>M</given-names></name><name><surname>Zalckvar</surname><given-names>E</given-names></name><name><surname>Kimchi</surname><given-names>A</given-names></name><name><surname>Kroemer</surname><given-names>G</given-names></name></person-group><article-title>Self-eating and self-killing: Crosstalk between autophagy and apoptosis</article-title><source>Nat Rev Mol Cell Biol</source><volume>8</volume><fpage>741</fpage><lpage>752</lpage><year>2007</year><pub-id pub-id-type="doi">10.1038/nrm2239</pub-id><pub-id pub-id-type="pmid">17717517</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-16-02-2128" position="float">
<label>Figure 1.</label>
<caption><p>HT-29 cells were treated with various concentrations of gossypol for 12, 24 and 48 h, and the inhibitory effects were measured using a Cell counting kit-8 assay. Values are presented as the mean &#x00B1; standard deviation of three independent experiments.</p></caption>
<graphic xlink:href="MMR-16-02-2128-g00.tif"/>
</fig>
<fig id="f2-mmr-16-02-2128" position="float">
<label>Figure 2.</label>
<caption><p>Apoptotic effects of gossypol on HT-29 cells. Apoptosis of HT-29 cells following treatment with gossypol (20 and 40 &#x00B5;M/l) for 24 h. Representative results from the fluorescence activated cell sorting assays of three independent experiments are presented.</p></caption>
<graphic xlink:href="MMR-16-02-2128-g01.tif"/>
</fig>
<fig id="f3-mmr-16-02-2128" position="float">
<label>Figure 3.</label>
<caption><p>Effect of gossypol on the &#x0394;&#x03A8;m in HT-29 cells when treated for 24 h. The &#x0394;&#x03A8;m was detected using the fluorescent dye, JC-1, and analyzed using flow cytometry. The results are representatives of three independent experiments. &#x0394;&#x03A8;m, mitochondrial membrane potential.</p></caption>
<graphic xlink:href="MMR-16-02-2128-g02.tif"/>
</fig>
<fig id="f4-mmr-16-02-2128" position="float">
<label>Figure 4.</label>
<caption><p>Effects of gossypol on proteins of the apoptotic pathway. (A) Effects on the protein expression levels of Bax, Bcl-2 and Caspase-3 were detected using western blot analysis following treatment with gossypol for 24 h. (B) Protein expression levels of Bax/Bcl-2 were detected using western blot analysis following treatment with gossypol for 24 h. (C) Protein expression levels of caspase-3 was detected using western blot analysis following treatment with gossypol for 24 h. Results are expressed as the mean &#x00B1; standard deviation. Each experiment was performed in triplicate (n=3). Comparisons were made between the different concentrations of gossypol and the untreated control. &#x002A;P&#x003C;0.05, compared with the control. Bcl-2, B-cell lymphoma 2; Bax, Bcl-2-associated X protein.</p></caption>
<graphic xlink:href="MMR-16-02-2128-g03.tif"/>
</fig>
<fig id="f5-mmr-16-02-2128" position="float">
<label>Figure 5.</label>
<caption><p>Effects of gosspol on the expression of markers of autophagy. (A) Effects on the protein expression levels of Beclin-1 and LC3 were detected using western blot analysis following treatment with gossypol for 24 h. (B) Protein expression level of Beclin-1 was detected using western blot analysis following treatment with gossypol for 24 h. (C) Protein expression levels of LC3-II/LC3-I were detected using western blot analysis following treatment with gossypol for 24 h. Results are expressed as the mean &#x00B1; standard deviation. Each experiment was performed in triplicate (n=3). Comparisons were made between different concentrations of gossypol and the untreated group. &#x002A;P&#x003C;0.05, compared with the control. LC3, microtubule-associated protein light chain 3.</p></caption>
<graphic xlink:href="MMR-16-02-2128-g04.tif"/>
</fig>
</floats-group>
</article>