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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.2017.7680</article-id>
<article-id pub-id-type="publisher-id">mmr-16-06-8900</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside inhibits the adhesion and invasion of A549 human lung cancer cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Ming</given-names></name>
<xref rid="af1-mmr-16-06-8900" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Cong</given-names></name>
<xref rid="af2-mmr-16-06-8900" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhu</surname><given-names>Minglin</given-names></name>
<xref rid="af1-mmr-16-06-8900" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Xianguo</given-names></name>
<xref rid="af1-mmr-16-06-8900" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Li</given-names></name>
<xref rid="af1-mmr-16-06-8900" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Jinping</given-names></name>
<xref rid="af1-mmr-16-06-8900" ref-type="aff">1</xref>
<xref rid="c1-mmr-16-06-8900" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-16-06-8900"><label>1</label>Department of Thoracic and Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China</aff>
<aff id="af2-mmr-16-06-8900"><label>2</label>Department of Hematology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-16-06-8900"><italic>Correspondence to</italic>: Dr Jinping Zhao, Department of Thoracic and Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, P.R. China, E-mail: <email>zhaojinping201412@126.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>02</day><month>10</month><year>2017</year></pub-date>
<volume>16</volume>
<issue>6</issue>
<fpage>8900</fpage>
<lpage>8906</lpage>
<history>
<date date-type="received"><day>07</day><month>09</month><year>2015</year></date>
<date date-type="accepted"><day>23</day><month>08</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Xu et al.</copyright-statement>
<copyright-year>2017</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>Lung cancer is considered to be a serious disease that poses a significant threat to human health. 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside (THSG) is a bioactive compound derived from <italic>Polygonum multiflorum</italic> Thunb. That has been demonstrated to possess antioxidative, anti-inflammatory and antitumor activities. However, little is currently known regarding the potential anticancer effects of this compound in lung cancer. Therefore, the present study aimed to investigate the effects of THSG on the adhesion and invasion of A549 human lung cancer cells <italic>in vitro</italic>, and to identify the putative mechanisms involved. Cell Counting kit-8 assay was performed to determine A549 cell viability following treatment with various doses (0, 5, 10, 25, 50, 100, 150 and 200 &#x00B5;M) of THSG for 12, 24 and 48 h. In addition, cell adhesion and invasion were determined following treatment of A549 cells with 0, 10, 25 or 50 &#x00B5;M THSG for 1, 2 or 3 h, respectively. Reverse transcription-quantitative polymerase chain reaction analysis was performed to examine the mRNA expression levels of Snail, E-cadherin, vimentin, matrix metalloproteinase (MMP) 2 and MMP9 following THSG treatment for 12 h. Western blot analysis was conducted to detect the protein expression levels of Snail, E-cadherin, vimentin, MMP2 and MMP9 following THSG treatment for 24 h. Treatment with THSG (10, 25 and 50 &#x00B5;M) significantly suppressed the adhesion and invasion of A549 human lung cancer cells in a dose-dependent manner. In addition, the mRNA and protein expression levels of adhesion and invasion-associated factors were decreased significantly in A549 cells treated with THSG. In conclusion, THSG effectively suppressed the adhesion and invasion of human lung cancer cells potentially by inhibiting the expression of adhesion and invasion-related genes.</p>
</abstract>
<kwd-group>
<kwd>2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside</kwd>
<kwd>lung cancer</kwd>
<kwd>adhesion</kwd>
<kwd>invasion</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Lung cancer is one of the most common cancers diagnosed in China, and is considered to be one of the most common human malignancies that pose a significant threat to human health (<xref rid="b1-mmr-16-06-8900" ref-type="bibr">1</xref>). The global incidence rate of lung cancer is continuing to increase. Chemical and biological carcinogens, including specific viral, bacterial or parasitic infections, lack of trace elements and vitamins, inappropriate eating habits, and genetic inheritance, are associated with the development of lung cancer (<xref rid="b2-mmr-16-06-8900" ref-type="bibr">2</xref>,<xref rid="b3-mmr-16-06-8900" ref-type="bibr">3</xref>). However, the most common cause of lung cancer is smoking; and ~87&#x0025; of clinical cases of lung cancer are caused by smoking (<xref rid="b4-mmr-16-06-8900" ref-type="bibr">4</xref>). Previous studies have reported that the development of metastases in non-small cell lung cancer (NSCLC) is the most important cause of treatment failure (<xref rid="b5-mmr-16-06-8900" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-mmr-16-06-8900" ref-type="bibr">7</xref>). Chemotherapy, radiotherapy and surgical treatments are widely used for the treatment of NSCLC. However, the survival rate of patients with NSCLC remains unsatisfactory due to postoperative complications, harmful side effects from therapy, and disease recurrence. Consequently, there is an urgent requirement for the identification of novel and efficient strategies for the treatment of lung cancer. In recent years, the screening of natural plant-derived products used in traditional medicine as potential anticancer agents has drawn significant attention (<xref rid="b8-mmr-16-06-8900" ref-type="bibr">8</xref>,<xref rid="b9-mmr-16-06-8900" ref-type="bibr">9</xref>).</p>
<p>2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside (THSG; <xref rid="f1-mmr-16-06-8900" ref-type="fig">Fig. 1A</xref>) is a bioactive compound derived from <italic>Polygonum multiflorum</italic> Thunb., which is often used for promoting circulation in Chinese medicine (<xref rid="b10-mmr-16-06-8900" ref-type="bibr">10</xref>,<xref rid="b11-mmr-16-06-8900" ref-type="bibr">11</xref>). Previous studies have demonstrated that THSG possesses antioxidative, anti-inflammatory and antitumor activities (<xref rid="b12-mmr-16-06-8900" ref-type="bibr">12</xref>,<xref rid="b13-mmr-16-06-8900" ref-type="bibr">13</xref>).</p>
<p>In an attempt to identify novel strategies for the treatment of lung cancer, the effects of THSG on the viability, adhesion and invasion of human A549 lung cancer cells were investigated in the present study, and the potential mechanisms involved in mediating these effects were examined.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell line and treatment</title>
<p>The human A549 lung cancer cell line was purchased from the American Type Culture Collection (Manassas, VA, USA). The cells were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM; Hyclone; GE Healthcare Life Sciences, Logan, UT, USA) supplemented with 10&#x0025; fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) and 1&#x0025; penicillin/streptomycin (Beijing Solarbio Science and Technology Co., Ltd., Beijing, China) at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> humidified tissue culture incubator. To determine the effects of THSG on A549 cell adhesion and invasion, cells were exposedto 0, 10, 25 and 50 &#x00B5;M THSG (Shanghai Yuanye Biotechnology Co., Ltd., Shanghai, China) for 1, 2 and 3 h at 37&#x00B0;C prior to cell adhesion and invasion assays. For all experiments, the concentration of FBS was reduced to 2&#x0025; and cells were treated for the indicated time periods with stock solutions of THSG prepared using dimethyl sulfoxide.</p>
</sec>
<sec>
<title>Cell Counting Kit-8 (CCK8) assay</title>
<p>The viability of A549 cells was assessed using the CCK8 assay (Beyotime Institute of Biotechnology, Haimen, China). Briefly, A549 cells were seeded in 96-well plates at a density of 2&#x00D7;10<sup>3</sup> cells/well with 100 ml complete culture medium. After incubating cells under standard conditions for 24 h, THSG was added to the medium at a final concentration of 0, 5, 10, 25, 50, 100, 150 and 200 &#x00B5;M. Cells were subsequently incubated for a further 12, 24 and 48 h at 37&#x00B0;C. CCK8 solution (20 &#x00B5;l) was then added to each well and cells were incubated for 1 h at 37&#x00B0;C. The optical density (OD) was read at 450 nm using a microplate reader (Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Adhesion assay</title>
<p>Cells growing in logarithmic phase were trypsinized using 0.25&#x0025; trypsin (Gibco; Thermo Fisher Scientific, Inc.) and were then resuspended in RPMI-1640 (Hyclone; GE Healthcare Life Sciences) medium containing 10&#x0025; FBS. Cells were then seeded in a 12-well microplate at a density of 1&#x00D7;10<sup>5</sup> cells/ml before they were incubated for 1, 2 and 3 h with different concentrations of THSG (0, 10, 25 and 50 &#x00B5;M) at 37&#x00B0;C. The supernatant was discarded and cells were washed twice with phosphate-buffered saline (Gibco; Thermo Fisher Scientific, Inc.). Paraformaldehyde (4&#x0025;; JRDun Biotechnology Co., Ltd., Shanghai, China) was used to fix cells for 15 min, before they were stained with Giemsa (Beijing Solarbio Technology Co., Ltd., Beijing, China) for 30 min. The cells were then washed 3 times with PBS (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) and the OD was read at 570 nm using a microplate reader (Thermo Fisher Scientific, Inc.). The following formula was used to quantify cell adhesion: Adhesion rate (&#x0025;)=(OD<sub>1</sub>/OD<sub>0</sub>)x100, where OD<sub>1</sub> indicates THSG-treated groups and OD<sub>0</sub> indicates the control group.</p>
</sec>
<sec>
<title>Cell invasion assay</title>
<p>The cell invasion assay was performed using a 24-well Transwell chamber with an 8-&#x00B5;m pore size (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany). The inserts were coated with 50 &#x00B5;l Matrigel matrix (DMEM dilution, 1:2; BD Biosciences, Franklin Lakes, NJ, USA). Cells were trypsinized following treatment with various concentrations of THSG (0, 10, 25 and 50 &#x00B5;M) for 24 h at 37&#x00B0;C, and 1&#x00D7;10<sup>5</sup> cells were transferred to the upper Matrigel chamber containing 100 &#x00B5;l of serum-free medium and incubated for a further 24 h. The lower chamber was filled with medium containing 10&#x0025; FBS as a chemoattractant. Following incubation, the cells that had traversed the filter membrane were fixed and stained using 0.1&#x0025; crystal violet. Cells were visualized under an OLYMPUS microscope (Olympus Corporation, Tokyo, Japan). For each sample, the number of invaded cells was counted in five high-power fields of view selected at random.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were first seeded at a density of 5&#x00D7;10<sup>5</sup> cells/well in 6-well plates, cultured overnight and were then treated with THSG (0, 10, 25 and 50 &#x00B5;M) for 24 h. The cultured cells (1&#x00D7;10<sup>6</sup>) were harvested, washed twice with PBS and lysed in ice-cold radioimmunoprecipitation assay buffer (Beyotime Institute of Biotechnology) with 0.01&#x0025; protease inhibitor cocktail (Sigma-Aldrich; Merck KGaA) on ice for 30 min. The cell lysate was then centrifuged at 13,000 &#x00D7; g for 10 min at 4&#x00B0;C. The supernatant (30 &#x00B5;g/lane) was run on a 10&#x0025; SDS-PAGE gel and transferred electrophoretically onto a polyvinylidene fluoride membrane (EMD Millipore, Billerica, MA, USA). The blots were blocked with 5&#x0025; skim milk, then incubated with antibodies against phosphorylated snail (cat. no. ab53519; 1:500; Abcam, Cambridge, MA, USA), E-cadherin (cat. no. ab133597; 1:1,000; Abcam), Vimentin (cat. no. ab137321; 1:1,000; Abcam), MMP-2 (cat. no. ab37150; 1:200; Abcam), MMP-9 (cat. no. ab137867; 1:1,000; Abcam) and GAPDH (cat. no. ab9485; 1:2,500; Abcam) at 4&#x00B0;C overnight. The blots were then incubated with horseradish peroxidase (HRP)-conjugated goat anti-mouse (1:1,000; cat. no. A0216; Beyotime Institute of Biotechnology) or HRP-conjugated anti-rabbit secondary antibody (1:1,000; cat. no. A0208; Beyotime Institute of Biotechnology) at room temperature for 1 h. Bands were visualized using enhanced chemiluminescence (Thermo Fisher Scientific, Inc.) and quantified with ImageJ software (v1.48u; National Institutes of Health, Bethesda, MD, USA); a total of 3 experimental repeats were performed.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Human lung cancer A549 cells were seeded at a density of 5&#x00D7;10<sup>5</sup> cells/well in 6-well plates, cultured overnight and were then treated with THSG (0, 10, 25 and 50 &#x00B5;M) for 12 h at 37&#x00B0;C. Total RNA was extracted using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s protocol. Total RNA (2 &#x00B5;g) was reverse transcribed using the First Strand cDNA Synthesis kit (Sigma-Aldrich; Merck KGaA), according to the manufacturer&#x0027;s instructions. PCR amplification was performed for 10 min at 95&#x00B0;C, followed by 40 cycles of 95&#x00B0;C for 15 sec and 60&#x00B0;C for 45 sec, and a final extension at 60&#x00B0;C for 4 mininan ABI 7300 Thermocycler (Applied Biosystems; Thermo Fisher Scientific, Inc.), using SYBR Premix Ex Taq (Takara Biotechnology, Co., Ltd., Dalian, China). Each reaction mixture had a final reaction volume of 20 &#x00B5;l, which was composed of 2 &#x00B5;l cDNA, 2 &#x00B5;l primers, 10 &#x00B5;l Premix Taq and 6 &#x00B5;l nuclease-free water. The specific primer sequences for each gene were as follows: E-cadherin, forward, 5&#x2032;-GTTGTTGGGCATAGAGAC-3&#x2032;, reverse, 5&#x2032;-CAGGGCAGTTTGAATAGC-3&#x2032; (product, 125 bp); vimentin, forward, 5&#x2032;-GCGTGAAATGGAAGAGAAC-3&#x2032;, reverse, 5&#x2032;-TGGAAGAGGCAGAGAAATC-3&#x2032; (product, 217 bp); Snail, forward, 5&#x2032;-TTCCTGAGCTGGCCTGTCTG-3&#x2032;, reverse, 5&#x2032;-TGGCCTGAGGGTTCCTTGTG-3&#x2032; (product, 165 bp); MMP2, forward, 5&#x2032;-TTGACGGTAAGGACGGACTC-3&#x2032;, reverse, 5&#x2032;-GGCGTTCCCATACTTCACAC-3&#x2032; (product, 134 bp); MMP9, forward, 5&#x2032;-AAGGGCGTCGTGGTTCCAACTC-3&#x2032;, reverse, 5&#x2032;-AGCATTGCCGTCCTGGGTGTAG-3&#x2032; (product, 210 bp); and GAPDH, forward, 5&#x2032;-CACCCACTCCTCCACCTTTG-3&#x2032; and reverse, 5&#x2032;-CCACCACCCTGTTGCTGTAG-3&#x2032; (product, 110 bp). All primers were synthesized by Invitrogen (Thermo Fisher Scientific, Inc.). Target gene expression levels were determined using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method of relative quantification (<xref rid="b14-mmr-16-06-8900" ref-type="bibr">14</xref>), and all samples were normalized to GAPDH expression, which was used as an endogenous control.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The GraphPad Prism software program (version 5.0; GraphPad Software, Inc., La Jolla, CA, USA) was employed for performing statistical analysis of data. Data are expressed as the mean &#x00B1; standard deviation. One-way analysis of variance followed by Dunnett&#x0027;s post hoc test were used for statistical analyses. All tests performed were two-sided. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of THSG on human A549 lung cancer cell viability</title>
<p>As shown in <xref rid="f1-mmr-16-06-8900" ref-type="fig">Fig. 1B</xref>, the <italic>in vitro</italic> effects of THSG on A549 cell viability were determined using the CCK8 assay. Compared with the untreated control group, 75, 100, 150 and 200 &#x00B5;M THSG significantly decreased A549 cell viability (P&#x003C;0.05). Therefore, 10, 25 and 50 &#x00B5;M THSG were selected for use in subsequent experiments.</p>
</sec>
<sec>
<title>THSG inhibits the adhesion of A549 lung cancer cells</title>
<p>Adhesion of cancer cells to the extracellular matrix and basement membrane is considered to be an initial step in the invasive process of tumor metastasis (<xref rid="b15-mmr-16-06-8900" ref-type="bibr">15</xref>,<xref rid="b16-mmr-16-06-8900" ref-type="bibr">16</xref>). Therefore, the effects of various concentrations of THSG on human A549 lung cancer cell adhesion were investigated. As shown in <xref rid="f2-mmr-16-06-8900" ref-type="fig">Fig. 2</xref>, 10, 25 and 50 &#x00B5;M THSG significantly suppressed the adhesion of A549 cells at 1, 2 and 3 h, when compared with the untreated control group (P&#x003C;0.01). These results suggest that THSG may inhibit lung cancer cell adhesion in a time and dose-dependent manner.</p>
</sec>
<sec>
<title>THSG inhibits the invasion of A549 lung cancer cells</title>
<p>The invasive capabilities of human A549 lung cancer cells following treatment with THSG were determined using a Transwell assay. As shown in <xref rid="f3-mmr-16-06-8900" ref-type="fig">Fig. 3A and B</xref>, the invasiveness of cells treated with 10, 25 and 50 &#x00B5;M THSG were significantly decreased when compared with the control group in a concentration-dependent manner (P&#x003C;0.05 and P&#x003C;0.01). The invasion rates of cells treated with 10, 25 and 50 &#x00B5;M THSG were 71.25&#x00B1;14.21, 45.24&#x00B1;12.24 and 21.25&#x00B1;8.25&#x0025;, respectively compared with the untreated control (100&#x0025;).</p>
</sec>
<sec>
<title>THSG alters the mRNA and protein expression levels of Snail, E-cadherin and vimentin in A549 cells</title>
<p>E-cadherin is a tumor suppressor protein that is used as a prognostic marker for patients with esophageal cancer (<xref rid="b17-mmr-16-06-8900" ref-type="bibr">17</xref>). Vimentin is an intermediate filament protein, which interacts with microtubule and actin microfilaments that constitute the body of the cytoskeleton (<xref rid="b18-mmr-16-06-8900" ref-type="bibr">18</xref>). Therefore, E-cadherin and vimentin are reliable indicators for the assessment of cell adhesion. Snail is a transcription factor that regulates the expression of E-cadherin (<xref rid="b19-mmr-16-06-8900" ref-type="bibr">19</xref>,<xref rid="b20-mmr-16-06-8900" ref-type="bibr">20</xref>). RT-qPCR and western blot analyses were conducted to detect the mRNA and protein expression levels of Snail, E-cadherin and vimentin, respectively (<xref rid="f4-mmr-16-06-8900" ref-type="fig">Fig. 4</xref>). As shown in <xref rid="f4-mmr-16-06-8900" ref-type="fig">Fig. 4B</xref>, E-cadherin mRNA expression levels were significantly increased in a dose-dependent manner following treatment with 10, 25 and 50 &#x00B5;M THSG compared with the untreated control group (P&#x003C;0.01). Conversely, vimentin and Snail mRNA expression levels were significantly decreased in a dose-dependent manner following treatment with 10, 25 and 50 &#x00B5;M THSG, as compared with the untreated control group (P&#x003C;0.05 and P&#x003C;0.01; <xref rid="f4-mmr-16-06-8900" ref-type="fig">Fig. 4A and C</xref>). Consistent with the mRNA expression levels, the protein expression levels of Snail and vimentin were significantly decreased, whereas E-cadherin protein expression was significantly increased following treatment with 10, 25 and 50 &#x00B5;M THSG compared with the untreated control group (P&#x003C;0.05 and P&#x003C;0.01; <xref rid="f4-mmr-16-06-8900" ref-type="fig">Fig. 4D and E</xref>).</p>
</sec>
<sec>
<title>THSG suppresses the mRNA and protein expression levels of MMP2 and MMP9 in A549 cells</title>
<p>Lung cancer cells produce MMPs, and an increase in the expression of these proteins has been associated with disease progression (<xref rid="b21-mmr-16-06-8900" ref-type="bibr">21</xref>,<xref rid="b22-mmr-16-06-8900" ref-type="bibr">22</xref>). In addition, the expression levels of MMP2 and MMP9 are significantly associated the invasive capabilities of cancer cells (<xref rid="b23-mmr-16-06-8900" ref-type="bibr">23</xref>). To investigate the potential anti-invasive mechanisms of THSG in lung cancer cells <italic>in vitro</italic>, the expression levels of MMP2 and MMP9 in A549 cells exposed to various concentrations of THSG were detected. Western blot and RT-qPCR analyses were conducted to assess the expression levels of MMP2 and MMP9 in cells treated with 10, 25 and 50 &#x00B5;M THSG. As shown in <xref rid="f5-mmr-16-06-8900" ref-type="fig">Fig. 5</xref>, THSG exerted significant inhibitory effects on the mRNA and protein expression levels of MMP2 and MMP9 in a dose-dependent manner, as compared with the untreated control group (P&#x003C;0.05; <xref rid="f5-mmr-16-06-8900" ref-type="fig">Fig. 5</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>NSCLC is characterized by a low survival rate, and is considered to pose a significant threat to human health. Traditional Chinese medicine (TCM) in combination with surgical interventions, radiotherapy and chemotherapy may effectively reduce toxicity and strengthen immune function in patients with lung cancer. In addition, combinations of Chinese and western medicines have been demonstrated to prevent disease recurrence and metastasis, as well as to improve the quality of life and survival rates of patients with cancer (<xref rid="b24-mmr-16-06-8900" ref-type="bibr">24</xref>,<xref rid="b25-mmr-16-06-8900" ref-type="bibr">25</xref>). Therefore, the identification of agents derived from TCM herbs that are effective for the treatment of patients with cancer is of vital importance. THSG is a bioactive compound isolated from <italic>P. multiflorum</italic> Thunb; therefore, the present study aimed to investigate the effects of THSG on the adhesion and invasion of human A549 lung cancer cells.</p>
<p>Adhesion and invasion are essential during the process of lung cancer cell metastasis (<xref rid="b15-mmr-16-06-8900" ref-type="bibr">15</xref>,<xref rid="b26-mmr-16-06-8900" ref-type="bibr">26</xref>). The development of metastasis is the primary cause of the low survival rates in patients with cancer (<xref rid="b27-mmr-16-06-8900" ref-type="bibr">27</xref>,<xref rid="b28-mmr-16-06-8900" ref-type="bibr">28</xref>). In the present study, THSG was demonstrated to significantly inhibit lung cancer cell viability, adhesion and invasion. In addition, the results provided evidence to suggest that the mechanisms underlying these antitumor effects may be associated with inhibition of Snail, vimentin, MMP2 and MMP9 mRNA and protein expression levels. These results may provide a better understanding regarding the effects of THSG on lung cancer metastasis.</p>
<p>Cadherins constitute a large family of cell membrane glycoproteins that serve important roles in mediating cell-to-cell adhesion. E-cadherin is a prototypical classical cadherin that serves an essential role in maintaining normal epithelial cell structure (<xref rid="b29-mmr-16-06-8900" ref-type="bibr">29</xref>). E-cadherin is a well-characterized tumor suppressor, which is known for its important functions in epithelial-mesenchymal transition (EMT). During EMT, the down regulation of E-cadherin expression leads to loss of epithelial cell characteristics and the acquisition of a mesenchymal phenotype, which promotes cell proliferation, motility and invasiveness, and may contribute to cancer progression (<xref rid="b30-mmr-16-06-8900" ref-type="bibr">30</xref>). Snail is a known transcriptional suppressor of E-cadherin; in human breast cancer, Snail has been demonstrated to suppress E-cadherin expression <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b17-mmr-16-06-8900" ref-type="bibr">17</xref>).</p>
<p>Vimentin is a major intermediate filament protein in mesenchymal cells, which serves an important role in cell-to-cell adhesion by associating with hemidesmosomes and desmosomes (<xref rid="b18-mmr-16-06-8900" ref-type="bibr">18</xref>). Snail, E-cadherin and vimentin are regulated by diverse signaling pathways (<xref rid="b31-mmr-16-06-8900" ref-type="bibr">31</xref>,<xref rid="b32-mmr-16-06-8900" ref-type="bibr">32</xref>). In the present study, the mRNA and protein expression levels of Snail, E-cadherin and vimentin were significantly altered in A549 cells treated with THSG.</p>
<p>The initial step of the tumor cell invasion process begins with the breakdown of the cytomembrane, which is known to be dependent on type IV collagen-degrading enzymes, such as MMP2 and MMP9 (<xref rid="b22-mmr-16-06-8900" ref-type="bibr">22</xref>). The expression of MMPs, particularly MMP2 and MMP9, has been associated with an increased potential for metastasis in numerous types of human carcinoma, including lung cancer (<xref rid="b23-mmr-16-06-8900" ref-type="bibr">23</xref>). Western blotting and RT-qPCR analyses were employed to investigate the mRNA and protein expression levels of MMP2 and MMP9, respectively, in A549 cells following THSG treatment. The results demonstrated that THSG significantly suppressed the expression of MMP2 and MMP9.</p>
<p>In conclusion, the results of the present study suggested that THSG may inhibit A549 cell adhesion and invasion potentially by suppressing the mRNA and protein expression levels of vimentin, MMP-2 and MMP-9, which are important factors for the invasion and/or adhesion of lung cancer cells. These results provide evidence to suggest that THSG may be effective for the treatment of patients with lung cancer. However, the mechanisms underlying the antitumor effects of THSG in lung cancer require further investigation.</p>
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<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Hubei Natural Science and Technology fund (grant no. 2016CFB633).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-16-06-8900"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Yu</surname><given-names>C</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>P</given-names></name><name><surname>Wu</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>JZ</given-names></name></person-group><article-title>Lung cancer mortality trends in China from 1988 to 2013: New Challenges and Opportunities for the Government</article-title><source>Int J Environ Res Public Health</source><volume>13</volume><fpage>1052</fpage><year>2016</year><pub-id pub-id-type="doi">10.3390/ijerph13111052</pub-id><pub-id pub-id-type="pmcid">5129262</pub-id></element-citation></ref>
<ref id="b2-mmr-16-06-8900"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sulu</surname><given-names>E</given-names></name><name><surname>Tasolar</surname><given-names>O</given-names></name><name><surname>Takir</surname><given-names>H Berk</given-names></name><name><surname>Tuncer</surname><given-names>L Yagci</given-names></name><name><surname>Karakurt</surname><given-names>Z</given-names></name><name><surname>Yilmaz</surname><given-names>A</given-names></name></person-group><article-title>Delays in the diagnosis and treatment of non-small-cell lung cancer</article-title><source>Tumori</source><volume>97</volume><fpage>693</fpage><lpage>697</lpage><year>2011</year><pub-id pub-id-type="pmid">22322833</pub-id></element-citation></ref>
<ref id="b3-mmr-16-06-8900"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tamiya</surname><given-names>A</given-names></name><name><surname>Naito</surname><given-names>T</given-names></name><name><surname>Ono</surname><given-names>A</given-names></name><name><surname>Ayabe</surname><given-names>E</given-names></name><name><surname>Tsuya</surname><given-names>A</given-names></name><name><surname>Nakamura</surname><given-names>Y</given-names></name><name><surname>Kaira</surname><given-names>K</given-names></name><name><surname>Murakami</surname><given-names>H</given-names></name><name><surname>Takahashi</surname><given-names>T</given-names></name><name><surname>Endo</surname><given-names>M</given-names></name><name><surname>Yamamoto</surname><given-names>N</given-names></name></person-group><article-title>Evaluation of the efficacy and safety of chemotherapy for patients with wet stage IIIB/IV non-small-cell lung cancer aged 80 years old or more</article-title><source>Lung Cancer</source><volume>71</volume><fpage>173</fpage><lpage>177</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.lungcan.2010.05.014</pub-id><pub-id pub-id-type="pmid">20570388</pub-id></element-citation></ref>
<ref id="b4-mmr-16-06-8900"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vitzthum</surname><given-names>K</given-names></name><name><surname>Thielke</surname><given-names>L</given-names></name><name><surname>Deter</surname><given-names>A</given-names></name><name><surname>Riemer</surname><given-names>T</given-names></name><name><surname>Eggeling</surname><given-names>S</given-names></name><name><surname>Pankow</surname><given-names>W</given-names></name><name><surname>Mache</surname><given-names>S</given-names></name></person-group><article-title>Smoking lung cancer patients and tobacco Cessation-is the current treatment in Germany sufficient?</article-title><source>Pneumologie</source><volume>69</volume><fpage>667</fpage><lpage>672</lpage><year>2015</year><pub-id pub-id-type="doi">10.1055/s-0034-1392960</pub-id><pub-id pub-id-type="pmid">26398407</pub-id></element-citation></ref>
<ref id="b5-mmr-16-06-8900"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Milano</surname><given-names>MT</given-names></name><name><surname>Strawderman</surname><given-names>RL</given-names></name><name><surname>Venigalla</surname><given-names>S</given-names></name><name><surname>Ng</surname><given-names>K</given-names></name><name><surname>Travis</surname><given-names>LB</given-names></name></person-group><article-title>Non-small-cell lung cancer after breast cancer: A population-based study of clinicopathologic characteristics and survival outcomes in 3529 women</article-title><source>J Thorac Oncol</source><volume>9</volume><fpage>1081</fpage><lpage>1090</lpage><year>2014</year><pub-id pub-id-type="doi">10.1097/JTO.0000000000000213</pub-id><pub-id pub-id-type="pmid">25157761</pub-id></element-citation></ref>
<ref id="b6-mmr-16-06-8900"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abhishekh</surname><given-names>HA</given-names></name><name><surname>Balaji</surname><given-names>AL</given-names></name><name><surname>Mehta</surname><given-names>RM</given-names></name></person-group><article-title>Depression in lung cancer patients</article-title><source>Indian J Psychiatry</source><volume>56</volume><fpage>307</fpage><year>2014</year><pub-id pub-id-type="doi">10.4103/0019-5545.140667</pub-id><pub-id pub-id-type="pmid">25316948</pub-id><pub-id pub-id-type="pmcid">4181192</pub-id></element-citation></ref>
<ref id="b7-mmr-16-06-8900"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Asai</surname><given-names>N</given-names></name><name><surname>Ohkuni</surname><given-names>Y</given-names></name><name><surname>Matsuda</surname><given-names>M</given-names></name><name><surname>Kaneko</surname><given-names>N</given-names></name></person-group><article-title>Small-cell lung cancer with epidermal growth factor receptor mutation: Case report and review of literature</article-title><source>Indian J Cancer</source><volume>51</volume><fpage>384</fpage><lpage>385</lpage><year>2014</year><pub-id pub-id-type="doi">10.4103/0019-509X.146753</pub-id><pub-id pub-id-type="pmid">25494153</pub-id></element-citation></ref>
<ref id="b8-mmr-16-06-8900"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>ZF</given-names></name><name><surname>Mao</surname><given-names>L</given-names></name><name><surname>Liu</surname><given-names>LM</given-names></name><name><surname>Liu</surname><given-names>YC</given-names></name><name><surname>Peng</surname><given-names>Y</given-names></name><name><surname>Hong</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>HH</given-names></name><name><surname>Liu</surname><given-names>HG</given-names></name><name><surname>Liang</surname><given-names>H</given-names></name></person-group><article-title>Potential new inorganic antitumour agents from combining the anticancer traditional Chinese medicine (TCM) matrine with Ga(III), Au(III), Sn(IV) ions, and DNA binding studies</article-title><source>J Inorg Biochem</source><volume>105</volume><fpage>171</fpage><lpage>180</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.jinorgbio.2010.10.007</pub-id><pub-id pub-id-type="pmid">21194615</pub-id></element-citation></ref>
<ref id="b9-mmr-16-06-8900"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>To</surname><given-names>KK</given-names></name><name><surname>Au-Yeung</surname><given-names>SC</given-names></name><name><surname>Ho</surname><given-names>YP</given-names></name></person-group><article-title>Differential nephrotoxicity of cisplatin and a novel series of traditional Chinese medicine-platinum anticancer agents correlates with their chemical reactivity towards sulfur-containing nucleophiles</article-title><source>Anticancer Drugs</source><volume>17</volume><fpage>673</fpage><lpage>683</lpage><year>2006</year><pub-id pub-id-type="doi">10.1097/01.cad.0000217421.14090.e0</pub-id><pub-id pub-id-type="pmid">16917213</pub-id></element-citation></ref>
<ref id="b10-mmr-16-06-8900"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>HP</given-names></name><name><surname>Gao</surname><given-names>SL</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Huang</surname><given-names>LQ</given-names></name><name><surname>Huang</surname><given-names>P</given-names></name></person-group><article-title>Studies on adventitious root induction in vitro and suspension culture of Polygonum multiflorum</article-title><source>Zhongguo Zhong Yao Za Zhi</source><volume>38</volume><fpage>3857</fpage><lpage>3860</lpage><year>2013</year> <comment>(In Chinese)</comment><pub-id pub-id-type="pmid">24558864</pub-id></element-citation></ref>
<ref id="b11-mmr-16-06-8900"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>SV</given-names></name><name><surname>Choi</surname><given-names>KH</given-names></name><name><surname>Choi</surname><given-names>YW</given-names></name><name><surname>Hong</surname><given-names>JW</given-names></name><name><surname>Baek</surname><given-names>JU</given-names></name><name><surname>Choi</surname><given-names>BT</given-names></name><name><surname>Shin</surname><given-names>HK</given-names></name></person-group><article-title>Hexane extracts of Polygonum multiflorum improve tissue and functional outcome following focal cerebral ischemia in mice</article-title><source>Mol Med Rep</source><volume>9</volume><fpage>1415</fpage><lpage>1421</lpage><year>2014</year><pub-id pub-id-type="doi">10.3892/mmr.2014.1943</pub-id><pub-id pub-id-type="pmid">24534954</pub-id></element-citation></ref>
<ref id="b12-mmr-16-06-8900"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname><given-names>YC</given-names></name><name><surname>Wang</surname><given-names>MF</given-names></name><name><surname>Chang</surname><given-names>HC</given-names></name></person-group><article-title>Polygonum multiflorum extracts improve cognitive performance in senescence accelerated mice</article-title><source>Am J Chin Med</source><volume>31</volume><fpage>171</fpage><lpage>179</lpage><year>2003</year><pub-id pub-id-type="doi">10.1142/S0192415X03000862</pub-id><pub-id pub-id-type="pmid">12856856</pub-id></element-citation></ref>
<ref id="b13-mmr-16-06-8900"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Rosen</surname><given-names>RT</given-names></name><name><surname>Ho</surname><given-names>CT</given-names></name></person-group><article-title>2,2-Diphenyl-1-picrylhydrazyl radical-scavenging active components from Polygonum multiflorum thunb</article-title><source>J Agric Food Chem</source><volume>47</volume><fpage>2226</fpage><lpage>2228</lpage><year>1999</year><pub-id pub-id-type="doi">10.1021/jf990092f</pub-id><pub-id pub-id-type="pmid">10794614</pub-id></element-citation></ref>
<ref id="b14-mmr-16-06-8900"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b15-mmr-16-06-8900"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>M</given-names></name><name><surname>Qian</surname><given-names>G</given-names></name><name><surname>Xie</surname><given-names>F</given-names></name><name><surname>Shi</surname><given-names>C</given-names></name><name><surname>Yan</surname><given-names>L</given-names></name><name><surname>Yu</surname><given-names>L</given-names></name><name><surname>Zheng</surname><given-names>T</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name><name><surname>Yang</surname><given-names>J</given-names></name></person-group><article-title>Expression of epithelial cell adhesion molecule associated with elevated ductular reactions in hepatocellar carcinoma</article-title><source>Clin Res Hepatol Gastroenterol</source><volume>38</volume><fpage>699</fpage><lpage>705</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.clinre.2014.04.015</pub-id><pub-id pub-id-type="pmid">24924904</pub-id></element-citation></ref>
<ref id="b16-mmr-16-06-8900"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamada</surname><given-names>S</given-names></name><name><surname>Utsunomiya</surname><given-names>T</given-names></name><name><surname>Morine</surname><given-names>Y</given-names></name><name><surname>Imura</surname><given-names>S</given-names></name><name><surname>Ikemoto</surname><given-names>T</given-names></name><name><surname>Arakawa</surname><given-names>Y</given-names></name><name><surname>Kanamoto</surname><given-names>M</given-names></name><name><surname>Iwahashi</surname><given-names>S</given-names></name><name><surname>Saito</surname><given-names>Y</given-names></name><name><surname>Takasu</surname><given-names>C</given-names></name><etal/></person-group><article-title>Expressions of hypoxia-inducible factor-1 and epithelial cell adhesion molecule are linked with aggressive local recurrence of hepatocellular carcinoma after radiofrequency ablation therapy</article-title><source>Ann Surg Oncol</source><volume>21</volume><supplement>Suppl 3</supplement><fpage>S436</fpage><lpage>S442</lpage><year>2014</year><pub-id pub-id-type="doi">10.1245/s10434-014-3575-z</pub-id><pub-id pub-id-type="pmid">24566861</pub-id></element-citation></ref>
<ref id="b17-mmr-16-06-8900"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>A</given-names></name><name><surname>Kim</surname><given-names>EY</given-names></name><name><surname>Cho</surname><given-names>EN</given-names></name><name><surname>Kim</surname><given-names>HJ</given-names></name><name><surname>Kim</surname><given-names>SK</given-names></name><name><surname>Chang</surname><given-names>J</given-names></name><name><surname>Ahn</surname><given-names>CM</given-names></name><name><surname>Chang</surname><given-names>YS</given-names></name></person-group><article-title>Notch1 destabilizes the adherens junction complex through upregulation of the Snail family of E-cadherin repressors in non-small cell lung cancer</article-title><source>Oncol Rep</source><volume>30</volume><fpage>1423</fpage><lpage>1429</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/or.2013.2565</pub-id><pub-id pub-id-type="pmid">23807483</pub-id></element-citation></ref>
<ref id="b18-mmr-16-06-8900"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cogli</surname><given-names>L</given-names></name><name><surname>Progida</surname><given-names>C</given-names></name><name><surname>Bramato</surname><given-names>R</given-names></name><name><surname>Bucci</surname><given-names>C</given-names></name></person-group><article-title>Vimentin phosphorylation and assembly are regulated by the small GTPase Rab7a</article-title><source>Biochim Biophys Acta</source><volume>1833</volume><fpage>1283</fpage><lpage>1293</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.bbamcr.2013.02.024</pub-id><pub-id pub-id-type="pmid">23458836</pub-id><pub-id pub-id-type="pmcid">3787733</pub-id></element-citation></ref>
<ref id="b19-mmr-16-06-8900"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mikami</surname><given-names>S</given-names></name><name><surname>Katsube</surname><given-names>K</given-names></name><name><surname>Oya</surname><given-names>M</given-names></name><name><surname>Ishida</surname><given-names>M</given-names></name><name><surname>Kosaka</surname><given-names>T</given-names></name><name><surname>Mizuno</surname><given-names>R</given-names></name><name><surname>Mukai</surname><given-names>M</given-names></name><name><surname>Okada</surname><given-names>Y</given-names></name></person-group><article-title>Expression of Snail and Slug in renal cell carcinoma: E-cadherin repressor Snail is associated with cancer invasion and prognosis</article-title><source>Lab Invest</source><volume>91</volume><fpage>1443</fpage><lpage>1458</lpage><year>2011</year><pub-id pub-id-type="doi">10.1038/labinvest.2011.111</pub-id><pub-id pub-id-type="pmid">21808237</pub-id></element-citation></ref>
<ref id="b20-mmr-16-06-8900"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Muqbil</surname><given-names>I</given-names></name><name><surname>Wu</surname><given-names>J</given-names></name><name><surname>Aboukameel</surname><given-names>A</given-names></name><name><surname>Mohammad</surname><given-names>RM</given-names></name><name><surname>Azmi</surname><given-names>AS</given-names></name></person-group><article-title>Snail nuclear transport: The gateways regulating epithelial-to-mesenchymal transition?</article-title><source>Semin Cancer Biol</source><volume>27</volume><fpage>39</fpage><lpage>45</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.semcancer.2014.06.003</pub-id><pub-id pub-id-type="pmid">24954011</pub-id><pub-id pub-id-type="pmcid">4165636</pub-id></element-citation></ref>
<ref id="b21-mmr-16-06-8900"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nawrocki-Raby</surname><given-names>B</given-names></name><name><surname>Gilles</surname><given-names>C</given-names></name><name><surname>Polette</surname><given-names>M</given-names></name><name><surname>Martinella-Catusse</surname><given-names>C</given-names></name><name><surname>Bonnet</surname><given-names>N</given-names></name><name><surname>Puchelle</surname><given-names>E</given-names></name><name><surname>Foidart</surname><given-names>JM</given-names></name><name><surname>Van Roy</surname><given-names>F</given-names></name><name><surname>Birembaut</surname><given-names>P</given-names></name></person-group><article-title>E-Cadherin mediates MMP down-regulation in highly invasive bronchial tumor cells</article-title><source>Am J Pathol</source><volume>163</volume><fpage>653</fpage><lpage>661</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0002-9440(10)63692-9</pub-id><pub-id pub-id-type="pmid">12875984</pub-id><pub-id pub-id-type="pmcid">1868220</pub-id></element-citation></ref>
<ref id="b22-mmr-16-06-8900"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Shi</surname><given-names>Q</given-names></name><name><surname>Yuan</surname><given-names>TX</given-names></name><name><surname>Song</surname><given-names>QL</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>Q</given-names></name><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Luo</surname><given-names>J</given-names></name><name><surname>Zuo</surname><given-names>G</given-names></name><name><surname>Tang</surname><given-names>M</given-names></name><etal/></person-group><article-title>Matrix metalloproteinase 9 (MMP-9) in osteosarcoma: Review and meta-analysis</article-title><source>Clin Chim Acta</source><volume>433</volume><fpage>225</fpage><lpage>231</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.cca.2014.03.023</pub-id><pub-id pub-id-type="pmid">24704305</pub-id></element-citation></ref>
<ref id="b23-mmr-16-06-8900"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Radenkovic</surname><given-names>S</given-names></name><name><surname>Konjevic</surname><given-names>G</given-names></name><name><surname>Jurisic</surname><given-names>V</given-names></name><name><surname>Karadzic</surname><given-names>K</given-names></name><name><surname>Nikitovic</surname><given-names>M</given-names></name><name><surname>Gopcevic</surname><given-names>K</given-names></name></person-group><article-title>Values of MMP-2 and MMP-9 in tumor tissue of basal-like breast cancer patients</article-title><source>Cell Biochem Biophys</source><volume>68</volume><fpage>143</fpage><lpage>152</lpage><year>2014</year><pub-id pub-id-type="doi">10.1007/s12013-013-9701-x</pub-id><pub-id pub-id-type="pmid">23812723</pub-id></element-citation></ref>
<ref id="b24-mmr-16-06-8900"><label>24</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Flaws</surname><given-names>B</given-names></name></person-group><source>Cervical Dysplasia and Prostate Cancer Hpv, a Hidden Link: The Diagnosis and Treatment of Cervical Intraepithelial Neoplasia and Prostate Problems B</source><edition>1st edition</edition><publisher-name>Blue Poppy Press</publisher-name><publisher-loc>Boulder, CO</publisher-loc><year>1990</year></element-citation></ref>
<ref id="b25-mmr-16-06-8900"><label>25</label><element-citation publication-type="book"><person-group person-group-type="editor"><name><surname>Wagner</surname><given-names>H</given-names></name><name><surname>Ulrich-Merzenich</surname><given-names>G</given-names></name></person-group><source>Evidence and Rational Based Research on Chinese Drugs</source><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Wien</publisher-loc><year>2013</year><pub-id pub-id-type="doi">10.1007/978-3-7091-0442-2</pub-id></element-citation></ref>
<ref id="b26-mmr-16-06-8900"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>HM</given-names></name><name><surname>Zhang</surname><given-names>XQ</given-names></name><name><surname>Xu</surname><given-names>CH</given-names></name><name><surname>Zou</surname><given-names>XP</given-names></name></person-group><article-title>Inhibition of invasion and metastasis of gastric cancer cells through snail targeting artificial microRNA interference</article-title><source>Asian Pac J Cancer Prev</source><volume>12</volume><fpage>3433</fpage><lpage>3438</lpage><year>2011</year><pub-id pub-id-type="pmid">22471493</pub-id></element-citation></ref>
<ref id="b27-mmr-16-06-8900"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Golden</surname><given-names>DI</given-names></name><name><surname>Lipson</surname><given-names>JA</given-names></name><name><surname>Telli</surname><given-names>ML</given-names></name><name><surname>Ford</surname><given-names>JM</given-names></name><name><surname>Rubin</surname><given-names>DL</given-names></name></person-group><article-title>Dynamic contrast-enhanced MRI-based biomarkers of therapeutic response in triple-negative breast cancer</article-title><source>J Am Med Inform Assoc</source><volume>20</volume><fpage>1059</fpage><lpage>1066</lpage><year>2013</year><pub-id pub-id-type="doi">10.1136/amiajnl-2012-001460</pub-id><pub-id pub-id-type="pmid">23785100</pub-id><pub-id pub-id-type="pmcid">3822111</pub-id></element-citation></ref>
<ref id="b28-mmr-16-06-8900"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Babiarz</surname><given-names>JC</given-names></name><name><surname>Melaragni</surname><given-names>F</given-names></name><name><surname>Kerr</surname><given-names>S</given-names></name><name><surname>Kuchimanchi</surname><given-names>P</given-names></name></person-group><article-title>Confounding issues in cancer progress-the impact of investor requirements on senior management compensation and regulatory decisions: Tivozanib and Aveo Pharmaceuticals</article-title><source>Therapeu Innovation Regulatory Sci</source><volume>49</volume><fpage>333</fpage><lpage>341</lpage><year>2015</year><pub-id pub-id-type="doi">10.1177/2168479015572372</pub-id></element-citation></ref>
<ref id="b29-mmr-16-06-8900"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bae</surname><given-names>GY</given-names></name><name><surname>Choi</surname><given-names>SJ</given-names></name><name><surname>Lee</surname><given-names>JS</given-names></name><name><surname>Jo</surname><given-names>J</given-names></name><name><surname>Lee</surname><given-names>J</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Cha</surname><given-names>HJ</given-names></name></person-group><article-title>Loss of E-cadherin activates EGFR-MEK/ERK signaling, which promotes invasion via the ZEB1/MMP2 axis in non-small cell lung cancer</article-title><source>Oncotarget</source><volume>4</volume><fpage>2512</fpage><lpage>2522</lpage><year>2013</year><pub-id pub-id-type="doi">10.18632/oncotarget.1463</pub-id><pub-id pub-id-type="pmid">24318272</pub-id><pub-id pub-id-type="pmcid">3926845</pub-id></element-citation></ref>
<ref id="b30-mmr-16-06-8900"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bremnes</surname><given-names>RM</given-names></name><name><surname>Veve</surname><given-names>R</given-names></name><name><surname>Hirsch</surname><given-names>FR</given-names></name><name><surname>Franklin</surname><given-names>WA</given-names></name></person-group><article-title>The E-cadherin cell-cell adhesion complex and lung cancer invasion, metastasis, and prognosis</article-title><source>Lung Cancer</source><volume>36</volume><fpage>115</fpage><lpage>124</lpage><year>2002</year><pub-id pub-id-type="doi">10.1016/S0169-5002(01)00471-8</pub-id><pub-id pub-id-type="pmid">11955645</pub-id></element-citation></ref>
<ref id="b31-mmr-16-06-8900"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Dong</surname><given-names>S</given-names></name></person-group><article-title>ICAM-1 and IL-8 are expressed by DEHP and suppressed by curcumin through ERK and p38 MAPK in human umbilical vein endothelial cells</article-title><source>Inflammation</source><volume>35</volume><fpage>859</fpage><lpage>870</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s10753-012-9460-7</pub-id><pub-id pub-id-type="pmid">21932059</pub-id></element-citation></ref>
<ref id="b32-mmr-16-06-8900"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Toda</surname><given-names>M</given-names></name><name><surname>Kuo</surname><given-names>CH</given-names></name><name><surname>Borman</surname><given-names>SK</given-names></name><name><surname>Richardson</surname><given-names>RM</given-names></name><name><surname>Inoko</surname><given-names>A</given-names></name><name><surname>Inagaki</surname><given-names>M</given-names></name><name><surname>Collins</surname><given-names>A</given-names></name><name><surname>Schneider</surname><given-names>K</given-names></name><name><surname>Ono</surname><given-names>SJ</given-names></name></person-group><article-title>Evidence that formation of vimentin mitogen-activated protein kinase (MAPK) complex mediates mast cell activation following Fc&#x03B5;RI/CC chemokine receptor 1 cross-talk</article-title><source>J Biol Chem</source><volume>287</volume><fpage>24516</fpage><lpage>24524</lpage><year>2012</year><pub-id pub-id-type="doi">10.1074/jbc.M111.319624</pub-id><pub-id pub-id-type="pmid">22613718</pub-id><pub-id pub-id-type="pmcid">3397876</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-16-06-8900" position="float">
<label>Figure 1.</label>
<caption><p>Effects of THSG on human A549 lung cancer cell viability. (A) Chemical structure of THSG. (B) Cells were treated with 0&#x2013;200 &#x00B5;M THSG for 12, 24 and 48 h, and the Cell Counting Kit-8 assay was performed to determine cell viability. Data are presented as the mean &#x00B1; standard deviation (n=6). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. untreated control cells at 12 h; <sup>##</sup>P&#x003C;0.01 vs. untreated control cells at 24 h; <sup>&#x00A7;&#x00A7;</sup>P&#x003C;0.01 vs. untreated control cells at 48 h. THSG, 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside.</p></caption>
<graphic xlink:href="MMR-16-06-8900-g00.tif"/>
</fig>
<fig id="f2-mmr-16-06-8900" position="float">
<label>Figure 2.</label>
<caption><p>Effects of THSG on human A549 lung cancer cell adhesion. Cells were treated with 0, 10, 25 or 50 &#x00B5;M THSG for 1, 2 and 3 h, and cell adhesion was determined using Giemsa staining. Data are presented as the mean &#x00B1; standard deviation (n=6). &#x002A;&#x002A;P&#x003C;0.01 vs. the untreated control cells at 1 h; <sup>##</sup>P&#x003C;0.01 vs. the untreated control cells at 2 h; <sup>&#x00A7;&#x00A7;</sup>P&#x003C;0.01 vs. the untreated control cells at 3 h. THSG, 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside.</p></caption>
<graphic xlink:href="MMR-16-06-8900-g01.tif"/>
</fig>
<fig id="f3-mmr-16-06-8900" position="float">
<label>Figure 3.</label>
<caption><p>Effects of THSG on human A549 lung cancer cell invasive capabilities. (A) Representative photomicrographs (magnification, &#x00D7;200) and (B) quantification of the number of cells that had traversed the membrane in Transwell chambers following treatment with 0, 10, 25 or 50 &#x00B5;M THSG for 24 h. Data are presented as the mean &#x00B1; standard deviation (n=6). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. untreated control cells. THSG, 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside.</p></caption>
<graphic xlink:href="MMR-16-06-8900-g02.tif"/>
</fig>
<fig id="f4-mmr-16-06-8900" position="float">
<label>Figure 4.</label>
<caption><p>Effects of THSG on the mRNA and protein expression levels of adhesion-associated factors. The mRNA expression levels of (A) Snail, (B) E-cadherin and (C) vimentin in human A549 lung cancer cells following treatment with 0, 10, 25 or 50 &#x00B5;M THSG for 12 h, as determined by reverse transcription-quantitative polymerase chain reaction. Target gene expression levels were quantified relative to GAPDH. (D) A representative blot and (E) quantification of band intensities of Snail, E-cadherin and vimentin protein expression levels in A549 cells following treatment with 0, 10, 25 or 50 &#x00B5;M THSG for 24 h as determined by western blot analysis. GAPDH was used as a loading control. Data are presented as the mean &#x00B1; standard deviation (n=6). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. untreated control cells. THSG, 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.</p></caption>
<graphic xlink:href="MMR-16-06-8900-g03.tif"/>
</fig>
<fig id="f5-mmr-16-06-8900" position="float">
<label>Figure 5.</label>
<caption><p>Effects of THSG on the mRNA and protein expression levels of invasion-associated factors. (A) The mRNA expression levels of MMP2 and MMP9 relative to GAPDH expression in A549 cells following treatment with 0, 10, 25 or 50 &#x00B5;M THSG for 12 h, as determined by reverse transcription-quantitative polymerase chain reaction. (B) A representative blot and (C) quantification of band intensities of MMP2 and MMP9 protein expression levels in A549 cells treated with 0, 10, 25 or 50 &#x00B5;M THSG for 24 h, as determined by western blot analysis. GAPDH was used as a loading control. Data are presented as the mean &#x00B1; standard deviation (n=6). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. untreated control cells. THSG, 2,3,5,4-tetrahydroxy diphenylethylene-2-O-glucoside; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.</p></caption>
<graphic xlink:href="MMR-16-06-8900-g04.tif"/>
</fig>
</floats-group>
</article>