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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.2018.9722</article-id>
<article-id pub-id-type="publisher-id">mmr-19-02-1159</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Sphingomyelin synthase 1 regulates the epithelial-to-mesenchymal transition mediated by the TGF-&#x03B2;/Smad pathway in MDA-MB-231 cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Shuang</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref>
<xref rid="fn1-mmr-19-02-1159" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Hou</surname><given-names>Huan</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref>
<xref rid="fn1-mmr-19-02-1159" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Panpan</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref>
<xref rid="fn1-mmr-19-02-1159" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Yifan</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>He</surname><given-names>Xuanhong</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Hua</given-names></name>
<xref rid="af2-mmr-19-02-1159" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Yan</surname><given-names>Nianlong</given-names></name>
<xref rid="af1-mmr-19-02-1159" ref-type="aff">1</xref>
<xref rid="c1-mmr-19-02-1159" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-19-02-1159"><label>1</label>Department of Biochemistry and Molecular Biology, College of Basic Medical Science, Nanchang University, Nanchang, Jiangxi 330006, P.R. China</aff>
<aff id="af2-mmr-19-02-1159"><label>2</label>Department of Biochemistry and Molecular Biology, Centre of Experimental Medicine, Nanchang University, Nanchang, Jiangxi 330006, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-19-02-1159"><italic>Correspondence to</italic>: Dr Nianlong Yan, Department of Biochemistry and Molecular Biology, College of Basic Medical Science, Nanchang University, 461 Bayi Road, Nanchang, Jiangxi 330006, P.R. China, E-mail: <email>yannianlong@163.com</email></corresp>
<fn id="fn1-mmr-19-02-1159"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>02</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>04</day><month>12</month><year>2018</year></pub-date>
<volume>19</volume>
<issue>2</issue>
<fpage>1159</fpage>
<lpage>1167</lpage>
<history>
<date date-type="received"><day>16</day><month>03</month><year>2018</year></date>
<date date-type="accepted"><day>06</day><month>11</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Liu et al.</copyright-statement>
<copyright-year>2019</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>Breast cancer is the most common cancer in women and a leading cause of cancer-associated mortalities in the world. Epithelial-to-mesenchymal transition (EMT) serves an important role in the process of metastasis and invasive ability in cancer cells, and transforming growth factor &#x03B2;1 (TGF-&#x03B2;1) have been investigated for promoting EMT. However, in the present study, the role of the sphingomyelin synthase 1 (SMS1) in TGF-&#x03B2;1-induced EMT development was investigated. Firstly, bioinformatics analysis demonstrated that the overexpression of SMS1 negatively regulated the TGF&#x03B2; receptor I (T&#x03B2;RI) level of expression. Subsequently, the expression of SMS1 was decreased, whereas, SMS2 had no significant difference when MDA-MB-231 cells were treated by TGF-&#x03B2;1 for 72 h. Furthermore, the present study constructed an overexpression cells model of SMS1 and these cells were treated by TGF-&#x03B2;1. These results demonstrated that overexpression of SMS1 inhibited TGF-&#x03B2;1-induced EMT and the migration and invasion of MDA-MB-231 cells, increasing the expression of E-cadherin while decreasing the expression of vimentin. Furthermore, the present study further confirmed that SMS1 overexpression could decrease T&#x03B2;RI expression levels and blocked smad family member 2 phosphorylation. Overall, the present results suggested that SMS1 could inhibit EMT and the migration and invasion of MDA-MB-231 cells via TGF-&#x03B2;/Smad signaling pathway.</p>
</abstract>
<kwd-group>
<kwd>sphingomyelin synthase 1</kwd>
<kwd>transforming growth factor &#x03B2;1</kwd>
<kwd>epithelial-to-mesenchymal transition</kwd>
<kwd>MDA-MB-231 cells</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Breast cancer (BC) is the most common cancer in women and a leading cause of cancer-associated mortalities in the world (<xref rid="b1-mmr-19-02-1159" ref-type="bibr">1</xref>). During BC development, the epithelial-to-mesenchymal transition (EMT) serves a very important role (<xref rid="b2-mmr-19-02-1159" ref-type="bibr">2</xref>). EMT is associated with wound healing, fibrosis and cancer progression; in particular, the metastasis and invasive ability of cancer cells is significantly enhanced (<xref rid="b3-mmr-19-02-1159" ref-type="bibr">3</xref>). Therefore, in the present study, the mechanism of the role of the EMT in one BC cell line was investigated. Previous studies identified that transforming growth factor &#x03B2;1 (TGF-&#x03B2;1) serves a very important role in the EMT process (<xref rid="b4-mmr-19-02-1159" ref-type="bibr">4</xref>,<xref rid="b5-mmr-19-02-1159" ref-type="bibr">5</xref>). TGF-&#x03B2;1 facilitates many responses by binding specifically and activating cell surface receptor serine/threonine kinase complexes, including TGF&#x03B2; receptor (T&#x03B2;RI and T&#x03B2;RII) (<xref rid="b4-mmr-19-02-1159" ref-type="bibr">4</xref>,<xref rid="b6-mmr-19-02-1159" ref-type="bibr">6</xref>). Activated TGF-&#x03B2; receptors can stimulate the receptor-regulated phosphorylation of Smad family members, an important signal transduction and modulator, by forming complexes (<xref rid="b7-mmr-19-02-1159" ref-type="bibr">7</xref>). Additionally, phosphorylated Smad family members 2 and 3 form a stable complex with Smad family member 4 and move to the nucleus, where the transcription of the target gene is regulated (<xref rid="b8-mmr-19-02-1159" ref-type="bibr">8</xref>,<xref rid="b9-mmr-19-02-1159" ref-type="bibr">9</xref>). Non-Smad signaling pathways, including guanosine triphosphatase, phosphoinositide 3 kinase and mitogen-activated protein kinase signaling pathways, can also be activated by TGF-&#x03B2; (<xref rid="b7-mmr-19-02-1159" ref-type="bibr">7</xref>,<xref rid="b10-mmr-19-02-1159" ref-type="bibr">10</xref>); however, the Smad-dependent signaling pathway is unique but is the most critical to TGF-&#x03B2;-induced EMT (<xref rid="b11-mmr-19-02-1159" ref-type="bibr">11</xref>,<xref rid="b12-mmr-19-02-1159" ref-type="bibr">12</xref>). During this process, cells lose epithelial markers, including E-cadherin, and upregulate mesenchymal markers, including vimentin (<xref rid="b13-mmr-19-02-1159" ref-type="bibr">13</xref>,<xref rid="b14-mmr-19-02-1159" ref-type="bibr">14</xref>).</p>
<p>There are several lines of evidence suggesting that TGF-&#x03B2; receptors are distributed in lipid rafts/caveolae and non-raft membrane microdomains (<xref rid="b15-mmr-19-02-1159" ref-type="bibr">15</xref>). On the cell surface, TGF-&#x03B2;1 receptors are distributed between different microdomains of the cellular membrane and may be internalized via clathrin-and caveolae-mediated endocytic mechanisms (<xref rid="b16-mmr-19-02-1159" ref-type="bibr">16</xref>,<xref rid="b17-mmr-19-02-1159" ref-type="bibr">17</xref>). Lipid rafts, enriched with cholesterol and sphingolipids, are ordered microdomains within plasma membranes. Sphingomyelin (SM) is an essential component of sphingolipids (<xref rid="b18-mmr-19-02-1159" ref-type="bibr">18</xref>). SM is additionally associated with the formation of other membrane microdomains, including clathrin-coated pits and caveolae, thus serving an important role in the regulation of trans-membrane signaling (<xref rid="b19-mmr-19-02-1159" ref-type="bibr">19</xref>). Sphingomyelin synthase (SMS), with two isoforms, SMS1 and SMS2, is a key enzyme involved in the generation and development of SM. SMS can participate in inflammation, atherosclerosis, proliferation, apoptosis, differentiation and other functions (<xref rid="b20-mmr-19-02-1159" ref-type="bibr">20</xref>).</p>
<p>Furthermore, bioinformatics retrieval from Gene Expression Omnibus (GEO) datasets suggested that SMS1 and T&#x03B2;RI are linked in the mammary gland and breast cancer cells (GSE54491 and GSE89205; <uri xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE89205">http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE89205</uri>). The results showed that the expression of SMS1 was decreased, while T&#x03B2;RI was increased, when breast cells were treated with TGF-&#x03B2;1. Therefore, the accumulation of SMS1 inside cells may decrease cellular T&#x03B2;RI expression levels. To test this hypothesis, MDA-MB-231 cells were treated with or without TGF-&#x03B2;1 following transfection with a SMS1 overexpression plasmid. Protein expression levels associated with the development of the EMT were investigated by western blotting and immunofluorescence, and migration and invasion were investigated using a wound healing and a Matrigel invasion assay, respectively.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Microarray data</title>
<p>All available data on TGF-&#x03B2;1-treated breast cancer cells or normal mammary gland cells from the Gene Expression Omnibus (GEO) database were investigated and an mRNA microarray GSE54491 (<uri xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE54491">https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE54491</uri>) was identified. GSE54491 employed an Affymetrix mouse gene 1.0 ST array [transcript (gene) version] to identify mRNAs that were differentially expressed between TGF-&#x03B2;1-treated and TGF-&#x03B2;1-untreated normal murine mammary gland (NMumG) cells. MDA-MB-231 cells were selected for treatment with 10 ng/ml TGF-&#x03B2;1 to assess protein expression, according to previous studies (<xref rid="b14-mmr-19-02-1159" ref-type="bibr">14</xref>,<xref rid="b21-mmr-19-02-1159" ref-type="bibr">21</xref>). After 72 h, the expression of SMS1 and SMS2 was examined by western blot analysis.</p>
</sec>
<sec>
<title>Expression of SMS1 in breast cancer cells</title>
<p>MDA-MB-231, MCF-7 and BT549 cells were purchased from The Cell Bank of Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). These 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; Tianjin Haoyang Biological Products Technology Co., Ltd., Tianjin, China) and incubated at 37&#x00B0;C in a humidified atmosphere (90&#x0025; relative humidity) containing 5&#x0025; CO<sub>2</sub>. To choose a suitable breast cancer cell line and determine the optimal concentration of TGF-&#x03B2;1, western blotting was performed in order to detect the expression levels of SMS1 in the three breast cancer cells (MDA-MB-231, MCF-7 and BT549). Finally, MDA-MB-231 cells were selected and treated with different concentrations (0, 5, 10, 15 and 20 ng/ml) of TGF-&#x03B2;1 (cat. no. 10804-HNAC; Sino Biological, Inc., Beijing, China). After 72 h, the expression levels of SMS1, E-cadherin and vimentin (EMT markers) were investigated by western blotting.</p>
</sec>
<sec>
<title>Transfection and grouping</title>
<p>To construct an SMS1 overexpression cell model, SMS1-overexpressing plasmids [pcDNA3.1(&#x002B;)], which were constructed by Magus Technology (Shanghai, China), were transfected into MDA-MB-231 cells. Transfection was conducted according to the manufacturer&#x0027;s protocol. First, 12 h prior to transfection, 1&#x00D7;10<sup>6</sup> cells were seeded into wells of a 6-well plate (Beaver Nano-Technologies Co., Ltd., Suzhou, China) that contained antibiotic-free medium. At the time of transfection, the cell confluency was 60&#x2013;70&#x0025; (<xref rid="b22-mmr-19-02-1159" ref-type="bibr">22</xref>). The SMS1-overexpressing plasmid (4 &#x00B5;g; SMS1 group) or a negative plasmid (4 &#x00B5;g; Control group) was diluted with 50 &#x00B5;l DMEM (FBS-free and antibiotic-free medium) or 5 &#x00B5;l Entranster<sup>&#x2122;</sup>-D-4000 (Engreen Biosystem New Zealand Ltd., Auckland, New Zealand) and 50 &#x00B5;l DMEM. After 5 min, the dilutions were mixed together and incubated at 37&#x00B0;C for 20 min and subsequently dispensed into each well. DMEM was replaced with DMEM containing 10&#x0025; FBS after 6 h (<xref rid="b23-mmr-19-02-1159" ref-type="bibr">23</xref>). The cells were cultured for 24 h, and the Control and the SMS1 groups were treated with 10 ng/ml TGF-&#x03B2;1 at 37&#x00B0;C, as at that concentration, vimentin and E-cadherin expression had significantly altered. Therefore, the following four groups were created: Control, SMS1, TGF-&#x03B2;1 and SMS1&#x002B;TGF-&#x03B2;1. After 72 h, all cells were harvested for subsequent experiments.</p>
</sec>
<sec>
<title>Wound healing assay</title>
<p>A total of 2&#x00D7;10<sup>5</sup> MDA-MB-231 cells were seeded in 12-well tissue culture plates. After transfection and 10 ng/ml TGF-&#x03B2;1 treatment (36 h), the cells were maintained in serum-free medium at 37&#x00B0;C for 8 h. Using a sterile 200-&#x00B5;l pipette tip to gently swipe along the midline of the cell well, the cells were scraped from the well and were washed with PBS three times. Subsequently, the MDA-MB-231 cells were treated with TGF-&#x03B2;1 at the above concentration for 24 h. Finally, the wound closure was measured with a phase contrast inverted microscope (Olympus IX71; Olympus Corporation, Tokyo, Japan; magnification, &#x00D7;4).</p>
</sec>
<sec>
<title>Matrigel invasion analysis</title>
<p>The cells were treated as above. Briefly, cells were starved for 8 h. Single-cell suspension (1&#x00D7;10<sup>5</sup> cells) was added to serum-free medium with or without 10 ng/ml TGF-&#x03B2;1 on a top well of a 24-well Transwell plate (cat. no. 3413; Corning Incorporated, Corning, NY, USA) precoated with Matrigel (cat. no. 356234). After 36 h, the cells invading the lower chamber containing medium was supplemented with 10&#x0025; FBS were stained with 0.1&#x0025; crystal violet solution for 5 min at room temperature (CAS:548-62-9; Shanghai Macklin Biochemical Co., Ltd., Shanghai, China) and counted using a phase contrast inverted light microscope (Olympus IX71; Olympus Corporation, Tokyo, Japan; magnification, &#x00D7;10).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Proteins were extracted using radioimmunoprecipitation assay buffer (cat. no. ROO20; Beijing Solarbio Bioscience &#x0026; Technology Co., Ltd., Beijing, China), and the protein concentration was measured using a bicinchoninic acid assay (cat. no. CW0014; Beijing Kangwei Century Biotechnology Co., Ltd., Beijing, China). Equal amounts of cleared lysates (~50 &#x00B5;g protein) were separated by 10&#x2013;12&#x0025; SDS-PAGE and subsequently transferred onto polyvinylidene fluoride membranes (Immobilon-P; EMD Millipore, Billerica, MA, USA). Equal transfer was validated by staining with Ponceau red (cat. no. CW0057S; Beijing Kangwei Century Biotechnology Co., Ltd.) for 30 min at room temperature. The membranes were blocked with 10&#x0025; skimmed milk or 10&#x0025; bovine serum albumin (BSA; cat. no. A8020; Beijing Solarbio Science &#x0026; Technology Co., Ltd.) in TBS for 1 h at room temperature and subsequently incubated with primary antibodies in TBS containing 0.05&#x0025; Tween-20, 2&#x0025; BSA and 0.05&#x0025; sodium azide overnight at 4&#x00B0;C (<xref rid="b24-mmr-19-02-1159" ref-type="bibr">24</xref>). The following antibodies were used at the indicated dilutions: SMS1 (cat. no. sc-133135; 1:500; Santa Cruz Biotechnology, Inc., Dallas, TX, USA), vimentin (cat. no. 10366-1-AP; 1:2,000; ProteinTech Group, Inc., Chicago, IL, USA), E-cadherin (cat. no. 20874-1-AP; 1:2,000; ProteinTech Group, Inc.), phospho (p)-Smad2 (cat. no. AF8314; 1:2,000; Affinity Biosciences, Shanghai, China), Smad2 (cat. no. WL03369; 1:1,500; Wanleibio Co., Ltd., Shanghai, China) and T&#x03B2;R1 (cat. no. AF5347; 1:2,000; Affinity Biosciences), and a GAPDH antibody (cat. no. HRP-60004; 1:12,000; ProteinTech Group, Inc.). Subsequently, the membranes were incubated at room temperature for 1.5 h with secondary horseradish peroxidase-conjugated anti-rabbit antibodies (cat. no. SA0000I-2; 1:8,000; ProteinTech Group, Inc.) or anti-mouse antibodies (cat. no. SA0000I-I; 1:8,000; ProteinTech Group, Inc.) in TBS containing 0.05&#x0025; Tween 20. Signals were determined using an enhanced chemiluminescence reagent (cat. no. CW0049M; Beijing Kangwei Century Biotechnology Co., Ltd.) and an autoradiography system (Image Lab; version 5.1; Bio-Rad Laboratories, Inc., Hercules, CA, USA) (<xref rid="b14-mmr-19-02-1159" ref-type="bibr">14</xref>). Each assay was repeated at least three times.</p>
</sec>
<sec>
<title>Immunofluorescence and confocal microscopy imaging</title>
<p>A total of 2&#x00D7;10<sup>4</sup> cells were seeded on coverslips in a 24-well plate. Followign the treatment, the cells were gently washed with PBS. Subsequently, they were fixed in 4&#x0025; paraformaldehyde for 20 min at room temperature, followed by permeabilization using 0.5&#x0025; Triton X-100 (cat. no. T8200; Beijing Solarbio Science &#x0026; Technology Co., Ltd.) in PBS for 20 min at room temperature. The coverslips were subsequently blocked in 5&#x0025; BSA in PBS for 60 min at room temperature. Subsequently, the cells were incubated with anti-TGF-&#x03B2;RI (cat. no. AF5347; 1:100; Affinity Biosciences), anti-vimentin (cat. no. 10366-1-AP; 1:200; ProteinTech Group, Inc.) and anti E-cadherin (cat. no. 20874-1-AP; 1:50; ProteinTech Group, Inc.) antibodies overnight at 4&#x00B0;C and subsequently washed in PBS. The cells were exposed to secondary antibody conjugated with fluorescein isothiocyanate (cat. no. BA1105; 1:50; Wuhan Boster Biological Technology, Ltd., Wuhan, China) or TRITC (cat. no. E032420-01; 1:250; Earthox Life Sciences Millbrae, CA, USA) for 60 min at room temperature. DAPI was used to stain the nuclei (cat. no. AR1177; Wuhan Boster Biological Technology, Ltd.) for 5 min at room temperature, and the cells were washed with PBS. Finally, an inverted fluorescence (Olympus IX71; Olympus Corporation; magnification, &#x00D7;20) was used to acquire the data of vimentin and E-cadherin and a confocal microscope (Leica SP8; Leica Microsystems, Ltd., Milton Keynes, UK; magnification, &#x00D7;40) was used to acquire the data of TGF-&#x03B2;RI. Images were analyzed by Image J software (Ver. 2.1; National Institutes of Health, Bethesda, MD, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as the mean &#x00B1; standard deviation. Unpaired t-test was used for single comparisons. For multiple comparisons, one-way analysis of variance followed by Tukey&#x0027;s or Games-Howell post-hoc test was used. All experiments were repeated at least three times. 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>Bioinformatics analysis of the possible trends of SMS1 and TGF-&#x03B2; type I receptors in the development of EMT</title>
<p>The GSE54491 dataset was downloaded from National Center for Biotechnology Information GEO DataSets. For the GSE54491 dataset, normal murine mammary gland (NMumG) cells transformed by overexpression of endothelial growth factor receptor (NME) cells were cultured in the presence of TGF-&#x03B2;1 (5 ng/ml) for 4 weeks, at which point TGF-&#x03B2;1 supplementation was discontinued and the cells were allowed to recover for an additional 4 weeks (Post-TGF-Rec). Total RNA was prepared from unstimulated cells (Pre-TGF) at similar passage numbers and compared by microarray analysis. In the present study, the two groups were analyzed in triplicate, including three Pre-TGF and three Post-TGF-Rec samples. The results showed that the expression of SMS1 decreased by 0.48-fold (P&#x003C;0.001; n=3; <xref rid="f1-mmr-19-02-1159" ref-type="fig">Fig. 1A</xref>), whereas, the expression of SMS2 was not significantly different (P=0.731; n=3; <xref rid="f1-mmr-19-02-1159" ref-type="fig">Fig. 1B</xref>), in the Post-TGF-Rec group compared with the Pre-TGF group. However, T&#x03B2;RI (<xref rid="f1-mmr-19-02-1159" ref-type="fig">Fig. 1C</xref>) was increased by 0.32-fold (P&#x003C;0.001; n=3). To validate the bioinformatics results, the expression of SMS1 and SMS2 in MDA-MB-231 cells following treatment with 10 ng/ml TGF-&#x03B2;1 was measured. The results confirmed that the expression of SMS1 was significantly decreased (<xref rid="f1-mmr-19-02-1159" ref-type="fig">Fig. 1D</xref>; P&#x003C;0.05; n=3), whereas SMS2 was not significantly different between groups (<xref rid="f1-mmr-19-02-1159" ref-type="fig">Fig. 1D</xref>; P&#x003E;0.05; n=3); these results were consistent with the bioinformatics data.</p>
</sec>
<sec>
<title>Expression of SMS1 is significantly decreased in the TGF-&#x03B2;1-induced EMT process in MDA-MB-231 cells</title>
<p>To examine whether the expression of SMS1 is different in breast cancer cells, the expression of SMS1 in three breast cancer cells, including MDA-MB-231, MCF-7 and BT549 was investigated. The results demonstrated that the expression of SMS1 was the lowest in MDA-MB-231, followed by MCF-7 and BT549 (<xref rid="f2-mmr-19-02-1159" ref-type="fig">Fig. 2A</xref>; P&#x003C;0.05, n=3). Therefore, in the present study, MDA-MB-231 was selected.</p>
<p>MDA-MB-231 cells were cultured with different concentrations of TGF-&#x03B2;1 (0, 5, 10, 15 and 20 ng/ml) for 72 h and the expression of SMS1, E-cadherin and vimentin was examined. An increase in vimentin and a decrease in E-cadherin expression were evident when MDA-MB-231 cells were treated with 10 ng/ml TGF-&#x03B2;1 (P&#x003C;0.05 and P&#x003C;0.01, respectively; n=3; <xref rid="f2-mmr-19-02-1159" ref-type="fig">Fig. 2B-D</xref>, respectively). Similarly, the decrease in SMS1 expression was evident when MDA-MB-231 cells were treated with 10 ng/ml TGF-&#x03B2;1 (P&#x003C;0.05 and P&#x003C;0.01, respectively; n=3; <xref rid="f2-mmr-19-02-1159" ref-type="fig">Fig. 2E</xref>).</p>
</sec>
<sec>
<title>Overexpression of SMS1 inhibits TGF-&#x03B2;1-induced EMT</title>
<p>Protein expression levels of the EMT markers E-cadherin and vimentin were measured to evaluate the influence of the overexpression of SMS1 on the TGF-&#x03B2;1-induced EMT process (<xref rid="f3-mmr-19-02-1159" ref-type="fig">Fig. 3A</xref>; P&#x003C;0.05 and P&#x003C;0.01, respectively, n=3). Following treatment with TGF-&#x03B2;1, the expression of E-cadherin was decreased by 0.39-fold, and vimentin was increased by 2.3-fold compared with the control group (<xref rid="f3-mmr-19-02-1159" ref-type="fig">Fig. 3B</xref>; P&#x003C;0.05 or P&#x003C;0.01; n=3). In contrast, overexpression of SMS1 together with TGF-&#x03B2;1 treatment blocked TGF-&#x03B2;1-induced EMT, in which the expression of E-cadherin was decreased by 0.23-fold and vimentin was increased by 0.92-fold. The immunofluorescence and confocal microscopy imaging results verified these results to some extent (<xref rid="f3-mmr-19-02-1159" ref-type="fig">Fig. 3C and D</xref>).</p>
</sec>
<sec>
<title>Overexpression of SMS1 regulates TGF-&#x03B2;1-induced EMT via TGF-&#x03B2; type I receptor</title>
<p>Previous studies have demonstrated that the Smad-dependent signaling pathway is induced by TGF-&#x03B2;1, including the activation of T&#x03B2;RI and phosphorylated Smad2 and Smad3 (<xref rid="b10-mmr-19-02-1159" ref-type="bibr">10</xref>,<xref rid="b13-mmr-19-02-1159" ref-type="bibr">13</xref>). To further investigate the mechanism of SMS1 in regulating the TGF-&#x03B2;1 induced EMT process, the effect on Smad-dependent signaling pathway proteins was investigated. Western blot analysis revealed that TGF-&#x03B2;1 treatment induced the expression of T&#x03B2;RI and the phosphorylation of Smad2, which were increased by 0.77 and 0.43-fold, respectively. The expression of Smad2 demonstrated no significant difference (<xref rid="f4-mmr-19-02-1159" ref-type="fig">Fig. 4B</xref>; P&#x003E;0.05, respectively; n=3). However, SMS1 overexpression downregulated T&#x03B2;RI expression and blocked Smad2 phosphorylation (<xref rid="f4-mmr-19-02-1159" ref-type="fig">Fig. 4A and B</xref>; P&#x003C;0.05 and P&#x003C;0.01, respectively, n=3). The expression of T&#x03B2;RI was investigated by immunofluorescence. The results demonstrated that the overexpression of SMS1 altered the expression of T&#x03B2;RI on the cell membrane, which may be associated with the endocytosis of T&#x03B2;RI (<xref rid="f4-mmr-19-02-1159" ref-type="fig">Fig. 4C</xref>) (<xref rid="b16-mmr-19-02-1159" ref-type="bibr">16</xref>,<xref rid="b17-mmr-19-02-1159" ref-type="bibr">17</xref>).</p>
</sec>
<sec>
<title>Overexpression of SMS1 inhibits MDA-MB-231 cell migration and invasion induced by TGF-&#x03B2;1</title>
<p>To further clarify the role of SMS1 in the TGF-&#x03B2;1-induced EMT in MDA-MB-231 cells, changes in the migration and invasion abilities of cells treated with or without TGF-&#x03B2;1 following transfection with an SMS1 plasmid, were investigated. Treatment with TGF-&#x03B2;1 significantly increased the cell migration abilities in MDA-MB-231 cells by 1.1-fold, as demonstrated by wound healing analysis. In addition, the increased migration abilities of MDA-MB-231 cells were significantly inhibited (by 0.32-fold) by transfection with an SMS1 plasmid (<xref rid="f5-mmr-19-02-1159" ref-type="fig">Fig. 5A and B</xref>; P&#x003C;0.01; n=3). Furthermore, treatment with TGF-&#x03B2;1 for 72 h significantly increased the invasion abilities of MDA-MB-231 cells by 1.9-fold in a Matrigel invasion assay. Overexpression of SMS1 significantly suppressed the TGF-&#x03B2;1-induced invasion abilities of MDA-MB-231 cells by 0.47-fold (<xref rid="f5-mmr-19-02-1159" ref-type="fig">Fig. 5C and D</xref>; P&#x003C;0.05 and P&#x003C;0.01, respectively; n=3).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The aim of the present study was to assess the importance of SMS1 in TGF-&#x03B2;1-induced EMT development. The results showed that SMS1 overexpression can downregulate T&#x03B2;RI expression and interfere with TGF-&#x03B2;1-induced Smad2 phosphorylation, it can increase the expression of E-cadherin and decrease the expression of vimentin. Finally, the migration and invasion of MDA-MB-231 cells were suppressed following SMS1 overexpression together with treatment with TGF-&#x03B2;1. These results demonstrated that SMS1 overexpression can inhibit the EMT in MDA-MB-231 cells.</p>
<p>MS1 and SMS2 are the key enzymes in SM biosynthesis, but SMS1 is found on the Golgi apparatus, and SMS2 exists in the Golgi apparatus and plasma membranes (<xref rid="b20-mmr-19-02-1159" ref-type="bibr">20</xref>). The expression levels of SMS1 and T&#x03B2;RI were negatively associated with each other when breast cancer cells were treated with TGF-&#x03B2;1; however, the expression of SMS2 was not altered and was not correlated with that of T&#x03B2;RI. This suggests that SMS1 and SMS2 may have different functions in the EMT. Additionally, three breast cancer cell lines expressed SMS1; however, the expression of SMS1 was lower in MDA-MB-231 cells. Furthermore, MDA-MB-231 is a triple-negative breast cancer cell line, which has high metastatic and invasive ability (<xref rid="b25-mmr-19-02-1159" ref-type="bibr">25</xref>). Therefore, in the present study, MDA-MB-231 cells was used to demonstrate that SMS1 can regulate the EMT in MDA-MB-231 cells.</p>
<p>Previous studies have demonstrated that TGF-&#x03B2;1 induces EMT to promote tumor invasion and metastasis (<xref rid="b11-mmr-19-02-1159" ref-type="bibr">11</xref>&#x2013;<xref rid="b14-mmr-19-02-1159" ref-type="bibr">14</xref>). During EMT development, the morphological alterations are characterized by upregulated expression of the mesenchymal marker vimentin and downregulated expression of the epithelial marker E-cadherin. Our findings were consistent with their findings, however, SMS1 can inhibit these changes, which shown that overexpression SMS1 can inhibit EMT (<xref rid="f3-mmr-19-02-1159" ref-type="fig">Figs. 3</xref> and <xref rid="f5-mmr-19-02-1159" ref-type="fig">5</xref>).</p>
<p>Similar to other cell surface receptors (<xref rid="b26-mmr-19-02-1159" ref-type="bibr">26</xref>), TGF-&#x03B2; receptors are mainly internalized via clathrin-dependent endocytosis, which is an essential regulatory event in signal transduction (<xref rid="b27-mmr-19-02-1159" ref-type="bibr">27</xref>,<xref rid="b28-mmr-19-02-1159" ref-type="bibr">28</xref>). In addition, lipid rafts/caveolae negatively regulate TGF-&#x03B2;1 signaling pathway through lipid raft-induced internalization of TGF-&#x03B2; receptors, promoting receptor degradation (<xref rid="b29-mmr-19-02-1159" ref-type="bibr">29</xref>). Therefore, altering the contents of the main components of lipid raft would affect the distribution of TGF-&#x03B2; receptors in lipid raft/caveolae and no lipid raft, and the signal transduction of TGF-&#x03B2; receptors. In the present study, overexpression of SMS1 negatively regulated T&#x03B2;RI expression, moreover, SMS1 overexpression may block the TGF-&#x03B2;1-induced phosphorylation of Smad 2 and Smad2-mediated transcriptional activity without affecting total Smad 2 expression levels and additionally suppressed the TGF&#x03B2;-1-induced EMT and cell migration. As demonstrated in previous studies (<xref rid="b27-mmr-19-02-1159" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-mmr-19-02-1159" ref-type="bibr">29</xref>), caveolin-1 and T&#x03B2;RI have distributed colocalization in the cell membrane. A possible explanation for this might be that SMS1 promotes lipid raft/caveolae-mediated internalization and the interaction between T&#x03B2;RI and caveolin-1, resulting in decreased surface expression of T&#x03B2;RI and Smad activation. Unlike clathrin-dependent endocytosis, lipid raft/caveolae-mediated internalization facilitates the degradation of T&#x03B2;RI receptors and therefore inhibits TGF-&#x03B2;1 signaling pathway (<xref rid="b15-mmr-19-02-1159" ref-type="bibr">15</xref>,<xref rid="b29-mmr-19-02-1159" ref-type="bibr">29</xref>).</p>
<p>In fact, a number of previous studies identified that altering the components of lipid rafts/caveolae may affect the TGF-&#x03B2;/Smad signaling pathway (<xref rid="b30-mmr-19-02-1159" ref-type="bibr">30</xref>,<xref rid="b31-mmr-19-02-1159" ref-type="bibr">31</xref>). In addition to SM, cholesterol is additionally a primary component of lipid rafts (<xref rid="b30-mmr-19-02-1159" ref-type="bibr">30</xref>). Cholesterol precursors and cholesterol biosimilars can regulate signal transduction and the TGF-&#x03B2;/Smad pathway. For example, 7-DHC (precursor) and Euphol (biosimilar) can suppress TGF-&#x03B2;-stimulated luciferase activity by promoting lipid raft/caveolae formation and subsequently recruiting cell-surface TGF-&#x03B2; receptors from non-lipid raft microdomains to lipid rafts/caveolae, where TGF-&#x03B2; receptors become inactive in transducing canonical signaling and undergo rapid degradation upon TGF-&#x03B2; binding (<xref rid="b29-mmr-19-02-1159" ref-type="bibr">29</xref>&#x2013;<xref rid="b31-mmr-19-02-1159" ref-type="bibr">31</xref>). In contrast, methyl-&#x03B2;-cyclodextrin, a sterol-chelating agent, reverses 7-DHC-induced suppression of TGF-&#x03B2;-stimulated luciferase activity by extrusion of 7-DHC from resident lipid rafts/caveolae (<xref rid="b31-mmr-19-02-1159" ref-type="bibr">31</xref>). Furthermore, other factors that can affect the distribution of TGF-&#x03B2; receptors between lipid rafts/caveolae and non-lipid raft microdomains can also regulate the TGF-&#x03B2;/Smad pathway (<xref rid="b27-mmr-19-02-1159" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-mmr-19-02-1159" ref-type="bibr">29</xref>). Previous studies identified that cholest-4-en-3-one and dimethyl sulfoxide may increase lipid raft and/or caveolae accumulation of TGF-&#x03B2; receptors and facilitate the rapid degradation of TGF-&#x03B2;, thus suppressing TGF-&#x03B2;-induced signaling (<xref rid="b32-mmr-19-02-1159" ref-type="bibr">32</xref>,<xref rid="b33-mmr-19-02-1159" ref-type="bibr">33</xref>). In addition, ethanol also disrupts the location of other membrane proteins in lipid rafts/caveolae that utilize lipid rafts/caveolae as signaling platforms and enhances canonical TGF-&#x03B2; signaling by increasing the non-lipid raft microdomain localization of TGF-&#x03B2; receptors (<xref rid="b34-mmr-19-02-1159" ref-type="bibr">34</xref>). Altogether, canonical TGF-&#x03B2; signaling pathway is tightly associated with lipid rafts and their primary components.</p>
<p>Although the studies presented thus far have indicated that receptor endocytosis is not essential for TGF-&#x03B2;1 signaling, lipid raft-mediated endocytosis of TGF-&#x03B2; receptors facilitates receptor degradation and thus turns off the signaling pathway (<xref rid="b32-mmr-19-02-1159" ref-type="bibr">32</xref>,<xref rid="b35-mmr-19-02-1159" ref-type="bibr">35</xref>). However, this is the first study, to the best of the authors&#x0027; knowledge to investigate that the attenuation of the TGF-&#x03B2;1-induced EMT by SMS1, which could influence the formation of lipid rafts via T&#x03B2;RI expression and could be an important mechanism for the controlled progression of developmental events. The present study provides novel insight into the impact of SMS1 in signal transduction, and it has a number of important implications for future targeted therapy for breast cancer.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by grants from National Natural Science Foundation of China (grant no. 81560151).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or generated during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>SL, HH and PZ performed the experiments and bioinformatics analysis, and were major contributors in writing the manuscript. YW analyzed and interpreted the data of the manuscript, and was responsible for the design and drafting of the manuscript. XH and HL were responsible for the statistical analysis. NY designed the study and analyzed the data. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-mmr-19-02-1159" position="float">
<label>Figure 1.</label>
<caption><p>Bioinformatics analysis of the expression of SMS and TGF-&#x03B2; type I receptor. (A) Gene expression of SMS1. (B) Gene expression of SMS2. (C) Gene expression of T&#x03B2;RI. (D) Expression levels of SMS1 and SMS2 in MDA-MB-231 cells as measured by western blotting. Data are presented as the mean &#x00B1; standard deviation. n=3. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. the control group. T&#x03B2;RI, transforming growth factor type I receptor; SMS, sphingomyelin synthase; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-19-02-1159-g00.tif"/>
</fig>
<fig id="f2-mmr-19-02-1159" position="float">
<label>Figure 2.</label>
<caption><p>Expression of SMS1 in breast cancer cell lines. (A) Expression of SMS1 was measured by western blot in three cell lines. Data are presented as the mean &#x00B1; standard deviation. n=3. &#x002A;&#x002A;P&#x003C;0.01 vs. MDA-MB-231 group. (B) Expression of E-cadherin, vimentin and SMS1 as measured by western blotting in MDA-MB-231 cells and relative quantification of (C) E-cadherin, of (D) vimentin and of (E) SMS1 as measured by western blotting in MDA-MB-231 cells. Data are presented as the mean &#x00B1; standard deviation. n=3. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. the control group. SMS, sphingomyelin synthase 1; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-19-02-1159-g01.tif"/>
</fig>
<fig id="f3-mmr-19-02-1159" position="float">
<label>Figure 3.</label>
<caption><p>Overexpression of SMS1 inhibits TGF-&#x03B2;1-induced EMT. (A) Expression of SMS1 and of (B) E-cadherin and Vimentin were measured by western blotting in MDA-MB-231 cells. (C) Immunofluorescence staining of E-cadherin and of (D) Vimentin by a fluorescence microscope in MDA-MB-231 cells. Magnification, &#x00D7;20. Data are presented as the mean &#x00B1; standard deviation (n=3). &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. the control group; <sup>#</sup>P&#x003C;0.05 vs. the TGF-&#x03B2;1 group. SMS, sphingomyelin synthase 1; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-19-02-1159-g02.tif"/>
</fig>
<fig id="f4-mmr-19-02-1159" position="float">
<label>Figure 4.</label>
<caption><p>Overexpression of SMS1 regulates TGF-&#x03B2;1-induced EMT via TGF-&#x03B2; type I receptors. (A) Expression of T&#x03B2;RI and (B) phosphorylation of Smad2 and Smad2 were measured by western blotting in MDA-MB-231 cells. (C) Immunofluorescence staining of T&#x03B2;RI was shown by a confocal microscope in MDA-MB-231 cells. Magnification, &#x00D7;40. Data are presented as the mean &#x00B1; standard deviation. n=3. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. the control group; <sup>#</sup>P&#x003C;0.05, <sup>##</sup>P&#x003C;0.01 vs. the TGF-&#x03B2;1 group. P, phosphorylated; SMS, sphingomyelin synthase 1; TGF, transforming growth factor; T&#x03B2;RI, TGF &#x03B2; type I receptor.</p></caption>
<graphic xlink:href="MMR-19-02-1159-g03.tif"/>
</fig>
<fig id="f5-mmr-19-02-1159" position="float">
<label>Figure 5.</label>
<caption><p>Overexpression of SMS1 inhibits MDA-MB-231 cells migration and invasion induced by TGF-&#x03B2;1. (A and B) Migration abilities were shown by wound healing analysis in MDA-MB-231 cells. Magnification, &#x00D7;4. (C and D) Invasion abilities were shown by Matrigel invasion assay in MDA-MB-231 cells. Magnification, &#x00D7;10. Data are presented as the mean &#x00B1; standard deviation. n=3. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. the control group; <sup>#</sup>P&#x003C;0.05, <sup>##</sup>P&#x003C;0.01 vs. the TGF-&#x03B2;1 group. SMS, sphingomyelin synthase 1; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-19-02-1159-g04.tif"/>
</fig>
</floats-group>
</article>