The normal pulmonary epithelial cell line BEAS-2B and the NSCLC cell line A549 were purchased from the American Type Culture Collection and cultured in low glucose-Dulbecco's Modified Eagle's medium (Gibco; Thermo Fisher Scientific, Inc.) containing 10% fetal bovine serum (Gibco, USA) and 1% streptomycin and penicillin at 37°C in humidified air with 5% CO₂. To inhibit the Wnt pathway, inhibitor of Wnt response-1 (IWR-1; 8 µmol/l; cat. no. S7086; Selleck Chemicals) was added to the medium for 4 h, as previously described (26). To inhibit mitochondrial fission, cells were exposed to mitochondrial division inhibitor 1 (Mdivi1; 10 mM; Sigma-Aldrich; Merck KGaA) for 12 h at 37°C after transduction of A549 cells with an SFRP2 overexpression vector (ad-SFRP2).

The SFRP2/pLenti6/UbC/V5-DEST vector (ad-SFRP2) and control adenovirus plasmid (ad-ctrl) were purchased from Vigene Biosciences, Inc. ad-sFRP2 (20 nM) and ad-ctrl (20 nM) were used to infect A549 cells with Lipofectamine™ 2000 (Thermo Fisher Scientific, Inc.) for 48 h, and the transduction efficiency was determined by western blotting.

Total RNA was extracted from cells using a Trizol kit (Beyotime Institute of Biotechnology). Reverse transcription was performed using a TaqMan MicroRNA Reverse Transcription kit (Takara Bio, Inc.) at 37°C for 30 min, according to the manufacturer's instructions. qPCR was performed using the SYBR Green RT-PCR kit (Takara Bio, Inc.). The thermocycling conditions were as follows: 95°C for 5 min, followed by 40 cycles of 95°C for 40 sec, 60°C for 30 sec and 72°C for 30 sec. The following primers were used for qPCR: SFRP2, forward 5′-AGGACAACGACCTTTGCATC-3′, reverse 5′-TCATTTTTATTTTTGCAGGCTTC-3′; GAPDH, forward 5′-GTCAACGGATTTGGTCGTATTG-3′, reverse 5′-CATGGGTGGAATCATATTGGAA-3′. GAPDH was used as an internal control. Fold-changes were calculated using the 2^−ΔΔCq method (27).

Samples were homogenized and sonicated in precooled RIPA lysis buffer (Beyotime Institute of Biotechnology). The protein concentration was determined using a BCA Protein Quantification kit. Proteins (50 µg) were separated using 10% SDS-PAGE and transferred onto PVDF membranes. The membrane was first blocked with 5% non-fat dry milk for 1 h at room temperature, and then incubated with specific primary antibodies overnight at 4°C. Then, the membranes were incubated with secondary antibodies for 1 h at room temperature. The antibodies used for immunoblotting were as follows: SFRP2 (1:1,000; cat. no. ab92667; Abcam); c-myc (1:1,000; cat. no. 9402; Cell Signaling Technology, Inc.); Bax (1:1,000; cat. no. 32503; Cell Signaling Technology, Inc.); β-catenin (1:1,000; cat. no. ab32572; Abcam); caspase-3 (1:1,000; cat. no. ab13847; Abcam), dynamin-1-like protein (1:1,000; cat. no. ab56788; Abcam), GAPDH (1:1,000; cat. no. ab8245; Abcam), cellular inhibitor of apoptosis protein 1 (c-IAP; 1:1,000; cat. no. 3130; Cell Signaling Technology, Inc.), horseradish peroxidase (HRP)-conjugated anti-mouse immunoglobulin (Ig)G (1:1,000; cat. no. 7076; Cell Signaling Technology, Inc.) and HRP-conjugated anti-rabbit IgG (1:1,000; cat. no. 7074; Cell Signaling Technology, Inc.). Bands were detected using an enhanced chemiluminescence substrate kit (Thermo Fisher Scientific, Inc.). Blots were scanned and quantified using ImageJ version 1.47 software (National Institutes of Health).

The cellular ATP levels were measured using a firefly luciferase-based ATP assay kit (S0026; Beyotime Institute of Biotechnology) using a luminometer (Genmed Scientifics Inc.), as previously described (28).

A JC-1 kit (Beyotime Institute of Biotechnology) was used to measure the change in the mitochondrial membrane potential (ΔΨm). Cells (1×10⁵ cells/well) were seeded into a 6-well plate. After treatment, cells were incubated with 2 µM JC-1 at 37°C for 10 min. Images of five random fields were captured using a fluorescent microscope (OLYMPUS DX51; Olympus Corporation) and were analyzed using Image-Pro Plus 6.0 (Media Cybernetics) to obtain the mean densities of the region of interest, which was normalized to that of the control group. The opening of the mPTP was observed as the rapid dissipation of tetramethylrhodamine ethyl ester fluorescence as previously described (29).

A 5-ethynyl-2′-deoxyuridine (EdU) incorporation assay was performed using an EdU kit (cat. no. A10044; Thermo Fisher Scientific, Inc.). Briefly, EdU (2 nM/well) was diluted in complete culture medium, and the cells (1×10⁶) were incubated with the dilution for 2 h at 37°C. Subsequently, the cells were fixed with 4% paraformaldehyde for 15 min at 37°C and then incubated with Apollo Staining reaction liquid for 30 min. DAPI (5 mg/ml) was used to stain the nuclei for 3 min at room temperature.

Following treatment, A549 cell migration and invasion was analyzed using a Transwell chamber assay (24 wells) as previously described (30). Briefly, cells were suspended in serum-free medium and seeded into upper chambers that were either uncoated (for the migration assay) or coated (for the invasion assay) with BD Matrigel™ Basement Membrane Matrix.

Cells were seeded at 8×10³ cells/well into 96-well plates and incubated overnight at 37°C. Following treatment, MTT (5 mg/ml) was added to each well, and cells were incubated for a further 4 h at 37°C, following which the supernatants were removed. The cells were solubilized in 200 µl dimethyl sulfoxide and the absorbance was detected using a microplate reader at 490 nm.

A TUNEL assay was used to detect cellular death. Following treatment, cells were fixed using 4% paraformaldehyde for 10 min at room temperature. Cells were then incubated with fluorescein-dUTP (Invitrogen; Thermo Fisher Scientific, Inc.), to stain apoptotic cell nuclei, and with DAPI (5 mg/ml), to stain all cell nuclei, at room temperature for 3 min. Images of at least five random fields were captured under a confocal microscope (Olympus Corporation).

Cells were fixed in 4% paraformaldehyde at room temperature for 10 min. Cells were then labeled with primary antibodies at 4°C overnight. PBS was used to wash the samples three times and the samples were stained with a fluorescent secondary antibody at 37°C for 30 min. The following primary antibodies were used for immunofluorescence: Mitochondrial import receptor subunit TOM20 homolog (1:500; cat. no. ab56783; Abcam), SFRP2 (1:500; cat. no. ab92667; Abcam). The following secondary antibodies were used: Anti-rabbit IgG (1:500, cat. no. 4413; Alexa Fluor^® 555; Cell Signaling Technology, Inc.) anti-mouse IgG (1:500; 4408; Alexa Fluor^® 488; Cell Signaling Technology, Inc.). Images in which cells were not clustered were obtained using a confocal microscope; the image were analyzed using ImageJ 1.47 version software. DAPI (5 mg/ml; Sigma-Aldrich; Merck KGaA) was used to stain the nuclei at room temperature for 10 min.

Complex I, II, and V activity was determined according to a previous study (31). Mitochondrial respiratory function was measured polarographically at 30°C using a Biological Oxygen Monitor System (Hansatech Instruments, Ltd.) and a Clarktype oxygen electrode (Hansatech Instruments, Ltd.). Mitochondrial respiration was induced by adding glutamate and malate to a final concentration of 5 and 2.5 mmol/liter, respectively.

Experiments were repeated three times, and data were presented as the mean ± standard error of the mean. Statistical analyses were performed using one-way analysis of variance followed by a Bonferroni post hoc test. P<0.05 was considered to indicate a statistically significant difference. Statistical analysis was performed using GraphPad Prism 5.0 (GraphPad Software, Inc.).

A previous study reported that SFRP2 was downregulated in NSCLC specimens (11). To investigate the role of SRFP2 in the phenotypes of A549 cells, western blotting and RT-qPCR analyses were conducted to measure the expression of SFRP2 in the NSCLC cell line A549 and normal pulmonary epithelial cell line BEAS-2B. As presented in Fig. 1A-C, the protein and mRNA expression levels of SFRP2 were significantly decreased in A549 cells compared with BEAS-2B cells. Similar results were observed using an immunofluorescence assay (Fig. 1D and E). Subsequently, the expression of SFRP2 was upregulated in A549 cells via adenoviral vector infection. The transfection efficiency was demonstrated via western blot analysis (Fig. 1F and G). The viability and apoptosis of A549 cells following SFRP2 overexpression were measured using MTT and TUNEL assays, respectively. Overexpression of SFPR2 significantly reduced the viability (Fig. 1H), and significantly promoted the apoptosis of A549 cells (Fig. 1I and J). The results demonstrated that SFRP2 may function as a tumor suppressor in A549 cells by promoting cancer cell apoptosis.

Previous studies reported that mitochondrial dysfunction was involved in cancer cell apoptosis (12,32). To investigate the underlying mechanisms of SFRP2 in relation to A549 cell apoptosis, mitochondrial function was measured in A549 cells in the presence or absence of SFRP2 overexpression. As presented in Fig. 2A, upregulation of SFRP2 decreased ATP generation compared with the control. Maintenance of the ΔΨm is required for ATP generation (29,33). Compared with the control, SFRP2 overexpression depolarized the ΔΨm, as indicated by decreased red fluorescence and increased green fluorescence (Fig. 2B and C). In addition, SFRP2 overexpression significantly promoted mPTP opening (Fig. 2D), and inhibited the activity of the mitochondrial respiratory complex (Fig. 2E-G). Via western blotting (Fig. 2H-K), it was revealed that SFRP2 overexpression significantly increased the expression of proapoptotic proteins (caspase3 and Bax) and decreased the expression of c-IAP compared with the control. Collectively, these findings suggested that overexpression of SFRP2 may activate mitochondrial-dependent apoptotic pathways in A549 cells.

Previous studies reported that mitochondrial fission was involved in mitochondrial dysfunction and preceded apoptosis in various types of cancer cell (15,34). Thus, whether SFRP2 induced A549 cell apoptosis via mitochondrial fission was investigated. As presented in Fig. 3A, numerous mitochondrial fragments were observed in ad-SFRP2 cells, but not in control or ad-ctrl cells. Mdivi1, a mitochondrial fission inhibitor, was used in ad-SFRP2 cells to inhibit mitochondrial fission. Quantification of mitochondrial length revealed similar results (Fig. 3B). Additionally, inhibiting mitochondrial fission significantly increased ATP generation (Fig. 3C) and inhibited mPTP opening in ad-SFRP2 cells (Fig. 3D), and reduced the number of TUNEL-positive cells (Fig. 3E), compared with the control. Thus, these findings indicated that SFPR2 overexpression induced A549 cell mitochondrial dysfunction and apoptosis by activating mitochondrial fission.

The effects of SFRP2 were measured on A549 cell proliferation and metastasis, key determinants of malignant progression and metastasis. Using an EdU assay, it was demonstrated that the number of EdU-positive cells was significantly reduced following SFRP2 overexpression compared with the control (Fig. 4A and B); however, this was reversed by inhibiting mitochondrial fission via the application of Mdivi1. Furthermore, Transwell assays revealed that the migratory and invasive abilities of A549 cells were significantly decreased following SFRP2 overexpression compared with the control, but that this effect was attenuated following mitochondrial fission inhibition (Fig. 4C-E). These findings indicated that SFRP2 inhibited A549 cell proliferation and metastasis by activating mitochondrial fission.

As SFRP2 is an antagonist of the Wnt signaling pathway, whether SFRP2 activated mitochondrial fission via the Wnt signaling was investigated. IWR-1, an inhibitor of Wnt signaling, was applied to A549 cells. Compared with the control group, overexpression of SFRP2 and treatment with IWR-1 significantly reduced the protein levels of β-catenin and c-myc (Fig. 5A-C). To investigate the role of Wnt signaling in mitochondrial fission, the expression of Drp1 was evaluated via western blotting. Overexpression of SFRP2 and IWR-1 significantly upregulated the expression of Drp1 (Fig. 5A and D). Collectively, these findings indicated that SFRP2 regulated mitochondrial fission by inhibiting the Wnt signaling pathway.