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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2016.4928</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-4928</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Deguelin inhibits proliferation and migration of human pancreatic cancer cells <italic>in vitro</italic> targeting hedgehog pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Wen</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Shiliu</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Cai</surname><given-names>Haolei</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Muxing</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Qin</surname><given-names>Wenjie</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Chao</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Yulian</given-names></name>
<xref rid="af1-ol-0-0-4928" ref-type="aff"/>
<xref rid="c1-ol-0-0-4928" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-4928">Department of Surgery, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang 310009, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-4928"><italic>Correspondence to</italic>: Professor Yulian Wu, Department of Surgery, The Second Affiliated Hospital of Zhejiang University, 88 Jiefang Road, Hangzhou, Zhejiang 310009, P.R. China, E-mail: <email>wuyulian@medmail.com.cn</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>08</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>4</issue>
<fpage>2761</fpage>
<lpage>2765</lpage>
<history>
<date date-type="received"><day>19</day><month>12</month><year>2014</year></date>
<date date-type="accepted"><day>11</day><month>02</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<p>Pancreatic cancer (PC) is a highly lethal malignancy with few effective therapies. Deguelin, a natural compound of the flavonoid family of products, has been reported to have an inhibitory effect on various cancers. In the present study, we investigated whether deguelin had antitumor efficacy in PC. Deguelin treatment was observed to inhibit growth and induce apoptosis in two PC cell lines (Bxpc-3 and Panc-1). In addition, it inhibited migration and invasion in these two cell lines. The activation of the hedgehog (Hh) signaling pathway, as well as matrix metalloproteinases (MMP)-2 and MMP-9, was suppressed by deguelin. These results suggest that deguelin may be a potential chemotherapeutic agent for PC, possibly through the suppression of the Hh signaling pathway.</p>
</abstract>
<kwd-group>
<kwd>pancreatic cancer</kwd>
<kwd>deguelin</kwd>
<kwd>hedgehog signaling pathway</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Pancreatic cancer (PC) is one of the most aggressive malignancies, and is ranked as the fourth leading cause of cancer-related mortality in developed countries (<xref rid="b1-ol-0-0-4928" ref-type="bibr">1</xref>,<xref rid="b2-ol-0-0-4928" ref-type="bibr">2</xref>). More than 85&#x0025; of patients have already suffered local infiltration or distant metastasis at the time of initial diagnosis due to the extremely poor early diagnosis rate and highly aggressive behavior of PC (<xref rid="b3-ol-0-0-4928" ref-type="bibr">3</xref>). The overall 5-year survival rate is less than 5&#x0025;. Thus, novel effective therapeutic methods or agents for preventing and controlling this disease are urgently required.</p>
<p>Deguelin is a natural compound of the flavonoid family of products isolated from several plant species, including <italic>Derris trifoliata</italic> Lour and <italic>Mundulea sericea</italic> (Leguminosae) (<xref rid="b4-ol-0-0-4928" ref-type="bibr">4</xref>). Several studies have already demonstrated its excellent potential as an anticarcinogenic and antiproliferative agent against various malignant tumors including gastric, lung and breast carcinoma, by targeting apoptosis, cell cycle arrest and anti-angiogenesis (<xref rid="b5-ol-0-0-4928" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-ol-0-0-4928" ref-type="bibr">7</xref>). Deguelin also exhibits effects of anti-metastasis (<xref rid="b7-ol-0-0-4928" ref-type="bibr">7</xref>,<xref rid="b8-ol-0-0-4928" ref-type="bibr">8</xref>). It inhibits cancers through a number of pathways, including the PI3K-Akt, HIF-1-VEGF, IKK-I&#x03BA;B&#x03B1;-NF-&#x03BA;B, EMT and AMPK-mTOR-survivin pathways (<xref rid="b4-ol-0-0-4928" ref-type="bibr">4</xref>&#x2013;<xref rid="b7-ol-0-0-4928" ref-type="bibr">7</xref>). However, there are few studies on deguelin regulating the hedgehog (Hh) signaling pathway, an essential pathway in tumor growth and metastasis. In addition, the correlation between deguelin and PC has rarely been researched to date.</p>
<p>The Hh signaling pathway transmits information to embryonic cells required for proper development. Mammals have three Hh homologs: Desert (Dhh), Indian (Ihh) and Sonic (Shh), all of which have distinct as well as overlapping roles (<xref rid="b9-ol-0-0-4928" ref-type="bibr">9</xref>&#x2013;<xref rid="b11-ol-0-0-4928" ref-type="bibr">11</xref>). The general organization of the Hh pathway consists of a series of repressive interactions. In the absence of Hh proteins (off-state) as the Hh receptors, Patched 1 (PTCH1), a 12-transmembrane protein, suppresses the otherwise constitutively active signaling receptor Smoothened (<xref rid="b12-ol-0-0-4928" ref-type="bibr">12</xref>&#x2013;<xref rid="b18-ol-0-0-4928" ref-type="bibr">18</xref>). In the off-state, Suppressor of fused (SUFU) suppresses Hh signaling by regulating the localization of the Gli transcription factors (<xref rid="b19-ol-0-0-4928" ref-type="bibr">19</xref>,<xref rid="b20-ol-0-0-4928" ref-type="bibr">20</xref>). Gli1 is an effective activator of protein kinase A and itself. Therefore, Gli1 localization within the nucleus is a biomarker of Hh activity (<xref rid="b21-ol-0-0-4928" ref-type="bibr">21</xref>). Matrix metalloproteinases (MMPs), a family of zinc-dependent endopeptidases, play significant roles in tumor tissue remodeling, and are associated with a number of physiological or pathological processes. MMP-2 and MMP-9 are considered to be particularly significant in metastasis (<xref rid="b22-ol-0-0-4928" ref-type="bibr">22</xref>,<xref rid="b23-ol-0-0-4928" ref-type="bibr">23</xref>). It is well known that the activation of Hh has been implicated in the development of cancers in various sites, including prostatic, gastric, esophageal and ovarian organs (<xref rid="b24-ol-0-0-4928" ref-type="bibr">24</xref>&#x2013;<xref rid="b27-ol-0-0-4928" ref-type="bibr">27</xref>).</p>
<p>In the present study, we further explored the effects of deguelin as a chemotherapeutic agent against human PC cells, and investigated its mechanism.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and reagents</title>
<p>Human PC cell lines Panc-1 and Bxpc-3 were purchased from American Type Culture Collection (ATCC; Rockville, MD, USA). The Panc-1 cells were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (Gibco, Rockville, MD, USA) supplemented with 10&#x0025; fetal bovine serum (FBS), 100 U/ml penicillin G and 100 U/ml streptomycin in a humidified incubator containing 5&#x0025; CO2 in air at 37&#x00B0;C. The Bxpc-3 cells were cultured in RPMI-1640 medium (Gibco) containing supplements as above. Deguelin was purchased from Sigma-Aldrich (St. Louis, MO, USA) and dissolved in dimethyl sulfoxide (DMSO) to make 0.1 mmol/l stock solution and stored at &#x2212;20&#x00B0;C. The final concentration of DMSO was &#x003C;0.1&#x0025;.</p>
</sec>
<sec>
<title>Cell growth inhibition assay</title>
<p>Cell growth-inhibitory curves of 7 days were observed by Cell Counting Kit-8 (CCK-8; Mai Bio, Ltd. Shanghai, China) assay. Briefly, cells were plated at a density of 2&#x00D7;103 cells/well in 96-well microtiter plates. Following treatment, 20 &#x00B5;l CCK-8 solution was added to each well and further incubated for 1&#x2013;3 h. Then absorbance was measured with an absorbance reader (Bio-Tek ELx800, Winooski, VT, USA) at a wavelength of 450 nm.</p>
</sec>
<sec>
<title>Flow cytometric assessment of apoptosis</title>
<p>The Annexin V-FITC apoptosis detection kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) was used for flow cytometric analysis of apoptosis. Cells were treated with deguelin for 48 h on a six-well plate, then 5&#x00D7;105 cells were harvested and washed twice with phosphate-buffered saline, then resuspended in 500 &#x00B5;l binding buffer. Annexin V-FITC (5 &#x00B5;l) and propidium iodide were added to each sample and incubated for 15 min in the dark. The stained cells were analyzed directly by flow cytometry using the CellQuest program (Becton Dickinson, San Jose, CA, USA).</p>
</sec>
<sec>
<title>Wound-healing assay</title>
<p>Cell migration <italic>in vitro</italic> was assessed by wound healing assay. The culture insert (Ibidi, Martinsried, Germany) was placed in a clean and dry six-well plate in advance. Suspended cells (70 &#x00B5;l) were loaded at a density of 6&#x00D7;105/ml. When a confluent layer was formed, medium with 0.5&#x0025; FBS was added the well after the culture insert was removed. Acquired images at 0, 12 and 24 h of follow-up incubation were analyzed online at <uri xlink:href="http://wimasis.com">wimasis.com</uri>.</p>
</sec>
<sec>
<title>Transwell migration assay</title>
<p>Transwell migration assays were performed using polycarbonate membrane Transwell inserts (Corning Incorporated, Corning, NY, USA) with an 8.0-&#x00B5;m pore size and 6.5-mm membrane diameter on 24-well plates. The lower chambers were filled with 600 &#x00B5;l medium (10&#x0025; FBS), and the upper chambers were loaded with cells at a density of 1&#x00D7;105 cells/well) in 200 &#x00B5;l medium (2&#x0025; FBS). Following incubation for 24 h, the membranes were fixed in 4&#x0025; paraformaldehyde for 20 min and stained with hematoxylin and eosin for 10 min, respectively. Cells on the upper surface of the membranes were removed with cotton swabs. Cells adhered to the lower surface were observed under the microscope.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were lysed with RIPA buffer (Sigma-Aldrich) supplemented with a complete protease inhibitor cocktail (Roche, Basel, Switzerland). Following centrifugation at 13,000 &#x00D7; g for 30 min, the supernatant was collected and protein concentration was determined using a bicinchoninic acid protein assay kit (Pierce Biotechnology, Rockford, IL, USA). Protein (40 &#x00B5;g) was separated in 8&#x2013;10&#x0025; sodium dodecyl sulphate-polyacrylamide gel and transferred to polyvinylidene difluoride membranes (Bio-Rad, Hercules, CA, USA). The transblotted membranes were blocked in Tris-buffered saline with Tween-20 (10 mM Tris-HCL pH 7.4, 150 mM NaCl and 0.1&#x0025; Tween-20) with 5&#x0025; skimmed milk for 1.5 h at room temperature, then incubated with primary antibodies overnight at 4&#x00B0;C, followed by horseradish peroxidase-conjugated secondary antibodies. The immunoreactive bands were visualized using enhanced chemiluminescence (Biological Industries, Beit Haemek, Israel) and exposed to X-ray films. All the antibodies were procured from Cell Signaling Technology, Inc. (Danvers, MA, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The results were expressed as the means &#x00B1; standard error. All experiments were performed in triplicate. The one-way ANOVA or two-tailed Student&#x0027;s t-test were used to determine the statistical significance between two unpaired groups. P&#x003C;0.05 was considered to indicate a statistically significant difference. Analyses were performed using SPSS 13.0 statistical software package (SPSS Inc., Chicago, IL, USA).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Deguelin inhibits the growth of PC cells</title>
<p>To assess the effects of deguelin on PC cell growth, Bxpc-3 and Panc-1 cells were treated with deguelin at increasing concentrations (0&#x2013;20 &#x00B5;M) for a week. Deguelin inhibited the growth of the two cell lines in a dose- and time-dependent manner under no interference of the solvent (DMSO; <xref rid="f1-ol-0-0-4928" ref-type="fig">Fig. 1A and B</xref>). These results indicate that deguelin was an effective inhibitor of PC cell proliferation, and Bxpc-3 cells were more sensitive to deguelin compared with Panc-1 cells.</p>
</sec>
<sec>
<title>Deguelin induces apoptosis of PC cells</title>
<p>We subsequently investigated whether deguelin induced apoptosis in PC cells. Flow cytometry revealed that treatment with deguelin for 48 h induced apoptosis in the two cell lines. Exposure to deguelin (5 &#x00B5;M) induced apoptosis by up to 18.1&#x0025; in Bxpc-3 and 15.1&#x0025; in Panc-1 cells. The higher concentration (10 &#x00B5;M) induced more apoptosis (36.1&#x0025; in Bxpc-3, 23.1&#x0025; in Panc-1 cells) (<xref rid="f2-ol-0-0-4928" ref-type="fig">Fig. 2A</xref>). Western blot analysis demonstrated that the expression of two apoptosis-related proteins, cleaved caspase-3 and PARP, significantly increased with the concentration of deguelin (<xref rid="f2-ol-0-0-4928" ref-type="fig">Fig. 2B</xref>). These data suggested that deguelin induces apoptosis through the activation of caspase-3 and the cleavage of PARP.</p>
</sec>
<sec>
<title>Deguelin inhibits migration and invasion of PC cells</title>
<p>To verify whether deguelin inhibits the migration and invasion ability of PC cells, wound healing assay and Transwell cell invasion assay were performed. The data from <uri xlink:href="http://wimasis.com">wimasis.com</uri> demonstrated that the cell-covered area of deguelin-treated cells was smaller than that of untreated cells after 12 and 24 h (<xref rid="f3-ol-0-0-4928" ref-type="fig">Fig. 3A and B</xref>).</p>
<p>The results of the Transwell assay revealed that cell invasion in the deguelin-treated group was notably decreased compared with that in the control group (<xref rid="f3-ol-0-0-4928" ref-type="fig">Fig. 3C and D</xref>). The results suggested that deguelin inhibited the invasion and migration capability of the two PC cell lines.</p>
</sec>
<sec>
<title>Deguelin downregulates MMP-2 and MMP-9 in Bxpc-3 and Panc-1 cells</title>
<p>In order to verify our theory on the mechanism of deguelin influencing PC, the expression levels of MMP-2 and MMP-9 were measured. Bxpc-3 and Panc-1 cells were treated with various concentrations of deguelin for 48 h, and then total protein was extracted for western blot analysis. We noted that the levels of MMP-2 and MMP-9 protein were gradually decreased with the increase in drug concentration (<xref rid="f4-ol-0-0-4928" ref-type="fig">Fig. 4A</xref>). The results revealed that deguelin inhibits metastasis in PC by suppressing the activation of MMP-2 and MMP-9.</p>
</sec>
<sec>
<title>Deguelin inhibits Hh signaling pathway in Bxpc-3 and Panc-1 cells</title>
<p>To further investigate whether deguelin regulates PC through Hh signaling, we sought to examine the protein expression levels of several key members of this pathway. The expression of Gli1 was downregulated by the treatment of deguelin in Bxpc-3 and Panc-1 cells. Conversely, the expression of SUFU was upregulated. PTCH1 and PTCH2 were able to suppress Hh earlier than SUFU, and their levels were increased in line with our expectations. Furthermore, as the ligand located at the starting point of the Hh signaling pathway, Shh is important for the regulation of Hh. The spliceosome of Shh was increased following treatment with deguelin (<xref rid="f4-ol-0-0-4928" ref-type="fig">Fig. 4B</xref>). In sumary, the results regarding the change of ligands in Hh indicated that deguelin inhibited the Hh signaling pathway.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>PC patients are noted to have a rather poor survival rate due to the high aggressiveness and early metastasis of the disease. In recent years, various methods have been used to restrain PC or increase the possibility of surgery. In our study, deguelin demonstrated the potential to inhibit proliferation, induce apoptosis and suppress migration in PC cells.</p>
<p>Deguelin is known to exhibit significant antitumor properties in various types of cancer. However, its mechanisms have not been fully elucidated.</p>
<p>The components of the Shh pathway are highly expressed in PC cell lines (<xref rid="b28-ol-0-0-4928" ref-type="bibr">28</xref>,<xref rid="b29-ol-0-0-4928" ref-type="bibr">29</xref>). Our results revealed that deguelin inhibits PC cells proliferation by suppressing the Hh pathway.</p>
<p>MMPs, in particular MMP-2 and MMP-9, play a crucial role in tumor metastasis and invasion (<xref rid="b23-ol-0-0-4928" ref-type="bibr">23</xref>,<xref rid="b30-ol-0-0-4928" ref-type="bibr">30</xref>,<xref rid="b31-ol-0-0-4928" ref-type="bibr">31</xref>). The expression of MMP-2 and MMP-9 may be regulated by Hh pathways (<xref rid="b32-ol-0-0-4928" ref-type="bibr">32</xref>&#x2013;<xref rid="b34-ol-0-0-4928" ref-type="bibr">34</xref>). Our results demonstrated that deguelin was capable of modulating migration and invasion in PC cells by regulating the expression of MMP-2 and MMP-9. The interference of the Hh pathway may induce the changes in MMP-2 and MMP-9.</p>
<p>In conclusion, the results from the present study confirm that deguelin has the potential to inhibit the growth, migration and invasion in PC by suppressing the Hh signaling pathway. However, further research is necessary in order to obtain further information before these results may be used in the clinic.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the National Natural Science Foundation of China (no. 81301889).</p>
</ack>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>PC</term><def><p>pancreatic cancer</p></def></def-item>
<def-item><term>Hh</term><def><p>hedgehog</p></def></def-item>
</def-list>
</glossary>
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<floats-group>
<fig id="f1-ol-0-0-4928" position="float">
<label>Figure 1.</label>
<caption><p>Deguelin inhibits the proliferation of two pancreatic cancer cell lines. Bxpc-3 and Panc-1 cells were treated with various concentrations of deguelin or solvent (0.1&#x0025; dimethyl sulfoxide) for seven days. The viability was assessed by Cell Counting Kit-8. Deguelin was shown to induce a dose- and time-dependent increase in the cell mortality rate in the two cell lines (&#x002A;P&#x003C;0.04, compared with control groups). DMSO, dimethyl sulfoxide.</p></caption>
<graphic xlink:href="ol-12-04-2761-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-4928" position="float">
<label>Figure 2.</label>
<caption><p>Deguelin induces apoptosis in two pancreatic cancer cell lines. (A) Flow cytometry revealed that the apoptosis rate of pancreatic cancer cells increased when treated with deguelin. (B) The expression of PARP and cleaved caspase-3 was upregulated by deguelin. &#x03B2;-actin served as the internal control.</p></caption>
<graphic xlink:href="ol-12-04-2761-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-4928" position="float">
<label>Figure 3.</label>
<caption><p>Deguelin suppresses migration and invasion of pancreatic cancer cells. Compared with the control, deguelin (10 &#x00B5;M)-treated (A) BXPC-3 and (B) Panc-1 cells exhibited extremely slow wound healing at 12 and 24 h. A smaller cell-covered area was present in deguelin-treated cells compared with untreated cells (&#x002A;P&#x003C;0.05). Fewer (C) BXPC-3 or (D) Panc-1 cells migrated to the lower surface of the Transwell when treated with various concentrations of deguelin for 48 h compared with untreated cells. Images were acquired from an optical microscope (stain, hematoxylin and eosin; magnification, &#x00D7;10).</p></caption>
<graphic xlink:href="ol-12-04-2761-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-4928" position="float">
<label>Figure 4.</label>
<caption><p>(A) Deguelin inhibits the expression of matrix metalloproteinase (MMP)-2 and MMP-9 and the hedgehog signaling pathway in pancreatic cancer (PC) cells. PC cells were treated with various concentrations of deguelin for 48 h. (B) The expression of MMP-2 and MMP-9 was assessed. The expression of the hedgehog signaling pathway was determined following treatment with deguelin for 48 h. &#x03B2;-actin served as the internal control.</p></caption>
<graphic xlink:href="ol-12-04-2761-g03.tif"/>
</fig>
</floats-group>
</article>
