<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<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.2016.5286</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-5286</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Akt-dependent activation of Erk by cyclin D1b contributes to cell invasiveness and tumorigenicity</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Chul Jang</given-names></name>
<xref rid="af1-ol-0-0-5286" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Tambe</surname><given-names>Yukihiro</given-names></name>
<xref rid="af2-ol-0-0-5286" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Mukaisho</surname><given-names>Ken-Ichi</given-names></name>
<xref rid="af3-ol-0-0-5286" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Sugihara</surname><given-names>Hiroyuki</given-names></name>
<xref rid="af3-ol-0-0-5286" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Kawauchi</surname><given-names>Akihiro</given-names></name>
<xref rid="af4-ol-0-0-5286" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Inoue</surname><given-names>Hirokazu</given-names></name>
<xref rid="af2-ol-0-0-5286" ref-type="aff">2</xref>
<xref rid="c1-ol-0-0-5286" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-5286"><label>1</label>Department of Urology, Kohka Public Hospital, Kohka, Shiga 528-0014, Japan</aff>
<aff id="af2-ol-0-0-5286"><label>2</label>Division of Microbiology and Infectious Diseases, Shiga University of Medical Science, Otsu, Shiga 520-2192, Japan</aff>
<aff id="af3-ol-0-0-5286"><label>3</label>Division of Molecular and Diagnostic Pathology, Shiga University of Medical Science, Otsu, Shiga 520-2192, Japan</aff>
<aff id="af4-ol-0-0-5286"><label>4</label>Department of Urology, Shiga University of Medical Science, Otsu, Shiga 520-2192, Japan</aff>
<author-notes>
<corresp id="c1-ol-0-0-5286"><italic>Correspondence to</italic>: Dr Hirokazu Inoue, Division of Microbiology and Infectious Diseases, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga 520-2192, Japan, E-mail: <email>hirokazu@belle.shiga-med.ac.jp</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>10</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>6</issue>
<fpage>4850</fpage>
<lpage>4856</lpage>
<history>
<date date-type="received"><day>09</day><month>05</month><year>2015</year></date>
<date date-type="accepted"><day>27</day><month>09</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<p>A total of two major isoforms, cyclin D1a and cyclin D1b, are generated from the human cyclin D1 gene by alternative splicing. Cyclin D1b is scarcely expressed in normal tissues; however, it is expressed at a high frequency in certain types of cancerous tissue. The present authors previously constructed cyclin D1b transgenic (Tg) mice and identified rectal tumors, including adenocarcinoma and sessile serrated adenoma, in 62.5&#x0025; of female Tg mice. In addition, the present authors indicated that cyclin D1b expression enhances phosphorylation of extracellular signal-regulated kinase (Erk) in these rectal tumors, and in mouse embryonic fibroblast (MEF) cells and human 293T cells. In the present study, it was initially demonstrated that cyclin D1b has the ability to enhance cell invasiveness by itself; it additionally increases cell invasiveness, anchorage-independent growth and tumorigenicity in cooperation with an activated K-ras oncogene in MEF cells. Phosphorylation of Akt was increased in cyclin D1b-expressing MEF cells and in the rectal tumor tissues of cyclin D1b Tg mice. Phosphorylation of Akt was also enhanced by transfection of cyclin D1b, but not cyclin D1a, in human 293T cells. Treatment with an Akt inhibitor suppressed phosphorylation of Erk in 293T cells expressing cyclin D1b and D1bTgRT cells established from rectal cancer of the cyclin D1b Tg mouse. Furthermore, the Akt inhibitor suppressed the invasiveness of D1bTgRT cells and the tumor growth of these cells in nude mice when the Akt inhibitor was injected into the tumors. These results indicate that cyclin D1b activates Erk through Akt, and that activation of Akt contributes to the tumorigenicity of the cyclin D1b Tg mice. Inhibitors targeting the phosphoinositide 3-kinase/Akt signaling pathway are thus expected to have therapeutic potential in a variety of human cancer types expressing cyclin D1b.</p>
</abstract>
<kwd-group>
<kwd>cyclin D1b</kwd>
<kwd>Akt</kwd>
<kwd>extracellular signal-regulated kinase</kwd>
<kwd>rectal tumorigenesis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>A total of two major isoforms of human cyclin D1 are generated via alternative splicing: cyclin D1a and cyclin D1b (<xref rid="b1-ol-0-0-5286" ref-type="bibr">1</xref>). Cyclin D1a mRNA has a coding region of 882 bp within five exons (<xref rid="b1-ol-0-0-5286" ref-type="bibr">1</xref>). The cyclin D1b mRNA lacks exon 5 but has an extended exon 4 due to nonsplicing; within intron 4, there is a translation stop codon (<xref rid="b1-ol-0-0-5286" ref-type="bibr">1</xref>). The cyclin D1b mRNA encodes a 275-amino acid protein. It differs at the C-terminus from the 294-amino acid protein encoded by cyclin D1a mRNA (<xref rid="b1-ol-0-0-5286" ref-type="bibr">1</xref>). Cyclin D1a is expressed ubiquitously and has been shown to control the G1-S transition of the cell cycle (<xref rid="b2-ol-0-0-5286" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-5286" ref-type="bibr">3</xref>). It binds to cyclin-dependent kinase (CDK)4/6 to phosphorylate the retinoblastoma (Rb) protein (<xref rid="b2-ol-0-0-5286" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-5286" ref-type="bibr">3</xref>). Although expression of cyclin D1b is barely detectable in normal tissue, it has been detected in various types of cancer, including bladder cancer, esophageal cancer, colon cancer, B-lymphoid malignancies, breast cancer, and prostate cancer, Ewing&#x0027;s sarcoma and mantle cell lymphoma (<xref rid="b4-ol-0-0-5286" ref-type="bibr">4</xref>). Gene transfer experiments have indicated that cyclin D1b is more oncogenic than cyclin D1a (<xref rid="b5-ol-0-0-5286" ref-type="bibr">5</xref>&#x2013;<xref rid="b8-ol-0-0-5286" ref-type="bibr">8</xref>).</p>
<p>A total of two distinct mRNA transcripts, isoform a and b, were produced by a polymorphism, A870G, located at the splice donor region in the exon-intron 4 boundary (<xref rid="b9-ol-0-0-5286" ref-type="bibr">9</xref>,<xref rid="b10-ol-0-0-5286" ref-type="bibr">10</xref>). The G870 allele generates the well-described cyclin D1a transcript (<xref rid="b9-ol-0-0-5286" ref-type="bibr">9</xref>,<xref rid="b10-ol-0-0-5286" ref-type="bibr">10</xref>). An alternative spliced product, cyclin D1b, results from the A870 allele. This allele hinders splicing and allows for read through into intron 4 and a premature termination of transcription (<xref rid="b9-ol-0-0-5286" ref-type="bibr">9</xref>,<xref rid="b10-ol-0-0-5286" ref-type="bibr">10</xref>). As individuals who are homozygous for G/G continue to produce a cyclin D1b transcript (<xref rid="b9-ol-0-0-5286" ref-type="bibr">9</xref>,<xref rid="b11-ol-0-0-5286" ref-type="bibr">11</xref>), it is difficult to explain the production of the cyclin D1b transcript by the mechanism of polymorphism. Recently, Paronetto <italic>et al</italic> (<xref rid="b12-ol-0-0-5286" ref-type="bibr">12</xref>) showed that the RNA-binding protein Sam68 regulates alternative splicing of cyclin D1.</p>
<p>Previously, it has been demonstrated that ectopic expression of cyclin D1b promotes cell invasiveness and anchorage-independent growth in human bladder cancer cells (<xref rid="b13-ol-0-0-5286" ref-type="bibr">13</xref>). However, the introduced cyclin D1b was not able to associate with CDK4 and enhance Rb phosphorylation (<xref rid="b13-ol-0-0-5286" ref-type="bibr">13</xref>), showing that the function of cyclin D1b is independent of Rb phosphorylation in the enhancement of cell invasiveness and anchorage-independent growth.</p>
<p>The present authors previously constructed cyclin D1b transgenic (Tg) mice to clarify the <italic>in vivo</italic> oncogenic potential of cyclin D1b and observed that rectal tumors developed in 62.5&#x0025; of the female Tg mice (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). All rectal tumors in cyclin D1b Tg mice revealed histological characteristics similar to human sessile serrated adenoma/polyps (SSA/Ps) (<xref rid="b15-ol-0-0-5286" ref-type="bibr">15</xref>&#x2013;<xref rid="b20-ol-0-0-5286" ref-type="bibr">20</xref>). Adenocarcinomas were also detected in 53&#x0025; of these rectal tumors (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). This suggested that these adenocarcinomas arose from the SSA/P-like lesions. No rectal tumors developed in the ovariectomized female cyclin D1b Tg mice, showing that ovarian hormones are critical for rectal carcinogenesis in these Tg mice (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Phosphorylation of extracellular signal-regulated kinase (Erk), without activation of mitogen-activated protein kinase (MAPK)/Erk kinase (MEK), and expression of estrogen receptor (ER)-&#x03B2; were increased in the rectal tumors of female cyclin D1b Tg mice in comparison with normal rectums of female wild-type (WT) mice. Activation of Erk was also observed in mouse embryo fibroblast (MEF) cells ectopically expressing cyclin D1b. Furthermore, a tumor cell line, D1bTgRT, was established from a rectal cancer of a female cyclin D1b Tg mouse (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Knockdown of cyclin D1b by small interfering (si)RNA in this cell line suppressed phosphorylation of Erk, anchorage-independent growth, cell invasiveness and tumorigenicity in nude mice. These results demonstrate that the expression of cyclin D1b has a significant role in female-specific rectal carcinogenesis via Erk activation and expression of ER-&#x03B2; in this mouse model.</p>
<p>In the present study, the effects of cyclin D1b on cell transformation and the mechanism of Erk activation independent of MEK activation in MEF, 293T and D1bTgRT cells were examined and it was observed that cyclin D1b activates Erk through Akt. In addition, the present study investigated the role of Akt activation in the rectal tumorigenesis of cyclin D1b Tg mice and showed that enhanced phosphorylation of Akt by cyclin D1b contributes to rectal tumorigenicity.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Expression plasmids</title>
<p>The cloning of cyclin D1b complementary DNA and construction of the expression plasmids, pCR3.1-cyclin D1b-Flag and pCR3.1-cyclin D1a-Flag, and pCR3.1-cyclin D1-<italic>T286A</italic>-Flag were performed as previously described (<xref rid="b13-ol-0-0-5286" ref-type="bibr">13</xref>).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>A tumor cell line, D1bTgRT, was established from a rectal tumor of a cyclin D1b Tg mouse. D1bTgRT cells were cultured in RPMI-1640 medium (Nacalai Tesque, Inc., Kyoto, Japan) supplemented with 10&#x0025; fetal calf serum (FCS) (Sigma-Aldrich; Merck Millipore, Darmstadt, Germany), penicillin (100 U/ml) and streptomycin (100 &#x00B5;g/ml) in humidified air containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C. MEF cells prepared from the embryos of WT and cyclin D1b Tg mice were immortalized by the large T antigen of Simian vacuolating virus 40 (SV40) (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Furthermore, MEF cells were infected with retrovirus expressing activated <italic>K-ras</italic>, known as pBABEpuro-K-Ras (<xref rid="b21-ol-0-0-5286" ref-type="bibr">21</xref>). 293T cells derived from human embryonic kidney were used for plasmid transfection. These cells were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) (Nacalai Tesque, Inc.) supplemented with 10&#x0025; FCS, penicillin (100 U/ml) and streptomycin (100 &#x00B5;g/ml) in humidified air containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C.</p>
</sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation assay was performed by culturing the cells in 35-mm culture dishes. A total of 2&#x00D7;10<sup>4</sup> of the cells were cultured in triplicate into each dish and incubated at 37&#x00B0;C. Viable cells were trypsinized and counted using a hemocytometer.</p>
</sec>
<sec>
<title>In vitro invasion assay</title>
<p>The <italic>in vitro</italic> cell invasiveness was evaluated by a Matrigel&#x2122; Basement Membrane Matrix Invasion Chamber (chamber size, 6.4 mm; membrane surface area, 0.3 cm<sup>2</sup>; pore size, 8 &#x00B5;m; BD Biosciences, Franklin Lakes, NJ, USA), according to the manufacturer&#x0027;s protocol (<xref rid="b13-ol-0-0-5286" ref-type="bibr">13</xref>). A total of 500 &#x00B5;l of cell suspension (5&#x00D7;10<sup>4</sup> cells/ml) was added to each chamber. The chambers containing the cells were incubated for 4 days in a CO<sub>2</sub> (5&#x0025;) incubator. Noninvasive cells were removed from the upper surface of the membrane. The invasive cells on the underside were stained with Diff-Quik&#x2122; stain (Kokusai-Shiyaku, Kobe, Japan) and counted under a microscope (TMS; Nikon Corporation, Tokyo, Japan). Each cell sample was evaluated in triplicate.</p>
</sec>
<sec>
<title>Soft agar assay</title>
<p>Anchorage-independent growth of the cells was evaluated by colony-forming ability in soft agar (<xref rid="b13-ol-0-0-5286" ref-type="bibr">13</xref>). A total of 10,000 cells were inoculated into a 60-mm dish containing 0.4&#x0025; Noble agar containing DMEM supplemented with 10&#x0025; FCS and incubated at 37&#x00B0;C. The number of colonies (&#x003E;0.15 mm in diameter) on each plate was scored after 3 weeks of incubation. Each assay was performed in triplicate.</p>
</sec>
<sec>
<title>Tumorigenicity in nude mice</title>
<p>Tumorigenicity of the cells was examined by subcutaneous injection of 3&#x00D7;10<sup>6</sup> cells per 0.2 ml PBS (&#x2212;) into 6-week-old BALB/c-nu/nu female nude mice (20 g). The animals were housed in a specific pathogen-free room with controlled temperature (20&#x2013;22&#x00B0;C), humidity (50&#x2013;60&#x0025;) and a pre-set light-dark cycle (12:12 h). They were allowed ad libitum access to food (CE-2; CLEA Japan, Inc., Tokyo, Japan) and water. A total of four weeks subsequent to injection, the tumorigenic potential of the cells was assessed by measuring the weight and volume of tumors. The use of the animals in the experimental protocols was reviewed and approved by the Committee of Research Center for Animal Life Science at Shiga University of Medical Science (Otsu, Japan; approval no. 2014-12-5).</p>
</sec>
<sec>
<title>Transfection</title>
<p>Transfection of plasmid DNA was performed using Lipofectamine&#x2122; PLUS reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA), according to the manufacturer&#x0027;s protocol. Briefly, 5&#x00D7;10<sup>5</sup> cells were inoculated into a 60-mm dish and, upon overnight incubation at 37&#x00B0;C, 2 &#x00B5;g of plasmid DNA was transfected.</p>
</sec>
<sec>
<title>Immunoblotting</title>
<p>Lysates of cells and tissues were prepared by Laemmli-sodium dodecyl sulfate (SDS) buffer containing 62.5 mM Tris-HCl (pH 6.8), 10&#x0025; glycerol, 5&#x0025; 2-mercaptoethanol, 2&#x0025; SDS, 0.01&#x0025; bromophenol blue and 5 mM ethylenediaminetetraacetic acid. Each cell lysate (20 &#x00B5;g of protein) underwent 10 or 12&#x0025; SDS-PAGE, and the proteins were electrotransferred to Immobilon-P membranes (EMD Millipore). Following blocking with TBS-T [10 mM Tris-HCl (pH 7.6), 150 mM sodium chloride and 0.1&#x0025; Tween-20] containing 5&#x0025; bovine serum albumin (BSA) (Nacalai Tesque, Inc.), the membranes were incubated with the primary antibodies diluted 1:1,000 in TBS-T containing 2&#x0025; BSA. Following washes with TBS-T, the membranes were incubated for 1 h at room temperature in horseradish peroxidase-conjugated anti-mouse or or anti-rabbit immunoglobulin G (NA931 and NA934, respectively; GE Healthcare Bio-Sciences, Pittsburgh, PA, USA) diluted 1:20,000 in TBS-T containing 2&#x0025; BSA. Following washing with TBS-T, immunoreactivity was detected by an enhanced chemiluminescence system (GE Healthcare Bio-Sciences) using X-ray films.</p>
</sec>
<sec>
<title>Antibodies</title>
<p>The primary antibodies used for immunoblotting were as follows: Anti-&#x03B1;-tubulin (DM1A) (T9026) and anti-FLAG (M2) (F3165) monoclonal antibodies were obtained from Sigma-Aldrich (Merck Millipore). Anti-phospho Akt (T308 and S473, and D25E6 and D9E) (#13038 and #4060, respectively) rabbit monoclonal, anti-Akt rabbit polyclonal (#9272), anti-phospho Erk1/2 (p44/42 MAPK) rabbit monoclonal (T202/Y204, D13.14.4E) (#9101), anti-Erk1/2 (p44/42 MAPK) rabbit monoclonal (137F5) (#4695), anti-phospho-MEK1/2 rabbit monoclonal (S221, 166F8) (#16211), anti-MEK1/2 rabbit monoclonal (47F6) (#9126) and anti-cyclin D1 rabbit monoclonal (92G2) (#2978) primary antibodies, which were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). Anti-E-cadherin (#610181) and anti-N-cadherin (#13116) monoclonal primary antibodies were purchased from BD Biosciences, and the anti-vimentin (C9) (sc-6260) mouse monoclonal antibody was obtained from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). All antibodies were used at a dilution of 1:1,000.</p>
</sec>
<sec>
<title>In vivo evaluation of tumor growth in nude mice treated by Akt inhibitor injection into tumors</title>
<p>The use of the animals in the experimental protocols was reviewed and approved by the Ethics Committee of the Research Center for Animal Life Science at Shiga University of Medical Science (Otsu, Japan). The right dorsal flank of each 6-week-old BALB/c-nu/nu female nude mouse was injected subcutaneously with 3&#x00D7;10<sup>6</sup> D1bTgRT cells. Following, establishment of palpable tumors (&#x003E;100 mm<sup>3</sup>), external tumor volume was determined on days 0, 7 and 11. A total of six mice carrying palpable tumors were randomized into two groups of three mice each. Each Akt inhibitor at a dose of 25 pmol/mg (calculated tumor weight) or a similar volume of dimethyl sulfoxide (DMSO) was injected into the tumor of each mouse on days 0 and 7. Tumor volume was calculated using the formula: AxBxC/2, where A, B and C represent the diameters of length, height and width, respectively. The volume of injection for a tumor was prepared as 100 &#x00B5;l.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>Using the paired Student&#x0027;s t-test, the present study compared the invasiveness of D1bTgRT cells treated with Akt inhibitor with those treated with DMSO as a control, and the <italic>in vivo</italic> tumorigenicity of D1bTgRT cells treated with Akt inhibitor with those treated with DMSO as a control, in the same nude mouse. P&#x2264;0.05 was considered to indicate a statistically significant difference. All statistical analyses were performed using the R statistical software package, version 2.6.2 (The R Project for Statistical Computing, Vienna, Austria).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Activation of Akt in MEF cells expressing cyclin D1b</title>
<p>To investigate the role of cyclin D1b in cell transformation and the signaling pathway resulting in Erk activation, the present study established WT and cyclin D1b-expressing MEF cell lines, named WT-LT and D1b-LT, respectively, by introducing the large T antigen of SV40 into embryonic fibroblasts derived from WT and cyclin D1b-Tg mouse. Significant differences were not observed between WT-LT and D1b-LT cells in terms of cell proliferation (<xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1A and B</xref>). However, D1b-LT cells had a slightly more spindle-shaped appearance compared with WT-LT cells. Subsequently, to investigate whether the expression of cyclin D1b elevates the sensitivity to <italic>in vitro</italic> cell transformation, an activated <italic>K-ras</italic> oncogene was introduced into the cell lines using the retrovirus vector pBABE-puro and established vector and <italic>K-ras</italic>-expressing WT-LT and D1b-LT cell lines, named WT-LT/BP, WT-LT/<italic>K-ras</italic>, D1b-LT/BP and D1b-LT/<italic>K-ras</italic>. The morphology of D1b-LT/<italic>K-ras</italic> cells was significantly altered, although the morphology of the WT-LT/<italic>K-ras</italic> cells was also transformed into a more spindle-like appearance, as compared with D1b-LT cells (<xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1A</xref>). The proliferation of D1b-LT/<italic>K-ras</italic> cells was increased compared with any of the other cells (<xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1B</xref>). The present study subsequently investigated the anchorage-independent growth of these cells; as shown in <xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1C</xref>, D1b-LT/<italic>K-ras</italic> cells produced a large number of colonies in soft agar, whereas WT-LT/BP cells scarcely produced any colonies and WT-LT/<italic>K-ras</italic> and D1b-LT/BP cells slightly produced colonies. The present study also investigated the tumorigenicity of these cells in nude mice. As shown in <xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1D</xref>, although WT-LT/<italic>K-ras</italic> and D1b-LT/<italic>K-ras</italic> cells demonstrated tumorigenicity in nude mice, the tumor volumes of the D1b-LT/<italic>K-ras</italic> cells were significantly increased compared with that of the WT-LT/<italic>K-ras</italic> cells (P=0.039). Neither WT-LT/BP nor D1b-LT/BP cells produced tumors in nude mice. WT-LT/<italic>K-ras</italic> and D1b-LT/BP cells showed a more invasive phenotype compared with WT-LT cells in the Matrigel assay, and expression of cyclin D1b and <italic>K-ras</italic> synergistically enhanced cell invasiveness (<xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1E</xref>). These results indicate that cyclin D1b by itself has weak transformation activity, and cyclin D1b-expressing MEF cells are more sensitive to transformation by the activated <italic>K-ras</italic> oncogene than WT MEF cells, suggesting that cyclin D1b cooperates with activated <italic>K-ras</italic> to transform MEF cells.</p>
<p>As cyclin D1b enhanced cell invasiveness, the present study investigated alterations to the expression of proteins involved in the epithelial-to-mesenchymal transition and Akt phosphorylation by immunoblot analyses with specific antibodies. As shown in <xref rid="f2-ol-0-0-5286" ref-type="fig">Fig. 2A</xref>, expression of E-cadherin was downregulated in WT-LT/<italic>K-ras</italic> and D1b-LT/BP cells compared with that in WT-LT/BP cells; its expression was completely lost in D1b-LT/<italic>K-ras</italic> cells. This result is compatible with the morphological alterations observed in transformed MEF cells (<xref rid="f1-ol-0-0-5286" ref-type="fig">Fig. 1A</xref>). The levels of N-cadherin and vimentin were similar in all cell lines. Phosphorylation of Akt (T308 and S473 residues) was enhanced in WT-LT/<italic>K-ras</italic>, D1b-LT/BP and D1b/<italic>K-ras</italic> cells when compared with WT-LT/BP cells. The levels of total Akt and &#x03B1;-tubulin protein were similar in all cell lines. These results indicate that cyclin D1b is able to suppress E-cadherin expression and to activate Akt in MEF cells. To clarify whether Akt activation is necessary for an increase of cell invasiveness by cyclin D1b, a Matrigel invasion assay of WT-LT and D1b-LT MEF cells treated with an Akt inhibitor (25 &#x00B5;M) was performed. As shown in <xref rid="f2-ol-0-0-5286" ref-type="fig">Fig. 2B</xref>, the Akt inhibitor significantly suppressed the invasiveness of D1b-LT MEF cells (P=0.0116), but not of WT-LT MEF cells (P=0.9947), indicating that Akt activation has a significant role for the enhancement of cell invasiveness in cyclin D1b-expressing MEF cells.</p>
</sec>
<sec>
<title>Akt activation in rectal tumors of cyclin D1b Tg mice and cyclin D1b-expressing 293T cells</title>
<p>To clarify the role of Akt in the rectal tumorigenicity of cyclin D1b Tg mice, the present study examined the phosphorylation of Akt in normal rectum and rectal tumors (SSA/Ps and adenocarcinomas) of cyclin D1b Tg mice. As shown in <xref rid="f3-ol-0-0-5286" ref-type="fig">Fig. 3A</xref>, phosphorylation of Akt was increased in rectal tumors as compared with normal rectal tissue. As previously reported, Erk was also activated in rectal tumors without activation of MEK (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Although the present study also examined the expression of E-cadherin in normal rectum and rectal tumors, alteration of its expression was not observed in the rectal tumors of these Tg mice (<xref rid="f3-ol-0-0-5286" ref-type="fig">Fig. 3B</xref>). The present study also investigated Akt activation in 293T cells transfected with cyclin D1b, cyclin D1a and cyclin D1-T286A. Cyclin D1-T286A is a mutant of cyclin D1a, in which threonine-286 (T286), the site of glycogen synthase kinase-3&#x03B2; phosphorylation that is required to enhance both the nuclear export of cyclin D1 and its turnover, is replaced with alanine (<xref rid="b22-ol-0-0-5286" ref-type="bibr">22</xref>). The mutation of T286 to a nonphosphorylatable residue promotes a constitutively nuclear localization of the cyclin D1a protein, with enhanced oncogenic potential (<xref rid="b23-ol-0-0-5286" ref-type="bibr">23</xref>). As shown in <xref rid="f3-ol-0-0-5286" ref-type="fig">Fig. 3C</xref>, increased expression of cyclin D1b and cyclin D1-T286A by transfection accelerated the phosphorylation of Akt, suggesting that nuclear localization of these cyclin D1 proteins is critical for Akt activation. The present authors have previously reported that expression of cyclin D1b increases Erk phosphorylation without activating MEK in 293T cells (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). To clarify whether activation of Erk by cyclin D1b is mediated through Akt activation, the present study investigated the effects of an Akt inhibitor on Erk activation by cyclin D1b in 293T cells. As shown in <xref rid="f3-ol-0-0-5286" ref-type="fig">Fig. 3D</xref>, treatment with an Akt inhibitor suppressed the enhanced phosphorylation of Erk and Akt in 293T cells expressing cyclin D1b. The present study also investigated the effects of the Akt inhibitor on Erk activity in D1bTgRT cells from a rectal tumor of the cyclin D1b Tg mouse. As shown in <xref rid="f3-ol-0-0-5286" ref-type="fig">Fig. 3E</xref>, treatment of the Akt inhibitor suppressed phosphorylation of Erk and Akt in D1bTgRT cells. These results show that cyclin D1b activates Erk via Akt to contribute to tumor formation.</p>
</sec>
<sec>
<title>Effect of Akt inhibitor on cell invasiveness and tumorigenicity of D1bTgRT cells</title>
<p>To clarify the role of Akt in the cell invasiveness of rectal tumor cells expressing cyclin D1b, the present study examined the effect of an Akt inhibitor on the cell invasiveness of D1bTgRT cells. As shown in <xref rid="f4-ol-0-0-5286" ref-type="fig">Fig. 4A</xref>, treatment with the Akt inhibitor (25 &#x00B5;M) significantly reduced the cell invasiveness of D1bTgRT cells (P=0.0007). Furthermore, the present study examined the effect of Akt inhibition on tumor growth in nude mice. As shown in <xref rid="f4-ol-0-0-5286" ref-type="fig">Fig. 4B</xref>, the tumor growth of D1bTgRT cells was significantly decreased by Akt inhibitor treatments (P=0.0425). These results indicate that enhanced phosphorylation of Akt by cyclin D1b contributes to cell invasiveness and tumor formation of the rectal tumor cell line, D1bTgRT.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, it was initially demonstrated that cyclin D1b has the ability to enhance cell invasiveness by itself; it is also able to increase cell invasiveness, anchorage-independent growth and tumorigenicity in cooperation with an activated <italic>K-ras</italic> oncogene in MEF cells. These results are consistent with the <italic>in vivo</italic> activity of cyclin D1b that leads to rectal tumorigenesis in the cyclin D1b-Tg mouse (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). The present study also observed that phosphorylation of Akt increased in cyclin D1b-expressing MEF cells. Phosphorylation of Akt was also enhanced in the rectal tumor tissues of the cyclin D1b Tg mice. Furthermore, Akt was also activated by transfection of cyclin D1b, but not cyclin D1a, in human 293T cells. These results suggest that Akt activation is correlated with Erk activation, as previously described (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Treatment with an Akt inhibitor suppresses activation of Erk in 293T cells expressing cyclin D1b. Furthermore, the Akt inhibitor also suppresses activation of Erk and the cell invasiveness and tumorigenicity of D1bTgRT cells derived from a rectal tumor of the cyclin D1b Tg mouse. These results show that cyclin D1b activates Erk via Akt and suggest that activation of Akt contributes to the tumorigenicity induced by cyclin D1b.</p>
<p>The present authors previously constructed cyclin D1b Tg mice and observed that rectal tumors, including SSA and adenocarcinoma, were generated at a high frequency (60&#x0025;) in the female Tg mice (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). It was additionally observed that the phosphorylation of Erk was enhanced without activation of MEK and hotspot mutations of <italic>K-ras</italic> and <italic>B-raf</italic> in the rectal tumors from the Tg mice and in MEF cells expressing cyclin D1b (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). siRNA-induced cyclin D1b knockdown in D1bTgRT cells reduced phosphorylation of Erk and the malignant phenotypes, including anchorage-independent growth, cell invasiveness and tumorigenicity, indicating that Erk activation by cyclin D1b is critical for tumor formation (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). Furthermore, the transient expression of cyclin D1b enhanced phosphorylation of Erk without activation of MEK in 293T cells (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). However, in this previous study, it was not possibly to clarify how cyclin D1b activates Erk without the activation of upstream signal pathway elements, including MEK, B-Raf and K-Ras (<xref rid="b14-ol-0-0-5286" ref-type="bibr">14</xref>). As activation of Akt by cyclin D1b was observed in MEF cells, the present study focused on the role of Akt in Erk activation via a MEK-independent signaling pathway by cyclin D1b and demonstrated this in rectal tumors of cyclin D1b Tg mice, in a tumor cell line, D1bTgRT, derived from a rectal tumor in a Tg mouse, and in cyclin D1b-expressing 293T cells. Previously, Aksamitiene <italic>et al</italic> (<xref rid="b24-ol-0-0-5286" ref-type="bibr">24</xref>) have demonstrated that phosphoinositide 3-kinase (PI3K)/Akt activates Erk via T-lymphokine-activated killer cell-originated protein kinase or an unidentified kinase downstream of the EGF receptor in breast cancer. Akt is known to associate with a variety of substrate and nonsubstrate proteins that regulate its kinase activity (<xref rid="b25-ol-0-0-5286" ref-type="bibr">25</xref>). It is possible that cyclin D1b binds to Akt or one of its regulating molecules to regulate Akt activity. Although the present authors attempted to detect the binding of Akt, PI3K and 3-phosphoinositide dependent protein kinase-1 with cyclin D1b in 293T cells expressing cyclin D1b, it was not possible to demonstrate the binding of these proteins under the present experimental conditions. As cyclin D1b protein is predominantly localized in the nucleus, this protein may activate the PI3K/Akt signaling pathway in an indirect manner through transcriptional regulation of Akt-activating proteins. A constitutively nuclear cyclin D1a mutant protein, cyclin D1-T286A, also accelerates phosphorylation of Akt, supporting this idea. Through whichever mechanism, Akt is considered to have a significant role in Erk activation and the tumorigenicity of cyclin D1b, although further investigation is required for the identification of the direct target protein(s) of cyclin D1b and the clarification of the molecular mechanism(s) of Akt activation by cyclin D1b.</p>
<p>In addition to the Erk signaling pathway, which is predominantly involved in regulation of cell proliferation, PI3K/Akt signaling has diverse functions, including suppression of apoptosis, cell survival, cell growth and regulation of cell metabolism, and has been shown to have a role in the progression of cancer (<xref rid="b26-ol-0-0-5286" ref-type="bibr">26</xref>&#x2013;<xref rid="b28-ol-0-0-5286" ref-type="bibr">28</xref>). In numerous types of human cancer, including bladder cancer, esophageal cancer, colorectal cancer, B-lymphoid malignancies, breast cancer and prostate cancer (<xref rid="b4-ol-0-0-5286" ref-type="bibr">4</xref>), all of which have been shown to express the cyclin D1b variant, inhibitors targeting this signaling pathway are expected to have therapeutic potential.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Mrs. Akiyo Ushio (Division of Microbiology and Infectious Diseases, Shiga University of Medical Science, Otsu, Japan) for her technical assistance with experiments. The study was supported by the Japan Society for the Promotion of Science KAKENHI (Grants-in-aid for Scientific Research) (grant nos. 19591843 and 24590480).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-ol-0-0-5286"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Knudsen</surname><given-names>KE</given-names></name><name><surname>Diehl</surname><given-names>JA</given-names></name><name><surname>Haiman</surname><given-names>CA</given-names></name><name><surname>Knudsen</surname><given-names>ES</given-names></name></person-group><article-title>Cyclin D1: Polymorphism, aberrant splicing and cancer risk</article-title><source>Oncogene</source><volume>25</volume><fpage>1620</fpage><lpage>1628</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/sj.onc.1209371</pub-id><pub-id pub-id-type="pmid">16550162</pub-id></element-citation></ref>
<ref id="b2-ol-0-0-5286"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sherr</surname><given-names>CJ</given-names></name></person-group><article-title>D-type cyclins</article-title><source>Trends Biochem Sci</source><volume>20</volume><fpage>187</fpage><lpage>190</lpage><year>1995</year><pub-id pub-id-type="doi">10.1016/S0968-0004(00)89005-2</pub-id><pub-id pub-id-type="pmid">7610482</pub-id></element-citation></ref>
<ref id="b3-ol-0-0-5286"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lukas</surname><given-names>J</given-names></name><name><surname>Parry</surname><given-names>D</given-names></name><name><surname>Aagaard</surname><given-names>L</given-names></name><name><surname>Mann</surname><given-names>DJ</given-names></name><name><surname>Bartkova</surname><given-names>J</given-names></name><name><surname>Strauss</surname><given-names>M</given-names></name><name><surname>Peters</surname><given-names>G</given-names></name><name><surname>Bartek</surname><given-names>J</given-names></name></person-group><article-title>Retinoblastoma-protein-dependent cell-cycle inhibition by tumour suppressor p16</article-title><source>Nature</source><volume>375</volume><fpage>503</fpage><lpage>506</lpage><year>1995</year><pub-id pub-id-type="doi">10.1038/375503a0</pub-id><pub-id pub-id-type="pmid">7777060</pub-id></element-citation></ref>
<ref id="b4-ol-0-0-5286"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Musgrove</surname><given-names>EA</given-names></name><name><surname>Caldon</surname><given-names>CE</given-names></name><name><surname>Barraclough</surname><given-names>J</given-names></name><name><surname>Stone</surname><given-names>A</given-names></name><name><surname>Sutherland</surname><given-names>RL</given-names></name></person-group><article-title>Cyclin D as a therapeutic target in cancer</article-title><source>Nat Rev Cancer</source><volume>11</volume><fpage>558</fpage><lpage>572</lpage><year>2011</year><pub-id pub-id-type="doi">10.1038/nrc3090</pub-id><pub-id pub-id-type="pmid">21734724</pub-id></element-citation></ref>
<ref id="b5-ol-0-0-5286"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hosokawa</surname><given-names>Y</given-names></name><name><surname>Gadd</surname><given-names>M</given-names></name><name><surname>Smith</surname><given-names>AP</given-names></name><name><surname>Koerner</surname><given-names>FC</given-names></name><name><surname>Schmidt</surname><given-names>EV</given-names></name><name><surname>Arnold</surname><given-names>A</given-names></name></person-group><article-title>Cyclin D1 (PRAD1) alternative transcript b: Full-length cDNA cloning and expression in breast cancers</article-title><source>Cancer Lett</source><volume>113</volume><fpage>123</fpage><lpage>130</lpage><year>1997</year><pub-id pub-id-type="doi">10.1016/S0304-3835(97)04605-3</pub-id><pub-id pub-id-type="pmid">9065811</pub-id></element-citation></ref>
<ref id="b6-ol-0-0-5286"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>F</given-names></name><name><surname>Gladden</surname><given-names>AB</given-names></name><name><surname>Diehl</surname><given-names>JA</given-names></name></person-group><article-title>An alternatively spliced cyclin D1 isoform, cyclin D1b, is a nuclear oncogene</article-title><source>Cancer Res</source><volume>63</volume><fpage>7056</fpage><lpage>7061</lpage><year>2003</year><pub-id pub-id-type="pmid">14612495</pub-id></element-citation></ref>
<ref id="b7-ol-0-0-5286"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Solomon</surname><given-names>DA</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Fox</surname><given-names>SR</given-names></name><name><surname>Lambeck</surname><given-names>TC</given-names></name><name><surname>Giesting</surname><given-names>S</given-names></name><name><surname>Lan</surname><given-names>Z</given-names></name><name><surname>Senderowicz</surname><given-names>AM</given-names></name><name><surname>Conti</surname><given-names>CJ</given-names></name><name><surname>Knudsen</surname><given-names>ES</given-names></name></person-group><article-title>Cyclin D1 splice variants. Differential effects on localization, RB phosphorylation, and cellular transformation</article-title><source>J Biol Chem</source><volume>278</volume><fpage>30339</fpage><lpage>30347</lpage><year>2003</year><pub-id pub-id-type="doi">10.1074/jbc.M303969200</pub-id><pub-id pub-id-type="pmid">12746453</pub-id></element-citation></ref>
<ref id="b8-ol-0-0-5286"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Burd</surname><given-names>CJ</given-names></name><name><surname>Petre</surname><given-names>CE</given-names></name><name><surname>Morey</surname><given-names>LM</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Revelo</surname><given-names>MP</given-names></name><name><surname>Haiman</surname><given-names>CA</given-names></name><name><surname>Lu</surname><given-names>S</given-names></name><name><surname>Fenoglio-Preiser</surname><given-names>CM</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Knudsen</surname><given-names>ES</given-names></name><etal/></person-group><article-title>Cyclin D1b variant influences prostate cancer growth through aberrant androgen receptor regulation</article-title><source>Proc Natl Acad Sci USA</source><volume>103</volume><fpage>2190</fpage><lpage>2195</lpage><year>2006</year><pub-id pub-id-type="doi">10.1073/pnas.0506281103</pub-id><pub-id pub-id-type="pmid">16461912</pub-id></element-citation></ref>
<ref id="b9-ol-0-0-5286"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Holley</surname><given-names>SL</given-names></name><name><surname>Parkes</surname><given-names>G</given-names></name><name><surname>Matthias</surname><given-names>C</given-names></name><name><surname>Bockm&#x00FC;hl</surname><given-names>U</given-names></name><name><surname>Jahnke</surname><given-names>V</given-names></name><name><surname>Leder</surname><given-names>K</given-names></name><name><surname>Strange</surname><given-names>RC</given-names></name><name><surname>Fryer</surname><given-names>AA</given-names></name><name><surname>Hoban</surname><given-names>PR</given-names></name></person-group><article-title>Cyclin D1 polymorphism and expression in patients with squamous cell carcinoma of the head and neck</article-title><source>Am J Pathol</source><volume>159</volume><fpage>1917</fpage><lpage>1924</lpage><year>2001</year><pub-id pub-id-type="doi">10.1016/S0002-9440(10)63038-6</pub-id><pub-id pub-id-type="pmid">11696452</pub-id></element-citation></ref>
<ref id="b10-ol-0-0-5286"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Howe</surname><given-names>D</given-names></name><name><surname>Lynas</surname><given-names>C</given-names></name></person-group><article-title>The cyclin D1 alternative transcripts[a] and [b] are expressed in normal and malignant lymphocytes and their relative levels are influenced by the polymorphism at codon 241</article-title><source>Haematologica</source><volume>86</volume><fpage>563</fpage><lpage>569</lpage><year>2001</year><pub-id pub-id-type="pmid">11418364</pub-id></element-citation></ref>
<ref id="b11-ol-0-0-5286"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bala</surname><given-names>S</given-names></name><name><surname>Peltom&#x00E4;ki</surname><given-names>P</given-names></name></person-group><article-title>Cyclin D1 as a genetic modifier in hereditary nonpolyposis colorectal cancer</article-title><source>Cancer Res</source><volume>61</volume><fpage>6042</fpage><lpage>6045</lpage><year>2001</year><pub-id pub-id-type="pmid">11507050</pub-id></element-citation></ref>
<ref id="b12-ol-0-0-5286"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Paronetto</surname><given-names>MP</given-names></name><name><surname>Cappellari</surname><given-names>M</given-names></name><name><surname>Bus&#x00E0;</surname><given-names>R</given-names></name><name><surname>Pedrotti</surname><given-names>S</given-names></name><name><surname>Vitali</surname><given-names>R</given-names></name><name><surname>Comstock</surname><given-names>C</given-names></name><name><surname>Hyslop</surname><given-names>T</given-names></name><name><surname>Knudsen</surname><given-names>KE</given-names></name><name><surname>Sette</surname><given-names>C</given-names></name></person-group><article-title>Alternative splicing of the cyclin D1 proto-oncogene is regulated by the RNA-binding protein Sam68</article-title><source>Cancer Res</source><volume>70</volume><fpage>229</fpage><lpage>239</lpage><year>2010</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-09-2788</pub-id><pub-id pub-id-type="pmid">20028857</pub-id></element-citation></ref>
<ref id="b13-ol-0-0-5286"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Nishi</surname><given-names>K</given-names></name><name><surname>Isono</surname><given-names>T</given-names></name><name><surname>Okuyama</surname><given-names>Y</given-names></name><name><surname>Tambe</surname><given-names>Y</given-names></name><name><surname>Okada</surname><given-names>Y</given-names></name><name><surname>Inoue</surname><given-names>H</given-names></name></person-group><article-title>Cyclin D1b variant promotes cell invasiveness independent of binding to CDK4 in human bladder cancer cells</article-title><source>Mol Carcinog</source><volume>48</volume><fpage>953</fpage><lpage>964</lpage><year>2009</year><pub-id pub-id-type="doi">10.1002/mc.20547</pub-id><pub-id pub-id-type="pmid">19415719</pub-id></element-citation></ref>
<ref id="b14-ol-0-0-5286"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Tambe</surname><given-names>Y</given-names></name><name><surname>Munkaisho</surname><given-names>K</given-names></name><name><surname>Sugihara</surname><given-names>H</given-names></name><name><surname>Isono</surname><given-names>T</given-names></name><name><surname>Sonoda</surname><given-names>H</given-names></name><name><surname>Shimizu</surname><given-names>T</given-names></name><name><surname>Kondoh</surname><given-names>G</given-names></name><name><surname>Inoue</surname><given-names>H</given-names></name></person-group><article-title>Female-specific rectal carcinogenesis in cyclin D1b transgenic mice</article-title><source>Carcinogenesis</source><volume>35</volume><fpage>227</fpage><lpage>236</lpage><year>2014</year><pub-id pub-id-type="doi">10.1093/carcin/bgt293</pub-id><pub-id pub-id-type="pmid">23975835</pub-id></element-citation></ref>
<ref id="b15-ol-0-0-5286"><label>15</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Snover</surname><given-names>DC</given-names></name><name><surname>Ahnen</surname><given-names>D</given-names></name><name><surname>Burt</surname><given-names>R</given-names></name><name><surname>Odze</surname><given-names>RD</given-names></name></person-group><chapter-title>Serrated polyps of the colon and rectum and serrated polyposis</chapter-title><source>WHO classification of tumors of the digestive system</source><person-group person-group-type="editor"><name><surname>Bozman</surname><given-names>FT</given-names></name><name><surname>Carneiro</surname><given-names>F</given-names></name><name><surname>Hruban</surname><given-names>RH</given-names></name><name><surname>Theise</surname><given-names>ND</given-names></name></person-group><edition>4th</edition><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Berlin, Germany</publisher-loc><fpage>160</fpage><lpage>165</lpage><year>2010</year></element-citation></ref>
<ref id="b16-ol-0-0-5286"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Snover</surname><given-names>DC</given-names></name><name><surname>Jass</surname><given-names>JR</given-names></name><name><surname>Fenoglio-Preiser</surname><given-names>C</given-names></name><name><surname>Batts</surname><given-names>KP</given-names></name></person-group><article-title>Serrated polyps of the large intestine: A morphologic and molecular review of an evolving concept</article-title><source>Am J Clin Pathol</source><volume>124</volume><fpage>380</fpage><lpage>391</lpage><year>2005</year><pub-id pub-id-type="doi">10.1309/V2EPTPLJRB3FGHJL</pub-id><pub-id pub-id-type="pmid">16191506</pub-id></element-citation></ref>
<ref id="b17-ol-0-0-5286"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>East</surname><given-names>JE</given-names></name><name><surname>Saunders</surname><given-names>BP</given-names></name><name><surname>Jass</surname><given-names>JR</given-names></name></person-group><article-title>Sporadic and syndromic hyperplastic polyps and serrated adenomas of the colon: Classification, molecular genetics, natural history, and clinical management</article-title><source>Gastroenterol Clin North Am</source><volume>37</volume><fpage>25</fpage><lpage>46</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.gtc.2007.12.014</pub-id><pub-id pub-id-type="pmid">18313538</pub-id></element-citation></ref>
<ref id="b18-ol-0-0-5286"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leggett</surname><given-names>B</given-names></name><name><surname>Whitehall</surname><given-names>V</given-names></name></person-group><article-title>Role of the serrated pathway in colorectal cancer pathogenesis</article-title><source>Gastroenterology</source><volume>138</volume><fpage>2088</fpage><lpage>2100</lpage><year>2010</year><pub-id pub-id-type="doi">10.1053/j.gastro.2009.12.066</pub-id><pub-id pub-id-type="pmid">20420948</pub-id></element-citation></ref>
<ref id="b19-ol-0-0-5286"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Snover</surname><given-names>DC</given-names></name></person-group><article-title>Update on the serrated pathway to colorectal carcinoma</article-title><source>Hum Pathol</source><volume>42</volume><fpage>1</fpage><lpage>10</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.humpath.2010.06.002</pub-id><pub-id pub-id-type="pmid">20869746</pub-id></element-citation></ref>
<ref id="b20-ol-0-0-5286"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rex</surname><given-names>DK</given-names></name><name><surname>Ahnen</surname><given-names>DJ</given-names></name><name><surname>Baron</surname><given-names>JA</given-names></name><name><surname>Batts</surname><given-names>KP</given-names></name><name><surname>Burke</surname><given-names>CA</given-names></name><name><surname>Burt</surname><given-names>RW</given-names></name><name><surname>Goldblum</surname><given-names>JR</given-names></name><name><surname>Guillem</surname><given-names>JG</given-names></name><name><surname>Kahi</surname><given-names>CJ</given-names></name><name><surname>Kalady</surname><given-names>MF</given-names></name><etal/></person-group><article-title>Serrated lesions of the colorectum: Review and recommendations from an expert panel</article-title><source>Am J Gastroenterol</source><volume>107</volume><fpage>1315</fpage><lpage>1329</lpage><comment>quiz 1314, 1330</comment><year>2012</year><pub-id pub-id-type="doi">10.1038/ajg.2012.161</pub-id><pub-id pub-id-type="pmid">22710576</pub-id></element-citation></ref>
<ref id="b21-ol-0-0-5286"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tambe</surname><given-names>Y</given-names></name><name><surname>Hasebe</surname><given-names>M</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Yamamoto</surname><given-names>A</given-names></name><name><surname>Inoue</surname><given-names>H</given-names></name></person-group><article-title>The drs tumor suppressor regulates glucose metabolism via lactate dehydrogenase-B</article-title><source>Mol Carcinog</source><volume>55</volume><fpage>52</fpage><lpage>63</lpage><year>2016</year><pub-id pub-id-type="doi">10.1002/mc.22258</pub-id><pub-id pub-id-type="pmid">25620379</pub-id></element-citation></ref>
<ref id="b22-ol-0-0-5286"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alt</surname><given-names>JR</given-names></name><name><surname>Cleveland</surname><given-names>JL</given-names></name><name><surname>Hannink</surname><given-names>M</given-names></name><name><surname>Diehl</surname><given-names>JA</given-names></name></person-group><article-title>Phosphorylation-dependent regulation of cyclin D1 nuclear export and cyclin D1-dependent cellular transformation</article-title><source>Genes Dev</source><volume>14</volume><fpage>3102</fpage><lpage>3114</lpage><year>2000</year><pub-id pub-id-type="doi">10.1101/gad.854900</pub-id><pub-id pub-id-type="pmid">11124803</pub-id></element-citation></ref>
<ref id="b23-ol-0-0-5286"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Diehl</surname><given-names>JA</given-names></name><name><surname>Cheng</surname><given-names>M</given-names></name><name><surname>Roussel</surname><given-names>MF</given-names></name><name><surname>Sherr</surname><given-names>CJ</given-names></name></person-group><article-title>Glycogen synthase kinase-3beta regulates cyclin D1 proteolysis and subcellular localization</article-title><source>Genes Dev</source><volume>12</volume><fpage>3499</fpage><lpage>3511</lpage><year>1998</year><pub-id pub-id-type="doi">10.1101/gad.12.22.3499</pub-id><pub-id pub-id-type="pmid">9832503</pub-id></element-citation></ref>
<ref id="b24-ol-0-0-5286"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aksamitiene</surname><given-names>E</given-names></name><name><surname>Kholodenko</surname><given-names>BN</given-names></name><name><surname>Kolch</surname><given-names>W</given-names></name><name><surname>Hoek</surname><given-names>JB</given-names></name><name><surname>Kiyatkin</surname><given-names>A</given-names></name></person-group><article-title>PI3K/Akt-sensitive MEK-independent compensatory circuit of ERK activation in ER-positive PI3K-mutant T47D breast cancer cells</article-title><source>Cell Signal</source><volume>22</volume><fpage>1369</fpage><lpage>1378</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.cellsig.2010.05.006</pub-id><pub-id pub-id-type="pmid">20471474</pub-id></element-citation></ref>
<ref id="b25-ol-0-0-5286"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brazil</surname><given-names>DP</given-names></name><name><surname>Park</surname><given-names>J</given-names></name><name><surname>Hemming</surname><given-names>BA</given-names></name></person-group><article-title>PKB binding proteins. Getting in on the Akt</article-title><source>Cell</source><volume>111</volume><fpage>293</fpage><lpage>303</lpage><year>2002</year><pub-id pub-id-type="doi">10.1016/S0092-8674(02)01083-8</pub-id><pub-id pub-id-type="pmid">12419241</pub-id></element-citation></ref>
<ref id="b26-ol-0-0-5286"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vivanco</surname><given-names>I</given-names></name><name><surname>Sawyers</surname><given-names>CL</given-names></name></person-group><article-title>The phosphatidylinositol 3-kinase-Akt pathway in human cancer</article-title><source>Nat Rev Cancer</source><volume>2</volume><fpage>489</fpage><lpage>501</lpage><year>2002</year><pub-id pub-id-type="doi">10.1038/nrc839</pub-id><pub-id pub-id-type="pmid">12094235</pub-id></element-citation></ref>
<ref id="b27-ol-0-0-5286"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Downward</surname><given-names>J</given-names></name></person-group><article-title>Targeting Ras signaling pathways in cancer therapy</article-title><source>Nat Rev Cancer</source><volume>3</volume><fpage>11</fpage><lpage>22</lpage><year>2003</year><pub-id pub-id-type="doi">10.1038/nrc969</pub-id><pub-id pub-id-type="pmid">12509763</pub-id></element-citation></ref>
<ref id="b28-ol-0-0-5286"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Engelman</surname><given-names>JA</given-names></name></person-group><article-title>Targeting PI3K signaling in cancer: Opportunities, challenges and limitations</article-title><source>Nat Rev Cancer</source><volume>9</volume><fpage>550</fpage><lpage>562</lpage><year>2009</year><pub-id pub-id-type="doi">10.1038/nrc2664</pub-id><pub-id pub-id-type="pmid">19629070</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ol-0-0-5286" position="float">
<label>Figure 1.</label>
<caption><p>Cooperation of cyclin D1b with activated <italic>K-ras</italic> in the transformation and tumorigenicity of mouse embryo fibroblast cells. (A) Morphology of MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. Magnification, &#x00D7;100. (B) Growth curves of MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. White circle, black circle, white triangle and black triangle represent WT-LT/BP, WT-LT/<italic>K-ras</italic>, D1b-LT/BP and D1b-LT/<italic>K-ras</italic> cells, respectively. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;P&#x2264;0.05, for D1b-LT/<italic>K-ras</italic> cells compared with the remaining cell lines at days 2, 3 and 4. (C) Anchorage-independent growth of MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;&#x002A;P&#x003C;0.01. (D) Tumorigenicity in nude mice of MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;P=0.039. (E) Invasiveness of MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;P&#x003C;0.05. <italic>K-ras</italic>, v-K-ras2 Kirsten rat sarcoma viral oncogene homolog; MEF, mouse embryo fibroblast; WT, wild-type; SD, standard deviation; BP, pBABE puro.</p></caption>
<graphic xlink:href="ol-12-06-4850-g00.jpg"/>
</fig>
<fig id="f2-ol-0-0-5286" position="float">
<label>Figure 2.</label>
<caption><p>Alterations in expression of proteins involved in the EMT and phosphorylation of Akt in MEF cells expressing cyclin D1b and/or activated <italic>K-ras</italic>. (A) Immunoblot analyses of the expression of EMT proteins and the phosphorylation of Akt. (B) Effect of an Akt inhibitor on the invasiveness of MEF cells expressing <italic>cyclin D1b</italic>. The Akt inhibitor was used at a concentration of 25 &#x00B5;M. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; standard deviation. P=0.9947, compared with untreated WT-LT MEF cells. &#x002A;P=0.0116. EMT, epithelial-to-mesenchymal transition; MEF, mouse embryo fibroblast; <italic>K-ras</italic>, v-K-ras2 Kirsten rat sarcoma viral oncogene homolog; WT, wild-type; P, phosphorylated; BP, pBABE puro.</p></caption>
<graphic xlink:href="ol-12-06-4850-g01.jpg"/>
</fig>
<fig id="f3-ol-0-0-5286" position="float">
<label>Figure 3.</label>
<caption><p>Involvement of Akt in Erk activation by cyclin D1b in the rectal tumors of the cyclin D1b Tg mouse, the D1bTgRT tumor cell line and human 293T cells. (A) Immunoblot analysis of Akt activation in normal rectal tissue from female WT mice and rectal tumors with or without adenocarcinomas from cyclin D1b Tg mice. &#x03B1;-tubulin was used as an internal control. (B) Immunoblot analysis of E-cadherin expression in normal rectal tissue from female WT mice and rectal tumors from cyclin D1b Tg mice. &#x03B1;-tubulin was used as an internal control. (C) Immunoblot analysis of Akt activation in 293T cells transfected with cyclin D1b, cyclin D1a and cyclin D1-T286A. &#x03B1;-tubulin was used as an internal control. (D) Effect of an Akt inhibitor on Erk activation by cyclin D1b in 293T cells. The Akt inhibitor was at a concentration of 25 &#x00B5;M for 24 h. &#x03B1;-tubulin was used as an internal control. (E) Effect of an Akt inhibitor on Erk activation by cyclin D1b in D1bTgRT cells. The Akt inhibitor was used at a concentration of 25 &#x00B5;M for 24 h. &#x03B1;-Tubulin was used as an internal control. Erk, extracellular signal-regulated kinase; WT, wild-type; SSA-L, sessile serrated adenoma-like lesion; AC, adenocarcinoma; MEK, mitogen-activated protein kinase/Erk kinase.</p></caption>
<graphic xlink:href="ol-12-06-4850-g02.jpg"/>
</fig>
<fig id="f4-ol-0-0-5286" position="float">
<label>Figure 4.</label>
<caption><p>Effect of an Akt inhibitor on cell invasiveness and tumor formation in nude mice injected with D1bTgRT cells. (A) Matrigel invasion assay. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;&#x002A;&#x002A;P=0.0007. The Akt inhibitor was used at a concentration of 25 &#x00B5;M. (B) Tumorigenicity assay. Each sample was assayed in triplicate, and the bar represents the mean &#x00B1; SD. &#x002A;P=0.0425. SD, standard deviation.</p></caption>
<graphic xlink:href="ol-12-06-4850-g03.jpg"/>
</fig>
</floats-group>
</article>
