The anti-PCDH8 antibody was purchased from Abcam (ab55507; 1:2000; Cambridge, UK). Antibodies specific for Rac-α serine/threonine-protein kinase (AKT; #4691; 1:1,000), phosphorylated (p)-AKT [Threonine (T)308; #13038; 1:1,000), p-AKT [Serine (S)473; #4060; 1:1,000], glycogen synthase kinase (GSK)-3β (#9315; 1:1,000) p-GSK3β [(S9); #9322; 1:500], β-catenin (#8480; 1:1,000), p-β-catenin (#4176; 1:500) and β-actin (#3700; 1:4,000) were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). The anti-FLAG antibody (F3165; 1:5,000) was from Sigma-Aldrich (Merck KGaA, Darmstadt, Germany).

A total of 10 samples of human glioma tissue (surgical resection) and 4 samples of non-tumorous brain tissue (internal decompression in cerebral trauma) were collected from February 2015 to January 2016 at The Affiliated Hospital of Xuzhou Medical University (Xuzhou, China). Surgically removed tissues histologically diagnosed, and the remaining fresh tissues were immediately frozen in liquid nitrogen and stored at −80°C until required. Written informed consent was obtained from all patients and the present study was approved by the Research Ethics Committee of the Affiliated Hospital of Xuzhou Medical University.

Human glioma cell lines U87 and U251 were purchased from the Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). The cells were cultured in Dulbecco's modified Eagle medium (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 10% fetal bovine serum (Tiangen Biotech Co., Ltd., Beijing, China) in a humidified incubator with 5% CO₂ at 37°C.

RNA was extracted from the fresh frozen tissue specimens using TRIzol^® reagent (Shenggong, Shanghai, China) and cDNA was synthesized using the M-MLV reverse transcription reagents (Roche Diagnostics, Basel, Switzerland) according to the manufacturer's protocol. PCR reactions were performed with 1 µl template from each reaction using an ABI 7300 Real-Time PCR system (Applied Biosystems; Thermo Fisher Scientific, Inc.). The reaction components include: 100 mM KCl, 4 mM MgCl2, 400 µM dNTP, 2.5 U Taq DNA Polymerase (Roche Diagnostics), 0.4 µM Primer, 1xSYBR^® Green (Roche Diagnostics). The thermocycling conditions were: 5 min at 95°C for pre-denaturation, 30 sec at 95°C, 30 sec at 55°C, 30 sec at 72°C, the three steps (30 sec at 95°C, 30 sec at 55°C, 30 sec at 72°C) were repeated for 25 cycles and the final step was 5 min at 72°C. The primers used for the amplification of PCDH8 and β-actin were as follows: PCDH8 forward, 5′-GCCCAACATGTTCGACGTGC-3′; and reverse, 5′-GGAGTGTCCTTTCCACACCG-3′; β-actin forward, 5′-CATGTACGTTGCTATCCAGGC-3′; and reverse, 5′-CGCTCGGTGAGGATCTTCATG-3′. The products were 256 and 195 bp long, respectively. For each sample, the threshold cycle (Ct) was determined and normalized to the average of the housekeeping gene (ΔCt=Ct Unknown-Ct Housekeeping gene). The determination of gene transcript levels in each sample was determined using the 2^−ΔΔCq method (23).

Transfection of the PCDH8 plasmid and siRNAs was performed using Lipofectamine^® 2000 Transfection reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. A FLAG-tagged PCDH8 construct (3xFLAG-PCDH8) was purchased from Youbao Biotechnology Co., Ltd. (Changsha, China) for overexpression of PCDH8 in glioma cell, p3xFLAG-CMV-14 empty vector was used as a control. Three sets of siRNA duplexes that target human PCDH8 were obtained from Shanghai GenePharma Co., Ltd. (Shanghai, China). For silencing of PCDH8, three siRNA sequences were designed as follows: siPCDH8 #1, 5′-GCCGUGUCCACUUAUGUCUTT-3′; siPCDH8 #2, 5′-GCAGCUUCGACUAUGAGACTT-3′; and siPCDH8 #3, 5′-GCUGAUCGUCAUCAUCGUGTT-3′, non-targeting sequence: 5′-UUCUCCGAACGUGUCACGUTT-3′ served as a negative control.

Total protein was extracted from tissues or U251/U87 cells using RIPA buffer (50 mM Tris-HCl pH 7.4, 150 Mm NaCl, 1% Triton X-100, 1% sodium deoxycholate, 0.1% SDS, 1 mM EDTA, and 1 µg/ml each aprotinin, leupeptin and pepstatin). Equal amounts of protein lysates (80 µg) were run on 8% or 10% gels using SDS-PAGE and then transferred to 0.45-µm-pore-size polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). Following blocking with 5% non-fat milk, the membranes were probed with primary antibodies (PCDH8, AKT, p-AKT(308), p-AKT(473), GSK3β, p-GSK3β and β-actin) at 4°C overnight and secondary antibodies (Goat Anti Mouse IgG-HRP; 1:5,000; Cat. AP124P; EMD Millipore; Goat Anti Rabbit IgG-HRP; 1:5,000, Cat. AP132P; EMD Millipore) at room temperature for 1 h. Bound antibodies were detected using the Pierce ECL Plus Western Blotting substrate (Pierce; Thermo Fisher Scientific, Inc.) and exposed to X-ray films. Where band densities were quantified, ImageJ software (Version 2.1.4.7; National Institutes of Health, Bethesda, MD, USA) was used. The relative amounts of protein were determined by normalizing the densitometry value of the band of interest to that of the loading control (β-actin).

Cells were seeded into 96-well plates at a density of 4×10³ cells/well and incubated at 37°C for 24 h prior to exposure to 50 µM EdU (Guangzhou RiboBio Co., Ltd., Guangzhou, China) for an additional 2 h at 37°C. Cells were subsequently fixed with 4% paraformaldehyde for 20 min and treated with 0.5% Triton-X-100 for another 20 min at room temperature. The cells were washed 5 times with PBS, then 100 µl 1X Apollo^® Reaction Cocktail (Guangzhou RiboBio Co., Ltd.) was added to each well and the cells were incubated at room temperature for 30 min. Cellular DNA was stained with 100 µl of Hoechst 33342 (5 µg/ml) at room temperature for 20 min and visualized under a fluorescent microscope (IX71; Olympus Corporation, Tokyo, Japan).

A total of 2×10³ cells in 200 µl of culture medium were seeded into 96-well plates and culture. MTT (Sigma-Aldrich; Merck KGaA) was added into the medium to achieve a final concentration of 0.5 mg/ml. Following incubation at 37°C for 4 h, 150 µl of dimethyl sulfoxide was added to dissolve the crystals that had formed. Viable cells were counted every day by reading the absorbance at 490 nm using a Synergy™ Mx Multi-Mode Microplate Reader (BioTek Instruments, Inc., Winooski, VT, USA).

A total of 400 cells were seeded into a 6 cm dish and cultured for 10 days at 37°C prior to fixation with methanol and staining with 0.05% crystal violet to assess colony formation. The cells were washed with PBS and images of the plates were captured using a camera. Colonies containing >50 cells were counted.

All statistical analyses were performed using SPSS software (version 13.0; SPSS Inc., Chicago, IL, USA). Data were presented as the mean ± standard error of the mean. Statistical significance was determined using a Student's t-test. P<0.05 was considered to indicate a statistically significant difference.

In order to investigate the expression of PCDH8 in human glioma, the mRNA and protein levels of PCDH8 in 10 samples of glioma tissue and 4 samples of normal brain tissue were examined. RT-qPCR analysis demonstrated that PCDH8 mRNA levels were significantly decreased in glioma tissue compared with normal brain tissue (P<0.01; Fig. 1A). In addition, western blot analysis revealed that PCDH8 protein levels were decreased in glioma tissue compared with normal brain tissue (Fig. 1B and C; P<0.01). These data suggest that PCDH8 serves a role in gliomagenesis.

The expression of PCDH8 in U251 and U87 glioma cell lines was quantified by western blot analysis, using normal brain tissue as a control for PCDH8 expression. U251 and U87 cells expressed decreased levels of PCDH8 compared with that of normal brain tissue; however, PCDH8 expression in U251 cells was increased compared with that in U87 cells (Fig. 2A). U87 cells were transfected with a FLAG-tagged PCDH8 plasmid to restore PCDH8 expression (Fig. 2B) and the effect on cell proliferation was examined using an EdU incorporation assay (Fig. 2C and D). The EdU positive rate of the FLAG-tagged PCDH8 plasmid-transfected group was significantly decreased by 51.3% compared with the empty vector control group (P<0.01; Fig. 2D). The colony formation ability (Fig. 2E) of U87 cells was also significantly reduced upon expression of FLAG-PCDH8 compared with the control group (P<0.01; Fig. 2F). In addition, the MTT assay demonstrated that FLAG-PCDH8 expression significantly decreased the viability of U87 cells, compared with control group (P<0.01; Fig. 2G).

PCDH8 expression was downregulated using 3 PCDH8-specific siRNAs, using a control siRNA as the negative control. The siRNAs were screened for their efficacy in suppressing PCDH8 expression. The protein and mRNA silencing efficiency of siPCDH8 #1 was ~80% in U251 cells (Fig. 3A and B); therefore, this siRNA was selected for use in further experiments. An EdU incorporation assay was performed in U251 cells to assess the effects of PCDH8 silencing on cell proliferation (Fig. 3C and D). The EdU positive rate of the siPCDH8 group was significantly increased by 133.3% compared with the control group (P<0.01; Fig. 3D). The colony formation ability of U251 cells (Fig. 3E) was also significantly increased upon silencing of PCDH8 (P<0.01 vs. the control group; Fig. 3F). In addition, the MTT assay demonstrated that PCDH8 silencing significantly increased the growth of U251 cells compared with the control group (P<0.01; Fig. 3G).

It has previously been reported that PCDH10, which belongs to the same subfamily of proteins as PCDH8, can inhibit tumor growth by regulating the AKT/GSK3β/β-catenin signaling pathway (24); however, whether PCDH8 regulates this signaling pathway in human glioma cells remains unclear. To investigate this, the expression levels of AKT, p-AKT, GSK3β, p-GSK3β and β-catenin were detected in U87 cells expressing FLAG-PCDH8 and U251 cells transfected with siPCDH8. Restoration of PCDH8 led to a marked decrease in p-AKT (T308/S473) and p-GSK3β (S9) expression, thereby reducing the level of β-catenin compared with the control group (Fig. 4A). Silencing of PCDH8 resulted in a notable increase in p-AKT (T308/S473) and p-GSK3β (S9) expression, which led to an increased level of β-catenin compared with the control group (Fig. 4B). These results suggest that PCDH8 inhibits glioma cell proliferation by negatively regulating the AKT/GSK3β/β-catenin signaling pathway.