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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.2018.7830</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-7830</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of purified <italic>Omphalia lapidescens</italic> protein on metastasis, cell cycle, apoptosis and the JAK-STAT signaling pathway in SGC-7901 human gastric cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Luchao</given-names></name>
<xref rid="af1-ol-0-0-7830" ref-type="aff">1</xref>
<xref rid="fn1-ol-0-0-7830" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Zhongxia</given-names></name>
<xref rid="af1-ol-0-0-7830" ref-type="aff">1</xref>
<xref rid="fn1-ol-0-0-7830" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Yongle</given-names></name>
<xref rid="af2-ol-0-0-7830" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Du</surname><given-names>Lijun</given-names></name>
<xref rid="af1-ol-0-0-7830" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Xiaofang</given-names></name>
<xref rid="af3-ol-0-0-7830" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Yitao</given-names></name>
<xref rid="af1-ol-0-0-7830" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-7830" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-7830"><label>1</label>Microbiology and Immunology Laboratory, College of Life Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, P.R. China</aff>
<aff id="af2-ol-0-0-7830"><label>2</label>Institute of Preventive and Veterinary Medicine and The Key Laboratory of Animal Virology of Ministry of Agriculture, College of Animal Sciences, Zhejiang University, Hangzhou, Zhejiang 310058, P.R. China</aff>
<aff id="af3-ol-0-0-7830"><label>3</label>Department of Pharmacy, Zhejiang Cancer Hospital, Hangzhou, Zhejiang 310022, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-7830"><italic>Correspondence to</italic>: Professor Yitao Chen, Microbiology and Immunology Laboratory, College of Life Sciences, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang 310053, P.R. China, E-mail: <email>cytworld@zcmu.edu.cn</email></corresp>
<fn id="fn1-ol-0-0-7830"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>01</month>
<year>2018</year></pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>4161</fpage>
<lpage>4170</lpage>
<history>
<date date-type="received"><day>18</day><month>02</month><year>2017</year></date>
<date date-type="accepted"><day>16</day><month>11</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Chen et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Gastric cancer is one of the most common cancers globally with high rates of morbidity and mortality. Purified <italic>Omphalia lapidescens</italic> protein (pPe<italic>O</italic>p) is a protein extracted from the sclerotium of <italic>Omphalia lapidescens</italic>. The present study aimed to investigate the effects of pPe<italic>O</italic>p on the viability, migration, cell cycle progression and apoptosis of SGC-7901 cells. The expression of numerous proteins, namely matrix metallopeptidase (MMP)2, MMP9, p53, caspase-3, B-cell lymphoma (Bcl)-2, cyclin A2, cyclin B1, cyclin D1, cyclin dependent kinase (CDK)1, CDK2 and CDK4, were investigated using western blot analysis and reverse transcription-quantitative polymerase chain reaction. The results of the present study demonstrated that treating SGC-7901 cells with pPe<italic>O</italic>p markedly suppressed their migration, induced their apoptosis and arrested their progression in S phase. pPe<italic>O</italic>p also downregulated the expression of migration-associated proteins (MMP2 and MMP9) and cyclin-associated proteins (cyclin A2, cyclin B1, cyclin D1, CDK1, CDK2 and CDK4) in a dose-dependent manner. Cells treated with pPe<italic>O</italic>p significantly upregulated caspase-3 and p53 and downregulated Bcl-2. Finally, the impact of pPe<italic>O</italic>p on three key nodes of the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) pathway were investigated and it was revealed that expression levels of JAK1, JAK2 and STAT3 were significantly downregulated following treatment. Together, the results of the present study suggested that pPe<italic>O</italic>p suppresses metastasis, arrests cell cycle, induces apoptosis and inhibits the JAK-STAT signaling pathway in SGC-7901 cells. Therefore, pPe<italic>O</italic>p may serve as a novel therapeutic agent for patients with gastric cancer.</p>
</abstract>
<kwd-group>
<kwd>apoptosis</kwd>
<kwd>cell cycle</kwd>
<kwd>cell migration</kwd>
<kwd>gastric cancer</kwd>
<kwd><italic>Omphalia lapidescens</italic> proteins</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Gastric cancer is the second leading cause of cancer-associated mortalities globally and is a major cause of mortality in Asia (<xref rid="b1-ol-0-0-7830" ref-type="bibr">1</xref>&#x2013;<xref rid="b3-ol-0-0-7830" ref-type="bibr">3</xref>). According to a survey in 2015, the mortality rate from gastric cancer ranked second in overall cancer mortality in China (<xref rid="b4-ol-0-0-7830" ref-type="bibr">4</xref>). Accordingly, therapeutic strategies for treating gastric cancer are in demand.</p>
<p>Surgery and radiotherapy form the mainstay of current therapeutic strategies for localized tumors; however, these treatments are not completely successful and subsequence tumor recurrence and metastases may occur (<xref rid="b5-ol-0-0-7830" ref-type="bibr">5</xref>). Furthermore, their high cost may be prohibitive and postoperative complications may be severe (<xref rid="b6-ol-0-0-7830" ref-type="bibr">6</xref>).</p>
<p>Fluorouracil (5-FU) is a classic drug used for gastric cancer treatment (<xref rid="b7-ol-0-0-7830" ref-type="bibr">7</xref>). It is generally known to exert its antitumor effects by stopping the production of DNA (<xref rid="b8-ol-0-0-7830" ref-type="bibr">8</xref>). However, numerous cases of drug resistance have been previously reported (<xref rid="b7-ol-0-0-7830" ref-type="bibr">7</xref>,<xref rid="b8-ol-0-0-7830" ref-type="bibr">8</xref>). Therefore, alternative treatment options with improved efficacy and fewer side effects are required. For this reason, 5-FU was selected as a positive control for the present study.</p>
<p>In recent years, there has been interest in the application of traditional Chinese medicine for the treatment of tumors (<xref rid="b9-ol-0-0-7830" ref-type="bibr">9</xref>&#x2013;<xref rid="b11-ol-0-0-7830" ref-type="bibr">11</xref>). Proponents claim that &#x2018;Lei-Wan&#x2019;, the scientific term for <italic>Omphalia lapidescens</italic>, possesses medicinal activity against a variety of parasites, including roundworms, spirometra and ancylostomes (<xref rid="b12-ol-0-0-7830" ref-type="bibr">12</xref>). Numerous studies have sought to elucidate the anti-tumor effects of &#x2018;Lei-Wan&#x2019; and its underlying molecular mechanisms (<xref rid="b13-ol-0-0-7830" ref-type="bibr">13</xref>,<xref rid="b14-ol-0-0-7830" ref-type="bibr">14</xref>). Purified <italic>Omphalia lapidescens</italic> protein (pPe<italic>O</italic>p) is a protein extracted from the sclerotium of <italic>Omphalia lapidescens</italic> by polyvinyl pyrrolidone (PVP) extraction buffer. In a previous study, it was demonstrated that pPe<italic>O</italic>p promotes apoptosis and cell cycle arrest of tumor cells (MC-4), but did not cause toxicity to normal gastric cells (MC-1) (<xref rid="b15-ol-0-0-7830" ref-type="bibr">15</xref>). Those wishing to study the underlying biology of pPe<italic>O</italic>p would have to study its influence on the intricate network of numerous regulatory molecules that govern tumor genesis.</p>
<p>In the present study, the ability of pPe<italic>O</italic>p to inhibit the migration of SGC-7901 gastric cancer cells was investigated. SGC-7901 cells were treated with different dosages of pPe<italic>O</italic>p, following which, the extent of apoptosis and cell cycle arrest was determined. Furthermore, the potential underlying mechanism of action of pPe<italic>O</italic>p was investigated by studying the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathway and a number of key regulatory molecules [matrix metallopeptidase (MMP)2, MMP9, cyclin D1, cyclin A2, cyclin B1, cyclin dependent kinase (CDK)1, CDK2, CDK4, B-cell lymphoma (Bcl)-2, p53 and caspase-3].</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>pPeOp extraction and purification</title>
<p>The fruiting body of <italic>Omphalia lapidescens</italic> was provided by Fang Hui Chun Tang (Hangzhou, China). A total of 200 mg of the fruiting body of <italic>Omphalia lapidescens</italic> was washed three times with distilled water at 4&#x00B0;C and placed into 0.875 ml of cold PVP extraction buffer (15&#x0025; 1.0 M Tris-HCl, pH 8.0; 2&#x0025; PVP; 25&#x0025; glycerol) on ice for 4 h. The samples were then centrifuged (12,000 &#x00D7; g, 20 min) at 4&#x00B0;C, and the supernatant was collected and retained for purification.</p>
<p>A SephadexG-50 column (GE Healthcare Life Sciences, Little Chalfont, UK), pre-equilibrated with 50 mM Tris-HCl buffer (pH 8.5), was employed to purify the sample (1 ml sample for each experiment). The absorbance was measured at 280 nm, and the flow rate was 0.2 ml/min, producing three peaks. In accordance with a previously described protocol (<xref rid="b15-ol-0-0-7830" ref-type="bibr">15</xref>), the second A<sub>280 nm</sub> peak fraction was ultrafiltrated using a Millipore ultrafiltration tube (EDM Millipore, Billerica, MA, USA). Finally, the protein was sterilized by filtration using a 0.22 &#x00B5;m filter, and then stored at &#x2212;20&#x00B0;C for later use.</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The human gastric cancer cell line SGC-7901 was provided from Zhejiang Provincial Center for Disease Control and Prevention (Zhejiang, China). SGC-7901 cells were cultured in RPMI-1640 medium (cat no. GNM31800; Hangzhou Genom Biomedical Technology Co., Ltd., Hangzhou, China; <uri xlink:href="http://www.genom.com.cn/">http://www.genom.com.cn/</uri>) supplemented with 5&#x0025; (v/v) fetal bovine serum (cat no. 22011-8612; Zhejiang Tianhang Biotechnology Co., Ltd., Zhejiang, China), 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin at 37&#x00B0;C, 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>Cultured SGC-7901 cells were detached with 0.25&#x0025; trypsin during the logarithmic growth phase. The suspension of SGC-7901 cells containing 1&#x00D7;10<sup>6</sup>/ml cells was seeded into a 96-well plate and incubated at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub> for 24 h in preparation for an MTS assay. Subsequently, pPe<italic>O</italic>p (30, 60 and 90 &#x00B5;g/ml), 100 &#x00B5;g/ml5-FU (cat no. 51-21-8; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) or PVP (90 &#x00B5;g/ml) diluted with RPMI-1640, which had been sterilized through a 0.22 &#x00B5;m filter, were added to the cells and incubated for 24 h at 37&#x00B0;C. A CellTiter 96<sup>&#x00AE;</sup>AQueous One Solution Assay kit (cat no. G3580; Promega Corporation, Madison, WI, USA) was used for the MTS assay, according to the manufacture protocol. According to the manufacturer&#x0027;s protocol, 20 &#x00B5;l MTS solution (Promega Corporation) was added to each well, briefly agitated for 30 sec and incubated at 37&#x00B0;C for 60 min. Absorbance at 490 nm was measured using an automatic microwell plate reader (Thermo Labsystems, Helsinki, Finland). The light microscope used to visualize cells was the Nikon eclipse ti (Nikon Corporation, Tokyo, Japan) at a magnification of &#x00D7;100.</p>
</sec>
<sec>
<title>Cell migration assay</title>
<p>Cellular migration was investigated using a wound-healing assay. SGC-7901 cells (1&#x00D7;10<sup>6</sup>/ml) were seeded into 6-well plates and cultured under standard aforementioned conditions for ~24 h. When cells were ~80&#x0025; confluent, a wound was scratched into the cell layer with a 200 &#x00B5;l pipette tip. Cells were then treated with 30, 60 or 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU; for 24 h at 37&#x00B0;C. Cells were then washed with pre-warmed PBS (37&#x00B0;C) to remove cell debris and allowed to migrate for 24 h prior to image capture.</p>
</sec>
<sec>
<title>Flow cytometry detection of cell cycle</title>
<p>SGC-7901 cells were located in 6-well plates and incubated under standard aforementioned conditions for 24 h in preparation for a cell cycle assay. Then, cells were treated with pPe<italic>O</italic>p (30, 60 or 90 &#x00B5;g/ml), PVP (100 &#x00B5;g/ml) or 5-FU (100 &#x00B5;g/ml) under standard aforementioned conditions for 24 h. Cultured cells were harvested with EDTA-free trypsin (0.25&#x0025;) and washed twice with ice-cold PBS. Subsequently, cells (1&#x00D7;10<sup>6</sup> /ml) were incubated with 0.5 ml propidium iodide (PI)/RNase staining buffer (cat no. 550825; BD Biosciences, San Jose, CA, USA) for 15 min at room temperature (25&#x00B0;C) in the dark prior to being fixed with 1&#x0025; paraformaldehyde (Beijing Solarbio Science &#x0026; Technology Co., Ltd., Beijing, China) at 25&#x00B0;C for 30 min, and stored in 70&#x0025; ethanol at &#x2212;20&#x00B0;C for 15 min. Cell cycle progression analyses were performed using a Beckman FC500 (Beckman Coulter, Inc., Brea, CA, USA) flow cytometer with red fluorescent light at a wavelength of 488 nm. Win Cycle software (version 32; Beckman Coulter, Inc.) were used for analyses.</p>
</sec>
<sec>
<title>Flow cytometry detection of apoptosis</title>
<p>FITC Annexin V Apoptosis Detection kit I (cat no. 556547; BD Biosciences) was used to assay cell apoptosis. Cultured cells, subsequent to treatment with pPe<italic>O</italic>p (30, 60 or 90 &#x00B5;g/ml), PVP (100 &#x00B5;g/ml) or 5-FU (100 &#x00B5;g/ml) under standard aforementioned conditions for 24 h, were collected with EDTA-free trypsin (0.25&#x0025;) and washed twice with ice-cold PBS. Subsequently, cells (1&#x00D7;10<sup>6</sup>/ml) were resuspended in 100 &#x00B5;l 1Xbinding buffer solution (BD Biosciences), to which 5 &#x00B5;l of fluorescein isothiocyanate/Annexin V (BD Biosciences) and 5 &#x00B5;l PI (BD Biosciences) were added. Cells were then gently vortexed and incubated for 15 min at room temperature (25&#x00B0;C) in the dark. Incubated cells were washed again with 1X binding buffer and resuspended in 200 &#x00B5;l of 1X binding buffer. PI (5 &#x00B5;l) and 400 &#x00B5;l of 1X binding buffer were added to each sample, and samples were analyzed using a Beckman FC500 flow cytometer (Beckman Coulter, Inc.). The software used to analyze apoptosis was CXP analysis (version 32; Beckman Coulter, Inc.).</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) assay</title>
<p>MMP2, MMP9, cyclin D1, cyclin A2, cyclin B1, CDK1, CDK2, CDK4, Bcl-2, p53, caspase-3, JAK1, JAK2 and STAT3) were analyzed by RT-qPCR. In brief, cells (1&#x00D7;10<sup>6</sup> /ml), subsequent to treatment with pPe<italic>O</italic>p (30, 60 or 90 &#x00B5;g/ml), PVP (100 &#x00B5;g/ml) or 5-FU (100 &#x00B5;g/ml) under standard aforementioned conditions for 24 h, were trypsinized and total RNA was isolated using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA). cDNA was synthesized using a Maxima First Strand cDNA Synthesis kit (Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol, which was used as a template for qPCR. Taq<sup>&#x00AE;</sup>PCR Master Mix (cat no. A6001; Promega Corporation) for qPCR, and performed using a Step One Plus Real-Time PCR System (Applied Biosystems; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol. Data were normalized to the expression level of a GAPDH reference gene. Fold-changes in the amplified cDNA were calculated by the (2<sup>&#x2212;&#x0394;&#x0394;Cq</sup>) method (<xref rid="b16-ol-0-0-7830" ref-type="bibr">16</xref>). Primer sequences used are presented in <xref rid="tI-ol-0-0-7830" ref-type="table">Table I</xref>. All primers were purchased from Sangon Biotech Co., Ltd. (Shanghai, China). RT-qPCR was performed using an Eppendorf Realplex-4 Real Time PCR Machine (Eppendorf, Hamburg, Germany). The PCR amplification conditions were as follows: One cycle at 95&#x00B0;C pre-denaturing for 2 min, followed by 40 cycles at 95&#x00B0;C denaturing for 15 sec, and annealing temperature of 62.9&#x00B0;C (GAPDH, JAK1, JAK2, STAT3, caspase-3, p53, Bcl-2), 57.8&#x00B0;C (MMP2, MMP9, cyclin A2, cyclin B1, cyclin D1) or 61&#x00B0;C (CDK1, CDK2, CDK4) for 1 min. At the end of the PCR cycle, a dissociation curve was performed with StepOne&#x2122; Software (version 2.2.2; Applied Biosystems; Thermo Fisher Scientific, Inc.) to confirm amplification of a single product. The results are represented as the fold-change in gene expression relative to GAPDH.</p>
</sec>
<sec>
<title>Western blotting assay</title>
<p>MMP2, MMP9, cyclin D1, cyclin A2, cyclin B1, CDK1, CDK2, CDK4, Bcl-2, p53, caspase-3, JAK1, JAK2 and STAT3 were analyzed by western blot analysis. Cells (1&#x00D7;10<sup>6</sup>), subsequent to treatment with pPe<italic>O</italic>p (30, 60 or 90 &#x00B5;g/ml), PVP (100 &#x00B5;g/ml) or 5-FU (100 &#x00B5;g/ml) under standard aforementioned conditions for 24 h, were collected following treatment with PBS (1 ml, 30 min); centrifuged for 10 min at 200 &#x00D7; g and the supernatant was discarded. The pellet was then incubated with 200 &#x00B5;l lysis buffer (cat no. C0201; Beyotime Institute of Biotechnology, Shanghai, China) for 30 min on ice, and agitated every 10 sec. Lysates were separated using centrifugation at 4&#x00B0;C for 15 min at 10,000 &#x00D7; g, the supernatant was collected, and protein determined by BCA Protein Assay kit (cat no. KGP902; Nanjing KeyGen Biotech Co., Ltd., Nanjing, China). Protein (40 &#x00B5;g per lane) was loaded onto a 12&#x0025; standard polyacrylamide gel and resolved by SDS-PAGE. Resolved proteins were subsequently transferred onto an Immobilon<sup>&#x00AE;</sup>-P Transfer Membrane (cat no. IPVH00010; Merck KGaA), saturated with 5&#x0025; milk in Tris-buffered saline and 0.5&#x0025; Tween-20 (TBST) at 25&#x00B0;C for 2 h. Antibodies against JAK1 (cat no. ab138005; 1:1,000 dilution), JAK2 (cat no. ab32101; 1:1,000 dilutions) and STAT3 (cat no. ab76315; 1:200,000 dilutions) were purchased from Abcam (Cambridge, UK). Antibodies against MMP2 (cat no. 13132; 1:1,000 dilutions), MMP9 (cat no. 3852; 1:1,000 dilutions), cyclin A2 (cat no. 4656; 1:2,000 dilutions), cyclin B1 (cat no. 4138; 1:1,000 dilutions), cyclin D1 (cat no. 2978; 1:1,000 dilutions), CDK1 (cat no. ab32384; 1:1,000 dilutions), CDK2 (cat no. 2546; 1:1,000 dilutions), CDK4 (cat no. 12790; 1:1,000 dilutions), Bcl-2 (cat no. 2870; 1:1,000 dilutions), p53 (cat no. 2527; 1:1,000 dilutions) and caspase-3 (cat no. 14220; 1:1,000 dilutions) were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). Anti-GAPDH (cat no. YM3029; 1:5,000 dilutions), used as a control, was purchased from Immuno Way Biotechnology Company (TX, USA). Horseradish peroxidase (HRP)-conjugated goat anti-rabbit immunoglobulin G (cat no. A0208; 1:1,000 dilutions) or goat anti-mouse immunoglobulin G (cat no. A0216;1: 1,000 dilutions) were used as secondary antibodies. All secondary antibodies were purchased from the Beyotime Institute of Biotechnology. The membranes were incubated overnight with primary antibodies (described above) at 4&#x00B0;C. Membranes were washed three times with TBST. Membranes that were incubated with GAPDH antibodies were then incubated with goat anti-mouse IgG secondary antibody (described above), while membranes which were incubated with MMP2, MMP9, cyclin D1, cyclin A2, cyclin B1, CDK1, CDK2, CDK4, Bcl-2, p53, caspase-3, JAK1, JAK2 and STAT3 antibodies were then incubated with goat anti-rabbit IgG HRP secondary antibodies (described above) for 2 h at 4&#x00B0;C, and washed three times with TBST. Membranes were visualized on film in a dark room using ECL substrate solution (cat no. P0018A; Beyotime Institute of Biotechnology) and results quantified using ImageJ software (version 1.8.0; National Institutes of Health, Bethesda, MA, USA).</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>All experiments were conducted in triplicate. Data are presented as the mean &#x00B1; standard deviation. SPSS software (version 20.0; IBM Corp., Armonk, NY, USA) was used for statistical analyses. The MTS cell viability data were subjected to one-way analysis of variance (ANOVA), followed by Fisher&#x0027;s least significant difference (LSD) post-hoc test. Flow cytometry-based analyses were also analyzed using one-way ANOVA, followed by Fisher&#x0027;s LSD. Western blot results were quantitated using Image J software and analyzed by one-way ANOVA, followed by Fisher&#x0027;s LSD. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of pPeOp on the viability of SGC-7901 cells</title>
<p>Initially, the effect of pPe<italic>O</italic>p on the proliferation of SGC-7901 gastric cancer cells was investigated. Cells treated with PVP (90 &#x00B5;g/ml, 24 h) maintained a normal morphology comparable to that of untreated cells (<xref rid="f1-ol-0-0-7830" ref-type="fig">Fig. 1</xref>). However, when SGC-7901 cells were treated for 24 h with graded concentrations of pPe<italic>O</italic>p (30, 60 and 90 &#x00B5;g/ml), cells decreased in size and presented a spherical appearance (<xref rid="f1-ol-0-0-7830" ref-type="fig">Fig. 1A</xref>). In addition to the morphological changes, the viability was also affected. The survival rates of cells after 24 h of treatment were as follows: PVP (100 &#x00B5;g/ml), 95.26&#x00B1;5.21&#x0025;; 5-FU (100 &#x00B5;g/ml), 60.13&#x00B1;3.13&#x0025;; pPe<italic>O</italic>p (30 &#x00B5;g/ml), 70.97&#x00B1;6.18&#x0025;; pPe<italic>O</italic>p (60 &#x00B5;g/ml), 58.44&#x00B1;5.74&#x0025;; pPe<italic>O</italic>p (90 &#x00B5;g/ml) 35.22&#x00B1;2.33&#x0025;. The half maximal inhibitory concentration was 64.326 &#x00B5;g/ml. An increase in the concentration of pPe<italic>O</italic>p resulted in a proportional and significant increase in the rate of inhibition (P&#x003C;0.05; <xref rid="f1-ol-0-0-7830" ref-type="fig">Fig. 1B</xref>). These results suggested that pPe<italic>O</italic>p inhibits the viability of SGC-7901 cells.</p>
</sec>
<sec>
<title>Effect of pPeOp on the migration of SGC-7901 cells</title>
<p>A wound healing assay was used to assess the migration ability of SGC-7901 cells following treatment with pPe<italic>O</italic>p. As presented in <xref rid="f2-ol-0-0-7830" ref-type="fig">Fig. 2A</xref>, compared with the normal and negative normal treatments, the migration ability of SGC-7901 cells was markedly decreased following pPe<italic>O</italic>p treatment.</p>
<p>Invasion and metastasis of carcinomas are closely associated with extracellular matrix (ECM) degradation (<xref rid="b17-ol-0-0-7830" ref-type="bibr">17</xref>,<xref rid="b18-ol-0-0-7830" ref-type="bibr">18</xref>). MMPs are well characterized and demonstrate proteolytic activity in the ECM, and have recently emerged as key molecules involved in mediating tumor invasion and metastasis (<xref rid="b19-ol-0-0-7830" ref-type="bibr">19</xref>). Therefore, MMP2 and MMP9 were selected for further studies. MMP2 and MMP9 levels were evaluated by RT-qPCR and western blot analysis. The results demonstrated that MMP2 and MMP9 were significantly downregulated at the mRNA and protein levels compared with the normal control, in proportion to the pPe<italic>O</italic>p dosage (P&#x003C;0.05; <xref rid="f2-ol-0-0-7830" ref-type="fig">Fig. 2B and C</xref>). However, compared with the normal group, cells treated with PVP did not show any significant difference in gene or protein expression profiles (P&#x003E;0.05; <xref rid="f2-ol-0-0-7830" ref-type="fig">Fig. 2B and C</xref>). Thus, the results suggest that pPe<italic>O</italic>p inhibits the ability of SGC-7901 cells to migrate.</p>
</sec>
<sec>
<title>Effect of pPeOp on the cell cycle progression of SGC-7901 cells</title>
<p>The influence pPe<italic>O</italic>p has on the progression of SGC-7901 cells through the cell cycle was investigated using flow cytometry of cells post-treatment with either normal/5-FU/PVP or graded concentrations of pPe<italic>O</italic>p (<xref rid="f3-ol-0-0-7830" ref-type="fig">Fig. 3A</xref>). The percentage of cells in G2/M phases decreased, whereas the proportion of cells in G0/G1, S phases increased in the pPe<italic>O</italic>p-treated group compared with the control (P&#x003C;0.05, <xref rid="f3-ol-0-0-7830" ref-type="fig">Fig. 3A</xref>). This suggests that pPe<italic>O</italic>p blocks DNA replication, thereby arresting cells in the S phase.</p>
<p>To verify the data obtained by flow cytometry, how pPe<italic>O</italic>p treatment influenced the expression of several cell cycle regulators, including cyclin A2, cyclin B1, cyclin D1, CDK1, CDK2, and CDK4 was investigated using RT-qPCR and western blot analysis. The results indicated that protein and mRNA expression levels of all six genes were significantly decreased post-treatment with pPe<italic>O</italic>p compared with the normal control (P&#x003C;0.05; <xref rid="f3-ol-0-0-7830" ref-type="fig">Fig. 3B and C</xref>). Furthermore, no significant differences were observed between untreated cells and cells treated with PVP (P&#x003E;0.05; <xref rid="f3-ol-0-0-7830" ref-type="fig">Fig. 3B and C</xref>). Collectively, these results suggest that pPe<italic>O</italic>p arrests cell cycle progression of SGC-7901 cells.</p>
</sec>
<sec>
<title>Effect of pPeOp on the apoptosis of SGC-7901 cells</title>
<p>Flow cytometry was used to investigate how treatment with normal/5-FU/PVP or varying dosages of pPe<italic>O</italic>p affects the proportions of SGC-7901 cells undergoing apoptosis (<xref rid="f4-ol-0-0-7830" ref-type="fig">Fig. 4A</xref>). The results demonstrated that pPe<italic>O</italic>p treatment induced SGC-7901 cancer cells to undergo apoptosis in a dose-dependent manner. Cells treated with 5-FU (100 &#x00B5;g/ml for 24 h) demonstrated a high rate of apoptosis (21&#x0025;; <xref rid="f4-ol-0-0-7830" ref-type="fig">Fig. 4A</xref>). In addition, cells treated with pPe<italic>O</italic>p (90 &#x00B5;g/ml for 24 h) experienced a markedly increased rate of apoptosis (35.1&#x0025;; <xref rid="f4-ol-0-0-7830" ref-type="fig">Fig. 4A</xref>), surpassing that of 5-FU treatment.</p>
<p>Subsequently, the molecular events underlying this modulation in apoptosis were investigated by determining the expression of apoptosis-associated factors, namely caspase-3, p53 and Bcl-2, at the mRNA and protein levels. The results indicated that pPe<italic>O</italic>p significantly upregulated the expression of caspase-3 and p53, and markedly downregulated the expression of Bcl-2 (P&#x003C;0.05; <xref rid="f4-ol-0-0-7830" ref-type="fig">Fig. 4B and C</xref>). There was no significant difference in the expression of these regulators between normal and PVP-treated cells (P&#x003E;0.05; <xref rid="f4-ol-0-0-7830" ref-type="fig">Fig. 4B and C</xref>). These results collectively demonstrate that pPe<italic>O</italic>p is effective for inducing SGC-7901 cells to apoptosis, superseding even a conventional chemotherapeutic agent.</p>
</sec>
<sec>
<title>Effect of pPeOp on the JAK-STAT pathway</title>
<p>The aforementioned experiments highlight the effects that pPe<italic>O</italic>p exhibits on a variety of important biological programs, including cell proliferation, migration, apoptosis and cell cycle progression. However, the mechanism underlying these effects remains poorly understood. According to the results of a microarray assay, numerous differentially expressed genes were detected (data not shown). Following Kyoto Encyclopedia of Genes and Genomes analysis, the JAK-STAT signaling pathway was the most notable regulated signaling pathway influenced by pPe<italic>O</italic>p proteins (data not shown). Therefore, it was hypothesized that pPe<italic>O</italic>p may exert its anti-tumor effects through its inhibition of the JAK-STAT signaling pathway in SGC-7901 human gastric cells.</p>
<p>In order to investigate this hypothesis, SGC-7901 cells were treated with different concentrations of pPe<italic>O</italic>p for 24 h and the expression of JAK1, JAK2 and STAT3 mRNA and proteins were explored using RT-qPCR and western blotting. The results demonstrated that the expression of JAK1, JAK2 and STAT3 mRNAs and proteins were significantly decreased post-treatment with 60 and 90 &#x00B5;g/ml pPe<italic>O</italic>p, compared with the control (P&#x003C;0.05; <xref rid="f5-ol-0-0-7830" ref-type="fig">Fig. 5A and B</xref>). These results provide evidence for the anti-tumor effects of pPe<italic>O</italic>p being attributed to the inhibition of JAK-STAT signaling.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Metastasis, the dissemination of cancer cells from the primary site to distant sites, is the primary contributor to the mortality of patients with cancer (<xref rid="b20-ol-0-0-7830" ref-type="bibr">20</xref>,<xref rid="b21-ol-0-0-7830" ref-type="bibr">21</xref>). The ECM, which serves as a barrier for cell invasion, is breached by MMPs in the evolution process of tumor metastasis (<xref rid="b22-ol-0-0-7830" ref-type="bibr">22</xref>). MMP9 and MMP2 have been reported to be involved in cancer metastasis due to their ability to degrade type IV collagen, a major component of the basement membrane (<xref rid="b23-ol-0-0-7830" ref-type="bibr">23</xref>). In the present study, the migration ability of SGC-7901 cells was significantly decreased, whereas MMP2 and MMP9 were significantly downregulated at the mRNA and protein levels in relation to the pPe<italic>O</italic>p dosage, compared with the control group.</p>
<p>Dysregulation of cell cycle control is a major hallmark underlying tumor growth and metastasis (<xref rid="b24-ol-0-0-7830" ref-type="bibr">24</xref>,<xref rid="b25-ol-0-0-7830" ref-type="bibr">25</xref>). Cyclins are a family of regulators that control the progression of the cell cycle through the activation of different CDKs. Cyclin D1, cyclin A2 and cyclin B1 facilitate the cell&#x0027;s progression through G0/G1, S and G2/M phases, respectively (<xref rid="b26-ol-0-0-7830" ref-type="bibr">26</xref>&#x2013;<xref rid="b28-ol-0-0-7830" ref-type="bibr">28</xref>). In the present study, pPe<italic>O</italic>p was demonstrated to arrest the cell cycle in the S phase, and expression levels of cyclin A2, cyclin B1, cyclin D1, CDK1, CDK2 and CDK4 were all decreased in SGC-7901 cells, compared with control group.</p>
<p>Apoptosis is an adenosine 5&#x2032;triphosphate-dependent and strictly regulated program, in which cells commit themselves to physiological suicide (<xref rid="b29-ol-0-0-7830" ref-type="bibr">29</xref>). Accordingly, apoptosis is essential for the elimination of excess, redundant and otherwise unhealthy cells in the maintenance of tissue homeostasis and stabilization (<xref rid="b30-ol-0-0-7830" ref-type="bibr">30</xref>,<xref rid="b31-ol-0-0-7830" ref-type="bibr">31</xref>). A number of studies have reported that p53, which is described as a &#x2018;tumor suppressor&#x2019;, regulates a variety of apoptotic signals in SGC-7901 cell (<xref rid="b32-ol-0-0-7830" ref-type="bibr">32</xref>,<xref rid="b33-ol-0-0-7830" ref-type="bibr">33</xref>). Bcl-2, an anti-apoptosis molecule, serves a critical function in controlling apoptosis (<xref rid="b34-ol-0-0-7830" ref-type="bibr">34</xref>). Caspase-3, classified as an executioner, mediates the final process of cell death (<xref rid="b35-ol-0-0-7830" ref-type="bibr">35</xref>). In the present study, pPe<italic>O</italic>p treatment induced SGC-7901 cancer cells to undergo apoptosis in a dose-dependent manner. Furthermore, the expression level of p53 and caspase-3 were significantly upregulated, and Bcl-2 were significantly downregulated, in SGC-7901 cells. In addition, the apoptosis rate of SGC-7901 cells that were treated with 90 &#x00B5;g/ml pPe<italic>O</italic>p group was increased compared with cells that were treated with 100 &#x00B5;g/ml of the conventional chemotherapeutic agent 5-FU.</p>
<p>The JAK-STAT signaling pathway is abnormally activated in gastric carcinoma, in which regulated gene expression is involved in cell proliferation, cell cycle, invasion, metastasis and survival (<xref rid="b36-ol-0-0-7830" ref-type="bibr">36</xref>&#x2013;<xref rid="b38-ol-0-0-7830" ref-type="bibr">38</xref>). A constitutively active JAK-STAT signaling pathway has been revealed to prevent apoptosis by upregulating the expression of anti-apoptosis proteins, including Bcl-2, Bcl-extra-large, myeloid cell leukemia 1 and surviving (<xref rid="b39-ol-0-0-7830" ref-type="bibr">39</xref>&#x2013;<xref rid="b41-ol-0-0-7830" ref-type="bibr">41</xref>). In addition, JAK-STAT has been demonstrated to accelerate cell cycle progression by enhancing the activity of cyclins (<xref rid="b42-ol-0-0-7830" ref-type="bibr">42</xref>,<xref rid="b43-ol-0-0-7830" ref-type="bibr">43</xref>). Masuda <italic>et al</italic> (<xref rid="b44-ol-0-0-7830" ref-type="bibr">44</xref>) and Sinibaldi <italic>et al</italic> (<xref rid="b45-ol-0-0-7830" ref-type="bibr">45</xref>) reported that inappropriate activation of STAT3 may increase expression of cyclin D1 and subsequently affect cell cycle progression. A number of studies have demonstrated that the expression of activated STAT3 modulated metastasis of tumor cells by promoting gene transcription of MMP2 and MMP9 (<xref rid="b46-ol-0-0-7830" ref-type="bibr">46</xref>,<xref rid="b47-ol-0-0-7830" ref-type="bibr">47</xref>). Therefore, inhibition of JAK-STAT is a promising strategy for cancer therapy. In the present study, levels of JAK1, JAK2, and STAT3 were significantly decreased at mRNA and protein levels.</p>
<p>The results of the present study suggest that pPe<italic>O</italic>p suppresses metastasis, arrests the cell cycle, induces apoptosis and inhibits JAK-STAT signaling in SGC-7901 cells. Therefore, pPe<italic>O</italic>p may be a promising agent for the treatment of gastric cancer.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by grants from the National Natural Science Foundation Project (grant no. 81374023), the Zhejiang Provincial Natural Science Foundation (grant no. Y207765) and the Zhejiang Provincial Medical and Health Science and Technology Project (grant nos. 2015KYA038 and 2016KYA033).</p>
</ack>
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</back>
<floats-group>
<fig id="f1-ol-0-0-7830" position="float">
<label>Figure 1.</label>
<caption><p>pPe<italic>O</italic>p decreases viability of SGC-7901 cells. (A) SGC-7901 cells treated with 30, 60 or 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU for 24 h, and visualized by light microscopy. (B) Cell viability rates analyzed by MTS assay. Data were normalized to the Normal group. &#x002A;P&#x003C;0.05 vs. Normal control. pPe<italic>O</italic>p, purified <italic>Omphalia lapidescens</italic> protein; PVP, polyvinyl pyrrolidone; 5-FU, 5-fluorouracil.</p></caption>
<graphic xlink:href="ol-15-04-4161-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-7830" position="float">
<label>Figure 2.</label>
<caption><p>pPe<italic>O</italic>p inhibits SGC-7901 cell migration. SGC-7901 cells were treated with 30, 60 or 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU for 24 h. (A) Effects of pPe<italic>O</italic>p on SGC-7901 cells using a wound healing assay. (B) Effects of pPe<italic>O</italic>p on the expression of the migration-associated proteins MMP2 and MMP9, using GAPDH as loading control. (C) Reverse transcription-quantitative polymerase chain reaction was used to assess cell migration-associated factors expression levels in SGC-7901 cells. All data were normalized to the Normal group. &#x002A;P&#x003C;0.05 vs. Normal control. pPe<italic>O</italic>p, purified <italic>Omphalia lapidescens</italic> protein; PVP, polyvinyl pyrrolidone; 5-FU, 5-fluorouracil; MMP, matrix metallopeptidase.</p></caption>
<graphic xlink:href="ol-15-04-4161-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-7830" position="float">
<label>Figure 3.</label>
<caption><p>pPe<italic>O</italic>p arrest SGC-7901 cell cycle in the S phase. (A) SGC-7901 cells were treated with 30, 60 or 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU for 24 h and analyzed by flow cytometry. The bar graph summarizes the percentage of cells per cell cycle. (B) Western blot analysis was used to assess cell cycle-associated protein expression levels. All data were normalized to the Normal group. (C) Quantification of cycle-associated mRNA levels normalized to GAPDH. Values are presented as the mean &#x00B1; standard deviation of at least three independent experiments. &#x002A;P&#x003C;0.05 vs. Normal control. pPe<italic>O</italic>p, purified <italic>Omphalia lapidescens</italic> protein; PVP, polyvinyl pyrrolidone; 5-FU, 5-fluorouracil; CDK, cyclin dependent kinase.</p></caption>
<graphic xlink:href="ol-15-04-4161-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-7830" position="float">
<label>Figure 4.</label>
<caption><p>pPeOp induced SGC-7901 cell apoptosis. (A) SGC-7901 cells treated with 30, 60, 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU for 24 h and analyzed using flow cytometry. Values are presented as the mean &#x00B1; standard deviation from at least three independent experiments performed in triplicate. (B) Western blot analysis was used to assess cell apoptosis-associated expression levels in SGC-7901 cells. (C) Reverse transcription-quantitative polymerase chain reaction was used to assess apoptosis-associated expression levels in SGC-7901 cells. All data were normalized to the Normal Group. Quantification of cycle-associated proteins and mRNA levels were normalized to GAPDH. &#x002A;P&#x003C;0.05 vs. Normal control. pPe<italic>O</italic>p, purified <italic>Omphalia lapidescens</italic> protein; PVP, polyvinyl pyrrolidone; 5-FU, fluorouracil; PI, propidium iodide; FITC, fluorescein isothiocyanate; Bcl, B-cell lymphoma.</p></caption>
<graphic xlink:href="ol-15-04-4161-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-7830" position="float">
<label>Figure 5.</label>
<caption><p>pPeOp inhibited the JAK-STAT3 signaling pathway in SGC-7901 cells. (A) SGC-7901 cells treated with 30, 60 and 90 &#x00B5;g/ml pPe<italic>O</italic>p, 90 &#x00B5;g/ml PVP or 100 &#x00B5;g/ml 5-FU for 24 h, data is presented as the mean &#x00B1; standard deviation for at least three independent experiments. Western blot analysis was used to assess JAK1, JAK2 and STAT3 expression levels in SGC-7901 cells. (B) Reverse transcription-quantitative polymerase chain reaction was performed to evaluate JAK1, JAK2 and STAT3 expression levels in SGC-7901 cells. Data were normalized to the Normal group. Quantification of mRNA levels was normalized to GAPDH. &#x002A;P&#x003C;0.05 vs. Normal control. pPe<italic>O</italic>p, purified <italic>Omphalia lapidescens</italic> protein; PVP, polyvinyl pyrrolidone; 5-FU, fluorouracil; JAK, Janus kinase; STAT, signal transducer and activator of transcription.</p></caption>
<graphic xlink:href="ol-15-04-4161-g04.tif"/>
</fig>
<table-wrap id="tI-ol-0-0-7830" position="float">
<label>Table I.</label>
<caption><p>Specific primers used for polymerase chain reaction analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Forward primer, 5&#x2032;-3&#x2032;</th>
<th align="center" valign="bottom">Reverse primer, 5&#x2032;-3&#x2032;</th>
<th align="center" valign="bottom">Ampl</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">TGACTTCAACAGCGACACCCA</td>
<td align="left" valign="top">CACCCTGTTGCTGTAGCCAAA</td>
<td align="center" valign="top">121</td>
</tr>
<tr>
<td align="left" valign="top">CDK1</td>
<td align="left" valign="top">TGCTGGGGTCAGCTCGTTACTCA</td>
<td align="left" valign="top">TGGGATGCTAGGCTTCCTGGTT</td>
<td align="center" valign="top">326</td>
</tr>
<tr>
<td align="left" valign="top">CDK2</td>
<td align="left" valign="top">GTGGGCCCGGCAAGATTTTAG</td>
<td align="left" valign="top">GCCGAAATCCGCTTGTTAGGG</td>
<td align="center" valign="top">378</td>
</tr>
<tr>
<td align="left" valign="top">CDK4</td>
<td align="left" valign="top">CTTGATCTGAGAATGGCTACCTCT</td>
<td align="left" valign="top">CATGAAGGAAATCTAGGCCTCTTA</td>
<td align="center" valign="top">682</td>
</tr>
<tr>
<td align="left" valign="top">Cyclin D1</td>
<td align="left" valign="top">CATCTCTGTACTTTGCTTGCTCAT</td>
<td align="left" valign="top">CGCTATTTCCTACACCTATTGGAC</td>
<td align="center" valign="top">499</td>
</tr>
<tr>
<td align="left" valign="top">Cyclin B1</td>
<td align="left" valign="top">TCGAGCAACATACTTTGG</td>
<td align="left" valign="top">GCAAAAAGCTCCTGCTGC</td>
<td align="center" valign="top">101</td>
</tr>
<tr>
<td align="left" valign="top">Cyclin A2</td>
<td align="left" valign="top">AGACCCTGCATTTGGCTGTG</td>
<td align="left" valign="top">ACAAACTCTGCTACTTCTGG</td>
<td align="center" valign="top">1,110</td>
</tr>
<tr>
<td align="left" valign="top">MMP2</td>
<td align="left" valign="top">TGATGGTGTCTGCTGGAAAG</td>
<td align="left" valign="top">GACACGTGAAAAGTGCCTTG</td>
<td align="center" valign="top">280</td>
</tr>
<tr>
<td align="left" valign="top">MMP9</td>
<td align="left" valign="top">GGAGACCTGAGAACCAATCTC</td>
<td align="left" valign="top">TCCAATAGGTGATGTTGTGG</td>
<td align="center" valign="top">1,078</td>
</tr>
<tr>
<td align="left" valign="top">Caspase-3</td>
<td align="left" valign="top">CATGGAAGCGAATCAATGGACT</td>
<td align="left" valign="top">CTGTACCAGACCGAGATGTCA</td>
<td align="center" valign="top">3,036</td>
</tr>
<tr>
<td align="left" valign="top">p53</td>
<td align="left" valign="top">TAGTGTGGTGGTGCCCTATG</td>
<td align="left" valign="top">CCAGTGTGATGATGGTGAGG</td>
<td align="center" valign="top">699</td>
</tr>
<tr>
<td align="left" valign="top">JAK1</td>
<td align="left" valign="top">CCTGCTGGTGGCTACTAAGA</td>
<td align="left" valign="top">AGATGTGTGTTCTCGTGCCT</td>
<td align="center" valign="top">3,262</td>
</tr>
<tr>
<td align="left" valign="top">JAK2</td>
<td align="left" valign="top">GCCTTCTTTCAGAGCCATCA</td>
<td align="left" valign="top">CCAGGGCACCTATCCTCATA</td>
<td align="center" valign="top">1,148</td>
</tr>
<tr>
<td align="left" valign="top">STAT3</td>
<td align="left" valign="top">GACATGGAGTTGACCTCGGAGTG</td>
<td align="left" valign="top">GGTGGCAGAATGCAGGTAGGC</td>
<td align="center" valign="top">103</td>
</tr>
<tr>
<td align="left" valign="top">Bcl-2</td>
<td align="left" valign="top">GGATTGTGGCCTTCTTTGAG</td>
<td align="left" valign="top">CCAAACTGAGCAGAGTCTTC</td>
<td align="center" valign="top">234</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-ol-0-0-7830"><p>Ampl, amplification; CDK, cyclin dependent kinase; MMP, matrix metallopeptidase; JAK, Janus kinase; STAT, signal transducer and activator of transcription; Bcl, B-cell lymphoma.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
