<?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.2018.7880</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-7880</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Casticin inhibits the epithelial-mesenchymal transition in ovarian carcinoma via the hedgehog signaling pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Jing</given-names></name>
<xref rid="af1-ol-0-0-7880" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-7880" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Cui</surname><given-names>Yinghong</given-names></name>
<xref rid="af3-ol-0-0-7880" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Sun</surname><given-names>Shuwen</given-names></name>
<xref rid="af3-ol-0-0-7880" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Cao</surname><given-names>Jianguo</given-names></name>
<xref rid="af3-ol-0-0-7880" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Fang</surname><given-names>Xiaoling</given-names></name>
<xref rid="af1-ol-0-0-7880" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-7880" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-7880"><label>1</label>Department of Gynaecology and Obstetrics, The Second Affiliated Hospital of Central South University, Changsha, Hunan 410011, P.R. China</aff>
<aff id="af2-ol-0-0-7880"><label>2</label>Department of Gynaecology and Obstetrics, The First Affiliated Hospital of University of South China, Hengyang, Hunan 421001, P.R. China</aff>
<aff id="af3-ol-0-0-7880"><label>3</label>Department of Pharmaceutical Sciences, Medical College, Hunan Normal University, Changsha, Hunan 410013, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-7880"><italic>Correspondence to</italic>: Dr Xiaoling Fang, Department of Gynaecology and Obstetrics, The Second Affiliated Hospital of Central South University, 139 Renmin Road, Changsha, Hunan 410011, P.R. China, E-mail: <email>15873174213@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>26</day>
<month>01</month>
<year>2018</year></pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>4495</fpage>
<lpage>4502</lpage>
<history>
<date date-type="received"><day>06</day><month>04</month><year>2016</year></date>
<date date-type="accepted"><day>24</day><month>11</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Casticin inhibits migration, invasion and induced apoptosis in numerous cancer cells; however, the Hedgehog (Hh) signaling pathway is a key factor in the epithelial-mesenchymal transition (EMT). The present study aimed to assess whether casticin affects the expression of members of the Hh signaling pathway and EMT effectors in ovarian carcinoma. The ovarian cancer SKOV3 cell line was incubated in the presence of various concentrations of casticin or cyclopamine. Next, the expression levels of the main Hh signaling effector glioma-associated oncogene-1 (Gli-1) and EMT-associated factors [Twist-related protein 1 (Twist1), E-cadherin and N-cadherin] were determined by western blotting and reverse transcription-quantitative polymerase chain reaction. Cell proliferation and growth were assessed using MTT and soft agar assays; cell migration and invasion was evaluated using an <italic>in vitro</italic> migration assay and a transwell invasion assay, respectively. Compared with control group values, Gli-1, Twist1 and N-cadherin expression levels were reduced, whereas E-cadherin levels were increased in the casticin- and cyclopamine-treated groups. Incubation with casticin or cyclopamine resulted in markedly reduced SKOV3 cell viability, migration and invasion, in a dose-dependent manner. To the best of our knowledge, the findings of the present study indicated for first time that casticin may inhibit EMT via Hh signaling <italic>in vitro</italic>, reducing the migratory ability of ovarian cancer cells.</p>
</abstract>
<kwd-group>
<kwd>cyclopamine</kwd>
<kwd>ovarian cancer</kwd>
<kwd>epithelial-mesenchymal transition</kwd>
<kwd>hedgehog signaling pathway</kwd>
<kwd>casticin</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Ovarian cancer, the second-leading cause of gynecological malignancy, is a major cause of cancer-associated mortality among women (<xref rid="b1-ol-0-0-7880" ref-type="bibr">1</xref>). Although patients usually exhibit an acceptable initial response to first-line therapy (cytoreductive surgery and combined platinum-paclitaxel chemotherapy), the majority of cancer cases recur, are invasive and result in patient mortality (<xref rid="b2-ol-0-0-7880" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-7880" ref-type="bibr">3</xref>). The underlying mechanism responsible for invasion and metastasis in epithelial ovarian cancer remains unclear (<xref rid="b4-ol-0-0-7880" ref-type="bibr">4</xref>). Novel therapeutic agents are therefore required to improve patient survival.</p>
<p>The epithelial-mesenchymal transition (EMT), which causes epithelial cells to become similar mesenchymal cells with increased motility, serves a notable role in embryonic development (<xref rid="b5-ol-0-0-7880" ref-type="bibr">5</xref>). A notable hallmark of EMT is the reduced or lack of expression of the epithelial marker E-cadherin and induction of expression of the mesenchymal marker N-cadherin (<xref rid="b6-ol-0-0-7880" ref-type="bibr">6</xref>), which promotes metastatic disease (<xref rid="b7-ol-0-0-7880" ref-type="bibr">7</xref>). EMT is involved in cancer progression, and represents the main event that promotes tumor invasion and metastasis (<xref rid="b8-ol-0-0-7880" ref-type="bibr">8</xref>,<xref rid="b9-ol-0-0-7880" ref-type="bibr">9</xref>). Therefore, targeting EMT may aid the development of potentially effective therapies.</p>
<p>Hedgehog (Hh) signaling serves a critical role in embryonic development and its abnormal induction is involved in tumorigenesis. Aberrant Hh activation has been demonstrated in breast, colon, and prostate cancer (<xref rid="b10-ol-0-0-7880" ref-type="bibr">10</xref>&#x2013;<xref rid="b12-ol-0-0-7880" ref-type="bibr">12</xref>), and is closely associated with self-renewal, invasion and migration of cancer stem cells, promoting cancer progression (<xref rid="b13-ol-0-0-7880" ref-type="bibr">13</xref>,<xref rid="b14-ol-0-0-7880" ref-type="bibr">14</xref>). It was reported that Hh signaling might induce EMT in pancreatic cancer (<xref rid="b9-ol-0-0-7880" ref-type="bibr">9</xref>,<xref rid="b15-ol-0-0-7880" ref-type="bibr">15</xref>). In addition, Yue <italic>et al</italic> (<xref rid="b16-ol-0-0-7880" ref-type="bibr">16</xref>) reported that Hh also promoted EMT progression in lung squamous cell carcinoma. Notably, glioma-associated oncogene-1 (Gli-1), a major Hh signaling effector, decreases levels of E-cadherin and increases those of N-cadherin (<xref rid="b17-ol-0-0-7880" ref-type="bibr">17</xref>,<xref rid="b18-ol-0-0-7880" ref-type="bibr">18</xref>), indicating that Hh signaling is important for EMT occurrence. Cyclopamine, a smoothened (Smo) Hh signaling pathway inhibitor, is considered to be an anticancer molecule; however, its clinical application is markedly hampered by elevated costs and its instability in aqueous or polar solvents (<xref rid="b19-ol-0-0-7880" ref-type="bibr">19</xref>). Therefore, developing additional anticancer drugs remains critical.</p>
<p>Fructus viticis, the fruit of <italic>Vitex trifolia</italic> L. (Verbenaceae), has been used in traditional Chinese medicine for its anti-inflammatory effects for over a thousand years (<xref rid="b20-ol-0-0-7880" ref-type="bibr">20</xref>,<xref rid="b21-ol-0-0-7880" ref-type="bibr">21</xref>). Casticin, a biologically active component of <italic>Fructus viticis</italic> (<xref rid="b20-ol-0-0-7880" ref-type="bibr">20</xref>), possesses numerous biological and pharmacological effects, including immunomodulatory, anti-hyperprolactinemia, neuroprotective and anti-inflammatory properties (<xref rid="b22-ol-0-0-7880" ref-type="bibr">22</xref>&#x2013;<xref rid="b25-ol-0-0-7880" ref-type="bibr">25</xref>), and alters tumorigenesis and tumor progression (<xref rid="b26-ol-0-0-7880" ref-type="bibr">26</xref>,<xref rid="b27-ol-0-0-7880" ref-type="bibr">27</xref>). Additionally, it has been demonstrated that casticin suppresses EMT in hepatocellular carcinoma (<xref rid="b28-ol-0-0-7880" ref-type="bibr">28</xref>). However, studies assessing whether casticin can suppress the EMT via Hh signaling in ovarian carcinoma are scarce. Western blot analysis and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) were used to evaluate the effect of casticin on Hh signaling, which modulates EMT and cell migration in ovarian carcinoma.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and reagents</title>
<p>Human ovarian cancer SKOV3 cells were obtained from the Cell Bank of Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China), and cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (Thermo Fisher Scientific, Inc., Waltham, MA, USA) containing 10&#x0025; fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific, Inc.), 100 U/ml penicillin, and 100 U/ml streptomycin (Hyclone; GE Healthcare Life Sciences, Logan, UT, USA), in a humidified atmosphere containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C. Casticin (purity &#x2265;98&#x0025;) was manufactured by Chengdu Biopurify Phytochemicals Ltd. (Chengdu, China) as yellow crystals (molecular weight, 374.3 Da). Cyclopamine was manufactured by Sigma-Aldrich (Merck KGaA, Darmstadt, Germany). Rabbit anti-Gli-1 antibody (1:1,000; cat. no. 2534) and Twist-related protein 1 (Twist1) antibodies (1:1,000; cat. no. 46702) (both from Cell Signaling Technology, Inc., Danvers, MA, USA), and rat anti-E-cadherin (1:1,000; cat. no. SAB4503751) and mouse monoclonal anti-N-cadherin (1:1,000; cat. no. C2542) (both from Sigma-Aldrich; Merck KGaA) antibodies were used in the present study. Goat anti-rabbit lgG, horseradish peroxidase (HRP)-linked antibody (cat. no. 7074; 1:1,000 dilution) and goat anti-mouse lgG, HRP-linked antibody (cat. no. 7076; 1:1,000 dilution) were both purchased from Cell Signaling Technology, Inc.</p>
</sec>
<sec>
<title>Determination of cell proliferation and growth</title>
<p>Cell proliferation and growth were assessed by MTT and Soft agar assays. For MTT assay, SKOV3 cells (10,000/well) were seeded in 96-well plates and incubated for 24 h prior to treatment with increasing casticin (0.0, 1.0, 2.0, 4.0 and 8.0 &#x00B5;M) or cyclopamine amounts (0.0, 12.5, 25.0, 50.0 and 100.0 &#x00B5;M) for 48 h. Subsequently, 20 &#x00B5;l MTT (5 mg/ml) was added for further 4 h. Dimethyl sulfoxide was used to dissolve the resulting formazan crystals; absorbance was read at 490 nm on Bio-Rad 550 (Bio-Rad Laboratories, Inc., Hercules, CA, USA). The half-maximal inhibitory concentration (IC<sub>50</sub>; causing 50&#x0025; cell growth inhibition) values were determined. Cell growth inhibition rate was derived as: [(A<sub>490 control cells</sub> - A<sub>490 treated cells</sub>)/A<sub>490 control cells</sub>] &#x00D7; 100.</p>
<p>Soft agar assay was performed using SKOV3 cells (10,000/well) treated with or without casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) for 48 h and then cells were plated in 0.35&#x0025; agarose overlying a 0.6&#x0025; agar layer. Cells were incubated at 37&#x00B0;C for 27 days; at the end of the experiment, colonies were counted under an inverted light microscope at a &#x00D7;4 magnification (Olympus Corportation, Tokyo, Japan).</p>
</sec>
<sec>
<title>Migration assay</title>
<p>When SKOV3 cells reached an optimal confluence (80&#x2013;90&#x0025;) in a 6-well culture plate, the monolayer was gently and slowly scratched with a clean 100 &#x00B5;l pipette tip across the center of the plate. Following two washes with PBS, casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) were added at IC<sub>50</sub> values. The artificial wounds were imaged at 0 and 24 h, respectively, under an inverted light microscope at a &#x00D7;10 magnification (CKX41; Olympus Corporation, Tokyo, Japan).</p>
</sec>
<sec>
<title>Transwell invasion assay</title>
<p>For the invasion assay, 1&#x00D7;10<sup>5</sup> SKOV3 cells treated with casticin or cyclopamine were seeded in the top chamber onto the Matrigel-coated membrane (24-well insert; pore size, 8 &#x00B5;m; Corning Life Sciences, Corning, NY, USA). Cells were plated in DMEM medium without serum or growth factors in the top chamber, and DMEM medium supplemented with 10&#x0025; FBS was used in the lower chamber. The cells were incubated for 48 h and then cells that invaded via the pores were removed with a cotton swab. Cells on the lower surface of the membrane were fixed with 4&#x0025; paraformaldehyde for 10 min at 25&#x00B0;C and stained with 10&#x0025; Giemsa for 30 min at room temperature. The number of cells invading via the membrane was counted under a light microscope (magnification, &#x00D7;20; three random fields per well).</p>
</sec>
<sec>
<title>RT-qPCR</title>
<p>SKOV3 Cells were treated with casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) for 0, 3, 6, 12 and 24 h, then RNA was extracted and cDNA prepared as previously reported (<xref rid="b29-ol-0-0-7880" ref-type="bibr">29</xref>). RT-qPCR was conducted with 1 &#x00B5;l cDNA on MyiQ real-time PCR Instrument (Bio-Rad Laboratories, Inc.) using iQ SYBR Green PCR Supermix (Bio-Rad Laboratories, Inc.), following the manufacturer&#x0027;s instructions. The thermocycling conditions were as follows: 95&#x00B0;C for 3 min, 95&#x00B0;C for 15 sec, and 60&#x00B0;C for 20 sec, for 40 cycles. Relative gene expression levels were determined by the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b30-ol-0-0-7880" ref-type="bibr">30</xref>) with GAPDH as an internal reference. The following primers were used: Gli-1 forward, 5&#x2032;-TTCCTACCAGAGTCCCAAGT-3&#x2032; and reverse, 5&#x2032;-CCCTATGTGAAGCCCTATTT-3&#x2032;; Twist1 forward, 5-CGGACAAGCTGAGCAAGATT-3&#x2032; and reverse, 5&#x2032;-CCTTCTCTGGAAACAATGAC-3&#x2032;; N-cadherin forward, 5&#x2032;-CGTGAAGGTTTGCCAGTGTG-3&#x2032; and reverse, 5&#x2032;-GCGTTCTTTATCCCGCCGTT-3&#x2032;; E-cadherin forward, 5&#x2032;-CCTCAGGTCATAAACATCATTG-3&#x2032; and reverse, 5&#x2032;-CGCCTCCTTCTTCATCATAGTAA-3&#x2032;; GAPDH forward, 5&#x2032;-GGTGGTCTCCTCTGACTTCAACA-3&#x2032; and reverse, 5&#x2032;-GTTGCTGTAGCCAAATTCGTTGT-3&#x2032;.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>SKOV3 cells (1&#x00D7;10<sup>6</sup>) treated with casticin or cyclopamine (at IC<sub>50</sub>) for 48 h were lysed and analyzed by western blot, as previously reported (<xref rid="b31-ol-0-0-7880" ref-type="bibr">31</xref>), using the aforementioned antibodies; &#x03B2;-actin was employed as an internal control. Protein bands were visualized by enhanced chemiluminescence kit (GE Healthcare, Chicago, IL, USA), and visualized using Tanon-5500 chemiluminescence instrument (Tanon Inc., Shanghai, China). Data were quantified by ImageJ 1.49v software (National Institutes of Health, Bethesda, MD, USA).</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>Experiments were repeated &#x2265;3 times, with data expressed as the mean &#x00B1; standard deviation. All data were analyzed by SPSS 16.0 for Windows (SPSS Inc., Chicago, IL, USA). One-way analysis of variance was used to perform group comparisons, with a least significant difference test for post hoc multiple comparisons. 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>Casticin and cyclopamine inhibit SKOV3 cell proliferation and colony formation</title>
<p>The effects of casticin and cyclopamine on SKOV3 cell viability were determined by the MTT and soft agar assay. The MTT assay revealed that casticin (<xref rid="f1-ol-0-0-7880" ref-type="fig">Fig. 1A</xref>) or cyclopamine (<xref rid="f1-ol-0-0-7880" ref-type="fig">Fig. 1B</xref>) inhibited SKOV3 cell growth in a dose-dependent manner. IC<sub>50</sub> values of casticin and cyclopamine were 2.18&#x00B1;0.37 and 27.61&#x00B1;2.16 &#x00B5;M, respectively. Thus, 2.0 &#x00B5;M casticin and 25 &#x00B5;M cyclopamine were used to perform the soft agar assay. As presented in <xref rid="f1-ol-0-0-7880" ref-type="fig">Fig. 1C</xref>, the SKOV3 cells treated with casticin or cyclopamine formed ~100&#x0025; fewer colonies than the control.</p>
</sec>
<sec>
<title>Casticin and cyclopamine inhibit SKOV3 cell migration and invasion</title>
<p>Wound-healing assays were performed to assess the effect of casticin and cyclopamine on the migration of SKOV3 cells. As presented in <xref rid="f2-ol-0-0-7880" ref-type="fig">Fig. 2</xref>, treatment with casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) resulted in wider wounds compared with the control group after 24 h of incubation. Subsequently, quantification was conducted, which revealed that the migration rate of the casticin (72&#x0025;&#x00B1;1.73) and cyclopamine groups (53.7&#x0025;&#x00B1;4.37) were significantly lower compared with the control (100&#x0025;; P&#x003C;0.05). To analyze whether casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) affected cell invasion further, a transwell invasion assay was performed. The results demonstrated that there was a marked difference in the invasion rate of cells that underwent treatment with casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M; 28.8&#x00B1;7.1 or 35.8&#x00B1;4.4, respectively) compared with the control group (100&#x0025;; data not shown). These findings indicated that casticin and cyclopamine inhibited the migration and invasion of the human ovarian cancer SKOV3 cell line.</p>
</sec>
<sec>
<title>Casticin and cyclopamine alter Gli-1, Twist1, E-cadherin and N-cadherin gene expression levels in SKOV3 cells</title>
<p>To assess whether casticin and cyclopamine affect the mRNA expression of effectors of Hh signaling and EMT markers, SKOV3 cells were treated for 24 h with complete medium containing 2.0 &#x00B5;M casticin and 25.0 &#x00B5;M cyclopamine, respectively, and were analyzed by RT-qPCR. Compared with the control group, the mRNA expression levels of Twist1 and N-cadherin were markedly decreased (~32 and ~17&#x0025;, respectively) in the casticin (2.0 &#x00B5;M) groups, and decreased by ~30 and ~38&#x0025; in the cyclopamine (25.0 &#x00B5;M) groups (<xref rid="f3-ol-0-0-7880" ref-type="fig">Fig. 3A-C</xref>). However, the mRNA expression levels of E-cadherin were increased ~4-fold for casticin-treated cells and ~2-fold for cyclopamine-treated cells (<xref rid="f3-ol-0-0-7880" ref-type="fig">Fig. 3D</xref>). In addition, the mRNA expression levels of the Hh signaling effector, Gli-1, were also decreased by 35 and 26&#x0025; in the casticin (2.0 &#x00B5;M) and cyclopamine (25.0 &#x00B5;M) groups, respectively. These results indicated the inhibitory effects of casticin and cyclopamine on Hh signaling and the EMT process.</p>
</sec>
<sec>
<title>Effects of casticin and cyclopamine on protein expression levels of Hh signaling effectors and EMT markers in SKOV3 cells</title>
<p>Whether casticin and cyclopamine affect Hh signaling pathway effectors and EMT markers was investigated at the protein level. After 24 h of treatment, E-cadherin protein expression levels were markedly increased in the casticin (2.0 &#x00B5;M) and cyclopamine (25.0 &#x00B5;M) groups compared with in the control; however, the protein expression levels of Gli-1, Twist1 and N-cadherin were markedly reduced by casticin (2.0 &#x00B5;M) and cyclopamine (25.0 &#x00B5;M) treatments, respectively, in comparison with the control group (<xref rid="f4-ol-0-0-7880" ref-type="fig">Fig. 4A</xref>). These findings indicated that casticin and cyclopamine suppressed Hh signaling and the EMT process.</p>
</sec>
<sec>
<title>Time-dependent effect of casticin treatment on mRNA expression levels of Gli-1 and EMT markers</title>
<p>To determine the time course of casticin activity on mRNA expression, SKOV3 cells were exposed to 2.0 &#x00B5;M casticin at 0, 3, 6, 12, and 24 h, and Gli-1, Twist1, E-cadherin, and N-cadherin mRNA expression levels were quantitated by RT-qPCR. Gli-1, Twist1 and N-cadherin mRNA expression levels were decreased as time progressed (<xref rid="f5-ol-0-0-7880" ref-type="fig">Fig. 5A-C</xref>), with significant alterations in expression levels detected at 24 h, which were 19, 14 and 16&#x0025; of the expression at 0 h, respectively. E-cadherin levels increased (<xref rid="f5-ol-0-0-7880" ref-type="fig">Fig. 5D</xref>) as incubation time increased.</p>
</sec>
<sec>
<title>Time-dependent effect of casticin on protein expression levels of EMT markers and Hh signaling effectors</title>
<p>To evaluate the time course of casticin action on protein expression, Gli-1, Twist1, E-cadherin and N-cadherin protein expression levels were determined. The results of the present study were consistent with those of the RT-qPCR analysis: Time-dependent increases in E-cadherin protein levels, concomitant with reduced Gli-1, Twist1 and N-cadherin levels were observed (<xref rid="f6-ol-0-0-7880" ref-type="fig">Fig. 6</xref>). Notably, the alterations were most pronounced at 24 h, indicating that casticin may inhibit EMT and Hh signaling to a greater degree over time.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Casticin, an anti-inflammatory molecule (<xref rid="b32-ol-0-0-7880" ref-type="bibr">32</xref>), inhibits numerous cancer cells (<xref rid="b27-ol-0-0-7880" ref-type="bibr">27</xref>,<xref rid="b28-ol-0-0-7880" ref-type="bibr">28</xref>,<xref rid="b33-ol-0-0-7880" ref-type="bibr">33</xref>). Previous studies demonstrated that casticin inhibited EMT in liver cancer stem cells (<xref rid="b28-ol-0-0-7880" ref-type="bibr">28</xref>) and induced apoptosis in ovarian cancer cells (<xref rid="b29-ol-0-0-7880" ref-type="bibr">29</xref>). These findings demonstrated that: i) SKOV3 cell viability and migration were inhibited by casticin; ii) casticin suppressed Gli-1 expression; and iii) Twist and N-cadherin protein and mRNA expression were reduced by casticin; and iv) casticin treatment resulted in enhanced expression of E-cadherin mRNA and protein. It should be noted that casticin also inhibits cell proliferation and EMT in other types of cancer cell, including hepatocellular carcinoma (<xref rid="b28-ol-0-0-7880" ref-type="bibr">28</xref>), indicating its therapeutic potential.</p>
<p>The Hh family includes sonic Hh, desert Hh and Indian Hh (<xref rid="b34-ol-0-0-7880" ref-type="bibr">34</xref>). The Hh gene directly affects embryonic development (<xref rid="b35-ol-0-0-7880" ref-type="bibr">35</xref>). Gli-1, a potent inducer of downstream target genes, is itself a transcriptional target of Hh signaling (<xref rid="b36-ol-0-0-7880" ref-type="bibr">36</xref>); however, Gli-1 induction prevents E-cadherin expression in kidney epithelium (<xref rid="b37-ol-0-0-7880" ref-type="bibr">37</xref>). Additionally, downregulation of Gli-1 induces the invasion and migration of ovarian cancer cells (<xref rid="b38-ol-0-0-7880" ref-type="bibr">38</xref>), and Gli-1 expression in advanced ovarian cancer may be associated with poor survival (<xref rid="b39-ol-0-0-7880" ref-type="bibr">39</xref>). It is reported that tumor progression requires a variety of phenotypical alterations that decrease intercellular adhesion, with EMT serving a key role (<xref rid="b40-ol-0-0-7880" ref-type="bibr">40</xref>). During EMT, epithelial cell markers are lost, whereas mesenchymal markers, including N-cadherin, are expressed. The Hh signaling pathway is closely associated with EMT. It was previously demonstrated that casticin could inhibit the migration and invasion of hepatocellular carcinoma cells by suppressing EMT (<xref rid="b28-ol-0-0-7880" ref-type="bibr">28</xref>). However, reports that demonstrate these effects in ovarian cancer cells via the Hh signaling pathway are scarce.</p>
<p>In the present study, cyclopamine, an inhibitor of the Hh signaling pathway that directly binds to Smo, was used as positive control. Cyclopamine has been demonstrated to exert effects on numerous types of tumor, including lung, ovarian, and breast cancer (<xref rid="b41-ol-0-0-7880" ref-type="bibr">41</xref>&#x2013;<xref rid="b43-ol-0-0-7880" ref-type="bibr">43</xref>). However, poor oral solubility hinders its clinical development. As aforementioned, casticin may inhibit EMT in SKOV3 cells via the suppression of Hh pathway activity. Casticin exhibited a lower IC<sub>50</sub> value than cyclopamine.</p>
<p>The underlying molecular mechanism of casticin in the Hh signaling pathway requires further investigation. The findings of the present study revealed that the metastatic potential of SKOV3 cells incubated with casticin was decreased compared with those incubated with the control. In addition, Gli-1, Twist1 and N-cadherin expression levels were also decreased, whereas those of E-cadherin were increased. This may be due to Gli-1-mediated activation of Twist1, an EMT-inducing transcription factor (<xref rid="b44-ol-0-0-7880" ref-type="bibr">44</xref>); thus, levels of EMT markers may be affected when Gli-1 expression is reduced. Hence, further investigation is required to understand the clinical efficacy of casticin.</p>
<p>The results of the present study revealed that casticin inhibited ovarian cancer cell migration <italic>in vitro</italic> by repressing Hh signaling and EMT. Further <italic>in vivo</italic> studies are necessary to improve the understanding of the relevance of Hh signaling and EMT in ovarian cancer stem-like cells.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was funded by a Project of the National Natural Science Foundation of China (grant nos. 30760248, 31400311 and 81172375), the Project of Scientific Research Fund of Hunan Provincial Education Department (grant no. 14C0707), the Project of Hunan Provincial Natural Science Foundation (grant no. 13JJ3061) and the Scientific Research Fund of Hunan Normal University (grant nos. 140668 and 140666).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-ol-0-0-7880"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hunn</surname><given-names>J</given-names></name><name><surname>Rodriguez</surname><given-names>GC</given-names></name></person-group><article-title>Ovarian cancer: Etiology, risk factors, and epidemiology</article-title><source>Clin Obstet Gynecol</source><volume>55</volume><fpage>3</fpage><lpage>23</lpage><year>2012</year><pub-id pub-id-type="doi">10.1097/GRF.0b013e31824b4611</pub-id><pub-id pub-id-type="pmid">22343225</pub-id></element-citation></ref>
<ref id="b2-ol-0-0-7880"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chari</surname><given-names>ST</given-names></name><name><surname>Yadav</surname><given-names>D</given-names></name><name><surname>Smyrk</surname><given-names>TC</given-names></name><name><surname>DiMagno</surname><given-names>EP</given-names></name><name><surname>Miller</surname><given-names>LJ</given-names></name><name><surname>Raimondo</surname><given-names>M</given-names></name><name><surname>Clain</surname><given-names>JE</given-names></name><name><surname>Norton</surname><given-names>IA</given-names></name><name><surname>Pearson</surname><given-names>RK</given-names></name><name><surname>Petersen</surname><given-names>BT</given-names></name><etal/></person-group><article-title>Study of recurrence after surgical resection of intraductal papillary mucinous neoplasm of the pancreas</article-title><source>Gastroenterology</source><volume>123</volume><fpage>1500</fpage><lpage>1507</lpage><year>2002</year><pub-id pub-id-type="doi">10.1053/gast.2002.36552</pub-id><pub-id pub-id-type="pmid">12404225</pub-id></element-citation></ref>
<ref id="b3-ol-0-0-7880"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>SB</given-names></name><name><surname>Yu</surname><given-names>CS</given-names></name><name><surname>Jang</surname><given-names>SJ</given-names></name><name><surname>Kim</surname><given-names>TW</given-names></name><name><surname>Kim</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>JC</given-names></name></person-group><article-title>Prognostic significance of lymphovascular invasion in sporadic colorectal cancer</article-title><source>Dis Colon Rectum</source><volume>53</volume><fpage>377</fpage><lpage>384</lpage><year>2010</year><pub-id pub-id-type="doi">10.1007/DCR.0b013e3181cf8ae5</pub-id><pub-id pub-id-type="pmid">20305435</pub-id></element-citation></ref>
<ref id="b4-ol-0-0-7880"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Radisky</surname><given-names>DC</given-names></name></person-group><article-title>Epithelial-mesenchymal transition</article-title><source>J Cell Sci</source><volume>118</volume><fpage>4325</fpage><lpage>4326</lpage><year>2005</year><pub-id pub-id-type="doi">10.1242/jcs.02552</pub-id><pub-id pub-id-type="pmid">16179603</pub-id></element-citation></ref>
<ref id="b5-ol-0-0-7880"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kalluri</surname><given-names>R</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>The basics of epithelial-mesenchymal transition</article-title><source>J Clin Invest</source><volume>119</volume><fpage>1420</fpage><lpage>1428</lpage><year>2009</year><pub-id pub-id-type="doi">10.1172/JCI39104</pub-id><pub-id pub-id-type="pmid">19487818</pub-id></element-citation></ref>
<ref id="b6-ol-0-0-7880"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hotz</surname><given-names>HG</given-names></name><name><surname>Hotz</surname><given-names>B</given-names></name><name><surname>Buhr</surname><given-names>HJ</given-names></name></person-group><article-title>Genes associated with epithelial-mesenchymal transition: Possible therapeutic targets in ductal pancreatic adenocarcinoma?</article-title><source>Anticancer Agents Med Chem</source><volume>11</volume><fpage>448</fpage><lpage>454</lpage><year>2011</year><pub-id pub-id-type="doi">10.2174/187152011795677436</pub-id><pub-id pub-id-type="pmid">21492078</pub-id></element-citation></ref>
<ref id="b7-ol-0-0-7880"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mell</surname><given-names>LK</given-names></name><name><surname>Meyer</surname><given-names>JJ</given-names></name><name><surname>Tretiakova</surname><given-names>M</given-names></name><name><surname>Khramtsov</surname><given-names>A</given-names></name><name><surname>Gong</surname><given-names>C</given-names></name><name><surname>Yamada</surname><given-names>SD</given-names></name><name><surname>Montag</surname><given-names>AG</given-names></name><name><surname>Mundt</surname><given-names>AJ</given-names></name></person-group><article-title>Prognostic significance of E-cadherin protein expression in pathological stage I&#x2013;III endometrial cancer</article-title><source>Clin Cancer Res</source><volume>10</volume><fpage>5546</fpage><lpage>5553</lpage><year>2004</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-0943-03</pub-id><pub-id pub-id-type="pmid">15328195</pub-id></element-citation></ref>
<ref id="b8-ol-0-0-7880"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>XD</given-names></name><name><surname>Liu</surname><given-names>XE</given-names></name><name><surname>Huang</surname><given-names>DS</given-names></name></person-group><article-title>Curcumin reverses the epithelial-mesenchymal transition of pancreatic cancer cells by inhibiting the Hedgehog signaling pathway</article-title><source>Oncol Rep</source><volume>29</volume><fpage>2401</fpage><lpage>2407</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/or.2013.2385</pub-id><pub-id pub-id-type="pmid">23563640</pub-id></element-citation></ref>
<ref id="b9-ol-0-0-7880"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lei</surname><given-names>J</given-names></name><name><surname>Ma</surname><given-names>J</given-names></name><name><surname>Ma</surname><given-names>Q</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>H</given-names></name><name><surname>Xu</surname><given-names>Q</given-names></name><name><surname>Duan</surname><given-names>W</given-names></name><name><surname>Sun</surname><given-names>Q</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><name><surname>Wu</surname><given-names>Z</given-names></name><name><surname>Wu</surname><given-names>E</given-names></name></person-group><article-title>Hedgehog signaling regulates hypoxia induced epithelial to mesenchymal transition and invasion in pancreatic cancer cells via a ligand-independent manner</article-title><source>Mol Cancer</source><volume>12</volume><fpage>66</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1476-4598-12-66</pub-id><pub-id pub-id-type="pmid">23786654</pub-id></element-citation></ref>
<ref id="b10-ol-0-0-7880"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brechbiel</surname><given-names>J</given-names></name><name><surname>Miller-Moslin</surname><given-names>K</given-names></name><name><surname>Adjei</surname><given-names>AA</given-names></name></person-group><article-title>Crosstalk between hedgehog and other signaling pathways as a basis for combination therapies in cancer</article-title><source>Cancer Treat Rev</source><volume>40</volume><fpage>750</fpage><lpage>759</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ctrv.2014.02.003</pub-id><pub-id pub-id-type="pmid">24613036</pub-id></element-citation></ref>
<ref id="b11-ol-0-0-7880"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Feldmann</surname><given-names>G</given-names></name><name><surname>Fendrich</surname><given-names>V</given-names></name><name><surname>McGovern</surname><given-names>K</given-names></name><name><surname>Bedja</surname><given-names>D</given-names></name><name><surname>Bisht</surname><given-names>S</given-names></name><name><surname>Alvarez</surname><given-names>H</given-names></name><name><surname>Koorstra</surname><given-names>JB</given-names></name><name><surname>Habbe</surname><given-names>N</given-names></name><name><surname>Karikari</surname><given-names>C</given-names></name><name><surname>Mullendore</surname><given-names>M</given-names></name><etal/></person-group><article-title>An orally bioavailable small-molecule inhibitor of Hedgehog signaling inhibits tumor initiation and metastasis in pancreatic cancer</article-title><source>Mol Cancer Ther</source><volume>7</volume><fpage>2725</fpage><lpage>2735</lpage><year>2008</year><pub-id pub-id-type="doi">10.1158/1535-7163.MCT-08-0573</pub-id><pub-id pub-id-type="pmid">18790753</pub-id></element-citation></ref>
<ref id="b12-ol-0-0-7880"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bao</surname><given-names>C</given-names></name><name><surname>Namgung</surname><given-names>H</given-names></name><name><surname>Lee</surname><given-names>J</given-names></name><name><surname>Park</surname><given-names>HC</given-names></name><name><surname>Ko</surname><given-names>J</given-names></name><name><surname>Moon</surname><given-names>H</given-names></name><name><surname>Ko</surname><given-names>HW</given-names></name><name><surname>Lee</surname><given-names>HJ</given-names></name></person-group><article-title>Daidzein suppresses tumor necrosis factor-&#x03B1; induced migration and invasion by inhibiting hedgehog/Gli1 signaling in human breast cancer cells</article-title><source>J Agric Food Chem</source><volume>62</volume><fpage>3759</fpage><lpage>3767</lpage><year>2014</year><pub-id pub-id-type="doi">10.1021/jf500231t</pub-id><pub-id pub-id-type="pmid">24724627</pub-id></element-citation></ref>
<ref id="b13-ol-0-0-7880"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Takebe</surname><given-names>N</given-names></name><name><surname>Harris</surname><given-names>PJ</given-names></name><name><surname>Warren</surname><given-names>RQ</given-names></name><name><surname>Ivy</surname><given-names>SP</given-names></name></person-group><article-title>Targeting cancer stem cells by inhibiting Wnt, Notch, and Hedgehog pathways</article-title><source>Nat Rev Clin Oncol</source><volume>8</volume><fpage>97</fpage><lpage>106</lpage><year>2011</year><pub-id pub-id-type="doi">10.1038/nrclinonc.2010.196</pub-id><pub-id pub-id-type="pmid">21151206</pub-id></element-citation></ref>
<ref id="b14-ol-0-0-7880"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>EJ</given-names></name><name><surname>Sahai</surname><given-names>V</given-names></name><name><surname>Abel</surname><given-names>EV</given-names></name><name><surname>Griffith</surname><given-names>KA</given-names></name><name><surname>Greenson</surname><given-names>JK</given-names></name><name><surname>Takebe</surname><given-names>N</given-names></name><name><surname>Khan</surname><given-names>GN</given-names></name><name><surname>Blau</surname><given-names>JL</given-names></name><name><surname>Craig</surname><given-names>R</given-names></name><name><surname>Balis</surname><given-names>UG</given-names></name><etal/></person-group><article-title>Pilot clinical trial of hedgehog pathway inhibitor GDC-0449 (vismodegib) in combination with gemcitabine in patients with metastatic pancreatic adenocarcinoma</article-title><source>Clin Cancer Res</source><volume>20</volume><fpage>5937</fpage><lpage>5945</lpage><year>2014</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-14-1269</pub-id><pub-id pub-id-type="pmid">25278454</pub-id></element-citation></ref>
<ref id="b15-ol-0-0-7880"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>F</given-names></name><name><surname>Ma</surname><given-names>L</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Gao</surname><given-names>H</given-names></name><name><surname>Zhuang</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>P</given-names></name><name><surname>Kornmann</surname><given-names>M</given-names></name><name><surname>Tian</surname><given-names>X</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name></person-group><article-title>Hedgehog signaling regulates Epithelial-mesenchymal transition in pancreatic cancer Stem-like cells</article-title><source>J Cancer</source><volume>7</volume><fpage>408</fpage><lpage>417</lpage><year>2016</year><pub-id pub-id-type="doi">10.7150/jca.13305</pub-id><pub-id pub-id-type="pmid">26918054</pub-id></element-citation></ref>
<ref id="b16-ol-0-0-7880"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yue</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Che</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Tseng</surname><given-names>HH</given-names></name><name><surname>Jin</surname><given-names>JQ</given-names></name><name><surname>Luh</surname><given-names>TM</given-names></name><name><surname>Giroux-Leprieur</surname><given-names>E</given-names></name><name><surname>Mo</surname><given-names>M</given-names></name><name><surname>Zheng</surname><given-names>Q</given-names></name><etal/></person-group><article-title>Hedgehog/Gli promotes epithelial-mesenchymal transition in lung squamous cell carcinomas</article-title><source>J Exp Clin Cancer Res</source><volume>33</volume><fpage>34</fpage><year>2014</year><pub-id pub-id-type="doi">10.1186/1756-9966-33-34</pub-id><pub-id pub-id-type="pmid">24758269</pub-id></element-citation></ref>
<ref id="b17-ol-0-0-7880"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kong</surname><given-names>Y</given-names></name><name><surname>Peng</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Xin</surname><given-names>H</given-names></name><name><surname>Zhan</surname><given-names>X</given-names></name><name><surname>Tan</surname><given-names>W</given-names></name></person-group><article-title>Twist1 and Snail link Hedgehog signaling to tumor-initiating cell-like properties and acquired chemoresistance independently of ABC transporters</article-title><source>Stem Cells</source><volume>33</volume><fpage>1063</fpage><lpage>1074</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/stem.1955</pub-id><pub-id pub-id-type="pmid">25588661</pub-id></element-citation></ref>
<ref id="b18-ol-0-0-7880"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname><given-names>P</given-names></name><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Hou</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Zeng</surname><given-names>Z</given-names></name><name><surname>Zhao</surname><given-names>L</given-names></name><name><surname>Yu</surname><given-names>T</given-names></name><name><surname>Tang</surname><given-names>X</given-names></name><name><surname>Tu</surname><given-names>G</given-names></name><name><surname>Cui</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>M</given-names></name></person-group><article-title>LncRNA expression signatures of twist-induced epithelial-to-mesenchymal transition in MCF10A cells</article-title><source>Cell Signal</source><volume>26</volume><fpage>83</fpage><lpage>93</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.cellsig.2013.10.001</pub-id><pub-id pub-id-type="pmid">24113349</pub-id></element-citation></ref>
<ref id="b19-ol-0-0-7880"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Garrossian</surname><given-names>M</given-names></name><name><surname>Gardner</surname><given-names>D</given-names></name><name><surname>Garrossian</surname><given-names>A</given-names></name><name><surname>Chang</surname><given-names>YT</given-names></name><name><surname>Kim</surname><given-names>YK</given-names></name><name><surname>Chang</surname><given-names>CW</given-names></name></person-group><article-title>Synthesis and anticancer activity studies of cyclopamine derivatives</article-title><source>Bioorg Med Chem Lett</source><volume>18</volume><fpage>1359</fpage><lpage>1363</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.bmcl.2008.01.017</pub-id><pub-id pub-id-type="pmid">18221872</pub-id></element-citation></ref>
<ref id="b20-ol-0-0-7880"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Han</surname><given-names>T</given-names></name><name><surname>Wu</surname><given-names>JZ</given-names></name><name><surname>Rahman</surname><given-names>K</given-names></name><name><surname>Qin</surname><given-names>LP</given-names></name></person-group><article-title>In vivo effect of casticin on acute inflammation</article-title><source>Zhong Xi Yi Jie He Xue Bao</source><volume>5</volume><fpage>573</fpage><lpage>576</lpage><year>2007</year><pub-id pub-id-type="doi">10.3736/jcim20070520</pub-id><pub-id pub-id-type="pmid">17854563</pub-id></element-citation></ref>
<ref id="b21-ol-0-0-7880"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>SM</given-names></name><name><surname>Lee</surname><given-names>YJ</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Kang</surname><given-names>DG</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name></person-group><article-title>Vascular protective role of vitexicarpin isolated from Vitex rotundifolia in human umbilical vein endothelial cells</article-title><source>Inflammation</source><volume>35</volume><fpage>584</fpage><lpage>593</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s10753-011-9349-x</pub-id><pub-id pub-id-type="pmid">21614554</pub-id></element-citation></ref>
<ref id="b22-ol-0-0-7880"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mesaik</surname><given-names>MA</given-names></name><name><surname>Azizuddin</surname></name><name><surname>Murad</surname><given-names>S</given-names></name><name><surname>Khan</surname><given-names>KM</given-names></name><name><surname>Tareen</surname><given-names>RB</given-names></name><name><surname>Ahmed</surname><given-names>A</given-names></name><name><surname>Atta-ur-Rahman</surname></name><name><surname>Choudhary</surname><given-names>MI</given-names></name></person-group><article-title>Isolation and immunomodulatory properties of a flavonoid, casticin from Vitex agnus-castus</article-title><source>Phytother Res</source><volume>23</volume><fpage>1516</fpage><lpage>1520</lpage><year>2009</year><pub-id pub-id-type="doi">10.1002/ptr.2492</pub-id><pub-id pub-id-type="pmid">19441009</pub-id></element-citation></ref>
<ref id="b23-ol-0-0-7880"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>QY</given-names></name><name><surname>Zheng</surname><given-names>CJ</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Qin</surname><given-names>LP</given-names></name></person-group><article-title>Casticin, a flavonoid isolated from Vitex rotundifolia, inhibits prolactin release in vivo and in vitro</article-title><source>Acta Pharmacol Sin</source><volume>31</volume><fpage>1564</fpage><lpage>1568</lpage><year>2010</year><pub-id pub-id-type="doi">10.1038/aps.2010.178</pub-id><pub-id pub-id-type="pmid">21042288</pub-id></element-citation></ref>
<ref id="b24-ol-0-0-7880"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ling</surname><given-names>Y</given-names></name><name><surname>Zhu</surname><given-names>J</given-names></name><name><surname>Fan</surname><given-names>M</given-names></name><name><surname>Wu</surname><given-names>B</given-names></name><name><surname>Qin</surname><given-names>L</given-names></name><name><surname>Huang</surname><given-names>C</given-names></name></person-group><article-title>Metabolism studies of casticin in rats using HPLC-ESI-MS(n)</article-title><source>Biomed Chromatogr</source><volume>26</volume><fpage>1502</fpage><lpage>1508</lpage><year>2012</year><pub-id pub-id-type="doi">10.1002/bmc.2724</pub-id><pub-id pub-id-type="pmid">22407499</pub-id></element-citation></ref>
<ref id="b25-ol-0-0-7880"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Velpandian</surname><given-names>T</given-names></name><name><surname>Gupta</surname><given-names>P</given-names></name><name><surname>Ravi</surname><given-names>AK</given-names></name><name><surname>Sharma</surname><given-names>HP</given-names></name><name><surname>Biswas</surname><given-names>NR</given-names></name></person-group><article-title>Evaluation of pharmacological activities and assessment of intraocular penetration of an ayurvedic polyherbal eye drop (Itone&#x2122;) in experimental models</article-title><source>BMC Complement Altern Med</source><volume>13</volume><fpage>1</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1472-6882-13-1</pub-id><pub-id pub-id-type="pmid">23280361</pub-id></element-citation></ref>
<ref id="b26-ol-0-0-7880"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Guo</surname><given-names>H</given-names></name><name><surname>Ren</surname><given-names>K</given-names></name><name><surname>Quan</surname><given-names>M</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Xiang</surname><given-names>H</given-names></name><name><surname>Cao</surname><given-names>J</given-names></name></person-group><article-title>Casticin suppresses self-renewal and invasion of lung cancer stem-like cells from A549 cells through down-regulation of pAkt</article-title><source>Acta Biochim Biophys Sin (Shanghai)</source><volume>46</volume><fpage>15</fpage><lpage>21</lpage><year>2014</year><pub-id pub-id-type="doi">10.1093/abbs/gmt123</pub-id><pub-id pub-id-type="pmid">24247269</pub-id></element-citation></ref>
<ref id="b27-ol-0-0-7880"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>G</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name><name><surname>He</surname><given-names>M</given-names></name><name><surname>Sheng</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>Y</given-names></name><name><surname>Ai</surname><given-names>X</given-names></name></person-group><article-title>Casticin inhibits self-renewal of liver cancer stem cells from the MHCC97 cell line</article-title><source>Oncol Lett</source><volume>7</volume><fpage>2023</fpage><lpage>2028</lpage><year>2014</year><pub-id pub-id-type="doi">10.3892/ol.2014.1972</pub-id><pub-id pub-id-type="pmid">24932283</pub-id></element-citation></ref>
<ref id="b28-ol-0-0-7880"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>M</given-names></name><name><surname>Cao</surname><given-names>XC</given-names></name><name><surname>He</surname><given-names>GC</given-names></name><name><surname>Sheng</surname><given-names>XF</given-names></name><name><surname>Ai</surname><given-names>XH</given-names></name><name><surname>Wu</surname><given-names>YH</given-names></name></person-group><article-title>Casticin inhibits epithelial-mesenchymal transition of liver cancer stem cells of the SMMC-7721 cell line through downregulating Twist</article-title><source>Oncol Lett</source><volume>7</volume><fpage>1625</fpage><lpage>1631</lpage><year>2014</year><pub-id pub-id-type="doi">10.3892/ol.2014.1899</pub-id><pub-id pub-id-type="pmid">24765190</pub-id></element-citation></ref>
<ref id="b29-ol-0-0-7880"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname><given-names>L</given-names></name><name><surname>Cao</surname><given-names>XC</given-names></name><name><surname>Cao</surname><given-names>JG</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Quan</surname><given-names>MF</given-names></name><name><surname>Sheng</surname><given-names>XF</given-names></name><name><surname>Ren</surname><given-names>KQ</given-names></name></person-group><article-title>Casticin induces ovarian cancer cell apoptosis by repressing FoxM1 through the activation of FOXO3a</article-title><source>Oncol Lett</source><volume>5</volume><fpage>1605</fpage><lpage>1610</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/ol.2013.1258</pub-id><pub-id pub-id-type="pmid">23761826</pub-id></element-citation></ref>
<ref id="b30-ol-0-0-7880"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b31-ol-0-0-7880"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ning</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>Q</given-names></name><name><surname>Xiang</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Cao</surname><given-names>J</given-names></name></person-group><article-title>Apoptosis induced by 7-difluoromethoxyl-5,4&#x2032;-di-n-octyl genistein via the inactivation of FoxM1 in ovarian cancer cells</article-title><source>Oncol Rep</source><volume>27</volume><fpage>1857</fpage><lpage>1864</lpage><year>2012</year><pub-id pub-id-type="pmid">22447287</pub-id></element-citation></ref>
<ref id="b32-ol-0-0-7880"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liou</surname><given-names>CJ</given-names></name><name><surname>Len</surname><given-names>WB</given-names></name><name><surname>Wu</surname><given-names>SJ</given-names></name><name><surname>Lin</surname><given-names>CF</given-names></name><name><surname>Wu</surname><given-names>XL</given-names></name><name><surname>Huang</surname><given-names>WC</given-names></name></person-group><article-title>Casticin inhibits COX-2 and iNOS expression via suppression of NF-kB and MAPK signaling in lipopolysaccharide-stimulated mouse macrophages</article-title><source>J Ethnopharmacol</source><volume>158</volume><fpage>310</fpage><lpage>316</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.jep.2014.10.046</pub-id><pub-id pub-id-type="pmid">25446583</pub-id></element-citation></ref>
<ref id="b33-ol-0-0-7880"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Tian</surname><given-names>L</given-names></name><name><surname>Long</surname><given-names>L</given-names></name><name><surname>Quan</surname><given-names>M</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Cao</surname><given-names>J</given-names></name></person-group><article-title>Casticin potentiates TRAIL-induced apoptosis of gastric cancer cells through endoplasmic reticulum stress</article-title><source>PLoS One</source><volume>8</volume><fpage>e58855</fpage><year>2013</year><pub-id pub-id-type="doi">10.1371/journal.pone.0058855</pub-id><pub-id pub-id-type="pmid">23536831</pub-id></element-citation></ref>
<ref id="b34-ol-0-0-7880"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Katoh</surname><given-names>Y</given-names></name><name><surname>Katoh</surname><given-names>M</given-names></name></person-group><article-title>Comparative genomics on Sonic hedgehog orthologs</article-title><source>Oncol Rep</source><volume>14</volume><fpage>1087</fpage><lpage>1090</lpage><year>2005</year><pub-id pub-id-type="pmid">16142377</pub-id></element-citation></ref>
<ref id="b35-ol-0-0-7880"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nusslein-Volhard</surname><given-names>C</given-names></name><name><surname>Wieschaus</surname><given-names>E</given-names></name></person-group><article-title>Mutations affecting segment number and polarity in Drosophila</article-title><source>Nature</source><volume>287</volume><fpage>795</fpage><lpage>801</lpage><year>1980</year><pub-id pub-id-type="doi">10.1038/287795a0</pub-id><pub-id pub-id-type="pmid">6776413</pub-id></element-citation></ref>
<ref id="b36-ol-0-0-7880"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>J</given-names></name><name><surname>Platt</surname><given-names>KA</given-names></name><name><surname>Censullo</surname><given-names>P</given-names></name><name><surname>Ruiz i Altaba</surname><given-names>A</given-names></name></person-group><article-title>Gli1 is a target of Sonic hedgehog that induces ventral neural tube development</article-title><source>Development</source><volume>124</volume><fpage>2537</fpage><lpage>2552</lpage><year>1997</year><pub-id pub-id-type="pmid">9216996</pub-id></element-citation></ref>
<ref id="b37-ol-0-0-7880"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Deng</surname><given-names>W</given-names></name><name><surname>Nail</surname><given-names>CD</given-names></name><name><surname>Bailey</surname><given-names>SK</given-names></name><name><surname>Kraus</surname><given-names>MH</given-names></name><name><surname>Ruppert</surname><given-names>JM</given-names></name><name><surname>Lobo-Ruppert</surname><given-names>SM</given-names></name></person-group><article-title>Snail induction is an early response to Gli1 that determines the efficiency of epithelial transformation</article-title><source>Oncogene</source><volume>25</volume><fpage>609</fpage><lpage>621</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/sj.onc.1209077</pub-id><pub-id pub-id-type="pmid">16158046</pub-id></element-citation></ref>
<ref id="b38-ol-0-0-7880"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Q</given-names></name><name><surname>Xu</surname><given-names>R</given-names></name><name><surname>Zeng</surname><given-names>C</given-names></name><name><surname>Lu</surname><given-names>Q</given-names></name><name><surname>Huang</surname><given-names>D</given-names></name><name><surname>Shi</surname><given-names>C</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Deng</surname><given-names>L</given-names></name><name><surname>Yan</surname><given-names>R</given-names></name><name><surname>Rao</surname><given-names>H</given-names></name><etal/></person-group><article-title>Down-regulation of Gli transcription factor leads to the inhibition of migration and invasion of ovarian cancer cells via integrin &#x03B2;4-mediated FAK signaling</article-title><source>PLoS One</source><volume>9</volume><fpage>e88386</fpage><year>2014</year><pub-id pub-id-type="doi">10.1371/journal.pone.0088386</pub-id><pub-id pub-id-type="pmid">24533083</pub-id></element-citation></ref>
<ref id="b39-ol-0-0-7880"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ciucci</surname><given-names>A</given-names></name><name><surname>De Stefano</surname><given-names>I</given-names></name><name><surname>Vellone</surname><given-names>VG</given-names></name><name><surname>Lisi</surname><given-names>L</given-names></name><name><surname>Bottoni</surname><given-names>C</given-names></name><name><surname>Scambia</surname><given-names>G</given-names></name><name><surname>Zannoni</surname><given-names>GF</given-names></name><name><surname>Gallo</surname><given-names>D</given-names></name></person-group><article-title>Expression of the glioma-associated oncogene homolog 1 (gli1) in advanced serous ovarian cancer is associated with unfavorable overall survival</article-title><source>PLoS One</source><volume>8</volume><fpage>e60145</fpage><year>2013</year><pub-id pub-id-type="doi">10.1371/journal.pone.0060145</pub-id><pub-id pub-id-type="pmid">23555905</pub-id></element-citation></ref>
<ref id="b40-ol-0-0-7880"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>T</given-names></name><name><surname>You</surname><given-names>Y</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>ZZ</given-names></name></person-group><article-title>Epithelial-mesenchymal transition (EMT): A biological process in the development, stem cell differentiation, and tumorigenesis</article-title><source>J Cell Physiol</source><volume>232</volume><fpage>3261</fpage><lpage>3272</lpage><year>2017</year><pub-id pub-id-type="doi">10.1002/jcp.25797</pub-id><pub-id pub-id-type="pmid">28079253</pub-id></element-citation></ref>
<ref id="b41-ol-0-0-7880"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yue</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Che</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Tseng</surname><given-names>HH</given-names></name><name><surname>Jin</surname><given-names>JQ</given-names></name><name><surname>Luh</surname><given-names>TM</given-names></name><name><surname>Giroux-Leprieur</surname><given-names>E</given-names></name><name><surname>Mo</surname><given-names>M</given-names></name><name><surname>Zheng</surname><given-names>Q</given-names></name><etal/></person-group><article-title>Hedgehog/Gli promotes epithelial-mesenchymal transition in lung squamous cell carcinomas</article-title><source>J Exp Clin Canc Res</source><volume>33</volume><fpage>34</fpage><year>2014</year><pub-id pub-id-type="doi">10.1186/1756-9966-33-34</pub-id></element-citation></ref>
<ref id="b42-ol-0-0-7880"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cho</surname><given-names>H</given-names></name><name><surname>Lai</surname><given-names>TC</given-names></name><name><surname>Kwon</surname><given-names>GS</given-names></name></person-group><article-title>Poly(ethylene glycol)-block-poly(&#x03B5;-caprolactone) micelles for combination drug delivery: Evaluation of paclitaxel, cyclopamine and gossypol in intraperitoneal xenograft models of ovarian cancer</article-title><source>J Control Release</source><volume>166</volume><fpage>1</fpage><lpage>9</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.jconrel.2012.12.005</pub-id><pub-id pub-id-type="pmid">23246471</pub-id></element-citation></ref>
<ref id="b43-ol-0-0-7880"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Che</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>FZ</given-names></name><name><surname>Zhao</surname><given-names>CQ</given-names></name><name><surname>Hu</surname><given-names>XD</given-names></name><name><surname>Fan</surname><given-names>SJ</given-names></name></person-group><article-title>Cyclopamine is a novel Hedgehog signaling inhibitor with significant anti-proliferative, anti-invasive and anti-estrogenic potency in human breast cancer cells</article-title><source>Oncol Lett</source><volume>5</volume><fpage>1417</fpage><lpage>1421</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/ol.2013.1195</pub-id><pub-id pub-id-type="pmid">23599805</pub-id></element-citation></ref>
<ref id="b44-ol-0-0-7880"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ray</surname><given-names>A</given-names></name><name><surname>Meng</surname><given-names>E</given-names></name><name><surname>Reed</surname><given-names>E</given-names></name><name><surname>Shevde</surname><given-names>LA</given-names></name><name><surname>Rocconi</surname><given-names>RP</given-names></name></person-group><article-title>Hedgehog signaling pathway regulates the growth of ovarian cancer spheroid forming cells</article-title><source>Int J Oncol</source><volume>39</volume><fpage>797</fpage><lpage>804</lpage><year>2011</year><pub-id pub-id-type="pmid">21701772</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ol-0-0-7880" position="float">
<label>Figure 1.</label>
<caption><p>SKOV3 cell proliferation and colony formation are inhibited by casticin or cyclopamine treatment. SKOV3 cells were incubated in presence of various concentrations of (A) casticin (1.0&#x2013;8.0 &#x00B5;M) or (B) cyclopamine (12.5&#x2013;100 &#x00B5;M). Cell survival was suppressed by casticin and cyclopamine in a dose-dependent manner. &#x002A;P&#x003C;0.01 vs. casticin (0.0 &#x00B5;M) or cyclopamine (0.0 &#x00B5;M) group; <sup>#</sup>P&#x003C;0.01 vs. casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) group. (C) Soft agar assay was performed in triplicate using SKOV3 cells. Image of colonies were captured and counted after 27 days (magnification, &#x00D7;10). The number of colonies in casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) group was significantly reduced compared with the control group. &#x002A;P&#x003C;0.05 vs. the control.</p></caption>
<graphic xlink:href="ol-15-04-4495-g00.jpg"/>
</fig>
<fig id="f2-ol-0-0-7880" position="float">
<label>Figure 2.</label>
<caption><p>Casticin and cyclopamine inhibit SKOV3 cell migration and invasion. (A) Wound healing assays on confluent SKOV3 cell monolayers exposed to of casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M). Representative scratch images were acquired at 0 and 24 h (magnification, &#x00D7;10), respectively. (B) Migration rates were quantified by measuring three different wound areas. &#x002A;P&#x003C;0.05 vs. control. (C) Transwell invasion assay revealed that cells treated with casticin (2.0 &#x00B5;M) or cyclopamine (25.0 &#x00B5;M) had reduced invasion ability relative to control cells. Representative images are presented. (D) The invasion rate represented the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05 vs. control. DMSO, dimethyl sulfoxide.</p></caption>
<graphic xlink:href="ol-15-04-4495-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-7880" position="float">
<label>Figure 3.</label>
<caption><p>Gli-1, Twist1, N-cadherin and E-cadherin mRNA expression were altered by treatment casticin and cyclopamine. (A) Gli-1, (B) Twist, (C) N-cadherin and (D) E-cadherin mRNA expression in DMSO (vehicle control)-, casticin (2.0 &#x00B5;M)- and cyclopamine (25.0 &#x00B5;M)-treated SKOV3 cells were assessed by reverse transcription-quantitative polymerase chain reaction; GAPDH was used for normalization. &#x002A;P&#x003C;0.01 vs. control. Gli-1, glioma-associated oncogene-1; Twist1, Twist related protein 1; DMSO, dimethyl sulfoxide.</p></caption>
<graphic xlink:href="ol-15-04-4495-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-7880" position="float">
<label>Figure 4.</label>
<caption><p>Casticin and cyclopamine inhibited the protein expression of Hh pathway and epithelial-mesenchymal transition markers. (A) Gli-1, Twist1, E-cadherin and N-cadherin protein expression levels in DMSO (vehicle control), casticin (2 &#x00B5;M) and cyclopamine (25.0 &#x00B5;M)-treated SKOV3 cells were assessed by western blotting, with &#x03B2;-actin used for normalization. (B-E) Relative intensities of Gli-1, Twist1, E-cadherin and N-cadherin bands were calculated using ImageJ software. &#x002A;P&#x003C;0.01 vs. control. DMSO, dimethyl sulfoxide; Gli-1, glioma-associated oncogene-1; Twist1, Twist related protein 1.</p></caption>
<graphic xlink:href="ol-15-04-4495-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-7880" position="float">
<label>Figure 5.</label>
<caption><p>Time-dependent effect of casticin treatment on Gli-1, Twist1, N-cadherin and E-cadherin mRNA expression levels. SKOV3 cells were cultured with casticin (2.0 &#x00B5;M) for 0, 3, 6, 12 and 24 h, and analyzed by reverse transcription-quantitative polymerase chain reaction for relative mRNA expression levels of (A) Gli-1, (B) Twist1, (C) N-cadherin and (D) E-cadherin. GAPDH was used for normalization. &#x002A;P&#x003C;0.01 vs. Gli-1, Twist1, N-cadherin and E-cadherin expression levels at 0 h; <sup>#</sup>P&#x003C;0.01 vs. Gli-1, Twist1, N-cadherin and E-cadherin at 6 h. Gli-1, glioma-associated oncogene-1; Twist1, Twist related protein 1.</p></caption>
<graphic xlink:href="ol-15-04-4495-g04.tif"/>
</fig>
<fig id="f6-ol-0-0-7880" position="float">
<label>Figure 6.</label>
<caption><p>Time-dependent effect of casticin on Gli-1, Twist1, N-cadherin and E-cadherin protein expression levels. SKOV3 cells were cultured with DMEM medium containing casticin (2.0 &#x00B5;M) for 0, 3, 6, 12 and 24 h. (A) Western blotting was used to analyze the protein expression levels of Gli-1 Twist1, N-cadherin and E-cadherin, with &#x03B2;-actin used as the internal control. (B-E) Densitometry analysis of Gli-1, Twist1, N-cadherin and E-cadherin protein quantitation, respectively. &#x002A;P&#x003C;0.01 vs. levels at 0 h; <sup>#</sup>P&#x003C;0.01 vs. levels at 6 h. DMSO, dimethyl sulfoxide; Gli-1, glioma-associated oncogene-1; Twist1, Twist related protein 1.</p></caption>
<graphic xlink:href="ol-15-04-4495-g05.tif"/>
</fig>
</floats-group>
</article>
