<?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.2019.10604</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-10604</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Ursolic acid suppresses the invasive potential of colorectal cancer cells by regulating the TGF-&#x03B2;1/ZEB1/miR-200c signaling pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Ling</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-10604" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Cai</surname><given-names>Qiao-Yan</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-10604" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Jianxin</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Peng</surname><given-names>Jun</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-10604" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>You-Qin</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af3-ol-0-0-10604" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Sferra</surname><given-names>Thomas J.</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af3-ol-0-0-10604" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Lin</surname><given-names>Jiu-Mao</given-names></name>
<xref rid="af1-ol-0-0-10604" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-10604" ref-type="aff">2</xref>
<xref rid="c1-ol-0-0-10604" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-10604"><label>1</label>Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, P.R. China</aff>
<aff id="af2-ol-0-0-10604"><label>2</label>Fujian Key Laboratory of Integrative Medicine on Geriatrics, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, P.R. China</aff>
<aff id="af3-ol-0-0-10604"><label>3</label>Department of Pediatrics, Case Western Reserve University School of Medicine, Rainbow Babies and Children&#x0027;s Hospital, Cleveland, OH 44106, USA</aff>
<author-notes>
<corresp id="c1-ol-0-0-10604"><italic>Correspondence to</italic>: Professor Jiu-Mao Lin, Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, 1 Qiu Yang Road, Fuzhou, Fujian 350122, P.R. China, E-mail: <email>linjiumao@fjtcm.edu.cn</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2019</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>07</month>
<year>2019</year></pub-date>
<volume>18</volume>
<issue>3</issue>
<fpage>3274</fpage>
<lpage>3282</lpage>
<history>
<date date-type="received"><day>19</day><month>11</month><year>2018</year></date>
<date date-type="accepted"><day>19</day><month>06</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Zhang et al.</copyright-statement>
<copyright-year>2019</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>Ursolic acid (UA) is a biologically active compound, commonly used in traditional Chinese medicine (TCM). It has been reported to exhibit strong anticancer properties against a variety of cancers. Our previous studies showed that UA promoted apoptosis in colorectal cancer (CRC) cells and inhibited cellular proliferation and angiogenesis. However, the effect and underlying molecular mechanism of UA in CRC progression remain unclear. In the present study, the role of UA in suppressing the migration and invasion of human colon cancer HCT116 and HCT-8 cells was investigated, using Transwell assays. In addition, to evaluate whether the anticancer properties of UA were mediated by the regulation of a double-negative feedback loop consisting of the transforming growth factor-&#x03B2;1 (TGF-&#x03B2;1)/zinc finger E-box-binding homeobox (ZEB1) pathway and microRNA (miR)-200a/b/c, reverse transcription-quantitative PCR and western blot analysis were performed. The results indicated that UA treatment significantly suppressed cellular growth, migration and invasion in HCT116 and HCT-8 cells in a dose-dependent manner. Furthermore, following UA treatment, several crucial mediators of the TGF-&#x03B2;1 signaling pathway, including TGF-&#x03B2;1, phosphorylated (p)-Smad2/3, p-focal adhesion kinase and ZEB1, were significantly downregulated in the HCT116 and HCT-8 cell lines compared with the control group. Furthermore, the ratio of N-cadherin/E-cadherin, two proteins directly downstream of the TGF-&#x03B2;1 signaling pathway, was found to be downregulated in UA treated CRC cells. Finally, UA significantly upregulated miR200a/b/c, with miR-200c exhibiting the highest increase in expression levels following UA treatment. Collectively, the present study suggested that inhibition of CRC cell invasion by UA occurred via regulation of the TGF-&#x03B2;1/ZEB1/miR-200c signaling network, which may be one of the mechanisms by which UA appears to be an effective therapeutic agent against colon cancer.</p>
</abstract>
<kwd-group>
<kwd>ursolic acid</kwd>
<kwd>colorectal cancer</kwd>
<kwd>invasion</kwd>
<kwd>microRNA-200c</kwd>
<kwd>transforming growth factor-&#x03B2; signaling pathway</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Globally, colorectal cancer (CRC) is one of the most common types of cancer (<xref rid="b1-ol-0-0-10604" ref-type="bibr">1</xref>). At the early stage of CRC (i.e., stages I and II), CRC is amenable to surgery and curative treatment, with a 5-year survival rate &#x003E;60&#x0025; for patients with CRC. However, &#x003E;50&#x0025; of patients present with advanced disease (at or beyond stage III) and a high incidence of distant metastasis (<xref rid="b2-ol-0-0-10604" ref-type="bibr">2</xref>). In these patients, the 5-year survival rate drops to 10&#x0025; (<xref rid="b2-ol-0-0-10604" ref-type="bibr">2</xref>). During metastatic progression, cancer cells can detach from the primary tumor site, passing through the circulation system to form metastatic tumors in distant organs (<xref rid="b3-ol-0-0-10604" ref-type="bibr">3</xref>). The epithelial-mesenchymal transition (EMT) is a process that contributes to the early stages of cancer metastasis, in which polarized epithelial cells lose their cell polarity and cell-cell adhesion to acquire a mesenchymal phenotype (<xref rid="b4-ol-0-0-10604" ref-type="bibr">4</xref>). The EMT process allows cancer cells to gain migratory and invasive properties that promote cancer metastasis (<xref rid="b4-ol-0-0-10604" ref-type="bibr">4</xref>). Since metastasis is considered as the leading cause of failure in cancer treatment, the development of novel pharmaceuticals for the prevention and treatment of cancer metastasis is critical.</p>
<p>The transforming growth factor (TGF)-&#x03B2;1 pathway is essential to the EMT in cancer cells. In this process, TGF-&#x03B2;1 initiates downstream signaling, by the dimerized TGF-&#x03B2;1 ligand binding to the type III TGF-&#x03B2;1 receptor, which then presents the ligand to the type II TGF-&#x03B2;1 receptor, which leads to the phosphorylation of the type I TGF-&#x03B2;1 receptor (T&#x03B2;R-I) (<xref rid="b5-ol-0-0-10604" ref-type="bibr">5</xref>,<xref rid="b6-ol-0-0-10604" ref-type="bibr">6</xref>). In canonical TGF-&#x03B2;1 signaling, activated T&#x03B2;R-I phosphorylates the intracellular proteins Smad2/3, which in turn bind to Smad4, before translocating into the nucleus where they initiate transcriptional changes of target genes, including of the zinc finger E-box-binding homeobox (ZEB) family (<xref rid="b7-ol-0-0-10604" ref-type="bibr">7</xref>,<xref rid="b8-ol-0-0-10604" ref-type="bibr">8</xref>). ZEB members act as suppressors of these transcriptional factors, downregulating epithelial markers, such as E-cadherin, while upregulating mesenchymal markers, such as N-cadherin, which contributes to the development of cancer metastasis (<xref rid="b9-ol-0-0-10604" ref-type="bibr">9</xref>). In addition, TGF-&#x03B2;1 can also signal through the non-canonical pathway, which includes focal adhesion kinase (FAK). TGF-&#x03B2;1 has been shown to induce the Src-dependent phosphorylation of FAK, and its consequent activation is required for the upregulation of mesenchymal and invasiveness markers and the delocalization of E-cadherin, which promotes metastasis of cancer cells (<xref rid="b10-ol-0-0-10604" ref-type="bibr">10</xref>).</p>
<p>microRNAs (miRNAs) represent a class of non-coding RNAs, that are 21&#x2013;24 nucleotides long, that suppress target gene expression in a sequence specific manner (<xref rid="b11-ol-0-0-10604" ref-type="bibr">11</xref>). The dysregulation of several miRNAs has been identified to induce EMT and promote colorectal metastasis associated with poorer survival (<xref rid="b12-ol-0-0-10604" ref-type="bibr">12</xref>). The miR-200 family consists of five members, including miR-200a/b/c, miR-141 and miR-429, and has been shown to be master regulators of EMT, promoting cell dissemination from the primary tumor and subsequent metastasis (<xref rid="b13-ol-0-0-10604" ref-type="bibr">13</xref>). Indeed, loss of miR-200a/b/c expression has been shown to promote cellular metastasis in several cancers by inhibiting the ZEB transcription factor family and is correlated with poorer survival in patients with CRC (<xref rid="b14-ol-0-0-10604" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-ol-0-0-10604" ref-type="bibr">16</xref>). Notably, at the miRNA level, DNA methylation of miR-200a/b/c is a key mechanism in the negative regulation of its expression, which has been reported to be mediated by TGF-&#x03B2;1 signaling (<xref rid="b17-ol-0-0-10604" ref-type="bibr">17</xref>). Thus, the TGF-&#x03B2;1/ZEB/miR-200a/b/c signaling network (a positive correlation between TGF-&#x03B2;1 and ZEB, negative correlations between TGF-&#x03B2;1 and miR-200a/b/c and between miR-200a/b/c and ZEB) supports the maintenance of the mesenchymal phenotype required for metastasis (<xref rid="b18-ol-0-0-10604" ref-type="bibr">18</xref>).</p>
<p>Worldwide, agents used in Traditional Chinese Medicine (TCM) have received increasing interest in recent years for the treatment of various cancers, due to relatively low toxicity and few side effects (<xref rid="b19-ol-0-0-10604" ref-type="bibr">19</xref>). There is an urgent need to identify naturally occurring agents for effective anticancer treatments. Ursolic acid (UA) is present in many herbs and plants used in TCM, including <italic>Hedyotic diffusa, Scutellaria barbata, Spica prunellae</italic> and <italic>Patrinia scabiosaefolia</italic>, and possesses excellent anticancer properties against various types of cancers, including CRC (<xref rid="b20-ol-0-0-10604" ref-type="bibr">20</xref>&#x2013;<xref rid="b23-ol-0-0-10604" ref-type="bibr">23</xref>). Increasing evidence indicates that UA has several biological properties, such as anti-inflammatory, antiviral, antioxidant, cytotoxic, anticancer, and antidiabetic (<xref rid="b24-ol-0-0-10604" ref-type="bibr">24</xref>&#x2013;<xref rid="b30-ol-0-0-10604" ref-type="bibr">30</xref>). Our previous studies have shown that UA induced CRC cell apoptosis and suppressed cell proliferation and CRC angiogenesis via multiple signaling pathways (<xref rid="b28-ol-0-0-10604" ref-type="bibr">28</xref>,<xref rid="b29-ol-0-0-10604" ref-type="bibr">29</xref>). In the present study, the effect of UA on CRC cell migration and invasion <italic>in vitro</italic> was further evaluated and the potential molecular mechanisms of its action were elucidated.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Material and reagents</title>
<p>UA was purchased from Sigma-Aldrich (Merck KGaA). RPMI-1640 medium, PBS and penicillin-streptomycin were purchased from Hyclone (GE Healthcare Life Sciences). Fetal bovine serum (FBS) and trypsin-EDTA were obtained from Gibco (Thermo Fisher Scientific. Inc.). 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) was purchased from Beijing Solarbio Science &#x0026; Technology Co., Ltd. miR-200a/b/c and U6 primers were synthesized by Takara Biotechnology Co., Ltd. RNAiso for small RNA kit, Mir-X&#x2122; miRNA First-Strand Synthesis kit and TB Green&#x2122; Premix Ex Taq II kit were purchased from Takara Biotechnology Co., Ltd. N-cadherin (cat. no. ab18203) and E-cadherin (cat. no. ab1416) antibodies were purchased from Abcam. TGF-&#x03B2;1 (cat. no. 3711), phosphorylated (p-) Smad2/3 (cat. no. 8828), Smad2/3 (cat. no. 8685), p-FAK (cat. no. 3284), FAK (cat. no. 71433), ZEB1 (cat. no. 3396) and horseradish peroxidase (HRP)-conjugated secondary antibodies (anti-rabbit IgG; cat. no. 7074; and anti-mouse IgG; cat. no. 7076) were purchased from Cell Signaling Technology, Inc. The &#x03B2;-actin antibody (cat. no. 66009-1-Ig) was purchased from ProteinTech Group, Inc. The Transwell chambers were obtained from Corning Life Sciences and the BD BioCoat Matrigel Invasion Chamber was purchased from BD Bioscience. All the other chemicals, unless otherwise stated, were obtained from Sigma-Aldrich (Merck KGaA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>Human colon cancer HCT116 and HCT-8 cell lines were obtained from the Nanjing KeyGen Biotech. Co. Ltd. Cells were cultured in RPMI-1640 medium, supplemented with 10&#x0025; FBS, 100 U/ml penicillin and 100 mg/ml streptomycin in a 37&#x00B0;C humidified incubator supplemented with 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>MTT assay</title>
<p>UA was dissolved in DMSO and diluted with culture medium to the desired concentrations. The final concentration of DMSO in the culture medium was &#x003C;0.1&#x0025; throughout the study. HCT116 and HCT-8 cells were plated into 96-well plates at a 1&#x00D7;10<sup>4</sup> cells/well and treated with 0, 10, 20, 40 &#x00B5;M UA for 24 h and 48 h. Treatment with DMSO was included as the vehicle control. Following treatment, 100 &#x00B5;l of 0.5 mg/ml MTT solution was added in each well at 37&#x00B0;C for 4 h. The MTT formazan precipitate was dissolved in 100 &#x00B5;l of DMSO. Subsequently, the resulting absorbance of the purple formazan product was determined at 570 nm with a ELX800 microplate reader (BioTek Instruments, Inc.). The cell viability was determined using the formula: Cell viability (&#x0025;)=sample optical density (OD)/control OD &#x00D7;100.</p>
</sec>
<sec>
<title>Transwell assay</title>
<p>To evaluate the cell migration and invasion, Transwell assays were conducted using Transwell cell culture chambers with 8 &#x00B5;m pore filters (Corning Life Sciences). After treatment with 0, 10, 20, 40 &#x00B5;M of UA for 24 h, HCT116 and HCT-8 cells were harvested and resuspended in serum-free RPMI-1640 without UA. Then, ~5&#x00D7;10<sup>4</sup> cells that survived after the indicated concentrations of UA treatment for 24 h were seeded into the upper chambers. The lower chambers were filled with RPMI-1640 media containing 10&#x0025; FBS as a chemoattractant. Cells were allowed to migrate towards the complete medium for 12 h in the migration assay, the non-migrating cells in the upper chamber were wiped and the migrated cells were stained with crystal violet for 15 min at room temperature. For quantification, the average number of migrated cells per field was assessed by counting three random fields under a phase contrast microscope (Leica Microsystems GmbH) at a magnification of &#x00D7;200. The cell invasion assay was similar to the migration assay, except that the upper chambers were coated with Matrigel matrix (BD Biosciences).</p>
</sec>
<sec>
<title>RNA extraction and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis</title>
<p>Following treatment with the indicated concentrations of UA for 24 h, total small RNA was extracted using RNAiso for small RNA kit. Total small RNA was reverse transcribed with an Mir-X&#x2122; miRNA First-Strand Synthesis kit following the manufacturer&#x0027;s protocol. The primers for miR-200a (cat. no. DHM0178), miR-200b (cat. no. DHM0179), miR-200c (cat. no. DHM0180) and U6 (cat. no. D356-03) were obtained from Takara Biotechnology Co., Ltd. The obtained cDNA was used to determine the levels of miR-200a, miR-200b and miR-200c using TB Green&#x2122; Premix Ex Taq II in an ABI 7500 Fast PCR system, according to the manufacturer&#x0027;s instructions. The PCR conditions were as follows: Pre-denaturation at 95&#x00B0;C for 2 min, then 45 cycles of 95&#x00B0;C for 3 sec and 60&#x00B0;C for 30 sec. U6 was used as an internal control. Relative quantification was performed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b31-ol-0-0-10604" ref-type="bibr">31</xref>). Each PCR amplification was carried out in triplicate.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>After treatment with the indicated concentrations of UA for 24 h, total protein was extracted with cell lysis buffer (Pierce; Thermo Fisher Scientific, Inc.) containing protease and phosphatase inhibitors. The concentration of total protein was detected using a bicinchoninic acid assay. A total of 50 &#x00B5;g protein was separated on 10&#x0025; SDS-PAGE gels and transferred onto nitrocellulose membranes (EMD Millipore Corporation). The membranes were blocked with 0.5&#x0025; BSA for 2 h at room temperature and then probed with primary antibodies against TGF-&#x03B2;1 (1:1,000), p-Smad2/3 (1:1,000), Smad2/3 (1:1,000), p-FAK (1:1,000), FAK (1:1,000), N-cadherin (1:1,000), E-cadherin (1:2,000), ZEB1 (1:1,000) and &#x03B2;-actin (1:5,000) overnight at 4&#x00B0;C, followed by 1 h incubation with the anti-rabbit IgG HRP-conjugated secondary antibodies (1:2,000) or anti-mouse IgG HRP-conjugated secondary antibodies (1:2,000) at room temperature. Subsequently, using TBS/Tween-20 to wash the membranes, the immunoreactive bands were visualized via Image Lab software (version 3.0; Bio-Rad Laboratories, Inc.) using enhanced chemiluminescence (Yuheng Biotechnology Co., Ltd.).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data were expressed as mean &#x00B1; standard deviation. Data were analyzed using SPSS software (version 16.0; SPSS Inc.). Statistical analysis was performed using one-way analysis of variance and least significant difference post hoc test. 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>UA inhibits the growth of HCT116 and HCT-8 cells</title>
<p>To evaluate the inhibitory effect of UA on the growth of HCT116 and HCT-8 cells, MTT assays were performed. UA treatment significantly inhibited cell viability in both a dose- and time-dependent manner (<xref rid="f1-ol-0-0-10604" ref-type="fig">Fig. 1A and B</xref>). After 24 h of treatment, the half maximal inhibitory concentration (IC<sub>50</sub>) values of UA for HCT116 and HCT-8 cells were calculated to be 37.2 and 25.2 &#x00B5;M, respectively. Similarly, after 48 h of treatment, the IC<sub>50</sub> values of UA were determined to be 28.0 and 19.4 &#x00B5;M for HCT116 and HCT-8 cells, respectively. Cells exhibiting condensed and fragmented nuclei are considered as growth inhibited. Phase-contrast microscopy was used to examine the effect of UA on HCT116 and HCT-8 cell morphology. Untreated control cells were observed in a confluent monolayer, healthy and attached to the culture plate, whereas UA treatment significantly decreased the confluence of these two cell lines and resulted in condensed, fragmented and detached cells, in a dose-dependent manner (<xref rid="f1-ol-0-0-10604" ref-type="fig">Fig. 1C</xref>). Taken together, these results indicated that UA significantly inhibited the growth of HCT116 and HCT-8 cells.</p>
</sec>
<sec>
<title>UA inhibits migration and invasion in HCT116 and HCT-8 cells</title>
<p>Transwell assays were performed to evaluate the effect of UA on the migration of HCT116 and HCT-8 cells. As shown in <xref rid="f2-ol-0-0-10604" ref-type="fig">Fig. 2</xref>, the results demonstrated that treatment with 10&#x2013;40 &#x00B5;M UA significantly decreased the migratory rate of HCT116 and HCT-8 cells by 23.3&#x00B1;4.2&#x2013;91.3&#x00B1;1.2&#x0025; and 25.5&#x00B1;2.4&#x2013;98.8&#x00B1;0.2&#x0025;, respectively, when compared with untreated cells. Furthermore, UA was demonstrated to inhibit the invasive abilities of HCT116 and HCT-8 cells. The results revealed that the invasion rate of HCT116 and HCT-8 cells following UA treatment was 36.2&#x00B1;1.8&#x2013;67.9&#x00B1;1.6&#x0025; and 33.8&#x00B1;3.7&#x2013;98.2&#x00B1;0.2&#x0025;, respectively, compared with that in the untreated cells (<xref rid="f3-ol-0-0-10604" ref-type="fig">Fig. 3</xref>). Taken together, these results suggest that UA exhibited an inhibitory effect on the migration and invasion properties of HCT116 and HCT-8 cells in a dose-dependent manner.</p>
</sec>
<sec>
<title>UA inhibits TGF-&#x03B2;1/Smad and TGF-&#x03B2;1/FAK signaling pathways and regulates EMT-related proteins in HCT116 and HCT-8 cells</title>
<p>EMT has been shown to be associated with the metastasis of tumor cells (<xref rid="b32-ol-0-0-10604" ref-type="bibr">32</xref>). TGF-&#x03B2;1 signaling pathways, including the canonical TGF-&#x03B2;1/Smad pathway and the non-canonical TGF-&#x03B2;1/FAK signaling pathway, can trigger EMT (<xref rid="b10-ol-0-0-10604" ref-type="bibr">10</xref>,<xref rid="b33-ol-0-0-10604" ref-type="bibr">33</xref>). To better understand whether UA inhibited TGF-&#x03B2;1 signaling pathways, the expression of several pivotal mediators of TGF-&#x03B2;1/Smad and TGF-&#x03B2;1/FAK signaling pathways was assessed in HCT116 and HCT-8 cells. As shown in <xref rid="f4-ol-0-0-10604" ref-type="fig">Fig. 4</xref>, western blot analysis revealed that UA treatment (0, 10, 20, and 40 &#x00B5;M) dose-dependently decreased the expression levels of TGF-&#x03B2;1, and the expression levels of the TGF-&#x03B2;1 target gene ZEB1. Activation of Smad2/3 and FAK is mediated by their phosphorylation, and UA treatment also significantly reduced the phosphorylation levels of both Smad2/3 and FAK (<xref rid="f4-ol-0-0-10604" ref-type="fig">Fig. 4</xref>). Inhibition of the TGF-&#x03B2;1/Smad and TGF-&#x03B2;1/FAK signaling pathways by UA led to a decrease in the expression of the mesenchymal marker N-cadherin compared with that in the control cells (<xref rid="f4-ol-0-0-10604" ref-type="fig">Fig. 4</xref>). However, no difference was observed between the control cells and UA-treated cells regarding the protein expression levels of the epithelial marker E-cadherin (<xref rid="f4-ol-0-0-10604" ref-type="fig">Fig. 4</xref>). These results indicated that the antitumor properties of UA may be mediated by the inhibition of the TGF-&#x03B2;1 signaling pathways.</p>
</sec>
<sec>
<title>UA regulates the expression of miR-200a/b/c in HCT116 and HCT-8 cells</title>
<p>miR-200a/b/c maintains the epithelial phenotype and inhibits cell metastasis via downregulation of its target gene ZEB1 (<xref rid="b34-ol-0-0-10604" ref-type="bibr">34</xref>). In this process, TGF-&#x03B2;1 signaling increases the DNA methylation of miR-200a/b/c, thereby negatively regulating its expression (<xref rid="b17-ol-0-0-10604" ref-type="bibr">17</xref>). Thus, to further investigate whether UA inhibited colorectal cell invasion via regulation of the TGF-&#x03B2;1/ZEB1/miR-200a/b/c feedback loop, the expression levels of miR-200a/b/c were determined via RT-qPCR analysis. As shown in <xref rid="f5-ol-0-0-10604" ref-type="fig">Fig. 5</xref>, the expression levels of miR-200a and miR-200c in HCT116 and HCT-8 cells were significantly increased following UA treatment compared with that in the untreated control cells. While the expression levels of miR-200b did not significantly change after UA treatment in HCT116 cells compared with the untreated control, HCT-8 cells exhibited a significant increase in miR-200b levels following treatment with 40 &#x00B5;M UA (<xref rid="f5-ol-0-0-10604" ref-type="fig">Fig. 5</xref>). These findings are consistent with the observation that UA inhibited the TGF-&#x03B2;1 pathway and the expression of ZEB1 (<xref rid="f4-ol-0-0-10604" ref-type="fig">Fig. 4</xref>). As shown in <xref rid="f5-ol-0-0-10604" ref-type="fig">Fig. 5</xref>, the expression levels of miR-200c exhibited the highest increase following UA treatment. Therefore, the present results suggested that UA may inhibit cell growth and invasion in HCT116 and HCT-8 cells via regulation of the TGF-&#x03B2;1/ZEB1/miR-200c feedback loop.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>UA is a natural triterpene acid present in various plants, fruits, flowers and berries used in TCM (<xref rid="b35-ol-0-0-10604" ref-type="bibr">35</xref>). It mediates several pharmacological processes and can be used as a preventive and therapeutic medicine against multiple chronic diseases, including cancer, metabolic syndrome, cardiovascular diseases, brain disease, liver disease, and sarcopenia (<xref rid="b36-ol-0-0-10604" ref-type="bibr">36</xref>). In particular, several studies have revealed the antitumor effects of UA in gastric (<xref rid="b37-ol-0-0-10604" ref-type="bibr">37</xref>), prostate (<xref rid="b38-ol-0-0-10604" ref-type="bibr">38</xref>), breast (<xref rid="b39-ol-0-0-10604" ref-type="bibr">39</xref>), lung (<xref rid="b40-ol-0-0-10604" ref-type="bibr">40</xref>), liver (<xref rid="b41-ol-0-0-10604" ref-type="bibr">41</xref>), and osteosarcoma cancer (<xref rid="b42-ol-0-0-10604" ref-type="bibr">42</xref>). It was observed that UA inhibited CRC cell growth while having no adverse effects on the weight of mice <italic>in vivo</italic> (<xref rid="b29-ol-0-0-10604" ref-type="bibr">29</xref>). In addition, UA significantly promotes CRC cell apoptosis and suppresses cell proliferation via the regulation of numerous CRC-related signaling pathways, including STAT3, ERK, JNK, and p38 (<xref rid="b29-ol-0-0-10604" ref-type="bibr">29</xref>). Of note, UA also inhibits CRC angiogenesis through the suppression of several pivotal mediators, such as vascular endothelial growth factor-A and basic fibroblast growth factor. The inhibition of multiple signaling pathways, including those related to hedgehog, STAT3, AKT and ribosomal protein S6 kinase &#x03B2;-1, may be the potential mechanisms by which UA may represent a promising compound against tumor angiogenesis (<xref rid="b28-ol-0-0-10604" ref-type="bibr">28</xref>). Furthermore, UA has anti-inflammatory effects on a dextran sodium sulfate-mediated colitis model, whereas it has no effect on normal intestinal epithelial cells (data not shown). In the present study, the effect of UA on the metastatic potential of CRC cells was investigated. The inhibitory effect of UA on cell viability was confirmed in the human colon cancer cell lines HCT116 and HCT-8 and these results are consistent with previous results in HT-29 cells (<xref rid="b29-ol-0-0-10604" ref-type="bibr">29</xref>). In addition, UA treatment significantly and dose-dependently inhibited the migration and invasion of HCT116 and HCT-8 cells in Transwell assays, suggesting that UA may strong suppressive effects on cancer progression.</p>
<p>Metastasis is considered the predominant cause of malignant cancer progression (<xref rid="b43-ol-0-0-10604" ref-type="bibr">43</xref>). Similar to angiogenesis, the process of metastasis is complex and involves complicated interactions between the tumor and the stroma (<xref rid="b44-ol-0-0-10604" ref-type="bibr">44</xref>). Indeed, multiple signaling pathways are involved in metastasis, including the integrin pathway, the TGF-&#x03B2; pathway, the chemokine pathway, and the dependence receptor pathway (<xref rid="b45-ol-0-0-10604" ref-type="bibr">45</xref>). These signaling pathways regulate multiple mesenchymal and invasiveness markers, as well as epithelial markers. A recent study has reported that UA inhibited the invasive phenotype of human gastric cancer cells by decreasing the expression of matrix metalloproteinase-2 (<xref rid="b37-ol-0-0-10604" ref-type="bibr">37</xref>). The synergism between UA and metformin has been shown to significantly inhibit the invasion and migration of breast cancer cells via modulation of the 5&#x2032;-AMP activated protein kinase/TOR signaling pathways (<xref rid="b46-ol-0-0-10604" ref-type="bibr">46</xref>). Furthermore, UA attenuates EMT in non-small cell lung carcinoma by targeting integrin &#x03B1;V&#x03B2;5/matrix metalloproteinase signaling (<xref rid="b47-ol-0-0-10604" ref-type="bibr">47</xref>). Aspirin combined with UA exhibits anti-metastatic ability via influencing both EMT and epidermal growth factor receptor-mediated pathways (<xref rid="b48-ol-0-0-10604" ref-type="bibr">48</xref>). In the present study, the focus was on the TGF-&#x03B2;1 pathways, including canonical TGF-&#x03B2;1/Smad and non-canonical TGF-&#x03B2;1/FAK. The results demonstrated that UA treatment significantly reduced the expression of several crucial mediators of these TGF-&#x03B2;1 signaling pathways, including TGF-&#x03B2;1, p-Smad2/3, p-FAK and ZEB1, leading to a decrease in N-cadherin protein expression. A recent study has shown that ZEB1 is the direct downstream target of miR-200a/b/c and is downregulated following miR-200a/b/c activation (<xref rid="b49-ol-0-0-10604" ref-type="bibr">49</xref>). miR-200a/b/c, ZEB1 and TGF-&#x03B2;1 are known to regulate tumor progression (<xref rid="b50-ol-0-0-10604" ref-type="bibr">50</xref>&#x2013;<xref rid="b53-ol-0-0-10604" ref-type="bibr">53</xref>), and increased the expression of miR-200a/b/c or the decrease in ZEB1 or TGF-&#x03B2;1 could inhibit cancer cell EMT, which deactivates cellular mobility and subsequently suppresses tumor metastasis (<xref rid="b54-ol-0-0-10604" ref-type="bibr">54</xref>&#x2013;<xref rid="b57-ol-0-0-10604" ref-type="bibr">57</xref>). Notably, the present study demonstrated that UA regulated the expression levels of miR-200a/b/c, with miR-200c exhibiting the highest upregulation in HCT116 and HCT-8 cells following UA treatment.</p>
<p>In summary, UA inhibited the viability, migration and invasion of CRC cells <italic>in vitro</italic>, by modulating the TGF-&#x03B2;1/ZEB1/miR-200c signaling network. The present findings elucidated the potential underlying mechanisms of UA, and suggested that it may be an effective and promising therapeutic agent in the treatment of CRC.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was sponsored by the National Natural Science Foundation of China (grant nos. 81704069 and 81774121), the Training of Young and Middle-aged Backbone Personnel of Fujian Provincial Health and Family Planning Commission (grant no. 2016-ZQN-67) and the Scientific Research Foundation of Traditional Chinese Medicine of Fujian Provincial Health and Family Planning Commission, China (grant no. 2017FJZYZY203).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contribution</title>
<p>LZ and JML conceived and designed the experiments, analyzed the data and drafted the manuscript. LZ, QYC and JXL performed the cell experiments. QYC, JXL and YQC performed the RT-qPCR and western blot experiments. TS and JP were involved in analyzing the data and revised the manuscript critically for important intellectual content. JML gave final approval of the version to be published. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interest</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>CRC</term><def><p>colorectal cancer</p></def></def-item>
<def-item><term>UA</term><def><p>ursolic acid</p></def></def-item>
<def-item><term>TCM</term><def><p>Traditional Chinese Medicine</p></def></def-item>
<def-item><term>miR-200a/b/c</term><def><p>microRNA-200a/b/c</p></def></def-item>
<def-item><term>EMT</term><def><p>epithelial-mesenchymal transition</p></def></def-item>
<def-item><term>TGF-&#x03B2;1</term><def><p>transforming growth factor-&#x03B2;1</p></def></def-item>
<def-item><term>T&#x03B2;R-I</term><def><p>type I TGF-&#x03B2;1 receptor</p></def></def-item>
<def-item><term>ZEB</term><def><p>zinc finger E-box-binding homeobox</p></def></def-item>
<def-item><term>FAK</term><def><p>focal adhesion kinase</p></def></def-item>
</def-list>
</glossary>
<ref-list>
<title>References</title>
<ref id="b1-ol-0-0-10604"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name><name><surname>Center</surname><given-names>MM</given-names></name><name><surname>Ferlay</surname><given-names>J</given-names></name><name><surname>Ward</surname><given-names>E</given-names></name><name><surname>Forman</surname><given-names>D</given-names></name></person-group><article-title>Global cancer statistics, 2012</article-title><source>CA Cancer J Clin</source><volume>61</volume><fpage>69</fpage><lpage>90</lpage><year>2011</year><pub-id pub-id-type="doi">10.3322/caac.20107</pub-id><pub-id pub-id-type="pmid">21296855</pub-id></element-citation></ref>
<ref id="b2-ol-0-0-10604"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mcquade</surname><given-names>RM</given-names></name><name><surname>Stojanovska</surname><given-names>V</given-names></name><name><surname>Bornstein</surname><given-names>JC</given-names></name><name><surname>Nurgali</surname><given-names>K</given-names></name></person-group><article-title>Colorectal cancer chemotherapy: The evolution of treatment and new approaches</article-title><source>Curr Med Chem</source><volume>24</volume><fpage>1537</fpage><lpage>1557</lpage><year>2017</year><pub-id pub-id-type="doi">10.2174/0929867324666170111152436</pub-id><pub-id pub-id-type="pmid">28079003</pub-id></element-citation></ref>
<ref id="b3-ol-0-0-10604"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gupta</surname><given-names>GP</given-names></name><name><surname>Massagu&#x00E9;</surname><given-names>J</given-names></name></person-group><article-title>Cancer metastasis: Building a framework</article-title><source>Cell</source><volume>127</volume><fpage>679</fpage><lpage>695</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.cell.2006.11.001</pub-id><pub-id pub-id-type="pmid">17110329</pub-id></element-citation></ref>
<ref id="b4-ol-0-0-10604"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>Epithelial-mesenchymal transition: At the crossroads of development and tumor metastasis</article-title><source>Dev Cell</source><volume>14</volume><fpage>818</fpage><lpage>829</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.devcel.2008.05.009</pub-id><pub-id pub-id-type="pmid">18539112</pub-id></element-citation></ref>
<ref id="b5-ol-0-0-10604"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>L&#x00F3;pez-Casillas</surname><given-names>F</given-names></name><name><surname>Wrana</surname><given-names>JL</given-names></name><name><surname>Massagu&#x00E9;</surname><given-names>J</given-names></name></person-group><article-title>Betaglycan presents ligand to the TGF beta signaling receptor</article-title><source>Cell</source><volume>73</volume><fpage>1435</fpage><lpage>1444</lpage><year>1993</year><pub-id pub-id-type="doi">10.1016/0092-8674(93)90368-Z</pub-id><pub-id pub-id-type="pmid">8391934</pub-id></element-citation></ref>
<ref id="b6-ol-0-0-10604"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Franz&#x00E9;n</surname><given-names>P</given-names></name><name><surname>ten Dijke</surname><given-names>P</given-names></name><name><surname>Ichijo</surname><given-names>H</given-names></name><name><surname>Yamashita</surname><given-names>H</given-names></name><name><surname>Schulz</surname><given-names>P</given-names></name><name><surname>Heldin</surname><given-names>CH</given-names></name><name><surname>Miyazono</surname><given-names>K</given-names></name></person-group><article-title>Cloning of a TGF beta type I receptor that forms a heteromeric complex with the TGF beta type II receptor</article-title><source>Cell</source><volume>75</volume><fpage>681</fpage><lpage>692</lpage><year>1993</year><pub-id pub-id-type="doi">10.1016/0092-8674(93)90489-D</pub-id><pub-id pub-id-type="pmid">8242743</pub-id></element-citation></ref>
<ref id="b7-ol-0-0-10604"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Lebrun</surname><given-names>JJ</given-names></name><name><surname>Vale</surname><given-names>W</given-names></name></person-group><article-title>Regulation of transforming growth factor beta- and activin-induced transcription by mammalian Mad proteins</article-title><source>Proc Natl Acad Sci USA</source><volume>93</volume><fpage>12992</fpage><lpage>12997</lpage><year>1996</year><pub-id pub-id-type="doi">10.1073/pnas.93.23.12992</pub-id><pub-id pub-id-type="pmid">8917532</pub-id></element-citation></ref>
<ref id="b8-ol-0-0-10604"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Feng</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>R</given-names></name><name><surname>Derynck</surname><given-names>R</given-names></name></person-group><article-title>Receptor-associated mad homologues synergize as effectors of the TGF-beta response</article-title><source>Nature</source><volume>383</volume><fpage>168</fpage><lpage>172</lpage><year>1996</year><pub-id pub-id-type="doi">10.1038/383168a0</pub-id><pub-id pub-id-type="pmid">8774881</pub-id></element-citation></ref>
<ref id="b9-ol-0-0-10604"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peinado</surname><given-names>H</given-names></name><name><surname>Olmeda</surname><given-names>D</given-names></name><name><surname>Cano</surname><given-names>A</given-names></name></person-group><article-title>Snail, Zeb and bHLH factors in tumour progression: An alliance against the epithelial phenotype?</article-title><source>Nat Rev Cancer</source><volume>7</volume><fpage>415</fpage><lpage>428</lpage><year>2007</year><pub-id pub-id-type="doi">10.1038/nrc2131</pub-id><pub-id pub-id-type="pmid">17508028</pub-id></element-citation></ref>
<ref id="b10-ol-0-0-10604"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cicchini</surname><given-names>C</given-names></name><name><surname>Laudadio</surname><given-names>I</given-names></name><name><surname>Citarella</surname><given-names>F</given-names></name><name><surname>Corazzari</surname><given-names>M</given-names></name><name><surname>Steindler</surname><given-names>C</given-names></name><name><surname>Conigliaro</surname><given-names>A</given-names></name><name><surname>Fantoni</surname><given-names>A</given-names></name><name><surname>Amicone</surname><given-names>L</given-names></name><name><surname>Tripodi</surname><given-names>M</given-names></name></person-group><article-title>TGFbeta-induced EMT requires focal adhesion kinase (FAK) signaling</article-title><source>Exp Cell Res</source><volume>314</volume><fpage>143</fpage><lpage>152</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.yexcr.2007.09.005</pub-id><pub-id pub-id-type="pmid">17949712</pub-id></element-citation></ref>
<ref id="b11-ol-0-0-10604"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chitwood</surname><given-names>DH</given-names></name><name><surname>Timmermans</surname><given-names>MC</given-names></name></person-group><article-title>Small RNAs are on the move</article-title><source>Nature</source><volume>467</volume><fpage>415</fpage><lpage>419</lpage><year>2010</year><pub-id pub-id-type="doi">10.1038/nature09351</pub-id><pub-id pub-id-type="pmid">20864994</pub-id></element-citation></ref>
<ref id="b12-ol-0-0-10604"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Bao</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name></person-group><article-title>Regulatory miRNAs in colorectal carcinogenesis and metastasis</article-title><source>Int J Mol Sci</source><volume>18</volume><fpage>E890</fpage><year>2017</year><pub-id pub-id-type="doi">10.3390/ijms18040890</pub-id><pub-id pub-id-type="pmid">28441730</pub-id></element-citation></ref>
<ref id="b13-ol-0-0-10604"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Knezevic</surname><given-names>J</given-names></name><name><surname>Pfefferle</surname><given-names>AD</given-names></name><name><surname>Petrovic</surname><given-names>I</given-names></name><name><surname>Greene</surname><given-names>SB</given-names></name><name><surname>Perou</surname><given-names>CM</given-names></name><name><surname>Rosen</surname><given-names>JM</given-names></name></person-group><article-title>Expression of miR-200c in claudin-low breast cancer alters stem cell functionality, enhances chemosensitivity and reduces metastatic potential</article-title><source>Oncogene</source><volume>34</volume><fpage>5997</fpage><lpage>6006</lpage><year>2015</year><pub-id pub-id-type="doi">10.1038/onc.2015.48</pub-id><pub-id pub-id-type="pmid">25746005</pub-id></element-citation></ref>
<ref id="b14-ol-0-0-10604"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Shan</surname><given-names>B</given-names></name><name><surname>Han</surname><given-names>J</given-names></name><name><surname>Zhu</surname><given-names>H</given-names></name><name><surname>Lv</surname><given-names>Y</given-names></name><name><surname>Fan</surname><given-names>X</given-names></name><name><surname>Sang</surname><given-names>M</given-names></name><name><surname>Liu</surname><given-names>XD</given-names></name><name><surname>Liu</surname><given-names>W</given-names></name></person-group><article-title>The downregulation of miR-200c/141 promotes ZEB1/2 expression and gastric cancer progression</article-title><source>Med Oncol</source><volume>32</volume><fpage>428</fpage><year>2015</year><pub-id pub-id-type="doi">10.1007/s12032-014-0428-3</pub-id><pub-id pub-id-type="pmid">25502084</pub-id></element-citation></ref>
<ref id="b15-ol-0-0-10604"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>WR</given-names></name><name><surname>Sun</surname><given-names>H</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Yu</surname><given-names>XH</given-names></name><name><surname>Shi</surname><given-names>XD</given-names></name><name><surname>Zhu</surname><given-names>MS</given-names></name><name><surname>Zeng</surname><given-names>H</given-names></name><name><surname>Yan</surname><given-names>LX</given-names></name><name><surname>Xu</surname><given-names>LB</given-names></name><name><surname>Liu</surname><given-names>C</given-names></name></person-group><article-title>Methylation-associated silencing of miR-200b facilitates human hepatocellular carcinoma progression by directly targetingBMI1</article-title><source>Oncotarget</source><volume>7</volume><fpage>18684</fpage><lpage>18693</lpage><year>2016</year><pub-id pub-id-type="pmid">26919246</pub-id></element-citation></ref>
<ref id="b16-ol-0-0-10604"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Nag</surname><given-names>A</given-names></name><name><surname>Mandal</surname><given-names>CC</given-names></name></person-group><article-title>A comprehensive review on miR-200c, a promising cancer biomarker with therapeutic potential</article-title><source>Curr Drug Targets</source><volume>16</volume><fpage>1381</fpage><lpage>1403</lpage><year>2015</year><pub-id pub-id-type="doi">10.2174/1389450116666150325231419</pub-id><pub-id pub-id-type="pmid">25808651</pub-id></element-citation></ref>
<ref id="b17-ol-0-0-10604"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gregory</surname><given-names>PA</given-names></name><name><surname>Bracken</surname><given-names>CP</given-names></name><name><surname>Smith</surname><given-names>E</given-names></name><name><surname>Bert</surname><given-names>AG</given-names></name><name><surname>Wright</surname><given-names>JA</given-names></name><name><surname>Roslan</surname><given-names>S</given-names></name><name><surname>Morris</surname><given-names>M</given-names></name><name><surname>Wyatt</surname><given-names>L</given-names></name><name><surname>Farshid</surname><given-names>G</given-names></name><name><surname>Lim</surname><given-names>YY</given-names></name><etal/></person-group><article-title>An autocrine TGF-beta/ZEB/miR-200 signaling network regulates establishment and maintenance of epithelial-mesenchymal transition</article-title><source>Mol Biol Cell</source><volume>22</volume><fpage>1686</fpage><lpage>1698</lpage><year>2011</year><pub-id pub-id-type="doi">10.1091/mbc.e11-02-0103</pub-id><pub-id pub-id-type="pmid">21411626</pub-id></element-citation></ref>
<ref id="b18-ol-0-0-10604"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xiong</surname><given-names>M</given-names></name><name><surname>Jiang</surname><given-names>L</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Qiu</surname><given-names>W</given-names></name><name><surname>Fang</surname><given-names>L</given-names></name><name><surname>Tan</surname><given-names>R</given-names></name><name><surname>Wen</surname><given-names>P</given-names></name><name><surname>Yang</surname><given-names>J</given-names></name></person-group><article-title>The miR-200 family regulates TGF-&#x03B2;1-induced renal tubular epithelial to mesenchymal transition through Smad pathway by targeting ZEB1 and ZEB2 expression</article-title><source>Am J Physiol Renal Physiol</source><volume>302</volume><fpage>F369</fpage><lpage>F379</lpage><year>2012</year><pub-id pub-id-type="doi">10.1152/ajprenal.00268.2011</pub-id><pub-id pub-id-type="pmid">22012804</pub-id></element-citation></ref>
<ref id="b19-ol-0-0-10604"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsiao</surname><given-names>WL</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name></person-group><article-title>The role of traditional Chinese herbal medicines in cancer therapy-from tcm theory to mechanistic insights</article-title><source>Planta Med</source><volume>76</volume><fpage>1118</fpage><lpage>1131</lpage><year>2010</year><pub-id pub-id-type="doi">10.1055/s-0030-1250186</pub-id><pub-id pub-id-type="pmid">20635308</pub-id></element-citation></ref>
<ref id="b20-ol-0-0-10604"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name><name><surname>Hong</surname><given-names>Z</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name></person-group><article-title>Effect of Hedyotis Diffusa Willd extract on tumor angiogenesis</article-title><source>Mol Med Rep</source><volume>4</volume><fpage>1283</fpage><lpage>1288</lpage><year>2011</year><pub-id pub-id-type="pmid">21887465</pub-id></element-citation></ref>
<ref id="b21-ol-0-0-10604"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>W</given-names></name><name><surname>Zheng</surname><given-names>L</given-names></name><name><surname>Zhuang</surname><given-names>Q</given-names></name><name><surname>Zhao</surname><given-names>J</given-names></name><name><surname>Cao</surname><given-names>Z</given-names></name><name><surname>Zeng</surname><given-names>J</given-names></name><name><surname>Lin</surname><given-names>S</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name></person-group><article-title>Spica prunellaepromotes cancer cell apoptosis, inhibits cell proliferation and tumor angiogenesis in a mouse model of colorectal cancer via suppression of stat3 pathway</article-title><source>BMC Complement Altern Med</source><volume>13</volume><fpage>144</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1472-6882-13-144</pub-id><pub-id pub-id-type="pmid">23800091</pub-id></element-citation></ref>
<ref id="b22-ol-0-0-10604"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peng</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Zhuang</surname><given-names>Q</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name><name><surname>Hong</surname><given-names>Z</given-names></name><name><surname>Sferra</surname><given-names>TJ</given-names></name></person-group><article-title>Patrinia scabiosaefolia extract suppresses proliferation and promotes apoptosis by inhibiting the STAT3 pathway in human multiple myeloma cells</article-title><source>Mol Med Rep</source><volume>4</volume><fpage>313</fpage><lpage>318</lpage><year>2011</year><pub-id pub-id-type="pmid">21468570</pub-id></element-citation></ref>
<ref id="b23-ol-0-0-10604"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Fang</surname><given-names>Y</given-names></name><name><surname>Feng</surname><given-names>JY</given-names></name><name><surname>Cai</surname><given-names>QY</given-names></name><name><surname>Wei</surname><given-names>LH</given-names></name><name><surname>Lin</surname><given-names>S</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name></person-group><article-title>Chloroform fraction of Scutellaria barbata D. Don inhibits the growth of colorectal cancer cells by activating miR-34a</article-title><source>Oncol Rep</source><volume>37</volume><fpage>3695</fpage><lpage>3701</lpage><year>2017</year><pub-id pub-id-type="doi">10.3892/or.2017.5625</pub-id><pub-id pub-id-type="pmid">28498458</pub-id></element-citation></ref>
<ref id="b24-ol-0-0-10604"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Checker</surname><given-names>R</given-names></name><name><surname>Sandur</surname><given-names>SK</given-names></name><name><surname>Sharma</surname><given-names>D</given-names></name><name><surname>Patwardhan</surname><given-names>RS</given-names></name><name><surname>Jayakumar</surname><given-names>S</given-names></name><name><surname>Kohli</surname><given-names>V</given-names></name><name><surname>Sethi</surname><given-names>G</given-names></name><name><surname>Aggarwal</surname><given-names>BB</given-names></name><name><surname>Sainis</surname><given-names>KB</given-names></name></person-group><article-title>Potent anti-inflammatory activity of ursolic acid, a triterpenoid antioxidant, is mediated through suppression of NF-&#x03BA;B, AP-1 and NF-AT</article-title><source>PLoS One</source><volume>7</volume><fpage>e31318</fpage><year>2012</year><pub-id pub-id-type="doi">10.1371/journal.pone.0031318</pub-id><pub-id pub-id-type="pmid">22363615</pub-id></element-citation></ref>
<ref id="b25-ol-0-0-10604"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kong</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>Liao</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Sun</surname><given-names>R</given-names></name><name><surname>Zhu</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Fang</surname><given-names>X</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name></person-group><article-title>Oleanolic acid and ursolic acid: Novel hepatitis C virus antivirals that inhibit NS5B activity</article-title><source>Antiviral Res</source><volume>98</volume><fpage>44</fpage><lpage>53</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.antiviral.2013.02.003</pub-id><pub-id pub-id-type="pmid">23422646</pub-id></element-citation></ref>
<ref id="b26-ol-0-0-10604"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liobikas</surname><given-names>J</given-names></name><name><surname>Majiene</surname><given-names>D</given-names></name><name><surname>Trumbeckaite</surname><given-names>S</given-names></name><name><surname>Kursvietiene</surname><given-names>L</given-names></name><name><surname>Masteikova</surname><given-names>R</given-names></name><name><surname>Kopustinskiene</surname><given-names>DM</given-names></name><name><surname>Savickas</surname><given-names>A</given-names></name><name><surname>Bernatoniene</surname><given-names>J</given-names></name></person-group><article-title>Uncoupling and antioxidant effects of ursolic acid in isolated rat heart mitochondria</article-title><source>J Nat Prod</source><volume>74</volume><fpage>1640</fpage><lpage>1644</lpage><year>2011</year><pub-id pub-id-type="doi">10.1021/np200060p</pub-id><pub-id pub-id-type="pmid">21648406</pub-id></element-citation></ref>
<ref id="b27-ol-0-0-10604"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>CM</given-names></name><name><surname>Cai</surname><given-names>SQ</given-names></name><name><surname>Cui</surname><given-names>JR</given-names></name><name><surname>Wang</surname><given-names>RQ</given-names></name><name><surname>Tu</surname><given-names>PF</given-names></name><name><surname>Hattori</surname><given-names>M</given-names></name><name><surname>Daneshtalab</surname><given-names>M</given-names></name></person-group><article-title>The cytotoxic activity of ursolic acid derivatives</article-title><source>Eur J Med Chem</source><volume>40</volume><fpage>582</fpage><lpage>589</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.ejmech.2005.01.001</pub-id><pub-id pub-id-type="pmid">15922841</pub-id></element-citation></ref>
<ref id="b28-ol-0-0-10604"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name><name><surname>Hong</surname><given-names>Z</given-names></name><name><surname>Sferra</surname><given-names>TJ</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name></person-group><article-title>Ursolic acid inhibits colorectal cancer angiogenesis through suppression of multiple signaling pathways</article-title><source>Int J Oncol</source><volume>43</volume><fpage>1666</fpage><lpage>1674</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/ijo.2013.2101</pub-id><pub-id pub-id-type="pmid">24042330</pub-id></element-citation></ref>
<ref id="b29-ol-0-0-10604"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name><name><surname>Shen</surname><given-names>A</given-names></name><name><surname>Sferra</surname><given-names>TJ</given-names></name><name><surname>Hong</surname><given-names>Z</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name></person-group><article-title>Ursolic acid promotes colorectal cancer cell apoptosis and inhibits cell proliferation via modulation of multiple signaling pathways</article-title><source>Int J Oncol</source><volume>43</volume><fpage>1235</fpage><lpage>1243</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/ijo.2013.2101</pub-id><pub-id pub-id-type="pmid">23900560</pub-id></element-citation></ref>
<ref id="b30-ol-0-0-10604"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>YN</given-names></name><name><surname>Zhang</surname><given-names>XX</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name></person-group><article-title>A review on anti-diabetic effects of ursolic acid</article-title><source>Clin J Chin Med</source><volume>8</volume><fpage>142</fpage><lpage>145</lpage><year>2016</year><comment>(In Chinese)</comment></element-citation></ref>
<ref id="b31-ol-0-0-10604"><label>31</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="b32-ol-0-0-10604"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heerboth</surname><given-names>S</given-names></name><name><surname>Housman</surname><given-names>G</given-names></name><name><surname>Leary</surname><given-names>M</given-names></name><name><surname>Longacre</surname><given-names>M</given-names></name><name><surname>Byler</surname><given-names>S</given-names></name><name><surname>Lapinska</surname><given-names>K</given-names></name><name><surname>Willbanks</surname><given-names>A</given-names></name><name><surname>Sarkar</surname><given-names>S</given-names></name></person-group><article-title>EMT and tumor metastasis</article-title><source>Clin Transl Med</source><volume>4</volume><fpage>6</fpage><year>2015</year><pub-id pub-id-type="doi">10.1186/s40169-015-0048-3</pub-id><pub-id pub-id-type="pmid">25852822</pub-id></element-citation></ref>
<ref id="b33-ol-0-0-10604"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pang</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>Q</given-names></name><name><surname>Wei</surname><given-names>C</given-names></name><name><surname>Zou</surname><given-names>H</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>Cao</surname><given-names>W</given-names></name><name><surname>He</surname><given-names>J</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Ju</surname><given-names>X</given-names></name><name><surname>Lan</surname><given-names>J</given-names></name><etal/></person-group><article-title>TGF-&#x03B2;1/Smad signaling pathway regulates epithelial-to-mesenchymal transition in esophageal squamous cell carcinoma: In vitro and clinical analyses of cell lines and nomadic Kazakh patients from northwest Xinjiang, China</article-title><source>Plos One</source><volume>9</volume><fpage>e112300</fpage><year>2014</year><pub-id pub-id-type="doi">10.1371/journal.pone.0112300</pub-id><pub-id pub-id-type="pmid">25464508</pub-id></element-citation></ref>
<ref id="b34-ol-0-0-10604"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gregory</surname><given-names>PA</given-names></name><name><surname>Bert</surname><given-names>AG</given-names></name><name><surname>Paterson</surname><given-names>EL</given-names></name><name><surname>Barry</surname><given-names>SC</given-names></name><name><surname>Tsykin</surname><given-names>A</given-names></name><name><surname>Farshid</surname><given-names>G</given-names></name><name><surname>Vadas</surname><given-names>MA</given-names></name><name><surname>Khew-Goodall</surname><given-names>Y</given-names></name><name><surname>Goodall</surname><given-names>GJ</given-names></name></person-group><article-title>The miR-200 family and miR-205 regulate epithelial to mesenchymal transition by targeting ZEB1 and SIP1</article-title><source>Nat Cell Biol</source><volume>10</volume><fpage>593</fpage><lpage>601</lpage><year>2008</year><pub-id pub-id-type="doi">10.1038/ncb1722</pub-id><pub-id pub-id-type="pmid">18376396</pub-id></element-citation></ref>
<ref id="b35-ol-0-0-10604"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>J&#x00E4;ger</surname><given-names>S</given-names></name><name><surname>Trojan</surname><given-names>H</given-names></name><name><surname>Kopp</surname><given-names>T</given-names></name><name><surname>Laszczyk</surname><given-names>MN</given-names></name><name><surname>Scheffler</surname><given-names>A</given-names></name></person-group><article-title>Pentacyclic triterpene distribution in various plants-rich sources for a new group of multi-potent plant extracts</article-title><source>Molecules</source><volume>14</volume><fpage>2016</fpage><lpage>2031</lpage><year>2009</year><pub-id pub-id-type="doi">10.3390/molecules14062016</pub-id><pub-id pub-id-type="pmid">19513002</pub-id></element-citation></ref>
<ref id="b36-ol-0-0-10604"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seo</surname><given-names>DY</given-names></name><name><surname>Lee</surname><given-names>SR</given-names></name><name><surname>Heo</surname><given-names>JW</given-names></name><name><surname>No</surname><given-names>MH</given-names></name><name><surname>Rhee</surname><given-names>BD</given-names></name><name><surname>Ko</surname><given-names>KS</given-names></name><name><surname>Kwak</surname><given-names>HB</given-names></name><name><surname>Han</surname><given-names>J</given-names></name></person-group><article-title>Ursolic acid in health and disease</article-title><source>Korean J Physiol Pharmacol</source><volume>22</volume><fpage>235</fpage><lpage>248</lpage><year>2018</year><pub-id pub-id-type="doi">10.4196/kjpp.2018.22.3.235</pub-id><pub-id pub-id-type="pmid">29719446</pub-id></element-citation></ref>
<ref id="b37-ol-0-0-10604"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>ES</given-names></name><name><surname>Moon</surname><given-names>A</given-names></name></person-group><article-title>Ursolic acid inhibits the invasive phenotype of SNU-484 human gastric cancer cells</article-title><source>Oncol Lett</source><volume>9</volume><fpage>897</fpage><lpage>902</lpage><year>2015</year><pub-id pub-id-type="doi">10.3892/ol.2014.2735</pub-id><pub-id pub-id-type="pmid">25621065</pub-id></element-citation></ref>
<ref id="b38-ol-0-0-10604"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meng</surname><given-names>Y</given-names></name><name><surname>Lin</surname><given-names>ZM</given-names></name><name><surname>Ge</surname><given-names>N</given-names></name><name><surname>Zhang</surname><given-names>DL</given-names></name><name><surname>Huang</surname><given-names>J</given-names></name><name><surname>Kong</surname><given-names>F</given-names></name></person-group><article-title>Ursolic acid induces apoptosis of prostate cancer cells via the PI3K/Akt/mTOR pathway</article-title><source>Am J Chin Med</source><volume>43</volume><fpage>1471</fpage><lpage>1486</lpage><year>2015</year><pub-id pub-id-type="doi">10.1142/S0192415X15500834</pub-id><pub-id pub-id-type="pmid">26503559</pub-id></element-citation></ref>
<ref id="b39-ol-0-0-10604"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wen</surname><given-names>JH</given-names></name><name><surname>Wei</surname><given-names>XH</given-names></name><name><surname>Sheng</surname><given-names>XY</given-names></name><name><surname>Zhou</surname><given-names>DQ</given-names></name><name><surname>Peng</surname><given-names>HW</given-names></name><name><surname>Lu</surname><given-names>YN</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name></person-group><article-title>Effect of ursolic acid on breast cancer resistance protein-mediated transport of rosuvastatin in vivo and vitro</article-title><source>Chin Med Sci J</source><volume>30</volume><fpage>218</fpage><lpage>225</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/S1001-9294(16)30004-9</pub-id><pub-id pub-id-type="pmid">26960302</pub-id></element-citation></ref>
<ref id="b40-ol-0-0-10604"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>CY</given-names></name><name><surname>Lin</surname><given-names>CY</given-names></name><name><surname>Tsai</surname><given-names>CW</given-names></name><name><surname>Yin</surname><given-names>MC</given-names></name></person-group><article-title>Inhibition of cell proliferation, invasion and migration by ursolic acid in human lung cancer cell lines</article-title><source>Toxicol In Vitro</source><volume>25</volume><fpage>1274</fpage><lpage>1280</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.tiv.2011.04.014</pub-id><pub-id pub-id-type="pmid">21539908</pub-id></element-citation></ref>
<ref id="b41-ol-0-0-10604"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>SL</given-names></name><name><surname>Huang</surname><given-names>CY</given-names></name><name><surname>Wu</surname><given-names>ST</given-names></name><name><surname>Yin</surname><given-names>MC</given-names></name></person-group><article-title>Oleanolic acid and ursolic acid induce apoptosis in four human liver cancer cell lines</article-title><source>Toxicol In Vitro</source><volume>24</volume><fpage>842</fpage><lpage>848</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.tiv.2009.12.008</pub-id><pub-id pub-id-type="pmid">20005942</pub-id></element-citation></ref>
<ref id="b42-ol-0-0-10604"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>CC</given-names></name><name><surname>Cheng</surname><given-names>CH</given-names></name><name><surname>Lee</surname><given-names>YH</given-names></name><name><surname>Chang</surname><given-names>IL</given-names></name><name><surname>Chen</surname><given-names>HY</given-names></name><name><surname>Hsieh</surname><given-names>CP</given-names></name><name><surname>Chueh</surname><given-names>PJ</given-names></name></person-group><article-title>Ursolic acid triggers apoptosis in human osteosarcoma cells via caspase activation and the ERK1/2 MAPK pathway</article-title><source>J Agric Food Chem</source><volume>64</volume><fpage>4220</fpage><lpage>4226</lpage><year>2016</year><pub-id pub-id-type="doi">10.1021/acs.jafc.6b00542</pub-id><pub-id pub-id-type="pmid">27171502</pub-id></element-citation></ref>
<ref id="b43-ol-0-0-10604"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yokota</surname><given-names>J</given-names></name></person-group><article-title>Tumor progression and metastasis</article-title><source>Carcinogenesis</source><volume>21</volume><fpage>497</fpage><lpage>503</lpage><year>2000</year><pub-id pub-id-type="doi">10.1093/carcin/21.3.497</pub-id><pub-id pub-id-type="pmid">10688870</pub-id></element-citation></ref>
<ref id="b44-ol-0-0-10604"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Langley</surname><given-names>RR</given-names></name><name><surname>Fidler</surname><given-names>IJ</given-names></name></person-group><article-title>The seed and soil hypothesis revisited-the role of tumor-stroma interactions in metastasis to different organs</article-title><source>Int J Cancer</source><volume>128</volume><fpage>2527</fpage><lpage>2535</lpage><year>2011</year><pub-id pub-id-type="doi">10.1002/ijc.26031</pub-id><pub-id pub-id-type="pmid">21365651</pub-id></element-citation></ref>
<ref id="b45-ol-0-0-10604"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robert</surname><given-names>J</given-names></name></person-group><article-title>Biology of cancer metastasis</article-title><source>Bull Cancer</source><volume>100</volume><fpage>333</fpage><lpage>342</lpage><year>2013</year><comment>(In French)</comment><pub-id pub-id-type="pmid">23587644</pub-id></element-citation></ref>
<ref id="b46-ol-0-0-10604"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>G</given-names></name><name><surname>Shen</surname><given-names>Z</given-names></name><name><surname>Xu</surname><given-names>A</given-names></name><name><surname>Jiang</surname><given-names>K</given-names></name><name><surname>Wu</surname><given-names>P</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Shao</surname><given-names>J</given-names></name></person-group><article-title>Synergistic chemopreventive and therapeutic effects of co-drug ua-met: Implication in tumor metastasis</article-title><source>J Agric Food Chem</source><volume>65</volume><fpage>10973</fpage><lpage>10983</lpage><year>2017</year><pub-id pub-id-type="doi">10.1021/acs.jafc.7b04378</pub-id><pub-id pub-id-type="pmid">29227654</pub-id></element-citation></ref>
<ref id="b47-ol-0-0-10604"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ruan</surname><given-names>JS</given-names></name><name><surname>Zhou</surname><given-names>H</given-names></name><name><surname>Yang</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Jiang</surname><given-names>ZS</given-names></name><name><surname>Sun</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>SM</given-names></name></person-group><article-title>Ursolic acid attenuates TGF-&#x03B2;1 induced epithelial-mesenchymal transition in NSCLC by targeting integrin &#x03B1;V&#x03B2;5/MMPs signaling</article-title><source>Oncol Res</source><volume>7</volume><fpage>593</fpage><lpage>600</lpage><year>2017</year></element-citation></ref>
<ref id="b48-ol-0-0-10604"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>T</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Zheng</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Jia</surname><given-names>L</given-names></name><name><surname>Shao</surname><given-names>J</given-names></name></person-group><article-title>A novel co-drug of aspirin and ursolic acid interrupts adhesion, invasion and migration of cancer cells to vascular endothelium via regulating EMT and EGFR-mediated signaling pathways: Multiple targets for cancer metastasis prevention and treatment</article-title><source>Oncotarget</source><volume>7</volume><fpage>73114</fpage><lpage>73129</lpage><year>2016</year><pub-id pub-id-type="doi">10.18632/oncotarget.12232</pub-id><pub-id pub-id-type="pmid">27683033</pub-id></element-citation></ref>
<ref id="b49-ol-0-0-10604"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Burk</surname><given-names>U</given-names></name><name><surname>Schubert</surname><given-names>J</given-names></name><name><surname>Wellner</surname><given-names>U</given-names></name><name><surname>Schmalhofer</surname><given-names>O</given-names></name><name><surname>Vincan</surname><given-names>E</given-names></name><name><surname>Spaderna</surname><given-names>S</given-names></name><name><surname>Brabletz</surname><given-names>T</given-names></name></person-group><article-title>A reciprocal repression between ZEB1 and members of the miR-200 family promotes EMT and invasion in cancer cells</article-title><source>EMBO Rep</source><volume>9</volume><fpage>582</fpage><lpage>589</lpage><year>2008</year><pub-id pub-id-type="doi">10.1038/embor.2008.74</pub-id><pub-id pub-id-type="pmid">18483486</pub-id></element-citation></ref>
<ref id="b50-ol-0-0-10604"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Zeng</surname><given-names>C</given-names></name><name><surname>Tu</surname><given-names>M</given-names></name><name><surname>Jiang</surname><given-names>W</given-names></name><name><surname>Dai</surname><given-names>Z</given-names></name><name><surname>Hu</surname><given-names>Y</given-names></name><name><surname>Deng</surname><given-names>Z</given-names></name><name><surname>Xiao</surname><given-names>W</given-names></name></person-group><article-title>MicroRNA-200b acts as a tumor suppressor in osteosarcoma via targeting ZEB1</article-title><source>Onco Targets Ther</source><volume>9</volume><fpage>3101</fpage><lpage>3111</lpage><year>2016</year><pub-id pub-id-type="pmid">27307751</pub-id></element-citation></ref>
<ref id="b51-ol-0-0-10604"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>H</given-names></name><name><surname>Deng</surname><given-names>M</given-names></name><name><surname>Tang</surname><given-names>Y</given-names></name><name><surname>Xie</surname><given-names>X</given-names></name><name><surname>Guo</surname><given-names>J</given-names></name><name><surname>Kong</surname><given-names>Y</given-names></name><name><surname>Ye</surname><given-names>F</given-names></name><name><surname>Su</surname><given-names>Q</given-names></name><name><surname>Xie</surname><given-names>X</given-names></name></person-group><article-title>miR-200b and miR-200c as prognostic factors and mediators of gastric cancer cell progression</article-title><source>Clin Cancer Res</source><volume>19</volume><fpage>5602</fpage><lpage>5612</lpage><year>2013</year><pub-id pub-id-type="doi">10.1158/1078-0432.CCR-13-1326</pub-id><pub-id pub-id-type="pmid">23995857</pub-id></element-citation></ref>
<ref id="b52-ol-0-0-10604"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>HF</given-names></name><name><surname>Xu</surname><given-names>LY</given-names></name><name><surname>Li</surname><given-names>EM</given-names></name></person-group><article-title>A family of pleiotropically acting microRNAs in cancer progression, miR-200: Potential cancer therapeutic targets</article-title><source>Curr Pharm Des</source><volume>20</volume><fpage>1896</fpage><lpage>1903</lpage><year>2014</year><pub-id pub-id-type="doi">10.2174/13816128113199990519</pub-id><pub-id pub-id-type="pmid">23888967</pub-id></element-citation></ref>
<ref id="b53-ol-0-0-10604"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hasegawa</surname><given-names>Y</given-names></name><name><surname>Takanashi</surname><given-names>S</given-names></name><name><surname>Kanehira</surname><given-names>Y</given-names></name><name><surname>Tsushima</surname><given-names>T</given-names></name><name><surname>Imai</surname><given-names>T</given-names></name><name><surname>Okumura</surname><given-names>K</given-names></name></person-group><article-title>Transforming growth factor-beta1 level correlates with angiogenesis, tumor progression, and prognosis in patients with nonsmall cell lung carcinoma</article-title><source>Cancer</source><volume>91</volume><fpage>964</fpage><lpage>971</lpage><year>2001</year><pub-id pub-id-type="doi">10.1002/1097-0142(20010301)91:5&#x003C;964::AID-CNCR1086&#x003E;3.0.CO;2-O</pub-id><pub-id pub-id-type="pmid">11251948</pub-id></element-citation></ref>
<ref id="b54-ol-0-0-10604"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bracken</surname><given-names>CP</given-names></name><name><surname>Gregory</surname><given-names>PA</given-names></name><name><surname>Kolesnikoff</surname><given-names>N</given-names></name><name><surname>Bert</surname><given-names>AG</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Shannon</surname><given-names>MF</given-names></name><name><surname>Goodall</surname><given-names>GJ</given-names></name></person-group><article-title>A double-negative feedback loop between ZEB1-SIP1 and the microRNA-200 family regulates epithelial-mesenchymal transition</article-title><source>Cancer Res</source><volume>68</volume><fpage>7846</fpage><lpage>7854</lpage><year>2008</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-08-1942</pub-id><pub-id pub-id-type="pmid">18829540</pub-id></element-citation></ref>
<ref id="b55-ol-0-0-10604"><label>55</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>D</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name><name><surname>Cao</surname><given-names>W</given-names></name><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Dou</surname><given-names>J</given-names></name></person-group><article-title>Effect of down-regulated transcriptional repressor ZEB1 on the epithelial-mesenchymal transition of ovarian cancer cells</article-title><source>Int J Gynecol Cancer</source><volume>23</volume><fpage>1357</fpage><lpage>1366</lpage><year>2013</year><pub-id pub-id-type="doi">10.1097/IGC.0b013e3182a5e760</pub-id><pub-id pub-id-type="pmid">24257549</pub-id></element-citation></ref>
<ref id="b56-ol-0-0-10604"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>D</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name><name><surname>Cai</surname><given-names>K</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Shi</surname><given-names>F</given-names></name><name><surname>Dou</surname><given-names>J</given-names></name></person-group><article-title>MicroRNA-200c overexpression inhibits tumorigenicity and metastasis of CD117&#x002B; CD44&#x002B; ovarian cancer stem cells by regulating epithelial-mesenchymal transition</article-title><source>J Ovarian Res</source><volume>6</volume><fpage>50</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1757-2215-6-50</pub-id><pub-id pub-id-type="pmid">23842108</pub-id></element-citation></ref>
<ref id="b57-ol-0-0-10604"><label>57</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alb</surname><given-names>M</given-names></name><name><surname>Sie</surname><given-names>C</given-names></name><name><surname>Adam</surname><given-names>C</given-names></name><name><surname>Chen</surname><given-names>S</given-names></name><name><surname>Becker</surname><given-names>JC</given-names></name><name><surname>Schrama</surname><given-names>D</given-names></name></person-group><article-title>Cellular and cytokine-dependent immunosuppressive mechanisms of grm1-transgenic murine melanoma</article-title><source>Cancer Immunol Immunother</source><volume>61</volume><fpage>2239</fpage><lpage>2249</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s00262-012-1290-9</pub-id><pub-id pub-id-type="pmid">22674057</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ol-0-0-10604" position="float">
<label>Figure 1.</label>
<caption><p>Effect of UA on the viability of HCT116 and HCT-8 cells. (A) HCT116 and (B) HCT-8 cell viability was determined following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h or 48 h, respectively. Data were normalized to the viability of untreated control cells. Data are expressed as the mean &#x00B1; standard deviation from three independent experiments. &#x002A;P&#x003C;0.01 vs. untreated control cells. (C) HCT116 and HCT-8 cell morphology was determined via phase-contrast microscopy following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h. UA, ursolic acid.</p></caption>
<graphic xlink:href="ol-18-03-3274-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-10604" position="float">
<label>Figure 2.</label>
<caption><p>Effect of UA on the migration of HCT116 and HCT-8 cells. (A) HCT116 and (B) HCT-8 cell migration was determined using Transwell assays, following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h. Cells were stained with crystal violet; the images were captured at a magnification of &#x00D7;200. The average numbers of migrated cells were counted in three random fields on the lower surface of the membrane. Data were normalized to the untreated control cells. Data are expressed as the mean &#x00B1; standard deviation from three independent experiments. &#x002A;P&#x003C;0.01 vs. untreated control cells. UA, ursolic acid.</p></caption>
<graphic xlink:href="ol-18-03-3274-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-10604" position="float">
<label>Figure 3.</label>
<caption><p>Effect of UA on the invasion of HCT116 and HCT-8 cells. (A) HCT116 and (B) HCT-8 cell invasion was determined using Matrigel-coated Transwell assays, following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h. Cells were stained with crystal violet; the images were captured at a magnification of &#x00D7;200. The average numbers of invasive cells were counted in three random fields on the lower surface of the membrane. Data were normalized to the untreated control cells. Data are expressed as the mean &#x00B1; standard deviation from three independent experiments. &#x002A;P&#x003C;0.01 vs. untreated control cells. UA, ursolic acid.</p></caption>
<graphic xlink:href="ol-18-03-3274-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-10604" position="float">
<label>Figure 4.</label>
<caption><p>Effect of UA on the expression of TGF-&#x03B2;1 pathway-associated proteins in HCT116 and HCT-8 cells. (A) The protein expression levels of TGF-&#x03B2;1, p-Smad2/3, Smad2/3, p-FAK, FAK, ZEB1, N-cadherin and E-cadherin in HCT116 and (B) HCT-8 cells were determined using western blot analysis following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h. &#x03B2;-actin was used as the internal control. Images are representative of three independent experiments. Relative densitometric analysis is shown. <sup>&#x0394;</sup>P&#x003C;0.05 and &#x002A;P&#x003C;0.01 vs. untreated control cells. UA, ursolic acid; TGF-&#x03B2;1, transforming growth factor &#x03B2;1; p-, phosphorylated; FAK, focal adhesion kinase; ZEB, zinc finger E-box-binding homeobox.</p></caption>
<graphic xlink:href="ol-18-03-3274-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-10604" position="float">
<label>Figure 5.</label>
<caption><p>Effect of UA on the expression of miR-200a/b/c in HCT116 and HCT-8 cells. The expression levels of (A) miR-200a, (B) miR-200b and (C) miR-200c in HCT116 and HCT-8 cells were determined using reverse transcription-quantitative PCR analysis following treatment with 0, 10, 20, 40 &#x00B5;M UA for 24 h. U6 was used as the internal control. <sup>&#x0394;</sup>P&#x003C;0.05 and &#x002A;P&#x003C;0.01 vs. untreated control cells. UA, ursolic acid; miR, microRNA.</p></caption>
<graphic xlink:href="ol-18-03-3274-g04.tif"/>
</fig>
</floats-group>
</article>
