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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2012.1920</article-id>
<article-id pub-id-type="publisher-id">or-28-04-1475</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Enforced expression of RASAL1 suppresses cell proliferation and the transformation ability of gastric cancer cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>QIAO</surname><given-names>FENGCHANG</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref><xref rid="fn1-or-28-04-1475" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>SU</surname><given-names>XIANWEI</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref><xref rid="fn1-or-28-04-1475" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIU</surname><given-names>XUEMEI</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIAN</surname><given-names>DANWEN</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>PENG</surname><given-names>XIAO</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>HONG</given-names></name><xref rid="af2-or-28-04-1475" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHAO</surname><given-names>ZHUJIANG</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>FAN</surname><given-names>HONG</given-names></name><xref rid="af1-or-28-04-1475" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-28-04-1475"/></contrib></contrib-group>
<aff id="af1-or-28-04-1475">
<label>1</label>Key Laboratory of Developmental Genes and Human Diseases, Ministry of Education, Institute of Life Science, and Department of Genetics and Developmental Biology, Medical School of Southeast University, Nanjing 210009, P.R. China</aff>
<aff id="af2-or-28-04-1475">
<label>2</label>Zhong Da Hospital, Medical School of Southeast University, Nanjing 210009, P.R. China</aff>
<author-notes>
<corresp id="c1-or-28-04-1475"><italic>Correspondence to:</italic> Dr Hong Fan, Key Laboratory of Developmental Genes and Human Diseases, Ministry of Education and Department of Genetics and Developmental Biology, Medical School of Southeast University, Nanjing 210009, P.R. China, E-mail: <email>fanh@seu.edu.cn</email></corresp><fn id="fn1-or-28-04-1475">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2012</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>07</month>
<year>2012</year></pub-date>
<volume>28</volume>
<issue>4</issue>
<fpage>1475</fpage>
<lpage>1481</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>04</month>
<year>2012</year></date>
<date date-type="accepted">
<day>19</day>
<month>06</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2012, Spandidos Publications</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>RAS protein activator like 1 (RASAL1) is a member of the RAS GTPase-activating protein (GAP) family, and it is an important molecule in the regulation of RAS activation. In the present study, we investigated the role of RASAL1 in gastric carcinogenesis. Decreased expression pattern of RASAL1 in gastric cancer tissues and cell lines was found in protein and RNA levels, although there was no statistically significant relationship between RASAL1 and clinicopathological features. Restored expression of RASAL1 induced by DNA methylation inhibitor 5-aza-2&#x02032;-deoxycytidine (5&#x02032;-AZA) and HDAC inhibitor trichostatin A (TSA) implied that RASAL1 expression is regulated by epigenetic mechanisms. The biological role of RASAL1 in gastric carcinogenesis was determined by <italic>in vitro</italic> tumorigenicity assays. Overexpression of RASAL1 showed suppression of cell proliferation due to cell apoptosis. Subsequently, enforced expression of RASAL1 repressed significantly the gastric cancer cell transformation ability. These findings demonstrated that decreased RASAL1 expression is a characteristic of gastric cancer and regulated by epigenetic mechanisms. RASAL1 may be a functional tumor suppressor involved in gastric cancer. This study provides novel insights into the biological role of RASAL1 in gastric carcinogenesis.</p></abstract>
<kwd-group>
<kwd>RASAL1</kwd>
<kwd>gastric cancer</kwd>
<kwd>cell growth</kwd>
<kwd>cell apoptosis</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>RAS proteins are molecular switches for signaling cascades that modulate many aspects of cell biology (<xref rid="b1-or-28-04-1475" ref-type="bibr">1</xref>,<xref rid="b2-or-28-04-1475" ref-type="bibr">2</xref>). They have two distinct conformations, including an inactive GDP-bound form and an active GTP-bound form, which are regulated by RAS guanine nucleotide exchange factors (GEFs) and RAS GTPase-activating proteins (GAPs) (<xref rid="b3-or-28-04-1475" ref-type="bibr">3</xref>). Approximately 30&#x00025; of human tumors express an oncogenic form of RAS (i.e., Ha-, K-, or N-RAS), which, in its active form, is insensitive to Ras GAPs (<xref rid="b3-or-28-04-1475" ref-type="bibr">3</xref>). RASAL1, which is a member of the Ras GAPs family, has been shown to be downregulated in several solid tumors, including brain, skin, bladder, head, neck, lung, liver, esophageal, and multiple cell lines. Loss of RASAL1 activity has been correlated with hyperactive Ras in the colon and hepatocellular carcinoma lacking oncogenic Ras (<xref rid="b4-or-28-04-1475" ref-type="bibr">4</xref>,<xref rid="b5-or-28-04-1475" ref-type="bibr">5</xref>). Matkar <italic>et al</italic> have reported that systemic <italic>K-ras</italic> activation in mice leads to rapid changes in gastric cellular homeostasis, and conditional <italic>K-ras</italic> activation results in MAPK pathway activation and the hyperproliferation of the squamous epithelium in the forestomach and metaplasia in the glandular stomach. Parietal cells almost completely disappear from the upper portion of the stomach that is adjacent to forestomach in <italic>K-ras</italic> activated mice (<xref rid="b6-or-28-04-1475" ref-type="bibr">6</xref>). The activated embryonic oncogene ERas may be associated with the tumorigenic growth of somatic cells and may be a putative molecule responsible for cancer stem cell-like characteristics in gastric cancer (<xref rid="b7-or-28-04-1475" ref-type="bibr">7</xref>). Liu <italic>et al</italic> (<xref rid="b8-or-28-04-1475" ref-type="bibr">8</xref>) found that different types of <italic>K-ras</italic> mutations may play a role in gastric cancer development at different stages in the Chinese population. However, Ras mutations are rare, and normally, wild-type Ras is found in gastric cancer. Given that Ras GAPs including RASAL1 suppression may lead to aberrant Ras activation, which promotes tumorigenesis (<xref rid="b9-or-28-04-1475" ref-type="bibr">9</xref>), in this study, we investigated RASAL1 expression patterns in gastric cancer tissues and cell lines, exploring the potential epigenetic mechanism of RASAL1 inactivation in gastric cancer cell lines. Enforced expression of RASAL1 is to evaluate its biological function in gastric cancer cells. These findings may be beneficial in exploring the mechanism and treatment options for gastric cancer.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Tissue samples and cell lines</title>
<p>Gastric cancer and adjacent non-cancerous tissue specimens were obtained from the First Hospital of Nanjing. The samples and our study were approved by the Committees for Ethical Review of Research at the first hospital of Nanjing in China and the patients signed informed consent forms. The clinicopathological features are shown in <xref rid="tI-or-28-04-1475" ref-type="table">Table I</xref>. Four human gastric cancer cell lines AGS, MCG-803, SGC-7901 and BGC-823 were obtained from the Chinese Academy of Science cell bank.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was performed to detect RASAL1 protein expression in gastric cancer specimens and cell lines. The protein concentration of each extract was standardized using the BCA assay (Pierce, USA). The RASAL1 primary antibody (1:1500, Abcam) and the mouse monoclonal anti-&#x003B2;-actin antibody (1:8000, Sigma, USA) were used to detect RASAL1 protein levels. The intensities of specific protein bands were quantified with Gel Pro 3.2 (UVP, CLL, USA), corrected for the intensity of the respective &#x003B2;-actin band.</p></sec>
<sec>
<title>Reverse-transcription (RT)-PCR and quantitative real-time polymerase chain reaction (qPCR)</title>
<p>Total RNA from the cases and cell lines was isolated using TRIzol reagent (Invitrogen, USA), and first-strand cDNA was prepared from the total RNA with an oligo(dT)<sub>18</sub> primer and AMV reverse transcriptase (BioFlux, Japan) according to the manufacturer&#x02019;s instructions. <italic>Rasal1</italic> gene expression was examined using a SYBR-Green PCR kit (Takara, Japan). The <italic>Rasal1</italic> gene RT-PCR and qPCR primers, resulting in a 265-bp DNA product, were as follows: 5&#x02032;-GCAGGGAGGCGATTACAGCCGACCCCCGAG-3&#x02032; (sense) and 5&#x02032;-GGGAAGCGAGTCTTCTTGATGGTTGAGGTC TCC-3&#x02032; (antisense) (<xref rid="b10-or-28-04-1475" ref-type="bibr">10</xref>).</p></sec>
<sec>
<title>5&#x02032;-AZA and TSA treatment</title>
<p>A total of 1.5&#x000D7;10<sup>5</sup> AGS, BGC-823, MCG-803 and SGC-7901 cells were plated in 6-well plates. The cells were cultured in medium containing 0, 5, 10 or 50 &#x003BC;mol/l of the DNA methyltransferase inhibitor 5&#x02032;-AZA (Sigma) for 72 h. BGC-823 cells were also treated with 0, 0.1, 0.2, 0.3, 0.4 or 0.5 &#x003BC;mol/l TSA and MCG-803 cells were treated with 0, 0.1, 0.2, or 0.3 &#x003BC;mol/l TSA (Sigma), a histone deacetylase inhibitor, for 24 h.</p></sec>
<sec>
<title>Transfection of RASAL1 into BGC-823 and MCG-803 cells</title>
<p>BGC-823 and MCG-803 cells were transfected with a RASAL1 construct or pEGFP-N1 as a control (a gift from Q. Tao, Chinese University of Hong Kong) using the FuGene HD transfection reagent (Roche, Switzerland) according to the manufacturer&#x02019;s instructions. The cells were grown and selectively cultured in 0.4 mg/ml G418 (Life Technologies, USA) for 2 months after the initial transfection. BGC-823 and MCG-803 RASAL1-transfected cells were named BGC-RASAL1 and MCG-RASAL1, respectively, and those transfected with pEGFP-N1 were referred to as the control.</p></sec>
<sec>
<title>Cell growth and apoptosis assay</title>
<p>The Cell Counting kit-8 (CCK-8) (Dojindo Laboratories, Kumamoto, Japan) was used to measure the cellular growth of BGC-RASAL1, MCG-RASAL1 and the control cells. The 450-nm absorbance was measured to determine the cell viability. All of the experiments were independently repeated at least three times. Apoptosis was detected by PI and Annexin V-FITC staining. The cells were seeded at 3&#x000D7;10<sup>5</sup> cells/well in 6-well plates and incubated for 24 h and 48 h. Trypsinized cells were washed three times with PBS. The cells were then conjugated with Annexin V-FITC using the PI/Annexin V-FITC kit (Biouniquer, USA), according to the manufacturer&#x02019;s protocol, and analyzed by flow cytometry (Olympus, Japan).</p></sec>
<sec>
<title>In vitro tumorigenicity assays and migration detection</title>
<p>For soft agar colony formation, 1&#x000D7;10<sup>3</sup> cells were seeded in 6-well plates with RPMI-1640 containing 10&#x00025; FBS and incubated at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub>. Colonies consisting of &gt;80 cells were counted after 2 weeks, and the data are expressed as the mean &#x000B1; SD. of triplicate wells within the same experiment. The foci formation assay was performed by seeding 1&#x000D7;10<sup>3</sup> cells in a 6-well plate. After 12 days, the surviving colonies (450 cells per colony) were counted following crystal violet (Invitrogen) staining. Triplicate independent experiments were performed.</p>
<p>Cell migration was assessed by measuring the movement of cells into a scraped area created by a 200-&#x003BC;l pipette tip, and the spread of the wound closure was observed after 36 h. The cells were photographed under a microscope.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Correlations between the RASAL1 expression levels and pathological features were analyzed with the &#x003C7;<sup>2</sup> test using SPSS 13.0 software for Windows. Differences were analyzed by Fisher&#x02019;s exact test. The independent Student&#x02019;s t-test was used to compare the results, which were expressed as the mean &#x000B1; SD between any two preselected groups. Results with a P&lt;0.05 were considered statistically significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Decreased RASAL1 expression in gastric cancer cases and cell lines</title>
<p>The RASAL1 protein levels were detected by western blotting in 50 pairs of tumor and matched non-tumor tissue specimens. The frequency of RASAL1 downregulation was 64&#x00025; (32/50) (<xref rid="f1-or-28-04-1475" ref-type="fig">Fig. 1A</xref>). As detected by qPCR, the RASAL1 mRNA expression level was 58.8&#x00025; (20/34), which is consistent with the protein expression level (<xref rid="f1-or-28-04-1475" ref-type="fig">Fig. 1B</xref>). Western blotting and qPCR demonstrated that RASAL1 expression was reduced markedly in gastric cancer cells BGC-823, 7901 and MCG-803 compared to AGS (<xref rid="f1-or-28-04-1475" ref-type="fig">Fig. 1C and 1D</xref>). These data indicated that decreased RASAL1 expression may play an important role in gastric tumorigenesis.</p></sec>
<sec>
<title>Clinicopathology of decreased RASAL1 expression in gastric cancer</title>
<p>To explore the clinicopathological significance of the RASAL1 expression pattern in gastric cancer tumorigenesis, the clinical features of patients with GCs were analyzed. A total of 34 patients with gastric cancer were categorized into two groups according to their RASAL1 expression level. However, there was no statistically significant association between RASAL1 and clinicopathological features, including age, gender, differentiation, invasion degree and lymph node metastasis (<xref rid="tI-or-28-04-1475" ref-type="table">Table I</xref>).</p></sec>
<sec>
<title>Correlation between RASAL1 expression and environmental factors (<italic>H. pylori</italic> and Epstein-Barr virus infection)</title>
<p>The presence of <italic>H. pylori</italic> and EB virus infection was determined by PCR for <italic>H. pylori</italic> 16S rDNA and the EBNA-1 region, respectively, as previously described (<xref rid="b11-or-28-04-1475" ref-type="bibr">11</xref>). The relationships between the <italic>H. pylori</italic> and Epstein-Barr virus (EBV) infection status of the patient and the RASAL1 expression level were analyzed. Of the 50 GC cases, 22 samples were EBV-positive, and 28 samples were EBV-negative; 22 samples were <italic>H. pylori</italic>-positive, and 28 samples were <italic>H. pylori</italic>-negative (<xref rid="tII-or-28-04-1475" ref-type="table">Table II</xref>). No significant correlation between the RASAL1 expression and environmental factors was observed.</p></sec>
<sec>
<title>Silenced RASAL1 was restored by either 5&#x02032;-AZA or TSA depending on the drug concentration</title>
<p>To investigate whether the RASAL1 downregulation observed in gastric cancer tissues and cell lines is due to epigenetic inactivation, gastric cancer cell lines AGS, BGC-823, MCG-803 and SGC-7901 were treated with DNA methylation inhibitor 5-aza-2&#x02032;-deoxycytidine (5&#x02032;-AZA) or HDAC inhibitor trichostatin A (TSA). RASAL1 expression was restored after treatment with 5&#x02032;-AZA for 72 h in the three gastric cell lines, depending on the drug concentration (MCG-803 and BGC-823: 0&#x02013;50 &#x003BC;mol/l; SGC-7901: 5&#x02013;50 &#x003BC;mol/l) (<xref rid="f2-or-28-04-1475" ref-type="fig">Fig. 2A</xref>). Moreover, RASAL1 expression was also restored depending on the TSA concentration in the BGC-823 (0&#x02013;0.5 &#x003BC;mol/l) and MCG-803 (0&#x02013;0.3 &#x003BC;mol/l) cell lines (<xref rid="f2-or-28-04-1475" ref-type="fig">Fig. 2B</xref>). These findings demonstrate the expression of RASAL1 is affected by epigenetic modification in gastric cancer cells.</p></sec>
<sec>
<title>Restoration of RASAL1 expression inhibited tumor cell proliferation by inducing apoptosis</title>
<p>BGC-823 and MCG-803 cells were stably transfected with a pEGFP-RASAL1 expression construct or a pEGFP control construct. RASAL1 expression increased in the RASAL1-transfected cells (BGC-RASAL1 &#x00023;5 and &#x00023;6 and MCG-RASAL1 &#x00023;2) as compared with the pEGFP-transfectants. RASAL1 overexpression decreased the cell growth rates of the BGC-RASAL1 &#x00023;5 and 6 cells as compared with the BGC-pEGFP control, especially from the third to the fifth day (<xref rid="f3-or-28-04-1475" ref-type="fig">Fig. 3A</xref>). The effect of RASAL1 overexpression on cell growth in the MCG-RASAL1 &#x00023;2 cells was more significant beginning on the second day (<xref rid="f3-or-28-04-1475" ref-type="fig">Fig. 3B</xref>). Flow cytometric analysis showed that RASAL1 overexpression increased apoptosis in the BGC-RASAL1 &#x00023;6 cells at 48 h. (15.7 vs 9.29&#x00025;, <sup>&#x0002A;</sup>P&#x0003D;0.041; <xref rid="f3-or-28-04-1475" ref-type="fig">Fig. 3C</xref>). The MCG-RASAL1 &#x00023;2 cells showed significantly induced apoptosis as compared to the MCG-pEGFP control at 24 h (15.48 vs 12.18&#x00025;, <sup>&#x0002A;</sup>P&#x0003D;0.026) and 48 h (19.45 vs. 14.54&#x00025;, <sup>&#x0002A;</sup>P&#x0003D;0.035) (<xref rid="f3-or-28-04-1475" ref-type="fig">Fig. 3D</xref>). These data implied that RASAL1 inhibited gastric cancer cell line growth by inducing cell apoptosis.</p></sec>
<sec>
<title>Enforced expression of RASAL1 suppressed gastric cancer cells transformation and migration ability</title>
<p>RASAL1 tumor-suppressive effects were assessed by colony and foci formation assays in soft agar and wound healing assays. The frequency of foci formation was significantly lower in the BGC-RASAL1 &#x00023;6 cells compared to the BGC-pEGFP control cells (P&#x0003D;0.004; <xref rid="f4-or-28-04-1475" ref-type="fig">Fig. 4A</xref>). Colony formation in soft agar was significantly decreased in the BGC-RASAL1 &#x00023;6 cells compared to the BGC-pEGFP cells (P&#x0003D;0.000; <xref rid="f4-or-28-04-1475" ref-type="fig">Fig. 4B</xref>). Additionally, wound healing assay showed that RASAL1 inhibited cell migration ability in BGC cells (<xref rid="f4-or-28-04-1475" ref-type="fig">Fig. 4C</xref>). Together, these data provide evidence that RASAL1 has significant tumor-suppressive effects in gastric cancer cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Ras GAPs play an important role in regulating Ras activation, which is an alternative mechanism to Ras gene mutation. RASAL1 is a member of the Ras GAPs family, and it is a Ca<sup>2&#x0002B;</sup>-regulated Ras GAPs that decodes the frequency of Ca<sup>2&#x0002B;</sup> oscillations (<xref rid="b10-or-28-04-1475" ref-type="bibr">10</xref>). Other family members include p120GAP, neurofibromin (NF1), the GAP1 family (GAP1<sup>IP4BP</sup>, Ca<sup>2&#x0002B;</sup>-promoted Ras inactivator (CAPRI), and Ras GTPase activating-like protein RASAL1), and the SynGAP family (DAB2IP, nGAP, SynGAP) (<xref rid="b9-or-28-04-1475" ref-type="bibr">9</xref>,<xref rid="b12-or-28-04-1475" ref-type="bibr">12</xref>&#x02013;<xref rid="b18-or-28-04-1475" ref-type="bibr">18</xref>). The expression profiles and cellular localizations of the Ras GAP family members differ. Previous studies have shown a reduction in RASAL1 expression in nasopharyngeal carcinoma, breast, lung, liver, and esophageal squamous cell carcinoma cell lines (<xref rid="b10-or-28-04-1475" ref-type="bibr">10</xref>) as well as in colon (<xref rid="b5-or-28-04-1475" ref-type="bibr">5</xref>).</p>
<p>Our findings showed that RASAL1 is downregulated in gastric cancer tissues. Although most gastric cancers are considered to be derived from chronic inflammatory mucosa induced by <italic>H. pylori</italic> and Epstein-Barr virus (EBV) infection, decreased expression of RASAL1 was not observed relationships between the RASAL1 expression level and <italic>H. pylori</italic> and Epstein-Barr virus (EBV) infection, Seto <italic>et al</italic> (<xref rid="b19-or-28-04-1475" ref-type="bibr">19</xref>) also reported that reduced expression of RASAL1 was not observed in any inflammatory mucosa or intestinal metaplasia. Therefore, RASAL1 possibly contributes to gastric carcinogenesis as a tumor suppressor gene (TSG), but is not effected by environment factors in gastric cancer. However, the potential role of RASAL1 in gastric progression and its ability to inhibit gastric tumorigenicity is less well known. In order to explore the biological role of RASAL1 in gastric tumorigenesis, we established RASAL1 overexpression cell models and evaluated whether RASAL1 restoration affects the malignant phenotype of tumor cells. The present study found that RASAL1 overexpression inhibited cell proliferation induced by cell apoptosis. RASAL1 enforced expression significantly inhibited foci formation and cell migration, which implied RASAL1 is associated with the epithelial-mesenchymal transition (EMT) process, and EMT-related markers should be identified.</p>
<p>A previous report has found that RASAL1 downregulation resulted from an underexpressed transcription factor PITX1 in certain tumors (<xref rid="b20-or-28-04-1475" ref-type="bibr">20</xref>). However, decreased expression of RASAL1 was not observed related with the expression of PITX1 (data not shown) in our study. Jin <italic>et al</italic> (<xref rid="b10-or-28-04-1475" ref-type="bibr">10</xref>) have reported an epigenetic silencing mechanism of RASAL1 in a variety of carcinomas. In this study, silenced RASAL1 was restored after treatment with 5&#x02032;-AZA or TSA depending on the drug dose. Together with previous studies, our findings supported that DNA methylation and histone deacetylation contribute, at least in part, to reduced RASAL1 expression in gastric carcinogenesis.</p>
<p>In conclusion, the present study provide the first insight into the biological function of RASAL1 and implied its potential role in gastric progression and its ability to inhibit gastric tumorigenicity. Our findings are useful in understanding if RASAL1 may be beneficial for the development of new treatment options for gastric cancer. However, the underlying molecular mechanism by which RASAL1 promotes apoptosis and controls gastric carcinogenesis remains to be determined.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the National Natural Science Foundation of China, grant no. 81171915. This study was also supported by Nanjing Medical Key Scientific Foundation, (no. ZKX08012). We are grateful to Professor Qian Tao for providing the pEGFP-RASAL1 plasmid.</p></ack>
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<floats-group>
<fig id="f1-or-28-04-1475" position="float">
<label>Figure 1</label>
<caption>
<p>RASAL1 is downregulated in gastric cancer (GC) tissues and three GC cell lines compared to AGS. (A and B) RASAL1 expression level was analyzed in gastric tissues by western blotting and qPCR, respectively. &#x003B2;-actin was used as an internal control. (C and D) RASAL1 expression level was analyzed in GC cell lines by western blotting and qPCR, respectively. &#x003B2;-actin was used as an internal control.</p></caption>
<graphic xlink:href="OR-28-04-1475-g00.gif"/></fig>
<fig id="f2-or-28-04-1475" position="float">
<label>Figure 2</label>
<caption>
<p>RASAL1 expression was restored by epigenetic modification drugs. (A) RASAL1 expression was detected in gastric cancer cell lines (AGS, MCG-803, SGC-7901 and BGC-823) after 5&#x02032;-AZA treatment (0, 5, 10 and 50 &#x003BC;M) for 72 h by qPCR. (B) RT-PCR showed RASAL1 expression after induced for 24 h by 0, 0.1, 0.2, 0.3, 0.4 and 0.5 &#x003BC;M TSA in the BGC-823 cell line and by 0, 0.1, 0.2 and 0.3 &#x003BC;M in the MCG-803 cell line, respectively.</p></caption>
<graphic xlink:href="OR-28-04-1475-g01.gif"/></fig>
<fig id="f3-or-28-04-1475" position="float">
<label>Figure 3</label>
<caption>
<p>Overexpression of RASAL1 inhibited cell growth by induction of apoptosis. (A and B) Inhibition of cell growth were detected by CCK-8 in BGC-823 and MCG-803 cells which were stably transfected with RASAL1 construct. (C and D) Apoptosis rate was evaluated by FACS at 24 h and 48 h in BGC-823 cells and MCG-803 cells with RASAL1 enforced expression.</p></caption>
<graphic xlink:href="OR-28-04-1475-g02.gif"/></fig>
<fig id="f4-or-28-04-1475" position="float">
<label>Figure 4</label>
<caption>
<p>RASAL1 overexpression shows its tumor suppressor effect <italic>in vitro</italic> tumorigenicity assays. (A and B) RASAL1 reduced the cell colony and foci formation abilities in BGC-823 cell line. Quantitative analyses of the colony and foci numbers are shown as the mean &#x000B1; SD. (C) RASAL1 overexpression inhibited cell migration in wound healing assays of the BGC-823 cell line at 36 h.</p></caption>
<graphic xlink:href="OR-28-04-1475-g03.gif"/></fig>
<table-wrap id="tI-or-28-04-1475" position="float">
<label>Table I</label>
<caption>
<p>The association of RASAL1 expression with clinicopathological features in 50 GC cases.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Parameters</th>
<th align="center" valign="bottom">T&lt;N</th>
<th align="center" valign="bottom">T&#x02265;N</th>
<th align="center" valign="bottom">P-value</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">1</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02264;60</td>
<td align="right" valign="top">12</td>
<td align="right" valign="top">8</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&gt;60</td>
<td align="right" valign="top">18</td>
<td align="right" valign="top">12</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">Gender</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">0.626</td></tr>
<tr>
<td align="left" valign="top">&#x02003;Male</td>
<td align="right" valign="top">19</td>
<td align="right" valign="top">14</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;Female</td>
<td align="right" valign="top">11</td>
<td align="right" valign="top">6</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">Differentiation</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">1</td></tr>
<tr>
<td align="left" valign="top">&#x02003;Poor</td>
<td align="right" valign="top">16</td>
<td align="right" valign="top">11</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;Moderate</td>
<td align="right" valign="top">13</td>
<td align="right" valign="top">9</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">Invasive degree</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">0.936</td></tr>
<tr>
<td align="left" valign="top">&#x02003;Early stage</td>
<td align="right" valign="top">3</td>
<td align="right" valign="top">2</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;Progression</td>
<td align="right" valign="top">25</td>
<td align="right" valign="top">18</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">Lymph node metastasis</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">0.742</td></tr>
<tr>
<td align="left" valign="top">&#x02003;Yes</td>
<td align="right" valign="top">19</td>
<td align="right" valign="top">14</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;No</td>
<td align="right" valign="top">10</td>
<td align="right" valign="top">6</td>
<td align="center" valign="top"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-or-28-04-1475">
<p>T, tumor tissues; N, peri-carcinoma normal tissues.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-or-28-04-1475" position="float">
<label>Table II</label>
<caption>
<p>Association of RASAL1 expression with <italic>H. pylori</italic> and EBV infection in 50 GC cases.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom"/>
<th align="center" valign="bottom">Cases</th>
<th align="center" valign="bottom">T&lt;N</th>
<th align="center" valign="bottom">T&#x02265;N</th>
<th align="center" valign="bottom">P-value</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top"><italic>H. pylor</italic>i and EBV infection</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">0.554</td></tr>
<tr>
<td align="left" valign="top">&#x02003;Both</td>
<td align="right" valign="top">9</td>
<td align="right" valign="top">5</td>
<td align="right" valign="top">4</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;Either</td>
<td align="right" valign="top">26</td>
<td align="right" valign="top">15</td>
<td align="right" valign="top">11</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;Neither</td>
<td align="right" valign="top">15</td>
<td align="right" valign="top">11</td>
<td align="right" valign="top">4</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"><italic>H. pylori</italic> or EBV infection</td>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="right" valign="top"/>
<td align="center" valign="top">0.280</td></tr>
<tr>
<td align="left" valign="top">&#x02003;(&#x0002B;)</td>
<td align="right" valign="top">35</td>
<td align="right" valign="top">20</td>
<td align="right" valign="top">15</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;(&#x02212;)</td>
<td align="right" valign="top">15</td>
<td align="right" valign="top">11</td>
<td align="right" valign="top">4</td>
<td align="center" valign="top"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-or-28-04-1475">
<p>T, tumor tissues; N, peri-carcinoma normal tissues; (&#x0002B;), positive; (&#x02212;), negative.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
