<?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">
<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.2012.2175</article-id>
<article-id pub-id-type="publisher-id">or-29-02-0771</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Visfatin affects redox adaptative responses and proliferation in Me45 human malignant melanoma cells: An <italic>in vitro</italic> study</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>BU&#x00141;DAK</surname><given-names>RAFA&#x00141; JAKUB</given-names></name><xref rid="af1-or-29-02-0771" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-29-02-0771"/></contrib>
<contrib contrib-type="author">
<name><surname>BU&#x00141;DAK</surname><given-names>&#x00141;UKASZ</given-names></name><xref rid="af3-or-29-02-0771" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>POLANIAK</surname><given-names>RENATA</given-names></name><xref rid="af3-or-29-02-0771" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>KUKLA</surname><given-names>MICHA&#x00141;</given-names></name><xref rid="af1-or-29-02-0771" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>BIRKNER</surname><given-names>EWA</given-names></name><xref rid="af2-or-29-02-0771" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KUBINA</surname><given-names>ROBERT</given-names></name><xref rid="af4-or-29-02-0771" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>KABA&#x00141;A-DZIK</surname><given-names>AGATA</given-names></name><xref rid="af4-or-29-02-0771" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>DU&#x00141;AWA-BU&#x00141;DAK</surname><given-names>ANNA</given-names></name><xref rid="af3-or-29-02-0771" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>&#x0017B;WIRSKA-KORCZALA</surname><given-names>KRYSTYNA</given-names></name><xref rid="af1-or-29-02-0771" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-or-29-02-0771">
<label>1</label>Department of Physiology, Medical University of Silesia, Zabrze</aff>
<aff id="af2-or-29-02-0771">
<label>2</label>Department of General Biochemistry, Medical University of Silesia, Zabrze</aff>
<aff id="af3-or-29-02-0771">
<label>3</label>Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Katowice</aff>
<aff id="af4-or-29-02-0771">
<label>4</label>Department of Pathology, Medical University of Silesia, Sosnowiec, Poland</aff>
<author-notes>
<corresp id="c1-or-29-02-0771"><italic>Correspondence to:</italic> Dr Rafa&#x00142; Jakub Bu&#x00142;dak, Department of Physiology, Medical University of Silesia, 19 Jordana Street, 41-808 Zabrze, Poland, E-mail: <email>rbuldak@sum.edu.pl</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>12</month>
<year>2012</year></pub-date>
<volume>29</volume>
<issue>2</issue>
<fpage>771</fpage>
<lpage>778</lpage>
<history>
<date date-type="received">
<day>06</day>
<month>09</month>
<year>2012</year></date>
<date date-type="accepted">
<day>18</day>
<month>10</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</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>Visfatin has recently been established as a novel adipokine that is predominantly expressed in subcutaneous and visceral fat. Only few studies have investigated the effect of visfatin on prostate, breast, ovarian cancer as well as on astrocytoma cell biology. There have been no previous studies on antioxidative enzyme activities, proliferation processes or levels of DNA damage in malignant melanoma cells in response to visfatin stimulation. Here, we report that visfatin increases activity of selected antioxidative enzymes (SOD, CAT, GSH-Px) in culture supernatants of Me45 human malignant melanoma cells. Our findings suggest that visfatin triggers a redox adaptation response, leading to an upregulation of antioxidant capacity along with decreased levels of the lipid peroxidation process in Me45 melanoma cells. Moreover, visfatin led to a significantly increased proliferation rate in the study using the &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation method. Unlike insulin, visfatin-induced melanoma cell proliferation is not mediated by an insulin receptor. Better understanding of the role of visfatin in melanoma redox states may provide sound insight into the association between obesity-related fat adipokines and the antioxidant defense system <italic>in vitro</italic> in melanoma progression.</p></abstract>
<kwd-group>
<kwd>visfatin</kwd>
<kwd>adipocytokines</kwd>
<kwd>antioxidant enzymes</kwd>
<kwd>lipid peroxidation process</kwd>
<kwd>DNA damage</kwd>
<kwd>proliferation</kwd>
<kwd>melanoma</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>A critical area of obesity research is centered on circulating proteins, the levels of which are altered by changes in the body mass index. Understanding how these proteins affect obesity-associated diseases may provide invaluable clues to constrain the devastating consequences of the current obesity epidemic (<xref rid="b1-or-29-02-0771" ref-type="bibr">1</xref>). One such protein, visfatin/eNampt/PBEF, has recently received much attention, but its biological effects and mechanisms of action are not well understood. Obesity is the risk factor of breast (<xref rid="b2-or-29-02-0771" ref-type="bibr">2</xref>), endometrial (<xref rid="b3-or-29-02-0771" ref-type="bibr">3</xref>) and hepatocellular cancer (<xref rid="b4-or-29-02-0771" ref-type="bibr">4</xref>), as well as skin melanoma (<xref rid="b5-or-29-02-0771" ref-type="bibr">5</xref>). It has been reported that visfatin augments oxidative stress in differentiated myotubes (<xref rid="b6-or-29-02-0771" ref-type="bibr">6</xref>) and endothelial cells (<xref rid="b7-or-29-02-0771" ref-type="bibr">7</xref>). Nevertheless, the causal relationship between these facts remains unclear. Visfatin is a novel fat derived adipocytokine, secreted by visceral and subcutaneous fat tissues (<xref rid="b8-or-29-02-0771" ref-type="bibr">8</xref>,<xref rid="b9-or-29-02-0771" ref-type="bibr">9</xref>), hepatocytes (<xref rid="b10-or-29-02-0771" ref-type="bibr">10</xref>), monocytes and macrophages (<xref rid="b11-or-29-02-0771" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-or-29-02-0771" ref-type="bibr">13</xref>). Visfatin has both intra- and extracellular forms in mammals (<xref rid="b14-or-29-02-0771" ref-type="bibr">14</xref>,<xref rid="b15-or-29-02-0771" ref-type="bibr">15</xref>). An extracellular form of this protein has been reported to act as a cytokine known as visfatin/PBEF (<xref rid="b16-or-29-02-0771" ref-type="bibr">16</xref>), an insulin-mimetic hormone (<xref rid="b17-or-29-02-0771" ref-type="bibr">17</xref>), or an extracellular NAD biosynthetic enzyme, visfatin/eNampt (<xref rid="b18-or-29-02-0771" ref-type="bibr">18</xref>). Only few studies have investigated the effect of visfatin on cancer cells <italic>in vitro</italic> and <italic>in vivo</italic>. Increased expression of visfatin was confirmed in ovarian cancer (<xref rid="b19-or-29-02-0771" ref-type="bibr">19</xref>); malignant astrocytoma (<xref rid="b20-or-29-02-0771" ref-type="bibr">20</xref>); the human prostate cancer cell lines, LNCaP (androgen-sensitive) and PC3 (androgen-insensitive); as well as in human prostate cancer (<xref rid="b21-or-29-02-0771" ref-type="bibr">21</xref>).</p>
<p>Reactive oxygen metabolites (ROMs), such as superoxide anions (O<sub>2</sub><sup>&#x0002A;&#x02212;</sup>) hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), and hydroxyl radical (OH<sup>&#x0002A;</sup>), malondialdehyde (MDA) and nitric oxide (NO) are directly or indirectly involved in the multistage process of carcinogenesis (<xref rid="b22-or-29-02-0771" ref-type="bibr">22</xref>). They are mainly involved in DNA damage leading to mutations in tumor suppressor genes. They also act as initiators and/or promoters in carcinogenesis (<xref rid="b23-or-29-02-0771" ref-type="bibr">23</xref>). MDA, a by-product of lipid peroxidation is likely involved in DNA adduct formations and DNA damage which are believed to also be responsible for carcinogenesis (<xref rid="b24-or-29-02-0771" ref-type="bibr">24</xref>). To counteract ROS-induced DNA damage, cells have developed defensive mechanisms that prevent or repair such damage (<xref rid="b25-or-29-02-0771" ref-type="bibr">25</xref>). Antioxidant enzyme systems belong to those regulatory mechanisms whose role is to protect against oxidative stress. Under oxidative stress, ROS are rapidly eliminated by antioxidant enzymes, such as superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-Px) (<xref rid="b26-or-29-02-0771" ref-type="bibr">26</xref>).</p>
<p>No studies exploring the effects of adipokines (such as visfatin) on oxidative stress, DNA damage in melanoma cells have been conducted so far. This topic is of utmost interest owing to the potential paracrine interactions between subcutaneous adipose tissue and cancer cells. A better understanding of the role of visfatin in melanoma redox states <italic>in vitro</italic> may provide sound insight into the association between obesity-related fat adipokines and the antioxidant defense system <italic>in vitro</italic> in cancer progression.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and reagents</title>
<p>A human malignant melanoma Me45 cell line was obtained from the Silesian University of Technology, as a kind gift from Dr M. Wide&#x00142; from the Marie Curie Memorial Cancer Centre and Institute of Oncology, Gliwice, Poland. The cells were derived from metastatic lesions (local lymph nodes) of a 35-year-old patient of the Institute of Oncology (<xref rid="b27-or-29-02-0771" ref-type="bibr">27</xref>). Me45 cells were plated at the density of 1&#x000D7;10<sup>6</sup> cells per 25 cm<sup>2</sup> flask and cultured in the Dulbecco&#x02019;s modified Eagle&#x02019;s medium with L-glutamine (Sigma-Aldrich, St. Louis, MO, USA) supplemented with 15&#x00025; fetal bovine serum (Gibco, North Androver, MA, USA), antibiotics: penicillin (10,000 IU/ml), streptomycin (10,000 &#x003BC;g/ml), amphotericin B (2.5 &#x003BC;g/ml) (Sigma-Aldrich) under the atmosphere of 95&#x00025; air and 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C. The Me45 cell line was free of mycoplasma, pathogenic viruses and bacteria. Cultures were maintained for no longer than 4 weeks after recovery from the frozen stock.</p>
<p>Visfatin (Alexis Biochemical, Plymouth, PA, USA) was dissolved in phosphate buffered saline (PBS) without Mg<sup>2&#x0002B;</sup>, Ca<sup>2&#x0002B;</sup> (Sigma-Aldrich). The visfatin solutions were prepared fresh, protected from light, and added to the incubation medium obtaining the following final concentrations: 10, 50, 100 and 250 ng/ml. The purity of visfatin was 96&#x02013;97&#x00025; (SDS-PAGE analysis) and contained &lt;0.01 ng/&#x003BC;g LPS as determined by the <italic>Limulus</italic> amebocyte lysate method.</p>
<p>Hydroxy-2-naphthalenylmethylphosphonic acid tris-acetoxymethyl ester &#x0005B;HNMPA-(AM)<sub>3</sub>&#x0005D;, and insulin were also obtained from Sigma Chemicals Co.</p></sec>
<sec>
<title>Enzyme assay</title>
<p>After exposure of the cultured cells to visfatin for 24 h, antioxidative enzyme activities: MnSOD, Cu/ZnSOD, GSH-Px, CAT, and the level of malondialdehyde (MDA) were measured in cell supernatants. Cells were collected after 24 h of incubation with different doses of visfatin (10&#x02013;250 ng/ml) and were centrifuged (2,000 rpm, 5 min) and supernatants were kept at &#x02212;80&#x000B0;C until analysis. All experiments were carried out in duplicate. Sample size in all experiments was 12.</p></sec>
<sec>
<title>GSH-Px activity assay</title>
<p>The method of Paglia and Valentine, (<xref rid="b28-or-29-02-0771" ref-type="bibr">28</xref>) was used with minor modifications. Briefly, Me45 melanoma cells were pooled to a concentration of 5&#x000D7;10<sup>6</sup> cells/&#x003BC;l. Following centrifugation, the cell pellet was mixed with cell lysis buffer and then sonicated for 10 sec. The protein concentration was measured using Bio-Rad protein reagent (Bio-Rad Laboratories, Hercules, CA, USA). Equal volumes of each sample containing 30 &#x003BC;g of protein were mixed with 2.68 ml of 0.05 M phosphate buffer (pH 7.0) containing 0.005 M ethylenediaminetetraacetic acid (EDTA). The following solutions were then added sequentially: 0.100 ml of 0.0084 M NADPH, 0.010 ml of glutathione reductase (GR), 0.010 ml of 1.125 M sodium nitrate (NaNO<sub>3</sub>), and 0.100 ml of 0.15 M reduced glutathione (GSH). The enzymatic reaction was initiated by the addition of 0.100 ml of 0.0022 M H<sub>2</sub>O<sub>2</sub>. The conversion of NADPH to oxidized NADP<sup>&#x0002B;</sup> was followed by continuous recording of the change in absorbency at 340 nm between 2 and 4 min after the initiation of the reaction. The control measurements were recorded in a simultaneous assay where the sample was replaced by an equal volume of cell lysis buffer. GSH-Px enzyme activity (1 IU) is defined as 1 mM NADPH converted to NADP<sup>&#x0002B;</sup> per mg of protein (IU/mg p).</p></sec>
<sec>
<title>SOD activity assay</title>
<p>The SOD activity assay was based on a minor modification of the procedure described by Paoletti and Mocali (<xref rid="b29-or-29-02-0771" ref-type="bibr">29</xref>). The preparation of cell lysates and the measurement of protein concentration were the same as in the GSH-Px assay. Protein (30 &#x003BC;g) from each sample was mixed with 0.8 ml of 1X triethanolamine-diethanolamine buffer (TDB); (pH 7.4), 40 &#x003BC;l of 7.5 mM NADPH (a reduced form of nicotinamide adenine dinucleotide phosphate), and 25 &#x003BC;l of 100 mM EDTA-MnCl<sub>2</sub>. The reaction was initiated by the addition of 0.1 ml of 10 mM mercaptoethanol. The decrease in absorbance at 340 nm was recorded over 20 min at room temperature. The control consisted of a reaction mixture in which the sample was replaced by an equal volume of cell lysis buffer. For the determination of MnSOD activity, CuZnSOD activity was inhibited by incubating samples with 5 mM potassium cyanide (KCN) for 30 min with samples assayed for activity within 2 h of adding cyanide to the sample mixture. Total specific SOD and MnSOD (after CuZnSOD inhibition with KCN) activity levels were measured, and then the CuZnSOD activity was calculated. The enzymatic activity of both SOD isoenzymes was expressed in nitric units (NU) per mg of protein (NU/mg p); 1 NU represents 50&#x00025; inhibition by SOD of the nitrosol ion formation under these conditions.</p></sec>
<sec>
<title>CAT activity</title>
<p>Catalase activity was measured spectrophotometrically as described by Aebi (<xref rid="b30-or-29-02-0771" ref-type="bibr">30</xref>). Direct disappearance of 10 mM hydrogen peroxide in 50 mM potassium phosphate buffer (pH 7.0), 1 mM EDTA was measured at 240 nm &gt;30 sec on a Beckman DU-70 spectrophotometer. Enzyme activity was calculated based on the molar extinction coefficient of hydrogen peroxide at 240 nm (&#x0025B; &#x0003D; 39.4 M<sup>&#x02212;1</sup> cm<sup>&#x02212;1</sup>) and reported as &#x003BC;mol hydrogen peroxide decomposed per minute, recalculated to kIU per mg of protein (kIU/mg p).</p></sec>
<sec>
<title>MDA assay</title>
<p>The measurement of MDA, a product of lipid peroxidation, was determined by the thiobarbituric acid (TBA) reaction as described by Placer <italic>et al</italic>(<xref rid="b31-or-29-02-0771" ref-type="bibr">31</xref>). Aliquots of reaction buffer (1.5 ml) that included 50 &#x003BC;g of protein from each sample and 1.4 ml of 0.2 M Tris-0.16 M KCl (pH 7.4) were incubated at 37&#x000B0;C for 30 min. Next, 1.5 ml of TBA reagent were added, and the mixture was heated in a boiling water bath for 10 min. After cooling with ice, 3.0 ml of pyridine:<italic>n</italic>-butanol (3:1, v/v) and 1.0 ml of 1 M NaOH were added and mixed by shaking, and the absorbance was read at 548 nm. The blank control contained the same reaction mixture but was not incubated. The level of MDA was expressed as &#x003BC;mol MDA per mg of protein (&#x003BC;mol MDA/mg p).</p></sec>
<sec>
<title>Alkaline comet assay</title>
<p>All chemicals were purchased from Sigma. The comet assay was carried out under alkaline conditions, as described by Olive and Ban&#x000E1;th (<xref rid="b32-or-29-02-0771" ref-type="bibr">32</xref>). Fully frosted slides were covered with 1&#x00025; normal melting point agarose (NMP agarose). Me45 cells (6&#x000D7;10<sup>3</sup>), and the same number of cells pretreated with visfatin at the concentration of 100 ng/ml for 24 h were washed twice, trypsinized and resuspended in 2 ml fresh medium. Half of the cells from each group were treated for 5 min with H<sub>2</sub>O<sub>2</sub> (100 &#x003BC;M), and the genotoxic factor was removed by centrifugation (2,000 rpm/3 min) with supernatants. Subsequently, cells were resuspended in 2 ml medium and incubated for 0 min (control for determination of the basal DNA damage) or 5, 15, 30, 60, 120 and 180 min (for determination of the residual DNA damage). The resuspended cells (50 &#x003BC;l) were mixed with 100 &#x003BC;l 0.5&#x00025; low melting agarose at 37&#x000B0;C and transferred (100 &#x003BC;l) onto microscope slides. The cells not treated with H<sub>2</sub>O<sub>2</sub> were collected at similar time-points.</p>
<p>The slides were immersed for 1 h in the ice-cold, freshly prepared lysis solution (2.5 M NaCl, 100 mM Na<sub>2</sub>EDTA, 10 mM Tris-HCl, pH 10.0) with 1&#x00025; Triton X-100 and 1&#x00025; dimethylsulfoxide added fresh for cell destruction and DNA unfolding. The slides were then randomly placed side by side in the horizontal gel-electrophoresis tank, facing the anode. The unit was filled with freshly prepared electrophoretic buffer (300 mM NaOH, 1 mM Na<sub>2</sub>EDTA, pH 13.0) and the slides were set in this alkaline buffer for 15 min to allow DNA to unwind and express alkali-labile sites. Denaturation and electrophoresis were performed at 4&#x000B0;C under dim light. Electrophoresis was carried out for 20 min at 25 V (300 mA). Following electrophoresis, the slides were washed gently 2&#x000D7; at 5-min intervals with the neutralization buffer (0.4 M Tris-HCl, pH 7.5) to remove excess alkali and detergents. Slides were fixed in chilled 70&#x00025; ethanol and stained with ethidium bromide (20 &#x003BC;g/ml) and coverslipped. Slides were stored at 4&#x000B0;C in humidified sealed containers. To prevent additional DNA damage, handling samples and preparation of the slides for the comet assay were conducted under yellow light or in the dark. To avoid possible position effects during electrophoresis, two parallel replicate slides per sample were prepared. Each replicate was processed in a different electrophoretic run.</p>
<p>The Comet images were visualized after ethidium bromide staining (20 &#x003BC;g/ml) using a fluorescent microscope (Axiophot M1, Zeiss, Jena, Germany) that was fitted with an excitation filter of 515&#x02013;535 nm and a barrier filter of 590 nm at &#x000D7;40 magnification. The Comet images were captured using an online charge-coupled device (CCD) camera and analyzed using the Comet Score software (version 5.5) from Andor Technology (Belfast, UK). The tail moments were quantified for a minimum of 100 random cells per sample using the Comet Score software. The tail moment is defined as the ratio of DNA in the comet tail to total DNA.</p></sec>
<sec>
<title>Assessment of cell proliferation</title>
<p>Me45 cell proliferation was assessed using scintillation counting to measure the incorporation of &#x0005B;<sup>3</sup>H&#x0005D;thymidine (2 &#x003BC;Ci/ml) into trichloroacetic acid (TCA)-insoluble material. Cells were plated at 2&#x000D7;10<sup>4</sup>/well in 24-well plates and treated with 10&#x02013;250 ng/ml visfatin or insulin (100 ng/ml) for 24 h. To study the effects of insulin receptor (IR) inhibition, HNMPA-(AM)<sub>3</sub> (50 &#x003BC;M) was added 3 h before visfatin or insulin, in the presence of &#x0005B;<sup>3</sup>H&#x0005D;thymidine. After 24 h, the plates were washed with PBS and 10&#x00025; TCA was added to the wells. Incorporated &#x0005B;<sup>3</sup>H&#x0005D;thymidine was released by washing with 0.2 N of NaOH, and radioactivity was measured using &#x003B2;-scintillation counter (Wallac 1410, Pharmacia, Freiburg, Germany). Results were shown as counts per minute. To determine visfatin&#x02019;s effect on the cell number, melanoma cells were plated into 96-well plates at 2&#x000D7;10<sup>3</sup>/well and treated with 10&#x02013;250 ng/ml visfatin or 100 ng/ml insulin for 24 h. Cells were harvested by trypsinization, and the viable ones were counted in an automated cell counter (model no. TC10; Bio-Rad Laboratories) using 0.04&#x00025; trypan blue.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The normality of distribution was evaluated by means of Shapiro-Wilk&#x02019;s test. All results are presented as the means &#x000B1; SD or a median (IQR). Results underwent statistical analysis, applying the one-way ANOVA test with the Bonferroni&#x02019;s <italic>post hoc</italic> test or Kruskal-Wallis with Mann-Whitney U test, according to parameter distribution. For repeated measures a Friedman test with Schaich and Hamerle <italic>post hoc</italic> procedure was used in comet assay data. P&lt;0.05 was considered to indicate statistically significant differences.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Influence of visfatin on selected antioxidative enzyme activities as well as malondialdehyde level in human malignant melanoma Me45 cells</title>
<p>Visfatin treatment resulted in an increase in antioxidative enzyme activities SOD: (MnSOD, CuZnSOD isoenzymes) and CAT, GSH-Px compared to the control group.</p></sec>
<sec>
<title>SOD isoenzyme assay</title>
<p>SOD isoenzyme activities (MnSOD, CuZnSOD) after 24 h of incubation with different concentrations of visfatin are shown in <xref rid="f1-or-29-02-0771" ref-type="fig">Fig. 1</xref>. These experimental groups also showed a statistically significant increase of the activities of both isoenzymes, in relation to the control group. The highest MnSOD isoenzyme activity was observed in the group treated with visfatin at a 100 and 250 ng/ml concentration compared to the control group (6.22&#x000B1;0.55, 6.29&#x000B1;0.34 vs. 3.42&#x000B1;0.34 NU/mg p; p&lt;0.001); (<xref rid="f1-or-29-02-0771" ref-type="fig">Fig. 1A</xref>). The MnSOD activity in the two other groups treated with visfatin remained unaltered. All concentrations of visfatin led to a significant 2-fold increase of copper and zinc containing superoxide dismutase isoenzyme (Cu/ZnSOD) activity when compared to the untreated group; (3.42&#x000B1;0.36 3.43&#x000B1;0.52 3.52&#x000B1;0.75, 4.01&#x000B1;0.90 vs. 1.43&#x000B1;0.49 NU/mg p; p&lt;0.001); (<xref rid="f1-or-29-02-0771" ref-type="fig">Fig. 1B</xref>) The dose-dependency in influencing CuZnSOD by various visfatin concentrations was not observed.</p></sec>
<sec>
<title>CAT assay</title>
<p>In comparison to controls, a significant increase in catalase (CAT) activity in all experimental groups was found at 24 h. CAT activity was ~2-and 2.5-fold higher in the group stimulated with visfatin at 10 and 50 ng/ml than in the control group (17.96&#x000B1;1.66, 19.12&#x000B1;1.50 vs. 7.55&#x000B1;1.37 kIU/mg p; p&lt;0.001, respectively). Moreover, a 4-fold increase in the CAT activity was observed in the group treated with visfatin at a concentration of 100 and 250 ng/ml with respect to the control group; (32.1&#x000B1;2.83, 35.66&#x000B1;2.51 vs. 7.55&#x000B1;1.37 kIU/mg p; p&lt;0.001; respectively) (<xref rid="f2-or-29-02-0771" ref-type="fig">Fig. 2A</xref>).</p></sec>
<sec>
<title>GSH-Px assay</title>
<p>GSH-Px activity was ~2-fold higher in the groups treated with visfatin at 50 and 100 ng/ml compared to the control group (190.9&#x000B1;31.6, 197.1&#x000B1;20.3 vs. 93.51&#x000B1;6.1 IU/mg p; <sup>@</sup>p&lt;0.001, respectively). However a significant decrease in GSH-Px activity was observed when cells were treated with visfatin at a 250 ng/ml concentration (55.8&#x000B1;20.03 vs. 93.51&#x000B1;6.1 IU/mg p; p&lt;0.001; respectively) (<xref rid="f2-or-29-02-0771" ref-type="fig">Fig. 2B</xref>).</p></sec>
<sec>
<title>MDA assay</title>
<p>We also studied the influence of visfatin on the MDA level in the supernatants of Me45 cells. The MDA level was 2-fold lower in the group stimulated with 100 ng visfatin compared to the untreated group (0.79&#x000B1;0.10 vs. 1.49&#x000B1;0.17 &#x003BC;mol MDA/mg p; p&lt;0.001, respectively). On the contrary, the MDA concentration was increased in Me45 cells stimulated by visfatin at a 250 ng/ml concentration (1.69&#x000B1;0.5 vs. 1.49&#x000B1;0.17 &#x003BC;mol MDA/mg p; p&lt;0.001, respectively) (<xref rid="f2-or-29-02-0771" ref-type="fig">Fig. 2C</xref>).</p></sec>
<sec>
<title>Evaluation of DNA damage</title>
<p>We also examined the effect of visfatin at the concentration of 100 ng/ml on DNA damage in Me45 cells. The DNA damage after an incubation of these cells with the genotoxic factor H<sub>2</sub>O<sub>2</sub> was compared with cells pre-incubated with 100 ng/ml of visfatin (24 h) and H<sub>2</sub>O<sub>2</sub> at different time-points (0&#x02013;180 min). <xref rid="f3-or-29-02-0771" ref-type="fig">Fig. 3</xref> shows the level of DNA damage at different time-points (0&#x02013;180 min) after visfatin and H<sub>2</sub>O<sub>2</sub> treatment, in comparison to the untreated cells and the cells treated separately, only with H<sub>2</sub>O<sub>2</sub> or visfatin-control groups. These results are presented as tail length (<xref rid="f3-or-29-02-0771" ref-type="fig">Fig. 3A</xref>) and median tail moment parameter (<xref rid="f3-or-29-02-0771" ref-type="fig">Fig. 3B</xref>) with first and third quartile. In every temporal point after H<sub>2</sub>O<sub>2</sub> removal, the DNA damage (expressed as median tail moment or tail length) was decreased in the group treated with visfatin and H<sub>2</sub>O<sub>2</sub>, compared to the group treated solely with H<sub>2</sub>O<sub>2</sub>. Me45 melanoma cells treated with both visfatin and hydrogen peroxide exhibited significantly less DNA damage than the cells treated solely with hydrogen peroxide (p&lt;0.05). One hundred and eighty minutes after H<sub>2</sub>O<sub>2</sub> treatment, the DNA damage level in cells treated with both visfatin and H<sub>2</sub>O<sub>2</sub> was lower than in cells treated solely with H<sub>2</sub>O<sub>2</sub> (p&lt;0.05). Addition of visfatin to H<sub>2</sub>O<sub>2</sub>-treated cells resulted in earlier recovery in DNA damage resulting in similar levels of tail moment and tail length 120 min after removal of H<sub>2</sub>O<sub>2</sub>. The stationary DNA damage (without adding H<sub>2</sub>O<sub>2</sub>) was also decreased in the visfatin-treated group when compared to untreated controls (but only in the tail moment parameter of the DNA damage); p&lt;0.05 (<xref rid="f3-or-29-02-0771" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Effects of visfatin on the proliferation and viability of Me45 melanoma cells</title>
<p>The measurement of &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation showed that visfatin at 10&#x02013;100 ng/ml stimulated proliferation of Me45 cells in a dose-dependent manner. Visfatin at the concentration of 250 ng/ml led to a significant decrease in the proliferation rate of these cells (15&#x00025;) when compared to untreated melanoma cells (p&lt;0.05) (<xref rid="f4-or-29-02-0771" ref-type="fig">Fig. 4A</xref>). Compared to the control group, visfatin significantly increased &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation into melanoma cells by 32.1&#x00025; (10 ng/ml), 63&#x00025; (50 ng/ml) and 91.2&#x00025; (100 ng/ml) (all p&lt;0.05) (<xref rid="f4-or-29-02-0771" ref-type="fig">Fig. 4A</xref>). Moreover, compared to the control group, visfatin at 10, 50 and 100 ng/ml increased the number of viable melanoma cells by 9, 15 and 36.3&#x00025;, respectively (all p&lt;0.05) (<xref rid="f4-or-29-02-0771" ref-type="fig">Fig. 4B</xref>). On the contrary, visfatin at 250 ng/ml decreased the number of viable melanoma cells by 15&#x00025; (<xref rid="f4-or-29-02-0771" ref-type="fig">Fig. 4B</xref>) in comparison to the untreated group (p&lt;0.05). <xref rid="f5-or-29-02-0771" ref-type="fig">Fig. 5</xref> shows that insulin also promoted proliferation of Me45 cells. Insulin at 100 ng/ml markedly increased &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation of Me45 cells by 85.4&#x00025; with augment number of viable cells (24&#x00025; rise vs. untreated cells; p&lt;0.05). No statistically significant differences between study groups treated with various concentrations of visfatin were observed at the level of &#x003B1;&#x0003D; 0.05 (excluding visfatin at the concentration of 250 ng/ml).</p></sec>
<sec>
<title>Insulin receptor signaling</title>
<p>Melanoma cells pretreated with the IR tyrosine kinase inhibitor HNMPA-(AM)<sub>3</sub> did not show reduced proliferation in visfatin-treated cells (<xref rid="f5-or-29-02-0771" ref-type="fig">Fig. 5</xref>). Additionally, the inhibitor HNMPA-(AM)<sub>3</sub> significantly inhibited insulin-stimulated proliferation of melanoma Me45 cells by 27&#x00025; (p&lt;0.05) (<xref rid="f5-or-29-02-0771" ref-type="fig">Fig. 5</xref>). Furthermore, the immunoblot analysis revealed that IR protein expression (95 kDa) could be detected in Me45 melanoma lysates (not shown).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>There are no data describing the interactions in subcutaneous microenvironments between adipocytes that secrete various adipokines (such as visfatin) and neighboring melanocytes as well as melanoma cells. This relationship might affect the malignant transformation process of melanocytes. Therefore it seems important to initiate studies that explore the potential paracrine influence of adipokines on melanocytes and melanoma cells.</p>
<p>We studied the role of fat derived-visfatin on antioxidative enzymatic activity and the level of lipid peroxidation process in supernatants of Me45 melanoma cells. In the present study, we observed increased activity of antioxidant enzymes (SOD isoenzymes, catalase and glutathione peroxidase) in cell supernatants upon stimulation with visfatin at the concentration of 10&#x02013;100 ng/ml. Increased mitochondrial MnSOD isoenzyme activity after visfatin treatment suggests that visfatin increases efficiency of the electron transport chain in the inner mitochondrial membrane and stimulates complex I and IV of the electron transport chain in the mitochondrion (<xref rid="b33-or-29-02-0771" ref-type="bibr">33</xref>). Cells subjected to the action of the visfatin at the concentration of 250 ng/ml for 24 h showed higher mitochondrial oxidative stress compared to the other group. In our previous study we also observed a marked increase in MnSOD activity after exposure of AT478 tumor cells to extremely low frequency electromagnetic field (ELF-EMF) and vitamin E. This action of ELF-EMF and vitamin E is expected to increase efficiency of oxidative phosphorylation and adenosine triphosphate production and the high efficiency of ROS elimination by MnSOD itself (<xref rid="b34-or-29-02-0771" ref-type="bibr">34</xref>). In this study we also reported increase in CuZnSOD superoxide dismutase isoenzyme activity in Me45 cells subjected for 24 h to different concentrations of visfatin.</p>
<p>SOD isoenzymes catalyze the conversion of O2<sup>&#x02212;</sup> to H<sub>2</sub>O<sub>2</sub>, which can then be converted to water by catalase (CAT) or glutathione peroxidase (GSH-Px) coupled with glutathione reductase (GR) (<xref rid="b26-or-29-02-0771" ref-type="bibr">26</xref>). We observed a marked increase in CAT activity in Me45 melanoma cells treated with all concentrations of visfatin. Increased activity of GSH-Px or CAT in cancer cells can make tumor cells less susceptible to anticancer drugs such as doxorubicin (<xref rid="b36-or-29-02-0771" ref-type="bibr">36</xref>,<xref rid="b39-or-29-02-0771" ref-type="bibr">39</xref>). Samuels <italic>et al</italic>(<xref rid="b35-or-29-02-0771" ref-type="bibr">35</xref>) demonstrated that the addition of radical scavengers and compounds with peroxide activity can reduce the cytotoxic effect of anticancer drugs <italic>in vitro</italic>. Increased GSH-Px or CAT activity enables cells to survive with the high level of ROS and maintain cellular viability (<xref rid="b36-or-29-02-0771" ref-type="bibr">36</xref>).</p>
<p>In our study, application of visfatin (10&#x02013;100 ng/ml) also decreased the level of lipid peroxidation in Me45 cells with augmented GSH-Px activity. On the contrary, MDA concentration was increased in melanoma cells stimulated by visfatin in higher concentrations and also decreased GSH-Px activity. ROS are known to cause DNA damage and lipid peroxidation/oxidation in cellular membranes (<xref rid="b26-or-29-02-0771" ref-type="bibr">26</xref>). MDA is one of the final products of polyunsaturated fatty acid peroxidation in cells. An increase in free radicals causes overproduction of MDA (<xref rid="b37-or-29-02-0771" ref-type="bibr">37</xref>). Glutathione peroxidase is an enzyme that reduces hydrogen peroxide as well as organic superoxides. In such reactions, an organic superoxide (ROOH) becomes reduced to an appropriate alcohol (ROH). In the case of lipid superoxide this means that it cannot become an initiator of lipid peroxidation and, therefore, GSH-Px inhibits the lipid peroxidation process (<xref rid="b31-or-29-02-0771" ref-type="bibr">31</xref>,<xref rid="b37-or-29-02-0771" ref-type="bibr">37</xref>). The results of our experiments with low concentrations of MDA in the group stimulated with 10&#x02013;100 ng/ml visfatin is concordant with the high activity of the enzyme inhibiting lipid peroxidation process-glutathione peroxidase (GSH-Px) in this study group when compared to the control group. However, we speculate that the Me45 melanoma cells exposed to visfatin at the concentration of 250 ng/ml may show decreased resistance toward exogenic H<sub>2</sub>O<sub>2</sub> and higher oxidative stress in comparison to the cells treated with lower concentrations of visfatin.</p>
<p>We suppose that visfatin at the concentration of 10&#x02013;100 ng/ml triggers a redox adaptation response, leading to an upregulation of the antioxidant capacity (SOD isoenzymes, CAT and GSH-Px enzymes).</p>
<p>Moreover, the increased oxidative-stress induces oxidative DNA damage and lipid peroxidation process. We hypothesized that visfatin mediated activation of antioxidant enzymes with decreased levels of MDA may lead to the reduction of DNA damage in Me45 melanoma cells. We pretreated these cells with visfatin at the concentration of 100 ng/ml for 24 h. At every time-point after H<sub>2</sub>O<sub>2</sub> removal, the DNA damage (expressed as median tail moment or tail length) was decreased in the group treated with visfatin and H<sub>2</sub>O<sub>2</sub> compared to the group treated solely with H<sub>2</sub>O<sub>2</sub>. The results suggested a protective role of visfatin in the Me45 melanoma cells exposed to the genotoxic reagents. Pretreatment with visfatin before adding hydrogen peroxide decreased DNA damage in the Me45 cells. Our observation of increased antioxidant enzyme activity in melanoma cells after visfatin stimulation shows that enzymatic defense mechanisms are used for ROS scavenging and reduce the level of DNA damage in these cells. Moreover, the stationary DNA damage (without adding H<sub>2</sub>O<sub>2</sub>) was also decreased in the visfatin-treated group when compared to the untreated group (but only in tail moment parameter of DNA damage). Collectively, we demonstrated for the first time the protective role of visfatin in hydrogen peroxide-induced DNA damage in a human malignant melanoma cell line. However, Wang <italic>et al</italic>(<xref rid="b38-or-29-02-0771" ref-type="bibr">38</xref>) demonstrated that visfatin exerted anti-apoptotic effects under a cell apoptotic state induced by H<sub>2</sub>O<sub>2</sub> in vascular smooth muscle cells (<xref rid="b38-or-29-02-0771" ref-type="bibr">38</xref>). Moreover, Adya <italic>et al</italic>(<xref rid="b7-or-29-02-0771" ref-type="bibr">7</xref>) reported that visfatin exerted a protective role in H<sub>2</sub>O<sub>2</sub>-induced endothelial cell apoptosis. Visfatin at 100 ng/ml in combination with H<sub>2</sub>O<sub>2</sub> (200 &#x003BC;M) markedly increased the number of viable cells by 73&#x00025; in comparison to the group treated solely with hydrogen peroxide (only 19&#x00025; of viable endothelial cells in the culture) (<xref rid="b7-or-29-02-0771" ref-type="bibr">7</xref>). This is consistent with our report, which demonstrates that visfatin at 100 ng/ml also increased the level of viable melanoma cells in the group (visfatin &#x0002B; H<sub>2</sub>O<sub>2</sub>) along with a decreased level of DNA damage when compared to cells treated solely with H<sub>2</sub>O<sub>2</sub>.</p>
<p>We also examined the effect of visfatin on Me45 melanoma cell proliferation. Previous studies reported that visfatin stimulates proliferation of osteoblasts (<xref rid="b39-or-29-02-0771" ref-type="bibr">39</xref>), vascular smooth muscle cells (VSMC) (<xref rid="b38-or-29-02-0771" ref-type="bibr">38</xref>) and prostate cancer cells (PC-3 line) (<xref rid="b21-or-29-02-0771" ref-type="bibr">21</xref>). The present study demonstrated that visfatin (10&#x02013;100 ng/ml), similar to insulin, stimulates proliferation of Me45 cells <italic>in vitro</italic> in a dose-dependent manner. Patel <italic>et al</italic>(<xref rid="b21-or-29-02-0771" ref-type="bibr">21</xref>) also reported that visfatin (25&#x02013;400 ng/ml) increases proliferation of the PC-3 prostate cancer cell line in a dose-dependent manner after 24 h of incubation. The most pronounced proliferation rate increase (approximately 2-fold) was observed in the PC-3 cells subjected to visfatin at the concentration of 400 ng/ml. In the present study, an almost 2-fold increase of the proliferation rate was observed in Me45 cells treated with 100 ng/ml visfatin with increased number of tumor viable cells. The supraphysiological concentration of visfatin in culture medium was similar to the concentrations used in other <italic>in vitro</italic> studies (<xref rid="b6-or-29-02-0771" ref-type="bibr">6</xref>,<xref rid="b7-or-29-02-0771" ref-type="bibr">7</xref>,<xref rid="b13-or-29-02-0771" ref-type="bibr">13</xref>,<xref rid="b17-or-29-02-0771" ref-type="bibr">17</xref>,<xref rid="b21-or-29-02-0771" ref-type="bibr">21</xref>,<xref rid="b38-or-29-02-0771" ref-type="bibr">38</xref>,<xref rid="b39-or-29-02-0771" ref-type="bibr">39</xref>). These observation are concordant with a report which shows that increased GSH-Px or CAT activity enables cells to survive with the high level of ROS and maintain cellular viability (<xref rid="b36-or-29-02-0771" ref-type="bibr">36</xref>). By contrast, in this case, high concentration of visfatin (250 ng/ml) led to a significant decrease of &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation of Me45 cells with respect to the untreated cells. The effect on proliferation was demonstrated in a concentration-dependent manner and perhaps more importantly at levels of visfatin similar to those that have been demonstrated in obese patients (<xref rid="b40-or-29-02-0771" ref-type="bibr">40</xref>). This provides novel evidence that elevated levels of circulating visfatin may influence the growth of melanoma cancer cells. According to other research studies, visfatin can mimic the effects of insulin on the activation of insulin signaling (<xref rid="b17-or-29-02-0771" ref-type="bibr">17</xref>,<xref rid="b39-or-29-02-0771" ref-type="bibr">39</xref>). In particular, two studies in monocytes and in osteoblasts have indicated that IR may be involved in visfatin function; both studies demonstrated that visfatin effects could be blocked by IR tyrosine kinase inhibitor, HNMPA-(AM)<sub>3</sub>(<xref rid="b13-or-29-02-0771" ref-type="bibr">13</xref>,<xref rid="b39-or-29-02-0771" ref-type="bibr">39</xref>). However, recent studies indicated that visfatin cannot activate IR (<xref rid="b41-or-29-02-0771" ref-type="bibr">41</xref>) and proposed that visfatin may act on its own unidentified receptor (<xref rid="b42-or-29-02-0771" ref-type="bibr">42</xref>). Therefore, to determine whether visfatin-induced Me45 melanoma cell proliferation is mediated by IR, we used HNMPA-(AM)<sub>3</sub> - inhibitor of IR to elucidate this matter, with insulin as a comparison. In our study melanoma cultures pretreated with visfatin and the IR tyrosine kinase inhibitor HNMPA-(AM)<sub>3</sub> acted similarly to cells cultured in the absence of the latter. These observations indicated that visfatin-induced melanoma cell proliferation is not mediated by the IR transduction signaling pathway. We also demonstrated that the HNMPA-(AM)<sub>3</sub> significantly inhibited insulin-stimulated proliferation of melanoma Me45 cells.</p>
<p>Our study has a few limitations. Its <italic>in vitro</italic> setting may not fully reflect more complex relationships in organisms as a whole. Additionally, we observed an increased proliferation rate occurring during cell culture. However the magnitude of proliferation was relatively much lower than the effect of visfatin on studied parameters, therefore we considered the influence of this observation as negligible in the study results.</p>
<p>In conclusion, this study provides the first evidence that visfatin can reduce the level of DNA damage of Me45 melanoma cells, probably due to increased levels of antioxidative enzyme activities, and can promote melanoma cell proliferation in a dose-dependent manner.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by grants from the Silesian Medical University in Katowice, Poland. Grant nos. KNW-1-134/08, KNW-1-078/09 and KNW-1-040/P/1/0.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-or-29-02-0771"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tilg</surname><given-names>H</given-names></name><name><surname>Moschen</surname><given-names>AR</given-names></name></person-group><article-title>Role of adiponectin and PBEF/visfatin as regulators of inflammation: involvement in obesity-associated diseases</article-title><source>Clin Sci</source><volume>114</volume><fpage>275</fpage><lpage>288</lpage><year>2008</year></element-citation></ref>
<ref id="b2-or-29-02-0771"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cappellani</surname><given-names>A</given-names></name><name><surname>Di Vita</surname><given-names>M</given-names></name><name><surname>Zanghi</surname><given-names>A</given-names></name><name><surname>Cavallaro</surname><given-names>A</given-names></name><name><surname>Piccolo</surname><given-names>G</given-names></name><name><surname>Veroux</surname><given-names>M</given-names></name><name><surname>Berretta</surname><given-names>M</given-names></name><name><surname>Malaguarnera</surname><given-names>M</given-names></name><name><surname>Canzonieri</surname><given-names>V</given-names></name><name><surname>Lo Menzo</surname><given-names>E</given-names></name></person-group><article-title>Diet, obesity and breast cancer: an update</article-title><source>Front Biosci (Schol Ed)</source><volume>4</volume><fpage>90</fpage><lpage>108</lpage><year>2012</year></element-citation></ref>
<ref id="b3-or-29-02-0771"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thomas</surname><given-names>CC</given-names></name><name><surname>Wingo</surname><given-names>PA</given-names></name><name><surname>Dolan</surname><given-names>MS</given-names></name><name><surname>Lee</surname><given-names>NC</given-names></name><name><surname>Richardson</surname><given-names>LC</given-names></name></person-group><article-title>Endometrial cancer risk among younger, overweight women</article-title><source>Obstet Gynecol</source><volume>114</volume><fpage>22</fpage><lpage>27</lpage><year>2009</year></element-citation></ref>
<ref id="b4-or-29-02-0771"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Larsson</surname><given-names>SC</given-names></name><name><surname>Wolk</surname><given-names>A</given-names></name></person-group><article-title>Overweight, obesity and risk of liver cancer: a meta-analysis of cohort studies</article-title><source>Br J Cancer</source><volume>97</volume><fpage>1005</fpage><lpage>1008</lpage><year>2007</year></element-citation></ref>
<ref id="b5-or-29-02-0771"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dennis</surname><given-names>LK</given-names></name><name><surname>Lowe</surname><given-names>JB</given-names></name><name><surname>Lynch</surname><given-names>CF</given-names></name><name><surname>Alavanja</surname><given-names>MC</given-names></name></person-group><article-title>Cutaneous melanoma and obesity in the Agricultural Health Study</article-title><source>Ann Epidemiol</source><volume>18</volume><fpage>214</fpage><lpage>221</lpage><year>2008</year></element-citation></ref>
<ref id="b6-or-29-02-0771"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oita</surname><given-names>RC</given-names></name><name><surname>Ferdinando</surname><given-names>D</given-names></name><name><surname>Wilson</surname><given-names>S</given-names></name><name><surname>Bunce</surname><given-names>C</given-names></name><name><surname>Mazzatti</surname><given-names>DJ</given-names></name></person-group><article-title>Visfatin induces oxidative stress in differentiated C2C12 myotubes in an Akt- and MAPK-independent, NF&#x003BA;B-dependent manner</article-title><source>Pflugers Arch</source><volume>459</volume><fpage>619</fpage><lpage>630</lpage><year>2010</year></element-citation></ref>
<ref id="b7-or-29-02-0771"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adya</surname><given-names>R</given-names></name><name><surname>Tan</surname><given-names>BK</given-names></name><name><surname>Punn</surname><given-names>A</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Randeva</surname><given-names>HS</given-names></name></person-group><article-title>Visfatin induces human endothelial VEGF and MMP-2/9 production via MAPK and PI3K/Akt signalling pathways: novel insights into visfatin-induced angiogenesis</article-title><source>Cardiovasc Res</source><volume>78</volume><fpage>356</fpage><lpage>365</lpage><year>2008</year></element-citation></ref>
<ref id="b8-or-29-02-0771"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berndt</surname><given-names>J</given-names></name><name><surname>Kl&#x000F6;ting</surname><given-names>N</given-names></name><name><surname>Kralisch</surname><given-names>S</given-names></name><name><surname>Kovacs</surname><given-names>P</given-names></name><name><surname>Fasshauer</surname><given-names>M</given-names></name><name><surname>Sch&#x000F6;n</surname><given-names>MR</given-names></name><name><surname>Stumvoll</surname><given-names>M</given-names></name><name><surname>Bl&#x000FC;her</surname><given-names>M</given-names></name></person-group><article-title>Plasma visfatin concentrations and fat depot-specific mRNA expression in humans</article-title><source>Diabetes</source><volume>54</volume><fpage>2911</fpage><lpage>2916</lpage><year>2005</year></element-citation></ref>
<ref id="b9-or-29-02-0771"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tanaka</surname><given-names>M</given-names></name><name><surname>Nozaki</surname><given-names>M</given-names></name><name><surname>Fukuhara</surname><given-names>A</given-names></name><name><surname>Segawa</surname><given-names>K</given-names></name><name><surname>Aoki</surname><given-names>N</given-names></name><name><surname>Matsuda</surname><given-names>M</given-names></name><name><surname>Komuro</surname><given-names>R</given-names></name><name><surname>Shimomura</surname><given-names>I</given-names></name></person-group><article-title>Visfatin is released from 3T3-L1 adipocytes via a non-classical pathway</article-title><source>Biochem Biophys Res Commun</source><volume>359</volume><fpage>194</fpage><lpage>201</lpage><year>2007</year></element-citation></ref>
<ref id="b10-or-29-02-0771"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garten</surname><given-names>A</given-names></name><name><surname>Petzold</surname><given-names>S</given-names></name><name><surname>Barnikol-Oettler</surname><given-names>A</given-names></name><name><surname>K&#x000F6;rner</surname><given-names>A</given-names></name><name><surname>Thasler</surname><given-names>WE</given-names></name><name><surname>Kratzsch</surname><given-names>J</given-names></name><name><surname>Kiess</surname><given-names>W</given-names></name><name><surname>Gebhardt</surname><given-names>R</given-names></name></person-group><article-title>Nicotinamide phosphoribosyltransferase (NAMPT/PBEF/visfatin) is constitutively released from human hepatocytes</article-title><source>Biochem Biophys Res Commun</source><volume>391</volume><fpage>376</fpage><lpage>381</lpage><year>2010</year></element-citation></ref>
<ref id="b11-or-29-02-0771"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Friebe</surname><given-names>D</given-names></name><name><surname>Neef</surname><given-names>M</given-names></name><name><surname>Kratzsch</surname><given-names>J</given-names></name><name><surname>Erbs</surname><given-names>S</given-names></name><name><surname>Dittrich</surname><given-names>K</given-names></name><name><surname>Garten</surname><given-names>A</given-names></name><name><surname>Petzold-Quinque</surname><given-names>S</given-names></name><name><surname>Bl&#x000FC;her</surname><given-names>S</given-names></name><name><surname>Reinehr</surname><given-names>T</given-names></name><name><surname>Stumvoll</surname><given-names>M</given-names></name><name><surname>Bl&#x000FC;her</surname><given-names>M</given-names></name><name><surname>Kiess</surname><given-names>W</given-names></name><name><surname>K&#x000F6;rner</surname><given-names>A</given-names></name></person-group><article-title>Leucocytes are a major source of circulating nicotinamide phosphoribosyltransferase (NAMPT)/pre-B cell colony (PBEF)/visfatin linking obesity and inflammation in humans</article-title><source>Diabetologia</source><volume>12</volume><fpage>1200</fpage><lpage>1211</lpage><year>2011</year></element-citation></ref>
<ref id="b12-or-29-02-0771"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Laudes</surname><given-names>M</given-names></name><name><surname>Oberhauser</surname><given-names>F</given-names></name><name><surname>Schulte</surname><given-names>DM</given-names></name><name><surname>Freude</surname><given-names>S</given-names></name><name><surname>Bilkovski</surname><given-names>R</given-names></name><name><surname>Mauer</surname><given-names>J</given-names></name><name><surname>Rappl</surname><given-names>G</given-names></name><name><surname>Abken</surname><given-names>H</given-names></name><name><surname>Hahn</surname><given-names>M</given-names></name><name><surname>Schulz</surname><given-names>O</given-names></name><name><surname>Krone</surname><given-names>W</given-names></name></person-group><article-title>Visfatin/PBEF/Nampt and resistin expressions in circulating blood monocytes are differentially related to obesity and type 2 diabetes in humans</article-title><source>Horm Metab Res</source><volume>42</volume><fpage>268</fpage><lpage>273</lpage><year>2010</year></element-citation></ref>
<ref id="b13-or-29-02-0771"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dahl</surname><given-names>TB</given-names></name><name><surname>Yndestad</surname><given-names>A</given-names></name><name><surname>Skjelland</surname><given-names>M</given-names></name><name><surname>&#x000D8;ie</surname><given-names>E</given-names></name><name><surname>Dahl</surname><given-names>A</given-names></name><name><surname>Michelsen</surname><given-names>A</given-names></name><name><surname>Dam&#x000E5;s</surname><given-names>JK</given-names></name><name><surname>Tunheim</surname><given-names>SH</given-names></name><name><surname>Ueland</surname><given-names>T</given-names></name><name><surname>Smith</surname><given-names>C</given-names></name><name><surname>Bendz</surname><given-names>B</given-names></name><name><surname>Tonstad</surname><given-names>S</given-names></name><name><surname>Gullestad</surname><given-names>L</given-names></name><name><surname>Fr&#x000F8;land</surname><given-names>SS</given-names></name><name><surname>Krohg-S&#x000F8;rensen</surname><given-names>K</given-names></name><name><surname>Russell</surname><given-names>D</given-names></name><name><surname>Aukrust</surname><given-names>P</given-names></name><name><surname>Halvorsen</surname><given-names>B</given-names></name></person-group><article-title>Increased expression of visfatin in macrophages of human unstable carotid and coronary atherosclerosis: possible role in inflammation and plaque destabilization</article-title><source>Circulation</source><volume>115</volume><fpage>972</fpage><lpage>980</lpage><year>2007</year></element-citation></ref>
<ref id="b14-or-29-02-0771"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sommer</surname><given-names>G</given-names></name><name><surname>Garten</surname><given-names>A</given-names></name><name><surname>Petzold</surname><given-names>S</given-names></name><name><surname>Beck-Sickinger</surname><given-names>AG</given-names></name><name><surname>Bl&#x000FC;her</surname><given-names>M</given-names></name><name><surname>Stumvoll</surname><given-names>M</given-names></name><name><surname>Fasshauer</surname><given-names>M</given-names></name></person-group><article-title>Visfatin/PBEF/Nampt: structure, regulation and potential function of a novel adipokine</article-title><source>Clin Sci</source><volume>115</volume><fpage>13</fpage><lpage>23</lpage><year>2008</year></element-citation></ref>
<ref id="b15-or-29-02-0771"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dahl</surname><given-names>TB</given-names></name><name><surname>Holm</surname><given-names>S</given-names></name><name><surname>Aukrust</surname><given-names>P</given-names></name><name><surname>Halvorsen</surname><given-names>B</given-names></name></person-group><article-title>Visfatin/NAMPT: a multifaceted molecule with diverse roles in physiology and pathophysiology</article-title><source>Annu Rev Nutr</source><volume>32</volume><fpage>229</fpage><lpage>243</lpage><year>2012</year></element-citation></ref>
<ref id="b16-or-29-02-0771"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moschen</surname><given-names>AR</given-names></name><name><surname>Kaser</surname><given-names>A</given-names></name><name><surname>Enrich</surname><given-names>B</given-names></name><name><surname>Mosheimer</surname><given-names>B</given-names></name><name><surname>Theurl</surname><given-names>M</given-names></name><name><surname>Niederegger</surname><given-names>H</given-names></name><name><surname>Tilg</surname><given-names>H</given-names></name></person-group><article-title>Visfatin, an adipocytokine with proinflammatory and immunomodulating properties</article-title><source>J Immunol</source><volume>178</volume><fpage>1748</fpage><lpage>1758</lpage><year>2007</year></element-citation></ref>
<ref id="b17-or-29-02-0771"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fukuhara</surname><given-names>A</given-names></name><name><surname>Matsuda</surname><given-names>M</given-names></name><name><surname>Nishizawa</surname><given-names>M</given-names></name><name><surname>Segawa</surname><given-names>K</given-names></name><name><surname>Tanaka</surname><given-names>M</given-names></name><name><surname>Kishimoto</surname><given-names>K</given-names></name><name><surname>Matsuki</surname><given-names>Y</given-names></name><name><surname>Murakami</surname><given-names>M</given-names></name><name><surname>Ichisaka</surname><given-names>T</given-names></name><name><surname>Murakami</surname><given-names>H</given-names></name><name><surname>Watanabe</surname><given-names>E</given-names></name><name><surname>Takagi</surname><given-names>T</given-names></name><name><surname>Akiyoshi</surname><given-names>M</given-names></name><name><surname>Ohtsubo</surname><given-names>T</given-names></name><name><surname>Kihara</surname><given-names>S</given-names></name><name><surname>Yamashita</surname><given-names>S</given-names></name><name><surname>Makishima</surname><given-names>M</given-names></name><name><surname>Funahashi</surname><given-names>T</given-names></name><name><surname>Yamanaka</surname><given-names>S</given-names></name><name><surname>Hiramatsu</surname><given-names>R</given-names></name><name><surname>Matsuzawa</surname><given-names>Y</given-names></name><name><surname>Shimomura</surname><given-names>I</given-names></name></person-group><article-title>Visfatin: a protein secreted by visceral fat that mimics the effects of insulin</article-title><source>Science</source><volume>307</volume><fpage>426</fpage><lpage>430</lpage><year>2005</year></element-citation></ref>
<ref id="b18-or-29-02-0771"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Imai</surname><given-names>S</given-names></name></person-group><article-title>Nicotinamide phosphoribosyltransferase (Nampt): a link between NAD biology, metabolism, and diseases</article-title><source>Curr Pharm Des</source><volume>15</volume><fpage>20</fpage><lpage>28</lpage><year>2009</year></element-citation></ref>
<ref id="b19-or-29-02-0771"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shackelford</surname><given-names>RE</given-names></name><name><surname>Bui</surname><given-names>MM</given-names></name><name><surname>Coppola</surname><given-names>D</given-names></name><name><surname>Hakam</surname><given-names>A</given-names></name></person-group><article-title>Over-expression of nicotinamide phosphoribosyltransferase in ovarian cancers</article-title><source>Int J Clin Exp Pathol</source><volume>3</volume><fpage>522</fpage><lpage>527</lpage><year>2010</year></element-citation></ref>
<ref id="b20-or-29-02-0771"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reddy</surname><given-names>PS</given-names></name><name><surname>Umesh</surname><given-names>S</given-names></name><name><surname>Thota</surname><given-names>B</given-names></name><name><surname>Tandon</surname><given-names>A</given-names></name><name><surname>Pandey</surname><given-names>P</given-names></name><name><surname>Hegde</surname><given-names>AS</given-names></name><name><surname>Balasubramaniam</surname><given-names>A</given-names></name><name><surname>Chandramouli</surname><given-names>BA</given-names></name><name><surname>Santosh</surname><given-names>V</given-names></name><name><surname>Rao</surname><given-names>MR</given-names></name><name><surname>Kondaiah</surname><given-names>P</given-names></name><name><surname>Somasundaram</surname><given-names>K</given-names></name></person-group><article-title>PBEF1/NAmPRTase/Visfatin: a potential malignant astrocytoma/glioblastoma serum marker with prognostic value</article-title><source>Cancer Biol Ther</source><volume>7</volume><fpage>663</fpage><lpage>668</lpage><year>2008</year></element-citation></ref>
<ref id="b21-or-29-02-0771"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Patel</surname><given-names>ST</given-names></name><name><surname>Mistry</surname><given-names>T</given-names></name><name><surname>Brown</surname><given-names>JE</given-names></name><name><surname>Digby</surname><given-names>JE</given-names></name><name><surname>Adya</surname><given-names>R</given-names></name><name><surname>Desai</surname><given-names>KM</given-names></name><name><surname>Randeva</surname><given-names>HS</given-names></name></person-group><article-title>A novel role for the adipokine visfatin/pre-B cell colony-enhancing factor 1 in prostate carcinogenesis</article-title><source>Peptides</source><volume>31</volume><fpage>51</fpage><lpage>57</lpage><year>2010</year></element-citation></ref>
<ref id="b22-or-29-02-0771"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>SH</given-names></name><name><surname>Ozden</surname><given-names>O</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name><name><surname>Cha</surname><given-names>YI</given-names></name><name><surname>Pennington</surname><given-names>JD</given-names></name><name><surname>Aykin-Burns</surname><given-names>N</given-names></name><name><surname>Spitz</surname><given-names>DR</given-names></name><name><surname>Gius</surname><given-names>D</given-names></name><name><surname>Kim</surname><given-names>HS</given-names></name></person-group><article-title>Sirt3, mitochondrial ROS, ageing, and carcinogenesis</article-title><source>Int J Mol Sci</source><volume>12</volume><fpage>6226</fpage><lpage>6239</lpage><year>2011</year></element-citation></ref>
<ref id="b23-or-29-02-0771"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kong</surname><given-names>W</given-names></name><name><surname>Kuester</surname><given-names>RK</given-names></name><name><surname>Gallegos</surname><given-names>A</given-names></name><name><surname>Sipes</surname><given-names>IG</given-names></name></person-group><article-title>Induction of DNA damage in human urothelial cells by the brominated flame retardant 2,2-bis(bromomethyl)-1,3-propanediol: role of oxidative stress</article-title><source>Toxicology</source><volume>290</volume><fpage>271</fpage><lpage>277</lpage><year>2011</year></element-citation></ref>
<ref id="b24-or-29-02-0771"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Angeli</surname><given-names>JP</given-names></name><name><surname>Garcia</surname><given-names>CC</given-names></name><name><surname>Sena</surname><given-names>F</given-names></name><name><surname>Freitas</surname><given-names>FP</given-names></name><name><surname>Miyamoto</surname><given-names>S</given-names></name><name><surname>Medeiros</surname><given-names>MH</given-names></name><name><surname>Di Mascio</surname><given-names>P</given-names></name></person-group><article-title>Lipid hydroperoxide-induced and hemoglobin-enhanced oxidative damage to colon cancer cells</article-title><source>Free Radic Biol Med</source><volume>51</volume><fpage>503</fpage><lpage>515</lpage><year>2011</year></element-citation></ref>
<ref id="b25-or-29-02-0771"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hegde</surname><given-names>ML</given-names></name><name><surname>Hazra</surname><given-names>TK</given-names></name><name><surname>Mitra</surname><given-names>S</given-names></name></person-group><article-title>Early steps in the DNA base excision/single-strand interruption repair pathway in mammalian cells</article-title><source>Cell Res</source><volume>18</volume><fpage>27</fpage><lpage>47</lpage><year>2008</year></element-citation></ref>
<ref id="b26-or-29-02-0771"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Trachootham</surname><given-names>D</given-names></name><name><surname>Alexandre</surname><given-names>J</given-names></name><name><surname>Huang</surname><given-names>P</given-names></name></person-group><article-title>Targeting cancer cells by ROS-mediated mechanisms: a radical therapeutic approach?</article-title><source>Nat Rev Drug Discov</source><volume>8</volume><fpage>579</fpage><lpage>591</lpage><year>2009</year></element-citation></ref>
<ref id="b27-or-29-02-0771"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kramer-Marek</surname><given-names>G</given-names></name><name><surname>Serpa</surname><given-names>C</given-names></name><name><surname>Szurko</surname><given-names>A</given-names></name><name><surname>Widel</surname><given-names>M</given-names></name><name><surname>Sochanik</surname><given-names>A</given-names></name><name><surname>Snietura</surname><given-names>M</given-names></name><name><surname>Kus</surname><given-names>P</given-names></name><name><surname>Nunes</surname><given-names>RM</given-names></name><name><surname>Arnaut</surname><given-names>LG</given-names></name><name><surname>Ratuszna</surname><given-names>A</given-names></name></person-group><article-title>Spectroscopic properties and photodynamic effects of new lipophilic porphyrin derivatives: efficacy, localisation and cell death pathways</article-title><source>J Photochem Photobiol B</source><volume>84</volume><fpage>1</fpage><lpage>14</lpage><year>2006</year></element-citation></ref>
<ref id="b28-or-29-02-0771"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Paglia</surname><given-names>DE</given-names></name><name><surname>Valentine</surname><given-names>WN</given-names></name></person-group><article-title>Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase</article-title><source>J Lab Clin Med</source><volume>70</volume><fpage>158</fpage><lpage>169</lpage><year>1967</year></element-citation></ref>
<ref id="b29-or-29-02-0771"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Paoletti</surname><given-names>F</given-names></name><name><surname>Mocali</surname><given-names>A</given-names></name></person-group><article-title>Determination of superoxide dismutase activity by purely chemical system based on NAD(P)H oxidation</article-title><source>Methods Enzymol</source><volume>186</volume><fpage>209</fpage><lpage>220</lpage><year>1990</year></element-citation></ref>
<ref id="b30-or-29-02-0771"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aebi</surname><given-names>H</given-names></name></person-group><article-title>Catalase in vitro</article-title><source>Methods Enzymol</source><volume>105</volume><fpage>121</fpage><lpage>126</lpage><year>1984</year></element-citation></ref>
<ref id="b31-or-29-02-0771"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Placer</surname><given-names>ZA</given-names></name><name><surname>Cushman</surname><given-names>LL</given-names></name><name><surname>Johnson</surname><given-names>BC</given-names></name></person-group><article-title>Estimation of product of lipid peroxidation (malonyl dialdehyde) in biochemical systems</article-title><source>Anal Biochem</source><volume>16</volume><fpage>359</fpage><lpage>364</lpage><year>1966</year></element-citation></ref>
<ref id="b32-or-29-02-0771"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Olive</surname><given-names>PL</given-names></name><name><surname>Ban&#x000E1;th</surname><given-names>JP</given-names></name></person-group><article-title>Detection of DNA double-strand breaks through the cell cycle after exposure to X-rays, bleomycin, etoposide and <sup>125</sup>IdUrd</article-title><source>Int J Radiat Biol</source><volume>64</volume><fpage>349</fpage><lpage>356</lpage><year>1993</year></element-citation></ref>
<ref id="b33-or-29-02-0771"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Turrens</surname><given-names>JF</given-names></name></person-group><article-title>Mitochondrial formation of reactive oxygen species</article-title><source>J Physiol</source><volume>552</volume><fpage>335</fpage><lpage>344</lpage><year>2003</year></element-citation></ref>
<ref id="b34-or-29-02-0771"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Polaniak</surname><given-names>R</given-names></name><name><surname>Bu&#x00142;dak</surname><given-names>RJ</given-names></name><name><surname>Karo&#x00144;</surname><given-names>M</given-names></name><name><surname>Birkner</surname><given-names>K</given-names></name><name><surname>Kukla</surname><given-names>M</given-names></name><name><surname>Zwirska-Korczala</surname><given-names>K</given-names></name><name><surname>Birkner</surname><given-names>E</given-names></name></person-group><article-title>Influence of an extremely low frequency magnetic field (ELF-EMF) on antioxidative vitamin E properties in AT478 murine squamous cell carcinoma culture in vitro</article-title><source>Int J Toxicol</source><volume>29</volume><fpage>221</fpage><lpage>230</lpage><year>2010</year></element-citation></ref>
<ref id="b35-or-29-02-0771"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Samuels</surname><given-names>BL</given-names></name><name><surname>Murray</surname><given-names>JL</given-names></name><name><surname>Cohen</surname><given-names>MB</given-names></name><name><surname>Safa</surname><given-names>AR</given-names></name><name><surname>Sinha</surname><given-names>BK</given-names></name><name><surname>Townsend</surname><given-names>AJ</given-names></name><name><surname>Beckett</surname><given-names>MA</given-names></name><name><surname>Weichselbaum</surname><given-names>RR</given-names></name></person-group><article-title>Increased glutathione peroxidase activity in a human sarcoma cell line with inherent doxorubicin resistance</article-title><source>Cancer Res</source><volume>51</volume><fpage>521</fpage><lpage>527</lpage><year>1991</year></element-citation></ref>
<ref id="b36-or-29-02-0771"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lenehan</surname><given-names>PF</given-names></name><name><surname>Guti&#x000E9;rrez</surname><given-names>PL</given-names></name><name><surname>Wagner</surname><given-names>JL</given-names></name><name><surname>Milak</surname><given-names>N</given-names></name><name><surname>Fisher</surname><given-names>GR</given-names></name><name><surname>Ross</surname><given-names>DD</given-names></name></person-group><article-title>Resistance to oxidants associated with elevated catalase activity in HL-60 leukemia cells that overexpress multidrug-resistance protein does not contribute to the resistance to daunorubicin manifested by these cells</article-title><source>Cancer Chemother Pharmacol</source><volume>35</volume><fpage>377</fpage><lpage>386</lpage><year>1995</year></element-citation></ref>
<ref id="b37-or-29-02-0771"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gawe&#x00142;</surname><given-names>S</given-names></name><name><surname>Wardas</surname><given-names>M</given-names></name><name><surname>Niedworok</surname><given-names>E</given-names></name><name><surname>Wardas</surname><given-names>P</given-names></name></person-group><article-title>Malondialdehyde (MDA) as a lipid peroxidation marker</article-title><source>Wiad Lek</source><volume>57</volume><fpage>453</fpage><lpage>455</lpage><year>2004</year></element-citation></ref>
<ref id="b38-or-29-02-0771"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>P</given-names></name><name><surname>Xu</surname><given-names>TY</given-names></name><name><surname>Guan</surname><given-names>YF</given-names></name><name><surname>Su</surname><given-names>DF</given-names></name><name><surname>Fan</surname><given-names>GR</given-names></name><name><surname>Miao</surname><given-names>CY</given-names></name></person-group><article-title>Perivascular adipose tissue-derived visfatin is a vascular smooth muscle cell growth factor: role of nicotinamide mononucleotide</article-title><source>Cardiovasc Res</source><volume>81</volume><fpage>370</fpage><lpage>380</lpage><year>2009</year></element-citation></ref>
<ref id="b39-or-29-02-0771"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xie</surname><given-names>H</given-names></name><name><surname>Tang</surname><given-names>SY</given-names></name><name><surname>Luo</surname><given-names>XH</given-names></name><name><surname>Huang</surname><given-names>J</given-names></name><name><surname>Cui</surname><given-names>RR</given-names></name><name><surname>Yuan</surname><given-names>LQ</given-names></name><name><surname>Zhou</surname><given-names>HD</given-names></name><name><surname>Wu</surname><given-names>XP</given-names></name><name><surname>Liao</surname><given-names>EY</given-names></name></person-group><article-title>Insulin-like effects of visfatin on human osteoblasts</article-title><source>Calcif Tissue Int</source><volume>80</volume><fpage>201</fpage><lpage>210</lpage><year>2007</year></element-citation></ref>
<ref id="b40-or-29-02-0771"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haider</surname><given-names>DG</given-names></name><name><surname>Schindler</surname><given-names>K</given-names></name><name><surname>Schaller</surname><given-names>G</given-names></name><name><surname>Prager</surname><given-names>G</given-names></name><name><surname>Wolzt</surname><given-names>M</given-names></name><name><surname>Ludvik</surname><given-names>B</given-names></name></person-group><article-title>Increased plasma visfatin concentrations in morbidly obese subjects are reduced after gastric banding</article-title><source>J Clin Endocrinol Metab</source><volume>91</volume><fpage>1578</fpage><lpage>1581</lpage><year>2006</year></element-citation></ref>
<ref id="b41-or-29-02-0771"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Revollo</surname><given-names>JR</given-names></name><name><surname>K&#x000F6;rner</surname><given-names>A</given-names></name><name><surname>Mills</surname><given-names>KF</given-names></name><name><surname>Satoh</surname><given-names>A</given-names></name><name><surname>Wang</surname><given-names>T</given-names></name><name><surname>Garten</surname><given-names>A</given-names></name><name><surname>Dasgupta</surname><given-names>B</given-names></name><name><surname>Sasaki</surname><given-names>Y</given-names></name><name><surname>Wolberger</surname><given-names>C</given-names></name><name><surname>Townsend</surname><given-names>RR</given-names></name><name><surname>Milbrandt</surname><given-names>J</given-names></name><name><surname>Kiess</surname><given-names>W</given-names></name><name><surname>Imai</surname><given-names>S</given-names></name></person-group><article-title>Nampt/PBEF/Visfatin regulates insulin secretion in beta cells as a systemic NAD biosynthetic enzyme</article-title><source>Cell Metab</source><volume>6</volume><fpage>363</fpage><lpage>375</lpage><year>2007</year></element-citation></ref>
<ref id="b42-or-29-02-0771"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SR</given-names></name><name><surname>Bae</surname><given-names>YH</given-names></name><name><surname>Bae</surname><given-names>SK</given-names></name><name><surname>Choi</surname><given-names>KS</given-names></name><name><surname>Yoon</surname><given-names>KH</given-names></name><name><surname>Koo</surname><given-names>TH</given-names></name></person-group><article-title>Visfatin enhances ICAM-1 and VCAM-1 expression through ROS-dependent NF-kappaB activation in endothelial cells</article-title><source>Biochim Biophys Acta</source><volume>1783</volume><fpage>886</fpage><lpage>895</lpage><year>2008</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-or-29-02-0771" position="float">
<label>Figure 1</label>
<caption>
<p>(A) Manganese-dependent (MnSOD) and (B) copper and zinc containing (CuZnSOD) superoxide dismutase activity expressed in NU/mg of protein in the cell supernatants of the human malignant melanoma Me45 cell line upon visfatin stimulation. Data represent the means &#x000B1; SD; n&#x0003D;12 and were analyzed with the one-way ANOVA test and <italic>post hoc</italic> Bonferroni correction: <sup>&#x00023;</sup>p&lt;0.001 vs. control, &#x0002A;p&lt;0.001 vs. 10 ng/ml visfatin, <sup>^</sup>p&lt;0.001 vs. 50 ng/ml visfatin, <sup>&#x00024;</sup>p&lt;0.001 vs. 100 ng/ml visfatin, <sup>@</sup>p&lt;0.001 vs. 250 ng/ml.</p></caption>
<graphic xlink:href="OR-29-02-0771-g00.gif"/>
<graphic xlink:href="OR-29-02-0771-g01.gif"/></fig>
<fig id="f2-or-29-02-0771" position="float">
<label>Figure 2</label>
<caption>
<p>(A) Catalase (CAT); (B) Glutathione peroxidase (GSH-Px) enzyme activities; and (C) malondialdehyde (MDA) levels in the cell supernatants of the human malignant melanoma Me45 cell line upon visfatin stimulation. C, control (untreated) group. Data represent the means &#x000B1; SD; n&#x0003D;12, and were analyzed with the one-way ANOVA test and <italic>post hoc</italic> Bonferroni correction &#x0005B;(enzymes activity; <sup>&#x00023;</sup>p&lt;0.001 vs. C, <sup>&#x0002A;</sup>p&lt;0.001 vs. 10 ng/ml visfatin, <sup>^</sup>p&lt;0.001 vs. 50 ng/ml visfatin, <sup>&#x00024;</sup>p&lt;0.001 vs. 100 ng/ml visfatin, <sup>@</sup>p&lt;0.001 vs. 250 ng/ml visfatin); (MDA levels; <sup>&#x00023;</sup>p&lt;0.001 vs. C, <sup>&#x0002A;</sup>p&lt;0.001 vs. 10 ng/ml visfatin, <sup>^</sup>p&lt;0.001 vs. 50 ng/ml, <sup>&#x00024;</sup>p&lt;0.001 vs. 100 ng/ml, <sup>@</sup>p&lt;0.05 vs. 250 ng/ml)&#x0005D;.</p></caption>
<graphic xlink:href="OR-29-02-0771-g02.gif"/>
<graphic xlink:href="OR-29-02-0771-g03.gif"/>
<graphic xlink:href="OR-29-02-0771-g04.gif"/></fig>
<fig id="f3-or-29-02-0771" position="float">
<label>Figure 3</label>
<caption>
<p>(A) Tail length and (B) tail moment parameter of DNA damage at different time-points (0&#x02013;180 min) after hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) removal in the human malignant melanoma Me45 cells pre-incubated with visfatin (100 ng/ml) for 24 h and then treated with H<sub>2</sub>O<sub>2</sub> (100 &#x003BC;M) for 5 min (vertically striped bars) in comparison to the cells exposed solely with hydrogen peroxide (slantwise striped bars) or cells treated with visfatin without adding H<sub>2</sub>O<sub>2</sub> (black bars). The negative control groups were cells not exposed to hydrogen peroxide and/or visfatin (white bar). Results are shown as a median tail moment expressed in arbitrary units (a.u.) or tail length &#x000B1; first quartile (Q<sub>1</sub>), third quartile (Q<sub>3</sub>); n&#x0003D;100; Mann-Whitney U test. For repeated measures a Friedman test with the Schaich and Hamerle <italic>post hoc</italic> procedure was used (p&lt;0.05, respectively).</p></caption>
<graphic xlink:href="OR-29-02-0771-g05.gif"/>
<graphic xlink:href="OR-29-02-0771-g06.gif"/></fig>
<fig id="f4-or-29-02-0771" position="float">
<label>Figure 4</label>
<caption>
<p>Effects of various concentrations of visfatin or insulin on &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation and cell number in human malignant melanoma Me45 cells. (A) Cells were exposed to 10&#x02013;250 ng/ml visfatin or 100 ng/ml insulin for 24 h. Cell proliferation was determined by measuring &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation. Results are expressed as counts per minute. Bars represent means &#x000B1; SD (n&#x0003D;12). <sup>&#x00023;</sup>p&lt;0.001 vs. control (untreated cells). (B) Cells were exposed to 10&#x02013;250 ng/ml visfatin or 100 ng/ml insulin for 24 h. Cell proliferation was determined by cell counts. Results are expressed as the means &#x000B1; SD fold increases (n&#x0003D;12) over control values. <sup>&#x00023;</sup>p&lt;0.001 vs. control.</p></caption>
<graphic xlink:href="OR-29-02-0771-g07.gif"/>
<graphic xlink:href="OR-29-02-0771-g08.gif"/></fig>
<fig id="f5-or-29-02-0771" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of visfatin or insulin in combination with inhibitor of insulin receptor (HNMPA-AM)<sub>3</sub> on the proliferation of human malignant melanoma Me45 cells. Cells were incubated with HNMPA-(AM)<sub>3</sub> (50 &#x003BC;M) for 3 h prior to treatment with 100 ng/ml visfatin or insulin 100 ng/ml for 24 h. Cell proliferation was determined using &#x0005B;<sup>3</sup>H&#x0005D;thymidine incorporation. Bars represent the means &#x000B1; SD (n&#x0003D;12); <sup>&#x0002A;</sup>p&lt;0.001 vs. untreated cells, <sup>&#x00023;</sup>p&lt;0.001 vs. visfatin-treated control, <sup>^</sup>p&lt;0.001 vs. insulin-treated control.</p></caption>
<graphic xlink:href="OR-29-02-0771-g09.gif"/></fig></floats-group></article>
