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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.2014.3244</article-id>
<article-id pub-id-type="publisher-id">or-32-02-0659</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>The dineolignan from <italic>Saururus chinensis</italic>, manassantin B, inhibits tumor-induced angiogenesis via downregulation of matrix metalloproteinases 9 in human endothelial cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>ZHAOJIE</given-names></name><xref rid="af1-or-32-02-0659" ref-type="aff">1</xref><xref rid="fn1-or-32-02-0659" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>LU</surname><given-names>HONG</given-names></name><xref rid="af2-or-32-02-0659" ref-type="aff">2</xref><xref rid="fn1-or-32-02-0659" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>RONG</given-names></name><xref rid="af3-or-32-02-0659" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>BIN</given-names></name><xref rid="af1-or-32-02-0659" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>SHAN</given-names></name><xref rid="af1-or-32-02-0659" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>MA</surname><given-names>JUNCHAO</given-names></name><xref rid="af1-or-32-02-0659" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>FU</surname><given-names>JIANJIANG</given-names></name><xref rid="af1-or-32-02-0659" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-32-02-0659"/></contrib></contrib-group>
<aff id="af1-or-32-02-0659">
<label>1</label>Department of Pharmacology, College of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi 330004, P.R. China</aff>
<aff id="af2-or-32-02-0659">
<label>2</label>Network and Educational Technology Center, Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi 330004, P.R. China</aff>
<aff id="af3-or-32-02-0659">
<label>3</label>State Key Laboratory of Food Science and Technology, Nanchang University, Nanchang, Jiangxi 330047, P.R. China</aff>
<author-notes>
<corresp id="c1-or-32-02-0659">Correspondence to: Dr Jianjiang Fu, Department of Pharmacology, College of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi 330004, P.R. China, E-mail: <email>jianjiang.fu@gmail.com</email></corresp><fn id="fn1-or-32-02-0659">
<label>*</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>06</month>
<year>2014</year></pub-date>
<volume>32</volume>
<issue>2</issue>
<fpage>659</fpage>
<lpage>667</lpage>
<history>
<date date-type="received">
<day>03</day>
<month>01</month>
<year>2014</year></date>
<date date-type="accepted">
<day>10</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</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>Manassantin B (MB) is a neolignan isolated from <italic>Saururus chinensis</italic> that exhibits a range of activities, including anti-inflammatory, antiseptic and antitumor activity. MB was recently found to affect cell adhesion and expression of several adhesion molecules. Based on the important roles of these adhesion molecules in angiogenesis, we evaluated a possible role for MB in tumor-induced angiogenesis in endothelial cells (ECs). In the present study, we found that MB blocked tumor-induced tube formation of ECs and significantly inhibited the invasion of ECs through the reconstituted basement membrane. MB suppressed the activity of matrix metalloproteinases (MMPs) and downregulated the expression of matrix metalloproteinases 9. Western blotting showed reduction of RUNX2 activation by MB. RUNX2 transcription factor assay and chromatin immunoprecipitation assay showed that the interaction between RUNX2 and target sequences in the matrix metalloproteinases 9 promoters was inhibited by MB. Our findings suggested that the inhibitory effects of MB on tumor-induced angiogenesis were caused by matrix metalloproteinases 9 inhibition, which was associated with the downregulation of RUNX2 transcriptional activity.</p></abstract>
<kwd-group>
<kwd>manassantin B</kwd>
<kwd>angiogenesis</kwd>
<kwd>matrix metalloproteinases 9</kwd>
<kwd>RUNX2</kwd>
<kwd><italic>Saururus chinensis</italic></kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Angiogenesis, the development of novel blood vessels, is a critical event in many important disease states including ischemic cardiovascular disease, wound healing, inflammation, psoriasis, primary tumor growth and formation of metastases. It is a highly complex process involving endothelial cell (EC) activation, disruption of vascular basement membranes, and migration and proliferation of ECs (<xref rid="b1-or-32-02-0659" ref-type="bibr">1</xref>). This process is orchestrated by a large number of cytokines and associated receptors and proteinases, such as vascular endothelial growth factor (VEGF), fibroblast growth factor, interleukin 8 and matrix metalloproteinases (MMPs) (<xref rid="b2-or-32-02-0659" ref-type="bibr">2</xref>). Tumor-induced angiogenesis is a process of irregular blood vessel formation, which results in structurally and functionally abnormal blood vessels. This abnormality impairs effective delivery of therapeutic agents to all regions of tumors, it creates abnormal properties of cancer cells, such as survival, resistance of radiation and chemotherapy, and selects for more malignant cells (<xref rid="b3-or-32-02-0659" ref-type="bibr">3</xref>). Several decades ago, Dr Folkman proposed anti-angiogenic therapy as an effective method for treatment of cancer (<xref rid="b4-or-32-02-0659" ref-type="bibr">4</xref>,<xref rid="b5-or-32-02-0659" ref-type="bibr">5</xref>). Nowadays, a number of inhibitors targeting the tumor vasculature have been identified to improve the sensitivity of cancer cells to cytotoxic chemotherapy and other therapeutics (<xref rid="b6-or-32-02-0659" ref-type="bibr">6</xref>&#x02013;<xref rid="b8-or-32-02-0659" ref-type="bibr">8</xref>).</p>
<p><italic>Saururus chinensis</italic> (<italic>S. chinensis</italic>) is a perennial herbaceous plant that grows wild in moist and shady places throughout East Asia (<xref rid="b9-or-32-02-0659" ref-type="bibr">9</xref>). It has a long history of use in China as a folk medicine to remedy various edema, gonorrhea, jaundice and inflammatory diseases (<xref rid="b9-or-32-02-0659" ref-type="bibr">9</xref>&#x02013;<xref rid="b11-or-32-02-0659" ref-type="bibr">11</xref>). Previous phytochemical and pharmacological studies on this plant have revealed several types of secondary metabolites, such as lignans, neolignans, aristolactams and flavonoids, as the biologically active compounds (<xref rid="b12-or-32-02-0659" ref-type="bibr">12</xref>,<xref rid="b13-or-32-02-0659" ref-type="bibr">13</xref>). Numerous studies reported anticancer activities of lignans isolated from <italic>S. chinensis</italic>. Seo <italic>et al</italic> (<xref rid="b14-or-32-02-0659" ref-type="bibr">14</xref>) reported significant effects of Saucernetin-7, a dineolignan from this herb, on proliferation, cell cycle regulation and differentiation of HL-60 cells. Other groups described the anticancer-related effects of these lignans, such as anti-invasive effects and anti-adhesive properties. Manassantin A and B, dineolignan compounds isolated from <italic>S. chinensis</italic> roots, inhibited PMA-induced ICAM-1 expression in HL-60 cells in a dose-dependent manner (<xref rid="b15-or-32-02-0659" ref-type="bibr">15</xref>). Overexpression of MMP-9 induced by lipopolysaccharide (LPS) was suppressed by Saucerneol G, a new lignan from <italic>S. chinensis</italic>, in RAW264.7 cells (<xref rid="b16-or-32-02-0659" ref-type="bibr">16</xref>). These findings suggested that bioactive lignans from <italic>S. chinensis</italic> exhibit anti-adhesion, anti-migration and anti-invasion activities in several cell types and may contain properties to inhibit the malignant progression of tumors.</p>
<p>Based on these findings, we investigated whether bioactive lignans from <italic>S. chinensis</italic> impair EC activation and angiogenesis in the progression of solid tumors. We focused on the anti-angiogenic effects of lignans isolated from <italic>S. chinensis</italic>. By invasion-inhibition-guide fractionation, we found that MB, one of the dineolignans isolated from <italic>S. chinensis</italic>, exhibited strong inhibitory effects on EC invasion <italic>in vitro</italic>. In the present study, we demonstrated that MB exhibited anti-angiogenic effects in ECs, and these effects may be mediated by inhibition of MMPs via downregulation of the transcriptional activity of RUNX2.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec sec-type="materials">
<title>Materials</title>
<p>HPLC grade MB (<xref rid="f1-or-32-02-0659" ref-type="fig">Fig. 1</xref>) was purchased from AppliChem GmbH (Cat. No. A9007; St. Louis, MO, USA). A stock solution (1 mM) was prepared by dissolving MB in dimethyl sulfoxide (DMSO). Recombinant human VEGF165 (Cat. No. 293-VE) is a product of R&amp;D Systems (Minneapolis, MN, USA). L-sulforaphane (SFP; Cat. No. S6317; Sigma-Aldrich, Beijing, China), a potent inducer of inhibition of angiogenesis, and batimastat (Bat; Cat. No. SC-203833; Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA), a broad spectrum MMP inhibitor, were used in the present study and served as positive controls.</p></sec>
<sec>
<title>Cell culture and animals</title>
<p>Human umbilical vein endothelial cells (HUVECs) were isolated as previously described (<xref rid="b17-or-32-02-0659" ref-type="bibr">17</xref>) from umbilical cords obtained from a parturient at the Department of Maternity at the First Affiliated Hospital of Nanchang University, who provided written informed consent. The study protocol was approved by the Institutional Review Board (IRB) of Nanchang University. HUVECs were routinely grown in M199 supplemented with 10&#x00025; fetal bovine serum (FBS) (both from Gibco, Grand Island, NY, USA) and EC growth supplement (BD Biosciences, Bedford, MA, USA) at 37&#x000B0;C and 5&#x00025; CO<sub>2</sub>. HUVECs between P3 and P4 were used for all experiments. The human umbilical vein cell line, EA.hy 926, was purchased from the cell bank of Shanghai Institute for Biological Sciences, CAS. EA.hy 926 cells were maintained in Dulbecco&#x02019;s modified Eagle&#x02019;s medium supplemented with 10&#x00025; FBS, 100 IU/ml penicillin and 100 &#x003BC;g/ml streptomycin (Invitrogen, Beijing, China) in a humidified incubator containing 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C. Prior to performing each assay, the ECs were serum starved for 4 h.</p>
<p>Five to six-week-old male Sprague Dawley (SD) rats were purchased from the Vital River Laboratories (Beijing, China) to obtain thoracic aorta in the rat aortic ring angiogenesis assay. All animal experiments were conducted in strict accordance with full ethical approval of the Animal Ethics Committees of Jiangxi University of Traditional Chinese Medicines. All surgery was performed under sodium pentobarbital anesthesia, and all efforts were made to minimize suffering.</p></sec>
<sec>
<title>Tube formation assay</title>
<p>The tube formation assay was used to investigate the effects of MB on angiogenesis <italic>in vitro</italic>. Briefly, 80 &#x003BC;l of liquid growth factor-reduced Matrigel (BD Biosciences, San Jose, CA, USA) were added to each well of a 96-well plate. After 45 min incubation at 37&#x000B0;C, 3&#x000D7;10<sup>4</sup> ECs/well in 100 &#x003BC;l complete culture medium containing vehicle, MB or SFP was seeded in each well. Then, 100 &#x003BC;l serum-free medium containing VEGF (final concentration 2 ng/ml) was added. After 24 h incubation at 37&#x000B0;C and 5&#x00025; CO<sub>2</sub>, the images of each well were recorded by an inverted microscope (Leica DMI3000B, Germany).</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation was assayed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Briefly, log-phase cells were seeded in 96-well plates 24 h before initiation of treatment with MB in the presence of 2 ng/ml VEGF. The vehicle-treated cells served as controls. Three duplicate wells were set up in each sample. After incubation with a range of MB or vehicle for 24 h, cells were incubated with MTT (final concentration 0.5 mg/ml) for 4 h at 37&#x000B0;C (Sigma-Aldrich). The media was carefully removed from each well and 150 &#x003BC;l of DMSO was added. The plates were gently agitated and optical absorbance at OD 570 nm and OD 450 nm was determined using a microplate reader (ELx800; BioTek, Winooski, VT, USA). Vehicle only-treated cells served as the indicator of 100&#x00025; cell viability. Each experiment was repeated three times.</p></sec>
<sec>
<title>Rat aortic ring angiogenesis assay</title>
<p>In the present study, an <italic>ex vivo</italic> tube formation system was used as previously described (<xref rid="b18-or-32-02-0659" ref-type="bibr">18</xref>) to evaluate the anti-angiogenic effect of MB. Male SD rats (5&#x02013;6 weeks old) were euthanized and thoracic aortas were retrieved. After rinsing with 1&#x00025; antibiotic/antimycotic cocktail in 1X PBS (100 U/ml penicillin, 100 &#x003BC;g/ml streptomycin and 0.25 &#x003BC;g/ml amphotericin B; Invitrogen), the surrounding fibroadipose tissue of thoracic aorta was completely removed with fine microdissection scissors, and the thoracic aorta was cut into 1 mm rings with a scalpel blade. Then, all the rings were implanted on a Matrigel-coated 96-well microtiter plate. Matrigel was added again to embed and fix rings. After 30 min incubation in 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C, the aorta rings were incubated in human endothelial serum-free medium (Gibco, Carlsbad, CA, USA) supplemented with 2&#x00025; FBS, 50 U/ml penicillin and 50 &#x003BC;g/ml streptomycin (Invitrogen) for 24 h and then treated with different doses of MB for 13 days. Finally, 8 &#x003BC;g/ml Calcein AM (BD Biosciences) was added to stain microvessels. Images of the microvessels were obtained using an inverted fluorescence microscope (Leica DMI3000B).</p></sec>
<sec>
<title>In vitro assay of EC invasion</title>
<p>Effects of MB on invasion of ECs were measured by a 48-well microchemotaxis system (AP48; Neuro Probe, Gaithersburg, MD, USA). Briefly, 5 &#x003BC;g of fibronectin in a volume of 50 &#x003BC;l was applied on the rough (lower) surface of the polycarbonate membrane, and 5 &#x003BC;g/filter Matrigel was plated to the smooth (upper) surface. The lower chambers of the plates were then filled with 30 &#x003BC;l medium containing 0.1&#x00025; BSA. Log-phase cells were harvested and re-suspended in culture medium with 0.1&#x00025; BSA. Cell suspensions (100 &#x003BC;l containing 1&#x000D7;10<sup>5</sup> cells) and 2 ng/ml VEGF were added to the upper compartment and incubated for 16 h at 37&#x000B0;C in a 5&#x00025; CO<sub>2</sub> atmosphere. After incubation, the filters were fixed with methanol and stained with 0.5&#x00025; crystal violet for 60 min. The cells on the upper surface of the filters were removed by wiping with cotton swabs. The cells invading to the lower surface of the filter through Matrigel and filter were quantified with the Image-Pro Plus software 5.0 (Media Cybernetics Inc., Silver Spring, MD, USA) and the most representative results are illustrated in the figures. Each assay was performed in triplicate.</p></sec>
<sec>
<title>Zymography analysis</title>
<p>MMP activity was analyzed with gelatin zymograms. Following 24 h treatment with MB, Bat or vehicle in the presence of 2 ng/ml VEGF, ECs were harvested and lysed. Cell lysates were diluted in 50 mM Tris-HCl, pH 7.4, and separated by electrophoresis in 7.5&#x00025; sodium dodecyl sulfate polyacrylamide gels containing 2 mg/ml gelatin. After electrophoresis, the gels were washed in 2.5&#x00025; Triton X-100 for 30 min and then incubated for 16 h at 37&#x000B0;C in 50 mM Tris-HCl, pH 7.4, 200 mM NaCl, 10 mM CaCl<sub>2</sub>. Gels were then stained with Coomassie brilliant blue R-250 and destained with 40&#x00025; methanol-10&#x00025; acetic acid until clear bands appeared. Images were captured with the UVP EC3 gel imaging system.</p></sec>
<sec>
<title>Fluorescence resonance energy transfer-based MMP activity assay</title>
<p>MMP activities were also measured by the SensoLyte<sup>&#x000AE;</sup> 570 Generic MMP Assay kit (AnaSpec, Fremont, CA, USA). This kit uses a fluorescence resonance energy transfer (FRET)-based method to detect the activities of a variety of MMPs including MMP-1, -2, -3, -7, -8, -9, -10, -11, -12, -13 and -14. It uses 5-FAM (fluorophore) and QXL520&#x02122; (quencher) labeled FRET peptide substrates for continuous measurement of MMP activities. In an intact FRET peptide, the fluorescence of 5-FAM is quenched by SensoLyte<sup>&#x000AE;</sup>. Upon cleavage of FRET peptide by MMPs, the fluorescence of 5-FAM is recovered. Analyses were performed according to the manufacturer&#x02019;s instructions. Briefly, supernatants of ECs were collected after incubation with or without MB for 24 h. MMPs in supernatants were activated by incubation with 4-aminophenylmercuric acetate for 1 h at 37&#x000B0;C. Fifty microliter MMP-containing samples and 50 &#x003BC;l MMP substrate solution were added into a 96-well plate. The reagents were mixed by shaking the plate gently for 30 sec. After a 50-min incubation period at 37&#x000B0;C, the reaction was stopped by adding stop solution, and fluorescence intensity was measured by a multilabel counter (Victor3&#x02122;; Perkin-Elmer, Waltham, MA, USA) at Ex/Em = 540/575 nm.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were rinsed twice with PBS, and total proteins were extracted in 500 &#x003BC;l lysis buffer. Aliquots of whole cell lysates were separated by 10&#x00025; SDS-PAGE and then transferred to Hybond nitro blotting membranes. The membranes were blocked with 3&#x00025; BSA in Tris-buffered saline containing 0.5 ml/l Tween-20 and then incubated with primary antibodies against MMP-9 (SC-6840), RUNX2 (SC-10758) (both from Santa Cruz), and phospho-RUNX2 (AP3559a; Abgent), followed by incubation with horseradish peroxidase (HRP)-conjugated secondary antibodies. Immunoreactive proteins were detected using an enhanced chemiluminescence kit (Millipore). &#x003B2;-actin (SC-130301; Santa Cruz) served as an internal control.</p></sec>
<sec>
<title>RUNX2 transcription factor assay</title>
<p>RUNX2 activity in EC nuclear extracts was detected using the TransAM&#x02122; AML-3/RUNX2 kit (Active Motif North America, Carlsbad, CA, USA) following the manufacturer&#x02019;s instructions. Cell extracts were prepared using the Nuclear Extract kit (Active Motif) with ECs that were treated with either MB or DMSO for 24 h. Then, 20 &#x003BC;l of extracts diluted in complete lysis buffer and containing 15 &#x003BC;g nuclear extract were added into a 96-well plate. This plate immobilizes oligonucleotides containing RUNX2 consensus binding sites. Saos-2 nuclear extract served as a positive control for RUNX2 activation, and 20 &#x003BC;l complete lysis buffer served as the blank. The wild-type consensus oligonucleotide was provided as a competitor for RUNX2 binding to monitor the specificity of the assay. After 1 h incubation at room temperature, the plate was washed three times with washing buffer. Diluted primary antibody (100 &#x003BC;l) was added into wells and incubated for 1 h at room temperature without agitation. After three washes, HRP-labeled secondary antibody was added and incubated for 1 h at room temperature. Then, 100 &#x003BC;l developing solution was added to initiate the color reaction. After 100 &#x003BC;l stop solution was added, the absorbance was measured within 5 min at 450 nm with a reference wavelength of 655 nm using an ELx800 microplate reader (BioTek).</p></sec>
<sec>
<title>Chromatin immunoprecipitation assay</title>
<p>Chromatin immunoprecipitation assay (ChIP) was performed using the agarose ChIP kit as described in the manufacturer&#x02019;s instructions (Pierce&#x02122; Agarose ChIP kit; Thermo Scientific). Briefly, crosslinking was performed for 10 min using formaldehyde (final concentration 1&#x00025;). Crosslinked cells then were lysed with lysis buffer containing protease inhibitors. To obtain DNA fragments with an average size of 0.3 kb, micrococcal nuclease was added and samples were incubated for 5 min. Protein-DNA complexes were immunoprecipitated using anti-RUNX2 antibody (SC-10758; Santa Cruz). Normal rabbit IgG served as a negative control and anti-RNA polymerase II antibody served as positive control. After DNA recovery, purified DNA was subjected to PCR amplification on the Mastercycler gradient (Eppendorf) using the Phusion<sup>&#x000AE;</sup> High-Fidelity PCR kit. The primers designed to amplify one of the RUNX2 binding regions (&#x02212;220 bp; TGGGGTC) in the human mmp-9 promoter (GeneBank no. NM_004994) were: forward, 5&#x02032;-ACA GTT CCC ACA AGC TCT GC-3&#x02032; and reverse, 5&#x02032;-CAG CAT GAG AAA GGG CTT ACA-3&#x02032;. The PCR profile was: 15 min at 95&#x000B0;C, followed by 30 three step cycles of 15 sec at 95&#x000B0;C, 30 sec at 58&#x000B0;C and 30 sec at 72&#x000B0;C. PCR reactions were subjected to a final extension at 72&#x000B0;C for 10 min. PCR analysis was performed using the Mastercycler gradient. Aliquots of total DNA before immunoprecipitation were saved as input, and these input lysates were also processed as above. All ChIP assays were performed at least three times, and the most representative results are illustrated in the figures.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are presented as means &#x000B1; SD and were analyzed with SPSS for Windows (13.0) software program (Chicago, IL, USA). Comparison among different groups was carried out by one-way analysis of variance (the one-way ANOVA). Differences between means were considered statistically significant at P&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of MB on tube formation of ECs in vitro and ex vivo</title>
<p>We first used an <italic>in vitro</italic> tube formation assay to assess the effects of MB on tumor-induced angiogenesis. As shown in <xref rid="f2-or-32-02-0659" ref-type="fig">Fig. 2A</xref>, when EA.hy 926 cells were seeded on Matrigel, capillary-like structures with a lumen were formed. After exposure to MB solution at various concentrations for 24 h, these structures were destroyed in a dose-dependent manner. MB treatment of HUVECs, a primary EC line derived from the endothelium of umbilical vein, showed that normal capillary-like structures were also significantly impaired by MB (<xref rid="f2-or-32-02-0659" ref-type="fig">Fig. 2B</xref>). <xref rid="f2-or-32-02-0659" ref-type="fig">Fig. 2C and D</xref> shows the growth inhibition effects of MB on EA.hy 926 and HUVECs; the IC<sub>50</sub> values of MB were 92.35&#x000B1;13.47 and 100.99&#x000B1;27.71 &#x003BC;M and the inhibitory rates of 40 &#x003BC;M MB were 17.06 and 3.24&#x00025;, respectively. These data indicate that the observed ability of MB to suppress tube formation was not due to growth inhibition.</p>
<p>Next, the rat aortic ring angiogenesis assay was employed to verify the anti-angiogenic effects of MB. New blood vessels, triggered by the injury of the dissection procedure and mediated by growth factors produced from the aortic ring, were demolished by MB in a dose-dependent manner (<xref rid="f3-or-32-02-0659" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Effects of MB on tumor-induced invasion of ECs in vitro</title>
<p>Invasion of ECs through the basement membrane to form sprouting vessels is essential to angiogenesis. Thus, we next examined the anti-invasive effects of MB on ECs. As shown in <xref rid="f4-or-32-02-0659" ref-type="fig">Fig. 4A</xref>, MB significantly blocked the transmembrane invasion of EA.hy 926 cells. The invasion rate across the reconstituted basement membrane was 79.43&#x00025;, 64.60&#x00025; and 38.49&#x00025; when the cells were incubated with 10, 20 and 40 &#x003BC;M MB for 14 h, respectively, compared with controls. Similar results were obtained with HUVECs (<xref rid="f4-or-32-02-0659" ref-type="fig">Fig. 4B</xref>). Collectively, these results demonstrated that MB significantly inhibited the invasion through the basement membrane of ECs, and this effect may contribute to the anti-angiogenic properties of MB.</p></sec>
<sec>
<title>Effects of MB on MMP-9 activity and expression in ECs</title>
<p>Breakdown of the extracellular matrix by MMPs in surrounding tissues is a fundamental step of EC invasion in tumor-induced angiogenesis. Therefore, we examined the effects of MB on MMPs in ECs. <xref rid="f5-or-32-02-0659" ref-type="fig">Fig. 5</xref> shows the effects of MB on MMPs in EA.hy 926 and HUVECs. Data from the zymography analysis showed that MB significantly inhibited hydrolyzation of gelatin in both EC lines (<xref rid="f5-or-32-02-0659" ref-type="fig">Fig. 5A</xref>). Using a FRET-based analysis, we found that MB exhibited significant suppression of FRET substrate cleavage of MMPs in a dose-dependent manner (<xref rid="f5-or-32-02-0659" ref-type="fig">Fig. 5B</xref>). To further determine whether MB inhibited the functional activity or expression of MMPs in ECs, we analyzed the expression of MMP-9, one of the important MMPs, in EA.hy 926 and HUVECs treated with MB. As shown in <xref rid="f5-or-32-02-0659" ref-type="fig">Fig. 5C</xref>, MB significantly decreased MMP-9 expression in both EC lines in a dose-dependent manner. These data suggested that the anti-angiogenic properties of MB may be due to downregulation of expression of MMP-9 in ECs.</p></sec>
<sec>
<title>Effects of MB on RUNX2 activation in ECs</title>
<p>From current observations, we understood that Runx2 is a &#x02018;master&#x02019; transcriptional factor of metastatic growth of breast cancer cells. Several genes required for the formation of metastatic foci, including <italic>mmp-9</italic>, <italic>bsp</italic>, <italic>opn</italic> and <italic>vegf,</italic> are targets of this transcriptional factor. Therefore, next we examined RUNX2 activities in ECs when cells were co-incubated with VEGF at 2 ng/ml. As shown in <xref rid="f6-or-32-02-0659" ref-type="fig">Fig. 6A</xref>, MB had no effect on total RUNX2 expression, but caused a significant decrease of phospho-RUNX2 expression. These results indicate that MB-induced downregulation of MMP-9 expression may be associated with the suppression of RUNX2 activation.</p>
<p>To confirm the western blot results, Runx2 transcription factor assay and ChIP assay were designed. First, an enzyme-linked immunoabsorbent assay (ELISA)-based kit for the Runx2 transcription factor was used to analyze the effects of MB on Runx2. EC nuclear extracts incubated with MB or vehicle were prepared and the binding activity between RUNX2 with its target sequence was determined. The results showed that MB decreased the binding activity of RUNX2 to its target sequences in a dose-dependent manner (<xref rid="f6-or-32-02-0659" ref-type="fig">Fig. 6B</xref>). Using ChIP assay, we found that binding of RUNX2 to one of the RUNX2 binding domains (&#x02212;220 bp; TGGGGTC) in the <italic>mmp-9</italic> promoter region was inhibited by MB (<xref rid="f6-or-32-02-0659" ref-type="fig">Fig. 6C</xref>). Collectively, these findings suggested that the inhibitory effect of MB on MMP-9 was caused by MB inhibition of RUNX2 binding to the <italic>mmp-9</italic> promoter, which may be associated with suppression of RUNX2 phosphorylation.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>MB, a neolignan isolated from the roots of <italic>S. chinensis</italic>, has been demonstrated to exhibit a range of activities, including anti-inflammatory (<xref rid="b10-or-32-02-0659" ref-type="bibr">10</xref>,<xref rid="b19-or-32-02-0659" ref-type="bibr">19</xref>&#x02013;<xref rid="b21-or-32-02-0659" ref-type="bibr">21</xref>), antiseptic (<xref rid="b22-or-32-02-0659" ref-type="bibr">22</xref>) and antitumor activities (<xref rid="b11-or-32-02-0659" ref-type="bibr">11</xref>,<xref rid="b23-or-32-02-0659" ref-type="bibr">23</xref>). Furthermore, MB was shown to inhibit PMA-induced ICAM-1 expression in HL-60 cells (<xref rid="b15-or-32-02-0659" ref-type="bibr">15</xref>) and to prevent monocyte adhesion to HUVECs through the inhibition of ICAM-1, VCAM-1 and E-selectin expression stimulated by TNF-&#x003B1; (<xref rid="b24-or-32-02-0659" ref-type="bibr">24</xref>). Due to the important roles of these adhesion molecules in tumor-induced angiogenesis, we sought to determine whether MB exerts its effects directly on ECs in angiogenesis and to identify the underlying mechanisms. In the present study, we used tube formation assay of ECs and rat aortic ring angiogenesis assay to evaluate the anti-angiogenic effects of MB. To mimic tumor angiogenesis, VEGF (2 ng/ml) was added into the culture system. Results showed that mesh-like structure formation on Matrigel was significantly impaired by MB both in tube formation assay and in rat aortic ring angiogenesis assay.</p>
<p>Angiogenesis is the physiological process through which new capillary blood vessels grow from pre-existing vessels (<xref rid="b1-or-32-02-0659" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-or-32-02-0659" ref-type="bibr">3</xref>). However, it is also a fundamental step in the transition of tumors from a benign state to a malignant one. Tumor angiogenesis starts with cancerous tumor cells releasing signal molecules, such as VEGF or bFGF, to surrounding normal host tissues. These pro-angiogenic molecules activate ECs in the host tissues that in turn stimulate a series of steps toward the creation of new blood vessels (<xref rid="b1-or-32-02-0659" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-or-32-02-0659" ref-type="bibr">3</xref>). Breakdown of matrix by MMPs in surrounding tissues is one of the critical steps that facilitate the migration of ECs. As they migrate into the surrounding tissues, activated ECs begin to divide and organize into hollow tubes that gradually evolve into a mature network of blood vessels (<xref rid="b25-or-32-02-0659" ref-type="bibr">25</xref>,<xref rid="b26-or-32-02-0659" ref-type="bibr">26</xref>). Based on these findings, we tested whether MB exhibits effects on the invasive and migratory behaviors of ECs. Our data showed that, in the presence of 2 ng/ml VEGF, MB significantly inhibited invasion of HUVECs and EA.hy 926 cells through the reconstituted basement membrane.</p>
<p>MMPs are another major contributor to angiogenesis. These proteolytic enzymes break down matrix and allow the ECs to escape into the interstitial matrix, as seen in sprouting angiogenesis (<xref rid="b25-or-32-02-0659" ref-type="bibr">25</xref>,<xref rid="b26-or-32-02-0659" ref-type="bibr">26</xref>). Over the past 30 years, the role of MMPs in human cancer has been widely investigated. These enzymes participate in the proteolysis of the extracellular matrix, modulation of cell adhesion, migration (<xref rid="b27-or-32-02-0659" ref-type="bibr">27</xref>), the epithelial to mesenchymal transition (EMT) (<xref rid="b28-or-32-02-0659" ref-type="bibr">28</xref>), processing of growth factors, and tumor-induced angiogenesis. Based on these findings, we evaluated the effects of MB on MMPs. MB treatment showed overt inhibition on MMP activities and MMP-9 expression. Collectively, these results indicate that anti-angiogenic effects of MB may be due to the suppression of expression of matrix-related proteases in ECs, resulting in inhibition of EC invasion and migration.</p>
<p>RUNX2, also termed PEBP2&#x003B1;A/AML3/Cbfa1, is a critical transcription factor for osteoblastic differentiation and skeletal morphogenesis (<xref rid="b29-or-32-02-0659" ref-type="bibr">29</xref>&#x02013;<xref rid="b31-or-32-02-0659" ref-type="bibr">31</xref>). RUNX2 belongs to the Runx family that encodes proteins homologous to <italic>Drosophila runt</italic> and has a conserved runt DNA-binding domain. RUNX2 was originally found to act as a master regulatory factor in skeletal development (<xref rid="b32-or-32-02-0659" ref-type="bibr">32</xref>). To date, extensive evidence shows a close association between RUNX2 and cancer, and this transcriptional factor is becoming a potential target of novel anticancer agents and diagnostic approaches to cancer control (<xref rid="b33-or-32-02-0659" ref-type="bibr">33</xref>,<xref rid="b34-or-32-02-0659" ref-type="bibr">34</xref>). RUNX2 is involved in the regulation of tumor-induced angiogenesis (<xref rid="b35-or-32-02-0659" ref-type="bibr">35</xref>,<xref rid="b36-or-32-02-0659" ref-type="bibr">36</xref>). Sun <italic>et al</italic> (<xref rid="b35-or-32-02-0659" ref-type="bibr">35</xref>) first reported that RUNX2 effects on EC migration and invasion may occur through the activation of protease expression, which regulates angiogenesis and tumor growth. Furthermore, Qiao <italic>et al</italic> found that RUNX2 is phosphorylated by cdc2, which may facilitate cell cycle progression and promote EC proliferation (<xref rid="b36-or-32-02-0659" ref-type="bibr">36</xref>).</p>
<p>RUNX2 is also involved in the regulation of MMP in metastatic breast cancer cells. Pratap <italic>et al</italic> investigated the role of RUNX2 in the regulation of the <italic>mmp-9</italic> promoter in MDA-MB-231 and MCF-7 cells. MMP-9 was found to be a direct target of RUNX2 in metastatic breast cancer cells, and the modulation of RUNX2 activity by either forced expression or RNA interference directly affected MMP-9 expression and the invasive properties of metastatic cancer cells (<xref rid="b37-or-32-02-0659" ref-type="bibr">37</xref>). Jim&#x000E9;nez <italic>et al</italic> found that MMP-13, also known as collagenase-3, was highly expressed in MDA-MB-231 cells, and identified it as another target gene of RUNX2 (<xref rid="b38-or-32-02-0659" ref-type="bibr">38</xref>). These results were also confirmed by Selvamurugan <italic>et al</italic> (<xref rid="b39-or-32-02-0659" ref-type="bibr">39</xref>,<xref rid="b40-or-32-02-0659" ref-type="bibr">40</xref>). Thus, RUNX2 acts a &#x02018;master&#x02019; transcription factor of MMP expression. Therefore, we speculated whether the inhibitory effects of MB on MMPs in ECs were associated with the downregulation of RUNX2 activity. Our western blot results demonstrated that MB significantly inhibited the levels of phospho-RUNX2, indicating that the transcriptional ability of RUNX2 on the <italic>mmp-9</italic> promoter is impaired by MB. To confirm these findings, we used ELISA-based RUNX2 transcription factor and ChIP assays, and the results revealed that the interaction between RUNX2 and sequences in the mmp-9 promoter was significantly inhibited by MB.</p>
<p>In summary, here we report that MB, a neolignan from <italic>S. chinensis</italic>, inhibits the angiogenic potential induced by tumors, and the inhibitory effects are due to its ability to reduce the expression of MMP-9, a target of the RUNX2 transcription factor. These effects may be associated with inhibition of the transcriptional activity of RUNX2.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by grants from the National Natural Science Foundation of China (grant nos. 81160530 and 81260656), the Key Research Project from the Ministry of Education of China (grant no. 211091), and the Natural Science Foundation of Jiangxi Province (grant no. 2010GQY0147).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-or-32-02-0659"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Folkman</surname><given-names>J</given-names></name></person-group><article-title>Fundamental concepts of the angiogenic process</article-title><source>Curr Mol Med</source><volume>3</volume><fpage>643</fpage><lpage>651</lpage><year>2003</year></element-citation></ref>
<ref id="b2-or-32-02-0659"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adams</surname><given-names>RH</given-names></name><name><surname>Alitalo</surname><given-names>K</given-names></name></person-group><article-title>Molecular regulation of angiogenesis and lymphangiogenesis</article-title><source>Nat Rev Mol Cell Biol</source><volume>8</volume><fpage>464</fpage><lpage>478</lpage><year>2007</year></element-citation></ref>
<ref id="b3-or-32-02-0659"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carmeliet</surname><given-names>P</given-names></name></person-group><article-title>Angiogenesis in life, disease and medicine</article-title><source>Nature</source><volume>438</volume><fpage>932</fpage><lpage>936</lpage><year>2005</year></element-citation></ref>
<ref id="b4-or-32-02-0659"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Folkman</surname><given-names>J</given-names></name></person-group><article-title>Anti-angiogenesis: new concept for therapy of solid tumors</article-title><source>Ann Surg</source><volume>175</volume><fpage>409</fpage><lpage>416</lpage><year>1972</year></element-citation></ref>
<ref id="b5-or-32-02-0659"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Holleb</surname><given-names>AI</given-names></name><name><surname>Folkman</surname><given-names>J</given-names></name></person-group><article-title>Tumor angiogenesis</article-title><source>CA Cancer J Clin</source><volume>22</volume><fpage>226</fpage><lpage>229</lpage><year>1972</year></element-citation></ref>
<ref id="b6-or-32-02-0659"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ferrara</surname><given-names>N</given-names></name><name><surname>Kerbel</surname><given-names>RS</given-names></name></person-group><article-title>Angiogenesis as a therapeutic target</article-title><source>Nature</source><volume>438</volume><fpage>967</fpage><lpage>974</lpage><year>2005</year></element-citation></ref>
<ref id="b7-or-32-02-0659"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weis</surname><given-names>SM</given-names></name><name><surname>Cheresh</surname><given-names>DA</given-names></name></person-group><article-title>Tumor angiogenesis: molecular pathways and therapeutic targets</article-title><source>Nat Med</source><volume>17</volume><fpage>1359</fpage><lpage>1370</lpage><year>2011</year></element-citation></ref>
<ref id="b8-or-32-02-0659"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bridges</surname><given-names>EM</given-names></name><name><surname>Harris</surname><given-names>AL</given-names></name></person-group><article-title>The angiogenic process as a therapeutic target in cancer</article-title><source>Biochem Pharmacol</source><volume>81</volume><fpage>1183</fpage><lpage>1191</lpage><year>2011</year></element-citation></ref>
<ref id="b9-or-32-02-0659"><label>9</label><element-citation publication-type="book"><collab>Editorial Committee of the Administration Bureau of Traditional Chinese Medicine</collab><article-title>Saururus Chinensis</article-title><source>Chinese Materia Medica (Zhonghua Bencao)</source><publisher-name>Shanghai Science and Technology Press</publisher-name><publisher-loc>Shanghai</publisher-loc><fpage>2016</fpage><lpage>2017</lpage><year>1998</year></element-citation></ref>
<ref id="b10-or-32-02-0659"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hwang</surname><given-names>BY</given-names></name><name><surname>Lee</surname><given-names>JH</given-names></name><name><surname>Nam</surname><given-names>JB</given-names></name><etal/></person-group><article-title>Lignans from <italic>Saururus chinensis</italic> inhibiting the transcription factor NF-&#x003BA;B</article-title><source>Phytochemistry</source><volume>64</volume><fpage>765</fpage><lpage>771</lpage><year>2003</year></element-citation></ref>
<ref id="b11-or-32-02-0659"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>YK</given-names></name><name><surname>Seo</surname><given-names>CS</given-names></name><name><surname>Lee</surname><given-names>CS</given-names></name><etal/></person-group><article-title>Inhibition of DNA topoisomerases I and II and cytotoxicity by lignans from <italic>Saururus chinensis</italic></article-title><source>Arch Pharm Res</source><volume>32</volume><fpage>1409</fpage><lpage>1415</lpage><year>2009</year></element-citation></ref>
<ref id="b12-or-32-02-0659"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sung</surname><given-names>SH</given-names></name><name><surname>Kwon</surname><given-names>SH</given-names></name><name><surname>Cho</surname><given-names>NJ</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name></person-group><article-title>Hepatoprotective flavonol glycosides of <italic>Saururus chinensis</italic> herbs</article-title><source>Phytother Res</source><volume>11</volume><fpage>500</fpage><lpage>503</lpage><year>1997</year></element-citation></ref>
<ref id="b13-or-32-02-0659"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>EC</given-names></name><name><surname>Shih</surname><given-names>MH</given-names></name><name><surname>Liu</surname><given-names>MC</given-names></name><etal/></person-group><article-title>Studies on constituents of <italic>Saururus chinensis</italic></article-title><source>Heterocycles</source><volume>43</volume><fpage>969</fpage><lpage>975</lpage><year>1996</year></element-citation></ref>
<ref id="b14-or-32-02-0659"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seo</surname><given-names>BR</given-names></name><name><surname>Lee</surname><given-names>KW</given-names></name><name><surname>Ha</surname><given-names>J</given-names></name><etal/></person-group><article-title>Saucernetin-7 isolated from <italic>Saururus chinensis</italic> inhibits proliferation of human promyelocytic HL-60 leukemia cells via G<sub>0</sub>/G<sub>1</sub> phase arrest and induction of differentiation</article-title><source>Carcinogenesis</source><volume>25</volume><fpage>1387</fpage><lpage>1394</lpage><year>2004</year></element-citation></ref>
<ref id="b15-or-32-02-0659"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rho</surname><given-names>MC</given-names></name><name><surname>Kwon</surname><given-names>OE</given-names></name><name><surname>Kim</surname><given-names>K</given-names></name><etal/></person-group><article-title>Inhibitory effects of manassantin A and B isolated from the roots of <italic>Saururus chinensis</italic> on PMA-induced ICAM-1 expression</article-title><source>Planta Med</source><volume>69</volume><fpage>1147</fpage><lpage>1149</lpage><year>2003</year></element-citation></ref>
<ref id="b16-or-32-02-0659"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>Y</given-names></name><name><surname>Hong</surname><given-names>TG</given-names></name><name><surname>Jin</surname><given-names>M</given-names></name><etal/></person-group><article-title>Saucerneol G, a new lignan, from <italic>Saururus chinensis</italic> inhibits matrix metalloproteinase-9 induction <italic>via</italic> a nuclear factor &#x003BA;B and mitogen activated protein kinases in lipopolysaccharide-stimulated RAW264.7 cells</article-title><source>Biol Pharm Bull</source><volume>33</volume><fpage>1944</fpage><lpage>1948</lpage><year>2010</year></element-citation></ref>
<ref id="b17-or-32-02-0659"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname><given-names>K</given-names></name><name><surname>Jaffe</surname><given-names>EA</given-names></name></person-group><article-title>Hypoglycemia stimulates thrombin-induced PGI2 production by cultured human umbilical vein endothelial cells</article-title><source>Prostaglandins Leukot Essent Fatty Acids</source><volume>52</volume><fpage>251</fpage><lpage>254</lpage><year>1995</year></element-citation></ref>
<ref id="b18-or-32-02-0659"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bellacen</surname><given-names>K</given-names></name><name><surname>Lewis</surname><given-names>ECJ</given-names></name></person-group><article-title>Aortic ring assay</article-title><source>J Vis Exp</source><volume>33</volume><fpage>1564</fpage><year>2009</year></element-citation></ref>
<ref id="b19-or-32-02-0659"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>Y</given-names></name><name><surname>Hwang</surname><given-names>SL</given-names></name><name><surname>Son</surname><given-names>JK</given-names></name><name><surname>Chang</surname><given-names>HW</given-names></name></person-group><article-title>Manassantin B isolated from <italic>Saururus chinensis</italic> inhibits cyclooxygenase-2-dependent prostaglandin D<sub>2</sub> generation by blocking Fyn-mediated nuclear factor-kappaB and mitogen activated protein kinase pathways in bone marrow derived-mast cells</article-title><source>Biol Pharm Bull</source><volume>36</volume><fpage>1370</fpage><lpage>1374</lpage><year>2013</year></element-citation></ref>
<ref id="b20-or-32-02-0659"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>HC</given-names></name><name><surname>Bae</surname><given-names>HB</given-names></name><name><surname>Jeong</surname><given-names>CW</given-names></name><etal/></person-group><article-title>Effect of manassantin B, a lignan isolated from <italic>Saururus chinensis</italic>, on lipopolysaccharide-induced interleukin-1&#x003B2; in RAW 264.7 cells</article-title><source>Korean J Anesthesiol</source><volume>62</volume><fpage>161</fpage><lpage>165</lpage><year>2012</year></element-citation></ref>
<ref id="b21-or-32-02-0659"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Son</surname><given-names>KN</given-names></name><name><surname>Song</surname><given-names>IS</given-names></name><name><surname>Shin</surname><given-names>YH</given-names></name><etal/></person-group><article-title>Inhibition of NF-IL6 activity by manassantin B, a dilignan isolated from <italic>Saururus chinensis</italic>, in phorbol myristate acetate-stimulated U937 promonocytic cells</article-title><source>Mol Cells</source><volume>20</volume><fpage>105</fpage><lpage>111</lpage><year>2005</year></element-citation></ref>
<ref id="b22-or-32-02-0659"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seo</surname><given-names>CS</given-names></name><name><surname>Lee</surname><given-names>YK</given-names></name><name><surname>Kim</surname><given-names>YJ</given-names></name><etal/></person-group><article-title>Protective effect of lignans against sepsis from the roots of <italic>Saururus chinensis</italic></article-title><source>Biol Pharm Bull</source><volume>31</volume><fpage>523</fpage><lpage>526</lpage><year>2008</year></element-citation></ref>
<ref id="b23-or-32-02-0659"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hodges</surname><given-names>TW</given-names></name><name><surname>Hossain</surname><given-names>CF</given-names></name><name><surname>Kim</surname><given-names>YP</given-names></name><etal/></person-group><article-title>Molecular-targeted antitumor agents: the <italic>Saururus cernuus</italic> dineolignans manassantin B and 4-<italic>O</italic>-demethylmanassantin B are potent inhibitors of hypoxia-activated HIF-1</article-title><source>J Nat Prod</source><volume>67</volume><fpage>767</fpage><lpage>771</lpage><year>2004</year></element-citation></ref>
<ref id="b24-or-32-02-0659"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kwon</surname><given-names>OE</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Lee</surname><given-names>SW</given-names></name><etal/></person-group><article-title>Manassantin A and B isolated from <italic>Saururus chinensis</italic> inhibit TNF-&#x003B1;-induced cell adhesion molecule expression of human umbilical vein endothelial cells</article-title><source>Arch Pharm Res</source><volume>28</volume><fpage>55</fpage><lpage>60</lpage><year>2005</year></element-citation></ref>
<ref id="b25-or-32-02-0659"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stetler-Stevenson</surname><given-names>WG</given-names></name></person-group><article-title>Matrix metalloproteinases in angiogenesis: a moving target for therapeutic intervention</article-title><source>J Clin Invest</source><volume>103</volume><fpage>1237</fpage><lpage>1241</lpage><year>1999</year></element-citation></ref>
<ref id="b26-or-32-02-0659"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rundhaug</surname><given-names>JE</given-names></name></person-group><article-title>Matrix metalloproteinases and angiogenesis</article-title><source>J Cell Mol Med</source><volume>9</volume><fpage>267</fpage><lpage>285</lpage><year>2005</year></element-citation></ref>
<ref id="b27-or-32-02-0659"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duffy</surname><given-names>MJ</given-names></name><name><surname>Maguire</surname><given-names>TM</given-names></name><name><surname>Hill</surname><given-names>A</given-names></name><etal/></person-group><article-title>Metalloproteinases: role in breast carcinogenesis, invasion and metastasis</article-title><source>Breast Cancer Res</source><volume>2</volume><fpage>252</fpage><lpage>257</lpage><year>2000</year></element-citation></ref>
<ref id="b28-or-32-02-0659"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Radisky</surname><given-names>ES</given-names></name><name><surname>Radisky</surname><given-names>DC</given-names></name></person-group><article-title>Matrix metalloproteinase-induced epithelial-mesenchymal transition in breast cancer</article-title><source>J Mammary Gland Biol Neoplasia</source><volume>15</volume><fpage>201</fpage><lpage>212</lpage><year>2010</year></element-citation></ref>
<ref id="b29-or-32-02-0659"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lian</surname><given-names>JB</given-names></name><name><surname>Stein</surname><given-names>JL</given-names></name><name><surname>Stein</surname><given-names>GS</given-names></name><etal/></person-group><article-title>Runx2/Cbfa1 functions: diverse regulation of gene transcription by chromatin remodeling and co-regulatory protein interactions</article-title><source>Connect Tissue Res</source><volume>44</volume><issue>Suppl 1</issue><fpage>S141</fpage><lpage>S148</lpage><year>2003</year></element-citation></ref>
<ref id="b30-or-32-02-0659"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Karsenty</surname><given-names>G</given-names></name></person-group><article-title>Role of Cbfa1 in osteoblast differentiation and function</article-title><source>Semin Cell Dev Biol</source><volume>11</volume><fpage>343</fpage><lpage>346</lpage><year>2000</year></element-citation></ref>
<ref id="b31-or-32-02-0659"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Komori</surname><given-names>T</given-names></name></person-group><article-title>Runx2, a multifunctional transcription factor in skeletal development</article-title><source>J Cell Biochem</source><volume>87</volume><fpage>1</fpage><lpage>8</lpage><year>2002</year></element-citation></ref>
<ref id="b32-or-32-02-0659"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stein</surname><given-names>GS</given-names></name><name><surname>Lian</surname><given-names>JB</given-names></name><name><surname>van Wijnen</surname><given-names>AJ</given-names></name><etal/></person-group><article-title>Runx2 control of organization, assembly and activity of the regulatory machinery for skeletal gene expression</article-title><source>Oncogene</source><volume>23</volume><fpage>4315</fpage><lpage>4329</lpage><year>2004</year></element-citation></ref>
<ref id="b33-or-32-02-0659"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barnes</surname><given-names>GL</given-names></name><name><surname>Javed</surname><given-names>A</given-names></name><name><surname>Waller</surname><given-names>SM</given-names></name><etal/></person-group><article-title>Osteoblast-related transcription factors Runx2 (Cbfa1/AML3) and MSX2 mediate the expression of bone sialoprotein in human metastatic breast cancer cells</article-title><source>Cancer Res</source><volume>63</volume><fpage>2631</fpage><lpage>2637</lpage><year>2003</year></element-citation></ref>
<ref id="b34-or-32-02-0659"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shore</surname><given-names>P</given-names></name></person-group><article-title>A role for Runx2 in normal mammary gland and breast cancer bone metastasis</article-title><source>J Cell Biochem</source><volume>96</volume><fpage>484</fpage><lpage>489</lpage><year>2005</year></element-citation></ref>
<ref id="b35-or-32-02-0659"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>L</given-names></name><name><surname>Vitolo</surname><given-names>M</given-names></name><name><surname>Passaniti</surname><given-names>A</given-names></name></person-group><article-title>Runt-related gene 2 in endothelial cells: inducible expression and specific regulation of cell migration and invasion</article-title><source>Cancer Res</source><volume>61</volume><fpage>4994</fpage><lpage>5001</lpage><year>2001</year></element-citation></ref>
<ref id="b36-or-32-02-0659"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qiao</surname><given-names>M</given-names></name><name><surname>Shapiro</surname><given-names>P</given-names></name><name><surname>Fosbrink</surname><given-names>M</given-names></name><etal/></person-group><article-title>Cell cycle-dependent phosphorylation of the RUNX2 transcription factor by cdc2 regulates endothelial cell proliferation</article-title><source>J Biol Chem</source><volume>281</volume><fpage>7118</fpage><lpage>7128</lpage><year>2006</year></element-citation></ref>
<ref id="b37-or-32-02-0659"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pratap</surname><given-names>J</given-names></name><name><surname>Javed</surname><given-names>A</given-names></name><name><surname>Languino</surname><given-names>LR</given-names></name><etal/></person-group><article-title>The Runx2 osteogenic transcription factor regulates matrix metalloproteinase 9 in bone metastatic cancer cells and controls cell invasion</article-title><source>Mol Cell Biol</source><volume>25</volume><fpage>8581</fpage><lpage>8591</lpage><year>2005</year></element-citation></ref>
<ref id="b38-or-32-02-0659"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jim&#x000E9;nez</surname><given-names>MJ</given-names></name><name><surname>Balb&#x000ED;n</surname><given-names>M</given-names></name><name><surname>L&#x000F3;pez</surname><given-names>JM</given-names></name><etal/></person-group><article-title>Collagenase 3 is a target of Cbfa1, a transcription factor of the <italic>runt</italic> gene family involved in bone formation</article-title><source>Mol Cell Biol</source><volume>19</volume><fpage>4431</fpage><lpage>4442</lpage><year>1999</year></element-citation></ref>
<ref id="b39-or-32-02-0659"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Selvamurugan</surname><given-names>N</given-names></name><name><surname>Partridge</surname><given-names>NC</given-names></name></person-group><article-title>Constitutive expression and regulation of collagenase-3 in human breast cancer cells</article-title><source>Mol Cell Biol Res Commun</source><volume>3</volume><fpage>218</fpage><lpage>223</lpage><year>2000</year></element-citation></ref>
<ref id="b40-or-32-02-0659"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Selvamurugan</surname><given-names>N</given-names></name><name><surname>Kwok</surname><given-names>S</given-names></name><name><surname>Partridge</surname><given-names>NC</given-names></name></person-group><article-title>Smad3 interacts with JunB and Cbfa1/Runx2 for transforming growth factor-beta1-stimulated collagenase-3 expression in human breast cancer cells</article-title><source>J Biol Chem</source><volume>279</volume><fpage>27764</fpage><lpage>27773</lpage><year>2004</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-or-32-02-0659" position="float">
<label>Figure 1</label>
<caption>
<p>Molecular structure of manassantin B.</p></caption>
<graphic xlink:href="OR-32-02-0659-g00.gif"/></fig>
<fig id="f2-or-32-02-0659" position="float">
<label>Figure 2</label>
<caption>
<p><italic>In vitro</italic> tube formation of ECs is significantly affected by MB in a dose-dependent manner. (A) MB inhibited mesh-like structure formation of EA.hy 926 cells on Matrigel. (B) Effects of MB on tube formation of HUVECs. <italic>In vitro</italic> tube formation assay was carried out as described in Materials and methods. MB showed a slight suppression on (C) EA.hy 926 and (D) HUVEC growth. Cell proliferation was evaluated by MTT assay. Values were normalized to the mean number of adherent control cells and presented as means &#x000B1; SD percentage (n=3). Vehicle (DMSO) was used as a CTRL, and SFP served as the positive CTRL. Each assay was performed in triplicate. ECs, endothelial cells; MB, manassantin B; HUVECs, human umbilical vein endothelial cells; SFP, L-sulforaphane.</p></caption>
<graphic xlink:href="OR-32-02-0659-g01.gif"/></fig>
<fig id="f3-or-32-02-0659" position="float">
<label>Figure 3</label>
<caption>
<p>MB significantly suppresses tube formation <italic>ex vivo</italic>. MB showed an overt suppression of tube formation <italic>ex vivo</italic> evaluated by rat aortic ring angiogenesis assay. Rat aortic ring angiogenesis assay was performed as described in Materials and methods. Vehicle (DMSO) was used as a CTRL, and SFP served as the positive-CTRL. Each assay was performed in triplicate. MB, manassantin B; SFP, L-sulforaphane.</p></caption>
<graphic xlink:href="OR-32-02-0659-g02.gif"/></fig>
<fig id="f4-or-32-02-0659" position="float">
<label>Figure 4</label>
<caption>
<p><italic>In vitro</italic> invasion of ECs is significantly inhibited by MB in a dose-dependent manner. (A) MB inhibited the invasion of EA.hy 926 cells in the AP48 chamber. Five fields were counted for each chamber, and each concentration was repeated in three chambers. (B) Effects of MB on invasion of HUVECs. <italic>In vitro</italic> invasion assay was carried out as described in Materials and methods. Invaded cell number was presented as means &#x000B1; SD percentage (n=3). <sup>*</sup>P&lt;0.05, <sup>**</sup>P&lt;0.01 when compared with control (CTRL). Vehicle (DMSO) was used as a CTRL, and SFP served as the positive-CTRL. Each assay was performed in triplicate. ECs, endothelial cells; MB, manassantin B; HUVECs, human umbilical vein endothelial cells; SFP, L-sulforaphane.</p></caption>
<graphic xlink:href="OR-32-02-0659-g03.gif"/></fig>
<fig id="f5-or-32-02-0659" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of MB on activity of matrix metalloproteinases (MMPs) in ECs. (A) MMP protein activity was detected using gelatin zymography. (B) MMP protein activity was detected by the FRET-based MMP activity assay kit. (C) MB inhibited MMP-9 expression in ECs as detected by western blotting. Vehicle (DMSO) was used as a CTRL, and Bat served as a positive-CTRL. All treatments were conducted in the presence of 2 ng/ml VEGF. <sup>**</sup>P&lt;0.01 compared with DMSO-treated ECs. Each assay was performed in triplicate at minimum. MB, manassantin B; ECs, endothelial cells; Bat, batimastat.</p></caption>
<graphic xlink:href="OR-32-02-0659-g04.gif"/></fig>
<fig id="f6-or-32-02-0659" position="float">
<label>Figure 6</label>
<caption>
<p>MB inhibits MMP-9 protein activity and expression by downregulating activation of RUNX2 transcription factor. (A) MB suppressed phosphorylation and transcription factor activity of RUNX2 in ECs. (B) RUNX2 transcription factor assay and (C) ChIP assay were used to confirm the effects of MB on RUNX2. Vehicle (DMSO) was used as a CTRL. All ECs were treated with MB for 24 h in presence of 2 ng/ml VEGF. <sup>**</sup>P&lt;0.01 compared with CTRL. MB, manassantin B; ECs, endothelial cells.</p></caption>
<graphic xlink:href="OR-32-02-0659-g05.gif"/></fig></floats-group></article>
