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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.2015.3719</article-id>
<article-id pub-id-type="publisher-id">or-33-03-1191</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title> (+)-Terrein inhibits human hepatoma Bel-7402 proliferation through cell cycle arrest</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>FENGLI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>MIJITI</surname><given-names>MEIHERIGULI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>DING</surname><given-names>WEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>SONG</surname><given-names>JIALE</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>YIN</surname><given-names>YING</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>SUN</surname><given-names>WEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>ZHIYONG</given-names></name><xref ref-type="corresp" rid="c1-or-33-03-1191"/></contrib>
<aff id="af1-or-33-03-1191">Marine Biotechnology Laboratory, State Key Laboratory of Microbial Metabolism and School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai 200240, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-or-33-03-1191">Correspondence to: Dr Zhiyong Li, Marine Biotechnology Laboratory, State Key Laboratory of Microbial Metabolism and School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang, Shanghai 200240, P.R. China, E-mail: <email>zyli@sjtu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>01</month>
<year>2015</year></pub-date>
<volume>33</volume>
<issue>3</issue>
<fpage>1191</fpage>
<lpage>1200</lpage>
<history>
<date date-type="received">
<day>14</day>
<month>10</month>
<year>2014</year></date>
<date date-type="accepted">
<day>11</day>
<month>12</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</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>Hepatoma is a common malignant tumor. Thus, the development of a high-efficacy therapeutic drug for hepatoma is required. In this study, (+)-terrein isolated from the marine sponge-derived <italic>Aspergillus terreus</italic> PF-26 against cell growth, apoptosis and cell cycle were assessed by MTT and flow cytometry. mRNA array containing 73 cell cycle-related genes and three cell morphology-related genes was generated and its performance evaluated. The cell cycle pathway map was created using the pathview package. The results showed that (+)-terrein inhibited the growth of Bel-7402 cells with alterations in cell morphology and a reduced transcript expression of cell morphology genes (fibronectin, N-cadherin, and vimentin). In addition, flow cytometric analysis revealed that (+)-terrein arrested the Bel-7402 cell cycle without inducing apoptosis. Based on multiple mRNA analysis, the downregulated expression of the <italic>CCND2</italic>, <italic>CCNE2</italic>, <italic>CDKN1C</italic>, <italic>CDKN2B</italic>, <italic>ANAPC</italic>, <italic>PKMYT1</italic>, <italic>CHEK2</italic> and <italic>PCNA</italic> genes was observed in 10 &#x003BC;M (+)-terrein-treated Bel-7402 cells (&gt;2-fold and P&#x02264;0.05), compared with the controls. Thus, the antiproliferative mechanism of (+)-terrein against Bel-7402 cells may be due to the cell cycle arrest by blocking cell cycle gene expression and changing cell morphology.</p></abstract>
<kwd-group>
<kwd>(+)-terrein</kwd>
<kwd><italic>Aspergillus terreus</italic></kwd>
<kwd>human hepatoma Bel-7402</kwd>
<kwd>cell proliferation</kwd>
<kwd>cell cycle arrest</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Hepatocellular carcinoma (HCC) is the most common malignant tumor and the third leading cause of cancer mortality worldwide (<xref rid="b1-or-33-03-1191" ref-type="bibr">1</xref>). In China, HCC causes ~110,000 deaths annually (<xref rid="b2-or-33-03-1191" ref-type="bibr">2</xref>). Current chemotherapeutic drugs for treating HCC are restricted in their clinical application because of toxicity and low efficacy (<xref rid="b3-or-33-03-1191" ref-type="bibr">3</xref>,<xref rid="b4-or-33-03-1191" ref-type="bibr">4</xref>). Arsenic trioxide (As<sub>2</sub>O<sub>3</sub>) (1&#x02013;8 &#x003BC;M) arrests HCC (HepG2 and SMMC-7721 cells) in the G<sub>2</sub>/M phase (<xref rid="b5-or-33-03-1191" ref-type="bibr">5</xref>). However, applications there of are controversial as arsenic compounds exhibit high toxicity. Therefore, developing a novel high-efficacy therapeutic drug for hepatoma is required (<xref rid="b4-or-33-03-1191" ref-type="bibr">4</xref>). In 1935, Raistrick and Smith (<xref rid="b6-or-33-03-1191" ref-type="bibr">6</xref>) first isolated (+)-terrein from <italic>Aspergillus terreus</italic>. Terreins with distinct configurations have received considerable attention because of their various substantial bioactivities, including anticancer properties against human cells (<xref rid="b7-or-33-03-1191" ref-type="bibr">7</xref>&#x02013;<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>).</p>
<p>In antitumor therapy, numerous drugs affect tumorigenesis and tumor growth; however, the key is determining which drugs to exploit in the areas of signal transduction, cell-cycle regulation, apoptosis, telomere biology, necrosis, autophagy, cell senescence and angiogenesis (<xref rid="b11-or-33-03-1191" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-or-33-03-1191" ref-type="bibr">13</xref>). Angiogenesis is a critical process for tumor growth, invasion, and metastasis (<xref rid="b14-or-33-03-1191" ref-type="bibr">14</xref>). Arakawa <italic>et al</italic> (<xref rid="b7-or-33-03-1191" ref-type="bibr">7</xref>) determined that (&#x02212;)-terrein inhibited angiogenin secretion in the tumor angiogenesis of androgen-dependent prostate cancer cells. Apoptosis is a form of cell death (<xref rid="b12-or-33-03-1191" ref-type="bibr">12</xref>,<xref rid="b15-or-33-03-1191" ref-type="bibr">15</xref>). Furthermore, (+)-terrein suppresses the proliferation of breast cancer cells (<xref rid="b9-or-33-03-1191" ref-type="bibr">9</xref>), human cervical carcinoma cells (<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>), and pulmonary tumor cells (<xref rid="b8-or-33-03-1191" ref-type="bibr">8</xref>) by inducing an apoptotic mechanism. These results suggested that terreins inhibit tumor cell growth through multiple strategies.</p>
<p>Findings of studies showed that the isolation and production of (+)-terrein (the molecular formula is C<sub>8</sub>H<sub>10</sub>O<sub>3</sub> and the molecular weight is 154; <xref rid="f1-or-33-03-1191" ref-type="fig">Fig. 1</xref>) from the <italic>fungus A. terreus</italic> PF-26 associated with marine sponges were improved to ~9.07 g/l (<xref rid="b16-or-33-03-1191" ref-type="bibr">16</xref>&#x02013;<xref rid="b19-or-33-03-1191" ref-type="bibr">19</xref>). However, the activity of (+)-terrein against HCC and its mechanism remain unknown. In this study, the anticancer activity and mechanism of (+)-terrein against HCC were investigated using the Bel-7402 human hepatoma cell line. The results showed that (+)-terrein suppressed Bel-7402 human hepatoma cell growth and proliferation. The results indicated that 10 &#x003BC;M (+)-terrein induced cell cycle arrest in the G<sub>2</sub>/M phase and decreased the cell morphology gene expression of fibronectin, N-cadherin, and vimentin. In addition, the high-throughput platform with parallel detection of multiple mRNAs revealed that treating Bel-7402 cells with (+)-terrein substantially altered the expression of cell cycle-related genes. In addition, (+)-terrein did not induce Bel-7402 cell apoptosis, indicating that (+)-terrein inhibits cell proliferation through distinct mechanisms in different cell strains.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents and cell lines</title>
<p>(+)-Terrein (<xref rid="f1-or-33-03-1191" ref-type="fig">Fig. 1</xref>) was isolated from <italic>A. terreus</italic> PF-26, as described previously (<xref rid="b18-or-33-03-1191" ref-type="bibr">18</xref>). The isolated (+)-terrein was dissolved in phosphate-buffered saline (PBS, pH 7.2) for subsequent experiments. The human A549 lung adenocarcinoma epithelial cell line was provided by Dr Wei Ma (Shanghai Jiao Tong University, China), and the Bel-7402 human hepatoma cell line was obtained from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). The mentioned cells were cultured in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) containing 10&#x00025; fetal bovine serum and 100 U/ml of penicillin and streptomycin. Unless otherwise mentioned, reagents for cell cultures were purchased from Gibco/Invitrogen (New York, Grand Island, USA) and biochemical reagents were obtained from Sigma (New York, NY, USA) or Ameresco (Solon, OH, USA). The cells were grown in a 5&#x00025; CO<sub>2</sub> atmosphere at 37&#x000B0;C.</p></sec>
<sec>
<title>Cell viability and proliferation</title>
<p>An MTT assay &#x0005B;3-(4,5-dime-thylthiazol-2-yl)-2,5-diphenyltetrazolium bromide&#x0005D; was performed with ~4&#x000D7;10<sup>3</sup> cells/well in 96-well plates. The plates containing the cells were incubated at 37&#x000B0;C for 24 h, and the cells were treated with (+)-terrein at 37&#x000B0;C for 48 h. The protocol was performed using an MTT cell proliferation and cytotoxicity detection kit (KeyGen, Nanjing, China) according to the manufacturer&#x02019;s instructions. Briefly, DMEM was supplemented with 50 &#x003BC;l of MTT reagent to each well and incubated at 37&#x000B0;C for 4 h. Thereafter, the MTT solution was removed. Following the addition of 150 &#x003BC;l of dimethyl sulfoxide (DMSO), the plates were incubated at 37&#x000B0;C for 15 min to dissolve the formazan crystals. Absorbance of DMSO extracts was detected at 550 nm by using an Enspire 2300 microplate reader (PerkinElmer, Foster City, CA, USA). A total of ~3&#x000D7;10<sup>5</sup> cells/well were inoculated in 6-well plates at 37&#x000B0;C for 24 h and treated with (+)-terrein at 37&#x000B0;C for 48 h. The PBS-treated cells served as controls. These cells were used to detect cell morphology, cell cycle, apoptosis, and RNA extraction.</p></sec>
<sec>
<title>Light microscopy analysis</title>
<p>Cells (3&#x000D7;10<sup>5</sup>) were cultured in 6-well plates at 37&#x000B0;C for 24 h. The Bel-7402 and A549 cells were then treated with 10 &#x003BC;M and 10 mM (+)-terrein at 37&#x000B0;C for 48 h, respectively, and the PBS-treated cells served as controls. The treated cells were used to observe cell morphology and apoptosis. Light microscopy images of the cells were captured using a Nikon Eclipse Ti-inverted microscope and a Nikon digital sight s-Qi1Mc camera (both from Yokohama, Japan). For each surface, three non-overlapping images were selected.</p></sec>
<sec>
<title>Cell analysis via flow cytometry</title>
<p>The cells were rinsed once in chilled PBS, digested with 0.25&#x00025; trypsin (Gibco), and then resuspended in DMEM and 10&#x00025; serum. The suspended cells were centrifuged at 2,000 &#x000D7; g at 4&#x000B0;C for 5 min and washed once in cold PBS. The cells were stained with Alexa Fluor<sup>&#x000AE;</sup> 488 Annexin V and PI by using an Alexa Fluor<sup>&#x000AE;</sup> 488 Annexin V/Dead cell apoptosis kit (Invitrogen, New York, USA) according to the manufacturer&#x02019;s instructions. The stained cells were analyzed using flow cytometry (FACSAria-II, BD Biosciences, San Jose, CA, USA).</p></sec>
<sec>
<title>Gene expression analysis of cell cycle and cell morphology</title>
<p>The Bel-7402 cells treated with 10 &#x003BC;M (+)-terrein were trypsinized and washed with a PBS buffer. Fifty microliters of single cell suspension was examined using a cell cycle detection kit (KeyGen). The stained cells were analyzed using flow cytometry (FACSAria II).</p></sec>
<sec>
<title>Total RNA extraction</title>
<p>The Bel-7402 cells treated with (+)-terrein or PBS were trypsinized and washed with a PBS buffer. The cells were collected using centrifugation at 2,000 &#x000D7; g for 5 min. The cell pellet was then resuspended in RL buffer and centrifuged at 13,000 &#x000D7; g for 5 min. Total RNA was extracted according to the manufacturer&#x02019;s instructions (CWBio, Beijing, China). The purity and concentration of RNA was confirmed by the relative absorbance ratio at 260/280 nm and 260 nm, respectively, by using NanoDrop 2000 (Thermo Fisher Scientific, Waltham, MA, USA).</p></sec>
<sec>
<title>Reverse transcription</title>
<p>Reverse transcription was performed according to the manufacturer&#x02019;s instructions (Thermo Fisher Scientific). Total RNA (1 &#x003BC;g) was mixed with 4 &#x003BC;l of a 5X reaction buffer, 1 &#x003BC;l of oligo (dT)18 primer, 1 &#x003BC;l of RiboLock RNase inhibitor, 2 &#x003BC;l of a 10 mM dNTP mix, 1 &#x003BC;l of RevertAid reverse transcriptase (100 U/&#x003BC;l), and then, ddH<sub>2</sub>O was added to increase the volume to 20 &#x003BC;l. Reverse transcription was performed at 37&#x000B0;C for 60 min and then at 70&#x000B0;C for 5 min. The resulting cDNA was stored at &#x02212;70&#x000B0;C until use.</p></sec>
<sec>
<title>Polymerase chain reaction (PCR) array and primer design</title>
<p><xref rid="tI-or-33-03-1191" ref-type="table">Table I</xref> shows that 73 potential genes involved in the cell cycle were used as the target mRNAs. <italic>GAPDH</italic>, <italic>b2-MG</italic>, <italic>&#x003B2;-actin</italic>, <italic>RPL27</italic>, <italic>HPRT1</italic>, and <italic>OAZ1</italic> were used as housekeeping genes for the control cells. The primers were designed (CT Bioscience Co., Changzhou, China) to cover all of the transcripts of each gene. <xref rid="tI-or-33-03-1191" ref-type="table">Table I</xref> shows the RefSeq accession IDs. All of the primers had a similar melting temperature (Tm), and it was not located in the genomic repetitive regions. The primers were selected based on criteria such as a typical amplification curve and single peak from the post-PCR melting curve. FN, gene ID 2335; N-cadherin, gene ID 1000; and vimentin, gene ID 7431 which are involved in cell morphology were also investigated.</p></sec>
<sec>
<title>Real-time PCR analysis</title>
<p>Each cDNA was diluted to 1 ml with ddH<sub>2</sub>O and mixed with 1 ml of 2X SYBR Premix Ex Taq&#x02122; (Takara, Dalian, China). Twenty microliters of this mixture was added to each well of a 96-well PCR array, except for genomic DNA control (GDC). The 96-well PCR plates containing gene primers were prepared by the CT Bioscience Company (Changzhou, China). The sealed PCR plate was loaded in an Eppendorf Realplex 4S (Hamburg, German). The PCR was performed under the following conditions: 95&#x000B0;C for 5 min, 40 cycles at 95&#x000B0;C for 15 sec, 60&#x000B0;C for 15 sec, and 72&#x000B0;C for 20 sec. The melting curve procedure (95&#x000B0;C for 15 sec, 60&#x000B0;C for 15 sec, and 95&#x000B0;C for 15 sec) was implemented to analyze the PCR specificity. Dissociation curves (DC) and melting temperatures (Tm) were recorded. Relative changes in gene expression were calculated using the threshold cycle (Ct) method (<xref rid="b20-or-33-03-1191" ref-type="bibr">20</xref>). The formula used is presented as follows: n-fold change = 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> = (Ct target gene &#x02212; Ct internal control gene) treated sample &#x02212; (Ct target gene &#x02212; Ct internal control gene) control sample.</p></sec>
<sec>
<title>Statistical and pathway analysis</title>
<p>Statistical product and service solutions (SPSS ver. 13.0) was used for the data analysis. All of the experiments were conducted in duplicate. The results are presented as mean &#x000B1; SD (standard deviation) unless otherwise specified. The P-values were two-tailed. P&#x02264;0.05 was considered to indicate a statistically significant difference. The cell-cycle pathway is a highly regulated process that incorporates three major checkpoints including the participation of several genes (<xref rid="b21-or-33-03-1191" ref-type="bibr">21</xref>). The functional pathways associated with the set of differentially expressed genes were analyzed using the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis (<ext-link xlink:href="http://www.kegg.jp/kegg/pathway.html" ext-link-type="uri">http://www.kegg.jp/kegg/pathway.html</ext-link>). Differentially expressed gene with &gt;2-fold change were analyzed in the cell-cycle pathway (<xref rid="b22-or-33-03-1191" ref-type="bibr">22</xref>). The pathway map was created using the Pathview&#x02122; package (<xref rid="b23-or-33-03-1191" ref-type="bibr">23</xref>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>(+)-Terrein reduces cell growth</title>
<p>The <italic>in vitro</italic> toxicity of (+)-terrein against Bel-7402 cells and the A549 human lung adenocarcinoma epithelial cell line was evaluated using the MTT method &#x0005B;3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide&#x0005D; to determine the potential inhibitory concentration. MTT analysis revealed that(+)-terrein inhibited cell viability and proliferation in a concentration-dependent manner. <xref rid="f2-or-33-03-1191" ref-type="fig">Fig. 2A</xref> shows the inhibition of Bel-7402 cells at various (+)-terrein concentrations. The IC<sub>50</sub> (half maximal inhibitory concentration) value of Bel-7402 was calculated as 11.63 &#x003BC;M &#x000B1;0.02. The dose-dependent inhibition of Bel-7402 indicated that 1 &#x003BC;M (+)-terrein was non-toxic and 10 &#x003BC;M (+)-terrein was cytotoxic and associated with a survival rate of 57&#x00025;. The survival rate of the Bel-7402 cells treated with 100 &#x003BC;M and 1 mM (+)-terrein exhibited inhibitory activities of ~22 and 13&#x00025;, respectively. A low dose of (+)-terrein did not substantially affect the A549 cells. As indicated in <xref rid="f2-or-33-03-1191" ref-type="fig">Fig. 2B</xref>, (+)-terrein at various concentrations induced inhibitory activity against the A549 cells. (+)-Terrein at concentrations of 10 &#x003BC;M, 100 &#x003BC;M, and 1 mM exhibited weak inhibitory activity, and the survival rate of the treated cells was 91, 82, and 72&#x00025;, respectively. Moreover, (+)-terrein at 10 mM was cytotoxic to A549 cells, and the survival rate of the treated cells was 52&#x00025;.</p></sec>
<sec>
<title>(+)-Terrein induces cell morphology change</title>
<p>We observed a marked phenomenon regarding cell morphology alterations when cells were treated with (+)-terrein. Morphological changes in the Bel-7402 cells exposed to 10 &#x003BC;M (+)-terrein and in the A549 cells exposed to 10 mM (+)-terrein for 48 h were examined using light microscopy (<xref rid="f3-or-33-03-1191" ref-type="fig">Fig. 3</xref>). The Bel-7402 cell morphology alterations were from epithelial-like to spherical, when the cells were treated with 10 &#x003BC;M (+)-terrein (<xref rid="f3-or-33-03-1191" ref-type="fig">Fig. 3A and B</xref>). The morphological changes from epithelial-like to spherical of the A549 cells exposed to 10 mM (+)-terrein for 48 h were examined using light microscopy (<xref rid="f3-or-33-03-1191" ref-type="fig">Fig. 3C and D</xref>). However, 10 &#x003BC;l of (+)-terrein did not significantly affect the morphology of A549 cells (data not shown). The cells were adherent, and all of the experiments were repeated at least five times.</p>
<p>The cell morphology gene (FN, N-cadherin, and vimentin) expression of the Bel-7402 cells treated with 10 &#x003BC;M (+)-terrein was investigated. The results showed that the gene expression of FN, N-cadherin, and vimentin decreased &#x02212;3.61-, &#x02212;2.39-, and &#x02212;2.05-fold, respectively, compared with the control (<xref rid="tII-or-33-03-1191" ref-type="table">Table II</xref>).</p></sec>
<sec>
<title>(+)-Terrein inhibits cell apoptosis and necrosis</title>
<p>To determine whether this reduction in cell growth induced by (+)-terrein was mediated by apoptosis, flow cytometric analysis was performed using PI and Annexin-V staining. The results indicated that the apoptotic levels of Bel-7402 and A549 cells treated with (+)-terrein (10 &#x003BC;M and 10 mM) did not increase (<xref rid="f4-or-33-03-1191" ref-type="fig">Fig. 4</xref>), but the number of cells treated with (+)-terrein was less than that of the control cells, according to cell counting (data not shown). The mean percentage &#x000B1; SD (n=3) of early apoptosis for the Bel-7402 and A549 control cells was 5.33&#x000B1;1.05 and 6.17&#x000B1;0.93, respectively, but that for the Bel-7402 and A549 cells after treatment with (+)-terrein for 48 h was 2.26&#x000B1;0.50 and 0.53&#x000B1;0.31, respectively (<xref rid="tIII-or-33-03-1191" ref-type="table">Table III</xref>). <xref rid="f4-or-33-03-1191" ref-type="fig">Fig. 4</xref> shows that (+)-terrein at 10 &#x003BC;M and 10 mM inhibited early apoptosis. As indicated in <xref rid="tIII-or-33-03-1191" ref-type="table">Table III</xref>, the mean percentage &#x000B1; SD (n=3) of late apoptosis and necrosis for the Bel-7402 and A549 control cells was 1.77&#x000B1;0.61 and 5.43&#x000B1;2.55, respectively, but that for the Bel-7402 and A549 cells following treatment with (+)-terrein for 48 h was 0.83&#x000B1;0.23 and 1.93&#x000B1;1.07, respectively (<xref rid="tIII-or-33-03-1191" ref-type="table">Table III</xref>). Based on these results, (+)-terrein inhibited late cell apoptosis and necrosis (<xref rid="f4-or-33-03-1191" ref-type="fig">Fig. 4</xref>). Standard deviation was larger than the average deviation; however, for every independent experiment, the percentage value (&#x00025;) of apoptosis and necrosis in the treated Bel-7402 and A549 cells was lower than that in the control cells.</p></sec>
<sec>
<title>Effect of (+)-terrein on Bel-7402 cell cycle</title>
<p>Cell proliferation depends on the specific progression of the cell cycle (<xref rid="b21-or-33-03-1191" ref-type="bibr">21</xref>). Thus, the cell cycle was analyzed to investigate the anti-proliferative mechanism of (+)-terrein against Bel-7402 cells. Provided the influence of (+)-terrein on A549 occurs at an exceedingly high concentration (&gt;mmol), the anti-proliferative mechanism of (+)-terrein against A549 was not examined. When the Bel-7402 cells were treated with 10 &#x003BC;M (+)-terrein for 48 h, the proportion of the cells in the G<sub>0</sub>/G<sub>1</sub> and S phases was reduced, whereas the proportion of cells in the G<sub>2</sub>/M phase was increased (<xref rid="tIV-or-33-03-1191" ref-type="table">Table IV</xref>). This result suggested that the cell cycle was arrested by (+)-terrein. Thus, (+)-terrein might decrease Bel-7402 cell growth by inducing cell cycle arrest.</p></sec>
<sec>
<title>Effect of (+)-terrein on cell-cycle regulators</title>
<p>In this study, high-throughput gene expression analysis of 73 genes was performed (<xref rid="tI-or-33-03-1191" ref-type="table">Table I</xref>). Cell cycle-related gene expression was performed by comparing the gene expression between cDNA samples of (+)-terrein-treated Bel-7402 cells and control cells. Melting curve analysis was used to assess the specificity of the array. A single product peak observed from each reaction without secondary products indicated a high specificity of PCR assay (data not shown). A subset of differentially expressed genes involved in the cell cycle was selected from all the microarray data by performing initial filtration of the P-value (P&#x02264;0.05) and expression level (&gt;2-fold) of the 10 &#x003BC;M (+)-terrein-treated cells. The cell-cycle scheme from the KEGG database (<ext-link xlink:href="http://www.kegg.jp/kegg/pathway.html" ext-link-type="uri">http://www.kegg.jp/kegg/pathway.html</ext-link>) was presented. Downregulated genes were labeled in green, while no upregulated genes were overexpressed (<xref rid="f5-or-33-03-1191" ref-type="fig">Fig. 5</xref>). Compared with the control group, the average expression values of <italic>CCND2</italic>, <italic>CCNE2</italic>, <italic>CDKN1C</italic>, <italic>CDKN2B</italic>, <italic>ANAPC5</italic>, <italic>PKMYT1</italic>, <italic>CHEK2</italic>, and <italic>PCNA</italic> genes in the 10 &#x003BC;M (+)-terrein-treated group were significantly decreased by 5.52-, 3.30-, 5.32-, 2.24-, 2.52-, 2.52-, 2.31-, and 2.10-fold (&gt;2-fold; P&#x02264;0.05), respectively (<xref rid="tV-or-33-03-1191" ref-type="table">Table V</xref>), and the expression level of the remaining 65 genes was evidently unchanged (data not shown). Eight obviously downregulated genes were visualized in the cell-cycle pathway (<xref rid="f5-or-33-03-1191" ref-type="fig">Fig. 5</xref>). Moreover, the results of flow cytometry (<xref rid="tIV-or-33-03-1191" ref-type="table">Table IV</xref>) indicated that (+)-terrein arrested the cell cycle.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Numerous drugs affect tumorigenesis and tumor growth through several mechanisms, including signal transduction, cell-cycle regulation, apoptosis, telomere biology, angiogenesis and cell senescence (<xref rid="b11-or-33-03-1191" ref-type="bibr">11</xref>,<xref rid="b13-or-33-03-1191" ref-type="bibr">13</xref>). Most available cancer drugs are antimitotic and act by interfering with the basic mechanism of DNA synthesis and cell division (<xref rid="b20-or-33-03-1191" ref-type="bibr">20</xref>). (+)-Terrein inhibited cell growth at various concentrations in various human tumor cell strains (<xref rid="b8-or-33-03-1191" ref-type="bibr">8</xref>&#x02013;<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>). The IC<sub>50</sub> value of (+)-terrein against human breast cancer MCF-7 cells was 1.1 nM (<xref rid="b9-or-33-03-1191" ref-type="bibr">9</xref>). The IC<sub>50</sub> value was 0.29 mM for HeLa cells (<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>) and 0.3 mM for NCI-H292 (<xref rid="b8-or-33-03-1191" ref-type="bibr">8</xref>). Strese <italic>et al</italic> (<xref rid="b24-or-33-03-1191" ref-type="bibr">24</xref>) observed that the chemosensitivity of various cell lines was differentially expressed, indicating that distinct cell types with distinct genetic backgrounds exhibit distinct responses to drug treatment (<xref rid="b15-or-33-03-1191" ref-type="bibr">15</xref>,<xref rid="b25-or-33-03-1191" ref-type="bibr">25</xref>).</p>
<p>Since the adhesion and distribution of anchorage-dependent cells are prerequisites for cell viability and proliferation, cell growth and survival also depend on cell morphology (<xref rid="b26-or-33-03-1191" ref-type="bibr">26</xref>). Changes in the synthesis and structure of actin induce changes in cell morphology. FN is a ubiquitous extracellular matrix glycoprotein assembled into an FN matrix in all tissues and throughout all stages of life. Loss of an FN matrix causes changes in cell morphology, cell signaling, proliferation, and cell-cycle progression (<xref rid="b27-or-33-03-1191" ref-type="bibr">27</xref>,<xref rid="b28-or-33-03-1191" ref-type="bibr">28</xref>). The aberrant expression of N-cadherin by cancer cells contributes to invasiveness and metastasis by making the cells more motile (<xref rid="b29-or-33-03-1191" ref-type="bibr">29</xref>). Vimentin is responsible for maintaining cell shape, adhesion and motility (<xref rid="b30-or-33-03-1191" ref-type="bibr">30</xref>).</p>
<p>The inhibitory mechanism of (+)-terrein against the Bel-7402 cell differed from the apoptosis of breast cancer and pulmonary tumor cell lines (<xref rid="b9-or-33-03-1191" ref-type="bibr">9</xref>,<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>). Liao <italic>et al</italic> (<xref rid="b9-or-33-03-1191" ref-type="bibr">9</xref>) and Porameesanaporn <italic>et al</italic> (<xref rid="b10-or-33-03-1191" ref-type="bibr">10</xref>) reported that (+)-terrein suppressed the growth of breast cancer and HeLa cancer cell lines by inducing apoptosis. Demasi <italic>et al</italic> (<xref rid="b8-or-33-03-1191" ref-type="bibr">8</xref>) determined that various ranges of (+)-terrein induced pulmonary tumor cell apoptosis through protease inhibitors.</p>
<p>Kim <italic>et al</italic> (<xref rid="b31-or-33-03-1191" ref-type="bibr">31</xref>) determined that (&#x000B1;)-terrein inhibited human epidermal keratinocyte proliferation through extracellular signal-regulated protein kinase inactivation and G<sub>2</sub>/M cell-cycle arrest. The fundamental task of the cell cycle is to ensure that DNA is successfully replicated in the S phase and that the identical chromosomal copies are equally distributed between two daughter cells in the M phase (<xref rid="b32-or-33-03-1191" ref-type="bibr">32</xref>,<xref rid="b33-or-33-03-1191" ref-type="bibr">33</xref>). Cell proliferation depends on the progression of the cell cycle through the G<sub>0</sub>/G<sub>1</sub> phase to the S phase (<xref rid="b34-or-33-03-1191" ref-type="bibr">34</xref>). In some biological systems, cell-cycle delay and long-term arrest in the G<sub>2</sub> phase are well documented, but most variation in cell-cycle duration among tissues is due to variability in the length of the G<sub>1</sub> phase (<xref rid="b32-or-33-03-1191" ref-type="bibr">32</xref>,<xref rid="b33-or-33-03-1191" ref-type="bibr">33</xref>). We determined that (+)-terrein decreased the proportion of the Bel-7402 cells in the G<sub>0</sub>/G<sub>1</sub> and S phases (<xref rid="tIV-or-33-03-1191" ref-type="table">Table IV</xref>). The data suggested that (+)-terrein delayed the progression of the cell cycle. The results indicated that 10 &#x003BC;M (+)-terrein inhibited Bel-7402 cell growth (<xref rid="f2-or-33-03-1191" ref-type="fig">Fig. 2</xref>) by arresting the cell cycle in the G<sub>2</sub>/M phase (<xref rid="tIV-or-33-03-1191" ref-type="table">Table IV</xref>). The sensitivity of the drug-induced DNA damage was, not only associated with the interaction between drug and target, but also depended on the dose, time (<xref rid="b15-or-33-03-1191" ref-type="bibr">15</xref>) and cellular status (<xref rid="b34-or-33-03-1191" ref-type="bibr">34</xref>). The results of this study confirmed that various strains (Bel-7402 and A549) exhibit a distinct response to (+)-terrein (<xref rid="f2-or-33-03-1191" ref-type="fig">Fig. 2</xref>). Therefore, the anti-proliferative mechanism of (+)-terrein based on distinct drug doses, time and cellular status remains to be investigated.</p>
<p>Cell-cycle progression in mammalian cells is regulated by various proteins (<xref rid="b35-or-33-03-1191" ref-type="bibr">35</xref>). Cell proliferation is closely controlled by positive and negative regulators that determine cell progress throughout the cell cycle (<xref rid="b36-or-33-03-1191" ref-type="bibr">36</xref>). The cyclin/cyclin-dependent kinase (Cdk) complexes and Cdk inhibitors (CDKIs) are crucial regulators of cell-cycle progression (<xref rid="b37-or-33-03-1191" ref-type="bibr">37</xref>).</p>
<p>Eight genes are related to the cell cycle (<xref rid="f5-or-33-03-1191" ref-type="fig">Fig. 5</xref>). The <italic>CCND2</italic> (<xref rid="b38-or-33-03-1191" ref-type="bibr">38</xref>), <italic>CCNE2</italic> (<xref rid="b39-or-33-03-1191" ref-type="bibr">39</xref>), <italic>CDKN1C</italic> (<xref rid="b40-or-33-03-1191" ref-type="bibr">40</xref>) and <italic>CDKN2B</italic> (<xref rid="b41-or-33-03-1191" ref-type="bibr">41</xref>) genes, positively regulated the G<sub>1</sub> and G<sub>1</sub>/S phases of the cell cycle, whereas the <italic>APC</italic> gene negatively regulated the G<sub>2</sub>/M transition in the cell cycle (<xref rid="b42-or-33-03-1191" ref-type="bibr">42</xref>). Distinct cyclins exhibited distinct expression and degradation patterns, which contribute to the temporal coordination of each mitotic event (<xref rid="b38-or-33-03-1191" ref-type="bibr">38</xref>). Cyclin D encoded by the <italic>CCND2</italic> gene forms a complex regulatory subunit of CDK4 or CDK6, the activity of which is required for cell-cycle G<sub>1</sub>/S transition (<xref rid="b38-or-33-03-1191" ref-type="bibr">38</xref>). Cyclin E encoded by the <italic>CCNE2</italic> gene controls the G<sub>1</sub>- to S-phase transition in the cell cycle (<xref rid="b39-or-33-03-1191" ref-type="bibr">39</xref>). Cyclin-dependent kinase inhibitor 1C (p57, Kip2), also known as CDKN1C, causes cell cycle arrest in the G<sub>1</sub> phase (<xref rid="b40-or-33-03-1191" ref-type="bibr">40</xref>). Cyclin-dependent kinase 4 inhibitor B (ink4b) encoded by the <italic>CDKN28B</italic> gene is a potential factor of cell cycle arrest in the G<sub>1</sub> phase (<xref rid="b41-or-33-03-1191" ref-type="bibr">41</xref>). In addition, anaphase-promoting complex subunit 5 (ANAPC5) consists of at least eight protein subunits, including APC5, CDC27 (APC3; MIM 116946), CDC16 (APC6; MIM 603461), and CDC23 (APC8; MIM 603462). The APC/C targets the mitotic cyclins for degradation, resulting in the inactivation of mitotic cyclin-dependent kinase (M-CdK) complexes, promoting exit from mitosis and cytokinesis (<xref rid="b42-or-33-03-1191" ref-type="bibr">42</xref>). Although distinct processes are responsible for this inhibition, a crucial process is the activation of the APC/C by Cdh1. This continued activation prevents the accumulation of cyclin, which triggers another round of mitosis instead of exiting (<xref rid="b42-or-33-03-1191" ref-type="bibr">42</xref>). The results from the multiple mRNA analysis further proved that the Bel-7402 cells were arrested in the G<sub>2</sub>/M phase by 10 &#x003BC;M (+)-terrein.</p>
<p>Membrane-associated tyrosine- and threonine-specific CDC2-inhibitory kinase encoded by the <italic>PKMYT1</italic> gene negatively regulates cell-cycle G<sub>2</sub>/M transition (<xref rid="b43-or-33-03-1191" ref-type="bibr">43</xref>). A decrease in the expression of <italic>PKMYT1</italic> (<xref rid="tV-or-33-03-1191" ref-type="table">Table V</xref>) and <italic>ANAPC</italic> (<xref rid="f5-or-33-03-1191" ref-type="fig">Fig. 5</xref> and <xref rid="tV-or-33-03-1191" ref-type="table">Table V</xref>) genes was conducive to arresting the cells in the G<sub>2</sub>/M phase of the cell cycle. The <italic>CHEK2</italic> gene provides instructions for producing checkpoint kinase 2 (CHK2). CHEK2 activation in response to DNA damage prevents the cell from entering mitosis (<xref rid="b44-or-33-03-1191" ref-type="bibr">44</xref>). Proliferating cell nuclear antigen (PCNA) is a nuclear protein that acts as a processivity factor for DNA polymerase &#x0025B; in eukaryotic cells (<xref rid="b45-or-33-03-1191" ref-type="bibr">45</xref>). The expression levels of PCNA varied throughout the cell-cycle progression, and the maximal expression was observed in the G<sub>1</sub> and S phases (<xref rid="b46-or-33-03-1191" ref-type="bibr">46</xref>). Furthermore, the PCNA expression level was downregulated as the cells exited the cell cycle and differentiated (<xref rid="b47-or-33-03-1191" ref-type="bibr">47</xref>). Based on the PCNA expression level characteristics (<xref rid="b46-or-33-03-1191" ref-type="bibr">46</xref>,<xref rid="b47-or-33-03-1191" ref-type="bibr">47</xref>), we obtained consistent results indicating that 10 &#x003BC;M (+)-terrein increased the proportion of treated cells in the G<sub>2</sub>/M phase (<xref rid="tIV-or-33-03-1191" ref-type="table">Table IV</xref>) and decreased the PCNA expression 2.10-fold, compared with the control group (<xref rid="tV-or-33-03-1191" ref-type="table">Table V</xref>). Thus, (+)-terrein induced cell cycle arrest by breaking down the balance between multiple gene expressions of the cell cycle.</p>
<p>In conclusion, (+)-terrein exhibited cytotoxicity against the Bel-7402 human hepatoma cell line, yielding an IC<sub>50</sub> value of 11.63 &#x003BC;M &#x000B1;0.02. In addition, (+)-terrein induced round-cell morphology of Bel-7402 and A549 cells but did not induce cell apoptosis. Furthermore, (+)-terrein inhibited Bel-7402 human hepatoma cell proliferation and arrested the cell cycle in the G<sub>2</sub>/M phase by breaking down the expression of the <italic>CCND2</italic>, <italic>CCNE2</italic>, <italic>CDKN1C</italic>, <italic>CDKN2B</italic>, <italic>ANAPC5</italic>, <italic>PKMYT1</italic>, <italic>CHEK2</italic> and <italic>PCNA</italic> cell cycle-related genes. The results suggest that (+)-terrein inhibited human tumor cell growth through various strategies. The potential application of (+)-terrein remains to be investigated in future studies.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We would like to thank Dr Qian Luo at the Instrument Sharing and Technical Service Platform of SJTU for technical advice on using flow cytometry. We would also like to thank Dr Valliappan Karuppiah for providing assistance with the language. This study was supported by the High-Tech Research and Development Program of China (2011AA090702), the Medical and Engineering Cross Funds of Shanghai Jiao Tong University (YG2011ms13), and the National Natural Science Foundation of China (J1210047 and 31300104).</p></ack>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term id="G1">ANAPC5</term>
<def>
<p>anaphase-promoting complex subunit 5</p></def></def-item>
<def-item>
<term id="G2">Cdk</term>
<def>
<p>cyclin/cyclin-dependent kinase</p></def></def-item>
<def-item>
<term id="G3">CDKI</term>
<def>
<p>Cdk inhibitors</p></def></def-item>
<def-item>
<term id="G4">CDKN1C</term>
<def>
<p>cyclin-dependent kinase inhibitor 1C</p></def></def-item>
<def-item>
<term id="G5">Ct</term>
<def>
<p>threshold cycle</p></def></def-item>
<def-item>
<term id="G6">DC</term>
<def>
<p>dissociation curves</p></def></def-item>
<def-item>
<term id="G7">GDC</term>
<def>
<p>genomic DNA control</p></def></def-item>
<def-item>
<term id="G8">HCC</term>
<def>
<p>hepatocellular carcinoma</p></def></def-item>
<def-item>
<term id="G9">ink4b</term>
<def>
<p>cyclin-dependent kinase 4 ihibitor B</p></def></def-item>
<def-item>
<term id="G10">M-CdK</term>
<def>
<p>mitotic cyclin-dependent kinase</p></def></def-item>
<def-item>
<term id="G11">PCNA</term>
<def>
<p>proliferating cell nuclear antigen</p></def></def-item>
<def-item>
<term id="G12">SPSS</term>
<def>
<p>Statistical Product and Service Solutions</p></def></def-item>
<def-item>
<term id="G13">Tm</term>
<def>
<p>melting temperature</p></def></def-item>
<def-item>
<term id="G14">KEGG</term>
<def>
<p>Kyoto Encyclopedia of Genes and Genomes</p></def></def-item></def-list></glossary>
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<floats-group>
<fig id="f1-or-33-03-1191" position="float">
<label>Figure 1</label>
<caption>
<p>The chemical structure of (+)-terrein.</p></caption>
<graphic xlink:href="OR-33-03-1191-g00.gif"/></fig>
<fig id="f2-or-33-03-1191" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of (+)-terrein on cell viability and proliferation. (A) Effect of (+)-terrein on cell viability and proliferation of Bel-7402 cells. (B) Effect of (+)-terrein on cell viability and proliferation of A549 cells. Bel-7402 and A549 cells were treated with (+)-terrein at various concentrations for 48 h. Viability and proliferation of the cells were examined using the MTT method, and the cell survival rate (&#x00025;) was calculated. Average values derived from three independent experiments shown as mean &#x000B1; standard deviations. <sup>*</sup>Significant difference from control (P&lt;0.05). <sup>**</sup>Significant difference from control (P&lt;0.01).</p></caption>
<graphic xlink:href="OR-33-03-1191-g01.gif"/></fig>
<fig id="f3-or-33-03-1191" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of (+)-terrein on cell morphology of Bel-7402 and A549 cells. Bel-7402 and A549 cells were treated with 10 &#x003BC;M and 10 mM (+)-terrein for 48 h, respectively. Bel-7402 and A549 cells not treated with (+)-terrein served as controls. Bars under each panel represent 50 &#x003BC;m.</p></caption>
<graphic xlink:href="OR-33-03-1191-g02.gif"/></fig>
<fig id="f4-or-33-03-1191" position="float">
<label>Figure 4</label>
<caption>
<p>(+)-Terrein induced cell apoptosis and necrosis. Bel-7402 and A549 cells were treated with 10 &#x003BC;M and 10 mM (+)-terrein for 48 h, respectively. Apoptosis and necrosis were monitored using Annexin V/PI analysis. Viable cells were Annexin V/PI-negative (Q<sub>3</sub> quadrant). Early apoptotic cells were Annexin V-positive and PI-negative (Q<sub>4</sub> quadrant). Late apoptotic and necrotic cells were in the Q<sub>1</sub> and Q<sub>2</sub> quadrants, respectively. Each bar is the mean &#x000B1; SD of five independent experiments.</p></caption>
<graphic xlink:href="OR-33-03-1191-g03.gif"/></fig>
<fig id="f5-or-33-03-1191" position="float">
<label>Figure 5</label>
<caption>
<p>Graphviz view of a cell cycle canonical signaling pathway with gene data. Each box is one gene and the green boxes show the downregulated gene expression of mRNA after the Bel-7402 cells were treated with 10 &#x003BC;M (+)-terrein (&gt;2-fold).</p></caption>
<graphic xlink:href="OR-33-03-1191-g04.gif"/></fig>
<table-wrap id="tI-or-33-03-1191" position="float">
<label>Table I</label>
<caption>
<p>Gene information detected by the primers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Gene ID as in PCR array</th>
<th valign="bottom" align="center">Symbol</th>
<th valign="bottom" align="center">Gene ID</th>
<th valign="bottom" align="center">Gene name</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">ANAPC2</td>
<td valign="top" align="right">29882</td>
<td valign="top" align="left">Anaphase promoting complex subunit 2</td></tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">ANAPC4</td>
<td valign="top" align="right">29945</td>
<td valign="top" align="left">Anaphase promoting complex subunit 4</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">ANAPC5</td>
<td valign="top" align="right">51433</td>
<td valign="top" align="left">Anaphase promoting complex subunit 5</td></tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">BUB1</td>
<td valign="top" align="right">699</td>
<td valign="top" align="left">Budding uninhibited by benzimidazoles 1 homolog (yeast)</td></tr>
<tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center">BUB1B</td>
<td valign="top" align="right">701</td>
<td valign="top" align="left">Budding uninhibited by benzimidazoles 1 homolog &#x003B2; (yeast)</td></tr>
<tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center">BUB3</td>
<td valign="top" align="right">9184</td>
<td valign="top" align="left">Budding uninhibited by benzimidazoles 3 homolog (yeast)</td></tr>
<tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center">CCNE1</td>
<td valign="top" align="right">898</td>
<td valign="top" align="left">Cyclin E1</td></tr>
<tr>
<td valign="top" align="left">8</td>
<td valign="top" align="center">CCNE2</td>
<td valign="top" align="right">9134</td>
<td valign="top" align="left">Cyclin E2</td></tr>
<tr>
<td valign="top" align="left">9</td>
<td valign="top" align="center">CCND1</td>
<td valign="top" align="right">595</td>
<td valign="top" align="left">Cyclin D1</td></tr>
<tr>
<td valign="top" align="left">10</td>
<td valign="top" align="center">CCND2</td>
<td valign="top" align="right">894</td>
<td valign="top" align="left">Cyclin D2</td></tr>
<tr>
<td valign="top" align="left">11</td>
<td valign="top" align="center">CCND3</td>
<td valign="top" align="right">896</td>
<td valign="top" align="left">Cyclin D3</td></tr>
<tr>
<td valign="top" align="left">12</td>
<td valign="top" align="center">CCNH</td>
<td valign="top" align="right">902</td>
<td valign="top" align="left">Cyclin H</td></tr>
<tr>
<td valign="top" align="left">13</td>
<td valign="top" align="center">CDC16</td>
<td valign="top" align="right">8881</td>
<td valign="top" align="left">Cell division cycle 16 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">14</td>
<td valign="top" align="center">CDC20</td>
<td valign="top" align="right">991</td>
<td valign="top" align="left">Cell division cycle 20 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">15</td>
<td valign="top" align="center">CDC23</td>
<td valign="top" align="right">8697</td>
<td valign="top" align="left">Cell division cycle 23 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">16</td>
<td valign="top" align="center">CDC25A</td>
<td valign="top" align="right">993</td>
<td valign="top" align="left">Cell division cycle 25 homolog A (<italic>S. pombe</italic>)</td></tr>
<tr>
<td valign="top" align="left">17</td>
<td valign="top" align="center">CDC25B</td>
<td valign="top" align="right">994</td>
<td valign="top" align="left">Cell division cycle 25 homolog B (<italic>S. pombe</italic>)</td></tr>
<tr>
<td valign="top" align="left">18</td>
<td valign="top" align="center">CDC25C</td>
<td valign="top" align="right">995</td>
<td valign="top" align="left">Cell division cycle 25 homolog C (<italic>S. pombe</italic>)</td></tr>
<tr>
<td valign="top" align="left">19</td>
<td valign="top" align="center">CDC26</td>
<td valign="top" align="right">246184</td>
<td valign="top" align="left">Cell division cycle 26 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">20</td>
<td valign="top" align="center">CDC27</td>
<td valign="top" align="right">996</td>
<td valign="top" align="left">Cell division cycle 27 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">21</td>
<td valign="top" align="center">CDC6</td>
<td valign="top" align="right">990</td>
<td valign="top" align="left">Cell division cycle 6 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">22</td>
<td valign="top" align="center">CDC7</td>
<td valign="top" align="right">8317</td>
<td valign="top" align="left">Cell division cycle 7 homolog (<italic>S. cerevisiae</italic>)</td></tr>
<tr>
<td valign="top" align="left">23</td>
<td valign="top" align="center">CDK4</td>
<td valign="top" align="right">1019</td>
<td valign="top" align="left">Cyclin-dependent kinase 4</td></tr>
<tr>
<td valign="top" align="left">24</td>
<td valign="top" align="center">CDK6</td>
<td valign="top" align="right">1021</td>
<td valign="top" align="left">Cyclin-dependent kinase 6</td></tr>
<tr>
<td valign="top" align="left">25</td>
<td valign="top" align="center">CDK7</td>
<td valign="top" align="right">1022</td>
<td valign="top" align="left">Cyclin-dependent kinase 7</td></tr>
<tr>
<td valign="top" align="left">26</td>
<td valign="top" align="center">CDKN1B</td>
<td valign="top" align="right">1027</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 1B (p27, Kip1)</td></tr>
<tr>
<td valign="top" align="left">27</td>
<td valign="top" align="center">CHEK1</td>
<td valign="top" align="right">1111</td>
<td valign="top" align="left">Checkpoint kinase 1</td></tr>
<tr>
<td valign="top" align="left">28</td>
<td valign="top" align="center">CHEK2</td>
<td valign="top" align="right">11200</td>
<td valign="top" align="left">Checkpoint kinase 2</td></tr>
<tr>
<td valign="top" align="left">29</td>
<td valign="top" align="center">E2F1</td>
<td valign="top" align="right">1869</td>
<td valign="top" align="left">E2F transcription factor 1</td></tr>
<tr>
<td valign="top" align="left">30</td>
<td valign="top" align="center">E2F2</td>
<td valign="top" align="right">1870</td>
<td valign="top" align="left">E2F transcription factor 2</td></tr>
<tr>
<td valign="top" align="left">31</td>
<td valign="top" align="center">E2F3</td>
<td valign="top" align="right">1871</td>
<td valign="top" align="left">E2F transcription factor 3</td></tr>
<tr>
<td valign="top" align="left">32</td>
<td valign="top" align="center">HDAC1</td>
<td valign="top" align="right">3065</td>
<td valign="top" align="left">Histone deacetylase 1</td></tr>
<tr>
<td valign="top" align="left">33</td>
<td valign="top" align="center">MAD2L1</td>
<td valign="top" align="right">4085</td>
<td valign="top" align="left">MAD2 mitotic arrest deficient-like 1 (yeast)</td></tr>
<tr>
<td valign="top" align="left">34</td>
<td valign="top" align="center">MAX</td>
<td valign="top" align="right">4149</td>
<td valign="top" align="left">MYC-associated factor X</td></tr>
<tr>
<td valign="top" align="left">35</td>
<td valign="top" align="center">MCM2</td>
<td valign="top" align="right">4171</td>
<td valign="top" align="left">Minichromosome maintenance complex component 2</td></tr>
<tr>
<td valign="top" align="left">36</td>
<td valign="top" align="center">MCM3</td>
<td valign="top" align="right">4172</td>
<td valign="top" align="left">Minichromosome maintenance complex component 3</td></tr>
<tr>
<td valign="top" align="left">37</td>
<td valign="top" align="center">MCM4</td>
<td valign="top" align="right">4173</td>
<td valign="top" align="left">Minichromosome maintenance complex component 4</td></tr>
<tr>
<td valign="top" align="left">38</td>
<td valign="top" align="center">MCM5</td>
<td valign="top" align="right">4174</td>
<td valign="top" align="left">Minichromosome maintenance complex component 5</td></tr>
<tr>
<td valign="top" align="left">39</td>
<td valign="top" align="center">MCM6</td>
<td valign="top" align="right">4175</td>
<td valign="top" align="left">Minichromosome maintenance complex component 6</td></tr>
<tr>
<td valign="top" align="left">40</td>
<td valign="top" align="center">MCM7</td>
<td valign="top" align="right">4176</td>
<td valign="top" align="left">Minichromosome maintenance complex component 7</td></tr>
<tr>
<td valign="top" align="left">41</td>
<td valign="top" align="center">ORC1L</td>
<td valign="top" align="right">4998</td>
<td valign="top" align="left">Origin recognition complex, subunit 1</td></tr>
<tr>
<td valign="top" align="left">42</td>
<td valign="top" align="center">ORC2L</td>
<td valign="top" align="right">4999</td>
<td valign="top" align="left">Origin recognition complex, subunit 2</td></tr>
<tr>
<td valign="top" align="left">43</td>
<td valign="top" align="center">ORC6L</td>
<td valign="top" align="right">23594</td>
<td valign="top" align="left">Origin recognition complex, subunit 6</td></tr>
<tr>
<td valign="top" align="left">44</td>
<td valign="top" align="center">PCNA</td>
<td valign="top" align="right">5111</td>
<td valign="top" align="left">Proliferating cell nuclear antigen</td></tr>
<tr>
<td valign="top" align="left">45</td>
<td valign="top" align="center">PKMYT1</td>
<td valign="top" align="right">9088</td>
<td valign="top" align="left">Protein kinase, membrane-associated tyrosine/threonine 1</td></tr>
<tr>
<td valign="top" align="left">46</td>
<td valign="top" align="center">RB1</td>
<td valign="top" align="right">5925</td>
<td valign="top" align="left">Retinoblastoma 1</td></tr>
<tr>
<td valign="top" align="left">47</td>
<td valign="top" align="center">RBL1</td>
<td valign="top" align="right">5933</td>
<td valign="top" align="left">Retinoblastoma-like 1 (p107)</td></tr>
<tr>
<td valign="top" align="left">48</td>
<td valign="top" align="center">SKP2</td>
<td valign="top" align="right">6502</td>
<td valign="top" align="left">S-phase kinase-associated protein 2, E3 ubiquitin protein ligase</td></tr>
<tr>
<td valign="top" align="left">49</td>
<td valign="top" align="center">SMC1A</td>
<td valign="top" align="right">8243</td>
<td valign="top" align="left">Structural maintenance of chromosomes 1A</td></tr>
<tr>
<td valign="top" align="left">50</td>
<td valign="top" align="center">TOP2A</td>
<td valign="top" align="right">7153</td>
<td valign="top" align="left">Topoisomerase (DNA) II &#x003B1; 170 kDa</td></tr>
<tr>
<td valign="top" align="left">51</td>
<td valign="top" align="center">TP53</td>
<td valign="top" align="right">7157</td>
<td valign="top" align="left">Tumor protein p53</td></tr>
<tr>
<td valign="top" align="left">52</td>
<td valign="top" align="center">TFDP1</td>
<td valign="top" align="right">7027</td>
<td valign="top" align="left">Transcription factor Dp-1</td></tr>
<tr>
<td valign="top" align="left">53</td>
<td valign="top" align="center">WEE1</td>
<td valign="top" align="right">7465</td>
<td valign="top" align="left">WEE1 homolog (<italic>S. pombe</italic>)</td></tr>
<tr>
<td valign="top" align="left">54</td>
<td valign="top" align="center"/>
<td valign="top" align="right"/>
<td valign="top" align="left">Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation</td></tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="center">YWHAE</td>
<td valign="top" align="right">7531</td>
<td valign="top" align="left">Protein, &#x0025B; polypeptide</td></tr>
<tr>
<td valign="top" align="left">55</td>
<td valign="top" align="center">CDKN2A</td>
<td valign="top" align="right">1029</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 2A</td></tr>
<tr>
<td valign="top" align="left">56</td>
<td valign="top" align="center">CDKN2B</td>
<td valign="top" align="right">1030</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 2B (p15, inhibits CDK4)</td></tr>
<tr>
<td valign="top" align="left">57</td>
<td valign="top" align="center">PSMD9</td>
<td valign="top" align="right">5715</td>
<td valign="top" align="left">Proteasome (prosome, macropain) 26S subunit, non-ATPase, 9</td></tr>
<tr>
<td valign="top" align="left">58</td>
<td valign="top" align="center">CDKN1C</td>
<td valign="top" align="right">1028</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 1C (p57, Kip2)</td></tr>
<tr>
<td valign="top" align="left">59</td>
<td valign="top" align="center">CDC2</td>
<td valign="top" align="right">983</td>
<td valign="top" align="left">Cyclin-dependent kinase 1</td></tr>
<tr>
<td valign="top" align="left">60</td>
<td valign="top" align="center">CCNB2</td>
<td valign="top" align="right">9133</td>
<td valign="top" align="left">Cyclin B2</td></tr>
<tr>
<td valign="top" align="left">61</td>
<td valign="top" align="center">CCNB1</td>
<td valign="top" align="right">891</td>
<td valign="top" align="left">Cyclin B1</td></tr>
<tr>
<td valign="top" align="left">62</td>
<td valign="top" align="center">CDKN1A</td>
<td valign="top" align="right">1026</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 1A (p21, Cip1)</td></tr>
<tr>
<td valign="top" align="left">63</td>
<td valign="top" align="center">CDK2</td>
<td valign="top" align="right">1017</td>
<td valign="top" align="left">Cyclin-dependent kinase 2</td></tr>
<tr>
<td valign="top" align="left">64</td>
<td valign="top" align="center">CCNA1</td>
<td valign="top" align="right">8900</td>
<td valign="top" align="left">Cyclin A1</td></tr>
<tr>
<td valign="top" align="left">65</td>
<td valign="top" align="center">CCNA2</td>
<td valign="top" align="right">890</td>
<td valign="top" align="left">Cyclin A2</td></tr>
<tr>
<td valign="top" align="left">66</td>
<td valign="top" align="center">MYC</td>
<td valign="top" align="right">4609</td>
<td valign="top" align="left">V-myc myelocytomatosis viral oncogene homolog (avian)</td></tr>
<tr>
<td valign="top" align="left">67</td>
<td valign="top" align="center">CDKN2C</td>
<td valign="top" align="right">1031</td>
<td valign="top" align="left">Cyclin-dependent kinase inhibitor 2C (p18, inhibits CDK4)</td></tr>
<tr>
<td valign="top" align="left">68</td>
<td valign="top" align="center">GAPDH</td>
<td valign="top" align="right">2597</td>
<td valign="top" align="left">Glyceraldehyde-3-phosphate dehydrogenase</td></tr>
<tr>
<td valign="top" align="left">69</td>
<td valign="top" align="center">ACTB</td>
<td valign="top" align="right">60</td>
<td valign="top" align="left">Actin, &#x003B2;</td></tr>
<tr>
<td valign="top" align="left">70</td>
<td valign="top" align="center">B2M</td>
<td valign="top" align="right">567</td>
<td valign="top" align="left">&#x003B2;-2-microglobulin</td></tr>
<tr>
<td valign="top" align="left">71</td>
<td valign="top" align="center">HPRT1</td>
<td valign="top" align="right">3251</td>
<td valign="top" align="left">Hypoxanthine phosphoribosyltransferase 1</td></tr>
<tr>
<td valign="top" align="left">72</td>
<td valign="top" align="center">OAZ1</td>
<td valign="top" align="right">4946</td>
<td valign="top" align="left">Ornithine decarboxylase antizyme 1</td></tr>
<tr>
<td valign="top" align="left">73</td>
<td valign="top" align="center">RPL27</td>
<td valign="top" align="right">6155</td>
<td valign="top" align="left">Ribosomal protein L27</td></tr></tbody></table></table-wrap>
<table-wrap id="tII-or-33-03-1191" position="float">
<label>Table II</label>
<caption>
<p>Downregulated expression of cell morphology genes in the Bel-7402 cells treated with (+)-terrein.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Gene name</th>
<th valign="bottom" align="center">Gene ID</th>
<th valign="bottom" align="center">Primers</th>
<th valign="bottom" align="center">Expression fold</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">FN (fibronectin)</td>
<td valign="top" align="center">2335</td>
<td valign="top" align="left">F, FN1: 5&#x02032;-AACCTCGGCTTCCTCCATAA-3&#x02032;<break/>R, FN1: 5&#x02032;-AACAGTGGGAGCGGACCTA-3&#x02032;</td>
<td valign="top" align="center">&#x02212;3.61</td></tr>
<tr>
<td valign="top" align="left">VIM (vimentin)</td>
<td valign="top" align="center">7431</td>
<td valign="top" align="left">F, VIM: 5&#x02032;-GCCAACCGGAACAATGAC-3&#x02032;<break/>R, VIM: 5&#x02032;-GTGAGGGACTGCACCTGTCT-3&#x02032;</td>
<td valign="top" align="center">&#x02212;2.05</td></tr>
<tr>
<td valign="top" align="left">CDH2 (N-cadherin)</td>
<td valign="top" align="center">1000</td>
<td valign="top" align="left">F, CDH2: 5&#x02032;-CTAACCCGTCGTTGCTGTTT-3&#x02032;<break/>R, CDH2: 5&#x02032;-ACAGAATCAGTGGCGGAGAT-3&#x02032;</td>
<td valign="top" align="center">&#x02212;2.39</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-or-33-03-1191">
<p>The Bel-7402 cells were treated with 10 &#x003BC;M (+)-terrein for 48 h. Each value is the mean of three independent experiments. P&#x02264;0.05 and were statistically significant. F, forward; R, reverse.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-or-33-03-1191" position="float">
<label>Table III</label>
<caption>
<p>(+)-Terrein induced cell apoptosis and necrosis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left"/>
<th colspan="2" valign="bottom" align="center">Apoptosis (&#x00025;)</th>
<th colspan="2" valign="bottom" align="center">Necrosis (&#x00025;)</th></tr>
<tr>
<th valign="bottom" align="left"/>
<th colspan="2" valign="bottom" align="left">
<hr/></th>
<th colspan="2" valign="bottom" align="left">
<hr/></th></tr>
<tr>
<th valign="bottom" align="left">Cells</th>
<th valign="bottom" align="center">Control</th>
<th valign="bottom" align="center">Treated cells</th>
<th valign="bottom" align="center">Control</th>
<th valign="bottom" align="center">Treated cells</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Bel-7402</td>
<td valign="top" align="center">5.33&#x000B1;1.05</td>
<td valign="top" align="center">2.26&#x000B1;0.50</td>
<td valign="top" align="center">1.77&#x000B1;0.61</td>
<td valign="top" align="center">0.83&#x000B1;0.23</td></tr>
<tr>
<td valign="top" align="left">A4549</td>
<td valign="top" align="center">6.17&#x000B1;0.93</td>
<td valign="top" align="center">0.53&#x000B1;0.31</td>
<td valign="top" align="center">5.43&#x000B1;2.55</td>
<td valign="top" align="center">1.93&#x000B1;1.07</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-or-33-03-1191">
<p>Early apoptotic cells (&#x00025;) were decreased after treatment with (+)-terrein at 10 &#x003BC;M to Bel-7402 or at 10 mM to A549 for 48 h. Cells not treated with (+)-terrein served as controls. Late apoptotic and necrotic cells (&#x00025;) were decreased after treatment with (+)-terrein at 10 &#x003BC;M to Bel-7402 or at 10 mM to A549 for 48 h. Each value is the mean &#x000B1; SD of five independent experiments.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIV-or-33-03-1191" position="float">
<label>Table IV</label>
<caption>
<p>Effect of (+)-terrein on the cell cycle of the Bel-7402 cells.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Sample</th>
<th valign="bottom" align="center">G<sub>0</sub>/G<sub>1</sub> (&#x00025;)</th>
<th valign="bottom" align="center">S (&#x00025;)</th>
<th valign="bottom" align="center">G<sub>2</sub>/M (&#x00025;)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Control</td>
<td valign="top" align="center">59.91&#x000B1;2.8</td>
<td valign="top" align="center">35.29&#x000B1;2.1</td>
<td valign="top" align="right">4.8&#x000B1;0.53</td></tr>
<tr>
<td valign="top" align="left">Treated cells (10 &#x003BC;M)</td>
<td valign="top" align="center">56.88&#x000B1;3.5</td>
<td valign="top" align="center">35.26&#x000B1;2.8</td>
<td valign="top" align="right">7.36&#x000B1;0.27</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn3-or-33-03-1191">
<p>The Bel-7402 cells were treated with (+)-terrein at 10 &#x003BC;M for 48 h. Cells not treated with (+)-terrein served as controls. Each value is the mean &#x000B1; SD of three independent experiments.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tV-or-33-03-1191" position="float">
<label>Table V</label>
<caption>
<p>Downregulated cell-cycle genes in the Bel-7402 cells treated with (+)-terrein.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Gene no.</th>
<th valign="bottom" align="center">Gene name</th>
<th valign="bottom" align="center">Function in cell cycle</th>
<th valign="bottom" align="center">n-fold</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center"><italic>CCND2</italic></td>
<td valign="top" align="center">G<sub>1</sub> phase and G<sub>1</sub>/S transition</td>
<td valign="top" align="center">&#x02212;5.52</td></tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center"><italic>CCNE2</italic></td>
<td valign="top" align="center">G<sub>1</sub>/S checkpoint</td>
<td valign="top" align="center">&#x02212;3.30</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center"><italic>CDKN1C</italic></td>
<td valign="top" align="center">Causes arrest of the cell cycle in G<sub>1</sub> phase</td>
<td valign="top" align="center">&#x02212;5.32</td></tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center"><italic>CDKN2B</italic></td>
<td valign="top" align="center">Cell-cycle checkpoint and cell-cycle arrest</td>
<td valign="top" align="center">&#x02212;2.24</td></tr>
<tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center"><italic>ANAPC5</italic></td>
<td valign="top" align="center">G<sub>2</sub> phase and G<sub>2</sub>/M transition</td>
<td valign="top" align="center">&#x02212;2.52</td></tr>
<tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center"><italic>PKMYT1</italic></td>
<td valign="top" align="center">Protein kinase, membrane-associated tyrosine/threonine 1</td>
<td valign="top" align="center">&#x02212;2.52</td></tr>
<tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center"><italic>CHEK2</italic></td>
<td valign="top" align="center">Checkpoint kinase 2</td>
<td valign="top" align="center">&#x02212;2.31</td></tr>
<tr>
<td valign="top" align="left">8</td>
<td valign="top" align="center"><italic>PCNA</italic></td>
<td valign="top" align="center">Proliferating cell nuclear antigen</td>
<td valign="top" align="center">&#x02212;2.10</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn4-or-33-03-1191">
<p>Bel-7402 cells treated with 10 &#x003BC;M (+)-terrein for 48 h and cells not treated with (+)-terrein served as controls. Each value is the mean of three independent experiments.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
