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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="publisher-id">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.2015.4519</article-id>
<article-id pub-id-type="publisher-id">or-35-03-1566</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>AMPK interacts with &#x003B2;-catenin in the regulation of hepatocellular carcinoma cell proliferation and survival with selenium treatment</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>SONG YI</given-names></name><xref rid="af1-or-35-03-1566" ref-type="aff">1</xref><xref rid="af4-or-35-03-1566" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>YUN-KYOUNG</given-names></name><xref rid="af2-or-35-03-1566" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>HYUN JUNG</given-names></name><xref rid="af1-or-35-03-1566" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>OCK JIN</given-names></name><xref rid="af3-or-35-03-1566" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>YOUNG MIN</given-names></name><xref rid="af1-or-35-03-1566" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-35-03-1566"/></contrib></contrib-group>
<aff id="af1-or-35-03-1566">
<label>1</label>Department of Biological Sciences and Biotechnology, Hannam University Daedeok Valley Campus, Yuseong-gu, Daejeon 305-811, Republic of Korea</aff>
<aff id="af2-or-35-03-1566">
<label>2</label>Department of Cell Biology, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA</aff>
<aff id="af3-or-35-03-1566">
<label>3</label>Department of Food and Nutrition, Hannam University Daedeok Valley Campus, Yuseong-gu, Daejeon 305-811, Republic of Korea</aff>
<aff id="af4-or-35-03-1566">
<label>4</label>Graduate School of Analytical Science and Technology, Chungnam National University, Daejeon 305-764, Republic of Korea</aff>
<author-notes>
<corresp id="c1-or-35-03-1566">Correspondence to: Professor Young Min Kim, Department of Biological Sciences and Biotechnology, Hannam University Daedeok Valley Campus, 461-6 Jeonmin-dong, Yuseong-gu, Daejeon 305-811, Republic of Korea, E-mail: <email>kym@hnu.kr</email></corresp><fn id="fn1-or-35-03-1566">
<label>4</label>
<p><italic>Present address:</italic> Graduate School of Analytical Science and Technology (GRAST), Chungnam National University, Daejeon 305-764, Republic of Korea</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>03</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>24</day>
<month>12</month>
<year>2015</year></pub-date>
<volume>35</volume>
<issue>3</issue>
<fpage>1566</fpage>
<lpage>1572</lpage>
<history>
<date date-type="received">
<day>22</day>
<month>07</month>
<year>2015</year></date>
<date date-type="accepted">
<day>04</day>
<month>09</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Selenium has received much attention as an anticancer agent, although the mechanisms of action underlying its pro-apoptotic properties remain unclear. Tumors that respond well to antioxidant treatments, such as hepatocellular carcinoma (HCC), may benefit from treatment with selenium as this compound also has antioxidant properties. Furthermore, a major oncogenic driver in HCC is the nuclear transcription co-activator, &#x003B2;-catenin. In the present study, we examined the mechanism by which selenium reduces survival of HCC cells, and whether this was associated with modulation of the &#x003B2;-catenin pathway. Hep3B cell lines and cancer cell xenografted animals were treated with selenium, and apoptotic events or signals such as AMPK, &#x003B2;-catenin and GSK3&#x003B2; were determined. Further interactions among &#x003B2;-catenin, glycogen synthase kinase 3&#x003B2; (GSK3&#x003B2;), and AMPK were explored by applying AMPK small interfering RNA (siRNA) or GSK3&#x003B2; siRNA with western blotting or immunofluorescence microscopic observation. Selenium activated AMPK, which in turn suppressed &#x003B2;-catenin. Selenium induced the translocation of AMPK into the nucleus and prevented the accumulation of &#x003B2;-catenin therein. Upon inactivation of AMPK by AMPK siRNA, selenium no longer modulated &#x003B2;-catenin, implying that AMPK is an upstream signal for &#x003B2;-catenin. We found that the binding between AMPK and &#x003B2;-catenin occurs in the cytosolic fraction, and therefore concluded that the cancer cell antiproliferative effects of selenium are mediated by a GSK3&#x003B2;-independent AMPK/&#x003B2;-catenin pathway, although AMPK-mediated GSK3&#x003B2; regulation was also observed. We primarily discovered that AMPK is a crucial regulator initiating selenium-induced inhibition of &#x003B2;-catenin expression. Taken together, these novel findings help to illuminate the molecular mechanisms underlying the anticancer effect of selenium and highlight the regulation of &#x003B2;-catenin by selenium.</p></abstract>
<kwd-group>
<kwd>AMPK</kwd>
<kwd>GSK3&#x003B2;</kwd>
<kwd>&#x003B2;-catenin</kwd>
<kwd>selenium</kwd>
<kwd>hepatocellular carcinoma</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Selenium compounds have received a great deal of attention in cancer treatment and chemoprevention. The possible selective inhibitory effect of selenium on tumor cells makes selenium a promising candidate for controlling tumorigenesis (<xref rid="b1-or-35-03-1566" ref-type="bibr">1</xref>). Despite this potential, little scientific evidence exists to describe the exact mechanism underlying the anticancer effect of selenium (<xref rid="b2-or-35-03-1566" ref-type="bibr">2</xref>). A variety of genetic studies have revealed that cancer cell proliferation, invasion and metastasis can be suppressed through at least three possible areas of modulation, including the cell cycle and apoptosis, signaling pathways and target genes (<xref rid="b3-or-35-03-1566" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-or-35-03-1566" ref-type="bibr">5</xref>). Human clinical trials have revealed dose-limiting toxicity when selenium compounds are administered at doses of up to 0.8 mg/day, and at the maximum dose, plasma concentrations reached 601 <italic>&#x000B5;</italic>g selenium (<xref rid="b6-or-35-03-1566" ref-type="bibr">6</xref>).</p>
<p>One of the promising target molecules of selenium is &#x003B2;-catenin. &#x003B2;-catenin is a transcription factor that plays a pivotal role in cells, regulating a large set of genes involved in cell development, differentiation, growth and metastasis (<xref rid="b7-or-35-03-1566" ref-type="bibr">7</xref>). The canonical &#x003B2;-catenin pathway begins with the stabilization of &#x003B2;-catenin. In the inactivated state of the Wnt ligand, a low plasma level of &#x003B2;-catenin is maintained and controlled by the activity of a multiprotein destruction complex that targets &#x003B2;-catenin for ubiquitination and proteolytic degradation (<xref rid="b8-or-35-03-1566" ref-type="bibr">8</xref>). Upon binding to Wnt ligands, &#x003B2;-catenin inhibits the formation of the multiprotein complex, and phosphorylated &#x003B2;-catenin is translocated into the nucleus to regulate expression of certain genes such as c-myc, c-Jun and cyclin D1 (<xref rid="b9-or-35-03-1566" ref-type="bibr">9</xref>&#x02013;<xref rid="b11-or-35-03-1566" ref-type="bibr">11</xref>). Inappropriate regulation of the Wnt/&#x003B2;-catenin pathway is associated with hepatocellular carcinoma tumorigenesis (<xref rid="b12-or-35-03-1566" ref-type="bibr">12</xref>). Several studies have shown that the tumor-suppressing inactivated form of &#x003B2;-catenin occurs concomitantly with the activation of 5&#x02032; adenosine monophosphate-activated protein kinase (AMPK) (<xref rid="b13-or-35-03-1566" ref-type="bibr">13</xref>,<xref rid="b14-or-35-03-1566" ref-type="bibr">14</xref>).</p>
<p>In the present study, we explored crosstalk between &#x003B2;-catenin and AMPK to elucidate the molecular basis of selenium-induced cancer cell control. AMPK was found to be a crucial regulator initiating selenium-induced inhibition of insulin-like growth factor 1 (IGF-1)-stimulated &#x003B2;-catenin expression. We also discovered that selenium inhibits phosphorylation of glycogen synthase kinase 3&#x003B2; (GSK3&#x003B2;) at Ser9 and &#x003B2;-catenin at Ser552, and the selenium-induced activation of AMPK led to the attenuated nuclear localization of &#x003B2;-catenin.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cells and reagents</title>
<p>The Hep3B hepatocellular carcinoma cell line was purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and was cultured in Dulbecco's modified Eagle's medium (DMEM) with 10% fetal bovine serum (Gibco, Gaithersburg, MD, USA). EGCG, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and Hoechst 33342 were obtained from Sigma (St. Louis, MO, USA). Compound C was purchased from Calbiochem (San Diego, CA, USA). Monoclonal antibodies specific for p-AMPK&#x003B1;1 (Thr172), AMPK&#x003B1;1, p-GSK3&#x003B2; (Ser9), GSK3&#x003B2;, p-&#x003B2;-catenin (Ser33/37), p-&#x003B2;-catenin (Ser552) and &#x003B2;-catenin were purchased from Cell Signaling Technology (Beverly, MA, USA). Antibody against lamin B1 was purchased from Santa Cruz (San Diego, CA, USA) and the &#x003B2;-actin antibody was obtained from Sigma.</p></sec>
<sec>
<title>Cell proliferation measurements</title>
<p>Cells seeded into 96-well microplates at 4&#x000D7;10<sup>3</sup> cells/well, were incubated with test compounds at the indicated concentrations for the indicated time periods. Following incubation with the test compound, the medium was removed, and the cells were then incubated with 10 <italic>&#x000B5;</italic>l MTT solution (5 mg/ml MTT in PBS) for 1 h. The samples were solubilized in DMSO. The purple formazan dye, converted from MTT by viable cells was quantified by absorbance at 595 nm.</p></sec>
<sec>
<title>Apoptosis detection</title>
<p>Apoptosis was measured using a FITC-Annexin V apoptosis detection kit (BD Pharmingen, San Diego, CA, USA) or Hoechst 33342 chromatin staining dye. For Annexin V/PI staining after treatment with selenium, cells were harvested by trypsinization, washed with ice-cold phosphate-buffered saline (PBS), and suspended in a binding buffer at a density of 1&#x000D7;10<sup>6</sup> cells/ml. Cells were stained with Annexin V-FITC and propidium iodide (PI) and analyzed by flow cytometry (Becton-Dickinson Biosciences, Franklin Lakes, NJ, USA). To examine chromatin condensation, cells were stained with 10 <italic>&#x000B5;</italic>M Hoechst 33342 for 30 min and fixed with 3.7% formaldehyde for 15 min. Changes in chromatin condensation were observed by fluorescence microscopy (Olympus Optical Co., Tokyo, Japan).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were seeded into six-well plates and treated with test compounds. Total proteins were extracted using a RIPA lysis buffer &#x0005B;50 mM Tris-HCl (pH 8.0), 1% NP-40, 0.5% sodium deoxycholate, 150 mM NaCl, 1 mM PMSF&#x0005D; and subjected to western blot analysis with specific antibodies. The proteins were then visualized by enhanced chemiluminescence (Intron, Kyunggi, Korea) and detected using a LAS4000 chemiluminescence detection system (Fuji, Tokyo, Japan).</p></sec>
<sec>
<title>Cytoplasmic and nuclear fractionation</title>
<p>Cells were seeded into six-well plates and treated with test compounds. Cytoplasmic and nuclear proteins were extracted using ProteoExtract<sup>&#x000AE;</sup> Subcellular Proteome Extraction kit (Calbiochem) and subjected to western blot analysis with specific antibodies. The proteins were then visualized by enhanced chemiluminescence (Intron) and detected using a LAS4000 chemiluminescence detection system.</p></sec>
<sec>
<title>Immunofluorescence staining</title>
<p>The cells were seeded into a 12-well plate with cover glasses. Following treatment at the indicated time and dose, the cells were fixed in 3.7% formaldehyde for 20 min at room temperature (RT) and were permeabilized in 0.2% Triton X-100 for 20 min at RT. Then cells were blocked with 1% bovine serum albumin for 1 h. Next, the cells were incubated overnight with primary antibody against either AMPK&#x003B1;1 or &#x003B2;-catenin. After washing, the cells were incubated with Alexa546-conjugated anti-rabbit IgG and Alexa 488-conjugated anti-mouse IgG (both from Molecular Probes, Eugene, OR, USA) for 1 h at RT. Next, cell nuclei were stained with 10 <italic>&#x000B5;</italic>M Hoechst 33342 for 10 min and then observed with a confocal microscope (Carl Zeiss, Thornwood, NY, USA).</p></sec>
<sec>
<title>Transient transfection with small interfering RNAs (siRNAs)</title>
<p>Specific siRNAs, targeting AMPK&#x003B1;1 (PRKAA1) and GSK3&#x003B2;, and non-specific control siRNAs were purchased from Dharmacon (Chicago, IL, USA). For transient transfection, cells were seeded at a density of 5&#x000D7;10<sup>4</sup> cells/ml in antibiotic-free medium, and siRNAs were transfected using the DharmaFECT 4 transfection reagent (Dharmacon) according to the manufacturer's instructions. After incubation for 72 h, the cells were analyzed via immunofluorescence staining or western blotting.</p></sec>
<sec>
<title>Tumor formation</title>
<p>Five-week-old male BALB/c nu/nu mice were obtained from SLC (Tokyo, Japan) and were housed in sterile filter-topped cages. Hep3B hepato-carcinoma cells (1&#x000D7;10<sup>6</sup> cells/150 <italic>&#x000B5;</italic>l) were subcutaneously injected into the left flank of the mice. One week after the injection of Hep3B cells, selenium was dissolved in PBS and administered intraperitoneally (30 mg/kg/day) for 20 days. The control animals were injected with vehicle (PBS) alone. Tumor size was measured using a caliper at 2-day intervals, and the volume was calculated by the modified formula V = 1/2 (length x width<sup>2</sup>). After the 18 day treatment, tumors were removed and frozen in liquid nitrogen for western blot analysis or fixed with formalin for immunohistochemistry. All animal experiments were approved by the Ethics Committee for Animal Experimentation, Hannam University.</p></sec>
<sec>
<title>Immunohistochemistry</title>
<p>Tumor specimens from mice were fixed in 10% formaldehyde, embedded in paraffin and sectioned into 5-<italic>&#x000B5;</italic>m thick slices. Sections were deparaffinized with xylene and dehydrated with 98% ethanol. Serial sections were stained using standard immunoperoxidase techniques with primary antibodies against &#x003B2;-catenin (1:50) and p-AMPK&#x003B1;1 (1:50). For epitope retrieval, specimens were microwave-treated for 25 min before incubation with primary antibodies. Pre-immune serum was used as a negative control for immunostaining, and positive-staining was visualized with diaminobenzidine, followed by a light counter-staining with hematoxylin. All findings were evaluated by a pathologist blinded to the treatment conditions, and samples were evaluated on the basis of stain intensity and percentage of reactive cells. Images of representative results were recorded.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Cell viability and tumor volume data were statistically analyzed using an unpaired t-test (SPSS, Inc., Chicago, IL, USA). P&lt;0.05 was considered to indicate a statistically significant result.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Selenium-induced inhibition of IGF-1-stimulated &#x003B2;-catenin is associated with activation of AMPK</title>
<p>A large body of evidence suggests that &#x003B2;-catenin is often aberrantly overexpressed in hepatocellular carcinoma. IGF-1 has recently been identified as being capable of increasing &#x003B2;-catenin expression and its transcriptional activity via phosphorylation of GSK3&#x003B2; (<xref rid="b10-or-35-03-1566" ref-type="bibr">10</xref>). We examined this effect of IGF-1 on hepatocellular carcinoma growth through regulation of the GSK3&#x003B2;/&#x003B2;-catenin survival pathway. Our results showed that IGF-1 effectively increased cell growth in a time-dependent manner (<xref rid="f1-or-35-03-1566" ref-type="fig">Fig. 1A</xref>). We analyzed the molecular changes in the control and selenium-treated cells. The phosphorylation of &#x003B2;-catenin on the Ser552 residue and GSK3&#x003B2; were significantly increased, and phosphorylation of &#x003B2;-catenin on the Ser33/37 residue was significantly decreased in a time-dependent manner (<xref rid="f1-or-35-03-1566" ref-type="fig">Fig. 1B</xref>). To examine whether selenium exerts inhibitory effects on &#x003B2;-catenin and GSK3&#x003B2;, we analyzed changes in their phosphorylation and expression. Selenium at concentrations of &gt;500 <italic>&#x000B5;</italic>M effectively inhibited IGF-1-stimulated &#x003B2;-catenin and phosphorylation of GSK3&#x003B2; and enhanced AMPK phosphorylation (<xref rid="f2-or-35-03-1566" ref-type="fig">Fig. 2A</xref>). We investigated the effects of selenium on the &#x003B2;-catenin trans-location from the cytosol to the nucleus. We discovered that selenium decreased IGF-1-increased &#x003B2;-catenin translocation in the nucleus at 6 h, whereas no marked difference occurred in the expression of &#x003B2;-catenin in the cytosol (<xref rid="f2-or-35-03-1566" ref-type="fig">Fig. 2C</xref>). To analyze the localization pattern of &#x003B2;-catenin in this system further, we immunostained &#x003B2;-catenin and detected it using fluorescence microscopy. Consistent with western blot results, &#x003B2;-catenin decreased in the nucleus after selenium treatment for 6 h (<xref rid="f2-or-35-03-1566" ref-type="fig">Fig. 2B</xref>). Taken together, we inferred that selenium may redistribute IGF-1-increased &#x003B2;-catenin protein in the cytoplasm and nuclei.</p></sec>
<sec>
<title>Selenium-activated AMPK directly suppresses &#x003B2;-catenin</title>
<p>We investigated whether selenium-reduced &#x003B2;-catenin expression in Hep3B cells is associated with the activation of AMPK. We examined the effects of selenium on the activity of &#x003B2;-catenin in AMPK or GSK3&#x003B2; siRNA-transfected Hep3B cells. To examine whether selenium-reduced &#x003B2;-catenin levels are AMPK dependent, we determined the effects of selenium on &#x003B2;-catenin after knockdown of AMPK using siRNA in Hep3B cells. Selenium did not regulate &#x003B2;-catenin and GSK3&#x003B2; in the absence of AMPK. However, selenium regulated &#x003B2;-catenin in the absence of GSK3&#x003B2; (<xref rid="f3-or-35-03-1566" ref-type="fig">Fig. 3A</xref>). &#x003B2;-catenin was regulated not only by the GSK3&#x003B2; signaling pathway but also by the PI3K/Akt pathway. Thus, selenium regulates &#x003B2;-catenin via a GSK3&#x003B2;-independent pathway. Furthermore, the immunostaining results showed that selenium had no effect on &#x003B2;-catenin localization in AMPK-transfected Hep3B cells (<xref rid="f3-or-35-03-1566" ref-type="fig">Fig. 3B</xref>).</p>
<p>Next, we examined the direct relationship of AMPK/&#x003B2;-catenin using immunoprecipitates. Co-immunoprecipitation/western blot experiments performed with Hep3B cells showed identical results (<xref rid="f3-or-35-03-1566" ref-type="fig">Fig. 3C</xref>). To further characterize the specificity of the &#x003B2;-catenin-AMPK interaction, we performed additional experiments with antibodies specific for &#x003B2;-catenin and AMPK isoforms in the lysate of untreated or selenium-treated cells. Treatment with selenium led to the appearance of &#x003B2;-catenin or AMPK in the Hep3B cell lysate (<xref rid="f3-or-35-03-1566" ref-type="fig">Fig. 3C</xref>). These results suggest that selenium directly regulates the interaction between &#x003B2;-catenin and AMPK.</p></sec>
<sec>
<title>Selenium suppresses cell proliferation and induces apoptosis through AMPK activation in vitro</title>
<p>To examine whether selenium exerts anticancer activity in Hep3B cells, we examined the effect of selenium on cell proliferation and apoptosis. Selenium effectively inhibited cell growth in a dose-dependent manner (<xref rid="f4-or-35-03-1566" ref-type="fig">Fig. 4A</xref>) and induced apoptosis, as measured by Annexin V/PI and Hoechst 33342 staining (<xref rid="f4-or-35-03-1566" ref-type="fig">Fig. 4B</xref>).</p>
<p>Numerous studies have identified AMPK as a central factor inducing apoptosis in various cancer cells. Our prior study together with that of others has also implicated AMPK as a key regulator of selenium-induced apoptosis in cancer cells (<xref rid="b15-or-35-03-1566" ref-type="bibr">15</xref>). To further validate whether AMPK inhibition by compound C is associated with cell proliferation and apoptosis of hepatocel-lular carcinoma cells. As shown in <xref rid="f4-or-35-03-1566" ref-type="fig">Fig. 4C</xref>, inhibition of AMPK by compound C treatment abolished the growth-stimulatory effects of IGF-1. Furthermore, fluorescence-activated cell sorter results revealed that the apoptotic rate in compound C-treated cells declined from 73.61 to 22.71% after treatment compared with that in selenium-treated cells in the control group (<xref rid="f4-or-35-03-1566" ref-type="fig">Fig. 4D</xref>). All of these data argue for the critical involvement of AMPK in selenium-induced apoptosis in Hep3B cells.</p></sec>
<sec>
<title>Selenium inhibits the GSK3&#x003B2;/&#x003B2;-catenin survival pathway in hepatocellular carcinoma xenograft tumors</title>
<p>We built an <italic>in vivo</italic> hepato-carcinoma xenograft tumor model by inoculating Hep3B cells into male nude mice subcutaneously. We primarily discovered that treatment with selenium (3 mg/kg&#x000B7;day) markedly attenuated tumor growth without adverse effects on body weight and activity compared with that in the control group (<xref rid="f5-or-35-03-1566" ref-type="fig">Fig. 5A</xref>). We analyzed the molecular changes in the control and selenium-treated cells. The phosphorylation of GSK3&#x003B2; and expression of &#x003B2;-catenin were significantly suppressed, but the phosphorylation of AMPK was significantly increased in the selenium treatment group relative to that in the control group (<xref rid="f5-or-35-03-1566" ref-type="fig">Fig. 5B</xref>). Immunohistochemical analysis confirmed that the control cells had high levels of &#x003B2;-catenin, and the selenium-treated cells had reduced &#x003B2;-catenin levels. Furthermore, tumors in the selenium treatment group showed strongly increased p-AMPK levels (<xref rid="f5-or-35-03-1566" ref-type="fig">Fig. 5C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Selenium affects numerous intracellular targets, making selenium compounds desirable chemotherapeutic and chemopreventive agents. Studies in both <italic>in vitro</italic> and <italic>in vivo</italic> models have suggested that selenium suppresses components of IGF-1-induced &#x003B2;-catenin (<xref rid="b15-or-35-03-1566" ref-type="bibr">15</xref>). The objective of the present study was to investigate the inhibitory effects of selenium on &#x003B2;-catenin or GSK3&#x003B2; through the activation of AMPK in hepato-carcinoma cells and xenograft tumors. Prior <italic>in vitro</italic> and <italic>in vivo</italic> models have suggested that selenium suppresses IGF-induced &#x003B2;-catenin through activation of AMPK, which in turn may suppress cell proliferation and induce apoptosis. Selenium is a nonmetallic trace element that is essential for human health; selenium supplementation also appears to work as an anti-carcinogenic agent (<xref rid="b16-or-35-03-1566" ref-type="bibr">16</xref>).</p>
<p>The anticancer activity of selenium has been attributed to various mechanisms, such as mitogen-activated protein kinase suppression or modulation of Akt, mammalian target of rapamycin or &#x003B2;-catenin (<xref rid="b17-or-35-03-1566" ref-type="bibr">17</xref>&#x02013;<xref rid="b19-or-35-03-1566" ref-type="bibr">19</xref>). Further, selenium has been shown to inhibit &#x003B2;-catenin accumulation in the nucleus. In colon cancer models, selenium treatment resulted in JNK suppression and subsequent inhibition of &#x003B2;-catenin (<xref rid="b20-or-35-03-1566" ref-type="bibr">20</xref>). Our previous studies have revealed that the apoptotic effect of selenium is dependent on the AMPK-regulated extracellular signal-regulated kinase/cyclooxygenase-2 pathway as well as the AMPK/Akt mammalian target of rapamycin pathway (<xref rid="b15-or-35-03-1566" ref-type="bibr">15</xref>,<xref rid="b21-or-35-03-1566" ref-type="bibr">21</xref>).</p>
<p>Since abnormal &#x003B2;-catenin activation in many human malignancies is well documented and overexpressed &#x003B2;-catenin may have oncogenic effects in hepatocellular carcinoma (<xref rid="b22-or-35-03-1566" ref-type="bibr">22</xref>), the interaction between &#x003B2;-catenin and AMPK may represent an important mechanism for the regulation of &#x003B2;-catenin signaling pathways with selenium in cancer. Knockdown of AMPK using AMPK siRNA increased &#x003B2;-catenin in contrast with results after selenium treatment. Importantly, the inhibition of AMPK allows the increases in &#x003B2;-catenin as well as in GSK3&#x003B2; and Akt that can be encountered in advanced hepatocellular carcinoma cells. The present study did not reveal the exact mode of the regulation of &#x003B2;-catenin activity by AMPK, although immunoprecipitation studies have shown that the binding between AMPK and &#x003B2;-catenin occurs in cytoplasm, and fluorescent microscopic examinations have pointed out that AMPK is responsible for the inhibition of &#x003B2;-catenin into the nucleus. Our data show that selenium increases AMPK via phosphorylation of AMPK Thr172, which in turn leads to the inhibition of &#x003B2;-catenin, indicating that selenium is capable of suppressing &#x003B2;-catenin function via an AMPK-dependent pathway. In addition to &#x003B2;-catenin suppression by selenium-induced AMPK activation, we observed that activated AMPK regulates GSK3&#x003B2;. We used inhibitors of AMPK and GSK3&#x003B2; to determine whether the capability of AMPK to regulate &#x003B2;-catenin was required for selenium to exert its antiproliferative functions. When AMPK was inhibited by AMPK siRNA, selenium treatment failed to decrease &#x003B2;-catenin, indicating that AMPK is required for selenium regulation of &#x003B2;-catenin. By contrast, GSK3&#x003B2; siRNA-mediated inhibition of GSK3&#x003B2; did not affect the capability of selenium to inhibit &#x003B2;-catenin, indicating that direct inhibition of &#x003B2;-catenin by selenium may occur without the involvement of GSK3&#x003B2;.</p>
<p>GSK3&#x003B2;/&#x003B2;-catenin is known to promote tumor growth through its function in the tumor microenvironment, but its exact method for converting normal cells into cancerous cells remains undefined. &#x003B2;-catenin is a transcription factor that plays a pivotal role in cells, regulating a large set of genes involved in cell development, differentiation, growth and metastasis. The &#x003B2;-catenin pathway seems to play a critical role against hepatocellular caricinoma, possibly through alteration at multiple levels, including mutation of &#x003B2;-catenin or its upstream or downstream regulators/effectors such as GSK3b, Akt and T-cell factor/lymphoid enhancer binding factor (<xref rid="b23-or-35-03-1566" ref-type="bibr">23</xref>,<xref rid="b24-or-35-03-1566" ref-type="bibr">24</xref>).</p>
<p>In the present study, we elucidated that selenium down-regulates the &#x003B2;-catenin survival pathway through activation of AMPK in hepatocellular carcinoma cells and xenograft tumor models. We primarily discovered that selenium could inhibit &#x003B2;-catenin at Ser552 and GSK3&#x003B2; at Ser9 in Hep3B cells; however, the attenuation of nuclear localization of &#x003B2;-catenin occurred only under the activation of AMPK. Taken together, these findings help illuminate the molecular mechanisms underlying the anticancer effects of selenium and highlight the regulation of &#x003B2;-catenin through an AMPK-dependent pathway.</p></sec></body>
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<floats-group>
<fig id="f1-or-35-03-1566" position="float">
<label>Figure 1</label>
<caption>
<p>IGF-1 increased cell proliferation through regulation of Wnt signaling pathway. (A) Hep3B cells were serum-starved for 12 h, treated with IGF-1 100 ng/ml for 12 or 24 h, and then detected by MTT assay. (B) Cells were serum-starved for 12 h, treated with IGF-1 100 ng/ml for 6&#x02013;24 h, and then subjected to western blot analysis using antibodies against p-GSK3&#x003B2;, &#x003B2;-catenin, p-&#x003B2;-catenin<sup>Ser33/37</sup> p-&#x003B2;-catenin<sup>Ser552</sup> and &#x003B2;-actin (loading control).</p></caption>
<graphic xlink:href="OR-35-03-1566-g00.jpg"/></fig>
<fig id="f2-or-35-03-1566" position="float">
<label>Figure 2</label>
<caption>
<p>Selenium acts as a negative regulator of &#x003B2;-catenin translocation into nucleus. (A) Hep3B cells were serum-starved for 12 h, pre-treated with IGF-1 (100 ng/ml) for 30 min, and treated with selenium (0.25&#x02013;1 mM) for 24 h. Total proteins were subjected to western blotting. (B) Cells were fractionated with cytosol and nucleus. Then, cells were treated with selenium 0.5 mM for 6 h and the changes of indicated protein levels were determined by western blot analysis. (C) Cells were treated with 0.5 mM of selenium for 6 h. After treatment, cells were fixed, permeabilized and stained for &#x003B2;-catenin (red). Cell nuclei were stained with Hoechst 33342 dye (blue).</p></caption>
<graphic xlink:href="OR-35-03-1566-g01.tif"/></fig>
<fig id="f3-or-35-03-1566" position="float">
<label>Figure 3</label>
<caption>
<p>Selenium regulates &#x003B2;-catenin activity in an AMPK-dependent manner. (A) Cells were transfected with AMPK&#x003B1;1 or GSK3&#x003B2; siRNA using DharmaFECT transfection reagent and treated with 0.5 mM of selenium for 6 h. Then, protein levels of p-GSK3&#x003B2;, GSK3&#x003B2; and &#x003B2;-catenin were examined by western blot analysis. (B) Cells were transfected with AMPK&#x003B1;1 siRNA using DharmaFECT transfection reagent and treated with 0.5 mM of selenium for 6 h. Then, protein expression of AMPK&#x003B1;1 and &#x003B2;-catenin were examined by immunofluorescence. (C) Cells were treated with 0.5 mM of selenium for 6 h. Then proteins were fractionated with AMPK&#x003B1;1 or &#x003B2;-catenin using specific antibodies and the protein levels of AMPK&#x003B1;1 or &#x003B2;-catenin were examined by western blot analysis. (D) Cells were fractionated with cytosol and nucleus. Then, cells were treated with selenium 0.5 mM for 6 h. Then, proteins were fractionated with AMPK&#x003B1;1 using specific antibodies and the protein levels of AMPK&#x003B1;1 or &#x003B2;-catenin were examined by western blot analysis.</p></caption>
<graphic xlink:href="OR-35-03-1566-g02.tif"/></fig>
<fig id="f4-or-35-03-1566" position="float">
<label>Figure 4</label>
<caption>
<p>AMPK act as a negative regulator of cell growth in selenium-treated Hep3B cells. (A) Cells were treated with selenium (0.125&#x02013;1 mM) for 24 h, and cell viability was measured by MTT assay. <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 compared with control (0 mM). (B) Selenium-treated cells were stained with Annexin V-FITC, PI or 10 <italic>&#x000B5;</italic>M of Hoechst 33342 dye and analyzed by flow cytometry or fluorescence microscopy. (C) Cells were treated with selenium for 24 h after pretreatment of 10 <italic>&#x000B5;</italic>M compound C and the cell viability was measured by MTT assay. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 compared with treatment of selenium (0.5 mM). (D) Cells were treated with selenium for 24 h after pre-treatment of 10 <italic>&#x000B5;</italic>M compound C and the cells were stained with Annexin V and PI and fluorescence intensity was measured by flow cytometry.</p></caption>
<graphic xlink:href="OR-35-03-1566-g03.tif"/></fig>
<fig id="f5-or-35-03-1566" position="float">
<label>Figure 5</label>
<caption>
<p>Selenium suppresses tumor growth in Hep3B xenograft model. Hep3B cells (1&#x000D7;10<sup>6</sup> cells/150 <italic>&#x000B5;</italic>l) were injected subcutaneously in to the left flank of BALB/c nu/nu mice (n=5/group). After 1 week, mice received selenium i.p. (3 mg/kg&#x000B7;day) for 16 days. (A) Tumor volume was measured once every 2 days and calculated as described in Materials and methods, body weigh was measured once a week. <sup>&#x0002A;</sup>P&lt;0.05 compared with tumor volume of control on day 14 or 16. Mice were sacrificed, and extracted tumors were photographed and (B) used for the analysis of the levels of p-AMPK and &#x003B2;-catenin by western blotting. (C) The levels of p-AMPK and &#x003B2;-catenin were also measured by immunohistochemical analysis.</p></caption>
<graphic xlink:href="OR-35-03-1566-g04.tif"/></fig></floats-group></article>
