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<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.2016.4777</article-id>
<article-id pub-id-type="publisher-id">or-36-01-0342</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Myricetin suppresses p21-activated kinase 1 in human breast cancer MCF-7 cells through downstream signaling of the &#x003B2;-catenin pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>JIAO</surname><given-names>DE</given-names></name><xref rid="af1-or-36-01-0342" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>XUE DONG</given-names></name><xref rid="af2-or-36-01-0342" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-or-36-01-0342"/></contrib></contrib-group>
<aff id="af1-or-36-01-0342">
<label>1</label>Departments of Breast and Thyroid Hernia Surgery Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China</aff>
<aff id="af2-or-36-01-0342">
<label>2</label>Departments of Pathology, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China</aff>
<author-notes>
<corresp id="c1-or-36-01-0342">Correspondence to: Dr Xue Dong Zhang, Department of Pathology, Liaocheng People's Hospital, 67 Dongchang Road, Liaocheng, Shandong 252000, P.R. China, E-mail: <email>zhongxianwen33@126.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>07</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>04</month>
<year>2016</year></pub-date>
<volume>36</volume>
<issue>1</issue>
<fpage>342</fpage>
<lpage>348</lpage>
<history>
<date date-type="received">
<day>17</day>
<month>12</month>
<year>2015</year></date>
<date date-type="accepted">
<day>21</day>
<month>01</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>As a main active compound in the bark of waxberry (<italic>Myrica rubra</italic>), myricetin is a macrocyclic diarylheptanoid, and can trigger the apoptosis of HeLa and PC3 cells. The aim of the present study was to elucidate the anticancer effect of myricetin on human breast cancer MCF-7 cells and to explore the possible mechanisms of action. MCF-7 cells were treated with different concentrations of myricetin (0&#x02013;80 <italic>&#x000B5;</italic>M) for 12, 24 and 48 h. In the present study, we found that myricetin suppressed the cell viability of the MCF-7 cells at least partly through the induction of apoptosis as determined by MTT assay and flow cytometry. Western blot analysis revealed that myricetin effectively suppressed the protein expression of p21-activated kinase 1 (PAK1), MEK and phosphorylated extracellular mitogen-activated protein kinase (ERK1/2). In addition, treatment of myricetin activated glycogen synthase kinase-3&#x003B2; (GSK3&#x003B2;) and Bax protein expression, and inhibited &#x003B2;-catenin/cyclin D1/proliferating cell nuclear antigen (PCNA)/survivin and promoted caspase-3 activity in the MCF-7 cells. These results demonstrated that myricetin suppressed the cell viability of human breast cancer MCF-7 cells through PAK1/MEK/ERK/GSK3&#x003B2;/&#x003B2;-catenin/cyclin D1/PCNA/survivin/Bax-caspase-3 signaling.</p></abstract>
<kwd-group>
<kwd>myricetin</kwd>
<kwd>human breast cancer</kwd>
<kwd>p21-activated kinase 1</kwd>
<kwd>&#x003B2;-catenin</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Breast cancer is the most common malignant cancer among females. The highest morbidity occurs in northern America and northern European countries (<xref rid="b1-or-36-01-0342" ref-type="bibr">1</xref>). Despite the fact that China is a country with low incidence, the morbidity is increasing year by year due to changes in dietary structures, living standards and life styles (<xref rid="b2-or-36-01-0342" ref-type="bibr">2</xref>). According to new data, the morbidity of breast cancer is increasing yearly, and it is becoming a tumor with the highest death rates (<xref rid="b3-or-36-01-0342" ref-type="bibr">3</xref>). Meanwhile, the age at onset is becoming increasingly younger (<xref rid="b3-or-36-01-0342" ref-type="bibr">3</xref>).</p>
<p>p21-activated kinase 1 (PAK1) was first found as a member of the Pak family (<xref rid="b4-or-36-01-0342" ref-type="bibr">4</xref>). Initially, it was cloned from cerebral tissues as p21 kinase (<xref rid="b4-or-36-01-0342" ref-type="bibr">4</xref>). Members of the Pak family play an essential role in immune escape, motility, angiogenesis and genetic regulation (<xref rid="b5-or-36-01-0342" ref-type="bibr">5</xref>). Therefore, the Pak family may constitute the critical node of signal transduction in the process of tumor progression. During the evolutionary process of colorectal malignant tumors, expression of Pak1 is increased. Recent studies have found that the activation of Pak1 is necessary for inducing lysophosphatidic acid and autotoxin in melanoma cells (<xref rid="b6-or-36-01-0342" ref-type="bibr">6</xref>). In addition, Pak1 was found to be highly expressed in head and neck neoplasms (<xref rid="b7-or-36-01-0342" ref-type="bibr">7</xref>).</p>
<p>As a key transmitter factor for the Wnt signal channel, &#x003B2;-catenin is expressed in many types of tumors (<xref rid="b8-or-36-01-0342" ref-type="bibr">8</xref>). Its oncogenic potential in <italic>in vitro</italic> culture models and <italic>in vivo</italic> animal experiments have been extensively explored. The nuclear accumulation of &#x003B2;-catenin is generally considered as the symbol of Wnt/&#x003B2;-catenin signal routine. &#x003B2;-catenin accumulates and enters into the nucleus, which induces the expression of target genes (<xref rid="b9-or-36-01-0342" ref-type="bibr">9</xref>).</p>
<p>Waxberry is a plant of the genus <italic>Myricaceae</italic> (<xref rid="b10-or-36-01-0342" ref-type="bibr">10</xref>). Geographically, it is distributed between 18 and 33&#x000B0; north latitude while its economic cultivation is mainly distributed in southeast coast regions, such as Zhejiang, Jiangsu, Fujian, Guangdong and Jiangxi Provinces. Myricetin, found in the bark of waxberry, is bitter in taste and warm in property with antiviral, anti-inflammatory, antioxidant, free radical scavaging, immune adjustment, anti-androgenic and antiallergic functions (<xref rid="b11-or-36-01-0342" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-or-36-01-0342" ref-type="bibr">13</xref>). In the present study, we examined the anticancer effects of myricetin. We found that myricetin suppressed the cell viability of human breast cancer MCF-7 cells. The mechanisms involved in the effects of myricetin were also investigated.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and cell viability</title>
<p>Human breast cancer MCF-7 cells were maintained in RPMI-1640 medium supplemented with 10% US-qualified fetal bovine serum (FBS) (both from Invitrogen, Grand Island, NY, USA) in a humidified incubator with 5% CO<sub>2</sub> at 37&#x000B0;C. MCF-7 cells (1&#x000D7;10<sup>4</sup>) were seeded into a 96-well plate, incubated at 37&#x000B0;C and then treated with different concentrations of myricetin (0&#x02013;80 <italic>&#x000B5;</italic>M) for 12, 24 and 48 h. The medium was removed, and 50 <italic>&#x000B5;</italic>l MTT (5 mg/ml) was added to each well and then incubated at 37&#x000B0;C for 4 h. The supernatant was removed, and 200 <italic>&#x000B5;</italic>l of dimethyl sulfoxide (DMSO; Invitrogen) was dissolved for 20 min. Absorbance was measured at 490 nm.</p></sec>
<sec>
<title>Flow cytometric analysis of the apoptotic rate</title>
<p>MCF-7 cells (1&#x000D7;10<sup>6</sup>) were seeded into a 6-well plate, incubated at 37&#x000B0;C, and then treated with different concentrations of myricetin (0, 10, 20 and 40 <italic>&#x000B5;</italic>M) for 24 h. MCF-7 cells were washed with cold phosphate-buffered saline (PBS) twice and re-suspended in binding buffer. Subsequently, 5 <italic>&#x000B5;</italic>l of FITC Annexin V and 1 <italic>&#x000B5;</italic>l propidium iodide (PI) were added to the cells and incubated for 20 min at room temperature in the dark. The apoptotic rate was determined by flow cytometry (FACSCalibur system; BD Biosciences, San Jose, CA, USA).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>MCF-7 cells (1&#x000D7;10<sup>6</sup>) were seeded into a 6-well plate, incubated at 37&#x000B0;C and then treated with different concentrations of myricetin (0, 10, 20 and 40 <italic>&#x000B5;</italic>M) for 24 h. MCF-7 cells were lysed in 100 <italic>&#x000B5;</italic>l mammalian protein extraction reagent (M-PER; Pierce, Rockford, IL, USA) and centrifuged at 7,500 &#x000D7; g for 15 min at 4&#x000B0;C. Total protein levels were determined by a BCA protein assay kit (Pierce). SDS-PAGE was performed using equivalent protein extracts (60 <italic>&#x000B5;</italic>g) from each sample, which were then blotted onto a nitrocellulose membrane using a Mini-Protean 3 system (Bio-Rad, Hercules, CA, USA). The blots were incubated in PBS containing 5% non-fat dry milk for 1 h. The membranes were incubated with the primary antibodies PAK1, MEK1/2, ERK1/2, GSK3&#x003B2;, &#x003B2;-catenin, cyclin D1, PCNA, survivin, Bax and &#x003B2;-actin at 4&#x000B0;C overnight. The membranes were then incubated with secondary antibody dilutions, washed with PBS containing 5% non-fat dry milk and visualized using enhanced chemiluminescence detection reagents (ECL Advance Western Blotting Detection kit; Amersham, UK).</p></sec>
<sec>
<title>Enzyme-linked immunosorbent assay (ELISA)</title>
<p>The MCF-7 cells (1&#x000D7;10<sup>4</sup>) were seeded into a 96-well plate, incubated at 37&#x000B0;C and then treated with different concentrations of myricetin (0, 10, 20 and 40 <italic>&#x000B5;</italic>M) for 24 h. The caspase-3 assay kit (Ac-DEVD-pNA, 2 mM) was used to detect caspase-3 enzymatic activity in the MCF-7 cells. The absorbance was measured at 405 nm.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as mean &#x000B1; standard error of the mean (SEM) and analyzed using ANOVA. The results were analyzed using a post hoc test (two-sided Dunnett's test) and one-way analysis of variance (ANOVA) to test differences between each treatment and the control. A p-value of &lt;0.05 was considered to indicate a statistically significant result.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Myricetin suppresses the cell viability of human breast cancer MCF-7 cells</title>
<p>The chemical structure of myricetin is shown in <xref rid="f1-or-36-01-0342" ref-type="fig">Fig. 1</xref>. MTT assay was performed to investigate the effect of myricetin on the viability of the MCF-7 cells following the treatment of myricetin. As shown in <xref rid="f2-or-36-01-0342" ref-type="fig">Fig. 2</xref>, myricetin suppressed the cell viability of the MCF-7 cells in a time- and dose-dependent manner. Particularly, the suppression of cell viability was evident after treatment with 80 <italic>&#x000B5;</italic>M of myricetin for 12 h, 20&#x02013;80 <italic>&#x000B5;</italic>M of myricetin for 24 h and 10&#x02013;80 <italic>&#x000B5;</italic>M of myricetin for 48 h (<xref rid="f2-or-36-01-0342" ref-type="fig">Fig. 2</xref>).</p></sec>
<sec>
<title>Myricetin induces the cell apoptosis of human breast cancer MCF-7 cells</title>
<p>Similarly, we examined the effect of myricetin on the cell apoptosis of MCF-7 cells using flow cytometric analysis. We observed that compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M), 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly increased the apoptotic rate of the MCF-7 cells (<xref rid="f3-or-36-01-0342" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Myricetin affects the PAK1 pathway in human breast cancer MCF-7 cells</title>
<p>In the MCF-7 models, we also examined whether myricetin affects the PAK1 pathway in MCF-7 cells. As shown in <xref rid="f4-or-36-01-0342" ref-type="fig">Fig. 4</xref>, myricetin (40 or 80 <italic>&#x000B5;</italic>M) significantly inhibited the protein expression of PAK1 in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the MEK1/2 pathway in human breast cancer MCF-7 cells</title>
<p>To ascertain whether myricetin affects the MEK1/2 pathway in MCF-7 cells, MEK1/2 protein expression was analyzed using western blot analysis. However, compared to the controls (myricetin 0 <italic>&#x000B5;</italic>M), treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly suppressed the MEK1/2 protein expression in the MCF-7 cells (<xref rid="f5-or-36-01-0342" ref-type="fig">Fig. 5</xref>).</p></sec>
<sec>
<title>Myricetin affects the ERK1/2 pathway in human breast cancer MCF-7 cells</title>
<p>Next, the role of the ERK1/2 pathway in myricetin-induced apoptosis was determined. p-ERK1/2 protein expression was determined in the MCF-7 cells. Treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly reduced the protein expression of p-ERK1/2 in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M) (<xref rid="f6-or-36-01-0342" ref-type="fig">Fig. 6</xref>).</p></sec>
<sec>
<title>Myricetin affects the GSK3&#x003B2; pathway in human breast cancer MCF-7 cells</title>
<p>GSK3&#x003B2;, a tumor-suppressor protein, was measured using western blot analysis. Compared to the controls (myricetin 0 <italic>&#x000B5;</italic>M), treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly activated the protein expression of GSK3&#x003B2; in the MCF-7 cells (<xref rid="f7-or-36-01-0342" ref-type="fig">Fig. 7</xref>).</p></sec>
<sec>
<title>Myricetin affects the &#x003B2;-catenin pathway in human breast cancer MCF-7 cells</title>
<p>Western blot analysis was used to investigate the role of the &#x003B2;-catenin pathway on myricetin-induced apoptosis in human breast cancer MCF-7 cells. As shown in <xref rid="f8-or-36-01-0342" ref-type="fig">Fig. 8</xref>, treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly suppressed the &#x003B2;-catenin protein expression in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the cyclin D1 pathway in human breast cancer MCF-7 cells</title>
<p>Western blot analysis was used to investigate the role of the cyclin D1 pathway in the myricetin-induced apoptosis in human breast cancer MCF-7 cells. As shown in <xref rid="f9-or-36-01-0342" ref-type="fig">Fig. 9</xref> treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly inhibited the protein expression of cyclin D1 in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the PCNA pathway in human breast cancer MCF-7 cells</title>
<p>To further examine the effect of myricetin affected on the PCNA pathway of human breast cancer MCF-7 cells, PCNA protein expression in MCF-7 cells was detected using western blot analysis. As shown in <xref rid="f10-or-36-01-0342" ref-type="fig">Fig. 10</xref>, treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly suppressed the PCNA protein expression in MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the survivin pathway in human breast cancer MCF-7 cells</title>
<p>The survivin pathway induces apoptosis in cancer cells. Thus, we aimed to ascertain whether myricetin affects the survivin pathway in human breast cancer MCF-7 cells. As shown in <xref rid="f11-or-36-01-0342" ref-type="fig">Fig. 11</xref>, pretreatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly inhibited the protein expression of survivin in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the Bax pathway in human breast cancer MCF-7 cells</title>
<p>To investigate whether the anticancer effect of myricetin on human breast cancer was caused by the Bax pathway, Bax protein expression of MCF-7 cells following treatment with myricetin was analyzed by western blot analysis. As shown in <xref rid="f12-or-36-01-0342" ref-type="fig">Fig. 12</xref>, treatment with 40 or 80 <italic>&#x000B5;</italic>M of myricetin significantly activated the protein expression of Bax in the MCF-7 cells when compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M).</p></sec>
<sec>
<title>Myricetin affects the caspase-3 pathway in human breast cancer MCF-7 cells</title>
<p>Caspase-3 assay kit was used to confirm the mechanism involved in the anticancer effects of myricetin on the apoptosis in human breast cancer MCF-7 cells. Compared to the controls (myricetin 0 <italic>&#x000B5;</italic>M), myricetin (40 or 80 <italic>&#x000B5;</italic>M) significantly increased the caspase-3 activity in the MCF-7 cells (<xref rid="f13-or-36-01-0342" ref-type="fig">Fig. 13</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>As one of the most common malignant cancers, the morbidity of breast cancer is increasing worldwide. In China, owing to changes in life styles and dietary structures, the morbidity of breast cancer is increasing rapidly and its age at onset is becoming increasingly younger (<xref rid="b2-or-36-01-0342" ref-type="bibr">2</xref>,<xref rid="b14-or-36-01-0342" ref-type="bibr">14</xref>). Due to rapid progress and the wide application of molecular biology, research on the pathogenesis of cancer and its therapy has made substantial achievements (<xref rid="b15-or-36-01-0342" ref-type="bibr">15</xref>). Our results found that myricetin suppressed the cell viability of human breast cancer MCF-7 cells at least partly through the induction of apoptosis.</p>
<p>Pak1 is pivotal to physiological processes such as normal cell movement, mitosis, transcription and interpretation (<xref rid="b7-or-36-01-0342" ref-type="bibr">7</xref>). In head and neck neoplasms and sarcoma, the activities of Pak1 have been found to be higher than that in normal tissues (<xref rid="b6-or-36-01-0342" ref-type="bibr">6</xref>). In the evolutionary process of colorectal malignant tumors, expression of Pak1 is increased (<xref rid="b16-or-36-01-0342" ref-type="bibr">16</xref>). Studies have confirmed that Pak1 is closely associated with the invasion and metastasis of breast cancer, human oophoroma and prostate cancer, indicating the Pak1 plays an important role in normal tissue development and tumor progression (<xref rid="b17-or-36-01-0342" ref-type="bibr">17</xref>,<xref rid="b18-or-36-01-0342" ref-type="bibr">18</xref>). Pak1 was found to be related to cellular orientation movement while motility is rather important for tumor metastasis. It has been confirmed that Pak1 has definite functions in invasion and metastasis of breast cancers induced by HER2 (<xref rid="b18-or-36-01-0342" ref-type="bibr">18</xref>,<xref rid="b19-or-36-01-0342" ref-type="bibr">19</xref>). Further studies suggest that expression of Pak1 in breast cancer and its activities are positively related with tumor grade, and expression levels in poorly differentiated ductal carcinoma were higher than levels in higher differentiated ductal carcinoma (<xref rid="b6-or-36-01-0342" ref-type="bibr">6</xref>). These results indicate that inhibition of the viability of MCF-7 cells following treatment with myricetin is through the PAK1 pathway. Iyer <italic>et al</italic> provide striking evidence that myricetin induces the apoptosis of hepatocellular carcinoma through inhibition of PAK1 signaling (<xref rid="b11-or-36-01-0342" ref-type="bibr">11</xref>).</p>
<p>The frequency of the overexpression of MEK noted in breast cancer is 30% and is related with the poor prognosis and resistance to therapy (<xref rid="b20-or-36-01-0342" ref-type="bibr">20</xref>). The overexpression of MEK can realize autonomous activation under conditions without extracellular ligands. This results in the occurrence of malignant tumors through the blocking of apoptosis induced by TNF (<xref rid="b20-or-36-01-0342" ref-type="bibr">20</xref>). ERK can facilitate the proliferation of tumor cells. As an important signaling transduction pathway of MAPK, ERK can be activated by growth factors, serum, ligands of G-protein-coupled receptors and transcription factors (<xref rid="b21-or-36-01-0342" ref-type="bibr">21</xref>). Growth factors can activate ERK through the phosphorylation of the Ras-Raf-MEK pathway. Firstly, growth factors bind with corresponding receptors on the cell surface and induce the phosphorylation of tyrosine residues on endochylema of receptors, resulting in dipolymers (<xref rid="b22-or-36-01-0342" ref-type="bibr">22</xref>). Phosphorylated tyrosine residues can provide binding sites for proteins with SH2 structural domain (<xref rid="b23-or-36-01-0342" ref-type="bibr">23</xref>). Expression of ERK in pancreatic cancer cells is significantly increased. It is known that the MEK/ERK signaling pathway triggers the dissociation and motility of pancreatic cancer cells and improves the invasion and metastasis of pancreatic cancer cells (<xref rid="b24-or-36-01-0342" ref-type="bibr">24</xref>). The activation of the ERK signaling pathway can regulate the migratory abilities of tumor cells and facilitate the dissemination of tumor cells. These results indicate that myricetin induced apoptosis in the MCF-7 cells through the MEK/ERK signaling pathway. Lim <italic>et al</italic> found that myricetin upregulated cyclooxygenase-2 expression in mouse epidermal cells through the MEK/ERK signaling pathway (<xref rid="b25-or-36-01-0342" ref-type="bibr">25</xref>).</p>
<p>The Wnt signaling pathway plays a pivotal role in cell growth, progression and differentiation. Aberrant expression of the Wnt pathway is the origin of many diseases (<xref rid="b8-or-36-01-0342" ref-type="bibr">8</xref>). In regards to the classical Wnt/&#x003B2;-catenin pathway, when the Wnt signal is lost, &#x003B2;-catenin in the cytoplasm is at low levels, which can be degraded continuously by axin compounds (<xref rid="b26-or-36-01-0342" ref-type="bibr">26</xref>). Axin compounds include scaffolding protein, casein kinase 1 and GSK3&#x003B2;. GSK3&#x003B2; can continuously phosphorylate amino terminal of &#x003B2;-catenin, resulting in the degradation of &#x003B2;-catenin by ubiquitin (<xref rid="b27-or-36-01-0342" ref-type="bibr">27</xref>). When cells are stimulated, Wnt signals are activated. Wnt proteins combine with FZD proteins and low density lipoprotein receptor-related protein5/6. Dsh proteins are activated. GSK3&#x003B2; is phosphorylated, which can decrease the activity of GSK3&#x003B2; (<xref rid="b24-or-36-01-0342" ref-type="bibr">24</xref>). Axin compound cannot trigger the phosphorylation and ubiquitylation of &#x003B2;-catenin, resulting in the accumulation of &#x003B2;-catenin. It combines with T cell transcription factor/lymphoid enhancer binding factors and activates the expression of cyclin D1, c-myc, MMp7, CD44, Bcl-2, VEGF and survivin (<xref rid="b28-or-36-01-0342" ref-type="bibr">28</xref>). GSK3&#x003B2; can also activate the &#x003B2;-catenin signaling pathway and promote the occurrence of hyperplasia of the mammary glands (<xref rid="b28-or-36-01-0342" ref-type="bibr">28</xref>). These results indicate that GSK3&#x003B2;/&#x003B2;-catenin/cyclin D1/PCNA/survivin-associated intrinsic pathways were, at least partly, involved in the myricetin-induced apoptosis of human breast cancer MCF-7 cells. Iyer <italic>et al</italic> provide striking evidence that myricetin induces the apoptosis of hepatocellular carcinoma through inhibition of GSK3&#x003B2;/&#x003B2;-catenin/cyclin D1/PCNA/survivin signaling (<xref rid="b11-or-36-01-0342" ref-type="bibr">11</xref>).</p>
<p>Bcl-2 and Bax play an essential role in cell apoptosis. The sensitivity of cells to apoptosis-stimulating factors largely depends on the ratio of bcl-2 proteins/bax proteins. The proportion of bcl-2/bax in normal tissues is constant, which creates a balance for cell division and proliferation (<xref rid="b29-or-36-01-0342" ref-type="bibr">29</xref>). During cell apoptosis, many proteins in the bcl-2 family play an important role in cell apoptosis. Therefore, the comprehensive expression levels of bcl-2 and bax are valuable for the occurrence, progression and prognosis of tumors (<xref rid="b30-or-36-01-0342" ref-type="bibr">30</xref>). Our results demonstrated that myricetin inhibited the cell growth of MCF-7 cells through induction of Bax and caspase-3. Kim <italic>et al</italic> reported that myricetin induced apoptosis through the Bax/Bcl-2-dependent pathway in human colon cancer cells (<xref rid="b10-or-36-01-0342" ref-type="bibr">10</xref>).</p>
<p>In conclusion, our data demonstrated that myricetin suppressed the cell viability of human breast cancer MCF-7 cells at least partly through the induction of apoptosis. Our present results revealed that the anticancer effect of myricetin on human breast cancer involved PAK1/MEK/ERK/GSK3&#x003B2;/&#x003B2;-catenin/cyclin D1/PCNA/survivin/Bax-caspase-3 signaling (<xref rid="f14-or-36-01-0342" ref-type="fig">Fig. 14</xref>). Thus, myricetin may be a new drug for the treatment of human breast cancer.</p></sec></body>
<back>
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<floats-group>
<fig id="f1-or-36-01-0342" position="float">
<label>Figure 1</label>
<caption>
<p>The chemical structure of myricetin.</p></caption>
<graphic xlink:href="OR-36-01-0342-g00.jpg"/></fig>
<fig id="f2-or-36-01-0342" position="float">
<label>Figure 2</label>
<caption>
<p>Myricetin suppressed the cell viability of human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g01.jpg"/></fig>
<fig id="f3-or-36-01-0342" position="float">
<label>Figure 3</label>
<caption>
<p>Myricetin induced the cell apoptosis of human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g02.jpg"/></fig>
<fig id="f4-or-36-01-0342" position="float">
<label>Figure 4</label>
<caption>
<p>Myricetin affects the PAK1 pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) PAK1 protein expression and (B) statistical analysis of PAK1 protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g03.jpg"/></fig>
<fig id="f5-or-36-01-0342" position="float">
<label>Figure 5</label>
<caption>
<p>Myricetin affects the MEK1/2 pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (B) MEK1/2 protein expression and (B) statistical analysis of MEK1/2 protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g04.jpg"/></fig>
<fig id="f6-or-36-01-0342" position="float">
<label>Figure 6</label>
<caption>
<p>Myricetin affects the ERK1/2 pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) p-ERK1/2 protein expression and (B) statistical analysis of p-ERK1/2 protein expression in human breast cancer MCF-7 cell. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g05.jpg"/></fig>
<fig id="f7-or-36-01-0342" position="float">
<label>Figure 7</label>
<caption>
<p>Myricetin affects the GSK3&#x003B2; pathway of human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) GSK3&#x003B2; protein expression and (B) statistical analysis of GSK3&#x003B2; protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g06.jpg"/></fig>
<fig id="f8-or-36-01-0342" position="float">
<label>Figure 8</label>
<caption>
<p>Myricetin affects the &#x003B2;-catenin pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) &#x003B2;-catenin protein expression and (B) statistical analysis of &#x003B2;-catenin protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g07.jpg"/></fig>
<fig id="f9-or-36-01-0342" position="float">
<label>Figure 9</label>
<caption>
<p>Myricetin affects the cyclin D1 pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) cyclin D1 protein expression and (B) statistical analysis of cyclin D1 protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01 compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g08.jpg"/></fig>
<fig id="f10-or-36-01-0342" position="float">
<label>Figure 10</label>
<caption>
<p>Myricetin affects the PCNA pathway of human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) PCNA protein expression and (B) statistical analysis of PCNA protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g09.jpg"/></fig>
<fig id="f11-or-36-01-0342" position="float">
<label>Figure 11</label>
<caption>
<p>Myricetin affects the survivin pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) survivin protein expression and (B) statistical analysis of survivin protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g10.jpg"/></fig>
<fig id="f12-or-36-01-0342" position="float">
<label>Figure 12</label>
<caption>
<p>Myricetin affects the Bax pathway in human breast cancer MCF-7 cells. The anticancer effect of myricetin on (A) Bax protein expression and (B) statistical analysis of Bax protein expression in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the controls (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g11.jpg"/></fig>
<fig id="f13-or-36-01-0342" position="float">
<label>Figure 13</label>
<caption>
<p>Myricetin affects the caspase-3 pathway in human breast cancer MCF-7 cells. <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, compared with the control (myricetin 0 <italic>&#x000B5;</italic>M) group.</p></caption>
<graphic xlink:href="OR-36-01-0342-g12.jpg"/></fig>
<fig id="f14-or-36-01-0342" position="float">
<label>Figure 14</label>
<caption>
<p>Myricetin suppresses p21-activated kinase 1 (PAK1) in human breast cancer MCF-7 cells through downstream signaling of the &#x003B2;-catenin pathway.</p></caption>
<graphic xlink:href="OR-36-01-0342-g13.jpg"/></fig></floats-group></article>
