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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.2016.4825</article-id>
<article-id pub-id-type="publisher-id">or-36-01-0528</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Anticancer activity of 7,8-dihydroxyflavone in melanoma cells via downregulation of &#x003B1;-MSH/cAMP/MITF pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SIM</surname><given-names>DEOK YONG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>SOHNG</surname><given-names>JAE KYUNG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>JUNG</surname><given-names>HYE JIN</given-names></name><xref ref-type="corresp" rid="c1-or-36-01-0528"/></contrib>
<aff id="af1-or-36-01-0528">Department of BT-Convergent Pharmaceutical Engineering, Sun Moon University, Chungnam 336-708, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-or-36-01-0528">Correspondence to: Dr Hye Jin Jung, Department of BT-Convergent Pharmaceutical Engineering, Sun Moon University, 70 Sunmoon-ro 221, Tangjeong-myeon, Asan-si, Chungnam 336-708, Republic of Korea, E-mail: <email>poka96@sunmoon.ac.kr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>07</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>05</month>
<year>2016</year></pub-date>
<volume>36</volume>
<issue>1</issue>
<fpage>528</fpage>
<lpage>534</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>02</month>
<year>2016</year></date>
<date date-type="accepted">
<day>17</day>
<month>03</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Malignant melanoma is one of the most aggressive skin cancer and highly resistant to most conventional treatment. In the present study, we aimed to investigate the anticancer effects and mechanisms of action of 7,8-dihydroxyflavone (7,8-DHF), a monophenolic flavone, in melanoma cells. At concentrations not exhibiting cytotoxicity, 7,8-DHF potently inhibited growth and clonogenic survival of alpha-melanocyte stimulating hormone (&#x003B1;-MSH)-stimulated B16F10 melanoma cells. Furthermore, it significantly blocked migration and invasion of the metastatic melanoma cells. We also observed that 7,8-DHF exhibits anti-melanogenic activity through inhibition of tyrosinase activity in &#x003B1;-MSH-stimulating condition. Notably, the suppressive activities of 7,8-DHF on melanoma progression were associated with the downregulation of microphthalmia-associated transcription factor (MITF) and its main downstream transcription targets, including hypoxia-inducible factor 1&#x003B1; (HIF1&#x003B1;) and c-MET, by a decrease in cyclic adenosine monophosphate (cAMP) level. In addition, combination treatment with 7,8-DHF and resveratrol, a known therapeutic agent against melanoma, had greater anticancer activities and MITF inhibition than treatment with each single agent in &#x003B1;-MSH-treated B16F10 cells. Collectively, these findings may contribute to the potential application of 7,8-DHF in the prevention and treatment of malignant melanoma.</p></abstract>
<kwd-group>
<kwd>malignant melanoma</kwd>
<kwd>7,8-dihydroxyflavone</kwd>
<kwd>microphthalmia-associated transcription factor</kwd>
<kwd>cyclic adenosine monophosphate</kwd>
<kwd>&#x003B1;-melanocyte stimulating hormone</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Malignant melanoma, a neoplasm of melanocytic origin, is the most invasive and deadly form of skin cancer. Although it comprises less than 5% of all dermatologic cancer cases, melanoma is responsible for the great majority of skin cancer-related deaths. During the past 10 years, the incidence and annual mortality of melanoma has increased more rapidly than any other type of cancer (<xref rid="b1-or-36-01-0528" ref-type="bibr">1</xref>,<xref rid="b2-or-36-01-0528" ref-type="bibr">2</xref>). Various environmental and genetic factors including ultraviolet (UV) light and oncogenic <italic>BRAF</italic> mutations, respectively, have been reported to affect the development and progression of melanoma (<xref rid="b3-or-36-01-0528" ref-type="bibr">3</xref>,<xref rid="b4-or-36-01-0528" ref-type="bibr">4</xref>). Treatment for melanoma mainly depends on the properties of the tumor and the time of diagnosis. If recognized in earlier stages, the tumor may be removed surgically. However, in the metastatic stage, melanoma becomes highly resistant to conventional therapies and nodal metastasis is associated with a poor prognosis for patients with advanced melanoma. Despite the recent FDA approvals of six drugs including three immunotherapies and three targeted therapies for the treatment of melanoma, the poor clinical prognosis and the lack of curative therapies for patients with advanced melanoma necessitate the development of new successful therapies (<xref rid="b5-or-36-01-0528" ref-type="bibr">5</xref>,<xref rid="b6-or-36-01-0528" ref-type="bibr">6</xref>).</p>
<p>Microphthalmia-associated transcription factor (MITF), a master regulator of melanocyte development and differentiation, is associated with melanoma development and progression (<xref rid="b7-or-36-01-0528" ref-type="bibr">7</xref>). MITF transcriptionally activates a number of genes that play pro-survival roles in melanoma such as cyclin dependent kinase 2 (<italic>CDK2</italic>), hypoxia-inducible factor 1&#x003B1; (<italic>HIF1&#x003B1;</italic>) and <italic>c-MET</italic> (<xref rid="b8-or-36-01-0528" ref-type="bibr">8</xref>&#x02013;<xref rid="b10-or-36-01-0528" ref-type="bibr">10</xref>). The transcription and post-translational modifications of <italic>MITF</italic> gene are strongly influenced by multiple upstream pathways, including c-Kit, Wnt/&#x003B2;-catenin and &#x003B1;-melanocyte stimulating hormone (&#x003B1;-MSH) (<xref rid="b11-or-36-01-0528" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-or-36-01-0528" ref-type="bibr">13</xref>). Activation of melanocortin 1 receptor (MC1R) by binding of &#x003B1;-MSH induces cAMP production via activation of adenylyl cyclase (AC) and phosphorylates cAMP response element-binding protein (CREB). Phosphorylated CREB directly binds to the <italic>MITF</italic> promoter region and stimulates <italic>MITF</italic> transcription (<xref rid="b14-or-36-01-0528" ref-type="bibr">14</xref>). Recent studies have shown that &#x003B1;-MSH/cAMP pathway upregulates c-MET and HIF1&#x003B1; expression, through MITF that binds and activates their promoters, thereby contributing to melanoma progression (<xref rid="b9-or-36-01-0528" ref-type="bibr">9</xref>,<xref rid="b15-or-36-01-0528" ref-type="bibr">15</xref>). The oncogenic potential of MITF suggests that MITF inhibition may be an attractive therapeutic approach in malignant melanoma.</p>
<p>7,8-Dihydroxyflavone (7,8-DHF) is a monophenolic flavone with diverse biological effects (<xref rid="f1-or-36-01-0528" ref-type="fig">Fig. 1</xref>). It has been found to act as a small molecule agonist of tyrosine kinase receptor B (TrkB) that has neurotrophic effects in various neurological diseases (<xref rid="b16-or-36-01-0528" ref-type="bibr">16</xref>). 7,8-DHF also possesses potent antioxidant activity independent of its actions on TrkB, and thus protects against glutamate-induced excitotoxicity, 6-hydroxydopamine-induced dopaminergic neurotoxicity and oxidative stress-induced genotoxicity (<xref rid="b17-or-36-01-0528" ref-type="bibr">17</xref>&#x02013;<xref rid="b19-or-36-01-0528" ref-type="bibr">19</xref>). In addition, the anticancer effects of 7,8-DHF in human monocytic leukemia and oral squamous cancer cells have been reported (<xref rid="b20-or-36-01-0528" ref-type="bibr">20</xref>,<xref rid="b21-or-36-01-0528" ref-type="bibr">21</xref>). However, its effect in melanoma has not been explored. In the present study, first we assessed the chemotherapeutic potential and underlying mechanisms of action of 7,8-DHF on malignant melanoma cells. Our results demonstrated that 7,8-DHF could efficiently suppress proliferation, survival, migration, invasion, and differentiation of highly metastatic melanoma cell line B16F10 via blocking &#x003B1;-MSH/cAMP/MITF pathway. In addition, we suggest that 7,8-DHF might be applied in combination therapy with resveratrol, a known therapeutic agent against melanoma.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>7,8-Dihydroxyflavone (7,8-DHF) was purchased from Tokyo Chemical Industry (Tokyo, Japan). Alpha-melanocyte stimulating hormone (&#x003B1;-MSH), Matrigel<sup>&#x000AE;</sup>, and Transwell<sup>&#x000AE;</sup> chamber systems were obtained from Sigma-Aldrich (St. Louis, MO, USA), BD Biosciences (San Jose, CA, USA) and Corning Costar (Acton, MA, USA), respectively. L-3,4-dihydroxyphenylalanin (L-DOPA) was obtained from Acros Organics (Geel, Belgium). Anti-MITF, anti-HIF-1&#x003B1;, and anti-VEGF antibodies were purchased from Abcam (Cambridge, MA, USA), BD Bioscience (Bedford, MA, USA) and Santa Cruz Biotechnology (Santa Cruz, CA, USA), respectively. Anti-phospho-cMET, anti-c-MET, anti-phospho-AKT, anti-AKT, anti-phospho-ERK1/2, anti-ERK1/2, and anti-&#x003B2;-actin antibodies were obtained from Cell Signaling Technology (Danvers, MA, USA).</p></sec>
<sec>
<title>Cell culture and cell growth assay</title>
<p>B16F10 melanoma cells were grown in Dulbecco's modified Eagle's medium (Invitrogen, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS; Invitrogen). Cells were maintained at 37&#x000B0;C in a humidified 5% CO<sub>2</sub> incubator. For cell growth assay, B16F10 cells were plated at 2&#x000D7;10<sup>3</sup> cells/well in 96-well culture plates (SPL Life Sciences Co., Ltd., Gyeonggi, Korea). 7,8-DHF (0&#x02013;100 <italic>&#x003BC;</italic>M) was added to each well in the presence of &#x003B1;-MSH (10 nM) and the cells were incubated for 72 h. Cell growth was measured using a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) colorimetric assay.</p></sec>
<sec>
<title>Cell viability assay</title>
<p>Cell viability assay was performed using the trypan blue exclusion method. B16F10 cells were seeded at 1.5&#x000D7;10<sup>4</sup> cells/well in 24-well culture plates (SPL Life Sciences). 7,8-DHF (0&#x02013;40 <italic>&#x003BC;</italic>M) was added to each well in the presence of &#x003B1;-MSH (10 nM) and the cells were incubated for up to 72 h. After 72 h, the cells were stained with trypan blue and counted using a hemocytometer.</p></sec>
<sec>
<title>Colony formation assay</title>
<p>B16F10 cells were seeded at 5&#x000D7;10<sup>2</sup> cells/well in 6-well culture plates (SPL Life Sciences). 7,8-DHF was treated to each well in the presence of &#x003B1;-MSH (10 nM) and the cells were incubated for 10 days until colonies were formed. Cells were fixed with 4% formaldehyde, stained with 0.25% crystal violet for 10 min and washed with double-distilled water.</p></sec>
<sec>
<title>Wound healing assay</title>
<p>The confluent monolayer B16F10 cells were scratched using a tip and each well was washed with PBS to remove non-adherent cells. The cells were treated with various concentrations of 7,8-DHF in the presence of &#x003B1;-MSH (10 nM) and then incubated for up to 48 h. The perimeter of the area with a central cell-free zone was confirmed under an optical microscope (Olympus, Center Valley, PA, USA).</p></sec>
<sec>
<title>Chemoinvasion assay</title>
<p>Cell invasion was assayed using a Transwell<sup>&#x000AE;</sup> chamber system with polycarbonate filter inserts with a pore size of 8.0 <italic>&#x003BC;</italic>m. The lower side of the filter was coated with 10 <italic>&#x003BC;</italic>l gelatin (1 mg/ml) and the upper side was coated with 10 <italic>&#x003BC;</italic>l Matrigel<sup>&#x000AE;</sup> (3 mg/ml). B16F10 cells (1&#x000D7;10<sup>5</sup>) were placed in the upper chamber of the filter and 7,8-DHF was added to the lower chamber in the presence of &#x003B1;-MSH (10 nM) and 0.5% BSA. The chamber was incubated at 37&#x000B0;C for 24 h, and the cells were subsequently fixed with methanol and stained with hematoxylin and eosin (H&amp;E). The total number of cells that invaded the lower chamber of the filter was counted using an optical microscope (Olympus).</p></sec>
<sec>
<title>Measurement of melanin content</title>
<p>B16F10 cells (15&#x000D7;10<sup>4</sup> cells/well) were plated in 12-well culture plates (SPL Life Sciences) and then treated with various concentrations of 7,8-DHF in the presence or absence of &#x003B1;-MSH (10 nM) for 72 h. The cells were then washed with PBS and lysed in 150 <italic>&#x003BC;</italic>l of 1 M NaOH at 95&#x000B0;C. A total of 100 <italic>&#x003BC;</italic>l of the lysate was added in 96-well microplate and the absorbance was measured at 405 nm using a microplate spectrophotometer (Thermo Scientific Multiskan<sup>&#x000AE;</sup> Spectrum).</p></sec>
<sec>
<title>Determination of cellular tyrosinase activity</title>
<p>Tyrosinase activity was estimated by measuring the rate of L-DOPA oxidation. B16F10 cells were plated in 12-well culture plates at a density of 15&#x000D7;10<sup>4</sup> cells/well and then treated with various concentrations of 7,8-DHF in the presence or absence of &#x003B1;-MSH (10 nM) for 72 h. The cells were washed with PBS and lysed in 50 mM phosphate buffer (pH 6.8) containing 1% Triton X-100 and 0.1 mM phenylmethylsulfonyl fluoride. Cellular lysates were centrifuged at 12,000 rpm for 20 min at 4&#x000B0;C. The supernatant was collected and the protein content was determined by the Bradford method. The cellular extract was incubated with L-DOPA (1.25 mM) in 25 mM phosphate buffer (pH 6.8) and the absorbance at 475 nm was read until the reaction has finished.</p></sec>
<sec>
<title>Measurement of cAMP levels</title>
<p>B16F10 cells were treated with various concentrations of 7,8-DHF in the presence or absence of &#x003B1;-MSH (10 nM) and incubated for 15 min. The cells were lysed in 0.1 M HCl, and intracellular cAMP generation was determined using enzyme-linked immunosorbent assay (ELISA) with a cAMP direct immunoassay kit (Abcam, Cambridge, MA, USA) according to the manufacturer's instructions. The cAMP levels were normalized to total protein content.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Cell lysates were separated by 10% SDS-PAGE electrophoresis and the separated proteins were transferred to polyvinylidene difluoride membranes (Millipore, Billerica, MA, USA) using standard electroblotting procedures. The blots were blocked and immunolabeled with primary antibodies against MITF, HIF-1&#x003B1;, VEGF, phospho-cMET, c-MET, phospho-AKT, AKT, phospho-ERK1/2, ERK1/2 and &#x003B2;-actin overnight at 4&#x000B0;C. Immunolabeling was detected with an enhanced chemiluminescence (ECL) kit (Bio-Rad Laboratories, Hercules, CA, USA), according to the manufacturer's instructions.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The results are expressed as the mean &#x000B1; standard error (SE). Student's t-test was used to determine statistical significance between the control and the test groups. 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>Inhibition of cell growth and clonogenic survival by 7,8-DHF in B16F10 cells</title>
<p>&#x003B1;-MSH has been reported to elicit a variety of biological responses that bring about melanoma development as well as melanocyte differentiation (<xref rid="b22-or-36-01-0528" ref-type="bibr">22</xref>&#x02013;<xref rid="b24-or-36-01-0528" ref-type="bibr">24</xref>). We thus assessed the anticancer activities of 7,8-DHF against malignant melanoma in &#x003B1;-MSH-stimulated B16F10 cells. To determine whether 7,8-DHF affects melanoma cell growth, B16F10 cells were treated with various concentrations of 7,8-DHF for 72 h and the MTT assay was performed. 7,8-DHF dose-dependently inhibited the proliferation of B16F10 with an IC<sub>50</sub> value of 9.04 <italic>&#x003BC;</italic>M (<xref rid="f2-or-36-01-0528" ref-type="fig">Fig. 2A</xref>). Notably, a trypan blue viability test revealed that 7,8-DHF treatment did not show cytotoxic effects up to 40 <italic>&#x003BC;</italic>M (<xref rid="f2-or-36-01-0528" ref-type="fig">Fig. 2B</xref>). These data indicate that the inhibition of melanoma cell growth by 7,8-DHF resulted from a cytostatic effect. To further evaluate the tumor suppressive effect of 7,8-DHF, we carried out clonogenic assay, which is an <italic>in vitro</italic> cell survival assay based on the ability of a single cell to grow into a colony. Treatment of B16F10 cells with 7,8-DHF resulted in a remarkable inhibition of the colony-forming ability (<xref rid="f2-or-36-01-0528" ref-type="fig">Fig. 2C</xref>). Taken together, these results suggest that 7,8-DHF may be considered a novel anticancer agent with potent antiproliferative activity against melanoma cells.</p></sec>
<sec>
<title>The inhibitory effects of 7,8-DHF on B16F10 cell migration and invasion</title>
<p>The most dangerous aspect of melanoma is its ability to spread to other parts of the body. To assess the inhibitory potential of 7,8-DHF on the metastatic ability of melanoma cells, we first confirmed its effect on migration of &#x003B1;-MSH-stimulated B16F10 cells using wound healing assay. As shown in <xref rid="f3-or-36-01-0528" ref-type="fig">Fig. 3A</xref>, relative to untreated control cells, treatment with 7,8-DHF for 48 h reduced the migration capacity of B16F10 cells in a dose-dependent manner. Next, the effect of 7,8-DHF on invasive potential of &#x003B1;-MSH-treated B16F10 cells was investigated by employing the Matrigel matrix-coated Transwell chamber assay. As shown in <xref rid="f3-or-36-01-0528" ref-type="fig">Fig. 3B</xref>, <xref rid="f7-or-36-01-0528" ref-type="fig">7</xref>,8-DHF treatment significantly decreased the invasiveness of B16F10 cells. These data demonstrate that 7,8-DHF has the chemotherapeutic potential to suppress melanoma metastasis.</p></sec>
<sec>
<title>Antimelanogenic effect of 7,8-DHF in B16F10 cells</title>
<p>Malignant melanocytes tend to exhibit upregulated melanogenesis and defective melanosomes (<xref rid="b25-or-36-01-0528" ref-type="bibr">25</xref>). Cellular tyrosinase activity is the major factor that stimulates melanin synthesis and ultimately induces melanogenesis (<xref rid="b26-or-36-01-0528" ref-type="bibr">26</xref>). We thus determined the cellular tyrosinase activity and melanin content in order to investigate the effect of 7,8-DHF on melanogenesis of B16F10 cells. The cells were stimulated by &#x003B1;-MSH in the presence or absence of 7,8-DHF for 72 h. As shown in <xref rid="f4-or-36-01-0528" ref-type="fig">Fig. 4</xref>, treatment with 7,8-DHF clearly blocked the melanin formation and tyrosinase activity of B16F10 cells induced by &#x003B1;-MSH, indicating that 7,8-DHF downregulates the differentiation of melanoma cells associated with melanogenesis.</p></sec>
<sec>
<title>Downregulation of MITF and its downstream transcription targets by 7,8-DHF</title>
<p>MITF is not only a key player in melanocyte development but is thought to also function as an oncogene in melanoma (<xref rid="b7-or-36-01-0528" ref-type="bibr">7</xref>). &#x003B1;-MSH can increase intracellular cAMP levels and consequently activate MITF expression (<xref rid="b14-or-36-01-0528" ref-type="bibr">14</xref>). To elucidate the anticancer mechanisms of 7,8-DHF against melanoma, we investigated the effect of 7,8-DHF on &#x003B1;-MSH/cAMP/MITF signaling network in melanoma cells. As shown in <xref rid="f5-or-36-01-0528" ref-type="fig">Fig. 5</xref>, treatment with 7,8-DHF significantly reduced the intracellular cAMP levels in B16F10 cells stimulated by &#x003B1;-MSH. We next examined the effect of 7,8-DHF on the expression of MITF and its downstream transcription targets. 7,8-DHF markedly decreased the protein levels of MITF in &#x003B1;-MSH-stimulated B16F10 cells (<xref rid="f6-or-36-01-0528" ref-type="fig">Fig. 6</xref>). In addition, the expression of HIF1&#x003B1; and c-MET, the major transcriptional targets of MITF which have been implicated in antiapoptotic and metastatic potential in melanoma, was prominently downregulated by 7,8-DHF treatment. Furthermore, the inhibition of HIF1&#x003B1; resulted in a remarkable reduction in expression of VEGF, its transcriptional target that is required for tumor angiogenesis. In addition, the diminished c-MET levels were also linked to the blockade of c-MET signaling such as inhibiting phosphorylation of c-MET and its downstream effector AKT. However, 7,8-DHF treatment rather increased the phosphorylation of extracellular signal-regulated kinases (ERK1/2), another c-MET downstream effector. Recent studies have revealed that activation of ERK induces phosphorylation and degradation of MITF and consequently downregulates &#x003B1;-MSH-induced melanogenesis by inhibiting tyrosinase activity and expression (<xref rid="b27-or-36-01-0528" ref-type="bibr">27</xref>,<xref rid="b28-or-36-01-0528" ref-type="bibr">28</xref>). Accordingly, 7,8-DHF-induced activation of ERK1/2 may partly account for the antimelanogenic effect of the compound. These results collectively suggest that 7,8-DHF may exhibit the potential anticancer activity against melanoma through the downregulation of cAMP levels and subsequent suppression of the expression of MITF and its key oncogenic target genes such as HIF1&#x003B1; and c-MET.</p></sec>
<sec>
<title>Enhanced anticancer effect of combination treatment with 7,8-DHF and resveratrol</title>
<p>Resveratrol is a naturally-occurring compound that possesses anticancer capabilities (<xref rid="b29-or-36-01-0528" ref-type="bibr">29</xref>). A recent study demonstrated that resveratrol inhibits MITF expression, viability, and invasiveness activated by &#x003B1;-MSH in melanoma cells (<xref rid="b30-or-36-01-0528" ref-type="bibr">30</xref>). To further exploit promising combination therapies of 7,8-DHF, the anticancer effects of 7,8-DHF and resveratrol either alone or in combination were examined in &#x003B1;-MSH-stimulated B16F10 cells. At the concentrations tested, combined treatment with 7,8-DHF and resveratrol more efficiently inhibited the melanoma cell growth compared with single agent treatment (growth inhibition of 43, 31 and 65% with 7,8-DHF, resveratrol, and the 7,8-DHF/resveratrol combination, respectively) (<xref rid="f7-or-36-01-0528" ref-type="fig">Fig. 7A</xref>). Furthermore, combination of the two compounds greatly increased suppression of the melanoma cell invasion compared to either agent alone (invasion inhibition of 28, 27 and 80% with 7,8-DHF, resveratrol, and the 7,8-DHF/resveratrol combination, respectively) (<xref rid="f7-or-36-01-0528" ref-type="fig">Fig. 7B</xref>). Notably, the combined treatment resulted in an enhanced reduction in MITF expression levels compared with inhibition by single agent treatment (<xref rid="f7-or-36-01-0528" ref-type="fig">Fig. 7C</xref>). These findings suggest that 7,8-DHF might be used to treat melanoma growth and metastasis in combination with resveratrol.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Malignant melanoma remains one of the cancers most resistant to treatment, and the incidence and mortality rates are increasing rapidly worldwide (<xref rid="b1-or-36-01-0528" ref-type="bibr">1</xref>,<xref rid="b2-or-36-01-0528" ref-type="bibr">2</xref>). Through our continuing efforts to discover more effective and less toxic anticancer agents for treatment of melanoma, 7,8-dihydroxyflavone (7,8-DHF), a monophenolic flavone, was newly identified as a potential anticancer compound against melanoma. Although the inhibitory effect of 7,8-DHF in some types of cancer, like human monocytic leukemia and oral squamous carcinoma (<xref rid="b20-or-36-01-0528" ref-type="bibr">20</xref>,<xref rid="b21-or-36-01-0528" ref-type="bibr">21</xref>), has been described previously, there is no such report on melanoma so far. The key finding of the present study is that 7,8-DHF could inhibit the growth, metastasis, and melanogenesis of melanoma cells through downregulation of microphthalmia-associated transcription factor (MITF) and its related oncogenic pathways.</p>
<p>MITF regulates multiple targets, which are involved in various cellular processes such as cell cycle progression, survival, motility, invasion and differentiation, in melanocytes and melanoma cells (<xref rid="b7-or-36-01-0528" ref-type="bibr">7</xref>). In human metastatic melanoma, amplification of <italic>MITF</italic> was observed and correlated with decreased overall patient survival (<xref rid="b31-or-36-01-0528" ref-type="bibr">31</xref>). Ectopic MITF expression in conjunction with the BRAF(V600E) mutant transformed primary human melanocytes. In addition, disruption of MITF sensitized melanoma cells to chemotherapeutic agents such as docetaxel and cisplatin. Recent evidence has also shown that hypoxia-inducible factor 1&#x003B1; (HIF1&#x003B1;) is a transcriptional target of MITF and the upregulation of &#x003B1;-MSH/cAMP/MITF/HIF1 pathway contributes to survival, neovascularization and metabolic adaptation of melanoma cells (<xref rid="b9-or-36-01-0528" ref-type="bibr">9</xref>). Moreover, overexpression of c-MET, another target of MITF, has been associated with a poor clinical outcome in human melanoma samples. c-MET expression was increased by &#x003B1;-MSH/cAMP/MITF pathway, resulting in invasive growth and antiapoptotic effect of melanoma cells (<xref rid="b10-or-36-01-0528" ref-type="bibr">10</xref>). These findings demonstrate the oncogenic potential of MITF, indicating that inhibition of MITF could be an attractive therapeutic strategy to target malignant melanoma. In the present study, we found that 7,8-DHF effectively blocks &#x003B1;-MSH/cAMP/MITF pathway in melanoma cells. 7,8-DHF inhibited cAMP production in &#x003B1;-MSH-stimulated B16F10 cells and consequently suppressed not only MITF but also HIF1&#x003B1; and c-MET expression, thereby inhibiting both expression of VEGF and phosphorylation of c-MET and AKT, their related oncogenic networks. In addition, the activation of ERK by 7,8-DHF is thought to cause the antimelanogenic effect in B16F10 cells by mediating downregulation of &#x003B1;-MSH/cAMP/MITF/tyrosinase pathway. These observations suggest that 7,8-DHF could be an effective chemotherapeutic agent for melanoma treatment through inhibition of MITF.</p>
<p>Previous studies have demonstrated that resveratrol, a natural polyphenolic compound, has both antiproliferative and proapoptotic effects in various cancer types including melanoma (<xref rid="b29-or-36-01-0528" ref-type="bibr">29</xref>,<xref rid="b30-or-36-01-0528" ref-type="bibr">30</xref>). Resveratrol has been also found to sensitize several types of malignancies to anticancer drugs such as temozolomide and paclitaxel (<xref rid="b32-or-36-01-0528" ref-type="bibr">32</xref>,<xref rid="b33-or-36-01-0528" ref-type="bibr">33</xref>). More recently, resveratrol enhanced the suppressive effect of imatinib on &#x003B1;-MSH signaling, viability and invasiveness in melanoma cells (<xref rid="b30-or-36-01-0528" ref-type="bibr">30</xref>). In the present study, we further evaluated the effect of 7,8-DHF in combination with resveratrol on melanoma cell growth and invasion. Combination treatment was more effective in inhibiting growth and invasion of &#x003B1;-MSH-stimulated B16F10 cells compared to single agents. Furthermore, combination of 7,8-DHF and resveratrol was more powerful in reducing expression of MITF when compared to individual agents. Based on our data, we suggest that the use of 7,8-DHF, as single agent or in conjunction with known chemotherapeutic agents, may be a promising strategy for the management of malignant melanoma.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by the Sun Moon University Research Grant of 2015.</p></ack>
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<floats-group>
<fig id="f1-or-36-01-0528" position="float">
<label>Figure 1</label>
<caption>
<p>Chemical structure of 7,8-DHF.</p></caption>
<graphic xlink:href="OR-36-01-0528-g00.tif"/></fig>
<fig id="f2-or-36-01-0528" position="float">
<label>Figure 2</label>
<caption>
<p>The effects of 7,8-DHF on the growth and clonogenic survival of &#x003B1;-MSH-stimulated B16F10 cells. (A) The effect of 7,8-DHF on the growth of B16F10. Cells were treated with various concentrations of 7,8-DHF in the presence of &#x003B1;-MSH for 72 h, and cell growth was measured using an MTT colorimetric assay. (B) The effect of 7,8-DHF on the viability of B16F10. Cells were treated with 7,8-DHF in the presence of &#x003B1;-MSH and incubated for 72 h. Cell viability was measured by the trypan blue assay. (C) The effect of 7,8-DHF on the colony forming ability of B16F10. Cells were treated with 7,8-DHF in the presence of &#x003B1;-MSH for 10 days. The cell colonies were visualized by crystal violet staining and then counted. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. control.</p></caption>
<graphic xlink:href="OR-36-01-0528-g01.tif"/></fig>
<fig id="f3-or-36-01-0528" position="float">
<label>Figure 3</label>
<caption>
<p>The effect of 7,8-DHF on the metastatic ability of &#x003B1;-MSH-stimulated B16F10 cells. (A) The effect of 7,8-DHF on the migration of B16F10. The migratory potential of B16F10 cells was analyzed using wound healing assay. Cells were stimulated with &#x003B1;-MSH in the presence or absence of 7,8-DHF for 48 h. Dotted black lines indicate the edge of the gap at 0 h. (B) The effect of 7,8-DHF on the invasion of B16F10. The invasiveness of B16F10 cells was analyzed using Matrigel-coated polycarbonate filters. Cells were stimulated with &#x003B1;-MSH in the presence or absence of 7,8-DHF for 24 h. Cells penetrating the filters were stained and counted under a light microscope. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control.</p></caption>
<graphic xlink:href="OR-36-01-0528-g02.tif"/></fig>
<fig id="f4-or-36-01-0528" position="float">
<label>Figure 4</label>
<caption>
<p>The effect of 7,8-DHF on the melanogenesis of &#x003B1;-MSH-stimulated B16F10 cells. Cells were treated with 7,8-DHF in the presence or absence of &#x003B1;-MSH for 72 h, and the cellular melanin contents (A) and tyrosinase activity (B) were determined. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. the &#x003B1;-MSH control.</p></caption>
<graphic xlink:href="OR-36-01-0528-g03.tif"/></fig>
<fig id="f5-or-36-01-0528" position="float">
<label>Figure 5</label>
<caption>
<p>The effect of 7,8-DHF on &#x003B1;-MSH-induced intracellular cAMP production in B16F10 cells. Cells were treated with 7,8-DHF in the presence or absence of &#x003B1;-MSH and incubated for 15 min. The cells were lysed, and intracellular cAMP levels were measured using an enzyme immunoassay protocol. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. the &#x003B1;-MSH control.</p></caption>
<graphic xlink:href="OR-36-01-0528-g04.tif"/></fig>
<fig id="f6-or-36-01-0528" position="float">
<label>Figure 6</label>
<caption>
<p>The effect of 7,8-DHF on the expression of MITF and its downstream transcription targets in &#x003B1;-MSH-stimulated B16F10 cells. The cells were exposed to &#x003B1;-MSH in the presence or absence of 7,8-DHF for 24 h. Protein levels were detected by western blot analysis using specific antibodies and further quantified by densitometry. The level of &#x003B2;-actin was used as an internal control.</p></caption>
<graphic xlink:href="OR-36-01-0528-g05.tif"/></fig>
<fig id="f7-or-36-01-0528" position="float">
<label>Figure 7</label>
<caption>
<p>Enhanced anticancer effect of combination treatment with 7,8-DHF and resveratrol. B16F10 cells were exposed to &#x003B1;-MSH in the presence or absence of 7,8-DHF (10 <italic>&#x003BC;</italic>M) and resveratrol (25 <italic>&#x003BC;</italic>M). (A) The effect of a combination of 7,8-DHF and resveratrol on the growth of B16F10. (B) The effect of combined treatment of 7,8-DHF and resveratrol on the invasiveness of B16F10. (C) The effect of combined treatment with 7,8-DHF and resveratrol on MITF expression in B16F10. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. single agent treatment.</p></caption>
<graphic xlink:href="OR-36-01-0528-g06.tif"/></fig></floats-group></article>
