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<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2017.5437</article-id>
<article-id pub-id-type="publisher-id">or-37-04-2317</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The anti-metastatic effect of baicalein on colorectal cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Chai</surname><given-names>Yuxia</given-names></name>
<xref rid="af1-or-37-04-2317" ref-type="aff"/>
<xref rid="c1-or-37-04-2317" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Jizhong</given-names></name>
<xref rid="af1-or-37-04-2317" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Yan</surname><given-names>Baojun</given-names></name>
<xref rid="af1-or-37-04-2317" ref-type="aff"/></contrib>
</contrib-group>
<aff id="af1-or-37-04-2317">The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China</aff>
<author-notes>
<corresp id="c1-or-37-04-2317"><italic>Correspondence to</italic>: Professor Yuxia Chai, The First Affiliated Hospital of Zhengzhou University, No. 1 East Jiangshe Road, Zhengzhou, Henan 450052, P.R. China, E-mail: <email>15515887779@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>03</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>10</day><month>02</month><year>2017</year></pub-date>
<volume>37</volume>
<issue>4</issue>
<fpage>2317</fpage>
<lpage>2323</lpage>
<history>
<date date-type="received"><day>15</day><month>07</month><year>2016</year></date>
<date date-type="accepted"><day>14</day><month>12</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Baicalein, a naturally occurring flavonoid isolated from the roots of <italic>Scutellaria baicalensis</italic>, is historically and widely used as anti-inflammatory and anticancer therapy. Nevertheless, the anti-metastatic effect and underlying molecular mechanisms of baicalein on colorectal carcinoma (CRC) remain unclear. The aim of the present study was, therefore, to invastigate the anti-metastatic activity of baicalein and related mechanism(s) on CRC cells. In this study, we observed that baicalein treatment inhibited proliferation, as well as migration and invasion of HT-29 and DLD1 cells. Baicalein decreased the expression of the matrix metalloproteinases-2 (MMP-2) and MMP-9 in a dose-dependent manner. Also, baicalein treatment significantly reduced phosphorylation of extracellular signal regulated kinases (ERK). Furthermore, in DLD1 cells, MEK1 overexpression partially blocked the anti-metastatic effects of baicalein. Combined treatment with an ERK inhibitor (U0126) and baicalein led to the synergistic reduction of MMP-2/9 expression; and the invasive capabilities of DLD1 cells were also inhibited markedy. Finally, intragastric administration of baicalein inhibited CRC xenograft growth <italic>in vivo</italic> and suppressed the phosphorylation of ERK and the expression of MMP-2/9 in tumor tissues. Consequently, baicalein suppresses CRC cell invasion via inhibition of the ERK signaling pathways, indicating that baicalein is a potential agent for CRC treatment.</p>
</abstract>
<kwd-group>
<kwd>colorectal cancer</kwd>
<kwd>baicalein</kwd>
<kwd>invasion and migration</kwd>
<kwd>MMP</kwd>
<kwd>ERK</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>CRC is one of the leading causes of death worldwide (<xref rid="b1-or-37-04-2317" ref-type="bibr">1</xref>). Aggressive local invasion and metastasis make CRC difficult to treat (<xref rid="b2-or-37-04-2317" ref-type="bibr">2</xref>). Therefore clarifying the mechanism of invasion of CRC to find new treatment targets is urgent.</p>
<p>Metastasis of cancer cells is a complex processes during which the degradation of the extracellular matrix (ECM) plays an important role (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>). MMP-2/&#x2212;9 play important roles in degrading ECM and its involvement is complex in the process of cancer metastasis (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>,<xref rid="b4-or-37-04-2317" ref-type="bibr">4</xref>). Overactivity of ERK signaling pathway has been found in almost half of known human tumor cell lines and in many human primary tumors derived from different origins (<xref rid="b5-or-37-04-2317" ref-type="bibr">5</xref>). ERK signaling pathway plays a vital role in the synthesis of MMP-2/&#x2212;9 (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>,<xref rid="b6-or-37-04-2317" ref-type="bibr">6</xref>). Overactivity of ERK pathway is observed in CRC (<xref rid="b7-or-37-04-2317" ref-type="bibr">7</xref>,<xref rid="b8-or-37-04-2317" ref-type="bibr">8</xref>) and is correlated with the metastasis of CRC (<xref rid="b9-or-37-04-2317" ref-type="bibr">9</xref>,<xref rid="b10-or-37-04-2317" ref-type="bibr">10</xref>).</p>
<p>Baicalein is extracted from the roots of <italic>Scutellaria baicalensis</italic> or S<italic>cutellaria radix</italic>. The chemical structure of baicalein is shown in <xref rid="f1-or-37-04-2317" ref-type="fig">Fig. 1A</xref>. The antitumor biological effect of baicalein has been found in many tumors (<xref rid="b11-or-37-04-2317" ref-type="bibr">11</xref>&#x2013;<xref rid="b13-or-37-04-2317" ref-type="bibr">13</xref>). Baicalein has been found to possess antitumor effect in hepatocellular carcinoma, glioma and bladder cancer (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>,<xref rid="b14-or-37-04-2317" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-or-37-04-2317" ref-type="bibr">16</xref>), but the anti-metastatic effect and related mechanism(s) in CRC are still unclear. Thus, the present study investigated the effects of baicalein in CRC invasion and metastasis and related mechanisms.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell lines and reagents</title>
<p>CRC HT29 and DLD1 cell lines were purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and cultured in RPMI-1640 (HyClone Laboratories, Inc., Logan, UT, USA) medium with 10&#x0025; fetal bovine serum (FBS; HyClone Laboratories). The cells were cultured at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub>. Anti-MMP-2, ERK, MMP-9 and p-ERK were purchased from Cell Signaling Technology (Beverly, MA, USA). Unless otherwise indicated, all the other chemicals were purchased from Sigma-Aldrich (St. Louis, MO, USA).</p>
</sec>
<sec>
<title>Apoptosis assays</title>
<p>Apoptotic and/or necrotic cells were analysed by propidium iodide (PI) uptake using Annexin V binding an Annexin V-FITC/PI kit as previously described (<xref rid="b15-or-37-04-2317" ref-type="bibr">15</xref>). Briefly, CRC cells were seeded into 6-well plates at a density of 1&#x00D7;10<sup>5</sup> cells/well for 12 h and treated with 0, 40, 60 and 80 &#x00B5;M of baicalein for 48 h. After washing with cold phosphate-buffered saline (PBS), cells were resuspended in Annexin V binding buffer. Cells were incubated in Annexin V-FITC for 15 min, washed and then incubated with PI. Samples were detected by flow cytometer with CellQuest software.</p>
</sec>
<sec>
<title>Cell growth assay and focus formation assay</title>
<p>Cell growth rate was detected using the MTT assay. Briefly, cells were seeded in a 96-well plate at a density of 1.5&#x00D7;10<sup>3</sup> cells. Cells were treated with baicalein (0, 10, 20, 30, 40, 50, 60, 80, 100 and 120 &#x00B5;M) (R&#x0026;D Systems, Inc., Minneapolis, MN, USA) for 24 h. MTT assay was done in accordance with the manufacturers instructions. Each experiment was done in triplicate and data were expressed as mean &#x00B1; SD. In focus formation assay, 100 cells were firstly seeded onto a plate and then cultured with (0, 40, 60 and 80 &#x00B5;M) baicalein for 2 weeks. The plates were fixed and then stained with 1&#x0025; crystal violet. All experiments were performed in triplicate.</p>
</sec>
<sec>
<title>Construction of expression plasmids and transfection</title>
<p>The construction of the expression plasmids and their transfection was performed in accordance with the manufacturers instructions (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>). First, the full-length pcDNA3.1 (Invitrogen, Carlsbad, CA, USA) MEK1 vector was made by cloning the full-length PCR product of MEK1 with KOD<sup>&#x00AE;</sup> DNA polymerase (Toyobo Co., Ltd., Osaka, Japan). Then we measured the plasmid sequences to confirm the sequences of the plasmid. In transient transfection experiments, cells were plated at a density of 2&#x00D7;10<sup>5</sup> cells/well in a 6-well plate, 24 h later they were transfected with 4.0 &#x00B5;g pcDNA3.1(&#x002B;)-MEK1 vector via Lipofectamine 2000 (Invitrogen) in accordance with the manufacturers protocol. The 4.0 &#x00B5;g pcDNA3.1(&#x002B;) empty vector was used as a negative control.</p>
</sec>
<sec>
<title>Cell invasion and migration assay</title>
<p>The migration and invasion ability of cells were detected by Transwell assays. Migration and invasion assay was performed with 24-well Transwell chambers coated with Matrigel or not (Becton-Dicknson, Billerica, MA, USA) as previously described. For the migration assay, cells were seeded into inner well and cultured in medium with 0, 10, 20 and 30 &#x00B5;M baicalein. After 16 h, cells on the bottom side of the inner well were fixed in alcohol, fixed in crystal violet and counted. Invasion assay was performed with 24-well Transwell chamber coated with Matrigel as previously described (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>).</p>
</sec>
<sec>
<title>Western blotting assay</title>
<p>After treated with U0126 or baicalein, 2&#x00D7;10<sup>6</sup> cells were added into 200 &#x00B5;l of lysis buffer (Fermentas, Waltham, MA, USA). By 10&#x0025; SDS-polyacrylamide gel electrophoresis, the proteins (60 &#x00B5;g) were separated and bloted onto PVDF membranes. To block non-specific binding, the PVDF membranes were subsequently blocked in Tris-buffered saline with Tween-20 (TBST) containing 5&#x0025; defatted milk buffer for 1 h at 37&#x00B0;C and were then incubated with antibodies against ERK, p-ERK, MMP-2, MMP-9 or &#x03B2;-actin overnight in defatted milk 5&#x0025; in TBST at 4&#x00B0;C. The membranes were incubated with a horseradish peroxidase goat anti-rabbit or anti-mouse IgG antibody at room temperature for 1 h. The pictures were examined with an enhanced chemiluminescence kit (ECL Plus; Amersham, Freiburg, Germany) according to the manufacturers instructions and captured by autoradiography. The relative photographic density was quantified with ImageJ software (GE Healthcare, Buckinghamshire, UK) and expressed as arbitrary units (a.u.).</p>
</sec>
<sec>
<title>Tumor xenograft experiments and animals</title>
<p>To assess the anti-proliferation of baicalein <italic>in vivo</italic>, Balb/c athymic nude mice (4- to 6-week-old) were obtained from Shanghai SLAC Laboratory Animal, Co., Ltd., (Shanghai, China). Each mouse was subcutenously implanted with 1&#x00D7;10<sup>6</sup> viable DLD1 cells in the right flank area. One group was treated with vehicle dimethyl sulfoxide (DMSO), the other group was treated with baicalein (20 mg/kg/day) for 3 weeks. At day 21, all the mice were sacrificed and the tumor tissues were removed and weighed. The experimental protocols used herein were evaluated and approved by the Animal Care and Use Committee of the Medical School of Xian Jiaotong University.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Baicalein inhibits the proliferation of HT29 and DLD1 cells</title>
<p>The inhibition effects of baicalein on the proliferation of CRC cells at different concentrations (0 to 120 &#x00B5;M) for 24 h are shown in <xref rid="f1-or-37-04-2317" ref-type="fig">Fig. 1B</xref>. At concentrations &#x003E;40 &#x00B5;M, the anti-proliferation effect of baicalein on HT29 and DLD1 cells was significant so we chose concentrations &#x003C;40 &#x00B5;M for all the following experiments.</p>
<p>To determine the effect of baicalein on apoptosis in detail, HT29 cells were incubated for 48 h with baicalein (40, 60 or 80 &#x00B5;M) and then analysed by flow cytometry. As shown in <xref rid="f1-or-37-04-2317" ref-type="fig">Fig. 1C</xref>, the effect of baicalein on apoptosis of HT29 cells was concentration-dependent. After treatment for 48 h, both early and late apoptotic cells increased significantly in the HT29 cells treated with baicalein. Baicalein reduced the number of colony HT29 cells <italic>in vitro</italic> significantly (<xref rid="f1-or-37-04-2317" ref-type="fig">Fig. 1D</xref>).</p>
</sec>
<sec>
<title>Baicalein inhibits the metastasis of HT29 and DLD1 cells</title>
<p><xref rid="f2-or-37-04-2317" ref-type="fig">Fig. 2</xref> shows the inhibition effect of baicalein (0, 10, 20 and 30 &#x00B5;M) on cell migration (16 h) and invasion (24 h) in HT29 and DLD1 cells, respectively. We found that inhibition effect of baicalein on the migration (<xref rid="f2-or-37-04-2317" ref-type="fig">Fig. 2A and B</xref>) and invasion (<xref rid="f2-or-37-04-2317" ref-type="fig">Fig. 2C and D</xref>) of HT29 and DLD1 cells was concentration-dependent.</p>
</sec>
<sec>
<title>Baicalein inhibits the expression of MMP-2/&#x2212;9</title>
<p>We analysed the effect of baicalein on the expression of MMP-2/&#x2212;9 in HT29 and DLD1 at various concentrations. Cells were treated with baicalein (0, 10, 20 and 30 &#x00B5;M) for 24 h and then analysed by western blotting. <xref rid="f3-or-37-04-2317" ref-type="fig">Fig. 3A and B</xref> show the inhibited effect of baicalein on the expression of MMP-2/&#x2212;9 in HT-29 cells. The effect is concentration-dependent. <xref rid="f3-or-37-04-2317" ref-type="fig">Fig. 3C and D</xref> show the effect of baicalein on the expression of MMP-2/&#x2212;9 in DLD1 cells.</p>
</sec>
<sec>
<title>The ERK signaling pathway is involved in the anti-metastatic mechanism of baicalein in CRC</title>
<p>ERK signaling pathway plays an vital role in the metastasis of cancer cells by regulating MMP-2/&#x2212;9 (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>); hence, we detected the impact of baicalein on the activity of ERK signaling pathway in CRC cells. The results of the western blotting showed that baicalein reduced the phosphorylation level of ERK1/2 in DLD1 cells treated with baicalein (<xref rid="f4-or-37-04-2317" ref-type="fig">Fig. 4A and B</xref>). To further check the role of ERK signaling pathway in the anti-metastatic effect of baicalein, we upregulated the activity of ERK singnaling pathway in DLD1 cells via transfecting the plasmid [pcDNA3.1 (&#x002B;)-MEK1] expressing human MEK1 and found that the anti-invasion effect of baicalein was reversed by the high expression of MEK1 (<xref rid="f4-or-37-04-2317" ref-type="fig">Fig. 4C</xref>). The positive clones were selected by G418. DLD1 cells were separated into 3 groups: no treatment as the control group &#x2018;C&#x2019;, transfected with an empty vector pcDNA3.1(&#x002B;) as the negative control group &#x2018;N&#x2019;, transfected with a pcDNA3.1(&#x002B;)-MEK1 as the positive group &#x2018;M&#x2019;.</p>
<p>The inhibition rate was ~61.3 and 39.3&#x0025; after 24 h of treatment with 0 or 30 &#x00B5;M of baicalein (<xref rid="f4-or-37-04-2317" ref-type="fig">Fig. 4D</xref>). Baicalein could also inhibit the phosphorylation level of ERK in the HT29 cells (data not shown). Our results also show that the combined treatment with the baicalein and U0126 (an ERK inhibitor) reduced both the MMP-2/&#x2212;9 protein expression (<xref rid="f5-or-37-04-2317" ref-type="fig">Fig. 5A and B</xref>) and the cell invasion significantly (<xref rid="f5-or-37-04-2317" ref-type="fig">Fig. 5C and D</xref>).</p>
</sec>
<sec>
<title>Baicalein inhibits the growth of CRC tumors in vivo</title>
<p>The inhibition effect of baicalein on DLD1 xenograft growth is shown in <xref rid="f6-or-37-04-2317" ref-type="fig">Fig. 6A</xref>. We found that baicalein could inhibit CRC growth significantly. At day 21, all the mice were sacrificed and the tumor tissues were removed and weighed. Compared to the control group, baicalein reduced the volume of solid tumors significantly (<xref rid="f6-or-37-04-2317" ref-type="fig">Fig. 6B</xref>). We also found that baicalein significantly inhibited phosphorylation level of ERK and the expression of MMP-2/&#x2212;9 <italic>in vivo</italic>. The inhibition effect of baicalein on the phosphorylation level of ERK is shown in <xref rid="f6-or-37-04-2317" ref-type="fig">Fig. 6C and D</xref>, and on expression of MMP-2/&#x2212;9 is shown <xref rid="f6-or-37-04-2317" ref-type="fig">Fig. 6E and F</xref> <italic>in vivo</italic>.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Baicalein possesses antitumor effect in many tumors (<xref rid="b17-or-37-04-2317" ref-type="bibr">17</xref>&#x2013;<xref rid="b19-or-37-04-2317" ref-type="bibr">19</xref>), but the reports on baicalein effect are rare in CRC. We found that baicalein significantly inhibited the migration and invasion of CRC cells by inhibiting MMP-2/&#x2212;9 expression via inhibiting the ERK signaling pathway.</p>
<p>Our results showed that baicalein inhibited the proliferation and colony formation ability of CRC cells and the mechanism is correlated with apoptosis. Transwell chamber is generally used as an assay to detect the metastasis ability of cancer cells. In the study, we chose the concentration below cytotoxicity to detect the effect of baicalein on the migration of CRC cells. We found that baicalein could inhibit the migration and invasion ability of CRC cells. Our finding is similar to previous research in other cancers (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>,<xref rid="b11-or-37-04-2317" ref-type="bibr">11</xref>,<xref rid="b15-or-37-04-2317" ref-type="bibr">15</xref>,<xref rid="b16-or-37-04-2317" ref-type="bibr">16</xref>), in which baicalein could inhibit the proliferation of hepatocellar carcinoma cells, glioma and breast cancer cells. As concentrations are below the cytotoxicity concentration, the inhibition effect is not correlated with the cytotoxicity of baicalein. To the best of our knowledge, we first show the effect of baicalein on DLD1 CRC cells whicn was used for research on proliferation, apoptosis and invasion of CRC (<xref rid="b20-or-37-04-2317" ref-type="bibr">20</xref>&#x2013;<xref rid="b22-or-37-04-2317" ref-type="bibr">22</xref>). The inhibitory properties are probably related to the specific structural features of baicalein (as shown in <xref rid="f1-or-37-04-2317" ref-type="fig">Fig. 1A</xref>). It was reported that the hydroxylation of C5 and C7 in A-ring significantly improved the anticancer activity of flavonoids over that of 5-fluorouracil (<xref rid="b23-or-37-04-2317" ref-type="bibr">23</xref>). Moreover, it has been demonstrated that the hydroxyl substitutions in the A-ring (C7) of baicalein are crucial for its anti-metastatic effects against human hematoma cells (<xref rid="b24-or-37-04-2317" ref-type="bibr">24</xref>).</p>
<p>To date, metastasis of CRC causes thousands of deaths every year worldwide (<xref rid="b25-or-37-04-2317" ref-type="bibr">25</xref>). Degradation of the ECM of lymph or blood vessels excert important roles in the metastasis of cancers via allowing the invasion of cancer cells into the circulation system and invade distant organs or tissues (<xref rid="b26-or-37-04-2317" ref-type="bibr">26</xref>). MMPs, especially MMP-2/&#x2212;9, play important roles in degrading ECM (<xref rid="b27-or-37-04-2317" ref-type="bibr">27</xref>). Baicalein shows inhibition effect on the expression of MMP-2/&#x2212;9 in hepatocellular carcinoma and glioma (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>,<xref rid="b16-or-37-04-2317" ref-type="bibr">16</xref>). Our results showed the inhibition effect of baicalein on MMP-2/&#x2212;9 expression in CRC cells. The results suggest that MMP-2/&#x2212;9 play important roles in the anti-metastatic effect of baicalein in CRC cells.</p>
<p>Multiple signaling cascades play important roles in the synthesis of MMPs, especially the ERK signaling pathway (<xref rid="b19-or-37-04-2317" ref-type="bibr">19</xref>,<xref rid="b28-or-37-04-2317" ref-type="bibr">28</xref>,<xref rid="b29-or-37-04-2317" ref-type="bibr">29</xref>). ERK signaling pathway plays an important role in tumor invasion via promoting the degradation of ECM proteins (<xref rid="b30-or-37-04-2317" ref-type="bibr">30</xref>,<xref rid="b31-or-37-04-2317" ref-type="bibr">31</xref>). Studies have shown that the inhibition of ERK phosphorylation reduces the expression of MMP-2/&#x2212;9 in the CRC cells (<xref rid="b32-or-37-04-2317" ref-type="bibr">32</xref>,<xref rid="b33-or-37-04-2317" ref-type="bibr">33</xref>). To investigate the related mechanism(s) of the inhibition effect of baicalein on CRC metastasis, we detected the activity of ERK signaling pathway in CRC cells. The results proved that baicalein reduced the activity of ERK signaling pathway significantly. Upregulation of ERK signaling pathway activity abolished the baicaleins antimetastatic effect. The results was similar to a previous study, in which baicalein inhibited the expression and activity of MMP-2 and MMP-9 via inhibiting the activity of ERK signaling pathway (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>).</p>
<p>Our results also showed that combined treatment with baicalein and U0126 (an ERK inhibitor) reduced both the MMP-2/&#x2212;9 protein expression (<xref rid="f5-or-37-04-2317" ref-type="fig">Fig. 5A and B</xref>) and the cell invasion significantly (<xref rid="f5-or-37-04-2317" ref-type="fig">Fig. 5C and D</xref>) suggesting that baicalein directly downregulated the ERK signaling pathway, which were similar to previous studies conducted in other types of carcinomas (<xref rid="b3-or-37-04-2317" ref-type="bibr">3</xref>). Finally, our results demonstrated that baicalein can inhibit the growth of CRC xenografts <italic>in vivo</italic>.</p>
<p>In conclusion, the present study demonstrated the anti-metastatic effect of baicalein on CRC. Furthermore, ERK signaling pathway plays a vitally important role in the anti-metastatic effect of baicalein on CRC cells by regulating MMP-2/&#x2212;9. These findings revealed that baicalein may represent a new potential anti-metastatic therapy for CRC.</p>
</sec>
</body>
<back>
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<floats-group>
<fig id="f1-or-37-04-2317" position="float">
<label>Figure 1.</label>
<caption><p>Chemical structure of baicalein and the anti-proliferation effect of baicalein. (A) Chemical structure of baicalein. (B) The cell viability was measured by MTT assay. (C) Baicalein inhibited the colony formation ability of CRC cells. (D) Baicalein induced the apoptosis of CRC cells. Values are represented as means &#x00B1; standard deviation (SD) of three independent experiments performed in triplicate. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared with the control group, respectively.</p></caption>
<graphic xlink:href="OR-37-04-2317-g00.tif"/>
</fig>
<fig id="f2-or-37-04-2317" position="float">
<label>Figure 2.</label>
<caption><p>Baicalein inhibits the migration and invasion of CRC cells. (A) HT29 and DLD1 cells were pretreated with 0, 10, 20 and 30 &#x00B5;M baicalein for 24 h. Then seeded onto the upper wells, FBS (10&#x0025;) was added to the bottom chambers for 16 h to induce cell migration. After 16 h, cells on the bottom side of the filter were fixed, stained and counted. (B) The percentage of migration rate was expressed as a percentage of control (0 &#x00B5;M). (C) HT29 and DLD1 cells were pretreated with 0, 10, 20 and 30 &#x00B5;M baicalein for 24 h. Then seeded onto the upper wells, FBS (10&#x0025;) was added to the bottom chambers for 24 h to induce cell invasion. After 24 h, cells on the bottom side of the filter were fixed, stained and counted. (D) The percentage of invasive rate was expressed as a percentage of control (0 &#x00B5;M). Values are presented as means &#x00B1; SD of three independent experiments performed in triplicate. &#x002A;&#x002A;P&#x003C;0.01 compared with the control group, respectively.</p></caption>
<graphic xlink:href="OR-37-04-2317-g01.tif"/>
</fig>
<fig id="f3-or-37-04-2317" position="float">
<label>Figure 3.</label>
<caption><p>Baicalein suppresses the expression of MMP-2/&#x2212;9 in HT29 and DLD1 cells. (A) HT29 cells were treated with baicalein (0, 10, 20 and 30 &#x00B5;M) for 24 h and then subjected to western blotting to analyze the protein levels of MMP-2/&#x2212;9. (B) Quantification of the protein levels of MMP-2/&#x2212;9 in HT29. (C) DLD1 cells were treated with baicalein (0, 10, 20 and 30 &#x00B5;M) for 24 h and then subjected to western blotting to analyze the protein levels of MMP-2/&#x2212;9. (D) Quantification of the protein levels of MMP-2/&#x2212;9 in DLD1. Values are presented as means &#x00B1; SD of three independent experiments performed in triplicate. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared with the control group, respectively.</p></caption>
<graphic xlink:href="OR-37-04-2317-g02.tif"/>
</fig>
<fig id="f4-or-37-04-2317" position="float">
<label>Figure 4.</label>
<caption><p>Effect of baicalein on ERK signaling pathway. (A) The protein levels of ERK and p-ERK. (B) Phosphorylation densities of ERK were digitally scanned. (C) Transwell assays were executed to evaluate anti-metastatic effects of baicalein on two groups of cells [&#x2018;pcDNA3.1 (&#x002B;)&#x2019;, the group transfected with an empty vector pcDNA3.1 (&#x002B;), &#x2018;pcDNA3.1 (&#x002B;)-MEK1&#x2019;, the group transfected with a pcDNA3.1 (&#x002B;)-MEK1]. (D) The inhibition rates of baicalein on two groups of cells [transfected with an empty vector pcDNA3.1 (&#x002B;), transfected with a pcDNA3.1 (&#x002B;)-MEK1]. Values are presented as means &#x00B1; SD of three independent experiments performed in triplicate. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared with the control group, respectively.</p></caption>
<graphic xlink:href="OR-37-04-2317-g03.tif"/>
</fig>
<fig id="f5-or-37-04-2317" position="float">
<label>Figure 5.</label>
<caption><p>Effects of ERK inhibitor (U0126) and baicalein on cell invasion and MMP-2/&#x2212;9 of DLD1 cells. (A) Cells were pretreated with U0126 (10 &#x00B5;M) for 30 min, then incubated in the presence or absence of baicalein (20 &#x00B5;M) for 24 h. The cell invasive abilities were performed by Boyden chamber invasion assay. (B) The percentage of invasive rate was expressed as a percentage of control. (C and D) DLD1 cells were treated and then subjected to western blotting to analyze the protein levels of MMP-2/&#x2212;9. Values are presented as means &#x00B1; SD of three independent experiments performed in triplicate. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared with the control group, respectively.</p></caption>
<graphic xlink:href="OR-37-04-2317-g04.tif"/>
</fig>
<fig id="f6-or-37-04-2317" position="float">
<label>Figure 6.</label>
<caption><p>The anti-metastasis effects of baicalein on CRC <italic>in vivo</italic>. To evaluate the <italic>in vivo</italic> effects of baicalein on tumor growth, DLD1 cells were xenografted into nude mice as previously described. The time course of DLD1 xenograft growth with and without baicalein treatment is shown in (A). By evaluating the xenograft tumor volume, a significant inhibition of tumor growth by baicalein was observed. In the baicalein-treated (20 mg/kg/day) mice at 21 days after cell implantation, the DLD1 xenograft volumes were inhibited significantly compared to control group. At the end of the experiment, the xenograft tumors were removed and weighed. Baicalein significantly decreased the solid tumor mass compared to the control group (B). Baicalein significantly inhibits the phosphorylation level of ERK in DLD1 cell xenograft tumors (C and D). Baicalein significantly suppresses the expression of MMP-2/&#x2212;9 in DLD1 cell xenograft tumors (E and F). &#x002A;&#x002A;P&#x003C;0.01 compared with the control group.</p></caption>
<graphic xlink:href="OR-37-04-2317-g05.tif"/>
</fig>
</floats-group>
</article>