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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2017.5569</article-id>
<article-id pub-id-type="publisher-id">or-37-05-2751</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>siRNA-mediated inhibition of endogenous brain-derived neurotrophic factor gene modulates the biological behavior of HeLa cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Sun</surname><given-names>Chun-Yan</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref>
<xref rid="af2-or-37-05-2751" ref-type="aff">2</xref>
<xref rid="c1-or-37-05-2751" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Chu</surname><given-names>Zhang-Bo</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Huang</surname><given-names>Jing</given-names></name>
<xref rid="af3-or-37-05-2751" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Lei</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Jian</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Ao-Shuang</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Jun-Ying</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Hu</surname><given-names>Yu</given-names></name>
<xref rid="af1-or-37-05-2751" ref-type="aff">1</xref>
<xref rid="af2-or-37-05-2751" ref-type="aff">2</xref>
<xref rid="c1-or-37-05-2751" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-37-05-2751"><label>1</label>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, P.R. China</aff>
<aff id="af2-or-37-05-2751"><label>2</label>Collaborative Innovation Center of Hematology, Huazhong University of Science and Technology, Wuhan, Hubei, P.R. China</aff>
<aff id="af3-or-37-05-2751"><label>3</label>Department of Hematology, Hongkong University-Shenzhen Hospital, Shenzhen, Guangdong, P.R. China</aff>
<author-notes>
<corresp id="c1-or-37-05-2751"><italic>Correspondence to</italic>: Professor Yu Hu or Dr Chun-Yan Sun, Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, Hubei 430022, P.R. China, E-mail: <email>dr_huyu@126.com</email>, E-mail: <email>suncy0618@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>05</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>11</day><month>04</month><year>2017</year></pub-date>
<volume>37</volume>
<issue>5</issue>
<fpage>2751</fpage>
<lpage>2760</lpage>
<history>
<date date-type="received"><day>06</day><month>09</month><year>2016</year></date>
<date date-type="accepted"><day>16</day><month>11</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Brain-derived neurotrophic factor (BDNF) is expressed in a number of neural and non-neuronal tumors. The present study investigated the effect of endogenous BDNF on the biological behavior of cervix cancer cells using small interfering RNA (siRNA). HeLa, a cervix cancer cell line with high expression of BDNF, was used as a living model to screen out the effective sequences of short hairpin RNA of the BDNF gene, and the effects of RNA interference on proliferation, apoptosis, migration and invasion of these cells were evaluated. Among the 4 siRNAs examined, siRNA1 caused a 99&#x0025; reduction in the relative BDNF mRNA level, while a 58&#x0025; decrease in the relative BDNF protein level (p&#x003C;0.01) was noted, and thus this siRNA was selected as the most efficient for use in the present study. In subsequent experiments, MTT assay revealed that BDNF silencing caused marked inhibition of HeLa cell proliferation while Hoechst 33258 staining assay demonstrated apoptosis-related changes in cell morphology. Downregulation of BDNF expression induced cell cycle arrest in the G1 phase as shown by flow cytometry. As indicated by Transwell migration and invasion assays, downregulation of BDNF expression suppressed the migratory and invasive capabilities of the HeLa cells. Together, our data revealed that BDNF modulates the proliferation, apoptosis, migratory and invasive capabilities of HeLa cells. BDNF siRNA may represent a novel therapy or drug target for preventing the tumorigenesis of cervical cancer.</p>
</abstract>
<kwd-group>
<kwd>BDNF</kwd>
<kwd>RNA interference</kwd>
<kwd>proliferation</kwd>
<kwd>apoptosis</kwd>
<kwd>cell cycle</kwd>
<kwd>migration</kwd>
<kwd>invasion</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Brain-derived neurotrophic factor (BDNF), a member of the neurotrophin family, plays an essential role in promoting the growth, survival and differentiation of developing neurons in the central and peripheral nervous systems (<xref rid="b1-or-37-05-2751" ref-type="bibr">1</xref>). In addition, BDNF is also involved in peripheral sensory and motor neuron regeneration at the site of nerve injury (<xref rid="b2-or-37-05-2751" ref-type="bibr">2</xref>). Apart from its well-known effects on neurons, recent studies have demonstrated that BDNF and its high-affinity tyrosine kinase (Trk) receptor TrkB are constitutively expressed in a number of neural and non-neuronal tumors, including neuroblastoma (<xref rid="b3-or-37-05-2751" ref-type="bibr">3</xref>), hepatocellular carcinoma (<xref rid="b4-or-37-05-2751" ref-type="bibr">4</xref>), multiple meloma (<xref rid="b5-or-37-05-2751" ref-type="bibr">5</xref>), prostatic carcinoma (<xref rid="b6-or-37-05-2751" ref-type="bibr">6</xref>), pancreatic ductal adenocarcinoma (<xref rid="b6-or-37-05-2751" ref-type="bibr">6</xref>), adenoid cystic carcinoma (<xref rid="b7-or-37-05-2751" ref-type="bibr">7</xref>) and retinoblastoma (<xref rid="b8-or-37-05-2751" ref-type="bibr">8</xref>). Moreover, it has been reported that BDNF and TrkB are preferentially expressed in more aggressive neuroblastoma with N-myc amplification (<xref rid="b9-or-37-05-2751" ref-type="bibr">9</xref>). BDNF is expressed in 33 and 100&#x0025; of typical (TC) and atypical (AC) pulmonary carcinoids, respectively, indicating the unfavorable prognosis of patients (<xref rid="b10-or-37-05-2751" ref-type="bibr">10</xref>). In addition to malignant cells, BDNF can be produced by osteoblasts, and bone marrow (BM) endothelial cells in BM stroma (<xref rid="b5-or-37-05-2751" ref-type="bibr">5</xref>), implying that the paracrine and autocrine functions of BDNF play critical roles in interaction of MM plasma cells with BM microenvironment as interleukin-6 (IL-6) (<xref rid="b11-or-37-05-2751" ref-type="bibr">11</xref>). Exogenous BDNF participates in the promotion of the growth and survival of tumor cells, protection of tumor cells from chemotherapy-induced apoptosis (<xref rid="b12-or-37-05-2751" ref-type="bibr">12</xref>), enhancing invasive and migratory capabilities of tumor cells in a dose-dependent manner (<xref rid="b13-or-37-05-2751" ref-type="bibr">13</xref>), cooperation with TrkB in transforming rat intestinal epithelia cells to malignant cells and suppression of anoikis (apoptosis resulting from loss of cell-matrix interactions) (<xref rid="b14-or-37-05-2751" ref-type="bibr">14</xref>), induction of the tube formation of human umbilical vein endothelial cells (HUVEC) <italic>in vitro</italic> and modulation of angiogenesis in tumors (<xref rid="b15-or-37-05-2751" ref-type="bibr">15</xref>). These studies suggest the potential roles of BDNF in tumorigenicity and the progression of cancers; however, the mechanisms have not yet been completely clarified.</p>
<p>RNA interference (RNAi) is a process of post-transcriptional gene silencing in which double-stranded RNA (dsRNA) inhibits gene expression in a sequence-dependent manner via degradation of the corresponding mRNA (<xref rid="b16-or-37-05-2751" ref-type="bibr">16</xref>&#x2013;<xref rid="b18-or-37-05-2751" ref-type="bibr">18</xref>). RNAi is initiated by an event whereby dsRNA is recognized by Dicer (<xref rid="b19-or-37-05-2751" ref-type="bibr">19</xref>). The Dicer enzyme cleaves dsRNA into 19&#x2013;22 nucleotide short interfering RNA (siRNA). These siRNA duplexes are incorporated into a protein complex called the RNAi-induced silencing complex (RISC), where they are cleaved into 2 single strands (guide and passenger strand). The latter is degraded, while the former, antisense siRNA, pairs with the complementary sequence in mRNA to induce its cleavage (<xref rid="b20-or-37-05-2751" ref-type="bibr">20</xref>). A previous study investigated the RNAi-mediated inhibition of BDNF in rat myoblasts. The reduction in the level of BDNF promoted myoblasts to exit the cell cycle and initiate the myogenic differentiation program (<xref rid="b21-or-37-05-2751" ref-type="bibr">21</xref>). RNAi-mediated, sequence-specific gene silencing revealed that inhibition of BDNF expression enhanced cocaine cytotoxicity in neuroblastoma SK-N-AS cells and primary rat hippocampal neurons (<xref rid="b22-or-37-05-2751" ref-type="bibr">22</xref>).</p>
<p>In the present study, small interfering RNA (siRNA) was used as a tool for suppressing the expression of the endogenous BDNF gene in HeLa, a cervical carcinoma cell line with high expression of BDNF, in order to investigate the effects of RNA interference on the proliferation, apoptosis, cell cycle distribution and the invasive and migratory capabilities of HeLa cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Construction of the recombinant eukaryotic human-BDNF siRNA expression vector</title>
<p>BDNF siRNA was designed according to the siRNA design guidelines of Ambion Inc. (Carlsbad, CA, USA). General design guidelines are as follows. The selected 19&#x2013;22 base siRNA sequences were designed with 30&#x2013;50&#x0025; guanine cytosine content to avoid inverted repeats (<xref rid="b23-or-37-05-2751" ref-type="bibr">23</xref>). Four siRNAs were chosen based on the sequence of the human BDNF gene. They covered different regions of the BDNF sequence and showed no homology with other human genes. A scrambled siRNA was used as a negative control. The target sequences and corresponding hairpin siRNA sequences for the 5 siRNAs, designated siRNA1, siRNA2, siRNA3, siRNA4 and scramble siRNA, are shown in <xref rid="f1-or-37-05-2751" ref-type="fig">Fig. 1</xref>. The structure of hairpin siRNA was <italic>Bam</italic>HI &#x002B; sense &#x002B; loop &#x002B; antisense &#x002B; termination signal &#x002B; <italic>Sal</italic>I &#x002B; <italic>Hind</italic>III. pGenesil-1 [enhanced green fluorescent protein (EGFP) purchased from Genesil (Wuhan, China)] was introduced for the construction of recombinant eukaryotic human BDNF siRNA expression vectors. Five pairs of hairpin siRNA sense and antisense sequences were synthesized, annealed and cloned into the <italic>Bam</italic>HI/<italic>Hin</italic>dIII cloning site of pGenesil-1, respectively. The products were transformed into DH5&#x03B1;-competent cells. Kanamycin-resistant colonies were chosen, identified by restriction digestion, and further confirmed by DNA sequencing. The synthesis of all DNA chains and DNA sequencing was performed by Genesil.</p>
</sec>
<sec>
<title>Cell culture and transfection</title>
<p>The cervical carcinoma cell line HeLa was cultured in RPMI-1640 medium supplemented with 10&#x0025; fetal bovine serum (FBS), 100 U/ml penicillin, 100 U/ml streptomycin, and was routinely maintained at 37&#x030A;C in 5&#x0025; CO<sub>2</sub>. Medium was changed every 3 days.</p>
<p>HeLa cells were seeded in 6-well plates (5&#x00D7;10<sup>5</sup>/ml). Transient transfection was performed using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer&#x0027;s instructions. For stable transfection, HeLa cells were cultured in the standard culture medium for 48 h after transfection. G418 selection at 800 &#x00B5;g/ml was applied and continued for 4 weeks until single colonies were formed. In parallel, non-transfected cells were also placed in standard culture medium to ensure the potency and selectivity of G418. Positive clones were maintained in the culture medium with G418 at 300 &#x00B5;g/ml. To determine the transfection efficiencies and expression effects of BDNF siRNA in HeLa cells, EGFP expression was examined by microscopy (magnification, &#x00D7;400) at 24 h after transfection and after the positive clones were established.</p>
</sec>
<sec>
<title>RNA extraction and reverse-transcriptase polymerase chain reaction (RT-PCR)</title>
<p>Total RNA from HeLa cells was isolated using TRIzol extraction according to the manufacturer&#x0027;s protocol (Invitrogen). Complementary DNA (cDNA) was subsequently synthesized from total RNA (5 &#x00B5;g) using RevertAid First-Strand cDNA Synthesis kit (Fermentas, Burlington, Ontario, Canada). Then, 1 &#x00B5;g of cDNA was subjected to PCR for the selected genes. Primers used were as follows: 5&#x2032;-GCAGCCTTCTTTTGTGTAACC-3&#x2032; and 5&#x2032;-AGAGTGATGACCATCCTTTTC-3&#x2032; for BDNF (594 bp); as well as 5&#x2032;-GAAGGTGAAGGTCGGAGTC-3&#x2032; and 5&#x2032;-GAAGATGGTGATGGGATTC-3&#x2032; for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (226 bp) as control; 5&#x2032;-GTTTCATAAGATCCCACTGGATGG-3&#x2032; and 5&#x2032;-TGCTGCTTAGCTGCCTGAGAGTTA-3&#x2032; for TrkB (260 bp); as well as 5&#x2032;-TGAGACCTTCAACACCCCAG-3&#x2032;, and 5&#x2032;-GCCATCTCTTGCTCGAAGTC-3&#x2032; for &#x03B2;-actin (312 bp) as control. PCR profiles consisted of denaturation at 94&#x030A;C for 1 min, annealing at 55&#x030A;C for 30 sec, and extension at 72&#x030A;C for 1 min. The samples were amplified for 32 cycles. PCR products were separated by electrophoresis on 1.5&#x0025; agarose gels, stained with ethidium bromide and photographed.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were washed twice with ice-cold phosphate-buffered saline (PBS), and then harvested on ice with NP40 lysis buffer, containing 50 mmol/l Tris-HCl, pH 7.4; 150 mmol/l NaCl; 1&#x0025; NP40; 5 mmol/l EDTA; 5 mmol/l NaF; 2 mmol/l sodium vanadate; 1 mmol/l phenylmethylsulfonyl fluoride; 5 mg/ml leupeptin; and 5 mg/ml aprotinin. The protein content was quantitated by Bio-Rad protein assay (Bio-Rad, Hercules, CA, USA). The lysate was then boiled for 5 min for protein denaturation. Protein samples containing an equal amount (60 &#x00B5;g) of protein were separated by electrophoresis on 10&#x0025; polyacrylamide-SDS gels and transferred onto nitrocellulose membranes. Non-specific binding of antibodies was blocked by incubation in Tris-buffered saline (TBS) containing 0.1&#x0025; Tween-20 (TBS-T) and 5&#x0025; non-fat milk for 1 h, followed by overnight incubation with rabbit anti-human BDNF (SC-546) (1:500) or rabbit anti-human TrkB (SC-12) (both from Santa Cruz Biotechnology, Santa Cruz, CA, USA) (1:500) or rabbit polyclonal IgG to GAPDH (1:1,000) at 4&#x030A;C. Rabbit anti-pAKT (1:500) and anti-AKT (1:1,000) were obtained from Cell Signaling Technology (Beverly, MA, USA). After washing, the membranes were incubated with horseradish peroxidase (HRP)-conjugated goat anti-rabbit secondary antibodies (1:5,000) at room temperature for 1 h. Immunoreactive bands were visualized using the ECL kit.</p>
</sec>
<sec>
<title>MTT assay</title>
<p>Cell proliferation was assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide (MTT; Sigma Chemical Co., St. Louis, MO, USA) assay. Cells were seeded in a 96-well plate at a density of 1.5&#x00D7;10<sup>4</sup> cells/well and allowed to adhere overnight. Transient transfection was performed using Lipofectamine 2000 (Invitrogen), according to the manufacturer&#x0027;s instructions. After 12, 24, 48, 72 and 120 h of transfection, 20 &#x00B5;l of 5 mg/&#x00B5;l MTT solution was added into each well of the plate and cells were incubated at 37&#x030A;C for an additional 4 h. The culture supernatant was removed, 150 &#x00B5;l of dimethyl sulfoxide (DMSO; Sigma) was added to dissolve the crystals. Spectrophotometric absorbance of the samples was measured by a microtiter plate reader at 570 nm. Considering that the initial cell concentrations of each group may be not identical, data at 12 h was set as the control. The cell proliferation rate was calculated as follows: Proliferation rate (&#x0025;) = (sample absorbance/control absorbance) &#x00D7; 100. Each value represents 6 replicates, and each experiment was repeated 3 times.</p>
</sec>
<sec>
<title>Flow cytometry</title>
<p>HeLa cells were divided into non-transfected (P<sub>non</sub>), pGenesil-1-tranfected (P<sub>0</sub>) and positive experimental groups (P<sub>BDNF1</sub>). Cells in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups were cultured in 6-well plates. After 48 h of incubation, a total of 1&#x00D7;10<sup>6</sup> cells were harvested, washed twice with PBS and fixed with cold 70&#x0025; ethanol overnight at &#x2212;20&#x030A;C. Fixed cells were centrifuged at 1,200 rpm and washed with PBS. Cells were stained in the dark with propidium iodide (PI; 50 &#x00B5;g/ml; Sigma) and 0.1&#x0025; RNaseA (Invitrogen) at 4&#x030A;C for 1 h. Measurement of nuclear DNA was performed using flow cytometry (FCM). The results obtained reflected the percentage of cells in each phase of the cell cycle.</p>
</sec>
<sec>
<title>Hoechst 33258 staining</title>
<p>After 24 h of incubation in 6-well plates, the supernatant were removed. Then, the cells were fixed with cold methanol (0&#x030A;C) for 10 min and washed twice with PBS. Hoechst 33258 (1 mg/ml) was added and incubation for 30 min at 4&#x030A;C was carried out in a dark place. Cells were then washed with PBS and the apoptotic cells were observed using an Olympus BH-2 fluorescence microscope (magnification, &#x00D7;200; Olympus, Tokyo, Japan). Cells stained bright blue were considered as apoptotic cells. Random cells (500) were counted and the apoptotic rate was calculated as follows: Hoechst 33258-stained cells/500 cells&#x00D7;100&#x0025;.</p>
</sec>
<sec>
<title>Migration and invasion assays</title>
<p>Cell migration was quantified by the number of cells that directionally migrated through a 8-&#x00B5;m-pore polycarbonate filter (porosity, 8 &#x00B5;m; Costar, Appleton Woods, Birmingham, UK) in Boyden chambers. Briefly, the lower surface of the filter was coated with 10 mg of gelatin. HeLa cells were serum-starved overnight and resuspended in serum-free medium, and then 200 &#x00B5;l of the cell suspension was replaced onto the upper chamber of each well at a final concentration of 1&#x00D7;10<sup>6</sup> cells/ml. FBS (10&#x0025;)-containing medium was added to the bottom chamber and cells were allowed to migrate for 6 h at 37&#x030A;C. Non-migrated cells on the upper membrane surface were removed with a cotton swab. The migratory cells attached to the lower membrane surfaces were fixed with 4&#x0025; paraformaldehyde in PBS and stained with Wright staining. Cells were counted at a magnification of &#x00D7;400 using standard microscopy, and the mean number of cells/field in 5 random fields was recorded. Triplicate filters were used and the experiments were repeated 3 times. The invasion assay was performed as above except that the upper surface of the filters were coated with 25 &#x00B5;g Matrigel, the cell concentration was adjusted to 2&#x00D7;10<sup>5</sup> cells/ml and the time was prolonged to 24 h.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>SPSS for Windows (SPSS 13.0; SPSS, Inc., Chicago, IL, USA) was used to analyze the data. Data are expressed as the mean &#x00B1; standard deviation (SD) from at least 3 separate experiments. Student&#x0027;s t-test was used to determine the significant difference between 2 groups. For comparison between 3 or more groups, one-way ANOVA test was used to determine statistical significance. The level of significance was set at p&#x003C;0.05.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>High expression levels of BDNF and TrkB in HeLa cells</title>
<p>As shown in <xref rid="f2-or-37-05-2751" ref-type="fig">Fig. 2</xref>, RT-PCR and western blot analysis revealed that BDNF and TrkB were highly expressed in the HeLa cells at both the mRNA (<xref rid="f2-or-37-05-2751" ref-type="fig">Fig. 2A</xref>) and protein level (<xref rid="f2-or-37-05-2751" ref-type="fig">Fig. 2B</xref>). BDNF may provide autocrine support for TrkB-expressing HeLa cells as reported in the nervous system (<xref rid="b24-or-37-05-2751" ref-type="bibr">24</xref>).</p>
</sec>
<sec>
<title>The recombinant eukaryotic BDNF siRNA expression vectors were successfully constructed and transfected into HeLa cells stably with high efficiencies</title>
<p>As shown in <xref rid="f3-or-37-05-2751" ref-type="fig">Fig. 3A-C</xref>, 4 experimental groups of plasmids pBDNF1, pBDNF2, pBDNF3 and pBDNF4, and the negative control group plasmid pScr were successfully generated. The multiple clone sites of pGenesil-1 are: <italic>Hin</italic>dIII, shRNA, <italic>Bam</italic>HI, U6 promotor, <italic>Eco</italic>RI, <italic>Sal</italic>I and <italic>Xba</italic>I. A specific <italic>Sal</italic>I site was designed and synthesized into the shRNA sequences. Recombinant vectors were digested to a 400 bp fragment by <italic>Sal</italic>I with the correct insertion. Most of the HeLa cells were effectively transfected with the recombinant BDNF siRNA expression vectors. The transient transfection efficiencies were ~60&#x2013;80&#x0025;. EGFP expression was not significantly reduced after the positive clones were generated (<xref rid="f3-or-37-05-2751" ref-type="fig">Fig. 3D-F</xref>).</p>
</sec>
<sec>
<title>siRNA1 is the most efficient sequence among the siRNAs examined</title>
<p>HeLa cells were divided into non-transfected (P<sub>non</sub>), pGenesil-1-tranfected (P<sub>0</sub>), pScr (P<sub>Scr</sub>) and positive experimental groups (P<sub>BDNF1</sub>, P<sub>BDNF2</sub>, P<sub>BDNF3</sub> and P<sub>BDNF4</sub>, respectively). As shown in <xref rid="f4-or-37-05-2751" ref-type="fig">Fig. 4</xref>, semi-quantitative RT-PCR and western blot analysis were performed when the positive clones had been established. The results revealed that siRNA1 (p&#x003C;0.01) and siRNA4 (p&#x003C;0.05) both led to significant reductions in BDNF expression without marked changes in GAPDH (GAPDH, data not shown), while pGenesil-1, siRNA2, siRNA3 and scramble siRNA barely altered the expression of BDNF (p&#x003E;0.05). Compared with the level of BDNF in the P<sub>non</sub> group, siRNA1 led to nearly 99&#x0025; reduction in the relative mRNA level, while a 58&#x0025; decrease in the relative protein level was noted. siRNA1 was selected as the most efficient siRNA for use in the next experiments. Stable HeLa cell clones in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups were used as experimental objects.</p>
</sec>
<sec>
<title>Downregulation of BDNF expression suppresses the proliferation of HeLa cells and induced cell cycle arrest in the G1 phase</title>
<p>FCM was performed to evaluate the cell cycle profile in the BDNF-siRNA-transfected HeLa cells. As shown in <xref rid="f5-or-37-05-2751" ref-type="fig">Fig. 5A-D</xref>, the percentage of cells in the G1 phase in the P<sub>BDNF1</sub> group (70.73&#x00B1;4.15&#x0025;) was much higher than that observed in the P<sub>non</sub> (55.33&#x00B1;5.64&#x0025;) (p&#x003C;0.01) and P<sub>0</sub> group (57.47&#x00B1;2.98&#x0025;) (p&#x003C;0.05). Meanwhile, the percentage of cells in the G2 phase correspondingly decreased in the P<sub>BDNF1</sub> group (11.15&#x00B1;2.88&#x0025;) compared with the P<sub>non</sub> (24.83&#x00B1;3.67&#x0025;) (p&#x003C;0.01) and P<sub>0</sub> group (21.28&#x00B1;5.38&#x0025;) (p&#x003C;0.05). The percentage of cells in the S phase had no significant change in the 3 groups (p&#x003E;0.05) (<xref rid="f5-or-37-05-2751" ref-type="fig">Fig. 5A-D</xref>). Together, the results showed that BDNF-siRNA induced cell cycle arrest at the G1 phase and decreased the distribution of cells in the G2 phase. The growth curves of cells in the 3 groups as determined by the MTT assay showed significant growth inhibition of the BDNF-siRNA-transfected HeLa cells (<xref rid="f5-or-37-05-2751" ref-type="fig">Fig. 5E</xref>).</p>
</sec>
<sec>
<title>Downregulation of BDNF expression induces the apoptosis of HeLa cells</title>
<p>To analyze the involvement of BDNF in cell apoptosis, Hoechst 33258 staining was performed to investigate the apoptosis-related changes in cell morphology and to further evaluate the apoptotic rates in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups. Observation with fluorescence microscopy (magnification, &#x00D7;200) revealed a significant increase in the number of cells in the P<sub>BDNF1</sub> group showing nuclear condensation and fragmentation which was not observed in the P<sub>non</sub> and P<sub>0</sub> groups (<xref rid="f6-or-37-05-2751" ref-type="fig">Fig. 6A-C</xref>). As shown in <xref rid="f6-or-37-05-2751" ref-type="fig">Fig. 6D</xref>, the percentage of apoptotic/necrosis cells in the P<sub>BDNF1</sub> group (27.14&#x00B1;4.57&#x0025;) was much higher than those observed in the P<sub>non</sub> (0.84&#x00B1;0.39&#x0025;) and the P<sub>0</sub> group (2.68&#x00B1;1.02&#x0025;) (p&#x003C;0.01).</p>
</sec>
<sec>
<title>Downregulation of BDNF expression suppresses the migratory and invasive capabilities of HeLa cells</title>
<p>To evaluate the role of BDNF in cell migration and invasion, Transwell assay was used as a tool to determine the migratory and invasive capabilities of HeLa cells in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups. As shown in the <xref rid="f7-or-37-05-2751" ref-type="fig">Fig. 7A-D</xref>, the number of cells in the P<sub>0</sub> group that had migrated to the underside of the filters was similar to that of the cells in the P<sub>non</sub> group, whereas cells in the P<sub>BDNF1</sub> group showed a significantly reduced migratory capability compared with the other 2 groups (p&#x003C;0.01). Migrated cells/field in the P<sub>BDNF1</sub> group (37&#x00B1;17), were significantly less than those in the P<sub>non</sub> (105&#x00B1;31) and P<sub>0</sub> group (92&#x00B1;28). Migratory capability was impaired in the BDNF-knockdown cells compared with that noted in the non-transfected cells within at least a 2-fold reduction (p&#x003C;0.01). As shown in <xref rid="f7-or-37-05-2751" ref-type="fig">Fig. 7E-H</xref>, similar to the migration assay, the number of invaded cells/field in the P<sub>BDNF1</sub> group (24&#x00B1;12), was significantly less than those in the P<sub>non</sub> (85&#x00B1;26) and P<sub>0</sub> groups (75&#x00B1;20). Invasive capability was significantly impaired in the BDNF-knockdown cells compared with non-transfected cells with at least a 3-fold reduction (p&#x003C;0.01). Using stable cell lines expressing shRNA against BDNF, these results indicate that endogenous BDNF is essential for the ability of HeLa cells to migrate and invade normally.</p>
</sec>
<sec>
<title>Downregulation of BDNF expression inhibits the activation states of PI3K signaling</title>
<p>We next sought to study the effect of BDNF on the activation states of PI3K, a member of the signaling pathways known to be involved in mediating tumor cell proliferation and migration. AKT is a downstream target of PI3K-generated signals and becomes activated after phosphorylation of Ser473. The results showed that the level of phosphorylated AKT was significantly impaired in the BDNF-knockdown HeLa cells compared with the level noted in the non-transfected cells (<xref rid="f8-or-37-05-2751" ref-type="fig">Fig. 8</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The present study was designed to investigate the biological role of BDNF in cervical carcinoma cell line HeLa. We showed that both BDNF and also its high-affinity receptor TrkB are expressed by HeLa cells. It has been documented that an autocrine loop exists between BDNF and TrkB in malignant tumors such as neuroblastoma (<xref rid="b25-or-37-05-2751" ref-type="bibr">25</xref>), multiple myeloma (<xref rid="b5-or-37-05-2751" ref-type="bibr">5</xref>) and ovarian cancer (<xref rid="b26-or-37-05-2751" ref-type="bibr">26</xref>). In the autocrine loop, high expression of endogenous BDNF induced expression of TrkB. Hence, we postulated that BDNF may provide autocrine support for TrkB-expressing HeLa cells. Cervical carcinoma is the second leading cause of cancer morbidity and mortality among women worldwide, particularly in developing countries. It is well known that infection with high-risk human papilloma virus (HPV) is the predominant risk factor for cervical carcinoma. Although estrogens are a human carcinogen for a variety of cancers (<xref rid="b27-or-37-05-2751" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-or-37-05-2751" ref-type="bibr">29</xref>), its effect on cervical carcinoma has not received much attention. However, it has been revealed that estrogens (E) and the estrogen receptor (ER) are overexpressed in cervical carcinoma tissue samples. The E/ER signaling pathway is essential for stimulating the expression of HPV E6 and E7 mRNA and cervical carcinoma cell proliferation, anchorage-independent growth and resistance to drug-induced apoptosis (<xref rid="b30-or-37-05-2751" ref-type="bibr">30</xref>). The BDNF gene contains a sequence with close homology to the estrogen response element (ERE) and estrogen-ligand complexes are capable of binding this sequence and protecting it from DNase degradation (<xref rid="b31-or-37-05-2751" ref-type="bibr">31</xref>). Ovariectomy in female rats was found to reduce BDNF expression and exogenous estrogen replacement restores it (<xref rid="b32-or-37-05-2751" ref-type="bibr">32</xref>). Gonadectomized male rats show an increase in BDNF mRNA after estrogen treatment (<xref rid="b33-or-37-05-2751" ref-type="bibr">33</xref>). Recent studies have also found that estrogen regulates BDNF expression via non-receptor-dependent mechanisms, involving disinhibition of GABA-ergic neurons (<xref rid="b34-or-37-05-2751" ref-type="bibr">34</xref>). It remains unknown whether BDNF/TrkB is expressed in cervical carcinoma tissue samples, whether the expression level is correlated with the clinical stage, and whether BDNF-estrogen interaction is involved in the pathological mechanism of cervical carcinoma. We are currently conducting studies to address these issues.</p>
<p>In the present study, recombinant eukaryotic BDNF siRNA expression vectors were successfully constructed and transfected into HeLa cells. siRNA1 was selected as the most efficient siRNA used in the present study. siRNA-induced silencing of endogenous BDNF expression suppressed the proliferation of HeLa cells and induced cell cycle arrest in the G1 phase. These investigations are consistent with previous findings which demonstrated that BDNF promoted multiple myeloma (<xref rid="b35-or-37-05-2751" ref-type="bibr">35</xref>), pancreatic cancer (<xref rid="b36-or-37-05-2751" ref-type="bibr">36</xref>) and hepatocellular carcinoma cell (<xref rid="b4-or-37-05-2751" ref-type="bibr">4</xref>) proliferation in a dose-dependent manner. Administration of BDNF to hepatocellular carcinoma cell lines induced significantly increased expression of cyclin D1 (<xref rid="b4-or-37-05-2751" ref-type="bibr">4</xref>). Cyclin D1 is a key modulator in the G1 phase which controls the cell cycle switch to S phase. Upregulation of cyclin D1 by exogenous BDNF accelerated the G1 phase process and promoted tumor cell proliferation. Hence, we postulated that interference of endogenous BDNF expression in HeLa cells may alter the cell cycle profile in the G1 phase resulting in downregulation of the proliferation rate. However, BDNF/TrkB signal transduction in neuroblastoma cell lines SMS-KCN and SH-SY5Y, and retinoblastoma cell line RBL-15 are distinct from those observed in the present study. BDNF was barely able to alter cell proliferation or change cell cycle distribution (<xref rid="b3-or-37-05-2751" ref-type="bibr">3</xref>,<xref rid="b25-or-37-05-2751" ref-type="bibr">25</xref>). The data indicate that the role of BDNF in promoting proliferation is still controversial; much research must be carried out to fully elucidate the issue.</p>
<p>Hoechst 33258 staining assay revealed that interference of BDNF expression also increased cell apoptosis. Kurokawa <italic>et al</italic> (<xref rid="b37-or-37-05-2751" ref-type="bibr">37</xref>) constructed a rat retinal ischemia-reperfusion injury model and found that exogenous BDNF intravitreally injected immediately after reperfusion decreased the number of caspase-2-positive cells in the retinal ganglion cell layer. Administration of K252&#x03B1; (a type of TrkB inhibitor) was able to activate caspase-3 and furthermore induce apoptosis in lung adenocarcinoma cell line A549 (<xref rid="b38-or-37-05-2751" ref-type="bibr">38</xref>). BDNF may reduce neuron apoptosis by increasing the expression of the Bcl-2 anti-apoptosis protein and by inhibiting intracellular calcium overload (<xref rid="b39-or-37-05-2751" ref-type="bibr">39</xref>). Anoikis is defined as apoptosis caused by lack of cell-matrix interactions (<xref rid="b40-or-37-05-2751" ref-type="bibr">40</xref>), which has been suggested to act as a barrier to metastasis. Transgenic co-expression of BDNF/TrkB in rat intestinal epithelial cells resulted in complete transformation of the cells from normal cells to malignant cells. Transformed cells showed the capability of anti-apoptosis in systemic circulation and seeded to a distant place forming secondary tumors (<xref rid="b14-or-37-05-2751" ref-type="bibr">14</xref>). A similar phenomenon was observed in ovarian cancer (<xref rid="b41-or-37-05-2751" ref-type="bibr">41</xref>), BDNF and TrkB were found to be overexpressed in epithelial ovarian cancers and the BDNF/TrkB/PI3K-AKT signaling pathway may mediate anoikis suppression. Suppression of anoikis by BDNF may increase the survival of grafted Schwann cells in the case of therapy for spinal cord injury (<xref rid="b42-or-37-05-2751" ref-type="bibr">42</xref>). In the present study, it was found that interference of BDNF expression significantly enhanced cell apoptosis and PI3K/AKT was involved in BDNF signal transduction in the cervical carcinoma cells. This evidence suggests that BDNF/TrkB functions as an anti-apoptosis signal to modulate tumor cell survival.</p>
<p>Metastasis is a major factor in the malignancy of cancers, and is often responsible for the failure of cancer treatment. Yu <italic>et al</italic> (<xref rid="b41-or-37-05-2751" ref-type="bibr">41</xref>) clarified that the overexpression of BDNF/TrkB was significantly higher in greater omentum metastatic lesions and multicellular spheroids in ascites than in the corresponding primary lesions. In the present study, the migratory capability was impaired in the BDNF-knockdown cells compared with the non-transfected cells with at least a 2-fold reduction while the invasive capability was significantly attenuated with at least a 3-fold reduction. BDNF is a novel cytokine which induces the metastasis of HeLa cells as well as in multiple myeloma (<xref rid="b35-or-37-05-2751" ref-type="bibr">35</xref>), and lung adenocarcinoma (<xref rid="b43-or-37-05-2751" ref-type="bibr">43</xref>). Invasion of tumor cells into neighboring tissues requires degradation of the extracellular matrix by proteases. A recent study demonstrated that at least 2 discrete domains within the tissue-type plasminogen activator (tPA) gene promoter contribute to the BDNF response (<xref rid="b44-or-37-05-2751" ref-type="bibr">44</xref>). Enhanced TrkB expression in neuroblastoma cells was associated with a significant increase in the secretion of subsets of matrix metalloproteinases (MMPs) (MMP-1, MMP-2 and MMP-9) and the urokinase-type plasminogen activator (uPA) and tPA, which resulted in an increase in their invasive capability via increased activity of proteolytic networks (<xref rid="b45-or-37-05-2751" ref-type="bibr">45</xref>). These findings explain why BDNF/TrkB expression contributes to the migration and invasion of tumor cells.</p>
<p>In conclusion, we report the expression of BDNF/TrkB in human cervical carcinoma cell line HeLa. siRNA targeting the BDNF gene was used to prove that BDNF promotes HeLa cell proliferation and suppresses apoptosis, migration and invasion. In addition to the biological roles observed in the present study, BDNF was also found to act as a pro-angiogenic factor essential for the formation of tumor blood vessels (<xref rid="b46-or-37-05-2751" ref-type="bibr">46</xref>). A new hypothesis suggests that tumors initiate their own innervations by the release of neurotrophic factors including nerve growth factor (NGF) and BDNF. By this process, which is termed neoneurogenesis, tumor cells come into close contact to nerve cells, forming a neuro-neoplastic synapse. Through these synapses, neurotransmitters are directly supplied to the tumor, which has impact on tumor growth and metastasis formation (<xref rid="b47-or-37-05-2751" ref-type="bibr">47</xref>,<xref rid="b48-or-37-05-2751" ref-type="bibr">48</xref>). Such findings provide hints to the possible mechanisms of the BDNF/TrkB signaling pathway in tumorigenesis which warrants further investigation for the possibility of alternative therapeutic targets.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by grants from the National Natural Sciences Foundation of China (no. 81272625 for C.-Y.S.; no. 81302042 to Z.-B.C.) and the Important New Drug Discovery (no. 2011ZX09302-002 to Y.H.).</p>
</ack>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>BDNF</term><def><p>brain-derived neurotrophic factor</p></def></def-item>
<def-item><term>siRNA</term><def><p>small interfering RNA</p></def></def-item>
<def-item><term>Trk</term><def><p>tyrosine kinase</p></def></def-item>
<def-item><term>IL-6</term><def><p>interleukin-6</p></def></def-item>
<def-item><term>RNAi</term><def><p>RNA interference</p></def></def-item>
<def-item><term>dsRNA</term><def><p>double-stranded RNA</p></def></def-item>
<def-item><term>RISC</term><def><p>RNAi-induced silencing complex</p></def></def-item>
<def-item><term>FBS</term><def><p>fetal bovine serum</p></def></def-item>
<def-item><term>cDNA</term><def><p>complementary DNA</p></def></def-item>
<def-item><term>PBS</term><def><p>phosphate-buffered saline</p></def></def-item>
<def-item><term>TBS</term><def><p>Tris-buffered saline</p></def></def-item>
<def-item><term>MTT</term><def><p>3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide</p></def></def-item>
<def-item><term>DMSO</term><def><p>dimethyl sulfoxide</p></def></def-item>
<def-item><term>RT-PCR</term><def><p>reverse-transcriptase polymerase chain reaction</p></def></def-item>
<def-item><term>EGFP</term><def><p>enhanced green fluorescent protein</p></def></def-item>
<def-item><term>HPV</term><def><p>human papilloma virus</p></def></def-item>
<def-item><term>ER</term><def><p>estrogen receptor</p></def></def-item>
<def-item><term>MMPs</term><def><p>matrix metalloproteinases</p></def></def-item>
<def-item><term>uPA</term><def><p>urokinase-type plasminogen activator</p></def></def-item>
<def-item><term>tPA</term><def><p>tissue-type plasminogen activator</p></def></def-item>
<def-item><term>NGF</term><def><p>nerve growth factor</p></def></def-item>
</def-list>
</glossary>
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</back>
<floats-group>
<fig id="f1-or-37-05-2751" position="float">
<label>Figure 1.</label>
<caption><p>siRNA sequences.</p></caption>
<graphic xlink:href="OR-37-05-2751-g00.jpg"/>
</fig>
<fig id="f2-or-37-05-2751" position="float">
<label>Figure 2.</label>
<caption><p>High level of BDNF and TrkB expression in HeLa cells. BDNF mRNA transcripts and protein expression were analyzed with (A) RT-PCR and (B) western blot analysis. Homogenate of rat brain was used as a positive control for the expression of BDNF and TrkB.</p></caption>
<graphic xlink:href="OR-37-05-2751-g01.tif"/>
</fig>
<fig id="f3-or-37-05-2751" position="float">
<label>Figure 3.</label>
<caption><p>Recombinant eukaryotic BDNF siRNA expression vectors were successfully constructed and stably transfected into HeLa cells with high efficiency. (A) Schematic drawing of the pGenesil-1 vector. The hU6-RNA promoter was cloned in front of the gene-specific targeting sequence. (B) Restrictive enzyme digestion analysis of pGenesil-1 by agarose gel electrophoresis. Lane M, EcoT-14 maker (19, 329, 7,743, 6,223, 4,254, 3,472, 2,690, 1882, 1,489, 925, 421 and 74 bp); lane 1, pGenesil-1 digested by <italic>Bam</italic>HI and <italic>Hind</italic>III; lane 2, undigested pGenesil-1. (C) A specific <italic>Sal</italic>I site was designed and synthesized into the sequences of shRNA. Recombinant vectors were digested to a 400 bp fragment by <italic>Sal</italic>I with the correct insertion. Lane M, DL2000 maker (2,000, 1,000, 750, 500, 250 and 100 bp); lanes 1&#x2013;5 represent pBDNF1, pBDNF2, pBDNF3, pBDNF4 and pScr digested by <italic>Sal</italic>I, respectively. (D and E) The transfection efficiencies and expression effects of BDNF siRNA were estimated at 24 h after transfection and (F) after positive clones were established. The EGFP expression was observed by fluorescence microscopy; (E) is the same image as (D) except for the cells were observed by light and fluorescence mixture.</p></caption>
<graphic xlink:href="OR-37-05-2751-g02.tif"/>
</fig>
<fig id="f4-or-37-05-2751" position="float">
<label>Figure 4.</label>
<caption><p>Transfection of the plasmid DNA encoding the U6 promoter-driven siRNA against BDNF strongly and specifically suppressed BDNF expression in the HeLa cells. HeLa cells were seeded in 6-well plates and transfected with the 4 experimental plasmids, a scramble siRNA plasmid and pGenesil-1 vector using Lipofectamine 2000. After the positive clones were formed using G418 selection, the relative mRNA and protein expressing levels of BDNF were detected by (A and B) RT-PCR and (C and D) western blotting, respectively. siRNA1 was selected as the most efficient sequence (<sup>#</sup>p&#x003C;0.01) and was used for the present study, while siRNA4 also showed inhibitory capability to a certain degree (&#x002A;p&#x003C;0.05).</p></caption>
<graphic xlink:href="OR-37-05-2751-g03.tif"/>
</fig>
<fig id="f5-or-37-05-2751" position="float">
<label>Figure 5.</label>
<caption><p>Downregulation of BDNF expression suppresses the proliferation of HeLa cells and induces cell cycle arrest in the G1 phase. Cell cycle analyses were carried out by flow cytometry. (A-D) The percentage of cells in the G1 phase in the P<sub>BDNF1</sub> group was much higher than those observed in the P<sub>non</sub> (<sup>#</sup>p&#x003C;0.01) and P<sub>0</sub> group (&#x002A;p&#x003C;0.05), whereas the percentage of cells in the G2 phase was correspondingly decreased in the P<sub>BDNF1</sub> group compared with the P<sub>non</sub> (<sup>#</sup>p&#x003C;0.01) and P<sub>0</sub> group (&#x002A;p&#x003C;0.05). BDNF-siRNA induced cell cycle arrest at the G1 phase. (E) Cell proliferation was assessed at the indicated times by MTT assay. Considering the initial cell concentrations of each group were not identical, data at 12 h was set as the control, and the cell proliferation rate was calculated as follows: Proliferation rate (&#x0025;) = (sample absorbance/control absorbance) &#x00D7; 100. The results were obtained from 3 independent experiments, and are expressed as the mean &#x00B1; SD. BDNF-siRNA showed a significant growth inhibitory effect on the HeLa cells as compared with the control (&#x002A;p&#x003C;0.05).</p></caption>
<graphic xlink:href="OR-37-05-2751-g04.tif"/>
</fig>
<fig id="f6-or-37-05-2751" position="float">
<label>Figure 6.</label>
<caption><p>Downregulation of BDNF expression induces apoptosis of HeLa cells. Cell apoptosis was detected by Hoechst 33258 fluorescence staining (magnification, &#x00D7;200). The cell nuclei of normal cells were evenly stained with fluorescence, while apoptosis cells were strongly stained (nuclear condensation and fragmentation were noted). (A-C) The observation revealed (C) a significant increase in the number of cells in the P<sub>BDNF1</sub> group showing nuclear condensation and fragmentation, while bright blue staining cells were barely observed in the (A) P<sub>non</sub> and (B) P<sub>0</sub> group (&#x002A;p&#x003C;0.01). (D) Random cells (500) were counted and the apoptosis rate was calculated as follows: Hoechst 33258-stained cells/500 cells&#x00D7;100. The results were obtained from 3 independent experiments, and are expressed as the mean &#x00B1; SD.</p></caption>
<graphic xlink:href="OR-37-05-2751-g05.tif"/>
</fig>
<fig id="f7-or-37-05-2751" position="float">
<label>Figure 7.</label>
<caption><p>Downregulation of BDNF expression suppresses the migratory and invasive capabilities of HeLa cells. Migratory capabilities of cells in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups were determined by Transwell assay. Cells (1&#x00D7;10<sup>6</sup>/ml) were plated in the upper chamber of the filters that had been coated with gelatin on the underside. At 6 h after plating, cells that had migrated to the underside of the filters were fixed and stained with Wright staining. Cells were counted at a magnification of &#x00D7;400 using standard microscopy, and the mean number of cells/field in 5 random fields was recorded. (A-C) Migrated cells/field in the (C) P<sub>BDNF1</sub> group (37&#x00B1;17) were significantly less than those in the (A) P<sub>non</sub> (105&#x00B1;31) and (B) P<sub>0</sub> group (92&#x00B1;28) (&#x002A;p&#x003C;0.01). (E-G) Invasion assay was performed as above except for the upper surface of filters were coated with 25 &#x00B5;g Matrigel, the cell concentration was adjusted to 2&#x00D7;10<sup>5</sup> cells/ml and the time was prolonged to 24 h. Invaded cells/field in the (G) P<sub>BDNF1</sub> group (24&#x00B1;12) were significantly less than those in the (E) P<sub>non</sub> (85&#x00B1;26) and (F) P<sub>0</sub> (75&#x00B1;20) (&#x002A;p&#x003C;0.01) group. Graphical illusion of the number of migrated cells is shown in (D) while invaded cells are shown in (H). Data are shown as the mean &#x00B1; SD of 3 independent experiments.</p></caption>
<graphic xlink:href="OR-37-05-2751-g06.tif"/>
</fig>
<fig id="f8-or-37-05-2751" position="float">
<label>Figure 8.</label>
<caption><p>Downregulation of BDNF expression inhibits the activation states of PI3K signaling. The activation states of PI3K signaling of HeLa cells in the P<sub>non</sub>, P<sub>0</sub> and P<sub>BDNF1</sub> groups were examined. Whole-cell lysates were analyzed by western blotting using specific antibodies against pAKT. Immunoblotting with anti-AKT confirmed equivalent protein loading.</p></caption>
<graphic xlink:href="OR-37-05-2751-g07.tif"/>
</fig>
</floats-group>
</article>
