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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.2017.5588</article-id>
<article-id pub-id-type="publisher-id">or-37-06-3270</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Silibinin downregulates MMP2 expression via Jak2/STAT3 pathway and inhibits the migration and invasive potential in MDA-MB-231 cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Byun</surname><given-names>Hyo Joo</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Darvin</surname><given-names>Pramod</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Dong Young</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Sp</surname><given-names>Nipin</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Joung</surname><given-names>Youn Hee</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Park</surname><given-names>Jong Hwan</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Sun Jin</given-names></name>
<xref rid="af2-or-37-06-3270" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Young Mok</given-names></name>
<xref rid="af1-or-37-06-3270" ref-type="aff">1</xref>
<xref rid="c1-or-37-06-3270" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-37-06-3270"><label>1</label>Department of Pathology, School of Medicine, Institute of Biomedical Science and Technology, Konkuk University, Chungju 27478, Republic of Korea</aff>
<aff id="af2-or-37-06-3270"><label>2</label>Trinity Court, Cardiff CF24 0AA, Wales, UK</aff>
<author-notes>
<corresp id="c1-or-37-06-3270"><italic>Correspondence to</italic>: Dr Young Mok Yang, Department of Pathology, School of Medicine, Institute of Biomedical Science and Technology, Konkuk University, Chungju 27478, Republic of Korea, E-mail: <email>ymyang@kku.ac.kr</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>06</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>19</day><month>04</month><year>2017</year></pub-date>
<volume>37</volume>
<issue>6</issue>
<fpage>3270</fpage>
<lpage>3278</lpage>
<history>
<date date-type="received"><day>21</day><month>10</month><year>2016</year></date>
<date date-type="accepted"><day>03</day><month>04</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Worldwide, breast cancer (BCa) is the most common cancer in women. Among its subtypes, triple-negative breast cancer (TNBC) is an aggressive form associated with diminished survival. TNBCs are characterized by their absence, or minimal expression, of the estrogen and progesterone receptors, as well as the human epidermal growth factor receptor 2 (i.e. ER<sup>&#x2212;/&#x2212;</sup>, PR<sup>&#x2212;/&#x2212;</sup>, Her2<sup>&#x2212;/Low</sup>). Consequently, treatment for this subtype of BCa remains problematic. Silibinin, a derivative of the flavonoid silymarin, is reported to have anticancer activities against hepatic and non-small cell lung cancers. We hypothesized that silibinin might inhibit cell-extracellular matrix interactions via the regulation, expression, and activation of STAT3 in TNBCs, which could directly inhibit metastasis in silibinin-treated BCa cells. Using proliferation assays, we found that exposure to silibinin at a concentration of 200 &#x00B5;M inhibited the proliferation of breast cancer (BCa) cells; this concentration also inhibited phosphorylation of STAT3 and its principal upstream kinase, Jak2. Furthermore, we found that silibinin inhibited the nuclear translocation of STAT3, as well as its binding to the <italic>MMP2</italic> gene promoter. The ability of silibinin to inhibit metastasis was further studied using an <italic>in vitro</italic> invasion assay. The results confirm the role of STAT3 as a critical mediator in the invasive potential of BCa cells, and STAT3 knock-down resulted in inhibition of invasion. The invasion ability of silibinin-treated BCa cells was studied in detail with the expression of MMP2. Prevention of STAT3 activation also resulted in the inhibition of MMP2 expression. Use of a small interfering RNA to knock down STAT3 (siSTAT3) allowed us to confirm the role of STAT3 in regulating MMP2 expression, as well as the mechanism of action of silibinin in inhibiting MMP2. Taken together, we found that silibinin inhibits the Jak2/STAT3/MMP2 signaling pathway, and inhibits the proliferation, migration, and invasion of triple-negative BCa cells.</p>
</abstract>
<kwd-group>
<kwd>Jak2/STAT3</kwd>
<kwd>MMP2</kwd>
<kwd>silibinin</kwd>
<kwd>breast cancer</kwd>
<kwd>triple-negative breast cancer cell</kwd>
<kwd>invasion</kwd>
<kwd>metastasis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Globally, breast cancer (BCa) is the most prevalent form of cancer among women (<xref rid="b1-or-37-06-3270" ref-type="bibr">1</xref>). In particular, the basal form of cancer carrying the triple-negative (TNBC) phenotype comprises 10&#x2013;15&#x0025; of all forms of BCa, and manifests the worst prognosis and morbidity (<xref rid="b2-or-37-06-3270" ref-type="bibr">2</xref>). TNBC demonstrates aggressive proliferation and metastasis. Given its lack of the endocrine receptors for estrogen, progesterone [estrogen receptor (ER), and progesterone receptor (PR)], and the human epidermal growth factor receptor-2 (HER-2), targeted therapy for this form of cancer remains a challenge (<xref rid="b3-or-37-06-3270" ref-type="bibr">3</xref>). These cancer types express a high concentration of epidermal growth factor receptor (EGFR). Disappointingly, while targeted therapies against the EGFR have demonstrated a promising reduction in the tumor mass, overall survival rate has remained unchanged. Consequently, there is considerable impetus to investigate agents such as phytochemicals and their potential to target TNBCs and inhibit tumor progression and metastasis.</p>
<p>Signal transducers and activators of transcription (STAT) constitute a family of seven transcription factors, STAT1, STAT2, STAT3, STAT4, STAT5a, STAT5b, and STAT6. STATs are overexpressed in a variety of cancers including breast cancer, head and neck cancer, and hematologic malignancies (<xref rid="b4-or-37-06-3270" ref-type="bibr">4</xref>,<xref rid="b5-or-37-06-3270" ref-type="bibr">5</xref>). Among the members of STAT family, STAT3 and STAT5b play significant roles in the initiation, progression, and spread of malignant breast tumors, and are termed oncogenes (<xref rid="b6-or-37-06-3270" ref-type="bibr">6</xref>). STAT3 has been found to have strong association with migration, invasion, and the metastatic capacity of cells. Multiple genes involved in complex metastatic networks are regulated by STAT3, making it a valuable target for the inhibition of metastasis. The activation of STAT proteins is mediated via the ligand associated tyrosine kinase, Janus kinase (Jak), in particular, Jak-2 (<xref rid="b7-or-37-06-3270" ref-type="bibr">7</xref>). Upon phosphorylation of specific residues in STATs, homo- or heterodimer formation ensues, followed by nuclear translocation. Once in the nucleus, activated STAT molecules bind to specific response elements in target gene promoters to transcriptionally activate them (<xref rid="b8-or-37-06-3270" ref-type="bibr">8</xref>). Not surprisingly, the role of Jak2/STAT3 pathway in cell proliferation, differentiation, apoptosis, and metastasis, has been the subject of intense investigation (<xref rid="b9-or-37-06-3270" ref-type="bibr">9</xref>,<xref rid="b10-or-37-06-3270" ref-type="bibr">10</xref>).</p>
<p>Matrix metalloproteinases (MMPs) are a group of proteins responsible for the degradation of the extracellular matrix (ECM), and play a major role in cancer progression by their impact on invasion, migration, and the metastasis of cancerous cells (<xref rid="b11-or-37-06-3270" ref-type="bibr">11</xref>). The control of MMP activity is, potentially, a potent tool with which to prevent cancer metastasis (<xref rid="b12-or-37-06-3270" ref-type="bibr">12</xref>). MMPs are mainly divided into six categories: the collagenase group, gelatinase group, stromelysin group, matrilysin group, membrane-type MMPs, and others (<xref rid="b13-or-37-06-3270" ref-type="bibr">13</xref>). MMP2 is a member of gelatinases group, which has been studied in various aspects of cancer progression (<xref rid="b14-or-37-06-3270" ref-type="bibr">14</xref>), including migration, invasion, and metastasis. In endothelial cells, <italic>MMP2</italic> is found to increase angiogenesis by digesting the extracellular membrane (<xref rid="b15-or-37-06-3270" ref-type="bibr">15</xref>,<xref rid="b16-or-37-06-3270" ref-type="bibr">16</xref>) following chemokine stimulation. Xie <italic>et al</italic> have reported that STAT3 activation-regulates brain tumor metastasis via MMP2 (<xref rid="b17-or-37-06-3270" ref-type="bibr">17</xref>), and suggested that MMP2 is a downstream target of STAT3 (<xref rid="b17-or-37-06-3270" ref-type="bibr">17</xref>,<xref rid="b18-or-37-06-3270" ref-type="bibr">18</xref>). Furthermore, Lee <italic>et al</italic> suggest that the status of STAT3 controls the expression and secretion of MMP2 (<xref rid="b19-or-37-06-3270" ref-type="bibr">19</xref>). These data led us to hypothesize that the inhibition of STAT3 activation, and therefore MMP2, could be exploited in TNBC cells in order to inhibit their metastatic phenotype.</p>
<p>Silibinin is the primary active component of the flavonoid silymarin, and is extracted from milk thistle seeds (<xref rid="b20-or-37-06-3270" ref-type="bibr">20</xref>,<xref rid="b21-or-37-06-3270" ref-type="bibr">21</xref>). In the US and in Eastern European countries, silibinin is used as a drug for toxic liver damage, chronic hepatitis, and cirrhosis (<xref rid="b22-or-37-06-3270" ref-type="bibr">22</xref>). However, recent studies show that silibinin is a powerful antioxidant and scavenger, capable of reducing lipid peroxidation (<xref rid="b23-or-37-06-3270" ref-type="bibr">23</xref>,<xref rid="b24-or-37-06-3270" ref-type="bibr">24</xref>), with promise as a cancer cell growth inhibitor, cell cycle regulator, and apoptosis inducer in prostate and colon carcinoma cells (<xref rid="b25-or-37-06-3270" ref-type="bibr">25</xref>,<xref rid="b26-or-37-06-3270" ref-type="bibr">26</xref>). In particular, Bosch-Barrera and Menendez have reported the importance of STAT3 in regulating tumor growth, highlighting the potential of silibinin as a novel clinical approach with which to inhibit Jak2/STAT3 pathway and related effectors in breast, colon, prostate, and lung cancers (<xref rid="b27-or-37-06-3270" ref-type="bibr">27</xref>). Furthermore, silibinin pre-treatment confers a favorable effect on the phosphorylation of STAT3, as well as the expression of MMP2 (<xref rid="b28-or-37-06-3270" ref-type="bibr">28</xref>).</p>
<p>In the present study, we focused on the modulation of Jak2/STAT3 pathway using silibinin, and its inhibition of <italic>in vitro</italic> metastasis by diminishing MMP2 expression and activity in TNBC cells. We found that silibinin has an anti-proliferative effect on TNBC cells, and inhibits their invasive as well as migratory abilities by downregulating MMP2 gene expression, following inhibition of the JAK2/STAT3 signaling pathway in TNBC cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Antibodies and cell culture reagents</title>
<p>Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) was purchased from Sigma Chemical Co. (St. Louis, MO, USA). Penicillin-streptomycin solution and fetal bovine serum (FBS) were purchased from Hyclone (South Logan, UT, USA). Trypsin-EDTA (0.05&#x0025;) was obtained from Gibco-BRL (Grand Island, NY, USA). Antibodies specific for phosphorylated STAT3 (Tyr705), STAT3, MMP9, and &#x03B2;-actin, together with secondary antibody reagents (goat anti-mouse and rabbit IgG-horseradish peroxidase), were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Antibodies against MMP2 were purchased from Enogene Biotech Co. (NY, USA), with an anti-Jak2 antibody obtained from Millipore (Billerica, MA, USA). An anti phosphor Jak2 antibody (Tyrosine residue 1007/1008) was purchased from Cell Signaling Technology (Beverly, MA, USA). Silibinin was purchased from Sigma Co. (diluted in DMSO).</p>
</sec>
<sec>
<title>Cell culture and drug treatments</title>
<p>MDA-MB-231 human breast cancer cells were cultured in DMEM containing 10&#x0025; FBS, 2 mM glutamine, and 100 U/ml penicillin and streptomycin. Cell culture was at 37&#x00B0;C, in a 5&#x0025; CO<sub>2</sub> gassed incubator. For each experiment, cells were resuspended in medium at a density of 2.5&#x00D7;10<sup>5</sup> cells/ml. Unless otherwise specified, cells were treated with 200 &#x00B5;M silibinin for 24 h.</p>
</sec>
<sec>
<title>Inhibition of cell proliferation</title>
<p>Cell viability was assayed by MTT assay. Briefly, cells were resuspended in DMEM one day before drug treatment, at a density of 3&#x00D7;10<sup>3</sup> cells per well in 96-well culture plates. Culture medium was replaced with fresh medium containing dimethyl sulfoxide (DMSO) as a vehicle control. Cells were incubated with increasing concentrations of silibinin (from 50 to 350 &#x00B5;M). Following drug treatment, MTT (5 mg/ml) was added, with culture dishes incubated for 4 h at 37&#x00B0;C. The resulting formazan product was dissolved in DMSO and its absorbance read at 550 nm on an Ultra Multifunctional Microplate Reader (Tecan, Durham, NC, USA). All measurements were performed in triplicate, with experiments repeated at least three times.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Whole cell lysates from MDA-MB-231 cells treated (or not) with silibinin were prepared on ice using radioimmunoprecipitation (RIPA) lysis buffer containing phosphatase and protease inhibitors. Cells were disrupted by aspiration through a 23-gauge needle and centrifuged at 15,000 rpm for 10 min at 4&#x00B0;C to remove cellular debris. Protein concentrations were measured using the Bradford method (Thermo Fisher Scientific, MA, USA). Equal amounts of protein were resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred onto nitrocellulose membranes. The blots were blocked for 1 h with 5&#x0025; skimmed milk in TBS-T buffer. Membranes were then probed overnight at 4&#x00B0;C with the relevant primary antibody, followed by washing with TBS-T and incubated for 1 h with the horseradish peroxidase-conjugated secondary antibodies. Detection was performed using the ECL Plus detection kit [Amersham Pharmacia Biotech (Piscataway, NJ, USA)] and a LAS-4000 imaging device (Fujifilm, Japan). Blot stripping was with Restore western blot stripping buffer.</p>
</sec>
<sec>
<title>Reverse transcription-polymerase chain reaction (RT-PCR)</title>
<p>Total RNA was extracted using the RNeasy Mini kit and QIAprep Spin Miniprep kit (Qiagen) according to the manufacturer&#x0027;s protocol, with RNA quantified spectrophotometrically at 260 nm. Then, RT-PCR analyses for <italic>MMP2, MMP9</italic>, and <italic>18S</italic> RNA were performed. cDNA was synthesized from total RNA using a first strand cDNA synthesis kit (Bioneer, Korea) and oligo d(T) primers. The RT-PCR Premix kit with primers for MMP2, MMP9, and 18S amplification, were synthesized by Bioneer (Daejeon, Korea). PCR amplification to generate a 472-bp <italic>MMP2</italic> fragment was with the following primers: <italic>MMP2</italic> sense, 5&#x2032;-GGCCCTGTCACTCCTGAGAT-3&#x2032;; antisense, 5&#x2032;-GGCATCCAGGTTATCGGGGA-3&#x2032;. The PCR conditions were 94&#x00B0;C for 5 min, and then 32 cycles of 94&#x00B0;C for 30 sec, 58&#x00B0;C for 30 sec, 72&#x00B0;C for 45 sec, followed by 72&#x00B0;C for 7 min. PCR amplification to generate a 455-bp <italic>MMP9</italic> fragment involved the following primers and PCR conditions: <italic>MMP9</italic> sense, 5&#x2032;-CCTGCCAGTTTCCATTCATC-3&#x2032;; antisense, 5&#x2032;-GCCATTCACGTCGTCCTTAT-3&#x2032;, 94&#x00B0;C for 5 min, and then 30 cycles of 94&#x00B0;C for 40 sec, 60&#x00B0;C for 40 sec, 68&#x00B0;C for 50 sec, followed by 72&#x00B0;C for 7 min. Finally, a 489-bp amplified <italic>18S</italic> mRNA fragment was generated using the following primers and PCR conditions: <italic>18S</italic> sense, 5&#x2032;-CGGCTACCACATCCAAGGAA-3&#x2032; and antisense, 5&#x2032;-CCGGCGTCCCTCTTAATC-3&#x2032;, 94&#x00B0;C for 5 min, and then 30 cycles of 94&#x00B0;C for 40 sec, 60&#x00B0;C for 40 sec, and 68&#x00B0;C for 50 sec, followed by 72&#x00B0;C for 7 min. PCR products were resolved by electrophoresis on a 1&#x0025; agarose gel with PCR products visualized by ethidium bromide staining.</p>
</sec>
<sec>
<title>Electrophoretic mobility shift assay (EMSA)</title>
<p>STAT3 DNA binding activity was detected using EMSA (Promega Corp., Madison, WI, USA). The electrophoretic mobility shift assay (EMSA) kit, oligonucleotide probes (STAT3), and reporter lysis buffer were from Promega. MDA-MB-231 cells were grown to ~90&#x0025; confluence with nuclear protein extracts prepared using the Nuclear Extract kit (Affymetrix, CA, USA). EMSA was performed using the EMSA gel shift kit (Panomics, Fremont, CA, USA), according to the manufacturer&#x0027;s protocol. Briefly, nuclear protein was subject to hybridization to a double stranded, biotin-labeled oligonucleotide probe, containing the consensus-binding site for STAT3 (sense strand, 5&#x2032;-GATCCTTCTGGGAATTCCTAGATC-3&#x2032;). The protein-DNA complexes were resolved on a 6&#x0025; non-denaturing PAGE gel and then transferred to a Pall Biodyne B nylon membrane (Pall Life Sciences, Pensacola, FL, USA). Signal detection was with streptavidin-HRP and a chemiluminescent substrate.</p>
</sec>
<sec>
<title>Small interfering RNA (siRNA) analyses</title>
<p>MDA-MB-231 cells (1&#x00D7;10<sup>5</sup>) were cultured in 6-well plates, and grown to 70&#x0025; confluence. Cells were then transfected with the ON-TARGETplus SMARTpool siRNA, targeting STAT3, or ON-TARGETplus non-target siRNA (Dharmacon, Chicago, IL, USA), as a control. Transfection was with the DharmaFECT transfection reagent (Dharmacon, Lafayette, CO, USA), according to the manufacturer&#x0027;s instructions. Following transfection for 48 h, cells were cultured in serum-free medium for a further 24 h, and then exposed to 200 &#x00B5;M silibinin for 24 h. Levels of STAT3, p-STAT3, MMP2, and &#x03B2;-actin were quantified by western blotting.</p>
</sec>
<sec>
<title>Wound healing assay</title>
<p>MDA-MB-231 cells were cultured in 6-well plates at a concentration of 1&#x00D7;10<sup>5</sup> cells/well in DMEM media (i.e., serum containing), and then incubated for 24 h in a humidified chamber. After forming a confluent monolayer, the cell layer was scratched with a pipette tip and washed with PBS to remove cell debris. Cells were untreated (controls) or exposed to 100 or 200 &#x00B5;M silibinin. Images of the scratch sites (wounds) were captured at 0 and 24 h, and the average area of the wound calculated using ImageJ software.</p>
</sec>
<sec>
<title>Matrigel invasion assay</title>
<p>The Transwell invasion assay was performed using Matrigel pre-coated, ready to use invasion chambers (BD Biocoat, MA, USA). Cells suspended at 5&#x00D7;10<sup>4</sup> were added to the inserts. Drug-containing media was then added to the receiver plate, and the inserts placed onto it. After a 24-h incubation in a humidified chamber at 37&#x00B0;C, the cells that had invaded the apical surface of the inserts were identified using crystal violet. The plates were then incubated in ambient conditions for 24 h followed by a wash and then fixation using formaldehyde. The cells on the upper surface were removed using a cotton swab and the invaded cells quantified using a microscope. Cells were counted in four fields of view.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>All experiments were performed at least three times with results expressed as means &#x00B1; SEM. Statistical analyses were with ANOVA and Student&#x0027;s t-test (SAS 9.3 program). One-way analysis of variance (ANOVA) was performed with Duncan&#x0027;s multiple range test. A p-value of &#x003C;0.05 was considered to be statistically significant.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Silibinin inhibits MDA-MB-231 cell proliferation</title>
<p>The effect of silibinin on cell proliferation was examined by the MTT assay. The human triple-negative breast cancer cell line MDA-MB-231 was exposed to increasing concentrations of silibinin (50, 100, 150, 200, 250, 300 and 350 &#x00B5;M) for a period of 24 h. The number of silibinin-treated cells during the logarithmic phase of growth was compared to that of control cells. Exposure to silibinin substantially decreased viability in a dose-dependent manner, with IC<sub>50</sub> values ranging from 200 to 250 &#x00B5;M following a 24-h exposure (<xref rid="f1-or-37-06-3270" ref-type="fig">Fig. 1</xref>). Therefore, a 200 &#x00B5;M concentration of silibinin was taken as the IC<sub>50</sub>, with this concentration used in subsequent experiments.</p>
</sec>
<sec>
<title>Silibinin suppresses the expression and phosphorylation of Jak2 and STAT3 proteins in a dose and time-dependent manner</title>
<p>We previously reported that STAT3 is a potent signaling molecule associated with tumor development and progression (<xref rid="b29-or-37-06-3270" ref-type="bibr">29</xref>). In this study, our aim was to analyze the role of silibinin in the expression of JAK2/STAT3-related proteins. Initially, MDA-MB-231 cells were exposed to silibinin for 24 h at different doses, and then for varying time periods. Whole cell lysates were prepared using 1X RIPA lysis buffer and immunoblotted using antibodies with Jak2, STAT3, and their respective phospho forms. As seen in <xref rid="f2-or-37-06-3270" ref-type="fig">Fig. 2A</xref>, silibinin suppressed the expression of Jak2, STAT3, and phospho proteins in a dose-dependent manner. Compared with the control group, 200 &#x00B5;M silibinin provoked an almost 50&#x0025; reduction in the expression of these proteins (<xref rid="f2-or-37-06-3270" ref-type="fig">Fig. 2B</xref>). A time course experiment (15 min to 6 h) showed that the expression of STAT3 and phospho proteins continuously decreased in a time-dependent manner. Concurrent with the dose-dependent inhibition experiments, the time-dependent analysis also showed a 50&#x0025; reduction in the expression and phosphorylation of Jak2/STAT3 signaling proteins (<xref rid="f2-or-37-06-3270" ref-type="fig">Fig. 2D</xref>). These data suggest that silibinin has the capacity to regulate the activity of the Jak2/STAT3 signaling pathway.</p>
</sec>
<sec>
<title>Silibinin inhibits the binding of STAT3 to the MMP2 gene promoter</title>
<p>Recent studies have shown that STAT3 activation regulates MMP2 expression (<xref rid="b18-or-37-06-3270" ref-type="bibr">18</xref>). Upon activation, STAT translocates to the nucleus and binds specific response elements in target gene promoters in order to exert transcriptional control. Therefore we assayed levels of STAT3 and pSTAT3 in nuclear extracts prepared from silibinin-treated and control, non-treated TNBC cells. As shown in <xref rid="f3-or-37-06-3270" ref-type="fig">Fig. 3A</xref>, there was a reduction in the level of STAT3 and pSTAT3 in nuclear extracts derived from the 200 &#x00B5;M silibinin-treated groups. We then analyzed the <italic>MMP2</italic> gene promoter for the presence of a GAS element, the DNA-binding sequence for the STAT family of transcription factors. Having located this element [in a domain upstream of the transcription start site (TSS) (<xref rid="f3-or-37-06-3270" ref-type="fig">Fig. 3B</xref>)] DNA-binding was then studied using EMSA. These data revealed that exposure to silibinin provokes an inhibition of STAT3-DNA binding (<xref rid="f3-or-37-06-3270" ref-type="fig">Fig. 3C</xref>), indicating that silibinin, via STAT3, transcriptionally regulates <italic>MMP2</italic> gene expression.</p>
</sec>
<sec>
<title>Silibinin mediates a dose-dependent downregulation of MMP2 and MMP9 expression at both the mRNA and protein levels</title>
<p>In the above section we showed that silibinin suppressed Jak2/STAT3 signaling in a dose- and time-dependent manner, and inhibited STAT3-DNA binding. We hypothesized that the inhibition of STAT3-DNA binding should provoke a downregulation of MMP2 gene expression. In order to confirm this, the expression of STAT3 downstream targets were assayed at both the mRNA (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4A</xref>), and protein levels (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4C</xref>). Transcriptional level analyses revealed that treatment with silibinin led to a dose-dependent decrease in the transcription of both MMP2 and MMP9 (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4A</xref>). The silibinin-treated groups manifested an ~40&#x2013;60&#x0025; inhibition of MMP2 mRNA expression when compared to non-treated groups (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4B</xref>). Similar to the transcriptional data, at the protein level, dose-dependent reductions in the expression of both MMP2 and MMP9 were evident (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4C</xref>) Membranes were then probed overnight at 4&#x00B0;C with the relevant primary antibody, followed by washing with TBS-T and incubated for 1 h with the horseradish peroxidase-conjugated secondary antibodies with silibinin-treated groups incurring a 40&#x2013;60&#x0025; inhibition of MMP2 protein expression (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4D</xref>).</p>
</sec>
<sec>
<title>Silibinin inhibits MMP2 expression via inhibition of STAT3</title>
<p>In order to confirm crosstalk between STAT3 and MMP2 expression, STAT3 was knocked-down using an siSTAT3 construct, and our analyses repeated. STAT3 knock-down cells were exposed (or not, for controls) to silibinin for a predetermined time, then whole cell lysates prepared and analyzed for their expression of MMP2. STAT3 knock-down effectively eliminated STAT3 expression, with levels of MMP2 also markedly reduced (<xref rid="f5-or-37-06-3270" ref-type="fig">Fig. 5A</xref>). The relative expression of protein, with respect to vehicle controls, was performed to confirm the effect of STAT3 on the inhibition of MMP2 expression following exposure to silibinin (<xref rid="f5-or-37-06-3270" ref-type="fig">Fig. 5B</xref>). These data showed that silibinin could inhibit cell migration and invasion via inhibition of MMP2 in a STAT3-dependent manner.</p>
</sec>
<sec>
<title>Silibinin suppresses cell migration and invasion via STAT3 and MMP2</title>
<p>In the previous section we showed that knock-down of STAT3 lead to a decline in the expression of MMP2. MMP2 is a major determinant of cancer invasion, including cell migration and invasion (<xref rid="b30-or-37-06-3270" ref-type="bibr">30</xref>). The ability of silibinin to inhibit cancer cell migration was subsequently studied with the help of a wound-healing assay (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6A</xref>). Here the relative inhibition of wound closure was used as a proxy measure for migration. The non-treated control group showed a relatively high degree of cell migration and wound closure, which was diminished in the silibinin-treated group (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6B</xref>). The crossing of the extracellular membrane is an essential step for the dissemination of cancer cells from the primary tumor to distant locations. The ability of silibinin to inhibit this invasion process was studied using a Matrigel invasion assay. Silibinin-treated cells showed a promising inhibition of invasion compared to untreated controls. The role of STAT3 in silibinin inhibition of invasion was then studied using STAT3 knock-down cells. The results confirmed that silibinin and STAT3 play an important role in inhibiting the invasive capacity of TNBC cells (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6C</xref>). Compared with the control group, both 200 &#x00B5;M silibinin-treated, and the STAT3 knock-down group, showed a 50&#x0025; reduction in migration rate (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6D</xref>). These results confirmed that silibinin inhibits cell migration and invasion by inhibiting STAT3 phosphorylation and MMP2 expression.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer that lacks endocrine receptor expression, and carries a mutated p53 gene. TNBCs are typified by their poor differentiation (attributed to rapid growth), are highly metastatic, and result in poor survival (<xref rid="b31-or-37-06-3270" ref-type="bibr">31</xref>). While TNBCs express elevated levels of EGFR at their surface, targeted therapies to the EGFR does not improving overall survival of the patients, despite achieving a rapid shrinkage in tumor size (<xref rid="b32-or-37-06-3270" ref-type="bibr">32</xref>). These findings have promoted our examination of the metastatic phenotype of TNBCs. In the present study, we used silibinin as an inhibitor of the metastatic potential of TNBC cells. It is already reported that silibinin has an inhibitory role in the proliferation, invasion, and migration of various cancer cell lines (<xref rid="b33-or-37-06-3270" ref-type="bibr">33</xref>,<xref rid="b34-or-37-06-3270" ref-type="bibr">34</xref>). We found that silibinin also inhibited proliferation of the triple-negative breast cancer cell line MDA-MB-231, with an IC<sub>50</sub> of ~200 &#x00B5;M for a treatment period of 24 h (<xref rid="f1-or-37-06-3270" ref-type="fig">Fig. 1</xref>). Even though this concentration is high in terms of physiologic level, dietary feeding of silibinin 0.5&#x0025; w/w for a period of 7 weeks was shown to inhibit the growth of pancreatic cancer xenografts with no apparent changes in body weight or feeding habits (<xref rid="b35-or-37-06-3270" ref-type="bibr">35</xref>). Similarly, the same 0.5&#x0025; w/w concentration of silibinin inhibited the growth of ectopically implanted and established PC-3 tumor xenografts, without any gross sign of toxicity as monitored by feeding habits (i.e., appetite) and weight gain (<xref rid="b36-or-37-06-3270" ref-type="bibr">36</xref>).</p>
<p>An understanding of the molecular mechanisms that underpin the anti-metastatic role of silibinin are essential if we are to develop new therapeutic strategies as well as drug combinations. For that, we checked the role of silibinin in the modulation of Jak2/STAT3 pathway in MDA-MB-231 cells. Jak2 is the receptor associated ligand-dependent tyrosine kinase responsible for phosphorylation of STAT3 (<xref rid="b6-or-37-06-3270" ref-type="bibr">6</xref>,<xref rid="b7-or-37-06-3270" ref-type="bibr">7</xref>,<xref rid="b9-or-37-06-3270" ref-type="bibr">9</xref>). Upon phosphorylation, STAT3 is activated and then regulates a broad range of downstream target genes, most related to malignant transformation and metastasis (<xref rid="b6-or-37-06-3270" ref-type="bibr">6</xref>,<xref rid="b37-or-37-06-3270" ref-type="bibr">37</xref>,<xref rid="b38-or-37-06-3270" ref-type="bibr">38</xref>). Silibinin at a concentration of 200 &#x00B5;M inhibited Jak2 expression and phosphorylation, resulting in the inhibition of phosphorylation of its downstream substrate, STAT3 (<xref rid="f2-or-37-06-3270" ref-type="fig">Fig. 2A and C</xref>).</p>
<p>STAT3 phosphorylation at Y705 provokes its homo- or hetero-dimerization, and then nuclear translocation in order to bind gene-specific response elements in target gene promoters (i.e., MMP2) (<xref rid="b39-or-37-06-3270" ref-type="bibr">39</xref>). The MMPs play an important role in various aspects of cancer such as gene expression, interaction with the ECM, and cell motility (<xref rid="b40-or-37-06-3270" ref-type="bibr">40</xref>), all of which can affect the growth and differentiation of cells, their migration, and invasion (<xref rid="b11-or-37-06-3270" ref-type="bibr">11</xref>,<xref rid="b12-or-37-06-3270" ref-type="bibr">12</xref>,<xref rid="b40-or-37-06-3270" ref-type="bibr">40</xref>). In recent years, the targeting of MMPs has received considerable attention as a new treatment strategy with which to combat metastasis (<xref rid="b14-or-37-06-3270" ref-type="bibr">14</xref>,<xref rid="b41-or-37-06-3270" ref-type="bibr">41</xref>). MMP2 is responsible for the migration and invasive phenotype of cancer cells by digesting the extracellular membrane and providing space for cells to migrate or invade. Analysis of the <italic>MMP2</italic> gene promoter sequence revealed a GAS element downstream of the transcription start site (<xref rid="f3-or-37-06-3270" ref-type="fig">Fig. 3B</xref>), with gel shift analyses indicating the DNA binding activity of STAT3 to the <italic>MMP2</italic> gene promoter, which could be inhibited by silibinin (<xref rid="f3-or-37-06-3270" ref-type="fig">Fig. 3C</xref>). Moreover, analyses at the mRNA and protein levels showed inhibition of both following exposure to silibinin (<xref rid="f4-or-37-06-3270" ref-type="fig">Fig. 4A and C</xref>). In order to confirm the role of STAT3 in the inhibition of MMP2 expression, we knocked-down STAT3 and then re-MMP2 expression levels. Knocking out of STAT3 effectively eliminated the expression of MMP2 (<xref rid="f5-or-37-06-3270" ref-type="fig">Fig. 5B</xref>).</p>
<p>Cell migration and invasion are the two major steps in the dissemination of cancers from their primary to secondary locations (<xref rid="b39-or-37-06-3270" ref-type="bibr">39</xref>,<xref rid="b42-or-37-06-3270" ref-type="bibr">42</xref>). Accordingly, our aim was to inhibit the migration and invasive capacity of MDA-MB-231 cells using silibinin. Exposure to silibinin appears to inhibit cell migration and invasion in a dose- (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6A and C</xref>), and STAT3-dependent manner (<xref rid="f6-or-37-06-3270" ref-type="fig">Fig. 6C</xref>). Overall, the treatment with silibinin inhibited the gene specific transcriptional activation of MMP2 through the inhibition of Jak2 and STAT3 phosphorylation. This phosphorylation inhibition lead to the inhibition of Jak2/STAT3 pathway by blocking the STAT3 nuclear translocation, DNA-binding and resulted in the inhibition of proliferation, migration and invasion of TNBC cells (<xref rid="f7-or-37-06-3270" ref-type="fig">Fig. 7</xref>).</p>
<p>In conclusion, silibinin inhibits the cell proliferation of TNBC cells, together with their migration, and invasive potential. These results are consistent with our hypothesis that silibinin downregulates <italic>MMP2</italic> gene expression via Jak2/STAT3 pathway. These data lead us to suggest that silibinin be used as an experimental drug for the management of metastatic cancer, with promise shown in terms of increasing patient survival.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF)&#x037E; Ministry of Education (2013R1A1A2057942).</p>
</ack>
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<floats-group>
<fig id="f1-or-37-06-3270" position="float">
<label>Figure 1.</label>
<caption><p>Silibinin inhibits the viability of MDA-MB-231 breast cancer cells in a dose-dependent manner. MDA-MB-231 cells were exposed to silibinin for 24 h, with cell viability evaluated using the MTT assay. A 50&#x0025; inhibition of cell proliferation was incurred at a concentration of 200 &#x00B5;M silibinin, which was subsequently adopted as the IC<sub>50</sub> dosage.</p></caption>
<graphic xlink:href="OR-37-06-3270-g00.tif"/>
</fig>
<fig id="f2-or-37-06-3270" position="float">
<label>Figure 2.</label>
<caption><p>Silibinin downregulates the expression of Jak2/STAT3 signaling proteins in a dose- and time-dependent manner. (A) Western blot analyses showing the concentration dependent effect of silibinin in MDA-MB-231 cells following exposure to silibinin for 24 h. (B) Relative levels of the pSTAT3, STAT3, pJak2, and Jak2 proteins. (C) Time-dependent effect of silibinin on protein expression in MDA-MB-231 cells. (D) Relative expression levels of pSTAT3, STAT3, pJak2, and Jak2, measured using densitometry. These data were normalized to actin levels, and then shown as a percentage of the control. The data presented are representative of three independent experiments. Statistical analyses were conducted using the t-test (&#x002A;&#x002A;p&#x003C;0.01, &#x002A;&#x002A;&#x002A;p&#x003C;0.001).</p></caption>
<graphic xlink:href="OR-37-06-3270-g01.tif"/>
</fig>
<fig id="f3-or-37-06-3270" position="float">
<label>Figure 3.</label>
<caption><p>Silibinin inhibits nuclear translocation and the DNA binding activity of STAT3. (A) MDA-MB-231 cells were exposed to 200 &#x00B5;M silibinin for 24 h and nuclear proteins prepared and analyzed by western blotting. Silibinin inhibited the nuclear translocation of STAT3. TBP was used as a loading control. (B) Sequence of the <italic>MMP2</italic> gene promoter (<uri xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/212549770">http://www.ncbi.nlm.nih.gov/nuccore/212549770</uri>) with the GAS element highlighted (nucleotide sequence 4003&#x2013;4011). (C) The DNA binding activity of STAT3 was inhibited by silibinin, as analyzed by gel shift assay.</p></caption>
<graphic xlink:href="OR-37-06-3270-g02.tif"/>
</fig>
<fig id="f4-or-37-06-3270" position="float">
<label>Figure 4.</label>
<caption><p>Silibinin downregulates MMP2 and MMP9 expression in MDA-MB-231 cells. (A) Silibinin inhibited the transcription of MMP2 and MMP9 in a dose-dependent manner. 18S mRNA served as the loading control. (B) Relative expression levels of the <italic>MMP2</italic> and <italic>MMP9</italic> mRNAs as assessed by densitometry. These data were normalized to levels of 18S, and are shown as a percentage of the control. (C) Western blot analyses showing total protein levels of MMP2 and MMP9 after exposure to silibinin for 24 h. (D) The relative expression levels of MMP2 and MMP9 proteins, normalized to actin, are shown as a percentage of the control. These data are representative of three independent experiments. Statistical analyses were conducted using the t-test (&#x002A;&#x002A;p&#x003C;0.01).</p></caption>
<graphic xlink:href="OR-37-06-3270-g03.tif"/>
</fig>
<fig id="f5-or-37-06-3270" position="float">
<label>Figure 5.</label>
<caption><p>Silibinin inhibits MMP2 expression in a STAT3-dependent manner. STAT3 expression in MDA-MB-231 cells was specifically knocked-down using a siSTAT3 construct; cells were then exposed to silibinin for a period of 24 h. (A) Silibinin inhibited the expression of MMP2 in a STAT3-dependent manner. (B) The relative expression levels of protein were determined and normalized to levels of actin, and are represented as a percentage of the non-treated control. The data shown are representative of three independent experiments. Statistical analyses were conducted using the t-test (&#x002A;&#x002A;p&#x003C;0.01, &#x002A;&#x002A;&#x002A;p&#x003C;0.001).</p></caption>
<graphic xlink:href="OR-37-06-3270-g04.tif"/>
</fig>
<fig id="f6-or-37-06-3270" position="float">
<label>Figure 6.</label>
<caption><p>Silibinin inhibits cell migration and invasion via STAT3. (A) A wound healing assay showed a dose-dependent inhibition of migration in MDA-MB-231 cells exposed to silibinin for 24 h. (B) Relative inhibition of migration in MDA-MB-231 cells. Statistical analyses were conducted using the t-tests (&#x002A;&#x002A;&#x002A;p&#x003C;0.001). (C) A Matrigel invasion assay showing the dose-dependent inhibition of invasion in silibinin-treated cells, and in the STAT3 knock-down MDA-MB-231 cells. (D) Relative inhibition of invasion in MDA-MB-231 cells as per the invasion assay. The data presented are representative of three independent experiments. Statistical analyses were conducted using the ANOVA test (&#x002A;&#x002A;&#x002A;p&#x003C;0.001).</p></caption>
<graphic xlink:href="OR-37-06-3270-g05.tif"/>
</fig>
<fig id="f7-or-37-06-3270" position="float">
<label>Figure 7.</label>
<caption><p>Schematic representation of the inhibition of invasive mechanisms provoked by silibinin in MDA-MB-231 cells. Silibinin inhibits Jak2 expression and phosphorylation, resulting, in turn, in the inhibition of STAT3 expression, phosphorylation, nuclear translocation, and DNA binding activity. Consequently, STAT3&#x0027;s down-stream targets are inhibited (including MMP2), resulting in reduced cell migration and invasion.</p></caption>
<graphic xlink:href="OR-37-06-3270-g06.tif"/>
</fig>
</floats-group>
</article>