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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2017.5991</article-id>
<article-id pub-id-type="publisher-id">or-38-05-2836</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>TGX-221 inhibits proliferation and induces apoptosis in human glioblastoma cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Xue</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Ji-An</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Bao-Hui</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Liao</surname><given-names>Jian-Ming</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Yuan</surname><given-names>Fan-En</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Tan</surname><given-names>Yin-Qiu</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Qian-Xue</given-names></name>
<xref rid="af1-or-38-05-2836" ref-type="aff"/>
<xref rid="c1-or-38-05-2836" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-38-05-2836">Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuchang, Wuhan, Hubei 430060, P.R. China</aff>
<author-notes>
<corresp id="c1-or-38-05-2836"><italic>Correspondence to</italic>: Professor Qian-Xue Chen, Department of Neurosurgery, Renmin Hospital of Wuhan University, 9 Zhangzhidong Road and 238 Jiefang Road, Wuchang, Wuhan, Hubei 430060, P.R. China, E-mail: <email>chenqx666@163.com</email>; <email>chenqx666@sohu.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>22</day><month>09</month><year>2017</year></pub-date>
<volume>38</volume>
<issue>5</issue>
<fpage>2836</fpage>
<lpage>2842</lpage>
<history>
<date date-type="received"><day>24</day><month>03</month><year>2017</year></date>
<date date-type="accepted"><day>04</day><month>09</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Yang et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Glioblastoma is the most common type of primary brain tumor in adults, with high mortality and morbidity rates. More effective therapeutic strategies are imperative. Previous studies have shown that the known p110-&#x03B2;-selective inhibitor TGX-221 blocks the activation of PKB/Akt in PTEN-deficient cells. We treated U87 and U251 glioblastoma cells with TGX-221 to determine the effect of TGX-221. We performed a Cell Counting Kit-8 (CCK-8) test, EDU staining and cell cycle distribution analysis and found that TGX-221 inhibited glioblastoma cell proliferation. Next, the effect of TGX-221 on cell apoptosis was investigated using flow cytometry. These results demonstrated that TGX-221 induced apoptosis in glioblastoma cells. Moreover, migration and invasion assays revealed that TGX-221 inhibited human glioblastoma cell migration and invasion. Collectively, our study revealed that TGX-221 could inhibit proliferation and induce apoptosis in glioblastoma cells.</p>
</abstract>
<kwd-group>
<kwd>TGX-221</kwd>
<kwd>glioblastoma</kwd>
<kwd>apoptosis</kwd>
<kwd>proliferation</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Glioblastoma is the most common type of primary brain tumor in adults. This highly malignant tumor creates a serious social and economic burden and is associated with high mortality and morbidity (<xref rid="b1-or-38-05-2836" ref-type="bibr">1</xref>). Although multimodal treatment consisting of surgery, radiation therapy and chemotherapy has been used, glioblastoma still exhibits a poor prognosis, with a less than 12-month survival period (<xref rid="b2-or-38-05-2836" ref-type="bibr">2</xref>). In addition, less than 5&#x0025; of patients with glioblastoma survive more than 5 years after diagnosis (<xref rid="b3-or-38-05-2836" ref-type="bibr">3</xref>). Thus, more effective therapeutic strategies are imperative.</p>
<p>Class I phosphatidylinositol 3-kinases (PI3Ks) play critical roles in a variety of cellular processes, such as differentiation, metabolism, migration and survival (<xref rid="b4-or-38-05-2836" ref-type="bibr">4</xref>). The PI3K family is subdivided into 3 classes, and class I PI3K is further divided into 4 members (p110&#x03B1;, p110&#x03B2;, p110&#x03B3; and p110&#x03B4;) (<xref rid="b5-or-38-05-2836" ref-type="bibr">5</xref>). Previous studies have revealed that p110&#x03B2; can be activated by growth factor receptors and G protein-coupled receptors, and its overexpression is capable of transforming cells (<xref rid="b6-or-38-05-2836" ref-type="bibr">6</xref>). In addition, the known p110-&#x03B2;-selective inhibitor TGX-221 blocked activation of PKB/Akt in PTEN-deficient cells (<xref rid="b7-or-38-05-2836" ref-type="bibr">7</xref>,<xref rid="b8-or-38-05-2836" ref-type="bibr">8</xref>). For example, p110&#x03B2; expression was significantly increased in malignant prostate tissues compared with that in their surrounding non-malignant counterparts, and its mRNA levels were correlated with disease progression in prostate cancer patients (<xref rid="b9-or-38-05-2836" ref-type="bibr">9</xref>). Compared with the solvent control, TGX-221 significantly decreased xenograft tumor growth in nude mice (<xref rid="b10-or-38-05-2836" ref-type="bibr">10</xref>). Furthermore, this result was supported by other groups using transgenic mouse models (<xref rid="b11-or-38-05-2836" ref-type="bibr">11</xref>,<xref rid="b12-or-38-05-2836" ref-type="bibr">12</xref>) and cell culture models (<xref rid="b13-or-38-05-2836" ref-type="bibr">13</xref>).</p>
<p>Previous studies have revealed that PTEN restoration and PIK3CB knockdown synergistically suppressed glioblastoma growth <italic>in vitro</italic> and in xenografts (<xref rid="b7-or-38-05-2836" ref-type="bibr">7</xref>). However, whether TGX-221 inhibits proliferation and induces apoptosis of glioblastoma cells has not been well studied. Thus, we treated U87 and U251 cells with TGX-221 to determine the effect of TGX-221 on glioblastoma cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>The human glioblastoma cell lines U251 and U87 were acquired from the State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences (Shanghai, China). The cells were cultured in Dulbeccos modified Eagles medium (DMEM) containing 10&#x0025; fetal bovine serum and incubated at 37&#x00B0;C in a humidified atmosphere containing 5&#x0025; carbon dioxide. DMEM was acquired from GINOM Co., Ltd. (Guangzhou, China). TGX-221 was purchased from Selleckchem (Houston, TX, USA) and dissolved in dimethyl sulfoxide (DMSO), which was a product purchased from Sigma-Aldrich (St. Louis, MO, USA).</p>
</sec>
<sec>
<title>CCK-8 assay</title>
<p>Cell viability was assessed using Cell Counting Kit-8 (CCK-8) according to the manufacturer&#x0027;s instructions. CCK-8 was purchased from Dojindo China Co., Ltd. (Shanghai, China). Approximately 8&#x00D7;10<sup>3</sup> cells were seeded in a volume of 100 &#x00B5;l of DMEM into each well of a 96-well plate. TGX-221 was added to the medium and evaluated at different concentrations at a single time-point or at different time-points at a single concentration. In addition, 100 &#x00B5;l of fresh medium containing 5 &#x00B5;l of CCK-8 solution was added into each well and incubated at 37&#x00B0;C for 30 min. The absorbance at 450 nm was measured using a spectrophotometric plate reader. Each group was assessed in triplicate.</p>
</sec>
<sec>
<title>5-Ethynyl-2&#x2032;-deoxyuridine (EdU) staining</title>
<p>The Cell-Light EdU DNA Cell Proliferation kit was purchased from RiboBio Co., Ltd. (Guangzhou, China) and used according to the manufacturer&#x0027;s instructions. Approximately 8&#x00D7;10<sup>3</sup> cells were seeded in a volume of 100 &#x00B5;l of DMEM into each well of a 96-well plate. The medium was mixed with TGX-221 at different concentrations, and the cells were evaluated 48 h after exposure to TGX-221. The cells were treated with 50 &#x00B5;mol/l EdU for 12 h at 37&#x00B0;C. After fixation with 4&#x0025; paraformaldehyde for 15 min, the cells were treated with 0.5&#x0025; Triton X-100 for 20 min and rinsed with phosphate-buffered saline (PBS) 3 times. Next, the cells were incubated with 100 &#x00B5;l of 1X Apollo<sup>&#x00AE;</sup> reaction cocktail for 30 min, and the cell nuclei were stained for 30 min with 5 &#x00B5;g/ml Hoechst 33342. Fluorescence images of the EdU and Hoechst in the cells were captured using a fluorescence microscope (Olympus, Tokyo, Japan). The number of EdU- and DAPI-positive cells was quantified using ImageJ software, and the EdU-labeling index was calculated as the ratio of the number of EdU-positive cells to the number of DAPI-positive cells.</p>
</sec>
<sec>
<title>Flow cytometry for cell apoptosis and cell cycle distribution analysis</title>
<p>The effects of TGX-221 on apoptosis and cell cycle distribution were determined using the Annexin V-FITC/propidium iodide (PI) apoptosis and cell cycle kit independently, according to the manufacturer&#x0027;s instructions from MultiSciences Biotech (Hangzhou, China). The cells were examined after 48 h following exposure to TGX-221 at different concentrations. At the end of the treatment period, 3&#x00D7;10<sup>5</sup> or more cells were trypsinized, collected by centrifugation at 1,000 rpm for 5 min and rinsed with cold PBS. Next, the corresponding dyes and solution were added and incubated according to the manufacturer&#x0027;s instructions. Cell apoptosis and cell cycle distribution were analyzed using a flow cytometer (Becton-Dickinson, Franklin Lakes, NJ, USA), and the data were analyzed using FlowJo software (version 7.6).</p>
</sec>
<sec>
<title>Migration and invasion assays</title>
<p>Migration and invasion assays were performed using a Transwell chamber with an 8.0-&#x00B5;m pore polycarbonate membrane. The cells were seeded into the top chambers containing the membranes, which were either coated or not with Matrigel for migration and invasion assays, respectively. Then, the chambers were placed into a 24-well plate, and medium containing 10&#x0025; fetal bovine serum was added. The cells were fixed and stained with crystal violet, which penetrated the underside surfaces of the membranes. Subsequently, the cells were quantified under a microscope. The assays were performed 3 times.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cell proteins were extracted with RIPA lysis buffer and assessed using the standard BCA method (Beyotime Institute of Biotechnology, Jiangsu, China). Equal amounts of protein were separated using SDS-PAGE and electroblotted onto polyvinylidene difluoride membranes (Millipore Corp., Bedford, MA, USA). The membranes were blocked in TBS containing 0.1&#x0025; Tween-20 and 5&#x0025; powdered milk, and incubated at 4&#x00B0;C overnight with primary antibodies against cleaved caspase-3, caspase-3, Bcl-2, Lc-3b, MMP9 and &#x03B2;-actin. Then, the membranes were incubated in the secondary antibody Alex Fluor 680/790-labeled goat anti-rabbit IgG (LI-COR Biosciences, Lincoln, NE, USA) for 1 h. Subsequently, the blots were visualized using the LI-COR Odyssey Infrared Imaging System.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>All experimental results are expressed as the mean &#x00B1; SD. A Student&#x0027;s t-test was performed to determine the significance between two mean values. The results were considered significant at P-values of &#x003C;0.05.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>TGX-221 inhibits glioblastoma cell proliferation</title>
<p>To confirm the effect of TGX-221 on glioblastoma cell proliferation, we performed the CCK-8 assay using different concentrations of TGX-221 in U87 and U251 cells. As shown in <xref rid="f1-or-38-05-2836" ref-type="fig">Fig. 1A and B</xref>, TGX-221 significantly inhibited the viability of U87 and U251 cells in a dose-dependent manner. The IC<sub>50</sub> values of TGX-221 in U87 and U251 cells were ~40 and 100 &#x00B5;M, respectively. We then performed the CCK-8 assay at different time-points with the IC<sub>50</sub> values of TGX-221. Glioblastoma cell proliferation was inhibited significantly by TGX-221 in a time-dependent manner (<xref rid="f1-or-38-05-2836" ref-type="fig">Fig. 1C and D</xref>).</p>
<p>To further confirm the inhibitory effect of TGX-221 on cell proliferation in glioblastoma cells, we performed the EdU assay in both U87 and U251 cells (<xref rid="f2-or-38-05-2836" ref-type="fig">Fig. 2A and B</xref>). A significant inhibition of cell proliferation was observed in both U87 and U251 cells in a dose-dependent manner. With an increase in TGX-221 concentration, the number of cell nuclei with thymidine analog incorporation was decreased. The total percentage of stained nuclei in cells treated with TGX-221 was lower than that in the cells treated with DMSO (<xref rid="f2-or-38-05-2836" ref-type="fig">Fig. 2C and D</xref>).</p>
<p>In addition, we performed flow cytometry to analyze the cell cycle distribution. As shown in <xref rid="f3-or-38-05-2836" ref-type="fig">Fig. 3</xref>, U87 and U251 cells were cultured with TGX-221 for 48 h. The percentage of cells in the G1 phase was increased compared with that in the control groups. The percentage of cells in the S and G2 phases was decreased, which suggested that TGX-221 inhibited glioblastoma cell proliferation. Importantly, the percentage of S and G2 phases decreased with an increase in TGX-221 concentration in glioblastoma cells.</p>
</sec>
<sec>
<title>TGX-221 induces apoptosis in glioblastoma cells</title>
<p>The effect of TGX-221 on cell apoptosis was investigated using flow cytometry. The apoptosis rates at 48 h after treatment at different concentrations (0,10, 20, 40 and 60 &#x00B5;M) are shown in <xref rid="f4-or-38-05-2836" ref-type="fig">Fig. 4A and B</xref>. We found that the apoptosis rate increased significantly with increasing TGX-221 concentrations.</p>
</sec>
<sec>
<title>TGX-221 inhibits glioblastoma cell migration and invasion</title>
<p>To examine whether TGX-221 inhibits the migration and invasion of glioblastoma cells, we performed a migration and invasion assay in U87 and U251 cells at different concentrations (0, 10, 20, 40 and 60 &#x00B5;M). We found that TGX-221 inhibited glioblastoma cell migration and invasion (<xref rid="f5-or-38-05-2836" ref-type="fig">Fig. 5A and B</xref>). These results were further confirmed using western blot analyses. Furthermore, we demonstrated that MMP9 gradually decreased with increasing concentrations of TGX-221 (<xref rid="f5-or-38-05-2836" ref-type="fig">Fig. 5C</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The PI3K family can be divided into 3 classes according to their homology and function (<xref rid="b14-or-38-05-2836" ref-type="bibr">14</xref>). Class I PI3Ks consists of two groups (A and B), and previous research has shown that only Class IA enzymes are expressed in human types of cancer. Class IA is a heterodimeric protein consisting of a p110-kDa catalytic subunit and a p85-kDa regulatory subunit. The p85 regulatory subunit inhibits the catalytic activity of the p110 subunit in quiescent cells (<xref rid="b15-or-38-05-2836" ref-type="bibr">15</xref>). Previous studies have demonstrated that activating point mutations or amplifications in the PIK3CA gene are present in many types of human cancer (<xref rid="b16-or-38-05-2836" ref-type="bibr">16</xref>&#x2013;<xref rid="b21-or-38-05-2836" ref-type="bibr">21</xref>). Moreover, these findings revealed that an aberration of PIK3CA affects the occurrence and development of human types of cancer. Furthermore, PIK3CB has been demonstrated to play an important role in PI3K/AKT signaling in glioblastomas (<xref rid="b7-or-38-05-2836" ref-type="bibr">7</xref>). Recent studies examining mutant PIK3CA also revealed that p110&#x03B1; was the most effective therapeutic target in many human tumors. However, PTEN-deficient types of cancer appear to be dependent on PIK3CB, but not PIK3CA. Several studies have confirmed these findings in many human tumor cells, including prostate, glioma, breast and endometrial cancer cells (<xref rid="b22-or-38-05-2836" ref-type="bibr">22</xref>&#x2013;<xref rid="b25-or-38-05-2836" ref-type="bibr">25</xref>). In a previous study, we used the combined treatment of PTEN restoration and PIK3CB-siRNA and demonstrated that it was an effective gene therapy approach for PTEN-deficient glioblastomas (<xref rid="b7-or-38-05-2836" ref-type="bibr">7</xref>).</p>
<p>We examined the role of the PI3K p110&#x03B2; isoform in signaling pathways and found that TGX-221 inhibited p110&#x03B2; based on a detailed structure and function analysis of LY294002. TGX-221 exhibited a &#x003E;1,000-fold selectivity for PI3K p110&#x03B2; over a broad range of protein kinases. Similar to LY294002, the concentration of ATP affected the inhibitory effects of TGX-221 (<xref rid="b26-or-38-05-2836" ref-type="bibr">26</xref>). Furthermore, TGX-221 consists of a chiral center with an aniline moiety, and uses racemic material to exert its functions (<xref rid="b27-or-38-05-2836" ref-type="bibr">27</xref>). TGX-221 has been successfully used to inhibit p110&#x03B2; activity in some human tumors. Recent studies also demonstrated that TGX-221 effectively blocked tumor growth in prostate cancer xenograft mouse (<xref rid="b10-or-38-05-2836" ref-type="bibr">10</xref>), transgenic mouse (<xref rid="b11-or-38-05-2836" ref-type="bibr">11</xref>,<xref rid="b12-or-38-05-2836" ref-type="bibr">12</xref>) and cell culture models (<xref rid="b13-or-38-05-2836" ref-type="bibr">13</xref>). In the present study, we investigated U87 and U251 cells treated with TGX-221 to examine the effect of TGX-221 in glioblastoma cells. We hypothesized that TGX-221 inhibited proliferation and induced apoptosis in human glioblastoma cells based on the findings obtained in previous studies (<xref rid="b10-or-38-05-2836" ref-type="bibr">10</xref>&#x2013;<xref rid="b13-or-38-05-2836" ref-type="bibr">13</xref>).</p>
<p>Our results indicated that TGX-221 inhibited proliferation, migration and invasion, and induced apoptosis. In addition, we found that U87 cells were more sensitive to TGX-221 than U251 cells. A previous study revealed that PIK3CB knockdown suppressed glioblastoma growth with PTEN restoration <italic>in vitro</italic> and in xenografts (<xref rid="b7-or-38-05-2836" ref-type="bibr">7</xref>). Thus, TGX-221 could be more effective in U87 cells potentially due to their lack of PTEN expression.</p>
<p>Previous studies have provided some clues regarding the mechanism of TGX-221 (<xref rid="b27-or-38-05-2836" ref-type="bibr">27</xref>). First, TGX-221 is an inhibitor of p110&#x03B2;, which participates in the PI3K/Akt signaling pathway (<xref rid="b5-or-38-05-2836" ref-type="bibr">5</xref>). Thus, we proposed that the effect of TGX-221 may potentially involve the PI3K/Akt signaling pathway. Akt regulates cell apoptosis and survival (<xref rid="b4-or-38-05-2836" ref-type="bibr">4</xref>,<xref rid="b28-or-38-05-2836" ref-type="bibr">28</xref>), and Akt may exert its effects via an NF-&#x03BA;B signaling pathway to affect cell survival. The mechanistic effects observed were similar to our results. Thus, TGX-221 may induce apoptosis and inhibit proliferation in glioblastoma cells via the PI3K/Akt signaling pathway. Many studies have illustrated that P110&#x03B2; plays a role in thrombosis and stenosis reduction (<xref rid="b29-or-38-05-2836" ref-type="bibr">29</xref>&#x2013;<xref rid="b31-or-38-05-2836" ref-type="bibr">31</xref>). The effect of TGX-221 in thrombosis and stenosis potentially occurs via the regulation of ERK phosphorylation (<xref rid="b31-or-38-05-2836" ref-type="bibr">31</xref>). ERK can affect cell proliferation via the MAPK signaling pathway. Thus, TGX-221 may also affect cell proliferation via the MAPK signaling pathway. Previous studies have proposed that p110&#x03B2; plays an important role in insulin signaling (<xref rid="b32-or-38-05-2836" ref-type="bibr">32</xref>&#x2013;<xref rid="b34-or-38-05-2836" ref-type="bibr">34</xref>). Moreover, some studies have also demonstrated that p110&#x03B2; can be activated by GPCRs (<xref rid="b35-or-38-05-2836" ref-type="bibr">35</xref>&#x2013;<xref rid="b36-or-38-05-2836" ref-type="bibr">36</xref>). Furthermore, p110&#x03B2; exhibited different requirements for Ras activation (<xref rid="b6-or-38-05-2836" ref-type="bibr">6</xref>). On the basis of these studies, we found that p110&#x03B2; affected cell apoptosis, the cell cycle, cell proliferation and cell survival via several pathways. Thus, TGX-221 may inhibit p110&#x03B2; to affect the biological behaviors of glioblastoma cells.</p>
<p>Although we obtained some results that can explain the effects observed with TGX-221, the present study has several limitations. First, we only demonstrated the effect of TGX-221, but we did not examine its underlying mechanism. Furthermore, we only performed our studies using U87 and U251 cells, and did not examine the effect of TGX-221 <italic>in vivo</italic>. Finally, we did not have sufficient clinical evidence to demonstrate our results. However, our results are credible and aligned with our expectations.</p>
<p>Collectively, our study illustrated that TGX-221 can inhibit proliferation and induce apoptosis in human glioblastoma cells, which may represent a promising strategy for the treatment of glioblastoma.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the National Natural Science Foundation of China (nos. 81372683 and 81572489) (to Q.-X.C.), and (no. 81502175) (to B.-H.L.).</p>
</ack>
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<floats-group>
<fig id="f1-or-38-05-2836" position="float">
<label>Figure 1.</label>
<caption><p>TGX-221 suppresses the viability of glioblastoma cells. (A) U87 cells were exposed to culture medium containing various concentrations of TGX-221 for 48 h, and (B) a similar protocol was performed using the U251 cells. (C) U87 cells were treated with 40 &#x00B5;M TGX-221 at different time-points. (D) U251 cells were treated with 100 &#x00B5;M TGX-221 at different time-points. The cell viability was assessed using the CCK-8 assay.</p></caption>
<graphic xlink:href="OR-38-05-2836-g00.tif"/>
</fig>
<fig id="f2-or-38-05-2836" position="float">
<label>Figure 2.</label>
<caption><p>TGX-221 inhibits glioblastoma cell proliferation. Proliferating U87 cells were treated with different concentrations (0, 10, 20, 40 and 60 &#x00B5;M) of TGX-221. (A) Next, the cells were labeled with EdU, and the cell nuclei were stained with Hoechst 33342. (B) U251 cells were treated using the same protocol. (C and D) The percentage of EdU-positive U87 and U251 cells were quantified. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-05-2836-g01.tif"/>
</fig>
<fig id="f3-or-38-05-2836" position="float">
<label>Figure 3.</label>
<caption><p>TGX-221 affects the cell cycle progression of glioblastoma cells. (A) U87 and U251 cells were treated with different concentrations (0, 10, 20, 40 and 60 &#x00B5;M) for 48 h, and the DNA content was analyzed using flow cytometry. (B and C) The percentage of cells in the S and G2 phases of the cell cycle was calculated.</p></caption>
<graphic xlink:href="OR-38-05-2836-g02.tif"/>
</fig>
<fig id="f4-or-38-05-2836" position="float">
<label>Figure 4.</label>
<caption><p>TGX-221 induces apoptosis in glioblastoma cells. (A) Apoptosis of U87 and U251 cells was analyzed using Annexin V-FITC/PI staining after a 48-h treatment with TGX-221 at different concentrations (0, 10, 20, 40 and 60 &#x00B5;M). (B) Apoptosis rates of U87 and U251 cells at different concentrations were compared. The data represent the mean &#x00B1; SD; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01. (C) After treatment of U87 and U251 cells with different concentrations (0, 10, 20, 40 and 60 &#x00B5;M), the expression of Bax was increased while the expression of Bcl-2 was decreased and with increasing TGX-221 concentrations, respectively.</p></caption>
<graphic xlink:href="OR-38-05-2836-g03.tif"/>
</fig>
<fig id="f5-or-38-05-2836" position="float">
<label>Figure 5.</label>
<caption><p>TGX-221 inhibits glioblastoma cell migration and invasion. (A) The migration ability gradually decreased in U87 and U251 cells with increasing concentrations of TGX-221. (B) The invasion ability of glioblastoma cells gradually decreased in a dose-dependent manner. (C) MMP9 significantly decreased with increasing concentrations of TGX-221 in U87 and U251 cells.</p></caption>
<graphic xlink:href="OR-38-05-2836-g04.tif"/>
</fig>
</floats-group>
</article>