<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2020.11523</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-11523</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Curcumin inhibits epithelial-mesenchymal transition in oral cancer cells via c-Met blockade</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Ohnishi</surname><given-names>Yuichi</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-11523" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Sakamoto</surname><given-names>Tsukasa</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhengguang</surname><given-names>Li</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Yasui</surname><given-names>Hiroki</given-names></name>
<xref rid="af2-ol-0-0-11523" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Hamada</surname><given-names>Hiroyuki</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kubo</surname><given-names>Hirohito</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Nakajima</surname><given-names>Masahiro</given-names></name>
<xref rid="af1-ol-0-0-11523" ref-type="aff">1</xref></contrib>
</contrib-group>
<aff id="af1-ol-0-0-11523"><label>1</label>Second Department of Oral and Maxillofacial Surgery, Osaka Dental University, Hirakata, Osaka 573-1121, Japan</aff>
<aff id="af2-ol-0-0-11523"><label>2</label>Department of Dentistry and Oral Surgery, Kansai Medical University Hospital, Hirakata, Osaka 573-1010, Japan</aff>
<author-notes>
<corresp id="c1-ol-0-0-11523"><italic>Correspondence to</italic>: Dr Yuichi Ohnishi, Second Department of Oral and Maxillofacial Surgery, Osaka Dental University, 8-1 Kuzuhahanazono-cho, Hirakata, Osaka 573-1121, Japan, E-mail: <email>ohnishi@cc.osaka-dent.ac.jp</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>06</month>
<year>2020</year></pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>04</month>
<year>2020</year></pub-date>
<volume>19</volume>
<issue>6</issue>
<fpage>4177</fpage>
<lpage>4182</lpage>
<history>
<date date-type="received"><day>24</day><month>08</month><year>2019</year></date>
<date date-type="accepted"><day>17</day><month>02</month><year>2020</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2020, Spandidos Publications</copyright-statement>
<copyright-year>2020</copyright-year>
</permissions>
<abstract>
<p>Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer. OSCC cells are highly invasive, a characteristic that involves epithelial-mesenchymal transition (EMT); the conversion of immotile epithelial cells into motile mesenchymal cells. EMT is involved in the progression of various types of cancer by promoting tumour cell scattering and conferring to these cells cancer stem cell (CSC)-like characteristics, such as self-renewal. Hepatocyte growth factor (HGF) signalling plays an important role in EMT induction and, therefore, contributes to cell invasion and metastasis in cancer. Due to its potential chemopreventative and anti-tumour activities, curcumin has attracted much interest and has been shown to act as a potent EMT inhibitor in various types of cancer. However, at present, the potential effects of curcumin on HGF-induced EMT in OSCC have not been investigated. Here, we demonstrated that HGF signalling could induce EMT in the HSC4 and Ca9-22 OSCC cell lines via the HGF receptor c-Met and downstream activation of the pro-survival ERK pathway. Notably, curcumin inhibited HGF-induced EMT and cell motility in HSC-4 and Ca9-22 cells via c-Met blockade. Therefore, these findings establish curcumin as a candidate drug for OSCC treatment. Furthermore, curcumin was able to effectively inhibit the HGF-induced increase in the levels of vimentin by downregulating the expression of phosphorylated c-Met, an ERK. In conclusion, the results of the present study demonstrated that curcumin was able to reverse HGF-induced EMT, possibly by inhibiting c-Met expression in oral cancer cells, providing a strong basis for the development of novel approaches for the treatment of oral cancer.</p>
</abstract>
<kwd-group>
<kwd>curcumin</kwd>
<kwd>HGF</kwd>
<kwd>EMT</kwd>
<kwd>c-Met</kwd>
<kwd>ERKs</kwd>
<kwd>OSCC</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Despite progress in the treatment of cancer through surgery, radiotherapy, and chemotherapy, the incidence of cancer remains high, which is largely due to the aging and growth of the world population. This high incidence of cancer is also associated with an increase in cancer-causing behaviours, particularly smoking, in economically developing countries (<xref rid="b1-ol-0-0-11523" ref-type="bibr">1</xref>), which is concomitant to moderate improvements in the overall five-year survival rate for oral cancer (<xref rid="b2-ol-0-0-11523" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-11523" ref-type="bibr">3</xref>). Therefore, new treatments are needed to improve the care and outcome of oral cancer patients. Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer. Notably, OSCC cells are highly invasive, which frequently leads to local recurrence and distant lymphatic metastasis (<xref rid="b4-ol-0-0-11523" ref-type="bibr">4</xref>,<xref rid="b5-ol-0-0-11523" ref-type="bibr">5</xref>). Hence, a better understanding of tumour cell invasion mechanisms is essential to develop more potent treatments for OSCC.</p>
<p>Initially identified during embryogenesis, epithelial-mesenchymal transition (EMT) has been described as an essential process related to cell differentiation and morphogenesis (<xref rid="b6-ol-0-0-11523" ref-type="bibr">6</xref>). Importantly, EMT induction has also been associated with tumour progression, tumour cell invasion, and metastasis (<xref rid="b7-ol-0-0-11523" ref-type="bibr">7</xref>,<xref rid="b8-ol-0-0-11523" ref-type="bibr">8</xref>), including in OSCC (<xref rid="b9-ol-0-0-11523" ref-type="bibr">9</xref>). When EMT occurs, cancer cells lose epithelial characteristics and acquire mesenchymal properties, including fibroblast-like morphology, changes in gene expression patterns, and increased motility. Moreover, the outgrowth of metastases is generally associated with self-renewal, a defining trait of cancer stem cells (CSCs). Notably, EMT induction has also been shown to confer CSC-like characteristics to tumour cells (<xref rid="b10-ol-0-0-11523" ref-type="bibr">10</xref>), and such changes have been associated with increased cell invasion, metastasis, and resistance to chemotherapy (<xref rid="b11-ol-0-0-11523" ref-type="bibr">11</xref>&#x2013;<xref rid="b13-ol-0-0-11523" ref-type="bibr">13</xref>).</p>
<p>Hepatocyte growth factor (HGF) and its receptor c-Met have been implicated in EMT in numerous types of cancer (<xref rid="b14-ol-0-0-11523" ref-type="bibr">14</xref>). Notably, activation of the HGF/c-Met signalling pathway has been shown to promote cancer cell scattering and invasion. Curcumin has been extensively studied for its potential chemopreventive and anti-tumour activities in colorectal cancer (<xref rid="b15-ol-0-0-11523" ref-type="bibr">15</xref>,<xref rid="b16-ol-0-0-11523" ref-type="bibr">16</xref>). Furthermore, curcumin has been shown to reduce the expression of EMT markers and act as a potent inhibitor of EMT in various cancers (<xref rid="b17-ol-0-0-11523" ref-type="bibr">17</xref>&#x2013;<xref rid="b20-ol-0-0-11523" ref-type="bibr">20</xref>). However, the potential effects of curcumin on EMT in oral cancer cells remain to be clarified. In this study, we aimed to examine the potential effects of curcumin on HGF-induced EMT in an OSCC cell line. In addition, we analysed invasion by an invasion assay and gelatin zymography, and metastasis by a scratch wound healing cell migration assay. This study may serve as a stepping stone towards the development of novel treatments for oral cancer.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and reagents</title>
<p>The human tongue-derived OSCC cell line HSC-4 and Ca9-22 was purchased from the RIKEN BioResource Center (Ibaraki, Japan). HSC-4 and Ca9-22 cells were cultured in Dulbecco&#x0027;s modified Eagle medium (DMEM) supplemented with 10&#x0025; (v/v) foetal bovine serum (FBS) in a humidified incubator at 37&#x00B0;C and 5&#x0025; CO<sub>2</sub>. DMEM and FBS were purchased from Gibco (Life Technologies, Tokyo, Japan). HGF and curcumin were purchased from Sigma-Aldrich. All antibodies used in this study were commercially available and included antibodies against c-Met and phosphorylated-cMet (phospho-c-Met, Tyr1234/1235) (Cell Signaling Technology), &#x03B1;-tubulin (Sigma-Aldrich), E-cadherin and vimentin (Merck Millipore), and ERK and phospho-Tyr204-ERK (Tyr204) (both from Santa Cruz Biotechnology).</p>
</sec>
<sec>
<title>Scratch wound healing cell migration assay</title>
<p>Cell migration was determined using a scratch wound healing assay, as described previously (<xref rid="b21-ol-0-0-11523" ref-type="bibr">21</xref>,<xref rid="b22-ol-0-0-11523" ref-type="bibr">22</xref>), except for the following modifications. Briefly, semi-confluent cells in 12-well plates were treated for 4 h with 10 &#x00B5;g/ml mitomycin C to block cell proliferation, and an artificial wound was made by scraping the bottom of the dish. The cells were subsequently wounded with a sterile 200-&#x00B5;l pipette tip to generate a cell-free gap, ~0.3 mm in width. Cells were then washed with phosphate-buffered saline (PBS) and photographed to record the wound width at 0 h (~0.3 mm). Finally, one group of cells was cultured for 48 h in DMEM supplemented with 10&#x0025; (v/v) FBS as a control, while the other groups were treated with 20 ng/ml HGF (<xref rid="b23-ol-0-0-11523" ref-type="bibr">23</xref>). For curcumin pre-treatment, cell monolayers were scratched and incubated for 2 h with DMEM supplemented with 0.5&#x0025; (v/v) FBS and 15 &#x00B5;M curcumin before HGF treatment. The concentration of curcumin was selected based on the study by Tong <italic>et al</italic>, who reported that the effective concentration of curcumin is 10&#x2013;20 &#x00B5;M (<xref rid="b24-ol-0-0-11523" ref-type="bibr">24</xref>). At the end of the incubation, photographs were taken, and the wound width was measured to evaluate cell migration.</p>
</sec>
<sec>
<title>Matrigel cell invasion assay</title>
<p><italic>In vitro</italic> cell invasion assays were performed following the manufacturer&#x0027;s recommendations. HSC-4 cells (3&#x00D7;10<sup>5</sup> cells/ml) incubated in the presence or absence of HGF were seeded in a 6-well plate fitted with a BioCoat Matrigel Invasion Chamber (Corning; Becton Dickinson). Cells were then cultured for 48 h in DMEM supplemented with 10&#x0025; (v/v) FBS in the presence or absence of 20 ng/ml HGF and 15 &#x00B5;M curcumin. After 48 h, non-invading cells were removed from the surface of the membrane by scrubbing, and the invading cells were fixed with 100&#x0025; methanol and then stained using the Diff-Quick staining kit after fixation with methanol. Finally, the number of invading cells in six random fields was counted using a microscope equipped with a &#x00D7;200 objective and the Image Pro Express software (Meyer Instruments) to evaluate the invasion index.</p>
</sec>
<sec>
<title>Gelatin zymography</title>
<p>The gelatinolytic activity of HSC-4 cells was examined by gelatin zymography. Proteins from serum-free conditioned medium were diluted in sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) sample buffer and separated using a 12.5&#x0025; (w/v) polyacrylamide gel containing 0.1&#x0025; (w/v) gelatin. For each sample, the amount of material loaded onto the gel was corrected for the number of cells in culture and corresponded to the proteins secreted by ten cells. Electrophoresis was carried out for 2 h at 60 mA and 4&#x00B0;C, and the gel was incubated overnight in 50 mM Tris-HCl buffer (pH 7.5) containing 10 mM CaCl<sub>2</sub> and 1X Halt Protease Inhibitor Cocktail (Thermo Fisher Scientific). Finally, the gel was stained using 0.25&#x0025; Coomassie Blue in a methanol:acetic acid:water (50:10:40) solution and destained using the same solution without dye. Negative staining (white bands against a dark background) indicated proteolysis and, therefore, gelatinolytic activity.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Following treatment, HSC-4 and Ca9-22 cells were collected, washed with PBS, and lysed using RIPA buffer (10 mM Tris-HCl pH 8.0, 150 mM NaCl, 1&#x0025; (v/v) Nonidet P-40, 0.5&#x0025; (w/v) deoxycholic acid, 0.1&#x0025; (w/v) SDS, 5 mM ethylenediaminetetraacetic acid, 1X Halt Protease Inhibitor Cocktail, and 1X Halt Protein Phosphatase Inhibitor (Thermo Fisher Scientific, Inc.). The protein concentration of the cell lysates was determined using a BCA Protein Assay kit (Thermo Fisher Scientific, Inc.), and equal amounts of protein were subjected to SDS-PAGE. The separated proteins were transferred onto a PVDF membrane (GE Healthcare), which was then blocked for 1 h at room temperature with 5&#x0025; (w/v) bovine serum albumin in Tris-buffered saline (TBS)/Tween-20 (TBS-T) to prevent non-specific binding. The membrane was incubated overnight at 4&#x00B0;C with antibodies diluted in TBS-T, washed, and incubated with HRP-conjugated secondary antibodies diluted in TBS-T. Finally, antibody-antigen complexes were detected using the ECL Plus Western Blotting Detection Reagent (GE Healthcare).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as the mean &#x00B1; standard deviation from three independent experiments unless stated otherwise. The statistical significance of a difference between two groups was evaluated using unpaired Student&#x0027;s t-test. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Curcumin inhibits HGF-induced invasion and migration of HSC-4 cells</title>
<p>To assess the effect of curcumin on oral cancer cells, we first examined HGF-induced cell motility of HSC-4 cells using an invasion assay (<xref rid="f1-ol-0-0-11523" ref-type="fig">Fig. 1</xref>). HGF-induced cells exhibited a 2-fold increase in the number of invasive cells compared to control cells (<italic>P</italic>&#x003C;0.05). In stark contrast, curcumin pre-treatment significantly inhibited HGF-induced invasion of HSC-4 cells (<italic>P</italic>&#x003C;0.05), with a number of invasive cells that was comparable to that of the control cells.</p>
<p>To further assess the effect of curcumin on HGF-induced cell motility, we also examined cell migration using a wound healing assay (<xref rid="f2-ol-0-0-11523" ref-type="fig">Fig. 2</xref>). In agreement with our cell migration data, the migration of HGF-induced HSC-4 cells was increased &#x003E;2-fold compared to control cells (<italic>P</italic>&#x003C;0.001). However, as in the case of cell invasion, curcumin pre-treatment dramatically reduced the migration of HGF-induced cells (<italic>P</italic>&#x003C;0.05), which was similar to that of control cells. Collectively, these findings strongly suggested that curcumin pre-treatment could inhibit the HGF-induced motility of HSC-4 cells, resulting in reduced cell invasion and migration.</p>
</sec>
<sec>
<title>Curcumin suppresses HGF-induced EMT in HSC-4 and Ca9-22 cells</title>
<p>The concomitant down-regulation of the epithelial marker E-cadherin and up-regulation of the mesenchymal marker vimentin is recognised as a hallmark of cells undergoing EMT (<xref rid="b25-ol-0-0-11523" ref-type="bibr">25</xref>,<xref rid="b26-ol-0-0-11523" ref-type="bibr">26</xref>) and results in the loss of cell polarity, an important step in EMT induction (<xref rid="b27-ol-0-0-11523" ref-type="bibr">27</xref>,<xref rid="b28-ol-0-0-11523" ref-type="bibr">28</xref>). Therefore, we next performed western blot analyses to assess the expression level of these markers and determine whether the observed inhibitory effects of curcumin on HGF-induced cell motility involved alterations in the EMT process (<xref rid="f3-ol-0-0-11523" ref-type="fig">Fig. 3</xref>). As expected, E-cadherin and vimentin expression levels were decreased and increased, respectively, in response to HGF stimulation, which confirmed that HGF-induced HSC-4 and Ca9-22 cells were undergoing EMT. Remarkably, curcumin pre-treatment abrogated HGF-induced changes in E-cadherin and vimentin expression, which strongly suggested that curcumin could inhibit HGF-induced EMT in oral cancer cells.</p>
</sec>
<sec>
<title>Curcumin represses HGF-induced signalling in HSC4 cells through inhibition of the c-Met/ERK pathway</title>
<p>As mentioned previously, HGF signalling plays an important role in EMT induction. A crucial step is the homodimerisation and autophosphorylation of the c-Met receptor tyrosine kinase upon HGF binding (<xref rid="b29-ol-0-0-11523" ref-type="bibr">29</xref>,<xref rid="b30-ol-0-0-11523" ref-type="bibr">30</xref>). Therefore, we performed western blot analyses to examine the effect of curcumin pre-treatment on the level of phospho-c-Met. HGF-induced HSC-4 and Ca9-22 cells exhibited an increased level of phospho-c-Met compared to control cells. Remarkably, curcumin pre-treatment abolished the increase in phospho-c-Met level resulting from HGF stimulation (<xref rid="f4-ol-0-0-11523" ref-type="fig">Fig. 4</xref>), which strongly suggested that the inhibitory effects of curcumin on HGF-induced EMT involve the down-regulation of HGF signalling.</p>
<p>The role of HGF signalling in the induction of EMT is mediated via the downstream activation of the AKT and ERK effector pathways (<xref rid="b31-ol-0-0-11523" ref-type="bibr">31</xref>). Accordingly, we assessed the activation status of the ERK pathway to further dissect the mechanisms of EMT inhibition by curcumin. Western blot analyses showed that ERK phosphorylation, a marker of ERK activation, was increased in HGF-induced HSC-4 cells compared to control cells (<xref rid="f5-ol-0-0-11523" ref-type="fig">Fig. 5</xref>). In stark contrast, curcumin pre-treatment completely blocked HGF-induced ERK phosphorylation. Collectively, these findings indicated that curcumin could inhibit HGF-induced EMT by repressing c-Met and ERK activation.</p>
</sec>
<sec>
<title>Curcumin represses the production of gelatinolytic activity</title>
<p>Matrix metalloproteinases (MMPs) are major regulators of the extracellular matrix and are known to play important roles in tumour invasion and metastasis (<xref rid="b32-ol-0-0-11523" ref-type="bibr">32</xref>). Furthermore, activation of the MMP2 and MMP9 gelatinases has been associated with an induction of the ERK pathway (<xref rid="b33-ol-0-0-11523" ref-type="bibr">33</xref>). Therefore, we used gelatin zymography to evaluate gelatinolytic activity in the conditioned medium of HSC-4 cells (<xref rid="f6-ol-0-0-11523" ref-type="fig">Fig. 6</xref>). While control cells exhibited two major types of gelatinolytic activity, which were consistent with pro-MMP9 and pro-MMP2, HGF-induced cells exhibited a marked increase in pro-MMP9 production. Notably, curcumin pre-treatment inhibited the production of pro-MMP9 by HGF-induced cells, whereas the production of pro-MMP2 remained unaffected. This observation suggested that inhibition of HGF signalling by curcumin might decrease cell motility by repressing the production of gelatinolytic activity.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>EMT is a highly conserved cellular program that allows polarised, immotile epithelial cells to convert into motile mesenchymal cells. Importantly, EMT plays physiological roles during embryonic development, but also pathological roles in cancer. HGF signalling plays an important role in EMT induction and involves homodimerisation and autophosphorylation of its receptor c-Met, which induces the transcription of downstream target genes. Moreover, the activation of c-Met has been shown to promote invasion and metastasis, as well as angiogenesis and tumorigenesis. The functional diversity of HGF signalling has attracted much interest in the clinical setting due to its potential prognostic and therapeutic value (<xref rid="b34-ol-0-0-11523" ref-type="bibr">34</xref>).</p>
<p>In the present study, we demonstrated that HGF signalling could induce EMT in the HSC-4 OSCC cell line and promote both cell migration and invasion. Importantly, EMT in HSC-4 and Ca9-22 cells involved down- and up-regulation of E-cadherin and vimentin expression, respectively. Grotegut <italic>et al</italic> have previously reported that HGF induces scattering of epithelial cells via up-regulation of Snail, a transcriptional repressor involved in EMT that represses the expression of E-cadherin and other epithelial-related genes (<xref rid="b35-ol-0-0-11523" ref-type="bibr">35</xref>). Importantly, HGF-induced up-regulation of Snail expression requires the activation of the ERK pathway and its downstream effector early growth response factor-1 (Egr-1). Furthermore, previous studies have shown that the various oncogenic effects related to HGF signalling are mediated by a complex downstream signalling network, which prominently involves the AKT and ERK effector pathways (<xref rid="b31-ol-0-0-11523" ref-type="bibr">31</xref>,<xref rid="b36-ol-0-0-11523" ref-type="bibr">36</xref>). In agreement with these findings, our results indicated that the c-Met/ERK pathway mediated HGF-induced EMT in HSC-4 cells. Therefore, we propose that in OSCC, HGF signalling can activate the c-Met/ERK pathway, increasing Snail expression, which induces EMT and increases the invasion and migration of tumour cells.</p>
<p>MMPs are known to play important roles in tumour invasion (<xref rid="b31-ol-0-0-11523" ref-type="bibr">31</xref>), and the activation of the MMP2 and MMP9 gelatinases has been associated with induction of the ERK pathway (<xref rid="b33-ol-0-0-11523" ref-type="bibr">33</xref>). We previously reported that EGF increases the promoter activities of MMP9 in oral cancer cells (<xref rid="b37-ol-0-0-11523" ref-type="bibr">37</xref>). Moreover, it was previously reported that curcumin inhibits colon cancer cell invasion via MMP9 (<xref rid="b24-ol-0-0-11523" ref-type="bibr">24</xref>). The results of the current study also suggested that curcumin inhibits OSCC cell invasion via MMP9.</p>
<p>In a previous study, Davies <italic>et al</italic> have shown that inhibition of c-Met expression using a hammerhead ribozyme transgene decreases invasion and metastasis of prostate cancer cells (<xref rid="b38-ol-0-0-11523" ref-type="bibr">38</xref>). Hence, repression of cell invasion and metastasis by c-Met blockade appears to be an attractive therapeutic approach for oral cancer. In this study, we investigated the potential beneficial effects of curcumin in OSCC. The chemopreventive and anti-tumour activities of curcumin have been extensively documented, establishing it as a promising drug for the prevention and treatment of cancer (<xref rid="b39-ol-0-0-11523" ref-type="bibr">39</xref>). Indeed, curcumin can modulate multiple molecular pathways involved in carcinogenesis and exert its chemopreventive and anti-tumour activities through several mechanisms, which include induction of apoptosis, inhibition of survival signals, scavenging of reactive oxidative species, and reduction of the inflammatory cancer microenvironment (<xref rid="b39-ol-0-0-11523" ref-type="bibr">39</xref>). Previous studies have also demonstrated that curcumin can inhibit tumour cell invasion and metastasis. For example, Chen <italic>et al</italic> have reported that curcumin can inhibit the invasion and metastasis of lung cancer cells through the up-regulation of E-cadherin expression (<xref rid="b40-ol-0-0-11523" ref-type="bibr">40</xref>). In agreement with these observations, we showed that curcumin pre-treatment could block HGF-induced invasion and migration of HSC-4 cells by preventing EMT induction. Furthermore, we demonstrated that in HSC-4 cells, curcumin could inhibit c-Met and ERK phosphorylation in response to HGF stimulation, which are essential steps in the signalling cascade promoting EMT. Although further work is required to elucidate the underlying mechanisms, we propose that the inhibitory effects of curcumin on HGF-induced EMT and cell motility are mediated via down-regulation of the c-Met/ERK pathway.</p>
<p>The HSC-4 and Ca9-22 human OSCC cell line was used as an experimental model in this study. HSC-4 and Ca9-22 cells are negative for cancer stemness (<xref rid="b41-ol-0-0-11523" ref-type="bibr">41</xref>) and responsive to HGF and c-Met inhibitor SU11274 (<xref rid="b23-ol-0-0-11523" ref-type="bibr">23</xref>). Thus, the effects of curcumin on HGF-induced EMT and the invasive and migratory potential of HSC-4 and Ca9-22 cells were investigated.</p>
<p>Moreover, Siddappa <italic>et al</italic> have recently assessed a curcumin/metformin combination for the treatment of a mouse model of induced oral carcinogenesis (<xref rid="b42-ol-0-0-11523" ref-type="bibr">42</xref>). They found that this drug combination was an efficient chemopreventive treatment, as demonstrated by the positive clinical response, that specifically inhibited CSCs associated with cancer progression. <italic>In vitro</italic> studies also showed that administration at an earlier disease stage resulted in improved efficiency of these drugs. Our <italic>in vitro</italic> data on HGF-induced HSC-4 cells further demonstrated that curcumin is a promising drug that could target cells exhibiting CSC-like characteristics. Nevertheless, additional studies will be necessary to fully understand the molecular mechanisms involved in the chemopreventive activity of curcumin in oral cancer.</p>
<p>In conclusion, this study demonstrated that curcumin could inhibit HGF-induced EMT and cell motility in an OSCC cell line via c-Met blockade and inhibition of the ERK effector pathway. Importantly, these findings suggested that curcumin was a potent drug targeting invasive oral cancer cells. Therefore, we believe that our data provide a strong theoretical and experimental basis for the development of novel approaches and drugs for the treatment of oral cancer.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by a KAKENHI grant (grant no. JP18K09736) from The Japan Society for the Promotion of Science.</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or analysed during the present study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>YO and MN contributed to the conception and design of the experiments. YO, TS and HY performed the experiments. LZ, HH and HK contributed to the study conception and design. All authors read and approved the final version of the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>OSCC</term><def><p>oral squamous cell carcinoma</p></def></def-item>
<def-item><term>EMT</term><def><p>epithelial-mesenchymal transition</p></def></def-item>
<def-item><term>CSCs</term><def><p>cancer stem cells</p></def></def-item>
<def-item><term>HGF</term><def><p>hepatocyte growth factor</p></def></def-item>
<def-item><term>MMPs</term><def><p>matrix metalloproteinases</p></def></def-item>
</def-list>
</glossary>
<ref-list>
<title>References</title>
<ref id="b1-ol-0-0-11523"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name><name><surname>Center</surname><given-names>MM</given-names></name><name><surname>Ferlay</surname><given-names>J</given-names></name><name><surname>Ward</surname><given-names>E</given-names></name><name><surname>Forman</surname><given-names>D</given-names></name></person-group><article-title>Global cancer statistics</article-title><source>CA Cancer J Clin</source><volume>61</volume><fpage>69</fpage><lpage>90</lpage><year>2011</year><pub-id pub-id-type="doi">10.3322/caac.20107</pub-id><pub-id pub-id-type="pmid">21296855</pub-id></element-citation></ref>
<ref id="b2-ol-0-0-11523"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname><given-names>EE</given-names></name><name><surname>Lingen</surname><given-names>MW</given-names></name><name><surname>Vokes</surname><given-names>EE</given-names></name></person-group><article-title>The expanding role of systemic therapy in head and neck cancer</article-title><source>J Clin Oncol</source><volume>22</volume><fpage>1743</fpage><lpage>1752</lpage><year>2004</year><pub-id pub-id-type="doi">10.1200/JCO.2004.06.147</pub-id><pub-id pub-id-type="pmid">15117998</pub-id></element-citation></ref>
<ref id="b3-ol-0-0-11523"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Siegel</surname><given-names>RL</given-names></name><name><surname>Miller</surname><given-names>KD</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name></person-group><article-title>Cancer statistics, 2019</article-title><source>CA Cancer J Clin</source><volume>69</volume><fpage>7</fpage><lpage>34</lpage><year>2019</year><pub-id pub-id-type="doi">10.3322/caac.21551</pub-id><pub-id pub-id-type="pmid">30620402</pub-id></element-citation></ref>
<ref id="b4-ol-0-0-11523"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kramer</surname><given-names>RH</given-names></name><name><surname>Shen</surname><given-names>X</given-names></name><name><surname>Zhou</surname><given-names>H</given-names></name></person-group><article-title>Tumor cell invasion and survival in head and neck cancer</article-title><source>Cancer Metastasis Rev</source><volume>24</volume><fpage>35</fpage><lpage>45</lpage><year>2005</year><pub-id pub-id-type="doi">10.1007/s10555-005-5046-2</pub-id><pub-id pub-id-type="pmid">15785871</pub-id></element-citation></ref>
<ref id="b5-ol-0-0-11523"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ziober</surname><given-names>AF</given-names></name><name><surname>Falls</surname><given-names>EM</given-names></name><name><surname>Ziober</surname><given-names>BL</given-names></name></person-group><article-title>The extracellular matrix in oral squamous cell carcinoma: Friend or foe?</article-title><source>Head Neck</source><volume>28</volume><fpage>740</fpage><lpage>749</lpage><year>2006</year><pub-id pub-id-type="doi">10.1002/hed.20382</pub-id><pub-id pub-id-type="pmid">16649214</pub-id></element-citation></ref>
<ref id="b6-ol-0-0-11523"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Acloque</surname><given-names>H</given-names></name><name><surname>Adams</surname><given-names>MS</given-names></name><name><surname>Fishwick</surname><given-names>K</given-names></name><name><surname>Bronner-Fraser</surname><given-names>M</given-names></name><name><surname>Nieto</surname><given-names>MA</given-names></name></person-group><article-title>Epithelial-mesenchymal transitions: The importance of changing cell state in development and disease</article-title><source>J Clin Invest</source><volume>119</volume><fpage>1438</fpage><lpage>1449</lpage><year>2009</year><pub-id pub-id-type="doi">10.1172/JCI38019</pub-id><pub-id pub-id-type="pmid">19487820</pub-id></element-citation></ref>
<ref id="b7-ol-0-0-11523"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thiery</surname><given-names>JP</given-names></name></person-group><article-title>Epithelial-mesenchymal transitions in tumor progression</article-title><source>Nat Rev Cancer</source><volume>2</volume><fpage>442</fpage><lpage>454</lpage><year>2002</year><pub-id pub-id-type="doi">10.1038/nrc822</pub-id><pub-id pub-id-type="pmid">12189386</pub-id></element-citation></ref>
<ref id="b8-ol-0-0-11523"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thiery</surname><given-names>JP</given-names></name><name><surname>Sleeman</surname><given-names>JP</given-names></name></person-group><article-title>Complex networks orchestrate epithelial-mesenchymal transitions</article-title><source>Nat Rev Mol Cell Biol</source><volume>7</volume><fpage>131</fpage><lpage>142</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/nrm1835</pub-id><pub-id pub-id-type="pmid">16493418</pub-id></element-citation></ref>
<ref id="b9-ol-0-0-11523"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krisanaprakornkit</surname><given-names>S</given-names></name><name><surname>Iamaroon</surname><given-names>A</given-names></name></person-group><article-title>Epithelial-mesenchymal transition in oral squamous cell carcinoma</article-title><source>ISRN Oncol</source><volume>2012</volume><fpage>681469</fpage><year>2012</year><pub-id pub-id-type="pmid">22548191</pub-id></element-citation></ref>
<ref id="b10-ol-0-0-11523"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Scheel</surname><given-names>C</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>Cancer stem cells and epithelial-mesenchymal transition: Concepts and molecular links</article-title><source>Semin Cancer Biol</source><volume>22</volume><fpage>396</fpage><lpage>403</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.semcancer.2012.04.001</pub-id><pub-id pub-id-type="pmid">22554795</pub-id></element-citation></ref>
<ref id="b11-ol-0-0-11523"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kalluri</surname><given-names>R</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>The basics of epithelial-mesenchymal transition</article-title><source>J Clin Invest</source><volume>119</volume><fpage>1420</fpage><lpage>1428</lpage><year>2009</year><pub-id pub-id-type="doi">10.1172/JCI39104</pub-id><pub-id pub-id-type="pmid">19487818</pub-id></element-citation></ref>
<ref id="b12-ol-0-0-11523"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mani</surname><given-names>SA</given-names></name><name><surname>Guo</surname><given-names>W</given-names></name><name><surname>Liao</surname><given-names>MJ</given-names></name><name><surname>Eaton</surname><given-names>EN</given-names></name><name><surname>Ayyanan</surname><given-names>A</given-names></name><name><surname>Zhou</surname><given-names>AY</given-names></name><name><surname>Brooks</surname><given-names>M</given-names></name><name><surname>Reinhard</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>CC</given-names></name><name><surname>Shipitsin</surname><given-names>M</given-names></name><etal/></person-group><article-title>The epithelial-mesenchymal transition generates cells with properties of stem cells</article-title><source>Cell</source><volume>133</volume><fpage>704</fpage><lpage>715</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.cell.2008.03.027</pub-id><pub-id pub-id-type="pmid">18485877</pub-id></element-citation></ref>
<ref id="b13-ol-0-0-11523"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morel</surname><given-names>AP</given-names></name><name><surname>Li&#x00E8;vre</surname><given-names>M</given-names></name><name><surname>Thomas</surname><given-names>C</given-names></name><name><surname>Hinkal</surname><given-names>G</given-names></name><name><surname>Ansieau</surname><given-names>S</given-names></name><name><surname>Puisieux</surname><given-names>A</given-names></name></person-group><article-title>Generation of breast cancer stem cells through epithelial-mesenchymal transition</article-title><source>PLoS One</source><volume>3</volume><fpage>e2888</fpage><year>2008</year><pub-id pub-id-type="doi">10.1371/journal.pone.0002888</pub-id><pub-id pub-id-type="pmid">18682804</pub-id></element-citation></ref>
<ref id="b14-ol-0-0-11523"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>X</given-names></name><name><surname>Gan</surname><given-names>G</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Xu</surname><given-names>T</given-names></name><name><surname>Xie</surname><given-names>W</given-names></name></person-group><article-title>The HGF-MET axis coordinates liver cancer metabolism and autophagy for chemotherapeutic resistance</article-title><source>Autophagy</source><volume>15</volume><fpage>1258</fpage><lpage>1279</lpage><year>2019</year><pub-id pub-id-type="doi">10.1080/15548627.2019.1580105</pub-id><pub-id pub-id-type="pmid">30786811</pub-id></element-citation></ref>
<ref id="b15-ol-0-0-11523"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ismail</surname><given-names>NI</given-names></name><name><surname>Othman</surname><given-names>I</given-names></name><name><surname>Abas</surname><given-names>F</given-names></name><name><surname>H Lajis</surname><given-names>N</given-names></name><name><surname>Naidu</surname><given-names>R</given-names></name></person-group><article-title>Mechanism of apoptosis induced by curcumin in colorectal cancer</article-title><source>Int J Mol Sci</source><volume>20</volume><fpage>E2454</fpage><year>2019</year><pub-id pub-id-type="doi">10.3390/ijms20102454</pub-id><pub-id pub-id-type="pmid">31108984</pub-id></element-citation></ref>
<ref id="b16-ol-0-0-11523"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname><given-names>KE</given-names></name><name><surname>Ngai</surname><given-names>SC</given-names></name><name><surname>Chan</surname><given-names>KG</given-names></name><name><surname>Lee</surname><given-names>LH</given-names></name><name><surname>Goh</surname><given-names>BH</given-names></name><name><surname>Chuah</surname><given-names>LH</given-names></name></person-group><article-title>Curcumin nanoformulations for colorectal cancer: A review</article-title><source>Front Pharmacol</source><volume>10</volume><fpage>152</fpage><year>2019</year><pub-id pub-id-type="doi">10.3389/fphar.2019.00152</pub-id><pub-id pub-id-type="pmid">30890933</pub-id></element-citation></ref>
<ref id="b17-ol-0-0-11523"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bahrami</surname><given-names>A</given-names></name><name><surname>Majeed</surname><given-names>M</given-names></name><name><surname>Sahebkar</surname><given-names>A</given-names></name></person-group><article-title>Curcumin: A potent agent to reverse epithelial-to-mesenchymal transition</article-title><source>Cell Oncol</source><volume>42</volume><fpage>405</fpage><lpage>421</lpage><year>2019</year><pub-id pub-id-type="doi">10.1007/s13402-019-00442-2</pub-id></element-citation></ref>
<ref id="b18-ol-0-0-11523"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Qu</surname><given-names>C</given-names></name><name><surname>Xie</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Liang</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>P</given-names></name><name><surname>Meng</surname><given-names>Z</given-names></name></person-group><article-title>Curcumin suppresses epithelial-to-mesenchymal transition and metastasis of pancreatic cancer cells by inhibiting cancer-associated fibroblasts</article-title><source>Am J Cancer Res</source><volume>7</volume><fpage>125</fpage><lpage>133</lpage><year>2017</year><pub-id pub-id-type="pmid">28123853</pub-id></element-citation></ref>
<ref id="b19-ol-0-0-11523"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname><given-names>Z</given-names></name><name><surname>Lu</surname><given-names>L</given-names></name><name><surname>Mao</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Qian</surname><given-names>H</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name></person-group><article-title>Curcumin reversed chronic tobacco smoke exposure induced urocystic EMT and acquisition of cancer stem cells properties via Wnt/&#x03B2;-catenin</article-title><source>Cell Death Dis</source><volume>8</volume><fpage>e3066</fpage><year>2017</year><pub-id pub-id-type="doi">10.1038/cddis.2017.452</pub-id><pub-id pub-id-type="pmid">28981096</pub-id></element-citation></ref>
<ref id="b20-ol-0-0-11523"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jiao</surname><given-names>D</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Lu</surname><given-names>W</given-names></name><name><surname>Tang</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Mou</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>QY</given-names></name></person-group><article-title>Curcumin inhibited HGF-induced EMT and angiogenesis through regulating c-Met dependent PI3K/Akt/mTOR signaling pathways in lung cancer</article-title><source>Mol Ther Oncolytics</source><volume>3</volume><fpage>16018</fpage><year>2016</year><pub-id pub-id-type="doi">10.1038/mto.2016.18</pub-id><pub-id pub-id-type="pmid">27525306</pub-id></element-citation></ref>
<ref id="b21-ol-0-0-11523"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohnishi</surname><given-names>Y</given-names></name><name><surname>Yasui</surname><given-names>H</given-names></name><name><surname>Kakudo</surname><given-names>K</given-names></name><name><surname>Nozaki</surname><given-names>M</given-names></name></person-group><article-title>Cetuximab-resistant oral squamous cell carcinoma cells become sensitive in anchorage-independent culture conditions through the activation of the EGFR/AKT pathway</article-title><source>Int J Oncol</source><volume>47</volume><fpage>2165</fpage><lpage>2172</lpage><year>2015</year><pub-id pub-id-type="doi">10.3892/ijo.2015.3215</pub-id><pub-id pub-id-type="pmid">26497980</pub-id></element-citation></ref>
<ref id="b22-ol-0-0-11523"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohnishi</surname><given-names>Y</given-names></name><name><surname>Yasui</surname><given-names>H</given-names></name><name><surname>Kakudo</surname><given-names>K</given-names></name><name><surname>Nozaki</surname><given-names>M</given-names></name></person-group><article-title>Regulation of cell migration via the EGFR signaling pathway in oral squamous cell carcinoma cells</article-title><source>Oncol Lett</source><volume>13</volume><fpage>930</fpage><lpage>936</lpage><year>2017</year><pub-id pub-id-type="doi">10.3892/ol.2016.5500</pub-id><pub-id pub-id-type="pmid">28356980</pub-id></element-citation></ref>
<ref id="b23-ol-0-0-11523"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yasui</surname><given-names>H</given-names></name><name><surname>Ohnishi</surname><given-names>Y</given-names></name><name><surname>Nakajima</surname><given-names>M</given-names></name><name><surname>Nozaki</surname><given-names>M</given-names></name></person-group><article-title>Migration of oral squamous cell carcinoma cells are induced by HGF/c-Met signalling via lamellipodia and filopodia formation</article-title><source>Oncol Rep</source><volume>37</volume><fpage>3674</fpage><lpage>3680</lpage><year>2017</year><pub-id pub-id-type="doi">10.3892/or.2017.5587</pub-id><pub-id pub-id-type="pmid">28440510</pub-id></element-citation></ref>
<ref id="b24-ol-0-0-11523"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tong</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Sun</surname><given-names>D</given-names></name><name><surname>Suo</surname><given-names>J</given-names></name></person-group><article-title>Curcumin suppresses colon cancer cell invasion via AMPK-induced inhibition of NF-&#x03BA;B, uPA activator and MMP9</article-title><source>Oncol Lett</source><volume>12</volume><fpage>4139</fpage><lpage>4146</lpage><year>2016</year><pub-id pub-id-type="doi">10.3892/ol.2016.5148</pub-id><pub-id pub-id-type="pmid">27895783</pub-id></element-citation></ref>
<ref id="b25-ol-0-0-11523"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>Epithelial-mesenchymal transition: At the crossroads of development and tumor metastasis</article-title><source>Dev Cell</source><volume>14</volume><fpage>818</fpage><lpage>829</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.devcel.2008.05.009</pub-id><pub-id pub-id-type="pmid">18539112</pub-id></element-citation></ref>
<ref id="b26-ol-0-0-11523"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cano</surname><given-names>A</given-names></name><name><surname>P&#x00E9;rez-Moreno</surname><given-names>MA</given-names></name><name><surname>Rodrigo</surname><given-names>I</given-names></name><name><surname>Locasioa</surname><given-names>A</given-names></name><name><surname>Blanco</surname><given-names>MJ</given-names></name><name><surname>del Barrio</surname><given-names>MG</given-names></name><name><surname>Portillo</surname><given-names>F</given-names></name><name><surname>Nieto</surname><given-names>MA</given-names></name></person-group><article-title>The transcription factor snail controls epithelial-mesenchymal transitions by repressing E-cadherin expression</article-title><source>Nat Cell Biol</source><volume>2</volume><fpage>76</fpage><lpage>83</lpage><year>2000</year><pub-id pub-id-type="doi">10.1038/35000025</pub-id><pub-id pub-id-type="pmid">10655586</pub-id></element-citation></ref>
<ref id="b27-ol-0-0-11523"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nelson</surname><given-names>WJ</given-names></name><name><surname>Nusse</surname><given-names>R</given-names></name></person-group><article-title>Convergence of Wnt, beta-catenin, and cadherin pathways</article-title><source>Science</source><volume>303</volume><fpage>1483</fpage><lpage>1487</lpage><year>2004</year><pub-id pub-id-type="doi">10.1126/science.1094291</pub-id><pub-id pub-id-type="pmid">15001769</pub-id></element-citation></ref>
<ref id="b28-ol-0-0-11523"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shimada</surname><given-names>S</given-names></name><name><surname>Mimata</surname><given-names>A</given-names></name><name><surname>Sekine</surname><given-names>M</given-names></name><name><surname>Mogushi</surname><given-names>K</given-names></name><name><surname>Akiyama</surname><given-names>Y</given-names></name><name><surname>Fukamachi</surname><given-names>H</given-names></name><name><surname>Jonkers</surname><given-names>J</given-names></name><name><surname>Tanaka</surname><given-names>H</given-names></name><name><surname>Eishi</surname><given-names>Y</given-names></name><name><surname>Yuasa</surname><given-names>Y</given-names></name></person-group><article-title>Synergistic tumour suppressor activity of E-cadherin and p53 in a conditional mouse model for metastatic diffuse-type gastric cancer</article-title><source>Gut</source><volume>61</volume><fpage>344</fpage><lpage>353</lpage><year>2012</year><pub-id pub-id-type="doi">10.1136/gutjnl-2011-300050</pub-id><pub-id pub-id-type="pmid">21865403</pub-id></element-citation></ref>
<ref id="b29-ol-0-0-11523"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Organ</surname><given-names>SL</given-names></name><name><surname>Tsao</surname><given-names>MS</given-names></name></person-group><article-title>An overview of the c-MET signaling pathway</article-title><source>Ther Adv Med Oncol</source><volume>3</volume><fpage>S7</fpage><lpage>S19</lpage><year>2011</year><pub-id pub-id-type="doi">10.1177/1758834011422556</pub-id><pub-id pub-id-type="pmid">22128289</pub-id></element-citation></ref>
<ref id="b30-ol-0-0-11523"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baldanzi</surname><given-names>G</given-names></name><name><surname>Graziani</surname><given-names>A</given-names></name></person-group><article-title>Physiological signaling and structure of the HGF receptor MET</article-title><source>Biomedicines</source><volume>3</volume><fpage>1</fpage><lpage>31</lpage><year>2015</year><pub-id pub-id-type="doi">10.3390/biomedicines3010001</pub-id></element-citation></ref>
<ref id="b31-ol-0-0-11523"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Parikh</surname><given-names>RA</given-names></name><name><surname>Wang</surname><given-names>P</given-names></name><name><surname>Beumer</surname><given-names>JH</given-names></name><name><surname>Chu</surname><given-names>E</given-names></name><name><surname>Appleman</surname><given-names>LJ</given-names></name></person-group><article-title>The potential roles of hepatocyte growth factor (HGF)-MET pathway inhibitors in cancer treatment</article-title><source>Onco Targets Ther</source><volume>11</volume><fpage>969</fpage><lpage>983</lpage><year>2014</year></element-citation></ref>
<ref id="b32-ol-0-0-11523"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stamenkovic</surname><given-names>I</given-names></name></person-group><article-title>Matrix metalloproteinases in tumor invasion and metastasis</article-title><source>Semin Cancer Biol</source><volume>10</volume><fpage>415</fpage><lpage>433</lpage><year>2000</year><pub-id pub-id-type="doi">10.1006/scbi.2000.0379</pub-id><pub-id pub-id-type="pmid">11170864</pub-id></element-citation></ref>
<ref id="b33-ol-0-0-11523"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moulik</surname><given-names>S</given-names></name><name><surname>Pal</surname><given-names>S</given-names></name><name><surname>Biswas</surname><given-names>J</given-names></name><name><surname>Chatterjee</surname><given-names>A</given-names></name></person-group><article-title>Role of ERK in modulating MMP 2 and MMP 9 with respect to tumour invasiveness in human cancer cell line MCF-7 and MDA-MB-231</article-title><source>J Tumor</source><volume>2</volume><fpage>87</fpage><lpage>98</lpage><year>2014</year></element-citation></ref>
<ref id="b34-ol-0-0-11523"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname><given-names>TA</given-names></name><name><surname>Mason</surname><given-names>MD</given-names></name><name><surname>Jiang</surname><given-names>WG</given-names></name></person-group><article-title>Hepatocyte growth factor signaling in cancer metastasis</article-title><source>Curr Signal Transduct Ther</source><volume>6</volume><fpage>180</fpage><lpage>190</lpage><year>2011</year><pub-id pub-id-type="doi">10.2174/157436211795659991</pub-id></element-citation></ref>
<ref id="b35-ol-0-0-11523"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grotegut</surname><given-names>S</given-names></name><name><surname>von Schweinitz</surname><given-names>D</given-names></name><name><surname>Christofori</surname><given-names>G</given-names></name><name><surname>Lehembre</surname><given-names>F</given-names></name></person-group><article-title>Hepatocyte growth factor induces cell scattering through MAPK/Egr-1-mediated upregulation of Snail</article-title><source>EMBO J</source><volume>25</volume><fpage>3534</fpage><lpage>3545</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/sj.emboj.7601213</pub-id><pub-id pub-id-type="pmid">16858414</pub-id></element-citation></ref>
<ref id="b36-ol-0-0-11523"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Migliore</surname><given-names>C</given-names></name><name><surname>Giordano</surname><given-names>S</given-names></name></person-group><article-title>Molecular cancer therapy: Can our expectation be MET?</article-title><source>Eur J Cancer</source><volume>44</volume><fpage>641</fpage><lpage>651</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.ejca.2008.01.022</pub-id><pub-id pub-id-type="pmid">18295476</pub-id></element-citation></ref>
<ref id="b37-ol-0-0-11523"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohnishi</surname><given-names>Y</given-names></name><name><surname>Lieger</surname><given-names>O</given-names></name><name><surname>Attygalla</surname><given-names>M</given-names></name><name><surname>Iizuka</surname><given-names>T</given-names></name><name><surname>Kakudo</surname><given-names>K</given-names></name></person-group><article-title>Effects of epidermal growth factor on the invasion activity of the oral cancer cell lines HSC3 and SAS</article-title><source>Oral Oncol</source><volume>44</volume><fpage>1155</fpage><lpage>1159</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.oraloncology.2008.02.015</pub-id><pub-id pub-id-type="pmid">18485796</pub-id></element-citation></ref>
<ref id="b38-ol-0-0-11523"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davies</surname><given-names>G</given-names></name><name><surname>Watkins</surname><given-names>G</given-names></name><name><surname>Mason</surname><given-names>MD</given-names></name><name><surname>Jiang</surname><given-names>WG</given-names></name></person-group><article-title>Targeting the HGF/SF receptor c-met using a hammerhead ribozyme transgene reduces in vitro invasion and migration in prostate cancer cells</article-title><source>Prostate</source><volume>60</volume><fpage>317</fpage><lpage>324</lpage><year>2004</year><pub-id pub-id-type="doi">10.1002/pros.20068</pub-id><pub-id pub-id-type="pmid">15264243</pub-id></element-citation></ref>
<ref id="b39-ol-0-0-11523"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>W</given-names></name><name><surname>Amin</surname><given-names>AR</given-names></name><name><surname>Chen</surname><given-names>ZG</given-names></name><name><surname>Shin</surname><given-names>DM</given-names></name></person-group><article-title>New perspectives of curcumin in cancer prevention</article-title><source>Cancer Prev Res (Phila)</source><volume>6</volume><fpage>387</fpage><lpage>400</lpage><year>2013</year><pub-id pub-id-type="doi">10.1158/1940-6207.CAPR-12-0410</pub-id><pub-id pub-id-type="pmid">23466484</pub-id></element-citation></ref>
<ref id="b40-ol-0-0-11523"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>HW</given-names></name><name><surname>Lee</surname><given-names>JY</given-names></name><name><surname>Huang</surname><given-names>JY</given-names></name><name><surname>Wang</surname><given-names>CC</given-names></name><name><surname>Chen</surname><given-names>WJ</given-names></name><name><surname>Su</surname><given-names>SF</given-names></name><name><surname>Huang</surname><given-names>CW</given-names></name><name><surname>Ho</surname><given-names>CC</given-names></name><name><surname>Chen</surname><given-names>JJ</given-names></name><name><surname>Tsai</surname><given-names>MF</given-names></name><etal/></person-group><article-title>Curcumin inhibits lung cancer cell invasion and metastasis through the tumor suppressor HLJ1</article-title><source>Cancer Res</source><volume>68</volume><fpage>7428</fpage><lpage>7438</lpage><year>2008</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-07-6734</pub-id><pub-id pub-id-type="pmid">18794131</pub-id></element-citation></ref>
<ref id="b41-ol-0-0-11523"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohnishi</surname><given-names>Y</given-names></name><name><surname>Yasui</surname><given-names>H</given-names></name><name><surname>Kakudo</surname><given-names>K</given-names></name><name><surname>Nozaki</surname><given-names>M</given-names></name></person-group><article-title>Lapatinib-resistant cancer cells possessing epithelial cancer stem cell properties develop sensitivity during sphere formation by activation of the ErbB/AKT/cyclin D2 pathway</article-title><source>Oncol Rep</source><volume>36</volume><fpage>3058</fpage><lpage>3064</lpage><year>2016</year><pub-id pub-id-type="doi">10.3892/or.2016.5073</pub-id><pub-id pub-id-type="pmid">27633099</pub-id></element-citation></ref>
<ref id="b42-ol-0-0-11523"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Siddappa</surname><given-names>G</given-names></name><name><surname>Kulsum</surname><given-names>S</given-names></name><name><surname>Ravindra</surname><given-names>DR</given-names></name><name><surname>Kumar</surname><given-names>VV</given-names></name><name><surname>Raju</surname><given-names>N</given-names></name><name><surname>Raghavan</surname><given-names>N</given-names></name><name><surname>Sudheendra</surname><given-names>HV</given-names></name><name><surname>Sharma</surname><given-names>A</given-names></name><name><surname>Sunny</surname><given-names>SP</given-names></name><name><surname>Jacob</surname><given-names>T</given-names></name><etal/></person-group><article-title>Curcumin and metformin-mediated chemoprevention of oral cancer is associated with inhibition of cancer stem cells</article-title><source>Mol Carcinog</source><volume>56</volume><fpage>2446</fpage><lpage>2460</lpage><year>2017</year><pub-id pub-id-type="doi">10.1002/mc.22692</pub-id><pub-id pub-id-type="pmid">28618017</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ol-0-0-11523" position="float">
<label>Figure 1.</label>
<caption><p>Cur inhibits HGF-induced cell invasion. Control and HGF-induced HSC-4 oral cancer cells with and without cur pre-treatment were cultured in Matrigel chambers, and the number of invading cells was scored after 48 h. (A) Representative bright-field microscopy images showing invading cells in the Matrigel chambers. Magnification, &#x00D7;20. (B) Histogram showing relative cell migration (&#x0025;) of invading cells after 48 h of culture, compared with HGF-induced cells. Data are presented as the mean &#x00B1; SD. n=3. &#x002A;P&#x003C;0.05 vs. HSC-4. Cur, curcumin; HGF, hepatocyte growth factor.</p></caption>
<graphic xlink:href="ol-19-06-4177-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-11523" position="float">
<label>Figure 2.</label>
<caption><p>Cur inhibits HGF-induced cell migration. Control and HGF-induced HSC-4 oral cancer cells with and without cur pre-treatment were cultured in monolayers, and cell migration was measured by a scratch wound healing assay. (A) Representative brightfield microscopy images show wound healing at 0 and 12 h. Magnification, &#x00D7;10. (B) Histogram showing relative cell migration (&#x0025;), compared with control cells. Data are presented as the mean &#x00B1; SD. n=3. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. HSC-4. Cur, curcumin; HGF, hepatocyte growth factor.</p></caption>
<graphic xlink:href="ol-19-06-4177-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-11523" position="float">
<label>Figure 3.</label>
<caption><p>Cur inhibits epithelial-mesenchymal transition in HGF-induced cells. Representative western blot showing the levels of E-cadherin and vimentin in whole cell lysates from control and HGF-induced HSC4 (left) and Ca9-22 oral cancer cells (right) with and without cur pre-treatment. &#x03B1;-tubulin was used as a loading control. Cur, curcumin; HGF, hepatocyte growth factor.</p></caption>
<graphic xlink:href="ol-19-06-4177-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-11523" position="float">
<label>Figure 4.</label>
<caption><p>Cur inhibits c-Met phosphorylation in HGF-induced cells. Representative western blot showing the levels of c-Met and p-c-Met in whole cell lysates from control and HGF-induced HSC4 (left)and Ca9-22 oral cancer cells (right)with and without cur pre-treatment. &#x03B1;-tubulin was used as a loading control. Cur, curcumin; HGF, hepatocyte growth factor; p, phosphorylated.</p></caption>
<graphic xlink:href="ol-19-06-4177-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-11523" position="float">
<label>Figure 5.</label>
<caption><p>Cur-mediated c-Met blockade results in the downregulation of ERK phosphorylation. Representative western blot showing the levels of ERK and phospho-ERK in whole cell lysates from control and HGF-induced HSC4 oral cancer cells with and without cur pre-treatment. &#x03B1;-tubulin was used as a loading control. Cur, curcumin; HGF, hepatocyte growth factor.</p></caption>
<graphic xlink:href="ol-19-06-4177-g04.tif"/>
</fig>
<fig id="f6-ol-0-0-11523" position="float">
<label>Figure 6.</label>
<caption><p>Cur represses the production of gelatinolytic activity. Representative gelatin zymography showing the levels of the two principal gelatinolytic activities (pro-MMP2 and pro-MMP9) in conditioned culture medium from control and HGF-induced HSC4 oral cancer cells with and without cur pre-treatment. Cur, curcumin; HGF, hepatocyte growth factor; MMP, matrix metalloproteinase.</p></caption>
<graphic xlink:href="ol-19-06-4177-g05.tif"/>
</fig>
</floats-group>
</article>
