<?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">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2021.4882</article-id>
<article-id pub-id-type="publisher-id">ijmm-47-04-04882</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Helichrysetin and TNF-&#x003B1; synergistically promote apoptosis by inhibiting overactivation of the NF-&#x003BA;B and EGFR signaling pathways in HeLa and T98G cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Zhiying</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Liang</surname><given-names>Xiaohui</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Xiong</surname><given-names>Aizhen</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ding</surname><given-names>Lili</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Wei</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname><given-names>Li</given-names></name><xref rid="af2-ijmm-47-04-04882" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname><given-names>Xiaojun</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Shi</surname><given-names>Hailian</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-47-04-04882"/></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhou</surname><given-names>Yue</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-47-04-04882"/></contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Zhengtao</given-names></name><xref rid="af1-ijmm-47-04-04882" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-ijmm-47-04-04882">
<label>1</label>Shanghai Key Laboratory of Compound Chinese Medicines, The Ministry of Education Key Laboratory for Standardization of Chinese Medicines, Institute of Chinese Materia Medica</aff>
<aff id="af2-ijmm-47-04-04882">
<label>2</label>Institute of Interdisciplinary Integrative Medicine Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-47-04-04882">Correspondence to: Dr Hailian Shi or Dr Yue Zhou, Shanghai Key Laboratory of Compound Chinese Medicines, The Ministry of Education Key Laboratory for Standardization of Chinese Medicines, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Zhangjiang Hi-tech Park, Shanghai 201203, P.R. China, E-mail: <email>shihailian2003@163.com</email>, E-mail: <email>yue_zhou_etus_shu@126.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>4</month>
<year>2021</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>02</month>
<year>2021</year></pub-date>
<volume>47</volume>
<issue>4</issue>
<elocation-id>49</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>07</month>
<year>2020</year></date>
<date date-type="accepted">
<day>14</day>
<month>01</month>
<year>2021</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Wang et al.</copyright-statement>
<copyright-year>2021</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>Tumor necrosis factor-&#x003B1; (TNF-&#x003B1;) has different effects on apoptosis depending on activation or inactivation of the nuclear factor-&#x003BA;B (NF-&#x003BA;B) and epidermal growth factor receptor (EGFR) signaling pathways. Helichrysetin, a natural chalcone, inhibits NF-&#x003BA;B nuclear translocation in mouse pancreatic &#x003B2; cells. The present study aimed to identify the effect of helichrysetin on activation of the NF-&#x003BA;B and EGFR signaling pathways induced by TNF-&#x003B1;, and the synergistic effect of helichrysetin and TNF-&#x003B1; on apoptosis of HeLa and T98G cells. Cell proliferation was measured by Cell Counting Kit-8 assay, while apoptosis was measured by Hoechst 33258 and Annexin V/PI staining. NF-&#x003BA;B activity was detected by luciferase assay, protein expression was measured by western blotting and mRNA expression was detected by quantitative PCR assay. The results revealed that in HeLa and T98G cells helichrysetin blocked the increased phosphorylation of NF-&#x003BA;B p65 induced by TNF-&#x003B1;. Although helichrysetin alone decreased cell viability, helichrysetin and TNF-&#x003B1; synergistically decreased cell viability. Helichrysetin, not TNF-&#x003B1;, promoted apoptosis, while the combination of helichrysetin and TNF-&#x003B1; synergistically increased apoptosis. In addition, helichrysetin and TNF-&#x003B1; synergistically enhanced the activation of caspase-3 and poly-(ADP-ribose)-polymerase compared with helichrysetin alone. Helichrysetin inhibited the phosphorylation of transforming growth factor-&#x003B2; activated kinase (TAK1), I&#x003BA;B kinase-&#x003B1;/&#x003B2; (IKK-&#x003B1;/&#x003B2;), NF-&#x003BA;B p65 and EGFR induced by TNF-&#x003B1;. Consistent with the inhibition of NF-&#x003BA;B activation, the increased TNF-&#x003B1;-induced mRNA expression levels of TNF-&#x003B1;, IL-1&#x003B2;, CCL2, CCL5 and CXCL10 were significantly downregulated by helichrysetin. Therefore, helichrysetin and TNF-&#x003B1; synergistically promoted apoptosis by inhibiting TAK1/IKK/NF-&#x003BA;B and TAK1/EGFR signaling pathways in HeLa and T98G cells, indicating a potential therapeutic strategy for cancer.</p></abstract>
<kwd-group>
<kwd>helichrysetin</kwd>
<kwd>cancer</kwd>
<kwd>TNF-&#x003B1;</kwd>
<kwd>NF-&#x003BA;B</kwd>
<kwd>EGFR</kwd>
<kwd>apoptosis</kwd></kwd-group>
<funding-group>
<award-group>
<funding-source>National Natural Science Foundation of China</funding-source>
<award-id>81603156</award-id></award-group>
<award-group>
<funding-source>Educational Commission of Shanghai of China</funding-source>
<award-id>2020LK014</award-id></award-group>
<award-group>
<funding-source>Young Eastern Scholar Program</funding-source>
<award-id>QD2016038</award-id></award-group>
<award-group>
<funding-source>Chenguang Program</funding-source>
<award-id>16CG49</award-id></award-group>
<award-group>
<funding-source>Graduate Student Innovation Ability Project of Shanghai University of Traditional Chinese Medicine</funding-source>
<award-id>Y2020030</award-id></award-group>
<funding-statement>This study was supported by the National Natural Science Foundation of China (grant no. 81603156), the Educational Commission of Shanghai of China (grant no. 2020LK014), the Young Eastern Scholar Program (grant no. QD2016038), the Chenguang Program (grant no. 16CG49) and the Graduate Student Innovation Ability Project of Shanghai University of Traditional Chinese Medicine (grant no. Y2020030).</funding-statement></funding-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Inflammatory cytokine-induced chronic inflammation is a high risk factor for the development of numerous malignancies (<xref rid="b1-ijmm-47-04-04882" ref-type="bibr">1</xref>,<xref rid="b2-ijmm-47-04-04882" ref-type="bibr">2</xref>). One of the most important inflammatory cytokines is tumor necrosis factor-&#x003B1; (TNF-&#x003B1;). TNF-&#x003B1; can induce cancer malignancy as well as induce apoptosis of cancer cells (<xref rid="b3-ijmm-47-04-04882" ref-type="bibr">3</xref>). To promote apoptosis, TNF-&#x003B1; receptor 1 (TNFR1) serves a crucial role (<xref rid="b4-ijmm-47-04-04882" ref-type="bibr">4</xref>). TNFR1 contains a death domain in the membrane region and once TNF-&#x003B1; binds to TNFR1, the Fas-associated death domain adaptor protein and caspase-8 associate with trimerized TNFR1 to direct activation of caspase-3 (<xref rid="b5-ijmm-47-04-04882" ref-type="bibr">5</xref>). Subsequent cleavage of poly-(ADP-ribose)-polymerase (PARP) finally results in apoptosis (<xref rid="b6-ijmm-47-04-04882" ref-type="bibr">6</xref>).</p>
<p>TNF-&#x003B1; induction of cancer malignancy often depends on nuclear factor-&#x003BA;B (NF-&#x003BA;B) (<xref rid="b7-ijmm-47-04-04882" ref-type="bibr">7</xref>). Transforming growth factor-&#x003B2; activated kinase (TAK1) phosphorylates downstream I&#x003BA;B kinase-&#x003B1;/&#x003B2; (IKK-&#x003B1;/&#x003B2;) (<xref rid="b8-ijmm-47-04-04882" ref-type="bibr">8</xref>). Subsequently, IKKs phosphorylate I&#x003BA;B&#x003B1; at Ser-32/36 to promote I&#x003BA;B&#x003B1; degradation by the ubiquitin-proteasome pathway to release NF-&#x003BA;B from I&#x003BA;B&#x003B1; (<xref rid="b9-ijmm-47-04-04882" ref-type="bibr">9</xref>). At the same time, they activate NF-&#x003BA;B p65 by phosphorylation at Ser-536 to induce NF-&#x003BA;B transcriptional activity (<xref rid="b10-ijmm-47-04-04882" ref-type="bibr">10</xref>). NF-&#x003BA;B p65 regulates inflammatory factors as well as anti-apoptotic genes (<xref rid="b7-ijmm-47-04-04882" ref-type="bibr">7</xref>,<xref rid="b11-ijmm-47-04-04882" ref-type="bibr">11</xref>,<xref rid="b12-ijmm-47-04-04882" ref-type="bibr">12</xref>). Therefore, the suppression of NF-&#x003BA;B activation may be an effective strategy to inhibit cancer malignancy.</p>
<p>Epidermal growth factor receptor (EGFR), a receptor tyrosine kinase, is also involved in TNF-&#x003B1;-induced anti-apoptotic signaling (<xref rid="b13-ijmm-47-04-04882" ref-type="bibr">13</xref>). TAK1 induces p38 MAPK activation, leading to EGFR phosphorylation at Ser-1046/7 to block apoptosis (<xref rid="b14-ijmm-47-04-04882" ref-type="bibr">14</xref>). Therefore, TNF-&#x003B1; acts as a double-edged sword in the tumor microenvironment (<xref rid="b15-ijmm-47-04-04882" ref-type="bibr">15</xref>).</p>
<p>Helichrysetin, 2&#x02032;,4,4&#x02032;-trihydroxy-6&#x02032;-methoxy chalcone, is commonly found in the <italic>Alpinia</italic> species (<xref rid="b16-ijmm-47-04-04882" ref-type="bibr">16</xref>). The structure of helichrysetin is shown in <xref rid="f1-ijmm-47-04-04882" ref-type="fig">Fig. 1A</xref>. Helichrysetin has anti-inflammatory (<xref rid="b17-ijmm-47-04-04882" ref-type="bibr">17</xref>), apoptosis-inducing (<xref rid="b18-ijmm-47-04-04882" ref-type="bibr">18</xref>,<xref rid="b19-ijmm-47-04-04882" ref-type="bibr">19</xref>), anti-platelet aggregation (<xref rid="b20-ijmm-47-04-04882" ref-type="bibr">20</xref>) and antioxidant (<xref rid="b21-ijmm-47-04-04882" ref-type="bibr">21</xref>) effects. Regarding inflammatory signaling, helichrysetin decreases the transcriptional activity of NF-&#x003BA;B by inhibiting NF-&#x003BA;B nuclear translocation in mouse pancreatic &#x003B2; MIN-6 cells (<xref rid="b17-ijmm-47-04-04882" ref-type="bibr">17</xref>). Additionally, helichrysetin inhibits the cell viability in pancreatic cancer, fibrosarcoma (<xref rid="b22-ijmm-47-04-04882" ref-type="bibr">22</xref>), cervical adenocarcinoma (<xref rid="b19-ijmm-47-04-04882" ref-type="bibr">19</xref>,<xref rid="b21-ijmm-47-04-04882" ref-type="bibr">21</xref>), liver cancer, breast cancer (<xref rid="b16-ijmm-47-04-04882" ref-type="bibr">16</xref>), colon cancer (<xref rid="b23-ijmm-47-04-04882" ref-type="bibr">23</xref>) and lung cancer (<xref rid="b18-ijmm-47-04-04882" ref-type="bibr">18</xref>) cell lines. To the best of our knowledge, no molecular studies of helichrysetin have been performed. Therefore, the present study aimed to identify the effect of helichrysetin on activation of the NF-&#x003BA;B and EGFR signaling pathways induced by TNF-&#x003B1;, and the synergistic effect of helichrysetin and TNF-&#x003B1; on the apoptosis of HeLa and T98G cells.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>Helichrysetin was supplied by Professor Jingshan Shen (Shanghai Institute of Material Medica, Chinese Academy of Sciences, Shanghai, China), and high-performance liquid chromatography analysis was performed as previously described (<xref rid="b16-ijmm-47-04-04882" ref-type="bibr">16</xref>) to confirm that it had a purity of &gt;95%. Recombinant human TNF-&#x003B1; (cat. no. 210-TA) was purchased from R&amp;D Systems, Inc. Primary antibodies against caspase-3 (cat. no. 9665s), PARP (cat. no. 9532s), TAK1 (cat. no. 5206s), pTAK1 (cat. no. 4536s), TAK1 binding protein 1 (TAB1) (cat. no. 3226s), TAB2 (cat. no. 3745s), IKK&#x003B2; (cat. no. 8943s), phosphorylated (p)IKK&#x003B1;/&#x003B2; (cat. no. 2697s), EGFR (cat. no. 4267s), pEGFR-S1046/7 (cat. no. 2238s), pNF-&#x003BA;B p65-S536 (cat. no. 3033s) and &#x003B2;-actin (cat. no. 4970s) were purchased from Cell Signaling Technology, Inc. Primary antibodies against IKK&#x003B1; (cat. no. c0514) and NF-&#x003BA;B p65 (cat. no. k0515) were obtained from Santa Cruz Biotechnology, Inc. Cell Counting Kit-8 (CCK-8) and Annexin V-FITC Apoptosis Detection kit (cat. no. AD10) were purchased from Dojindo Molecular Technologies, Inc. The Hoechst 33258 staining kit (cat. no. MA0160) was purchased from Beyotime Institute of Biotechnology.</p></sec>
<sec>
<title>Cell culture</title>
<p>Human cervical cancer (HeLa) and human glioma (T98G) cells were purchased from The Cell Bank of Type Culture Collection of the Chinese Academy of Sciences and cultured in DMEM (high glucose) containing 10% FBS, 100 U/ml penicillin and 100 <italic>&#x003BC;</italic>g/ml streptomycin (all Gibco; Thermo Fisher Scientific, Inc.), in a humidified 5% CO<sub>2</sub> atmosphere at 37&#x000B0;C.</p></sec>
<sec>
<title>Luciferase assay</title>
<p>HeLa cells were transfected with a luciferase reporter plasmid p65 NF-&#x003BA;B under the control of 4&#x000D7; &#x003BA;B sites; the luciferase reporter plasmid was provided by Professor Hiroaki Sakurai (University of Toyama, Toyama, Japan) and also contained a <italic>neo</italic> resistance gene. A stable clone (HeLa-&#x003BA;B) was isolated in medium containing 500 <italic>&#x003BC;</italic>g/ml G418. Cells (1.6&#x000D7;10<sup>4</sup>) were seeded in a 96-well plate at 37&#x000B0;C for 48 h. After pretreatment with 50 <italic>&#x003BC;</italic>M helichrysetin at 37&#x000B0;C for 30 min, cells were stimulated with TNF-&#x003B1; (20 ng/ml) at 37&#x000B0;C for another 6 h. Luciferase activity was detected using the ONE-Glo&#x02122; Luciferase Assay System (Promega Corporation) and measured using a microplate reader.</p></sec>
<sec>
<title>CCK-8 assay</title>
<p>HeLa cells were seeded at 1.6&#x000D7;10<sup>4</sup> cells/well, and T98G cells were seeded at 2&#x000D7;10<sup>4</sup> cells/well in 96-well plates and cultured overnight to adhere at 37&#x000B0;C. After pretreatment with helichrysetin at 37&#x000B0;C for 30 min, cells were stimulated with TNF-&#x003B1; (20 ng/ml) at 37&#x000B0;C for another 24 h. Subsequently, cells were incubated with CCK-8 solution (10 <italic>&#x003BC;</italic>l CCK-8 added to 90 <italic>&#x003BC;</italic>l medium per well) at 37&#x000B0;C for 1 h. Absorbance was detected at 450 nm on a Varioskan Flash microplate reader (Thermo Fisher Scientific, Inc.). The cell viability rate (%) was calculated as follows: (absorbance of drug-treated sample-blank)/(absorbance of control sample-blank) &#x000D7;100.</p></sec>
<sec>
<title>Hoechst 33258 staining</title>
<p>HeLa or T98G cells were seeded in 96-well culture plates and cultured overnight to adhere at 37&#x000B0;C. After pretreatment with helichrysetin at 37&#x000B0;C for 30 min, cells were stimulated with TNF-&#x003B1; (20 ng/ml) for 24 h at 37&#x000B0;C. Subsequently, cells were fixed with 4% paraformaldehyde at room temperature for 10 min and washed with PBS. Cells were incubated with 50 <italic>&#x003BC;</italic>l Hoechst 33258 staining solution at room temperature for 5 min and then washed twice with PBS. Cell morphology was observed and captured under a fluorescence microscope (magnification, &#x000D7;200).</p></sec>
<sec>
<title>Annexin V/PI staining</title>
<p>An Annexin V-FITC Apoptosis Detection kit was used for apoptosis assays. HeLa cells were plated at 3.2&#x000D7;10<sup>5</sup> cells/well and T98G cells were plated at 4&#x000D7;10<sup>5</sup> cells/well in 35-mm cell culture dishes. Cells were pretreated with helichrysetin at 37&#x000B0;C for 30 min, followed by stimulation with TNF-&#x003B1; at 37&#x000B0;C for 24 h. Subsequently, the cells were harvested and washed with PBS, and the cell number was adjusted to 1&#x000D7;10<sup>6</sup> cells/well. After collection by centrifugation at 300 &#x000D7; g at 4&#x000B0;C for 5 min, the cells were resuspended in 1&#x000D7; Binding Buffer, and stained with Annexin V for 15 min and PI for 5 min at room temperature in the dark. Apoptosis was analyzed on a CytoFlex S flow cytometer (Beckman Coulter, Inc.) using the CytExpert v2.3 software (Beckman Coulter, Inc.).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>HeLa and T98G cells were cultured in 35-mm dishes at 37&#x000B0;C overnight, then incubated with fresh culture medium containing 0.5% FBS at 37&#x000B0;C for another 24 h. Cells were then pretreated with helichrysetin at 37&#x000B0;C for 30 min, followed by stimulation with TNF-&#x003B1; at 37&#x000B0;C for 5 min, 10 min, 6 h or 12 h. Cells were harvested and lysed in CelLytic&#x02122; MT Cell Lysis Reagent (cat. no. C3228; Sigma-Aldrich; Merck KGaA) containing protease and phosphatase inhibitors (cat. nos. 04693116001 and 04906837001; Roche Diagnostics). The protein concentration was determined by BCA assay. A total of 20 <italic>&#x003BC;</italic>g protein from each sample was separated by standard SDS-PAGE (7.5, 10 or 12.5%) and transferred to Immobilon-P membranes (EMD Millipore) by semi-dry transfer. The membranes were incubated with SuperBlock&#x02122; (PBS) Blocking Buffer (Thermo Fisher Scientific, Inc.) at room temperature for 2 h, and then rinsed twice with 1&#x000D7; PBS-Tween (PBST) containing 1% Tween-20. Membranes were incubated with primary antibodies (1:1,000) against caspase-3, PARP, TAK1, pTAK1, TAB1, TAB2, pIKK&#x003B1;/&#x003B2;, EGFR, pEGFR-s1046/7, pNF-&#x003BA;B p65-s536, &#x003B2;-actin, IKK&#x003B1;, IKK&#x003B2; and NF-&#x003BA;B p65 overnight at 4&#x000B0;C. After washing twice with PBST, membranes were incubated with HRP-conjugated anti-rabbit secondary antibody (1:5,000; cat. no. 122107; Jackson ImmunoResearch Laboratories, Inc.) for 1 h at room temperature. The target protein bands were visualized with Immobilon Western Chemiluminescent HRP Substrate (EMD Millipore) using a Tanon-5200 chemiluminescent imaging system (cat. no. 20182351; Tanon Science and Technology Co., Ltd.). For quantification, target proteins were normalized to &#x003B2;-actin within the same sample using ImageJ v1.52a (National Institutes of Health).</p></sec>
<sec>
<title>Reverse transcription-quantitative PCR assay</title>
<p>HeLa and T98G cells cultured in 24-well plates were pretreated with helichrysetin at 37&#x000B0;C for 30 min and then stimulated with TNF-&#x003B1; at 37&#x000B0;C for 4 h. Total RNA was isolated from the harvested cells using an RNA Faster 2000 kit (cat. no. 220011; Fastagen) according to the manufacturer's protocol. cDNA was reverse transcribed from RNA (1 <italic>&#x003BC;</italic>g) using PrimeScript&#x02122; RT Master Mix (Perfect Real Time) (cat. no. RRD36A; Takara Bio, Inc.) according to the manufacturer's protocol. Quantitative PCR was performed using TB Green<sup>&#x000AE;</sup> Premix Ex Taq&#x02122; II (Tli RNaseH Plus), ROX plus (Takara Bio, Inc.) on a Quant Studio 6 Flex System (Thermo Fisher Scientific, Inc.) under the following conditions: 95&#x000B0;C for 30 sec; 40 cycles at 95&#x000B0;C for 5 sec and 60&#x000B0;C for 30 sec; 95&#x000B0;C for 15 sec; 60&#x000B0;C for 1 min; and 95&#x000B0;C for 15 sec. Quantification of target genes was determined using the 2<sup>&#x02212;&#x00394;&#x00394;Cq</sup> method (<xref rid="b24-ijmm-47-04-04882" ref-type="bibr">24</xref>). The relative expression of individual target genes was normalized to that of GAPDH in the same sample. The sequences of the primers (Generay Biotech Co., Ltd.) used are listed in <xref rid="tI-ijmm-47-04-04882" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Thermal shift assay</title>
<p>HeLa and T98G cells were cultured in 100-mm dishes at 37&#x000B0;C overnight and then incubated with fresh culture medium containing 0.5% FBS at 37&#x000B0;C for another 24 h. After treatment with helichrysetin at 37&#x000B0;C for 30 min, cells were collected and washed with PBS, then resuspended in PBS with protease inhibitors. The cell suspension was evenly distributed into PCR tubes and heated at 4, 40, 43, 46, 49 and 52&#x000B0;C for 3 min, and then cooled for another 3 min at room temperature. Subsequently, cells were lysed by rapid freeze-thawing. The lysates were centrifuged at 20,000 &#x000D7; g for 20 min at 4&#x000B0;C. Soluble fractions were transferred to new tubes and samples were prepared for western blot analysis as aforementioned.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as the mean &#x000B1; SD. Differences between 2 groups were analyzed via Student's unpaired t-test, and differences among &#x02265;3 groups were analyzed via one-way ANOVA with Tukey's post-hoc test using GraphPad 7.0 software (GraphPad Software, Inc.). P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Helichrysetin inhibits the activation of NF-&#x003BA;B</title>
<p>Helichrysetin inhibits NF-&#x003BA;B nuclear translocation in mouse pancreatic &#x003B2; cells (<xref rid="b17-ijmm-47-04-04882" ref-type="bibr">17</xref>). However, the effect of helichrysetin on NF-&#x003BA;B activation in cancer cells has not been clarified. Therefore, the present study measured the effect of helichrysetin on the transcriptional activity of NF-&#x003BA;B and the phosphorylation of NF-&#x003BA;B in human cancer cells. HeLa-&#x003BA;B cells were firstly used to measure the inhibitory effect of helichrysetin on the transcriptional activity of NF-&#x003BA;B induced by TNF-&#x003B1;. HeLa-&#x003BA;B cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; for 6 h. Helichrysetin significantly inhibited the transcriptional activity of NF-&#x003BA;B induced by TNF-&#x003B1; (<xref rid="f1-ijmm-47-04-04882" ref-type="fig">Fig. 1B</xref>). Phosphorylation of NF-&#x003BA;B at Ser-536 is crucial for its transcriptional activity. Thus, the phosphorylation of NF-&#x003BA;B p65 at Ser-536 was analyzed. In order to detect the effect of helichrysetin on the NF-&#x003BA;B and EGFR signaling pathways, T98G and HeLa cells were used for further experiments, since in the present study, both HeLa and T98G cells had a good response upon TNF-&#x003B1; stimulation, which strongly induces NF-&#x003BA;B activation, and both of them express wild-type EGFR. As expected, although helichrysetin exhibited no effect on the protein levels of p65 NF-&#x003BA;B, it inhibited the phosphorylation of p65 NF-&#x003BA;B induced by TNF-&#x003B1; stimulation in both HeLa and T98G cells (<xref rid="f1-ijmm-47-04-04882" ref-type="fig">Fig. 1C and D</xref>). Overall, helichrysetin inhibited NF-&#x003BA;B activation in HeLa and T98G cells.</p></sec>
<sec>
<title>Helichrysetin and TNF-&#x003B1; synergistically promote apoptosis of HeLa and T98G cells</title>
<p>To mimic the tumor microenvironment, HeLa and T98G cells were treated with TNF-&#x003B1; and the synergistic effect of helichrysetin and TNF-&#x003B1; on the apoptosis of cancer cells was measured. Cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; for 24 h. The results revealed that helichrysetin, but not TNF-&#x003B1;, had an inhibitory effect on cell viability in both cell lines; additionally, the combination of helichrysetin and TNF-&#x003B1; synergistically decreased cell viability (<xref rid="f2-ijmm-47-04-04882" ref-type="fig">Fig. 2A and B</xref>).</p>
<p>Consistent with the CCK-8 assay results, Hoechst 33258 staining demonstrated that the combination of helichrysetin and TNF-&#x003B1; synergistically increased the number of T98G and HeLa cells with dense stained nuclei, compared with cells treated with helichrysetin alone (<xref rid="f2-ijmm-47-04-04882" ref-type="fig">Fig. 2C and D</xref>).</p>
<p>For apoptosis analysis, cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; for 8 (for HeLa cells) or 24 h (for T98G cells). Annexin V/PI staining detected by flow cytometry demonstrated that helichrysetin, but not TNF-&#x003B1;, significantly enhanced apoptosis, and that the combination of helichrysetin and TNF-&#x003B1; synergistically increased the ratio of apoptotic cells in both cell lines (<xref rid="f2-ijmm-47-04-04882" ref-type="fig">Fig. 2E and F</xref>).</p></sec>
<sec>
<title>Helichrysetin and TNF-&#x003B1; synergistically enhance the activity of apoptosis-associated proteins in HeLa and T98G cells</title>
<p>Next, the activity of apoptosis-associated proteins was determined. As demonstrated in <xref rid="f3-ijmm-47-04-04882" ref-type="fig">Fig. 3</xref>, HeLa and T98G cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; for 6 or 12 h. After stimulation with TNF-&#x003B1; for 6 h, compared with the control group, helichrysetin, but not TNF-&#x003B1;, significantly increased the protein expression levels of cleaved PARP in both cell lines. The combination of helichrysetin and TNF-&#x003B1; synergistically enhanced this increase. Additionally, helichrysetin significantly increased the protein expression of cleaved caspase-3 in HeLa but not T98G cells. After stimulation with TNF-&#x003B1; for 12 h, helichrysetin, but not TNF-&#x003B1;, increased the protein expression levels of cleaved PARP, and the combination of helichrysetin and TNF-&#x003B1; synergistically enhanced the protein levels of cleaved PARP and cleaved caspase-3 in both cell lines (<xref rid="f3-ijmm-47-04-04882" ref-type="fig">Fig. 3</xref>). Overall, these results demonstrated that the combination of helichrysetin and TNF-&#x003B1; had a synergistic promoting effect on apoptosis.</p></sec>
<sec>
<title>Helichrysetin inhibits TAK1/IKK/NF-kB signaling induced by TNF-&#x003B1; in HeLa and T98G cells</title>
<p>To elucidate the detailed molecular mechanisms for the observed effects, the phosphorylation of TAK1 and IKKs was analyzed. As shown in <xref rid="f4-ijmm-47-04-04882" ref-type="fig">Fig. 4</xref>, TNF-&#x003B1; stimulation significantly upregulated the phosphorylation of TAK1 and IKK&#x003B1;/&#x003B2; in both cell lines. Although helichrysetin alone had no effect on the phosphorylation of these molecules, it significantly counteracted the phosphorylation induced by TNF-&#x003B1; in both cell lines (<xref rid="f4-ijmm-47-04-04882" ref-type="fig">Fig. 4</xref>).</p>
<p>Activation of NF-&#x003BA;B promotes the expression levels of many proinflammatory factors, such as TNF-&#x003B1;, IL1&#x003B2;, CCL2, CCL5 and CXCL10 (<xref rid="b25-ijmm-47-04-04882" ref-type="bibr">25</xref>-<xref rid="b27-ijmm-47-04-04882" ref-type="bibr">27</xref>). To further confirm the inhibitory effect of helichrysetin on NF-&#x003BA;B activation induced by TNF-&#x003B1;, HeLa and T98G cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; for 4 h. After TNF-&#x003B1; stimulation, the mRNA expression levels of TNF-&#x003B1;, IL1&#x003B2;, CCL2, CCL5 and CXCL10 were significantly increased in both cell lines; this was completely reversed by helichrysetin treatment (<xref rid="f5-ijmm-47-04-04882" ref-type="fig">Fig. 5</xref>). Overall, these results indicated that helichrysetin blocked TAK1/IKK/NF-&#x003BA;B signaling pathway.</p></sec>
<sec>
<title>Helichrysetin inhibits the TNF-&#x003B1;-induced phosphorylation of EGFR at Ser-1046/7</title>
<p>Finally, whether helichrysetin affected EGFR phosphorylation at Ser-1046/7 was analyzed. As shown in <xref rid="f6-ijmm-47-04-04882" ref-type="fig">Fig. 6</xref>, helichrysetin alone had no effect on the phosphorylation of EGFR Ser-1046/7, but it significantly inhibited TNF-&#x003B1;-induced EGFR phosphorylation.</p></sec>
<sec>
<title>Helichr ysetin does not directly bin d to the TAK1/TAB1/TAB2 complex</title>
<p>Whether helichrysetin could directly bind to the TAK1/TAB1/TAB2 complex to inhibit TAK1 activity was further analyzed using a thermal shift assay. When compound-protein interactions exist, the stability of the complex will be increased compared with that of a single protein at certain temperatures. In other words, the expression of the complex will be higher than that of a single protein in a thermal shift assay. As shown in <xref rid="f7-ijmm-47-04-04882" ref-type="fig">Fig. 7</xref>, TAK1, TAB1 and TAB2 expression was not increased in helichrysetin-treated cells compared with that in helichrysetin-untreated cells. Therefore, it was demonstrated that helichrysetin did not directly bind to the complex.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Pro-inflammatory factors serve an important role in cancer (<xref rid="b28-ijmm-47-04-04882" ref-type="bibr">28</xref>). TNF-&#x003B1; is a double-edged sword for apoptosis; TNF-&#x003B1; has an anti-apoptotic effect that depends on NF-&#x003BA;B activation and a pro-apoptotic effect when the NF-&#x003BA;B signaling pathway is inhibited (<xref rid="b29-ijmm-47-04-04882" ref-type="bibr">29</xref>). The imbalance between proliferation and apoptosis results in cancer growth (<xref rid="b30-ijmm-47-04-04882" ref-type="bibr">30</xref>-<xref rid="b32-ijmm-47-04-04882" ref-type="bibr">32</xref>). Helichrysetin inhibits NF-&#x003BA;B activation in mouse pancreatic &#x003B2; cells (<xref rid="b17-ijmm-47-04-04882" ref-type="bibr">17</xref>). However, the effect of helichrysetin on NF-&#x003BA;B activity in cancer cells has not been previously investigated. Chemotherapeutic drugs fight cancer by enhancing the apoptosis of cancer cells (<xref rid="b33-ijmm-47-04-04882" ref-type="bibr">33</xref>) and some flavonoids induce apoptosis (<xref rid="b34-ijmm-47-04-04882" ref-type="bibr">34</xref>,<xref rid="b35-ijmm-47-04-04882" ref-type="bibr">35</xref>). Although helichrysetin has an antitumor activity in several types of human cancer cells, including pancreatic cancer, fibrosarcoma (<xref rid="b22-ijmm-47-04-04882" ref-type="bibr">22</xref>), cervical adenocarcinoma (<xref rid="b19-ijmm-47-04-04882" ref-type="bibr">19</xref>,<xref rid="b21-ijmm-47-04-04882" ref-type="bibr">21</xref>), liver cancer, breast cancer (<xref rid="b16-ijmm-47-04-04882" ref-type="bibr">16</xref>), colon cancer (<xref rid="b23-ijmm-47-04-04882" ref-type="bibr">23</xref>) and lung cancer (<xref rid="b18-ijmm-47-04-04882" ref-type="bibr">18</xref>) cell lines, the detailed molecular mechanisms for these effects are unclear. Therefore, the present study aimed to elucidate the molecular targets of helichrysetin. It was revealed that helichrysetin and TNF-&#x003B1; synergistically enhanced the apoptosis of cancer cells by inhibiting TAK1 activation. PARP is the main substrate of cleaved caspase-3, which is a key executor of apoptosis, and cleaved PARP is an important indicator of apoptosis (<xref rid="b36-ijmm-47-04-04882" ref-type="bibr">36</xref>-<xref rid="b38-ijmm-47-04-04882" ref-type="bibr">38</xref>). In the present study, the combination of helichrysetin and TNF-&#x003B1; synergistically enhanced the cleavage of caspase-3 and PARP, indicating that helichrysetin and TNF-&#x003B1; synergistically promoted the apoptosis of cancer cells in a caspase-3-dependent manner.</p>
<p>To elucidate the detailed molecular mechanism of the synergistic effect of helichrysetin and TNF-&#x003B1; on the apoptosis of cancer cells, NF-&#x003BA;B and EGFR phosphorylation was analyzed. TNF-&#x003B1; induced NF-&#x003BA;B activation by phosphorylating NF-&#x003BA;B p65 at Ser-536 mediated by TAK1. TAK1 also activates the phosphorylation of EGFR to promote TNF-&#x003B1;-induced anti-apoptotic signaling (<xref rid="b14-ijmm-47-04-04882" ref-type="bibr">14</xref>,<xref rid="b39-ijmm-47-04-04882" ref-type="bibr">39</xref>). The present findings revealed that helichrysetin inhibited TNF-&#x003B1;-promoted NF-&#x003BA;B activation by blocking the phosphorylation of TAK1, IKK&#x003B1;/&#x003B2; and NF-&#x003BA;B p65, resulting in attenuated expression levels of NF-&#x003BA;B targeted genes. This indicated that helichrysetin and TNF-&#x003B1; synergistically enhanced apoptosis by repressing TAK1-mediated NF-&#x003BA;B activation. Furthermore, the present results demonstrated that helichrysetin did not directly bind to the TAK1/TAB1/TAB2 complex. Therefore, helichrysetin may affect other molecules that lead to TAK1 inactivation. When TNF-&#x003B1; binds to TNFR1, numerous adaptor molecules associate with TNFR1 to activate downstream molecules, including TAK1 (<xref rid="b1-ijmm-47-04-04882" ref-type="bibr">1</xref>,<xref rid="b40-ijmm-47-04-04882" ref-type="bibr">40</xref>). The hypothesis of the present study is that helichrysetin may bind to TNFR1 itself or its adaptor molecules to inhibit TAK1 activation. The detailed mechanism by which helichrysetin blocks the activation of TAK1 requires further study.</p>
<p>Depending on its tyrosine phosphorylation, EGFR participates in the regulation of genes that regulate cell proliferation, survival, differentiation, autophagy and metabolism (<xref rid="b41-ijmm-47-04-04882" ref-type="bibr">41</xref>-<xref rid="b43-ijmm-47-04-04882" ref-type="bibr">43</xref>). Additionally, TNF-&#x003B1; controls TAK1-dependent phosphorylation of EGFR at Ser-1046/7, which blocks TNF-&#x003B1;-induced apoptosis (<xref rid="b14-ijmm-47-04-04882" ref-type="bibr">14</xref>). The current study demonstrated that helichrysetin inhibited the phosphorylation of EGFR Ser-1046/7 in HeLa and T98G cells. Hence, helichrysetin and TNF-&#x003B1; may synergistically promote apoptosis by blocking the phosphorylation of EGFR. Similar results were obtained in both HeLa and T98G cells. Therefore, the present findings may be adapted to the cancer cell lines that express wild-type EGFR and have a good response upon TNF-&#x003B1; stimulation.</p>
<p>Overall, as shown in <xref rid="f8-ijmm-47-04-04882" ref-type="fig">Fig. 8</xref>, helichrysetin and TNF-&#x003B1; may synergistically promote the apoptosis of cancer cells by inhibiting TNF-&#x003B1;-induced TAK1/IKK/NF-&#x003BA;B and TAK1/EGFR signaling pathways in HeLa and T98G cells. This may indicate a potential therapeutic strategy for human cervical cancer and glioblastoma.</p></sec></body>
<back>
<sec sec-type="funding">
<title>Funding</title>
<p>This study was supported by the National Natural Science Foundation of China (grant no. 81603156), the Educational Commission of Shanghai of China (grant no. 2020LK014), the Young Eastern Scholar Program (grant no. QD2016038), the Chenguang Program (grant no. 16CG49) and the Graduate Student Innovation Ability Project of Shanghai University of Traditional Chinese Medicine (grant no. Y2020030).</p></sec>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed in the current study are available from the corresponding author on reasonable request.</p></sec>
<sec sec-type="other">
<title>Authors' contributions</title>
<p>ZhiW and XL performed most of the experiments, and wrote the original draft. WL and LD performed flow cytometry and analyzed the data. AX and LY contributed to data analysis and interpretation. XW and ZheW contributed to the conception and design of the study. YZ and HS designed the experiments, wrote and revised the manuscript. ZhiW, HS and YZ confirmed the authenticity of all the raw data. All authors read and approved the final manuscript.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Patient consent for publication</title>
<p>Not applicable.</p></sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p></sec>
<ack>
<title>Acknowledgments</title>
<p>Not applicable.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-47-04-04882"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sakurai</surname><given-names>H</given-names></name></person-group><article-title>Targeting of TAK1 in inflammatory disorders and cancer</article-title><source>Trends Pharmacol Sci</source><volume>33</volume><fpage>522</fpage><lpage>530</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.tips.2012.06.007</pub-id><pub-id pub-id-type="pmid">22795313</pub-id></element-citation></ref>
<ref id="b2-ijmm-47-04-04882"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Crusz</surname><given-names>SM</given-names></name><name><surname>Balkwill</surname><given-names>FR</given-names></name></person-group><article-title>Inflammation and cancer: Advances and new agents</article-title><source>Nat Rev Clin Oncol</source><volume>12</volume><fpage>584</fpage><lpage>596</lpage><year>2015</year><pub-id pub-id-type="doi">10.1038/nrclinonc.2015.105</pub-id><pub-id pub-id-type="pmid">26122183</pub-id></element-citation></ref>
<ref id="b3-ijmm-47-04-04882"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Karin</surname><given-names>M</given-names></name></person-group><article-title>Nuclear factor-kappaB in cancer development and progression</article-title><source>Nature</source><volume>441</volume><fpage>431</fpage><lpage>436</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/nature04870</pub-id><pub-id pub-id-type="pmid">16724054</pub-id></element-citation></ref>
<ref id="b4-ijmm-47-04-04882"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wajant</surname><given-names>H</given-names></name><name><surname>Pfizenmaier</surname><given-names>K</given-names></name><name><surname>Scheurich</surname><given-names>P</given-names></name></person-group><article-title>Tumor necrosis factor signaling</article-title><source>Cell Death Differ</source><volume>10</volume><fpage>45</fpage><lpage>65</lpage><year>2003</year><pub-id pub-id-type="doi">10.1038/sj.cdd.4401189</pub-id><pub-id pub-id-type="pmid">12655295</pub-id></element-citation></ref>
<ref id="b5-ijmm-47-04-04882"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bodmer</surname><given-names>JL</given-names></name><name><surname>Holler</surname><given-names>N</given-names></name><name><surname>Reynard</surname><given-names>S</given-names></name><name><surname>Vinciguerra</surname><given-names>P</given-names></name><name><surname>Schneider</surname><given-names>P</given-names></name><name><surname>Juo</surname><given-names>P</given-names></name><name><surname>Blenis</surname><given-names>J</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>TRAIL receptor-2 signals apoptosis through FADD and caspase-8</article-title><source>Nat Cell Biol</source><volume>2</volume><fpage>241</fpage><lpage>243</lpage><year>2000</year><pub-id pub-id-type="doi">10.1038/35008667</pub-id><pub-id pub-id-type="pmid">10783243</pub-id></element-citation></ref>
<ref id="b6-ijmm-47-04-04882"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morris</surname><given-names>G</given-names></name><name><surname>Walker</surname><given-names>AJ</given-names></name><name><surname>Berk</surname><given-names>M</given-names></name><name><surname>Maes</surname><given-names>M</given-names></name><name><surname>Puri</surname><given-names>BK</given-names></name></person-group><article-title>Cell death pathways: A novel therapeutic approach for neuroscientists</article-title><source>Mol Neurobiol</source><volume>55</volume><fpage>5767</fpage><lpage>5786</lpage><year>2018</year><pub-id pub-id-type="doi">10.1007/s12035-017-0793-y</pub-id><pub-id pub-id-type="pmcid">5994217</pub-id></element-citation></ref>
<ref id="b7-ijmm-47-04-04882"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Varfolomeev</surname><given-names>E</given-names></name><name><surname>Vucic</surname><given-names>D</given-names></name></person-group><article-title>Intracellular regulation of TNF activity in health and disease</article-title><source>Cytokine</source><volume>101</volume><fpage>26</fpage><lpage>32</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.cyto.2016.08.035</pub-id></element-citation></ref>
<ref id="b8-ijmm-47-04-04882"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Camara-Clayette</surname><given-names>V</given-names></name><name><surname>Lecluse</surname><given-names>Y</given-names></name><name><surname>Schrader</surname><given-names>C</given-names></name><name><surname>Klapper</surname><given-names>W</given-names></name><name><surname>Vainchenker</surname><given-names>W</given-names></name><name><surname>Hermine</surname><given-names>O</given-names></name><name><surname>Ribrag</surname><given-names>V</given-names></name></person-group><article-title>The NF-&#x003BA;B pathway is rarely spontaneously activated in mantle cell lymphoma (MCL) cell lines and patient's samples</article-title><source>Eur J Cancer</source><volume>50</volume><fpage>159</fpage><lpage>169</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ejca.2013.09.010</pub-id></element-citation></ref>
<ref id="b9-ijmm-47-04-04882"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>A</given-names></name><name><surname>Ji</surname><given-names>R</given-names></name><name><surname>Shao</surname><given-names>J</given-names></name><name><surname>He</surname><given-names>C</given-names></name><name><surname>Jin</surname><given-names>M</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name></person-group><article-title>TLR4-MyD88= TRAF6-TAK1 complex-mediated NF-&#x003BA;B activation contribute to the anti-inflammatory effect of V8 in LPS-induced human cervical cancer SiHa cells</article-title><source>Inflammation</source><volume>39</volume><fpage>172</fpage><lpage>181</lpage><year>2016</year><pub-id pub-id-type="doi">10.1007/s10753-015-0236-8</pub-id></element-citation></ref>
<ref id="b10-ijmm-47-04-04882"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nighot</surname><given-names>M</given-names></name><name><surname>Rawat</surname><given-names>M</given-names></name><name><surname>Al-Sadi</surname><given-names>R</given-names></name><name><surname>Castillo</surname><given-names>EF</given-names></name><name><surname>Nighot</surname><given-names>P</given-names></name><name><surname>Ma</surname><given-names>TY</given-names></name></person-group><article-title>Lipopolysaccharide-Induced increase in intestinal permeability is mediated by TAK-1 activation of IKK and MLCK/MYLK gene</article-title><source>Am J Pathol</source><volume>189</volume><fpage>797</fpage><lpage>812</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.ajpath.2018.12.016</pub-id><pub-id pub-id-type="pmid">30711488</pub-id><pub-id pub-id-type="pmcid">6446229</pub-id></element-citation></ref>
<ref id="b11-ijmm-47-04-04882"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Taniguchi</surname><given-names>K</given-names></name><name><surname>Karin</surname><given-names>M</given-names></name></person-group><article-title>NF-&#x003BA;B, inflammation, immunity and cancer: Coming of age</article-title><source>Nat Rev Immunol</source><volume>18</volume><fpage>309</fpage><lpage>324</lpage><year>2018</year><pub-id pub-id-type="doi">10.1038/nri.2017.142</pub-id><pub-id pub-id-type="pmid">29379212</pub-id></element-citation></ref>
<ref id="b12-ijmm-47-04-04882"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Capece</surname><given-names>D</given-names></name><name><surname>Verzella</surname><given-names>D</given-names></name><name><surname>Tessitore</surname><given-names>A</given-names></name><name><surname>Alesse</surname><given-names>E</given-names></name><name><surname>Capalbo</surname><given-names>C</given-names></name><name><surname>Zazzeroni</surname><given-names>F</given-names></name></person-group><article-title>Cancer secretome and inflammation: The bright and the dark sides of NF-&#x003BA;B</article-title><source>Semin Cell Dev Biol</source><volume>78</volume><fpage>51</fpage><lpage>61</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.semcdb.2017.08.004</pub-id></element-citation></ref>
<ref id="b13-ijmm-47-04-04882"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morandell</surname><given-names>S</given-names></name><name><surname>Stasyk</surname><given-names>T</given-names></name><name><surname>Skvortsov</surname><given-names>S</given-names></name><name><surname>Ascher</surname><given-names>S</given-names></name><name><surname>Huber</surname><given-names>LA</given-names></name></person-group><article-title>Quantitative proteomics and phosphoproteomics reveal novel insights into complexity and dynamics of the EGFR signaling network</article-title><source>Proteomics</source><volume>8</volume><fpage>4383</fpage><lpage>4401</lpage><year>2008</year><pub-id pub-id-type="doi">10.1002/pmic.200800204</pub-id><pub-id pub-id-type="pmid">18846509</pub-id></element-citation></ref>
<ref id="b14-ijmm-47-04-04882"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nishimura</surname><given-names>M</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Singhirunnusorn</surname><given-names>P</given-names></name><name><surname>Suzuki</surname><given-names>S</given-names></name><name><surname>Kawanishi</surname><given-names>M</given-names></name><name><surname>Koizumi</surname><given-names>K</given-names></name><name><surname>Saiki</surname><given-names>I</given-names></name><name><surname>Sakurai</surname><given-names>H</given-names></name></person-group><article-title>TAK1-Mediated serine/threonine phosphorylation of epidermal growth factor receptor via p38/extracellular signal-regulated kinase: NF-{kappa}B-independent survival pathways in tumor necrosis factor alpha signaling</article-title><source>Mol Cell Biol</source><volume>29</volume><fpage>5529</fpage><lpage>5539</lpage><year>2009</year><pub-id pub-id-type="doi">10.1128/MCB.00375-09</pub-id><pub-id pub-id-type="pmid">19687304</pub-id><pub-id pub-id-type="pmcid">2756876</pub-id></element-citation></ref>
<ref id="b15-ijmm-47-04-04882"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Shinghirunnusorn</surname><given-names>P</given-names></name><name><surname>Sugishima</surname><given-names>Y</given-names></name><name><surname>Nishimura</surname><given-names>M</given-names></name><name><surname>Suzuki</surname><given-names>S</given-names></name><name><surname>Koizumi</surname><given-names>K</given-names></name><name><surname>Saiki</surname><given-names>I</given-names></name><name><surname>Sakurai</surname><given-names>H</given-names></name></person-group><article-title>Cross interference with TNF-alpha-induced TAK1 activation via EGFR-mediated p38 phosphorylation of TAK1-binding protein 1</article-title><source>Biochim Biophys Acta</source><volume>1793</volume><fpage>1156</fpage><lpage>1164</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.bbamcr.2009.04.005</pub-id><pub-id pub-id-type="pmid">19393267</pub-id></element-citation></ref>
<ref id="b16-ijmm-47-04-04882"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qiao</surname><given-names>C</given-names></name><name><surname>Han</surname><given-names>Q</given-names></name><name><surname>Song</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Xu</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>H</given-names></name></person-group><article-title>Analysis of eight bioactive compounds in alpinia species by HPLC-DAD</article-title><source>Nat Prod Res Dev</source><volume>20</volume><fpage>422</fpage><lpage>426</lpage><year>2008</year></element-citation></ref>
<ref id="b17-ijmm-47-04-04882"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jaidee</surname><given-names>W</given-names></name><name><surname>Andersen</surname><given-names>RJ</given-names></name><name><surname>Chavez</surname><given-names>MAG</given-names></name><name><surname>Wang</surname><given-names>YA</given-names></name><name><surname>Patrick</surname><given-names>BO</given-names></name><name><surname>Pyne</surname><given-names>SG</given-names></name><name><surname>Muanprasat</surname><given-names>C</given-names></name><name><surname>Borwornpinyo</surname><given-names>S</given-names></name><name><surname>Laphookhieo</surname><given-names>S</given-names></name></person-group><article-title>Amides and flavonoids from the fruit and leaf extracts of melodorum siamensis</article-title><source>J Nat Prod</source><volume>82</volume><fpage>283</fpage><lpage>292</lpage><year>2019</year><pub-id pub-id-type="doi">10.1021/acs.jnatprod.8b00696</pub-id><pub-id pub-id-type="pmid">30694059</pub-id></element-citation></ref>
<ref id="b18-ijmm-47-04-04882"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname><given-names>YF</given-names></name><name><surname>Karsani</surname><given-names>SA</given-names></name><name><surname>Yong</surname><given-names>WK</given-names></name><name><surname>Abd Malek</surname><given-names>SN</given-names></name></person-group><article-title>Induction of apoptosis and cell cycle blockade by helichrysetin in a549 human lung adenocarcinoma cells</article-title><source>Evid Based Complement Alternat Med</source><volume>2013</volume><fpage>857257</fpage><year>2013</year><pub-id pub-id-type="doi">10.1155/2013/857257</pub-id><pub-id pub-id-type="pmid">23533528</pub-id><pub-id pub-id-type="pmcid">3603683</pub-id></element-citation></ref>
<ref id="b19-ijmm-47-04-04882"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fong</surname><given-names>HY</given-names></name><name><surname>Abd Malek</surname><given-names>SN</given-names></name><name><surname>Yee</surname><given-names>HS</given-names></name><name><surname>Karsani</surname><given-names>SA</given-names></name></person-group><article-title>Helichrysetin induces DNA damage that triggers JNK-mediated apoptosis in ca ski cells</article-title><source>Pharmacogn Mag</source><volume>13</volume><fpage>607</fpage><lpage>612</lpage><year>2017</year><pub-id pub-id-type="doi">10.4103/pm.pm_53_17</pub-id><pub-id pub-id-type="pmid">29200721</pub-id><pub-id pub-id-type="pmcid">5701399</pub-id></element-citation></ref>
<ref id="b20-ijmm-47-04-04882"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Doug</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>SX</given-names></name><name><surname>Xu</surname><given-names>HX</given-names></name><name><surname>Kadota</surname><given-names>S</given-names></name><name><surname>Namba</surname><given-names>T</given-names></name></person-group><article-title>A new antiplatelet diarylheptanoid from alpinia blepharocalyx</article-title><source>J Nat Prod</source><volume>61</volume><fpage>142</fpage><lpage>144</lpage><year>1998</year><pub-id pub-id-type="doi">10.1021/np970293i</pub-id><pub-id pub-id-type="pmid">9461664</pub-id></element-citation></ref>
<ref id="b21-ijmm-47-04-04882"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vogel</surname><given-names>S</given-names></name><name><surname>Ohmayer</surname><given-names>S</given-names></name><name><surname>Brunner</surname><given-names>G</given-names></name><name><surname>Heilmann</surname><given-names>J</given-names></name></person-group><article-title>Natural and non-natural prenylated chalcones: Synthesis, cytotoxicity and anti-oxidative activity</article-title><source>Bioorg Med Chem</source><volume>16</volume><fpage>4286</fpage><lpage>4293</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.bmc.2008.02.079</pub-id><pub-id pub-id-type="pmid">18343123</pub-id></element-citation></ref>
<ref id="b22-ijmm-47-04-04882"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ali</surname><given-names>MS</given-names></name><name><surname>Tezuka</surname><given-names>Y</given-names></name><name><surname>Awale</surname><given-names>S</given-names></name><name><surname>Banskota</surname><given-names>AH</given-names></name><name><surname>Kadota</surname><given-names>S</given-names></name></person-group><article-title>Six new diarylheptanoids from the seeds of alpinia blepharocalyx</article-title><source>J Nat Prod</source><volume>64</volume><fpage>289</fpage><lpage>293</lpage><year>2001</year><pub-id pub-id-type="doi">10.1021/np000496y</pub-id></element-citation></ref>
<ref id="b23-ijmm-47-04-04882"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gewali</surname><given-names>MB</given-names></name><name><surname>Tezuka</surname><given-names>Y</given-names></name><name><surname>Banskota</surname><given-names>AH</given-names></name><name><surname>Ali</surname><given-names>MS</given-names></name><name><surname>Saiki</surname><given-names>I</given-names></name><name><surname>Dong</surname><given-names>H</given-names></name><name><surname>Kadota</surname><given-names>S</given-names></name></person-group><article-title>Epicalyxin F and calyxin I: Two novel antiproliferative diarylheptanoids from the seeds of alpinia blepharocalyx</article-title><source>Org Lett</source><volume>1</volume><fpage>1733</fpage><lpage>1736</lpage><year>1999</year><pub-id pub-id-type="doi">10.1021/ol990260p</pub-id></element-citation></ref>
<ref id="b24-ijmm-47-04-04882"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id></element-citation></ref>
<ref id="b25-ijmm-47-04-04882"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Antonelli</surname><given-names>A</given-names></name><name><surname>Ferrari</surname><given-names>SM</given-names></name><name><surname>Giuggioli</surname><given-names>D</given-names></name><name><surname>Ferrannini</surname><given-names>E</given-names></name><name><surname>Ferri</surname><given-names>C</given-names></name><name><surname>Fallahi</surname><given-names>P</given-names></name></person-group><article-title>Chemokine (C-X-C motif) ligand (CXCL)10 in autoimmune diseases</article-title><source>Autoimmun Rev</source><volume>13</volume><fpage>272</fpage><lpage>280</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.autrev.2013.10.010</pub-id></element-citation></ref>
<ref id="b26-ijmm-47-04-04882"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Somade</surname><given-names>OT</given-names></name><name><surname>Ajayi</surname><given-names>BO</given-names></name><name><surname>Safiriyu</surname><given-names>OA</given-names></name><name><surname>Oyabunmi</surname><given-names>OS</given-names></name><name><surname>Akamo</surname><given-names>AJ</given-names></name></person-group><article-title>Renal and testicular up-regulation of pro-inflammatory chemokines (RANTES and CCL2) and cytokines (TNF-&#x003B1;, IL-1&#x003B2;, IL-6) following acute edible camphor administration is through activation of NF-kB in rats</article-title><source>Toxicol Rep</source><volume>6</volume><fpage>759</fpage><lpage>767</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.toxrep.2019.07.010</pub-id><pub-id pub-id-type="pmcid">6687103</pub-id></element-citation></ref>
<ref id="b27-ijmm-47-04-04882"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barruet</surname><given-names>E</given-names></name><name><surname>Morales</surname><given-names>BM</given-names></name><name><surname>Cain</surname><given-names>CJ</given-names></name><name><surname>Ton</surname><given-names>AN</given-names></name><name><surname>Wentworth</surname><given-names>KL</given-names></name><name><surname>Chan</surname><given-names>TV</given-names></name><name><surname>Moody</surname><given-names>TA</given-names></name><name><surname>Haks</surname><given-names>MC</given-names></name><name><surname>Ottenhoff</surname><given-names>TH</given-names></name><name><surname>Hellman</surname><given-names>J</given-names></name><etal/></person-group><article-title>NF-&#x003BA;B/MAPK activation underlies ACVR1-mediated inflammation in human heterotopic ossification</article-title><source>JCI Insight</source><volume>3</volume><year>2018</year><pub-id pub-id-type="doi">10.1172/jci.insight.122958</pub-id></element-citation></ref>
<ref id="b28-ijmm-47-04-04882"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Babapour</surname><given-names>N</given-names></name><name><surname>Mehramiz</surname><given-names>M</given-names></name><name><surname>Moghadam</surname><given-names>AR</given-names></name><name><surname>Behboodi</surname><given-names>N</given-names></name><name><surname>Yousefi</surname><given-names>Z</given-names></name><name><surname>Maftouh</surname><given-names>M</given-names></name><name><surname>Talebian</surname><given-names>S</given-names></name><name><surname>Khazaei</surname><given-names>M</given-names></name><name><surname>Jafarian</surname><given-names>A</given-names></name><name><surname>Sharifi-Sistani</surname><given-names>N</given-names></name><etal/></person-group><article-title>Association of TNF-308 G&gt;A polymorphism located in tumor necrosis factor a with the risk of developing cervical cancer and results of pap smear</article-title><source>J Cell Biochem</source><volume>120</volume><fpage>5444</fpage><lpage>5448</lpage><year>2019</year><pub-id pub-id-type="doi">10.1002/jcb.27823</pub-id></element-citation></ref>
<ref id="b29-ijmm-47-04-04882"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Borghi</surname><given-names>A</given-names></name><name><surname>Verstrepen</surname><given-names>L</given-names></name><name><surname>Beyaert</surname><given-names>R</given-names></name></person-group><article-title>TRAF2 multitasking in TNF receptor-induced signaling to NF-&#x003BA;B, MAP kinases and cell death</article-title><source>Biochem Pharmacol</source><volume>116</volume><fpage>1</fpage><lpage>10</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.bcp.2016.03.009</pub-id><pub-id pub-id-type="pmid">26993379</pub-id></element-citation></ref>
<ref id="b30-ijmm-47-04-04882"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fernald</surname><given-names>K</given-names></name><name><surname>Kurokawa</surname><given-names>M</given-names></name></person-group><article-title>Evading apoptosis in cancer</article-title><source>Trends Cell Biol</source><volume>23</volume><fpage>620</fpage><lpage>633</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.tcb.2013.07.006</pub-id><pub-id pub-id-type="pmid">23958396</pub-id><pub-id pub-id-type="pmcid">4091735</pub-id></element-citation></ref>
<ref id="b31-ijmm-47-04-04882"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hanahan</surname><given-names>D</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>Hallmarks of cancer: The next generation</article-title><source>Cell</source><volume>144</volume><fpage>646</fpage><lpage>674</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.cell.2011.02.013</pub-id><pub-id pub-id-type="pmid">21376230</pub-id></element-citation></ref>
<ref id="b32-ijmm-47-04-04882"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Annibaldi</surname><given-names>A</given-names></name><name><surname>Meier</surname><given-names>P</given-names></name></person-group><article-title>Checkpoints in TNF-induced cell death: Implications in inflammation and cancer</article-title><source>Trends Mol Med</source><volume>24</volume><fpage>49</fpage><lpage>65</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.molmed.2017.11.002</pub-id></element-citation></ref>
<ref id="b33-ijmm-47-04-04882"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>LR</given-names></name><name><surname>Zhou</surname><given-names>W</given-names></name><name><surname>Zhang</surname><given-names>HM</given-names></name><name><surname>Guo</surname><given-names>QS</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>BJ</given-names></name><name><surname>Sun</surname><given-names>ZH</given-names></name><name><surname>Gao</surname><given-names>SH</given-names></name><name><surname>Cui</surname><given-names>RJ</given-names></name></person-group><article-title>Modulation of multiple signaling pathways of the plant-derived natural products in cancer</article-title><source>Front Oncol</source><volume>9</volume><fpage>1153</fpage><year>2019</year><pub-id pub-id-type="doi">10.3389/fonc.2019.01153</pub-id><pub-id pub-id-type="pmid">31781485</pub-id><pub-id pub-id-type="pmcid">6856297</pub-id></element-citation></ref>
<ref id="b34-ijmm-47-04-04882"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jandial</surname><given-names>DD</given-names></name><name><surname>Blair</surname><given-names>CA</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Krill</surname><given-names>LS</given-names></name><name><surname>Zhang</surname><given-names>YB</given-names></name><name><surname>Zi</surname><given-names>X</given-names></name></person-group><article-title>Molecular targeted approaches to cancer therapy and prevention using chalcones</article-title><source>Curr Cancer Drug Targets</source><volume>14</volume><fpage>181</fpage><lpage>200</lpage><year>2014</year><pub-id pub-id-type="doi">10.2174/1568009614666140122160515</pub-id><pub-id pub-id-type="pmid">24467530</pub-id><pub-id pub-id-type="pmcid">4107204</pub-id></element-citation></ref>
<ref id="b35-ijmm-47-04-04882"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>M</given-names></name><name><surname>Hansen</surname><given-names>PE</given-names></name><name><surname>Wang</surname><given-names>G</given-names></name><name><surname>Qiu</surname><given-names>L</given-names></name><name><surname>Dong</surname><given-names>J</given-names></name><name><surname>Yin</surname><given-names>H</given-names></name><name><surname>Qian</surname><given-names>Z</given-names></name><name><surname>Yang</surname><given-names>M</given-names></name><name><surname>Miao</surname><given-names>J</given-names></name></person-group><article-title>Pharmacological profile of xanthohumol, a prenylated flavonoid from hops (Humulus lupulus)</article-title><source>Molecules</source><volume>20</volume><fpage>754</fpage><lpage>779</lpage><year>2015</year><pub-id pub-id-type="doi">10.3390/molecules20010754</pub-id><pub-id pub-id-type="pmid">25574819</pub-id><pub-id pub-id-type="pmcid">6272297</pub-id></element-citation></ref>
<ref id="b36-ijmm-47-04-04882"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Hou</surname><given-names>Y</given-names></name><name><surname>Jin</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name></person-group><article-title>Combined administration of poly-ADP-ribose polymerase-1 and caspase-3 inhibitors alleviates neuronal apoptosis after spinal cord injury in rats</article-title><source>World Neurosurg</source><volume>127</volume><fpage>e346</fpage><lpage>e352</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.wneu.2019.03.116</pub-id><pub-id pub-id-type="pmid">30904799</pub-id></element-citation></ref>
<ref id="b37-ijmm-47-04-04882"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Malojirao</surname><given-names>VH</given-names></name><name><surname>Vigneshwaran</surname><given-names>V</given-names></name><name><surname>Thirusangu</surname><given-names>P</given-names></name><name><surname>Mahmood</surname><given-names>R</given-names></name><name><surname>Prabhakar</surname><given-names>BT</given-names></name></person-group><article-title>The tumor antagonistic steroidal alkaloid solanidine prompts the intrinsic suicidal signal mediated DFF-40 nuclear import and nucleosomal disruption</article-title><source>Life Sci</source><volume>199</volume><fpage>139</fpage><lpage>150</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.lfs.2018.03.015</pub-id><pub-id pub-id-type="pmid">29524520</pub-id></element-citation></ref>
<ref id="b38-ijmm-47-04-04882"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Song</surname><given-names>B</given-names></name></person-group><article-title>Griffipavixanthone induces apoptosis of human breast cancer MCF-7 cells in vitro</article-title><source>Breast Cancer</source><volume>26</volume><fpage>190</fpage><lpage>197</lpage><year>2019</year><pub-id pub-id-type="doi">10.1007/s12282-018-0912-2</pub-id></element-citation></ref>
<ref id="b39-ijmm-47-04-04882"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McElroy</surname><given-names>SJ</given-names></name><name><surname>Frey</surname><given-names>MR</given-names></name><name><surname>Yan</surname><given-names>F</given-names></name><name><surname>Edelblum</surname><given-names>KL</given-names></name><name><surname>Goettel</surname><given-names>JA</given-names></name><name><surname>John</surname><given-names>S</given-names></name><name><surname>Polk</surname><given-names>DB</given-names></name></person-group><article-title>Tumor necrosis factor inhibits ligand-stimulated EGF receptor activation through a TNF receptor 1-dependent mechanism</article-title><source>Am J Physiol Gastrointest Liver Physiol</source><volume>295</volume><fpage>G285</fpage><lpage>G293</lpage><year>2008</year><pub-id pub-id-type="doi">10.1152/ajpgi.00425.2007</pub-id><pub-id pub-id-type="pmid">18467504</pub-id><pub-id pub-id-type="pmcid">2519857</pub-id></element-citation></ref>
<ref id="b40-ijmm-47-04-04882"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chariot</surname><given-names>A</given-names></name></person-group><article-title>The NF-kappaB-independent functions of IKK subunits in immunity and cancer</article-title><source>Trends Cell Biol</source><volume>19</volume><fpage>404</fpage><lpage>413</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.tcb.2009.05.006</pub-id><pub-id pub-id-type="pmid">19648011</pub-id></element-citation></ref>
<ref id="b41-ijmm-47-04-04882"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schlessinger</surname><given-names>J</given-names></name></person-group><article-title>Receptor tyrosine kinases: Legacy of the first two decades</article-title><source>Cold Spring Harb Perspect Biol</source><volume>6</volume><fpage>a008912</fpage><year>2014</year><pub-id pub-id-type="doi">10.1101/cshperspect.a008912</pub-id><pub-id pub-id-type="pmid">24591517</pub-id><pub-id pub-id-type="pmcid">3949355</pub-id></element-citation></ref>
<ref id="b42-ijmm-47-04-04882"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lemmon</surname><given-names>MA</given-names></name><name><surname>Schlessinger</surname><given-names>J</given-names></name></person-group><article-title>Cell signaling by receptor tyrosine kinases</article-title><source>Cell</source><volume>141</volume><fpage>1117</fpage><lpage>1134</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.cell.2010.06.011</pub-id><pub-id pub-id-type="pmid">20602996</pub-id><pub-id pub-id-type="pmcid">2914105</pub-id></element-citation></ref>
<ref id="b43-ijmm-47-04-04882"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname><given-names>X</given-names></name><name><surname>Lambert</surname><given-names>PF</given-names></name><name><surname>Rapraeger</surname><given-names>AC</given-names></name><name><surname>Anderson</surname><given-names>RA</given-names></name></person-group><article-title>Stress-Induced EGFR trafficking: Mechanisms, functions, and therapeutic implications</article-title><source>Trends Cell Biol</source><volume>26</volume><fpage>352</fpage><lpage>366</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.tcb.2015.12.006</pub-id><pub-id pub-id-type="pmid">26827089</pub-id><pub-id pub-id-type="pmcid">5120732</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-47-04-04882" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of helichrysetin on NF-&#x003BA;B activation. (A) Structure of helichrysetin. (B) HeLa-&#x003BA;B cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; (20 ng/ml) for 6 h. The transcriptional activity of NF-&#x003BA;B was then measured. (C) HeLa and (D) T98G cells were pre-treated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; (20 ng/ml) for 5 min. Whole cell extracts were prepared, and the protein expression levels of phosphorylated NF-&#x003BA;B p65, NF-&#x003BA;B p65 and &#x003B2;-actin were analyzed by western blotting. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01; <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin; p, phosphorylated.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g00.tif"/></fig>
<fig id="f2-ijmm-47-04-04882" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of helichrysetin and TNF-&#x003B1; on apoptosis. HeLa and T98G cells were pre-treated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; (20 ng/ml) for 24 h. Viability of (A) HeLa and (B) T98G cells was determined by Cell Counting Kit-8 assay. Apoptosis in (C) HeLa and (D) T98G cells was detected by Hoechst 33258 staining and measured under a fluorescence microscope (scale bar, 100 <italic>&#x003BC;</italic>m). Apoptosis of (E) HeLa or (F) T98G cells was analyzed by Annexin V/PI staining and detected using flow cytometry. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;</sup>P&lt;0.05; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01; <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g01.tif"/></fig>
<fig id="f3-ijmm-47-04-04882" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of helichrysetin and TNF-&#x003B1; on the protein expression levels of apoptosis-associated proteins. (A) HeLa and (B) T98G cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; (20 ng/ml) for 0, 6 or 12 h. Whole cell extract was prepared, and the protein expression levels of caspase-3, cleaved caspase-3, PARP, cleaved PARP and &#x003B2;-actin were analyzed by western blotting. Quantification of cleaved caspase-3/caspase-3 and cleaved PARP/PARP in (C) HeLa and (D) T98G cells. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;</sup>P&lt;0.05; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01; <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin; PARP, poly-(ADP-ribose)-polymerase.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g02.tif"/></fig>
<fig id="f4-ijmm-47-04-04882" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of helichrysetin on the TNF-&#x003B1;-induced activation of NF-&#x003BA;B signaling. (A) HeLa or (B) T98G cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min followed by TNF-&#x003B1; (20 ng/ml) stimulation for 5 min. Whole cell extracts were prepared, and the phosphorylation of TAK1 and IKK&#x003B1;/&#x003B2; and the protein expression levels of TAK1, IKK&#x003B1;, IKK&#x003B2; and &#x003B2;-actin were analyzed by western blotting. Quantification of pTAK1/TAK1 and pIKK&#x003B1;/&#x003B2;/IKK&#x003B1; in (C) HeLa and (D) T98G cells. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;</sup>P&lt;0.05; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01; <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin; p, phosphorylated; TAK1, transforming growth factor-&#x003B2; activated kinase; IKK&#x003B1;/&#x003B2;, I&#x003BA;B kinase-&#x003B1;/&#x003B2;.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g03.tif"/></fig>
<fig id="f5-ijmm-47-04-04882" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of helichrysetin on the expression levels of TNF-&#x003B1;-induced NF-&#x003BA;B downstream target genes. (A) HeLa and (B) T98G cells were pretreated with helichrysetin (50 <italic>&#x003BC;</italic>M) for 30 min followed by TNF-&#x003B1; (20 ng/ml) stimulation for 4 h. The mRNA expression levels of TNF-&#x003B1;, IL1&#x003B2;, CCL2, CCL5 and CXCL10 were detected by quantitative PCR assay. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g05.tif"/></fig>
<fig id="f6-ijmm-47-04-04882" position="float">
<label>Figure 6</label>
<caption>
<p>Effect of helichrysetin on TNF-&#x003B1;-induced EGFR phosphorylation. (A) HeLa or (B) T98G cells were pretreated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then stimulated with TNF-&#x003B1; (20 ng/ml) for 10 min. Whole cell extracts were prepared and the protein expression levels of phosphorylated EGFR (Ser-1046/7), EGFR and &#x003B2;-actin were analyzed by western blotting. Quantification of pEGFR/EGFR in (C) HeLa and (D) T98G cells. Data are shown as the mean &#x000B1; SD (n&#x02265;3). <sup>&#x0002A;</sup>P&lt;0.05; <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001. Heli, helichrysetin; p, phosphorylated.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g06.tif"/></fig>
<fig id="f7-ijmm-47-04-04882" position="float">
<label>Figure 7</label>
<caption>
<p>Helichrysetin does not directly bind to the TAK1/TAB1/TAB2 complex in HeLa or T98G cells. Cells were treated with 50 <italic>&#x003BC;</italic>M helichrysetin for 30 min and then subjected to a thermal shift assay. Samples were analyzed by immunoblotting using anti-TAK1, anti-TAB1 and anti-TAB2 antibodies. Heli, helichrysetin; TAK1, transforming growth factor-&#x003B2; activated kinase; TAB1/2, TAK1 binding protein 1/2.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g07.tif"/></fig>
<fig id="f8-ijmm-47-04-04882" position="float">
<label>Figure 8</label>
<caption>
<p>Schematic illustration of the possible molecular mechanism of synergistic promotion of apoptosis by helichrysetin pretreatment and TNF-&#x003B1; in HeLa and T98G cells. Helichrysetin and TNF-&#x003B1; synergistically promoted the apoptosis of cancer cells by inhibiting TNF-&#x003B1;-induced TAK1/IKK/NF-&#x003BA;B and TAK1/EGFR signaling pathways in HeLa and T98G cells. pS, phosphorylated serine; TAK1, transforming growth factor-&#x003B2; activated kinase; PARP, poly-(ADP-ribose)-polymerase; TNFR1, TNF-&#x003B1; receptor 1.</p></caption>
<graphic xlink:href="IJMM-47-04-04882-g08.tif"/></fig>
<table-wrap id="tI-ijmm-47-04-04882" position="float">
<label>Table I</label>
<caption>
<p>Quantitative PCR primers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Gene</th>
<th valign="top" align="left">Forward primer (5&#x02032;-3&#x02032;)</th>
<th valign="top" align="left">Reverse primer (5&#x02032;-3&#x02032;)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">GAPDH</td>
<td valign="top" align="left">GGGAAGGTGAAGGTCGGAGT</td>
<td valign="top" align="left">GGGGTCATTGATGGCAACA</td></tr>
<tr>
<td valign="top" align="left">TNF-&#x003B1;</td>
<td valign="top" align="left">GCTGCACTTTGGAGTGATCG C</td>
<td valign="top" align="left">TTGTCACTCGGGGTTCGAG</td></tr>
<tr>
<td valign="top" align="left">IL-1&#x003B2;</td>
<td valign="top" align="left">GGGACTGATGCTGGTGACAA</td>
<td valign="top" align="left">ACAGGTCTGTTGGGAGTGGT</td></tr>
<tr>
<td valign="top" align="left">CCL2</td>
<td valign="top" align="left">AATCAATGCCCCAGTCACCT</td>
<td valign="top" align="left">GGGTCAGCACAGATCTCCTT</td></tr>
<tr>
<td valign="top" align="left">CCL5</td>
<td valign="top" align="left">TGTGTGCCAACCCAGAGAAG</td>
<td valign="top" align="left">GAAGCCTCCCAAGCTAGGAC</td></tr>
<tr>
<td valign="top" align="left">CXCL10</td>
<td valign="top" align="left">GCTGCCTTATCTTTCTG</td>
<td valign="top" align="left">CTCTTCTCACCCTTCTT</td></tr></tbody></table></table-wrap></floats-group></article>
