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<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2021.8148</article-id>
<article-id pub-id-type="publisher-id">OR-0-0-8148</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Progression of melanoma is suppressed by targeting all transforming growth factor-&#x03B2; isoforms with an Fc chimeric receptor</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Kodama</surname><given-names>Shingo</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref>
<xref rid="af2-or-0-0-8148" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Podyma-Inoue</surname><given-names>Katarzyna A.</given-names></name>
<xref rid="af2-or-0-0-8148" ref-type="aff">2</xref>
<xref rid="c2-or-0-0-8148" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Uchihashi</surname><given-names>Toshihiro</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref>
<xref rid="c1-or-0-0-8148" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Kurioka</surname><given-names>Kyoko</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Takahashi</surname><given-names>Hitomi</given-names></name>
<xref rid="af2-or-0-0-8148" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Sugauchi</surname><given-names>Akinari</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Takahashi</surname><given-names>Kazuki</given-names></name>
<xref rid="af2-or-0-0-8148" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Inubushi</surname><given-names>Toshihiro</given-names></name>
<xref rid="af3-or-0-0-8148" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Kogo</surname><given-names>Mikihiko</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Tanaka</surname><given-names>Susumu</given-names></name>
<xref rid="af1-or-0-0-8148" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Watabe</surname><given-names>Tetsuro</given-names></name>
<xref rid="af2-or-0-0-8148" ref-type="aff">2</xref></contrib>
</contrib-group>
<aff id="af1-or-0-0-8148"><label>1</label>The First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Suita, Osaka 565-0871, Japan</aff>
<aff id="af2-or-0-0-8148"><label>2</label>Department of Biochemistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Bunkyo, Tokyo 113-8549, Japan</aff>
<aff id="af3-or-0-0-8148"><label>3</label>Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Suita, Osaka 565-0871, Japan</aff>
<author-notes>
<corresp id="c1-or-0-0-8148"><italic>Correspondence to</italic>: Dr Toshihiro Uchihashi, The First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8, Yamadaoka, Suita, Osaka 565-0871, Japan, E-mail: <email>utihasi@dent.osaka-u.ac.jp</email></corresp>
<corresp id="c2-or-0-0-8148">Dr Katarzyna A. Podyma-Inoue, Department of Biochemistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan, E-mail: <email>kapobch@tmd.ac.jp</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2021</year></pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>07</month>
<year>2021</year></pub-date>
<volume>46</volume>
<issue>3</issue>
<elocation-id>197</elocation-id>
<history>
<date date-type="received"><day>07</day><month>01</month><year>2021</year></date>
<date date-type="accepted"><day>02</day><month>06</month><year>2021</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Kodama 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>Melanoma is an aggressive type of cancer originating from the skin that arises from neoplastic changes in melanocytes. Transforming growth factor-&#x03B2; (TGF-&#x03B2;) is a pleiotropic cytokine and is known to contribute to melanoma progression by inducing the epithelial-mesenchymal transition (EMT) program and creating an environment that favors tumor progression. There are three TGF-&#x03B2; isoforms, TGF-&#x03B2;1, TGF-&#x03B2;2 and TGF-&#x03B2;3, all of which engage in pro-tumorigenic activities by activating SMAD signaling pathways. All TGF-&#x03B2; isoforms activate signaling pathways by binding to their TGF-&#x03B2; type I (T&#x03B2;RI) and type II (T&#x03B2;RII) receptors. Thus, effective targeting of all TGF-&#x03B2; isoforms is of great importance. In the present study, chimeric proteins comprising the extracellular domains of T&#x03B2;RI and/or T&#x03B2;RII fused with the Fc portion of human immunoglobulin (IgG) were validated in the melanoma context. The Fc chimeric receptor comprising both T&#x03B2;RI and T&#x03B2;RII (T&#x03B2;RI-T&#x03B2;RII-Fc) effectively trapped all TGF-&#x03B2; isoforms. Conversely, T&#x03B2;RII-Fc chimeric receptor, that comprises T&#x03B2;RII only, was able to interact with TGF-&#x03B2;1 and TGF-&#x03B2;3 isoforms, but not with TGF-&#x03B2;2, which is a poor prognostic factor for melanoma patients. Accordingly, it was revealed that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor suppressed the EMT program in melanoma cells <italic>in vitro</italic> induced by any of the three TGF-&#x03B2; isoforms, as revealed by decreased expression of mesenchymal markers. Conversely, T&#x03B2;RII-Fc chimeric receptor inhibited the EMT program induced by TGF-&#x03B2;1 and TGF-&#x03B2;3. In addition, it was established that tumor growth in subcutaneous mouse melanoma was inhibited by T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor indicating that Fc chimeric receptor could be applied to modify the tumor microenvironment (TME) of melanoma. Therefore, designing of Fc chimeric receptors targeting TGF-&#x03B2; signals that affect various components of the TME may result in the development of effective anti-melanoma agents.</p>
</abstract>
<kwd-group>
<kwd>melanoma</kwd>
<kwd>TGF-&#x03B2;</kwd>
<kwd>tumor microenvironment</kwd>
<kwd>Fc chimeric receptor</kwd>
<kwd>EMT</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Japan Agency for Medical Research and Development (AMED)</funding-source>
<award-id>20cm0106253h0002 to TW</award-id>
</award-group>
<award-group>
<funding-source>Grant-in-Aid for Scientific Research (C)</funding-source>
<award-id>17K11828</award-id>
<award-id>20K10111 to KAPI</award-id>
</award-group>
<award-group>
<funding-source>Japan Society for the Promotion of Science (JSPS)</funding-source>
<award-id>19K19194 to TU</award-id>
</award-group>
<funding-statement>The present study was supported by a research program of the Japan Agency for Medical Research and Development (AMED) (grant no. 20cm0106253h0002 to TW). The present study was also supported in part by the Grant-in-Aid for Scientific Research (C) (grant nos. 17K11828 and 20K10111 to KAPI) and Grant-in-Aid for Early-Career Scientists (grant no. 19K19194 to TU) from the Japan Society for the Promotion of Science (JSPS).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Malignant melanoma (melanoma) is the most aggressive skin cancer which arises from pigment-producing cells, melanocytes, or from dysplastic nevus cells. Despite various options basically involving enlarged surgical excision with or without anticancer drugs (chemotherapy) and various immune checkpoint inhibitors (<xref rid="b1-or-0-0-8148" ref-type="bibr">1</xref>), there is a high demand for the development of new, more effective melanoma-targeted therapies.</p>
<p>The tumor microenvironment (TME) consists of tumor cells and tumor stroma including cancer-associated fibroblasts (CAFs), immune cells, and tumor endothelial cells (TECs). Cancer cells, CAFs, and TECs secrete transforming growth factor-&#x03B2; (TGF-&#x03B2;), a multifunctional cytokine, creating a favorable microenvironment that promotes tumor progression (<xref rid="b2-or-0-0-8148" ref-type="bibr">2</xref>). There are three TGF-&#x03B2; isoforms that share structural similarity, TGF-&#x03B2;1, TGF-&#x03B2;2, and TGF-&#x03B2;3, and signal through the same type I (T&#x03B2;RI) and type II (T&#x03B2;RII) transmembrane receptors that are endowed with serine/threonine kinase activity (<xref rid="b3-or-0-0-8148" ref-type="bibr">3</xref>). The formation of a complex between TGF-&#x03B2; and T&#x03B2;RII followed by binding of T&#x03B2;RI that results in activation of T&#x03B2;RI and phosphorylation of downstream components Smad2/3, which is followed by binding of Smad4 and translocation of the whole complex to the nucleus and transcription of direct target genes, plasminogen activator inhibitor-1 (PAI-1) (<xref rid="b4-or-0-0-8148" ref-type="bibr">4</xref>) or transmembrane prostate androgen-induced protein (TMEPAI) (<xref rid="b5-or-0-0-8148" ref-type="bibr">5</xref>).</p>
<p>TGF-&#x03B2; signaling has been implicated in the progression of various tumors by enhancing cell migration, promoting the invasion of cancer cells, and suppressing immune responses (<xref rid="b6-or-0-0-8148" ref-type="bibr">6</xref>,<xref rid="b7-or-0-0-8148" ref-type="bibr">7</xref>). The ability of TGF-&#x03B2; to induce epithelial-mesenchymal transition (EMT), which endows cancer cells of epithelial origin with the mesenchymal features, leading to loss of cell-cell contact and enhanced motility has also been widely studied (<xref rid="b8-or-0-0-8148" ref-type="bibr">8</xref>). In the cells undergoing EMT, decreased expression of epithelial cell markers, E-cadherin or claudin-1 accompanied by increased expression of mesenchymal cell markers, smooth muscle protein 22&#x03B1; (SM22&#x03B1;), &#x03B1;-smooth muscle actin (&#x03B1;SMA), and fibronectin is observed (<xref rid="b9-or-0-0-8148" ref-type="bibr">9</xref>). Although melanoma does not represent epithelial tumors, a decrease in E-cadherin expression and upregulated expression of EMT-related transcription factors, Snail, Slug, Twist, and Zeb1 have been revealed to be correlated with the enhanced invasion and acquisition of stem cell-like properties (<xref rid="b10-or-0-0-8148" ref-type="bibr">10</xref>,<xref rid="b11-or-0-0-8148" ref-type="bibr">11</xref>).</p>
<p>Elevated expression levels of TGF-&#x03B2; have been revealed to be associated with melanoma progression (<xref rid="b12-or-0-0-8148" ref-type="bibr">12</xref>). Especially TGF-&#x03B2;2 can be detected in early as well as in advanced melanomas. A positive association between TGF-&#x03B2;2 expression level and tumor thickness (<xref rid="b13-or-0-0-8148" ref-type="bibr">13</xref>) and high plasma levels of TGF-&#x03B2;2 have been observed in melanomas at advanced stages. TGF-&#x03B2; signals have been reported to stimulate melanoma cell dissemination from primary tumors (<xref rid="b14-or-0-0-8148" ref-type="bibr">14</xref>). Previous findings indicated that activation of TGF-&#x03B2; signals in murine melanoma led to the upregulation of PAI-1 expression that resulted in tumor growth inhibition (<xref rid="b15-or-0-0-8148" ref-type="bibr">15</xref>). Conversely, other studies demonstrated that activation of TGF-&#x03B2; signals facilitated progression of malignant melanoma (<xref rid="b13-or-0-0-8148" ref-type="bibr">13</xref>,<xref rid="b16-or-0-0-8148" ref-type="bibr">16</xref>) by stimulating cell proliferation <italic>in vivo</italic> and metastasis (<xref rid="b17-or-0-0-8148" ref-type="bibr">17</xref>). In addition, TGF-&#x03B2; has also been revealed to affect stromal, immune, or endothelial cells and by this means exerts immunosuppressive and pro-angiogenic activities (<xref rid="b18-or-0-0-8148" ref-type="bibr">18</xref>).</p>
<p>Current attempts in the development of melanoma-targeted therapies are based on the inhibition of proteins involved in the mitogen-activated protein kinase (MAPK) signal transduction pathway, B-Raf (BRAF) and MAPK kinase (<xref rid="b1-or-0-0-8148" ref-type="bibr">1</xref>). In addition, the important role of interleukin-13 signals in melanoma progression has also been suggested (<xref rid="b19-or-0-0-8148" ref-type="bibr">19</xref>). However, the previously approved drugs vemurafenib, dabrafenib, and trametinib which target the MAPK signaling pathway (<xref rid="b20-or-0-0-8148" ref-type="bibr">20</xref>,<xref rid="b21-or-0-0-8148" ref-type="bibr">21</xref>), may potentiate the risk of developing other skin cancers or formation of peripheral edema (<xref rid="b22-or-0-0-8148" ref-type="bibr">22</xref>). As TGF-&#x03B2; has been associated with progression of melanomas, there have also been attempts to target TGF-&#x03B2; signals by using antisense oligonucleotides (trabedersen; API12009) (<xref rid="b23-or-0-0-8148" ref-type="bibr">23</xref>), monoclonal anti-TGF-&#x03B2; antibodies (fresolimumab; GC1008) (<xref rid="b24-or-0-0-8148" ref-type="bibr">24</xref>) or a low molecular weight compound (vactosertib; TEW-7197) that inhibits T&#x03B2;RI kinase activity (<xref rid="b25-or-0-0-8148" ref-type="bibr">25</xref>). The efficacy of these approaches is still under evaluation; however, at present, various side effects such as cutaneous keratoacanthomas or cardiac toxicity have been observed (<xref rid="b26-or-0-0-8148" ref-type="bibr">26</xref>).</p>
<p>Recently there have been attempts to develop chimeric proteins comprising the ligand-interacting ectodomains of TGF-&#x03B2; receptors fused with Fc domain of human immunoglobulin (IgG). The addition of the Fc region of IgG is known to prolong plasma half-life of such chimeric Fc receptors (<xref rid="b27-or-0-0-8148" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-or-0-0-8148" ref-type="bibr">29</xref>) and to affect their biological activities. As reviewed by Marotte and Cimaz, etanercept, a human tumor necrosis factor (TNF) receptor p75 fused with the Fc domain of human IgG has been revealed to have a prolonged half-life, resulting in an extended and more profound biological effect than its native form (<xref rid="b30-or-0-0-8148" ref-type="bibr">30</xref>). A T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor comprising extracellular domains of TGF-&#x03B2; type I and II receptors fused with the Fc portion of human IgG, which could effectively trap all TGF-&#x03B2; isoforms and inhibited EMT in oral squamous cell carcinoma cells as well as primary tumor growth, was previously designed by our research group (<xref rid="b31-or-0-0-8148" ref-type="bibr">31</xref>). As all TGF-&#x03B2; isoforms facilitate melanoma progression, it was hypothesized that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could potentially interfere with tumor-inducing TGF-&#x03B2; signals in melanomas. Thus, in the present study, using a melanoma syngeneic model and B16-F0 cell line, the effect of soluble T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors on the induction of EMT and progression of melanoma were examined.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>The B16-F0 mouse melanoma cell line (cat. no. JCRB0202) was purchased from Japanese Collection of Research Bioresources (JCRB) Cell Bank and maintained in Eagle&#x0027;s Minimum Essential Medium (EMEM; FUJIFILM Wako Pure Chemical Corporation) supplemented with 10&#x0025; fetal bovine serum (FBS; Sigma-Aldrich; Merck KGaA), 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin (both from Nacalai Tesque, Inc.) under mycoplasma-free conditions. Clone M3 (Cloudman S91) melanoma cell line was obtained from European Collection of Authenticated Cell Cultures (ECACC) and cultured in Ham&#x0027;s F10 medium (FUJIFILM Wako Pure Chemical Corporation) supplemented with 15&#x0025; FBS, 2 mM glutamine (Nacalai Tesque, Inc.), 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin. 293T and 293FT cells were obtained from Invitrogen; Thermo Fisher Scientific, Inc. HEK-Blue&#x2122; TGF-&#x03B2; cells were purchased from InvivoGen. 293T, 293FT and HEK-Blue&#x2122; TGF-&#x03B2; cells were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM; Nacalai Tesque, Inc.) supplemented with 10&#x0025; FBS, 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin. The cultured medium for 293FT cells was also supplemented with 1&#x0025; non-essential amino acid solution (Nacalai Tesque, Inc.). All cell lines were cultured in a humidified incubator containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C.</p>
</sec>
<sec>
<title>Reagents</title>
<p>TGF-&#x03B2;1 (PeproTech, Inc.), TGF-&#x03B2;2 (PeproTech, Inc.) and TGF-&#x03B2;3 (R&#x0026;D Systems, Inc.) were used at concentrations of 1 ng/ml or 3 ng/ml depending on the experiment. SB431542 (FUJIFILM Wako Pure Chemical Corporation) was used at a concentration of 10 &#x00B5;M.</p>
</sec>
<sec>
<title>PrognoScan analysis</title>
<p>The correlation between the levels of expression of genes encoding all human TGF-&#x03B2; isoforms, TGFB1, TGFB2 or TGFB3 and overall survival of melanoma patients was performed using a public database, PrognoScan (<uri xlink:href="https://dna00.bio.kyutech.ac.jp/PrognoScan/">http://dna00.bio.kyutech.ac.jp/PrognoScan/</uri>) which comprises multiple cancer microarray datasets (<xref rid="b32-or-0-0-8148" ref-type="bibr">32</xref>). TGFB1, TGFB2 and TGFB3 were used as queries. The analysis was conducted by minimum P-value approach, which allowed grouping of patients into two groups based on the expression levels of TGFB1, TGFB2 and TGFB3 at all possible cutoffs (cutoff points providing the best minimum corrected P-value were 0.76 for TGFB1, 0.87 for TGFB2 and 0.66 for TGFB3 analyses, respectively). The analysis results in the present study were based on the evaluation of TGFB1, TGFB2 and TGFB3 expression levels and survival of melanoma patients whose data was combined in dataset: GSE19234 (<xref rid="b33-or-0-0-8148" ref-type="bibr">33</xref>). The log-rank test was used for statistical analysis.</p>
</sec>
<sec>
<title>Cell proliferation assay</title>
<p>The effect of expression of Fc chimeric receptors on proliferation of B16 melanoma cells was evaluated by WST-1 assay. The B16 cells (3.5&#x00D7;10<sup>4</sup>) were seeded into a 12-well culture plate and incubated overnight at 37&#x00B0;C, 5&#x0025; CO<sub>2</sub>. The following day the medium was refreshed, and the cells were cultured for 72 h. The assay was conducted using the WST-1 reagent (Dojindo Molecular Technologies, Inc.) according to the manufacturer&#x0027;s protocol. The colorimetric changes in the substrate were measured with a microplate reader (Model 680; Bio-Rad Laboratories, Inc.) at 450 nm. To evaluate the effect of TGF-&#x03B2; isoforms on the proliferation of B16 melanoma cells, B16 cells (7.5&#x00D7;10<sup>4</sup> cells/well) were seeded into 6-well culture plates and cultured overnight at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>. The following day, the medium was replaced with 1 ml of EMEM and cells were treated with each TGF-&#x03B2; (3 ng/ml) isoform or SB431542 (10 &#x00B5;M) for 72 h followed by direct cell counting with B&#x00FC;rker-T&#x00FC;rk hemocytometer (cat. no. 03-303-1; Erma, Inc.). The experiment was performed in triplicate and repeated twice.</p>
</sec>
<sec>
<title>Production of Fc chimeric receptors</title>
<p>Fc chimeric receptors were generated by transfection of 293T cells with respective Fc chimeric receptor expression vectors. The construction of expression vectors was performed as previously described (<xref rid="b31-or-0-0-8148" ref-type="bibr">31</xref>). Briefly, to express Control-Fc protein, the Fc region of human IgG fused to the interleukin-2 signal peptide was inserted into pENTR201 vector (Invitrogen; Thermo Fisher Scientific, Inc.). For the expression of T&#x03B2;RII-Fc chimeric receptor the extracellular domain (ECD) of T&#x03B2;RII-Fc corresponding to the 184 amino acids (ECD<sub>1-184</sub>) was fused with the Fc region of human IgG and inserted into pENTR201 (Invitrogen; Thermo Fisher Scientific, Inc.). To express T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor the ECD of T&#x03B2;RI corresponding to the 128 amino acids (ECD<sub>1-128</sub>) was fused with ECD of T&#x03B2;RII-Fc lacking signal peptide (ECD<sub>23-184</sub>) followed by the addition of the Fc region of human IgG and inserted into pENTR201 (Invitrogen; Thermo Fisher Scientific, Inc.). The Gateway Technology (Invitrogen; Thermo Fisher Scientific, Inc.) was used to transfer Control-Fc, T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc cDNAs into pCSII-EF-RfA (a gift from Dr Hiroyuki Miyoshi, Keio University, deceased) to generate lentiviral expression vectors; pCSII-EF-RfA-Control-Fc, pCSII-EF-RfA-T&#x03B2;RII-Fc and pCSII-EF-RfA-T&#x03B2;RI-T&#x03B2;RII-Fc. 293T cells (9.0&#x00D7;10<sup>6</sup>) were seeded into 10-cm tissue culture dishes and cultured overnight at 37&#x00B0;C and 5&#x0025; CO<sub>2</sub>, followed by transfection with pCSII-EF-RfA vectors (20 &#x00B5;g/dish) expressing each chimeric receptor pCSII-EF-RfA-Control-Fc, pCSII-EF-RfA-T&#x03B2;RII-Fc and pCSII-EF-RfA-T&#x03B2;RI-T&#x03B2;RII-Fc, using Lipofectamine 2000 Transfection Reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s protocol. A total of 4 h post-transfection, the medium was replaced with serum-free Opti-MEM (Gibco; Thermo Fisher Scientific, Inc.) and the cells were incubated for 48 h to allow accumulation of secreted Fc chimeric receptors in culture medium. The accumulation of soluble chimeric receptors in the conditioned media was evaluated by immunoblotting with rabbit polyclonal anti-human IgG-Fc fragment (1:5,000; A80-105; Bethyl Laboratories, Inc.) as described in the <italic>Immunoblot analysis</italic> section. The concentration of each Fc chimeric receptor was assessed by enzyme-linked immunosorbent assay (ELISA) with the Human IgG ELISA Quantitation Set (E80-104; Bethyl Laboratories, Inc.). The collected conditioned media were aliquoted and stored at &#x2212;80&#x00B0;C until use.</p>
</sec>
<sec>
<title>RNA extraction and reverse transcription-quantitative PCR (RT-qPCR)</title>
<p>Total RNA was extracted from B16 and Clone M3 cells. The extraction was performed using Sepasol (R)-RNA I Super G (Nacalai Tesque, Inc.) and reverse-transcribed to cDNA with ReverTra Ace qPCR-RT Master Mix (Toyobo Life Science) according to the manufacturer&#x0027;s protocol. Quantitative PCR analysis was performed using SYBR Green (Roche Applied Science) on a Step One Plus Real-Time PCR System (Applied Biosystems, Thermo Fisher Scientific, Inc.) under the following cycling conditions: 95&#x00B0;C, 10 min, followed by 40 cycles at 95&#x00B0;C for 15 sec and 60&#x00B0;C for 30 sec with a final incubation at 95&#x00B0;C for 5 sec. The relative standard curve method was used to determine the relative expression of target genes (<xref rid="b34-or-0-0-8148" ref-type="bibr">34</xref>). All expression data were normalized to the expression of &#x03B2;-actin. The genes and corresponding primer sequences are listed in <xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Table SI</xref>.</p>
</sec>
<sec>
<title>Protein extraction</title>
<p>B16, Clone M3 and 293T cells were lysed using radioimmunoprecipitation assay buffer (RIPA Lysis Buffer System; Santa Cruz Biotechnology, Inc.) in the presence of a protease inhibitor (Sigma-Aldrich; Merck KGaA), followed by repeated freeze and thawing. Cell lysates were cleared by centrifugation at 16,400 &#x00D7; g for 30 min at 4&#x00B0;C, and the supernatants were collected. The protein concentration in obtained lysates was determined using a BCA Protein Assay Kit (Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Immunoblot analysis</title>
<p>Denatured cell lysates (30 &#x00B5;g of total proteins in <xref rid="f5-or-0-0-8148" ref-type="fig">Figs. 5A</xref> and <xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">S5B</xref>; 20 &#x00B5;g of proteins in <xref rid="f3-or-0-0-8148" ref-type="fig">Figs. 3D</xref>, <xref rid="f4-or-0-0-8148" ref-type="fig">4C</xref>, <xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">S3B</xref> and <xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">S4B</xref>; or 10 &#x00B5;g of total protein in <xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S1</xref>) were separated on 10.5&#x0025; or 12&#x0025; SDS-PAGE gel depending on the experiment, followed by transfer onto PVDF membranes (Merck KGaA). The membranes were then blocked with 3&#x0025; bovine serum albumin (BSA; FUJIFILM Wako Pure Chemical Corporation) for 30 min at room temperature and incubated with appropriate primary antibodies diluted in 3&#x0025; BSA (Nacalai Tesque, Inc.): Rabbit monoclonal anti-&#x03B1;SMA (1:1,000; product no. 19245; Cell Signaling Technology, Inc.), rabbit polyclonal anti-TAGLN/Transgelin (SM22&#x03B1;; 1:2,000; product code ab14106; Abcam), rabbit polyclonal anti-human IgG-Fc fragment (1:5,000), and rabbit polyclonal anti-&#x03B1;-tubulin (1:10,000; product code ab4074; Abcam) overnight at 4&#x00B0;C. The membranes were then incubated with goat anti-rabbit IgG HRP-linked antibody (1:5,000; product no. 7074S; Cell Signaling Technology, Inc.) for 1 h at room temperature. The target proteins were detected using an Enhanced Chemiluminescence Kit (ECL detection reagent; Cytiva) and visualized with a Fusion Solo S Imaging System (SOLO.6S.EDGE; Vilber Lourmat).</p>
</sec>
<sec>
<title>Immunocytochemistry</title>
<p>B16 and Clone M3 cells (3.5&#x00D7;10<sup>4</sup> cells/well) were seeded on cover glasses placed into 12-well tissue culture plates and treated with TGF-&#x03B2;1, -&#x03B2;2, and -&#x03B2;3 in the presence or absence of Fc chimeric receptors for 72 h, at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>. The cells were then fixed with methanol/acetone (1:1) for 20 sec on ice and blocked in PBS containing 1&#x0025; BSA (FUJIFILM Wako Pure Chemical Corporation) for 30 min at room temperature and incubated with primary antibodies diluted in Blocking One buffer: Rabbit polyclonal anti-TAGLN/Transgelin (1:1,000), mouse monoclonal anti-actin, &#x03B1;SMA-Cy3&#x2122; (1:1,000; cat. no. C6198-2ML; Sigma-Aldrich; Merck KGaA) overnight at 4&#x00B0;C. To visualize SM22&#x03B1; and nuclei, samples were incubated for 1 h at room temperature with a mixture of donkey polyclonal anti-rabbit IgG (H&#x002B;L) Alexa Fluor 488-conjugated secondary antibodies (1:1,000 in Blocking One buffer; cat. no. A-21206; Thermo Fisher Scientific, Inc.) and 500 ng/ml Hoechst33342 (Cell Signaling Technology, Inc.) for nuclear staining. The samples were then embedded in Fluoromount-G mounting medium (Cosmo Bio Co., Ltd.). Images were captured under a fluorescence microscope (BZ-X710; Keyence Corporation).</p>
</sec>
<sec>
<title>Treatment of B16 and Clone M3 cells with Fc chimeric receptors</title>
<p>B16 or Clone M3 cells (3.5&#x00D7;10<sup>4</sup> cells/well) were seeded into tissue culture plates (12-well plate or 6-well plate, depending on the experiment) and cultured overnight at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>. The next day, the medium was replaced with 1 ml of serum-free Opti-MEM. The Fc chimeric receptor/ligand complexes were generated by mixing the conditioned medium from the 293T cells expressing Fc chimeric receptors containing the equal amount of Fc chimeric receptors (600 ng of Fc chimeric receptors in 500 &#x00B5;l of Opti-MEM) with TGF-&#x03B2;1, -&#x03B2;2, or -&#x03B2;3 at the concentration of 3 ng/ml. Samples were incubated for 2 h at 37&#x00B0;C to allow formation of the Fc chimeric receptor/ligand complexes and added to the B16 or Clone M3 cells. The cells were then incubated at 37&#x00B0;C and 5&#x0025; CO<sub>2</sub> with Fc chimeric receptor/ligand complexes for 4 or 72 h (depending on the experiment) and subjected to gene expression analysis by RT-qPCR, immunocytochemistry, or immunoblotting. Cells treated with each TGF-&#x03B2; ligand in serum-free Opti-MEM were used as controls for upregulation of the TGF-&#x03B2; signal while samples treated with the mixture of SB431542, a T&#x03B2;RI kinase inhibitor, and TGF-&#x03B2; in serum-free Opti-MEM were used as controls for inhibition of the TGF-&#x03B2; signal.</p>
</sec>
<sec>
<title>Lentivirus production and transduction of B16 cells</title>
<p>The lentiviral particles were produced as previously described (<xref rid="b31-or-0-0-8148" ref-type="bibr">31</xref>). Briefly, the 293FT (8.0&#x00D7;10<sup>6</sup>) cells were co-transfected with 5.5 &#x00B5;g of expression plasmids (pCSII-EF-RfA-Control-Fc, pCSII-EF-RfA-T&#x03B2;RII-Fc, and pCSII-EF-RfA-T&#x03B2;RI-T&#x03B2;RII-Fc) and packaging plasmids pCMV&#x2013;VSV-G-RSV-Rev (3.25 &#x00B5;g; RIKEN BioResource Center) and pCAG-HIVgp (3.25 &#x00B5;g; RIKEN BioResource Center) using Lipofectamine 2000 Transfection Reagent (Invitrogen; Thermo Fisher Scientific, Inc.) in 5 ml Opti-MEM supplemented with 10&#x0025; FBS. The control lentiviral particles expressing green fluorescent protein (GFP) were prepared by transfecting 293T cells with 5.5 &#x00B5;g of pCSII-EF-RfA-GFP and packaging plasmids pCMV&#x2013;VSV-G-RSV-Rev (3.25 &#x00B5;g) and pCAG-HIVgp (3.25 &#x00B5;g). A total of 24 h post-transfection, the transfection medium was refreshed with 7.5 ml Opti-MEM, 10&#x0025; FBS, and the recombinant lentiviruses were harvested 48 h later. The conditioned media containing viral particles were collected by centrifugation at 4&#x00B0;C for 5 min at 1,700 &#x00D7; g, and incubated at 4&#x00B0;C for 7 days on the rotary shaker with Lenti-X Concentrator (Takara Bio, Inc.). The viral particles were then centrifuged at 4&#x00B0;C for 45 min, at 1,500 &#x00D7; g, and resuspended in 140 &#x00B5;l of Opti-MEM. The 70-&#x00B5;l of concentrated lentiviral particles were used to infect B16 melanoma cells (3&#x00D7;10<sup>5</sup> cells/well in 12-well tissue culture plates). Transduction efficiency was evaluated using lentiviral particles expressing green GFP. The successful expression was examined by immunoblotting using rabbit polyclonal anti-human IgG-Fc antibody as described in the <italic>Immunoblot analysis</italic> section. The second generation of transduced B16 cells was used for further experiments.</p>
</sec>
<sec>
<title>Smad 2/3/4-responsive reporter assay (HEK-Blue reporter assay)</title>
<p>The ability of Fc chimeric receptors, secreted by transduced B16 cells, to trap TGF-&#x03B2; ligands was examined using the HEK-Blue TGF-&#x03B2; reporter system. The B16 cells (1&#x00D7;10<sup>6</sup> cells) expressing each of the Fc chimeric receptors were seeded into 10 cm tissue culture plates and incubated overnight at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>. The following day, the medium was replaced with 5 ml of serum-free Opti-MEM and the cells were incubated for 48 h to allow the accumulation of Fc chimeric receptors in the culture supernatant. The conditioned media were collected and stored at &#x2212;80&#x00B0;C until use.</p>
<p>HEK-Blue TGF-&#x03B2; reporter cells (1.0&#x00D7;10<sup>5</sup>) were seeded into 96-well plates and incubated overnight at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>. The following day, the medium was replaced with 200 &#x00B5;l of serum-free DMEM, and the cells were incubated for 3 h. The B16 cell-derived conditioned medium containing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric proteins, was mixed with TGF-&#x03B2; ligands (1 ng/ml) and incubated for 2 h at 37&#x00B0;C to allow the formation of Fc chimeric receptor/ligand complexes. Next, Fc chimeric receptor/ligand complexes were added to the HEK-Blue TGF-&#x03B2; reporter cells, followed by incubation for 24 h, at 37&#x00B0;C. The activation of TGF-&#x03B2;/Smad signals was detected using QUANTI-Blue substrate (InvivoGen) following incubation for 30 min at 37&#x00B0;C. The colorimetric change of the substrate by the secreted alkaline phosphatase (SEAP) was quantified at 640 nm using a microplate reader (Bio-Rad Laboratories, Inc.).</p>
</sec>
<sec>
<title>Subcutaneous syngeneic tumor mouse model</title>
<p>A total of 62 female C57/BL6 mice (5&#x2013;6 weeks old; average weight, 14&#x2013;19 g) were purchased from Japan SLC, Inc. All animal experimental protocols were approved (approval no. R-02-017-1) by the Animal Experiment Committee of the Graduate School of Dentistry, Osaka University (Osaka, Japan). The mice were kept under a temperature of 23&#x2013;24&#x00B0;C with 40&#x2013;60&#x0025; humidity and a 12-h light/dark cycle. Mice were provided with access to food and water <italic>ad libitum</italic> throughout the experiment. A total of 20 mice was used for injection of B16-Control-Fc cells, 21 for B16-T&#x03B2;RII-Fc cells, and 21 for B16-T&#x03B2;RI-T&#x03B2;RII-Fc cells. All animals underwent general anesthesia with mixture of medetomidine (0.3 mg/kg; Nippon Zenyaku Kogyo, Co., Ltd.) midazolam (4 mg/kg; Astellas Pharma, Inc.) and butorphanol (5 mg/kg; Meiji Seika Kaisha, Ltd.) by intraperitoneal administration (<xref rid="b35-or-0-0-8148" ref-type="bibr">35</xref>,<xref rid="b36-or-0-0-8148" ref-type="bibr">36</xref>). The B16 cells (5.0&#x00D7;10<sup>5</sup>) expressing the Fc chimeric receptors, B16-Control-Fc, B16-T&#x03B2;RII-Fc, B16-T&#x03B2;RI-T&#x03B2;RII-Fc were suspended in 50 &#x00B5;l serum-free EMEM and subcutaneously injected into left flank region. Mice that did not develop any palpable tumor or did not survive until the endpoint of the experiment were excluded from the analysis. Tumor growth was monitored for 26 days. The tumor volume was measured twice per week and estimated using the following equation: Tumor volume (mm<sup>3</sup>) = [length (mm) &#x00D7; width (mm)<sup>2</sup>]/2. The size of developed tumors was selected as the humane endpoint. Mice were sacrificed when the size of the largest primary tumors started to exceed the 1,000 mm<sup>3</sup>. As large melanoma tumors often develop necrotic changes that would likely affect the experimental outcome, a total of 32 mice bearing primary tumors derived from Control-Fc (n=11), T&#x03B2;RII-Fc (n=9), and T&#x03B2;RI-T&#x03B2;RII-Fc (n=11) were thus euthanized on day 26 by intraperitoneal injection of the mixture of medetomidine (3 mg/kg), midazolam (40 mg/kg) and butorphanol (50 mg/kg).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analysis was carried out by EZR software (<xref rid="b37-or-0-0-8148" ref-type="bibr">37</xref>). Results are presented as the mean &#x00B1; standard deviation (SD) or standard error (SE). Each experiment was performed in triplicate and repeated twice. Comparisons of quantitative data were conducted using one-way ANOVA with post hoc Tukey&#x0027;s test or Mann-Whitney U test with post hoc Bonferroni test depending on experiment. 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>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor efficiently suppresses TGF-&#x03B2; signals in melanoma cells</title>
<p>TGF-&#x03B2; has been revealed to promote invasiveness and progression of melanoma (<xref rid="b13-or-0-0-8148" ref-type="bibr">13</xref>,<xref rid="b16-or-0-0-8148" ref-type="bibr">16</xref>). Previous studies revealed that melanoma cells expressed all three TGF-&#x03B2; isoforms (<xref rid="b12-or-0-0-8148" ref-type="bibr">12</xref>) and that an elevated level of TGF-&#x03B2; in melanoma patients was associated with metastatic outcomes (<xref rid="b38-or-0-0-8148" ref-type="bibr">38</xref>). In addition, meta-analysis using a public database, PrognoScan (<uri xlink:href="https://dna00.bio.kyutech.ac.jp/PrognoScan/">http://dna00.bio.kyutech.ac.jp/PrognoScan/</uri>) (<xref rid="b32-or-0-0-8148" ref-type="bibr">32</xref>) and dataset: GSE19234 (<xref rid="b33-or-0-0-8148" ref-type="bibr">33</xref>), revealed that high expression levels of TGF-&#x03B2;2, but not that of TGF-&#x03B2;1 or TGF-&#x03B2;3, were associated with overall survival of melanoma patients (<xref rid="f1-or-0-0-8148" ref-type="fig">Fig. 1</xref>). Therefore, it was examined whether T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could be applied in the melanoma model. In our study, B16 melanoma cells were used, in which the EMT program can be activated in response to TGF-&#x03B2;. 293T cells were transfected with the vectors expressing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors and the accumulation of chimeric proteins in the conditioned media was confirmed by immunoblotting (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S1</xref>). Such conditioned media were then used to examine the effect of soluble chimeric receptors on the activation of TGF-&#x03B2; signals. B16 cells were incubated in conditioned media of 293T cells expressing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors in an absence or presence of TGF-&#x03B2;1, -&#x03B2;2, or -&#x03B2;3, respectively, followed by an analysis of the expression of genes directly responding to TGF-&#x03B2;, TMEPAI, and PAI-1 by RT-qPCR. Incubation of B16 melanoma cells with any of the TGF-&#x03B2; isoforms upregulated the expression of both TMEPAI (<xref rid="f2-or-0-0-8148" ref-type="fig">Fig. 2A</xref>) and PAI-1 (<xref rid="f2-or-0-0-8148" ref-type="fig">Fig. 2B</xref>). As anticipated, SB431542, a T&#x03B2;RI kinase inhibitor, reduced the expression of both direct target genes to the background level (<xref rid="f2-or-0-0-8148" ref-type="fig">Fig. 2</xref>). Incubation of B16 melanoma cells with Control-Fc protein did not reduce the expression of TMEPAI, and PAI-1 induced by TGF-&#x03B2;s. Reduced expression of both genes in the presence of T&#x03B2;RII-Fc chimeric receptor was only observed when cells were treated with TGF-&#x03B2;1 and TGF-&#x03B2;3, but not by TGF-&#x03B2;2 (<xref rid="f2-or-0-0-8148" ref-type="fig">Fig. 2</xref>). Conversely, T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor significantly inhibited the expression levels of TMEPAI and PAI-1 induced by all TGF-&#x03B2; isoforms indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor effectively interfered with TGF-&#x03B2; signals also in the melanoma model. To generalize our findings, the same set of experiments were performed with another melanoma cell line, Clone M3. Clone M3 cells responded to all TGF-&#x03B2; isoforms as indicated by upregulated expression of TMEPAI (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S2A</xref>) and PAI-1 (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S2B</xref>). In addition, incubation with T&#x03B2;RI-T&#x03B2;RII-Fc decreased the expression of TMEPAI and PAI-1 induced by all TGF-&#x03B2;s when compared with the expression of both genes detected in the Clone M3 cells incubated with Control-Fc protein indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor suppressed TGF-&#x03B2; signals in multiple types of melanoma cells.</p>
</sec>
<sec>
<title>All TGF-&#x03B2; isoforms activate the EMT program in melanoma cells</title>
<p>Melanoma cells can activate the EMT program in response to TGF-&#x03B2;. Previous studies revealed that melanoma cells treated with TGF-&#x03B2; upregulated the expression of mesenchymal markers (<xref rid="b14-or-0-0-8148" ref-type="bibr">14</xref>,<xref rid="b17-or-0-0-8148" ref-type="bibr">17</xref>). Therefore, it was examined whether similar changes can be observed in B16 melanoma cells. B16 melanoma cells were cultured for 72 h in the absence or presence of each TGF-&#x03B2; isoform or SB431542, and the expression of various mesenchymal markers was determined using RT-qPCR. The treatment with any of TGF-&#x03B2; isoform resulted in upregulated expression of all mesenchymal markers; SM22&#x03B1; (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3A</xref>), &#x03B1;SMA (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3B</xref>) and fibronectin (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3C</xref>), while SB431542 did not exhibit any effect (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3A-C</xref>). These results were also confirmed at the protein level using immunoblotting and immunocytochemical analysis. A significant increase was observed in the band intensity corresponding to each mesenchymal marker, SM22&#x03B1; and &#x03B1;SMA (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3D</xref>), as well as an increase in a fluorescent signal related to the presence of SM22&#x03B1;-positive and &#x03B1;SMA-positive cells upon TGF-&#x03B2; treatment (<xref rid="f3-or-0-0-8148" ref-type="fig">Fig. 3E</xref>), indicating that B16 melanoma cells activated TGF-&#x03B2;-dependent EMT. The activation of the EMT program was also confirmed using Clone M3 cells. Treatment of the Clone M3 cells with any of the three TGF-&#x03B2; isoforms resulted in upregulated expression of SM22&#x03B1; as revealed by RT-qPCR (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S3A</xref>), immunoblotting (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S3B</xref>), and immunocytochemical analysis (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S3C</xref>), supporting the findings that treatment with TGF-&#x03B2; upregulated the expression of SM22&#x03B1; in multiple types of melanoma cells.</p>
</sec>
<sec>
<title>EMT program, induced by all TGF-&#x03B2; isoforms in melanoma cells, is inhibited in the presence of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor</title>
<p>Our data indicated that the EMT program was activated upon treatment with any of the three TGF-&#x03B2; isoforms. In addition, as shown in <xref rid="f1-or-0-0-8148" ref-type="fig">Fig. 1B</xref>, high TGFB2 expression was a poor prognostic factor in overall survival in melanoma patients, indicating that inhibiting the EMT program may have beneficial effects on melanoma treatment. Therefore, in the following experiment, the effect of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor on activation of the EMT program was examined in B16 melanoma cells. The B16 melanoma cells were treated without or with TGF-&#x03B2;1, -&#x03B2;2 or -&#x03B2;3 in the presence of conditioned medium derived from 293T cells expressing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors for 72 h, followed by RT-qPCR analysis for the expression of mesenchymal markers, SM22&#x03B1; (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4A</xref>) and &#x03B1;SMA (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4B</xref>). The expression levels of both mesenchymal markers were upregulated when B16 melanoma cells were incubated in the conditioned medium containing Control-Fc protein. A significant suppression of SM22&#x03B1; (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4A</xref>) and &#x03B1;SMA (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4B</xref>) expression was observed in the cells stimulated with TGF-&#x03B2;1 or TGF-&#x03B2;3 in the presence of T&#x03B2;RII-Fc or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors. Conversely, the induction of the EMT program by TGF-&#x03B2;2 was inhibited only in the presence of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4A and B</xref>), indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could modulate the response to TGF-&#x03B2;2 in the melanoma model. The aforementioned findings were also confirmed at the protein level using immunoblotting (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4C</xref>) and immunocytochemical analyses (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4D and E</xref>). In agreement with the RT-qPCR results, changes in the intensity of bands corresponding to upregulated expression of SM22&#x03B1; and &#x03B1;SMA proteins were observed (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4C</xref>) in response to all TGF-&#x03B2; isoforms, in the absence or presence of Fc chimeric receptors, as well as the number of SM22&#x03B1;-positive and &#x03B1;SMA-positive cells (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4D and E</xref>, respectively). Consistent with the RT-qPCR results, effective inhibition of the TGF-&#x03B2;2-induced EMT program was observed only in the presence of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor while Control-Fc and T&#x03B2;RII-Fc did not demonstrate such an effect (<xref rid="f4-or-0-0-8148" ref-type="fig">Fig. 4C-E</xref>). The suppressive effect of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor on EMT-associated changes in SM22&#x03B1; expression was also examined at both RNA and protein levels in Clone M3 cells. As anticipated, the expression of SM22&#x03B1; induced by any of the three TGF-&#x03B2; isoforms was inhibited only by T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S4</xref>), indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could be potentially used for targeting all TGF-&#x03B2; isoforms present in the TME of melanoma tumors.</p>
</sec>
<sec>
<title>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibits melanoma tumor growth in vivo</title>
<p>As our <italic>in vitro</italic> data revealed effective inhibition of the EMT program, examination of the effect of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor on melanoma tumor growth <italic>in vivo</italic> was performed. Therefore, B16 melanoma cells expressing Control-Fc, T&#x03B2;RII-Fc, and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric proteins were established by infecting B16 melanoma cells with lentiviral vectors (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S5</xref>). As revealed in <xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5A</xref>, all Fc chimeric receptors were expressed in B16 cells (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5A</xref>; cell lysate) and secreted into the culture media (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5A</xref>; conditioned medium); however, the amount of accumulated T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor was lower when compared with the secreted amount of Control-Fc or T&#x03B2;RII-Fc chimeric receptors.</p>
<p>The anti-proliferative effect of TGF-&#x03B2; on normal epithelial cells has been previously reported (<xref rid="b39-or-0-0-8148" ref-type="bibr">39</xref>). Moreover, in the early stage of melanoma progression, TGF-&#x03B2; has been revealed to inhibit cell growth (<xref rid="b15-or-0-0-8148" ref-type="bibr">15</xref>). In agreement with these previous findings, B16 melanoma cells incubated in the presence of TGF-&#x03B2;s for 72 h demonstrated decreased proliferation when compared with the non-treated control cells, independently of the TGF-&#x03B2; isoform used (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S6</xref>). The proliferation of B16 melanoma cells in the presence of SB431542, a T&#x03B2;RI kinase inhibitor, did not differ from the proliferation of control cells (<xref rid="SD1-or-0-0-8148" ref-type="supplementary-material">Fig. S6</xref>). As B16 melanoma cells have been revealed to secrete active TGF-&#x03B2;s (<xref rid="b40-or-0-0-8148" ref-type="bibr">40</xref>), there was a possibility that the expression of Fc chimeric receptors could alter their extracellular environment and affect cell proliferation. Therefore, the proliferation of B16 cells expressing each Fc chimeric receptor was examined and it was revealed that there was not any difference in the proliferation exhibited by B16 cells expressing T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors when compared with B16 cells expressing Control-Fc protein (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5B</xref>).</p>
<p>Next, the effect of T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors accumulated in conditioned media of B16 cells on TGF-&#x03B2; signaling was examined using HEK-Blue TGF-&#x03B2; reporter cells. HEK-Blue cells were cultured in the conditioned medium of B16 cells expressing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors in the absence or presence of TGF-&#x03B2;1, -&#x03B2;2, or -&#x03B2;3. As anticipated, stimulation of HEK-Blue cells with any TGF-&#x03B2; isoform in the presence of conditioned medium from B16 cells expressing Control-Fc protein resulted in upregulation of TGF-&#x03B2; signals (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5C</xref>). Conditioned medium derived from B16 cells expressing T&#x03B2;RII-Fc chimeric receptor significantly inhibited signals induced by TGF-&#x03B2;1 or TGF-&#x03B2;3 and had no effect on signals induced by TGF-&#x03B2;2 (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5C</xref>). Complete inhibition of TGF-&#x03B2; signals was observed only in the presence of conditioned medium derived from B16 cells expressing T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor (<xref rid="f5-or-0-0-8148" ref-type="fig">Fig. 5C</xref>), indicating that T&#x03B2;RI-T&#x03B2;RII-Fc could trap all TGF-&#x03B2; isoforms.</p>
<p>Finally, the effect of Fc chimeric receptors on melanoma tumor growth was examined <italic>in vivo</italic>. The B16 cells expressing Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors were subcutaneously inoculated in the left flank of C57/BL6 mice. The tumor growth and body weight were then monitored for 26 days. Expression of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibited B16 melanoma tumor growth <italic>in vivo</italic> (<xref rid="f6-or-0-0-8148" ref-type="fig">Fig. 6A</xref>) when compared with Control-Fc. Moreover, the size of tumors originating from B16 cells expressing T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor was significantly smaller than that developed from B16 cells expressing Control-Fc protein (<xref rid="f6-or-0-0-8148" ref-type="fig">Fig. 6B</xref>) indicating that it could effectively trap all TGF-&#x03B2; isoforms residing in the TME. Of note, no significant difference was observed between Control-Fc and T&#x03B2;RII-Fc or T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc groups. In addition, no significant differences in body weight were observed between the three experimental groups (<xref rid="f6-or-0-0-8148" ref-type="fig">Fig. 6C</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>TGF-&#x03B2; ligands facilitate progression of various types of cancer by affecting the components of the TME (<xref rid="b6-or-0-0-8148" ref-type="bibr">6</xref>,<xref rid="b7-or-0-0-8148" ref-type="bibr">7</xref>). Therefore, targeting of TGF-&#x03B2; signals will have an outcome in the development of effective agents. Recently, Fc chimeric receptors bearing the extracellular domains of various receptors and the Fc portion of IgG have attracted a significant amount of attention (<xref rid="b28-or-0-0-8148" ref-type="bibr">28</xref>). The presence of Fc can extend the plasma half-life time of chimeric receptors and engage the immune response, thus being a favorable choice to develop effective agents (<xref rid="b29-or-0-0-8148" ref-type="bibr">29</xref>). In the present study, it was demonstrated that previously developed T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could also trap all three TGF-&#x03B2; isoforms that resulted in inhibition of the EMT program in B16 melanoma cells <italic>in vitro</italic>. Our data also revealed that primary tumors originated from B16 melanoma cells expressing T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor exhibited reduced growth <italic>in vivo</italic>, in a subcutaneous murine xenograft model, indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor may represent a favorable strategy for the development of a novel drug for melanoma treatment.</p>
<p>Our previous study with human oral cancer cells, revealed that both T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors could significantly suppress tumor formation originated from oral cancer cells (<xref rid="b31-or-0-0-8148" ref-type="bibr">31</xref>). However, in the present study, only the tumors formed by T&#x03B2;RI-T&#x03B2;RII-Fc-expressing cells appeared to be significantly smaller when compared with tumors formed by B16 cells expressing Control-Fc protein. In our study, T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor was capable of interacting with all three isoforms indicating that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could be used to control the level of TGF-&#x03B2; in the melanoma TME. Since the melanoma cells expressing the chimeric receptors in the present study were used, further experiments employing the recombinant soluble T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor administered via blood system will shed light on the turnover of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor and allow its validation.</p>
<p>The exact mechanism by which T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibited melanoma tumor formation remains to be examined; however our data with the oral cancer cell model revealed that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor suppressed tumor formation by affecting tumor angiogenesis (<xref rid="b31-or-0-0-8148" ref-type="bibr">31</xref>). As melanoma progression is tightly correlated with new vessel formation (<xref rid="b41-or-0-0-8148" ref-type="bibr">41</xref>), it is possible that T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor secreted by melanoma cells to the TME affected the angiogenic response of endothelial cells and resulted in reduced tumor size. The presence of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor in the TME that results in a local decrease in TGF-&#x03B2; level can also affect the formation of CAFs. Our group has previously revealed that growth of primary tumors derived from A375 human melanoma was stimulated by CAFs originated from TECs treated with TGF-&#x03B2;2, indicating that TGF-&#x03B2;2 conferred TECs with myofibroblastic properties leading to the formation of tumor-promoting CAFs (<xref rid="b42-or-0-0-8148" ref-type="bibr">42</xref>). Therefore, T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor present in the TME would likely trap TGF-&#x03B2;2, thus interfering with CAF formation and affecting tumor growth. Conversely, various studies have revealed the role of TGF-&#x03B2; in the regulation of immune responses, working both as an immunosuppressor of macrophages and various types of lymphocytes (<xref rid="b43-or-0-0-8148" ref-type="bibr">43</xref>&#x2013;<xref rid="b45-or-0-0-8148" ref-type="bibr">45</xref>) or immune response inducer (<xref rid="b7-or-0-0-8148" ref-type="bibr">7</xref>). Thus, depletion of TGF-&#x03B2; from the TME may also result in altered antitumor immunity.</p>
<p>TGF-&#x03B2;2 along with bone morphogenetic protein 7 (BMP7) has been reported to be expressed at high levels by proliferative and pro-invasive melanoma tumors (<xref rid="b17-or-0-0-8148" ref-type="bibr">17</xref>). The aforementioned study indicated an important role of TGF-&#x03B2; superfamily members in melanoma development by regulating both melanoma invasion and proliferation. In addition, the important role of TGF-&#x03B2; in the induction of the EMT program in melanoma cells was also identified. A previous study has also revealed that melanoma cells undergoing EMT activate immunosuppressive regulatory T cells (Treg) (<xref rid="b46-or-0-0-8148" ref-type="bibr">46</xref>). Kudo-Saito <italic>et al</italic> demonstrated that overexpression of EMT-related transcription factor, Snail, in mouse or human melanoma cells resulted in enhanced metastasis and immunoresistance of formed tumors (<xref rid="b46-or-0-0-8148" ref-type="bibr">46</xref>). Moreover, treatment of human melanoma cells with TGF-&#x03B2; upregulated the expression of forkhead box P3 transcription factor (FOXP3), a marker of Treg. In our study, TGF-&#x03B2;2 induced the EMT program in melanoma cells leading to the myofibroblastic changes as revealed by upregulated &#x03B1;SMA expression. This effect was inhibited by T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor, indicating that targeting TGF-&#x03B2; by the administration of T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor could be potentially used to restore the immunocompetence in melanoma tumors.</p>
<p>Several chimeric receptors capable of inhibiting TGF-&#x03B2; have been designed and successfully tested to demonstrate the efficacy for the selective blockage of TGF-&#x03B2; family ligands in pathological conditions (<xref rid="b47-or-0-0-8148" ref-type="bibr">47</xref>,<xref rid="b48-or-0-0-8148" ref-type="bibr">48</xref>). Particularly, T&#x03B2;RII-Fc chimeric receptor has been applied in various studies (<xref rid="b48-or-0-0-8148" ref-type="bibr">48</xref>,<xref rid="b49-or-0-0-8148" ref-type="bibr">49</xref>). However, as revealed by Yung <italic>et al</italic>, T&#x03B2;RII-Fc therapeutic potential was isoform-selective, as it could trap only TGF-&#x03B2;1 and TGF-&#x03B2;3, but not TGF-&#x03B2;2 (<xref rid="b49-or-0-0-8148" ref-type="bibr">49</xref>). A previous study has revealed that the elevated plasma expression levels of TGF-&#x03B2;2 detected in melanoma patients were associated with tumor progression, increased metastasis and poor prognosis (<xref rid="b33-or-0-0-8148" ref-type="bibr">33</xref>). In addition, other approaches based on the small molecules targeting the kinase activity of T&#x03B2;RI kinase (<xref rid="b25-or-0-0-8148" ref-type="bibr">25</xref>) or short hairpin RNA targeting TGF-&#x03B2;2 (<xref rid="b23-or-0-0-8148" ref-type="bibr">23</xref>) revealed the involvement of TGF-&#x03B2; signals in melanoma progression (<xref rid="b50-or-0-0-8148" ref-type="bibr">50</xref>). Therefore, effective trapping of all TGF-&#x03B2; isoforms may lead to improved clinical outcomes in treatment of melanoma patients.</p>
<p>TGF-&#x03B2; regulates melanoma cell plasticity and antitumor immunity by affecting the components of the TME (<xref rid="b51-or-0-0-8148" ref-type="bibr">51</xref>). Therefore, targeting the TGF-&#x03B2; signals will be beneficial for the development of effective antitumor agents for melanoma. Considering the dual role of TGF-&#x03B2; and its tumor-suppressive activities, the complete inhibition of TGF-&#x03B2; signals may evoke tumorigenesis in normal epithelial cells or result in unwanted side effects. From this point of view, by adjusting the concentration of administered soluble Fc chimeric receptors, it may be possible to maintain the concentration of TGF-&#x03B2; at the level that exerts only tumor-suppressive effects without unwanted pro-tumorigenic responses.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-or-0-0-8148" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The lentiviral vectors were kindly provided by Dr Hiroyuki Miyoshi (Keio University, deceased). The authors would like to thank the members at the Department of Biochemistry of Tokyo Medical and Dental University for critical discussion.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by a research program of the Japan Agency for Medical Research and Development (AMED) (grant no. 20cm0106253h0002 to TW). The present study was also supported in part by the Grant-in-Aid for Scientific Research (C) (grant nos. 17K11828 and 20K10111 to KAPI) and Grant-in-Aid for Early-Career Scientists (grant no. 19K19194 to TU) from the Japan Society for the Promotion of Science (JSPS).</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>SK, KAPI, TU and TW conceived and designed the experiments. SK, TU, KK, HT, AS and KT performed the experiments. SK, KAPI, TU and TW analyzed and interpreted the data. TI, MK and ST interpreted the data. SK, TU and KK performed the data acquisition. SK, KAPI, TU and TW wrote the manuscript. SK, KAPI, TU, TI, MK, ST and TW conducted the manuscript revision/review. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>All animal experimental protocols were approved (approval no. R-02-017-1) by the Animal Experiment Committee of the Graduate School of Dentistry, Osaka University (Osaka, Japan). The molecular biology experimental procedures were approved (approval no. G2019-026C3) by the Genetically Modified Organisms Safety Committee of Tokyo Medical and Dental University (Tokyo, Japan).</p>
</sec>
<sec>
<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>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>BMP</term><def><p>bone morphogenetic protein</p></def></def-item>
<def-item><term>BRAF</term><def><p>B-Raf</p></def></def-item>
<def-item><term>BSA</term><def><p>bovine serum albumin</p></def></def-item>
<def-item><term>CAFs</term><def><p>cancer-associated fibroblasts</p></def></def-item>
<def-item><term>DMEM</term><def><p>Dulbecco&#x0027;s modified Eagle&#x0027;s medium</p></def></def-item>
<def-item><term>ECD</term><def><p>extracellular domain</p></def></def-item>
<def-item><term>ELISA</term><def><p>enzyme-linked immunosorbent assay</p></def></def-item>
<def-item><term>EMEM</term><def><p>Eagle&#x0027;s minimum essential medium</p></def></def-item>
<def-item><term>EMT</term><def><p>epithelial-mesenchymal transition</p></def></def-item>
<def-item><term>FBS</term><def><p>fetal bovine serum</p></def></def-item>
<def-item><term>GFP</term><def><p>green fluorescent protein</p></def></def-item>
<def-item><term>IgG</term><def><p>immunoglobulin G</p></def></def-item>
<def-item><term>MAPK</term><def><p>mitogen-activated protein kinase</p></def></def-item>
<def-item><term>PAI-1</term><def><p>plasminogen activator inhibitor-1</p></def></def-item>
<def-item><term>RT-qPCR</term><def><p>reverse transcription-quantitative PCR</p></def></def-item>
<def-item><term>SEAP</term><def><p>secreted alkaline phosphatase</p></def></def-item>
<def-item><term>&#x03B1;SMA</term><def><p>&#x03B1;-smooth muscle actin</p></def></def-item>
<def-item><term>SM22&#x03B1;</term><def><p>smooth muscle protein 22&#x03B1;</p></def></def-item>
<def-item><term>TECs</term><def><p>tumor endothelial cells</p></def></def-item>
<def-item><term>TGF-&#x03B2;</term><def><p>transforming growth factor-&#x03B2;</p></def></def-item>
<def-item><term>T&#x03B2;RI</term><def><p>TGF-&#x03B2; type I receptor</p></def></def-item>
<def-item><term>T&#x03B2;RII</term><def><p>TGF-&#x03B2; type II receptor</p></def></def-item>
<def-item><term>TME</term><def><p>tumor microenvironment</p></def></def-item>
<def-item><term>TMEPAI</term><def><p>transmembrane prostate androgen-induced protein</p></def></def-item>
<def-item><term>Treg</term><def><p>regulatory T cells</p></def></def-item>
</def-list>
</glossary>
<ref-list>
<title>References</title>
<ref id="b1-or-0-0-8148"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Falcone</surname><given-names>I</given-names></name><name><surname>Conciatori</surname><given-names>F</given-names></name><name><surname>Bazzichetto</surname><given-names>C</given-names></name><name><surname>Ferretti</surname><given-names>G</given-names></name><name><surname>Cognetti</surname><given-names>F</given-names></name><name><surname>Ciuffreda</surname><given-names>L</given-names></name><name><surname>Milella</surname><given-names>M</given-names></name></person-group><article-title>Tumor microenvironment: Implications in melanoma resistance to targeted therapy and immunotherapy</article-title><source>Cancers (Basel)</source><volume>12</volume><fpage>2870</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/cancers12102870</pub-id><pub-id pub-id-type="pmid">33036192</pub-id></element-citation></ref>
<ref id="b2-or-0-0-8148"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyazono</surname><given-names>K</given-names></name><name><surname>Katsuno</surname><given-names>Y</given-names></name><name><surname>Koinuma</surname><given-names>D</given-names></name><name><surname>Ehata</surname><given-names>S</given-names></name><name><surname>Morikawa</surname><given-names>M</given-names></name></person-group><article-title>Intracellular and extracellular TGF-beta signaling in cancer: Some recent topics</article-title><source>Front Med</source><volume>12</volume><fpage>387</fpage><lpage>411</lpage><year>2018</year><pub-id pub-id-type="doi">10.1007/s11684-018-0646-8</pub-id><pub-id pub-id-type="pmid">30043220</pub-id></element-citation></ref>
<ref id="b3-or-0-0-8148"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heldin</surname><given-names>CH</given-names></name><name><surname>Moustakas</surname><given-names>A</given-names></name></person-group><article-title>Signaling receptors for TGF-&#x03B2; family members</article-title><source>Cold Spring Harb Perspect Biol</source><volume>8</volume><fpage>a022053</fpage><year>2016</year><pub-id pub-id-type="doi">10.1101/cshperspect.a022053</pub-id><pub-id pub-id-type="pmid">27481709</pub-id></element-citation></ref>
<ref id="b4-or-0-0-8148"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dennler</surname><given-names>S</given-names></name><name><surname>Itoh</surname><given-names>S</given-names></name><name><surname>Vivien</surname><given-names>D</given-names></name><name><surname>ten Dijke</surname><given-names>P</given-names></name><name><surname>Huet</surname><given-names>S</given-names></name><name><surname>Gauthier</surname><given-names>JM</given-names></name></person-group><article-title>Direct binding of Smad3 and Smad4 to critical TGF beta-inducible elements in the promoter of human plasminogen activator inhibitor-type 1 gene</article-title><source>EMBO J</source><volume>17</volume><fpage>3091</fpage><lpage>3100</lpage><year>1998</year><pub-id pub-id-type="doi">10.1093/emboj/17.11.3091</pub-id><pub-id pub-id-type="pmid">9606191</pub-id></element-citation></ref>
<ref id="b5-or-0-0-8148"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname><given-names>Y</given-names></name><name><surname>Itoh</surname><given-names>S</given-names></name><name><surname>Goto</surname><given-names>T</given-names></name><name><surname>Ohnishi</surname><given-names>E</given-names></name><name><surname>Inamitsu</surname><given-names>M</given-names></name><name><surname>Itoh</surname><given-names>F</given-names></name><name><surname>Satoh</surname><given-names>K</given-names></name><name><surname>Wiercinska</surname><given-names>E</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name><name><surname>Shi</surname><given-names>L</given-names></name><etal/></person-group><article-title>TMEPAI, a transmembrane TGF-beta-inducible protein, sequesters Smad proteins from active participation in TGF-beta signaling</article-title><source>Mol Cell</source><volume>37</volume><fpage>123</fpage><lpage>134</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.molcel.2009.10.028</pub-id><pub-id pub-id-type="pmid">20129061</pub-id></element-citation></ref>
<ref id="b6-or-0-0-8148"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morikawa</surname><given-names>M</given-names></name><name><surname>Derynck</surname><given-names>R</given-names></name><name><surname>Miyazono</surname><given-names>K</given-names></name></person-group><article-title>TGF-beta and the TGF-&#x03B2; family: Context-dependent roles in cell and tissue physiology</article-title><source>Cold Spring Harb Perspect Biol</source><volume>8</volume><fpage>a021873</fpage><year>2016</year><pub-id pub-id-type="doi">10.1101/cshperspect.a021873</pub-id><pub-id pub-id-type="pmid">27141051</pub-id></element-citation></ref>
<ref id="b7-or-0-0-8148"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Batlle</surname><given-names>E</given-names></name><name><surname>Massagu&#x00E9;</surname><given-names>J</given-names></name></person-group><article-title>Transforming growth factor-&#x03B2; signaling in immunity and cancer</article-title><source>Immunity</source><volume>50</volume><fpage>924</fpage><lpage>940</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.immuni.2019.03.024</pub-id><pub-id pub-id-type="pmid">30995507</pub-id></element-citation></ref>
<ref id="b8-or-0-0-8148"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Katsuno</surname><given-names>Y</given-names></name><name><surname>Lamouille</surname><given-names>S</given-names></name><name><surname>Derynck</surname><given-names>R</given-names></name></person-group><article-title>TGF-&#x03B2; signaling and epithelial-mesenchymal transition in cancer progression</article-title><source>Curr Opin Oncol</source><volume>25</volume><fpage>76</fpage><lpage>84</lpage><year>2013</year><pub-id pub-id-type="doi">10.1097/CCO.0b013e32835b6371</pub-id><pub-id pub-id-type="pmid">23197193</pub-id></element-citation></ref>
<ref id="b9-or-0-0-8148"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moustakas</surname><given-names>A</given-names></name><name><surname>Heldin</surname><given-names>CH</given-names></name></person-group><article-title>Mechanisms of TGF&#x03B2;-induced epithelial-mesenchymal transition</article-title><source>J Clin Med</source><volume>5</volume><fpage>63</fpage><year>2016</year><pub-id pub-id-type="doi">10.3390/jcm5070063</pub-id><pub-id pub-id-type="pmid">27367735</pub-id></element-citation></ref>
<ref id="b10-or-0-0-8148"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caramel</surname><given-names>J</given-names></name><name><surname>Papadogeorgakis</surname><given-names>E</given-names></name><name><surname>Hill</surname><given-names>L</given-names></name><name><surname>Browne</surname><given-names>GJ</given-names></name><name><surname>Richard</surname><given-names>G</given-names></name><name><surname>Wierinckx</surname><given-names>A</given-names></name><name><surname>Saldanha</surname><given-names>G</given-names></name><name><surname>Osborne</surname><given-names>J</given-names></name><name><surname>Hutchinson</surname><given-names>P</given-names></name><name><surname>Tse</surname><given-names>G</given-names></name><etal/></person-group><article-title>A switch in the expression of embryonic EMT-inducers drives the development of malignant melanoma</article-title><source>Cancer Cell</source><volume>24</volume><fpage>466</fpage><lpage>480</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.ccr.2013.08.018</pub-id><pub-id pub-id-type="pmid">24075834</pub-id></element-citation></ref>
<ref id="b11-or-0-0-8148"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heppt</surname><given-names>MV</given-names></name><name><surname>Wang</surname><given-names>JX</given-names></name><name><surname>Hristova</surname><given-names>DM</given-names></name><name><surname>Wei</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Evans</surname><given-names>B</given-names></name><name><surname>Beqiri</surname><given-names>M</given-names></name><name><surname>Zaman</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Irmler</surname><given-names>M</given-names></name><etal/></person-group><article-title>MSX1-induced neural crest-like reprogramming promotes melanoma progression</article-title><source>J Invest Dermatol</source><volume>138</volume><fpage>141</fpage><lpage>149</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.jid.2017.05.038</pub-id><pub-id pub-id-type="pmid">28927893</pub-id></element-citation></ref>
<ref id="b12-or-0-0-8148"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Javelaud</surname><given-names>D</given-names></name><name><surname>Alexaki</surname><given-names>VI</given-names></name><name><surname>Mauviel</surname><given-names>A</given-names></name></person-group><article-title>Transforming growth factor-beta in cutaneous melanoma</article-title><source>Pigment Cell Melanoma Res</source><volume>21</volume><fpage>123</fpage><lpage>132</lpage><year>2008</year><pub-id pub-id-type="doi">10.1111/j.1755-148X.2008.00450.x</pub-id><pub-id pub-id-type="pmid">18426405</pub-id></element-citation></ref>
<ref id="b13-or-0-0-8148"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reed</surname><given-names>JA</given-names></name><name><surname>McNutt</surname><given-names>NS</given-names></name><name><surname>Prieto</surname><given-names>VG</given-names></name><name><surname>Albino</surname><given-names>AP</given-names></name></person-group><article-title>Expression of transforming growth factor-beta 2 in malignant melanoma correlates with the depth of tumor invasion. Implications for tumor progression</article-title><source>Am J Pathol</source><volume>145</volume><fpage>97</fpage><lpage>104</lpage><year>1994</year><pub-id pub-id-type="pmid">8030760</pub-id></element-citation></ref>
<ref id="b14-or-0-0-8148"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cantelli</surname><given-names>G</given-names></name><name><surname>Orgaz</surname><given-names>JL</given-names></name><name><surname>Rodriguez-Hernandez</surname><given-names>I</given-names></name><name><surname>Karagiannis</surname><given-names>P</given-names></name><name><surname>Maiques</surname><given-names>O</given-names></name><name><surname>Matias-Guiu</surname><given-names>X</given-names></name><name><surname>Nestle</surname><given-names>FO</given-names></name><name><surname>Marti</surname><given-names>RM</given-names></name><name><surname>Karagiannis</surname><given-names>SN</given-names></name><name><surname>Sanz-Moreno</surname><given-names>V</given-names></name></person-group><article-title>TGF-&#x03B2;-induced transcription sustains amoeboid melanoma migration and dissemination</article-title><source>Curr Biol</source><volume>25</volume><fpage>2899</fpage><lpage>2914</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.cub.2015.09.054</pub-id><pub-id pub-id-type="pmid">26526369</pub-id></element-citation></ref>
<ref id="b15-or-0-0-8148"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramont</surname><given-names>L</given-names></name><name><surname>Pasco</surname><given-names>S</given-names></name><name><surname>Hornebeck</surname><given-names>W</given-names></name><name><surname>Maquart</surname><given-names>FX</given-names></name><name><surname>Monboisse</surname><given-names>JC</given-names></name></person-group><article-title>Transforming growth factor-beta1 inhibits tumor growth in a mouse melanoma model by down-regulating the plasminogen activation system</article-title><source>Exp Cell Res</source><volume>291</volume><fpage>1</fpage><lpage>10</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0014-4827(03)00336-7</pub-id><pub-id pub-id-type="pmid">14597403</pub-id></element-citation></ref>
<ref id="b16-or-0-0-8148"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schlegel</surname><given-names>NC</given-names></name><name><surname>von Planta</surname><given-names>A</given-names></name><name><surname>Widmer</surname><given-names>DS</given-names></name><name><surname>Dummer</surname><given-names>R</given-names></name><name><surname>Christofori</surname><given-names>G</given-names></name></person-group><article-title>PI3K signalling is required for a TGF&#x03B2;-induced epithelial-mesenchymal-like transition (EMT-like) in human melanoma cells</article-title><source>Exp Dermatol</source><volume>24</volume><fpage>22</fpage><lpage>28</lpage><year>2015</year><pub-id pub-id-type="doi">10.1111/exd.12580</pub-id><pub-id pub-id-type="pmid">25363503</pub-id></element-citation></ref>
<ref id="b17-or-0-0-8148"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tuncer</surname><given-names>E</given-names></name><name><surname>Cal&#x00E7;ada</surname><given-names>RR</given-names></name><name><surname>Zingg</surname><given-names>D</given-names></name><name><surname>Varum</surname><given-names>S</given-names></name><name><surname>Cheng</surname><given-names>P</given-names></name><name><surname>Freiberger</surname><given-names>SN</given-names></name><name><surname>Deng</surname><given-names>CX</given-names></name><name><surname>Kleiter</surname><given-names>I</given-names></name><name><surname>Levesque</surname><given-names>MP</given-names></name><name><surname>Dummer</surname><given-names>R</given-names></name><name><surname>Sommer</surname><given-names>L</given-names></name></person-group><article-title>SMAD signaling promotes melanoma metastasis independently of phenotype switching</article-title><source>J Clin Invest</source><volume>129</volume><fpage>2702</fpage><lpage>2716</lpage><year>2019</year><pub-id pub-id-type="doi">10.1172/JCI94295</pub-id><pub-id pub-id-type="pmid">31039140</pub-id></element-citation></ref>
<ref id="b18-or-0-0-8148"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>D&#x00ED;az-Vald&#x00E9;s</surname><given-names>N</given-names></name><name><surname>Basagoiti</surname><given-names>M</given-names></name><name><surname>Dotor</surname><given-names>J</given-names></name><name><surname>Aranda</surname><given-names>F</given-names></name><name><surname>Monreal</surname><given-names>I</given-names></name><name><surname>Riezu-Boj</surname><given-names>JI</given-names></name><name><surname>Borr&#x00E1;s-Cuesta</surname><given-names>F</given-names></name><name><surname>Sarobe</surname><given-names>P</given-names></name><name><surname>Feijo&#x00F3;</surname><given-names>E</given-names></name></person-group><article-title>Induction of monocyte chemoattractant protein-1 and interleukin-10 by TGFbeta1 in melanoma enhances tumor infiltration and immunosuppression</article-title><source>Cancer Res</source><volume>71</volume><fpage>812</fpage><lpage>821</lpage><year>2011</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-10-2698</pub-id></element-citation></ref>
<ref id="b19-or-0-0-8148"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Okamoto</surname><given-names>H</given-names></name><name><surname>Yoshimatsu</surname><given-names>Y</given-names></name><name><surname>Tomizawa</surname><given-names>T</given-names></name><name><surname>Kunita</surname><given-names>A</given-names></name><name><surname>Takayama</surname><given-names>R</given-names></name><name><surname>Morikawa</surname><given-names>T</given-names></name><name><surname>Komura</surname><given-names>D</given-names></name><name><surname>Takahashi</surname><given-names>K</given-names></name><name><surname>Oshima</surname><given-names>T</given-names></name><name><surname>Sato</surname><given-names>M</given-names></name><etal/></person-group><article-title>Interleukin-13 receptor &#x03B1;2 is a novel marker and potential therapeutic target for human melanoma</article-title><source>Sci Rep</source><volume>9</volume><fpage>1281</fpage><year>2019</year><pub-id pub-id-type="doi">10.1038/s41598-019-39018-3</pub-id><pub-id pub-id-type="pmid">30718742</pub-id></element-citation></ref>
<ref id="b20-or-0-0-8148"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapman</surname><given-names>PB</given-names></name><name><surname>Hauschild</surname><given-names>A</given-names></name><name><surname>Robert</surname><given-names>C</given-names></name><name><surname>Haanen</surname><given-names>JB</given-names></name><name><surname>Ascierto</surname><given-names>P</given-names></name><name><surname>Larkin</surname><given-names>J</given-names></name><name><surname>Dummer</surname><given-names>R</given-names></name><name><surname>Garbe</surname><given-names>C</given-names></name><name><surname>Testori</surname><given-names>A</given-names></name><name><surname>Maio</surname><given-names>M</given-names></name><etal/></person-group><article-title>Improved survival with vemurafenib in melanoma with BRAF V600E mutation</article-title><source>N Engl J Med</source><volume>364</volume><fpage>2507</fpage><lpage>2516</lpage><year>2011</year><pub-id pub-id-type="doi">10.1056/NEJMoa1103782</pub-id><pub-id pub-id-type="pmid">21639808</pub-id></element-citation></ref>
<ref id="b21-or-0-0-8148"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hauschild</surname><given-names>A</given-names></name><name><surname>Grob</surname><given-names>JJ</given-names></name><name><surname>Demidov</surname><given-names>LV</given-names></name><name><surname>Jouary</surname><given-names>T</given-names></name><name><surname>Gutzmer</surname><given-names>R</given-names></name><name><surname>Millward</surname><given-names>M</given-names></name><name><surname>Rutkowski</surname><given-names>P</given-names></name><name><surname>Blank</surname><given-names>CU</given-names></name><name><surname>Miller</surname><given-names>WH</given-names><suffix>Jr</suffix></name><name><surname>Kaempgen</surname><given-names>E</given-names></name><etal/></person-group><article-title>Dabrafenib in BRAF-mutated metastatic melanoma: A multicentre, open-label, phase 3 randomised controlled trial</article-title><source>Lancet</source><volume>380</volume><fpage>358</fpage><lpage>365</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/S0140-6736(12)60868-X</pub-id><pub-id pub-id-type="pmid">22735384</pub-id></element-citation></ref>
<ref id="b22-or-0-0-8148"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Flaherty</surname><given-names>KT</given-names></name><name><surname>Infante</surname><given-names>JR</given-names></name><name><surname>Daud</surname><given-names>A</given-names></name><name><surname>Gonzalez</surname><given-names>R</given-names></name><name><surname>Kefford</surname><given-names>RF</given-names></name><name><surname>Sosman</surname><given-names>J</given-names></name><name><surname>Hamid</surname><given-names>O</given-names></name><name><surname>Schuchter</surname><given-names>L</given-names></name><name><surname>Cebon</surname><given-names>J</given-names></name><name><surname>Ibrahim</surname><given-names>N</given-names></name><etal/></person-group><article-title>Combined BRAF and MEK inhibition in melanoma with BRAF V600 mutations</article-title><source>N Engl J Med</source><volume>367</volume><fpage>1694</fpage><lpage>1703</lpage><year>2012</year><pub-id pub-id-type="doi">10.1056/NEJMoa1203421</pub-id><pub-id pub-id-type="pmid">23020132</pub-id></element-citation></ref>
<ref id="b23-or-0-0-8148"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schlingensiepen</surname><given-names>KH</given-names></name><name><surname>Schlingensiepen</surname><given-names>R</given-names></name><name><surname>Steinbrecher</surname><given-names>A</given-names></name><name><surname>Hau</surname><given-names>P</given-names></name><name><surname>Bogdahn</surname><given-names>U</given-names></name><name><surname>Fischer-Blass</surname><given-names>B</given-names></name><name><surname>Jachimczak</surname><given-names>P</given-names></name></person-group><article-title>Targeted tumor therapy with the TGF-beta 2 antisense compound AP 12009</article-title><source>Cytokine Growth Factor Rev</source><volume>17</volume><fpage>129</fpage><lpage>139</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.cytogfr.2005.09.002</pub-id><pub-id pub-id-type="pmid">16377233</pub-id></element-citation></ref>
<ref id="b24-or-0-0-8148"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morris</surname><given-names>JC</given-names></name><name><surname>Tan</surname><given-names>AR</given-names></name><name><surname>Olencki</surname><given-names>TE</given-names></name><name><surname>Shapiro</surname><given-names>GI</given-names></name><name><surname>Dezube</surname><given-names>BJ</given-names></name><name><surname>Reiss</surname><given-names>M</given-names></name><name><surname>Hsu</surname><given-names>FJ</given-names></name><name><surname>Berzofsky</surname><given-names>JA</given-names></name><name><surname>Lawrence</surname><given-names>DP</given-names></name></person-group><article-title>Phase I study of GC1008 (fresolimumab): A human anti-transforming growth factor-beta (TGF&#x03B2;) monoclonal antibody in patients with advanced malignant melanoma or renal cell carcinoma</article-title><source>PLoS One</source><volume>9</volume><fpage>e90353</fpage><year>2014</year><pub-id pub-id-type="doi">10.1371/journal.pone.0090353</pub-id><pub-id pub-id-type="pmid">24618589</pub-id></element-citation></ref>
<ref id="b25-or-0-0-8148"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>CH</given-names></name><name><surname>Krishnaiah</surname><given-names>M</given-names></name><name><surname>Sreenu</surname><given-names>D</given-names></name><name><surname>Subrahmanyam</surname><given-names>VB</given-names></name><name><surname>Rao</surname><given-names>KS</given-names></name><name><surname>Lee</surname><given-names>HJ</given-names></name><name><surname>Park</surname><given-names>SJ</given-names></name><name><surname>Park</surname><given-names>HJ</given-names></name><name><surname>Lee</surname><given-names>K</given-names></name><name><surname>Sheen</surname><given-names>YY</given-names></name><name><surname>Kim</surname><given-names>DK</given-names></name></person-group><article-title>Discovery of N-((4-([1,2,4]triazolo[1,5-a]pyridin-6-yl)-5-(6-methylpyridin-2-yl)-1H-imidazol-2-yl)methyl)-2-fluoroaniline (EW-7197): A highly potent, selective, and orally bioavailable inhibitor of TGF-&#x03B2; type I receptor kinase as cancer immunotherapeutic/antifibrotic agent</article-title><source>J Med Chem</source><volume>57</volume><fpage>4213</fpage><lpage>4238</lpage><year>2014</year><pub-id pub-id-type="doi">10.1021/jm500115w</pub-id><pub-id pub-id-type="pmid">24786585</pub-id></element-citation></ref>
<ref id="b26-or-0-0-8148"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Colak</surname><given-names>S</given-names></name><name><surname>Ten Dijke</surname><given-names>P</given-names></name></person-group><article-title>Targeting TGF-&#x03B2; signaling in cancer</article-title><source>Trends Cancer</source><volume>3</volume><fpage>56</fpage><lpage>71</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.trecan.2016.11.008</pub-id><pub-id pub-id-type="pmid">28718426</pub-id></element-citation></ref>
<ref id="b27-or-0-0-8148"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roopenian</surname><given-names>DC</given-names></name><name><surname>Akilesh</surname><given-names>S</given-names></name></person-group><article-title>FcRn: The neonatal Fc receptor comes of age</article-title><source>Nat Rev Immunol</source><volume>7</volume><fpage>715</fpage><lpage>725</lpage><year>2007</year><pub-id pub-id-type="doi">10.1038/nri2155</pub-id><pub-id pub-id-type="pmid">17703228</pub-id></element-citation></ref>
<ref id="b28-or-0-0-8148"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Czajkowsky</surname><given-names>DM</given-names></name><name><surname>Hu</surname><given-names>J</given-names></name><name><surname>Shao</surname><given-names>Z</given-names></name><name><surname>Pleass</surname><given-names>RJ</given-names></name></person-group><article-title>Fc-fusion proteins: New developments and future perspectives</article-title><source>EMBO Mol Med</source><volume>4</volume><fpage>1015</fpage><lpage>1028</lpage><year>2012</year><pub-id pub-id-type="doi">10.1002/emmm.201201379</pub-id><pub-id pub-id-type="pmid">22837174</pub-id></element-citation></ref>
<ref id="b29-or-0-0-8148"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duivelshof</surname><given-names>BL</given-names></name><name><surname>Murisier</surname><given-names>A</given-names></name><name><surname>Camperi</surname><given-names>J</given-names></name><name><surname>Fekete</surname><given-names>S</given-names></name><name><surname>Beck</surname><given-names>A</given-names></name><name><surname>Guillarme</surname><given-names>D</given-names></name><name><surname>D&#x0027;Atri</surname><given-names>V</given-names></name></person-group><article-title>Therapeutic Fc-fusion proteins: Current analytical strategies</article-title><source>J Sep Sci</source><volume>44</volume><fpage>35</fpage><lpage>62</lpage><year>2021</year><pub-id pub-id-type="doi">10.1002/jssc.202000765</pub-id><pub-id pub-id-type="pmid">32914936</pub-id></element-citation></ref>
<ref id="b30-or-0-0-8148"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marotte</surname><given-names>H</given-names></name><name><surname>Cimaz</surname><given-names>R</given-names></name></person-group><article-title>Etanercept-TNF receptor and IgG1 Fc fusion protein: Is it different from other TNF blockers?</article-title><source>Expert Opin Biol Ther</source><volume>14</volume><fpage>569</fpage><lpage>572</lpage><year>2014</year><pub-id pub-id-type="doi">10.1517/14712598.2014.896334</pub-id><pub-id pub-id-type="pmid">24611432</pub-id></element-citation></ref>
<ref id="b31-or-0-0-8148"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Takahashi</surname><given-names>K</given-names></name><name><surname>Akatsu</surname><given-names>Y</given-names></name><name><surname>Podyma-Inoue</surname><given-names>KA</given-names></name><name><surname>Matsumoto</surname><given-names>T</given-names></name><name><surname>Takahashi</surname><given-names>H</given-names></name><name><surname>Yoshimatsu</surname><given-names>Y</given-names></name><name><surname>Koinuma</surname><given-names>D</given-names></name><name><surname>Shirouzu</surname><given-names>M</given-names></name><name><surname>Miyazono</surname><given-names>K</given-names></name><name><surname>Watabe</surname><given-names>T</given-names></name></person-group><article-title>Targeting all transforming growth factor-&#x03B2; isoforms with an Fc chimeric receptor impairs tumor growth and angiogenesis of oral squamous cell cancer</article-title><source>J Biol Chem</source><volume>295</volume><fpage>12559</fpage><lpage>12572</lpage><year>2020</year><pub-id pub-id-type="doi">10.1074/jbc.RA120.012492</pub-id><pub-id pub-id-type="pmid">32631954</pub-id></element-citation></ref>
<ref id="b32-or-0-0-8148"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mizuno</surname><given-names>H</given-names></name><name><surname>Kitada</surname><given-names>K</given-names></name><name><surname>Nakai</surname><given-names>K</given-names></name><name><surname>Sarai</surname><given-names>A</given-names></name></person-group><article-title>PrognoScan: A new database for meta-analysis of the prognostic value of genes</article-title><source>BMC Med Genomics</source><volume>2</volume><fpage>18</fpage><year>2009</year><pub-id pub-id-type="doi">10.1186/1755-8794-2-18</pub-id><pub-id pub-id-type="pmid">19393097</pub-id></element-citation></ref>
<ref id="b33-or-0-0-8148"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bogunovic</surname><given-names>D</given-names></name><name><surname>O&#x0027;Neill</surname><given-names>DW</given-names></name><name><surname>Belitskaya-Levy</surname><given-names>I</given-names></name><name><surname>Vacic</surname><given-names>V</given-names></name><name><surname>Yu</surname><given-names>YL</given-names></name><name><surname>Adams</surname><given-names>S</given-names></name><name><surname>Darvishian</surname><given-names>F</given-names></name><name><surname>Berman</surname><given-names>R</given-names></name><name><surname>Shapiro</surname><given-names>R</given-names></name><name><surname>Pavlick</surname><given-names>AC</given-names></name><etal/></person-group><article-title>Immune profile and mitotic index of metastatic melanoma lesions enhance clinical staging in predicting patient survival</article-title><source>Proc Natl Acad Sci USA</source><volume>106</volume><fpage>20429</fpage><lpage>20434</lpage><year>2009</year><pub-id pub-id-type="doi">10.1073/pnas.0905139106</pub-id><pub-id pub-id-type="pmid">19915147</pub-id></element-citation></ref>
<ref id="b34-or-0-0-8148"><label>34</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Pfaffl</surname><given-names>MW</given-names></name></person-group><article-title>Relative quantification</article-title><source>Real-time PCR</source><person-group person-group-type="editor"><name><surname>Dorak</surname><given-names>MT</given-names></name></person-group><edition>1st edition</edition><publisher-name>Taylor &#x0026; Francis</publisher-name><publisher-loc>London</publisher-loc><year>2006</year><uri>https://www.taylorfrancis.com/chapters/edit/10.4324/9780203967317-12/relative-quantification-michael-pfaffl</uri><pub-id pub-id-type="pmid">16488053</pub-id></element-citation></ref>
<ref id="b35-or-0-0-8148"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kawai</surname><given-names>S</given-names></name><name><surname>Takagi</surname><given-names>Y</given-names></name><name><surname>Kaneko</surname><given-names>S</given-names></name><name><surname>Kurosawa</surname><given-names>T</given-names></name></person-group><article-title>Effect of three types of mixed anesthetic agents alternate to ketamine in mice</article-title><source>Exp Anim</source><volume>60</volume><fpage>481</fpage><lpage>487</lpage><year>2011</year><pub-id pub-id-type="doi">10.1538/expanim.60.481</pub-id><pub-id pub-id-type="pmid">22041285</pub-id></element-citation></ref>
<ref id="b36-or-0-0-8148"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kirihara</surname><given-names>Y</given-names></name><name><surname>Takechi</surname><given-names>M</given-names></name><name><surname>Kurosaki</surname><given-names>K</given-names></name><name><surname>Kobayashi</surname><given-names>Y</given-names></name><name><surname>Kurosawa</surname><given-names>T</given-names></name></person-group><article-title>Anesthetic effects of a mixture of medetomidine, midazolam and butorphanol in two strains of mice</article-title><source>Exp Anim</source><volume>62</volume><fpage>173</fpage><lpage>180</lpage><year>2013</year><pub-id pub-id-type="doi">10.1538/expanim.62.173</pub-id><pub-id pub-id-type="pmid">23903051</pub-id></element-citation></ref>
<ref id="b37-or-0-0-8148"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kanda</surname><given-names>Y</given-names></name></person-group><article-title>Investigation of the freely available easy-to-use software &#x2018;EZR&#x2019; for medical statistics</article-title><source>Bone Marrow Transplant</source><volume>48</volume><fpage>452</fpage><lpage>458</lpage><year>2013</year><pub-id pub-id-type="doi">10.1038/bmt.2012.244</pub-id><pub-id pub-id-type="pmid">23208313</pub-id></element-citation></ref>
<ref id="b38-or-0-0-8148"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krasagakis</surname><given-names>K</given-names></name><name><surname>Th&#x00F6;lke</surname><given-names>D</given-names></name><name><surname>Farthmann</surname><given-names>B</given-names></name><name><surname>Eberle</surname><given-names>J</given-names></name><name><surname>Mansmann</surname><given-names>U</given-names></name><name><surname>Orfanos</surname><given-names>CE</given-names></name></person-group><article-title>Elevated plasma levels of transforming growth factor (TGF)-beta1 and TGF-beta2 in patients with disseminated malignant melanoma</article-title><source>Br J Cancer</source><volume>77</volume><fpage>1492</fpage><lpage>1494</lpage><year>1998</year><pub-id pub-id-type="doi">10.1038/bjc.1998.245</pub-id><pub-id pub-id-type="pmid">9652767</pub-id></element-citation></ref>
<ref id="b39-or-0-0-8148"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Alexander</surname><given-names>PB</given-names></name><name><surname>Wang</surname><given-names>XF</given-names></name></person-group><article-title>TGF-beta family signaling in the control of cell proliferation and survival</article-title><source>Cold Spring Harb Perspect Biol</source><volume>9</volume><fpage>a022145</fpage><year>2017</year><pub-id pub-id-type="doi">10.1101/cshperspect.a022145</pub-id><pub-id pub-id-type="pmid">27920038</pub-id></element-citation></ref>
<ref id="b40-or-0-0-8148"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Penafuerte</surname><given-names>C</given-names></name><name><surname>Galipeau</surname><given-names>J</given-names></name></person-group><article-title>TGF beta secreted by B16 melanoma antagonizes cancer gene immunotherapy bystander effect</article-title><source>Cancer Immunol Immunother</source><volume>57</volume><fpage>1197</fpage><lpage>1206</lpage><year>2008</year><pub-id pub-id-type="doi">10.1007/s00262-008-0453-1</pub-id><pub-id pub-id-type="pmid">18214474</pub-id></element-citation></ref>
<ref id="b41-or-0-0-8148"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Streit</surname><given-names>M</given-names></name><name><surname>Detmar</surname><given-names>M</given-names></name></person-group><article-title>Angiogenesis, lymphangiogenesis, and melanoma metastasis</article-title><source>Oncogene</source><volume>22</volume><fpage>3172</fpage><lpage>3179</lpage><year>2003</year><pub-id pub-id-type="doi">10.1038/sj.onc.1206457</pub-id><pub-id pub-id-type="pmid">12789293</pub-id></element-citation></ref>
<ref id="b42-or-0-0-8148"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akatsu</surname><given-names>Y</given-names></name><name><surname>Takahashi</surname><given-names>N</given-names></name><name><surname>Yoshimatsu</surname><given-names>Y</given-names></name><name><surname>Kimuro</surname><given-names>S</given-names></name><name><surname>Muramatsu</surname><given-names>T</given-names></name><name><surname>Katsura</surname><given-names>A</given-names></name><name><surname>Maishi</surname><given-names>N</given-names></name><name><surname>Suzuki</surname><given-names>HI</given-names></name><name><surname>Inazawa</surname><given-names>J</given-names></name><name><surname>Hida</surname><given-names>K</given-names></name><etal/></person-group><article-title>Fibroblast growth factor signals regulate transforming growth factor-&#x03B2;-induced endothelial-to-myofibroblast transition of tumor endothelial cells via Elk1</article-title><source>Mol Oncol</source><volume>13</volume><fpage>1706</fpage><lpage>1724</lpage><year>2019</year><pub-id pub-id-type="doi">10.1002/1878-0261.12504</pub-id><pub-id pub-id-type="pmid">31094056</pub-id></element-citation></ref>
<ref id="b43-or-0-0-8148"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gong</surname><given-names>D</given-names></name><name><surname>Shi</surname><given-names>W</given-names></name><name><surname>Yi</surname><given-names>SJ</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Groffen</surname><given-names>J</given-names></name><name><surname>Heisterkamp</surname><given-names>N</given-names></name></person-group><article-title>TGF&#x03B2; signaling plays a critical role in promoting alternative macrophage activation</article-title><source>BMC Immunol</source><volume>13</volume><fpage>31</fpage><year>2012</year><pub-id pub-id-type="doi">10.1186/1471-2172-13-31</pub-id><pub-id pub-id-type="pmid">22703233</pub-id></element-citation></ref>
<ref id="b44-or-0-0-8148"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Ten Dijke</surname><given-names>P</given-names></name></person-group><article-title>Immunoregulation by members of the TGF&#x03B2; superfamily</article-title><source>Nat Rev Immunol</source><volume>16</volume><fpage>723</fpage><lpage>740</lpage><year>2016</year><pub-id pub-id-type="doi">10.1038/nri.2016.112</pub-id><pub-id pub-id-type="pmid">27885276</pub-id></element-citation></ref>
<ref id="b45-or-0-0-8148"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>M</given-names></name><name><surname>Kuo</surname><given-names>F</given-names></name><name><surname>Capistrano</surname><given-names>KJ</given-names></name><name><surname>Kang</surname><given-names>D</given-names></name><name><surname>Nixon</surname><given-names>BG</given-names></name><name><surname>Shi</surname><given-names>W</given-names></name><name><surname>Chou</surname><given-names>C</given-names></name><name><surname>Do</surname><given-names>MH</given-names></name><name><surname>Stamatiades</surname><given-names>EG</given-names></name><name><surname>Gao</surname><given-names>S</given-names></name><etal/></person-group><article-title>TGF-&#x03B2; suppresses type 2 immunity to cancer</article-title><source>Nature</source><volume>587</volume><fpage>115</fpage><lpage>120</lpage><year>2020</year><pub-id pub-id-type="doi">10.1038/s41586-020-2836-1</pub-id><pub-id pub-id-type="pmid">33087928</pub-id></element-citation></ref>
<ref id="b46-or-0-0-8148"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kudo-Saito</surname><given-names>C</given-names></name><name><surname>Shirako</surname><given-names>H</given-names></name><name><surname>Takeuchi</surname><given-names>T</given-names></name><name><surname>Kawakami</surname><given-names>Y</given-names></name></person-group><article-title>Cancer metastasis is accelerated through immunosuppression during Snail-induced EMT of cancer cells</article-title><source>Cancer Cell</source><volume>15</volume><fpage>195</fpage><lpage>206</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.ccr.2009.01.023</pub-id><pub-id pub-id-type="pmid">19249678</pub-id></element-citation></ref>
<ref id="b47-or-0-0-8148"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qin</surname><given-names>T</given-names></name><name><surname>Barron</surname><given-names>L</given-names></name><name><surname>Xia</surname><given-names>L</given-names></name><name><surname>Huang</surname><given-names>H</given-names></name><name><surname>Villarreal</surname><given-names>MM</given-names></name><name><surname>Zwaagstra</surname><given-names>J</given-names></name><name><surname>Collins</surname><given-names>C</given-names></name><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Zwieb</surname><given-names>C</given-names></name><name><surname>Kodali</surname><given-names>R</given-names></name><etal/></person-group><article-title>A novel highly potent trivalent TGF-&#x03B2; receptor trap inhibits early-stage tumorigenesis and tumor cell invasion in murine Pten-deficient prostate glands</article-title><source>Oncotarget</source><volume>7</volume><fpage>86087</fpage><lpage>86102</lpage><year>2016</year><pub-id pub-id-type="doi">10.18632/oncotarget.13343</pub-id><pub-id pub-id-type="pmid">27863384</pub-id></element-citation></ref>
<ref id="b48-or-0-0-8148"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Muraoka</surname><given-names>RS</given-names></name><name><surname>Dumont</surname><given-names>N</given-names></name><name><surname>Ritter</surname><given-names>CA</given-names></name><name><surname>Dugger</surname><given-names>TC</given-names></name><name><surname>Brantley</surname><given-names>DM</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Easterly</surname><given-names>E</given-names></name><name><surname>Roebuck</surname><given-names>LR</given-names></name><name><surname>Ryan</surname><given-names>S</given-names></name><name><surname>Gotwals</surname><given-names>PJ</given-names></name><etal/></person-group><article-title>Blockade of TGF-beta inhibits mammary tumor cell viability, migration, and metastases</article-title><source>J Clin Invest</source><volume>109</volume><fpage>1551</fpage><lpage>1559</lpage><year>2002</year><pub-id pub-id-type="doi">10.1172/JCI0215234</pub-id><pub-id pub-id-type="pmid">12070302</pub-id></element-citation></ref>
<ref id="b49-or-0-0-8148"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yung</surname><given-names>LM</given-names></name><name><surname>Nikolic</surname><given-names>I</given-names></name><name><surname>Paskin-Flerlage</surname><given-names>SD</given-names></name><name><surname>Pearsall</surname><given-names>RS</given-names></name><name><surname>Kumar</surname><given-names>R</given-names></name><name><surname>Yu</surname><given-names>PB</given-names></name></person-group><article-title>A selective transforming growth factor-&#x03B2; ligand trap attenuates pulmonary hypertension</article-title><source>Am J Respir Crit Care Med</source><volume>194</volume><fpage>1140</fpage><lpage>1151</lpage><year>2016</year><pub-id pub-id-type="doi">10.1164/rccm.201510-1955OC</pub-id><pub-id pub-id-type="pmid">27115515</pub-id></element-citation></ref>
<ref id="b50-or-0-0-8148"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mohammad</surname><given-names>KS</given-names></name><name><surname>Javelaud</surname><given-names>D</given-names></name><name><surname>Fournier</surname><given-names>PG</given-names></name><name><surname>Niewolna</surname><given-names>M</given-names></name><name><surname>McKenna</surname><given-names>CR</given-names></name><name><surname>Peng</surname><given-names>XH</given-names></name><name><surname>Duong</surname><given-names>V</given-names></name><name><surname>Dunn</surname><given-names>LK</given-names></name><name><surname>Mauviel</surname><given-names>A</given-names></name><name><surname>Guise</surname><given-names>TA</given-names></name></person-group><article-title>TGF-&#x03B2;-RI kinase inhibitor SD-208 reduces the development and progression of melanoma bone metastases</article-title><source>Cancer Res</source><volume>71</volume><fpage>175</fpage><lpage>184</lpage><year>2011</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-10-2651</pub-id><pub-id pub-id-type="pmid">21084275</pub-id></element-citation></ref>
<ref id="b51-or-0-0-8148"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Javelaud</surname><given-names>D</given-names></name><name><surname>Alexaki</surname><given-names>VI</given-names></name><name><surname>Dennler</surname><given-names>S</given-names></name><name><surname>Mohammad</surname><given-names>KS</given-names></name><name><surname>Guise</surname><given-names>TA</given-names></name><name><surname>Mauviel</surname><given-names>A</given-names></name></person-group><article-title>The TGF-&#x03B2;/SMAD/GLI2 signaling axis in cancer progression and metastasis</article-title><source>Cancer Res</source><volume>71</volume><fpage>5606</fpage><lpage>5610</lpage><year>2011</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-11-1194</pub-id><pub-id pub-id-type="pmid">21862631</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-or-0-0-8148" position="float">
<label>Figure 1.</label>
<caption><p>Elevated TGF-&#x03B2;2 expression is associated with poor prognosis in melanoma patients. Kaplan-Meier OS curves of melanoma patients (n=38) revealing the association with high (red) and low (blue) expression of (A) TGF-&#x03B2;1 (TGFB1), (B) TGF-&#x03B2;2 (TGFB2), and (C) TGF-&#x03B2;3 (TGFB3) using PrognoScan: A database for meta-analysis of the prognostic value of genes (<uri xlink:href="https://dna00.bio.kyutech.ac.jp/PrognoScan/">http://dna00.bio.kyutech.ac.jp/PrognoScan/</uri>), and dataset: GSE19234. The statistical analysis reflects the log-rank P-values. The dotted lines represent 95&#x0025; confidence intervals for each analyzed group. TGF-&#x03B2;, transforming growth factor-&#x03B2;; OS, overall survival.</p></caption>
<graphic xlink:href="or-46-03-8148-g00.tif"/>
</fig>
<fig id="f2-or-0-0-8148" position="float">
<label>Figure 2.</label>
<caption><p>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibits the expression of TGF-&#x03B2; direct target genes in B16 melanoma cells. B16 cells were incubated for 4 h in the absence (&#x2212;) or presence of TGF-&#x03B2; isoforms [(TGF-&#x03B2;1 (T&#x03B2;1), TGF-&#x03B2;2 (T&#x03B2;2), or TGF-&#x03B2;3 (T&#x03B2;3) (3 ng/ml)] in combination with a vehicle (Control), 10 &#x00B5;M SB431542 or conditioned media from 293T cells containing Fc chimeric receptors (Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc). The expression levels of (A) TMEPAI and (B) PAI-1 were determined through reverse transcription-quantitative PCR analysis. Each experiment was performed in triplicate and repeated twice. All data are normalized to the expression of &#x03B2;-actin. Error bars, SD. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. T&#x03B2;RI, TGF-&#x03B2; type I receptor; T&#x03B2;RII, TGF-&#x03B2; type II receptor; TGF-&#x03B2;, transforming growth factor-&#x03B2;; NS, not significant; TMEPAI, transmembrane prostate androgen-induced protein; PAI-1, plasminogen activator inhibitor-1.</p></caption>
<graphic xlink:href="or-46-03-8148-g01.tif"/>
</fig>
<fig id="f3-or-0-0-8148" position="float">
<label>Figure 3.</label>
<caption><p>EMT program in B16 melanoma cells is induced by all TGF-&#x03B2; isoforms. B16 cells were cultured in the absence (Ctrl or Control) or presence of TGF-&#x03B2;1 (T&#x03B2;1), TGF-&#x03B2;2 (T&#x03B2;2), or TGF-&#x03B2;3 (T&#x03B2;3) (3 ng/ml) or the T&#x03B2;RI kinase inhibitor, SB431542 (SB; 10 &#x00B5;M) for 72 h, followed by (A-C) RT-qPCR, (D) immunoblotting and (E) immunocytochemistry. Experiments were performed in triplicate and repeated twice. (A-C) The expression of mesenchymal markers (A) SM22&#x03B1;, (B) &#x03B1;SMA and (C) fibronectin were evaluated by RT-qPCR analyses. All RT-qPCR data were normalized to the &#x03B2;-actin expression. (D) The immunoblotting analysis with antibodies specific to SM22&#x03B1;, &#x03B1;SMA and &#x03B1;-tubulin (loading control). (E) Representative immunofluorescence images revealing staining of SM22&#x03B1; (green), &#x03B1;SMA (red) and nuclei (blue). Scale bar, 100 &#x00B5;m. Error bars, SD. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. EMT, epithelial-mesenchymal transition; TGF-&#x03B2;, transforming growth factor-&#x03B2;; T&#x03B2;RI, TGF-&#x03B2; type I receptor; RT-qPCR, reverse transcription-quantitative PCR; NS, not significant; SM22&#x03B1;, smooth muscle protein 22&#x03B1;; &#x03B1;SMA, &#x03B1;-smooth muscle actin.</p></caption>
<graphic xlink:href="or-46-03-8148-g02.tif"/>
</fig>
<fig id="f4-or-0-0-8148" position="float">
<label>Figure 4.</label>
<caption><p>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibits the TGF-&#x03B2;-induced EMT program in B16 cells. B16 cells were incubated in the absence (&#x2212;) or presence of TGF-&#x03B2; isoforms [TGF-&#x03B2;1 (T&#x03B2;1), TGF-&#x03B2;2 (T&#x03B2;2), or TGF-&#x03B2;3 (T&#x03B2;3)] (3 ng/ml) in combination with conditioned media from 293T cells containing Fc chimeric receptors (Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc). The activation of the EMT program, was estimated by (A and B) RT-qPCR analyses, (C) immunoblotting and (D and E) immunocytochemistry. Each experiment was performed in triplicate and repeated twice. (A and B) The RT-qPCR analysis for the expression of mesenchymal markers (A) SM22&#x03B1; and (B) &#x03B1;SMA. All data were normalized to the &#x03B2;-actin expression. (C) The immunoblotting analysis of the expression levels of SM22&#x03B1;, &#x03B1;SMA and &#x03B1;-tubulin (loading control). (D and E) Immunofluorescence staining of (D) SM22&#x03B1; (green) and (E) &#x03B1;SMA (red). The nuclei were stained with Hoechst (blue). Scale bar, 100 &#x00B5;m. Error bars, SD. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. T&#x03B2;RI, TGF-&#x03B2; type I receptor; T&#x03B2;RII, TGF-&#x03B2; type II receptor; TGF-&#x03B2;, transforming growth factor-&#x03B2;; EMT, epithelial-mesenchymal transition; RT-qPCR, reverse transcription-quantitative PCR; SM22&#x03B1;, smooth muscle protein 22&#x03B1;; &#x03B1;SMA, &#x03B1;-smooth muscle actin; NS, not significant.</p></caption>
<graphic xlink:href="or-46-03-8148-g03.tif"/>
</fig>
<fig id="f5-or-0-0-8148" position="float">
<label>Figure 5.</label>
<caption><p>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor expressed and secreted by B16 cells traps all TGF-&#x03B2; isoforms. B16 cells were infected with lentivirus expressing each Fc chimeric receptor (Control-Fc, T&#x03B2;RII-Fc, or T&#x03B2;RI-T&#x03B2;RII-Fc). (A) The Fc chimeric receptors (black arrowhead; left, cell lysate; right, conditioned medium) were visualized by immunoblotting analysis using anti-human IgG-Fc antibody. &#x03B1;-tubulin was used as a loading control for the cell lysate. (B) The WST-1 cell proliferation assay of B16 cells expressing each Fc chimeric receptor. B16 cells were seeded into a 12-well tissue culture plate and allowed to grow for 72 h followed by the WST-1 assay. Error bars, SD. (C) HEK-Blue TGF-&#x03B2; reporter assay showing TGF-&#x03B2;-trapping ability of Fc chimeric receptors secreted by B16 cells. The values represent TGF-&#x03B2; signal activation corresponding to the colorimetric changes of the Quanti-Blue substrate by SEAP at 640 nm. Each experiment was performed in triplicate and repeated twice. Error bars, SD. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. T&#x03B2;RI, TGF-&#x03B2; type I receptor; T&#x03B2;RII, TGF-&#x03B2; type II receptor; TGF-&#x03B2;, transforming growth factor-&#x03B2;; NS, not significant; SEAP, secreted alkaline phosphatase; IgG, immunoglobulin G.</p></caption>
<graphic xlink:href="or-46-03-8148-g04.tif"/>
</fig>
<fig id="f6-or-0-0-8148" position="float">
<label>Figure 6.</label>
<caption><p>T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptor inhibits B16 melanoma tumor growth <italic>in vivo</italic>. B16 cells expressing Control-Fc, T&#x03B2;RII-Fc, and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors were subcutaneously inoculated into left flank region of C57/BL6 mice. The experiment was repeated twice. (A) Representative primary tumors formed by B16 melanoma cells expressing Control-Fc, T&#x03B2;RII-Fc and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors on day 26 (marked by red dashed circles). Scale bar, 10 mm. (B) Tumor growth was monitored for 26 days. Control-Fc (n=11), T&#x03B2;RII-Fc (n=9), and T&#x03B2;RI-T&#x03B2;RII-Fc (n=11). Error bars, SE. (C) The changes in body weight of the mice inoculated with B16 cells expressing Control-Fc, T&#x03B2;RII-Fc, and T&#x03B2;RI-T&#x03B2;RII-Fc chimeric receptors. Error bars, SE. &#x002A;&#x002A;P&#x003C;0.01. T&#x03B2;RI, TGF-&#x03B2; type I receptor; T&#x03B2;RII, TGF-&#x03B2; type II receptor; NS, not significant.</p></caption>
<graphic xlink:href="or-46-03-8148-g05.tif"/>
</fig>
</floats-group>
</article>
