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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2022.12638</article-id>
<article-id pub-id-type="publisher-id">MMR-25-04-12638</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Ophiopogonin-B targets PTP1B to inhibit the malignant progression of hepatocellular carcinoma by regulating the PI3K/AKT and AMPK signaling pathways</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yuan</surname><given-names>Fang</given-names></name>
<xref rid="af1-mmr-25-04-12638" ref-type="aff"/>
<xref rid="fn1-mmr-25-04-12638" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Gao</surname><given-names>Qian</given-names></name>
<xref rid="af1-mmr-25-04-12638" ref-type="aff"/>
<xref rid="fn1-mmr-25-04-12638" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Tang</surname><given-names>Hailin</given-names></name>
<xref rid="af1-mmr-25-04-12638" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Shi</surname><given-names>Jun</given-names></name>
<xref rid="af1-mmr-25-04-12638" ref-type="aff"/>
<xref rid="c1-mmr-25-04-12638" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Yiqun</given-names></name>
<xref rid="af1-mmr-25-04-12638" ref-type="aff"/>
<xref rid="c1-mmr-25-04-12638" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-25-04-12638">Department of Liver Disease, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, Jiangsu 215101, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-25-04-12638"><italic>Correspondence to</italic>: Dr Jun Shi or Dr Yiqun Zhou, Department of Liver Disease, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, 39 Xiashatang Street, Mudu, Wuzhong, Suzhou, Jiangsu 215101, P.R. China, E-mail: <email>shijunsj1123@163.com</email>, E-mail: <email>xianyucapa@outlook.com</email></corresp>
<fn id="fn1-mmr-25-04-12638"><label>&#x002A;</label><p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2022</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>02</month>
<year>2022</year></pub-date>
<volume>25</volume>
<issue>4</issue>
<elocation-id>122</elocation-id>
<history>
<date date-type="received"><day>10</day><month>11</month><year>2021</year></date>
<date date-type="accepted"><day>23</day><month>12</month><year>2021</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Yuan et al.</copyright-statement>
<copyright-year>2022</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>Ophiopogonin-B (OP-B) is a bioactive component from the root of <italic>Ophiopogon japonicus</italic>, which can exert anticancer effects on multiple malignant tumors. The present study aimed to uncover the effects of OP-B on hepatocellular carcinoma (HCC) and the underlying mechanisms. An HCC-xenografted mouse model was established and subsequently treated with OP-B (15 and 75 mg/kg) to observe the effects of OP-B on HCC progression and protein tyrosine phosphatase 1B (PTP1B) expression <italic>in vivo</italic>. The HCC cell line MHCC97-H was transfected with either PTP1B overexpression (Ov)-PTP1B or empty vector control, and then exposed to different concentrations of OP-B. Subsequently, PTP1B expression, cell viability, proliferation, apoptosis, migration, invasion and angiogenesis were evaluated by western blotting, reverse transcription-quantitative PCR, Cell Counting Kit-8, colony formation, TUNEL staining, wound healing, Transwell and tube formation assays. The expression of phosphatidylinositol 3 kinase (PI3K)/AKT and adenosine 5&#x2032;-monophosphate-activated protein kinase (AMPK) was also assessed by western blot assay. The results showed that OP-B inhibited tumor growth and the expression of Ki67, CD31, VEGFA and PTP1B in HCC xenograft model. The expression of PTP1B in HCC cells was also inhibited by OP-B in a concentration-dependent manner. Results from the <italic>in vitro</italic> studies revealed that OP-B suppressed cell proliferation, migration, invasion and angiogenesis, and promoted apoptosis of HCC cells. However, PTP1B overexpression reversed the effect of OP-B on HCC cells. PI3K/AKT was inactivated and AMPK was activated by OP-B exposure in HCC cells, and PTP1B overexpression blocked these effects. In conclusion, OP-B effectively inhibited the progression of HCC both <italic>in vivo</italic> and <italic>in vitro</italic>. These effects may depend on downregulating PTP1B expression, thereby inactivating the PI3K/AKT pathway and activating the AMPK pathway.</p>
</abstract>
<kwd-group>
<kwd>hepatocellular carcinoma</kwd>
<kwd>ophiopogonin-B</kwd>
<kwd>protein tyrosine phosphatase 1B</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Basic Research on Medical and Health Application of Suzhou Science and Technology Program</funding-source>
<award-id>sys2018003</award-id>
</award-group>
<funding-statement>The present study was supported by the Basic Research on Medical and Health Application of Suzhou Science and Technology Program (grant no. sys2018003).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Liver cancer is a leading cancer that occurs most commonly and is considered as the fourth most prevalent human tumor globally (<xref rid="b1-mmr-25-04-12638" ref-type="bibr">1</xref>). Owing to increasing number of new liver cancer cases, it has become major public health challenge (<xref rid="b2-mmr-25-04-12638" ref-type="bibr">2</xref>). In addition, weak prognosis of major hepatic malignancies results in the increase in the rate of mortality in primary liver cancer (<xref rid="b1-mmr-25-04-12638" ref-type="bibr">1</xref>). Hepatocellular carcinoma (HCC) is the most common form of liver cancer, accounting for up to 90&#x0025; of all primary hepatic malignancies (<xref rid="b3-mmr-25-04-12638" ref-type="bibr">3</xref>). Despite advances in medical and surgical therapies, HCC remains one of the most common causes of cancer-related deaths worldwide since therapies do not always produce optimal patient outcomes (<xref rid="b4-mmr-25-04-12638" ref-type="bibr">4</xref>). Therefore, more effective treatment methods of HCC are required, particularly certain specific targeted agents.</p>
<p>Traditional Chinese medicine (TCM) is an important therapy for liver cancer in China. Owing to its unique overall concept, treatment based on syndrome differentiation and abundant natural medicine resources, it has become a characteristic method throughout the entire process of liver cancer prevention and treatment (<xref rid="b5-mmr-25-04-12638" ref-type="bibr">5</xref>,<xref rid="b6-mmr-25-04-12638" ref-type="bibr">6</xref>). Ophiopogonin-B (OP-B) is a bioactive component from the root of <italic>Ophiopogon japonicus</italic>, which is widely used in TCM to treat pulmonary disease (<xref rid="b7-mmr-25-04-12638" ref-type="bibr">7</xref>,<xref rid="b8-mmr-25-04-12638" ref-type="bibr">8</xref>). In the last decade, an increasing number of studies reported the anticancer effect of OP-B on multiple malignant tumors, including lung, colon, gastric and ovarian cancer (<xref rid="b7-mmr-25-04-12638" ref-type="bibr">7</xref>&#x2013;<xref rid="b10-mmr-25-04-12638" ref-type="bibr">10</xref>). It was previously demonstrated that OP-B induced HCC cell apoptosis and decreased invasion through inhibition of the JAK2/STAT3 signaling pathway, indicating the potential value of OP-B in treating HCC (<xref rid="b11-mmr-25-04-12638" ref-type="bibr">11</xref>). In the present study, further <italic>in vivo</italic> and <italic>in vitro</italic> studies were performed to confirm whether OP-B exhibits an inhibitory effect on the malignant processes of HCC.</p>
<p>Protein tyrosine phosphatase 1B [PTP1B; encoded by protein tyrosine phosphatase non-receptor type 1 (PTPN1)] is an important member in PTP superfamily of proteins. PTPs catalyze phosphate monoesters hydrolysis on tyrosine residues; they are also known to act as signaling molecules to regulate a number of cellular processes, including cell growth, differentiation, mitotic cycle and oncogenic transformation (<xref rid="b12-mmr-25-04-12638" ref-type="bibr">12</xref>). To date, PTP1B has been reported to be also involved in the development of obesity, diabetes, cancers and cardiovascular diseases (<xref rid="b13-mmr-25-04-12638" ref-type="bibr">13</xref>). Recently, Xu <italic>et al</italic> (<xref rid="b14-mmr-25-04-12638" ref-type="bibr">14</xref>) showed that PTPN1 was upregulated in HCC and its silencing suppressed proliferation and induced apoptosis of HCC cells. A similar result was reported by Yang <italic>et al</italic> (<xref rid="b15-mmr-25-04-12638" ref-type="bibr">15</xref>), which suggested that downregulation of PTP1B inhibited HCC development. These results indicated an oncogenic role of PTP1B in HCC. Notably, it is predicted by SwissTargetPrediction online database (<xref rid="b16-mmr-25-04-12638" ref-type="bibr">16</xref>) that PTPN1 (PTP1B) is one of the targets of OP-B (data not shown). Therefore, the present study aimed to investigate whether OP-B exhibited an inhibitory effect on the malignant process of HCC via targeting PTP1B.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and treatment</title>
<p>The human normal hepatocyte cell line HHL-5 and the HCC cell line MHCC97-H were obtained from the American Type Culture Collection. Both cell lines were cultured in DMEM (Sigma-Aldrich; Merck KGaA) supplemented with 10&#x0025; fetal bovine serum (FBS; Wisent Biotechnology) and 1&#x0025; penicillin-streptomycin (Sigma-Aldrich; Merck KGaA) in an incubator with 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C. For OP-B treatment, cells were cultured in DMEM containing different concentrations (5, 10, 20 and 40 &#x00B5;M) of OP-B (purity &#x003E;97&#x0025;; Shanghai Yuanye Bio-Technology Co., Ltd.) for 24 h as previously described (<xref rid="b8-mmr-25-04-12638" ref-type="bibr">8</xref>,<xref rid="b11-mmr-25-04-12638" ref-type="bibr">11</xref>,<xref rid="b17-mmr-25-04-12638" ref-type="bibr">17</xref>,<xref rid="b18-mmr-25-04-12638" ref-type="bibr">18</xref>). Cells cultured in normal DMEM without OP-B were used as a control.</p>
</sec>
<sec>
<title>Cell transfection</title>
<p>A PTP1B overexpression vector (Ov-PTP1B) was constructed by cloning human PTP1B cDNA into the pcDNA3.1 vector (Thermo Fisher Scientific, Inc.). Empty pcDNA3.1 vector was used as negative control (Ov-NC). MHCC97-H cells were grown in six-well plates and subsequently transfected with 2 &#x00B5;g of either vector using Lipofectamine<sup>&#x00AE;</sup> 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) at 37&#x00B0;C for 24 h according to the manufacturer&#x0027;s protocol. At 48 h post-transfection, monoclonal cells were then selected and examined for PTP1B overexpression.</p>
</sec>
<sec>
<title>Xenograft tumor model</title>
<p>A total of 15 male BALB/c nude mice (age, 4&#x2013;5 weeks; 15&#x2013;20 g; Shanghai Laboratory Animal Center) were maintained under specific pathogen-free conditions at room temperature under a controlled 12/12 h light/dark cycle, and received food and water <italic>ad libitum</italic>. The animal study protocol was approved by the Ethics Committee of Suzhou Hospital of Integrated Traditional Chinese and Western Medicine (Suzhou, China; approval no. 20180901). To establish the HCC xenograft model, MHCC97-H cells (2&#x00D7;10<sup>6</sup> cells/200 &#x00B5;l) were subcutaneously injected into the right flank of the nude mice. After six days, mice were treated by oral gavage with normal saline (control group; n=5), 15 mg/kg OP-B (OP-B 15 mg/kg group; n=5) or 75 mg/kg OP-B (OP-B 75 mg/kg group; n=5) once a day for 21 days, as previously described (<xref rid="b8-mmr-25-04-12638" ref-type="bibr">8</xref>,<xref rid="b17-mmr-25-04-12638" ref-type="bibr">17</xref>,<xref rid="b18-mmr-25-04-12638" ref-type="bibr">18</xref>). Mouse body weight and tumor volume were recorded every 7 days; at 21 days post-treatment, the mice were sacrificed by cervical dislocation under anesthesia with 1&#x0025; sodium pentobarbital (50 mg/kg intraperitoneally). Tumor volumes for each mouse were calculated as follows: Tumor volume=1/2 &#x00D7; length &#x00D7; width<sup>2</sup>.</p>
</sec>
<sec>
<title>Immunohistochemistry (IHC)</title>
<p>Xenografted tumor tissues were fixed with 4&#x0025; paraformaldehyde at 4&#x00B0;C for 12 h and embedded in paraffin. After being deparaffinized with xylene and rehydrated with a descending ethanol series, slides (3 &#x00B5;m thickness) were stained with the IHC Assay Kit (cat. no. KGOS300; Nanjing KeyGen Biotech Co., Ltd.) according to the manufacturer&#x0027;s protocol and then incubated at 4&#x00B0;C overnight with the following primary antibodies purchased from Abcam: Anti-Ki67 (1:1,000; cat. no. ab15580), anti-CD31 (1:50; cat. no. ab28364) and anti-VEGFA (1:200; cat. no. ab52917). Secondary antibody goat anti-rabbit IgG (1:1,000; cat. no. ab6721; Abcam) was applied at room temperature for 2 h. Images of the tissue sections were then captured with a fluorescence microscope (DMi8; Leica Microsystems GmbH; &#x00D7;200 magnification).</p>
</sec>
<sec>
<title>Cell viability</title>
<p>Cell Counting Kit-8 (CCK8; Beyotime Institute of Biotechnology) was used to measure cell viability. Briefly, cells were seeded into 96-well plates at a density of 1,000 cells/well at 37&#x00B0;C for 24 h. After treatment with different concentrations of OP-B (0, 5, 10, 20 and 40 &#x00B5;M) at 37&#x00B0;C for 24 h, cells were incubated with 10 &#x00B5;l of CCK-8 solution at 37&#x00B0;C for 2 h. The optical density was calculated at 450 nm using a microplate reader (Model550; Bio-Rad Laboratories, Inc.).</p>
</sec>
<sec>
<title>Colony formation</title>
<p>For the colony formation assay, 1&#x00D7;10<sup>3</sup> MHCC97-H cells were cultivated in six-well plates in a 37&#x00B0;C incubator with 5&#x0025; CO<sub>2</sub>. After 14 days, cell colonies were fixed with 95&#x0025; alcohol at room temperature for 30 min and stained with 0.1&#x0025; crystal violet at room temperature for 30 min (Sigma-Aldrich; Merck KGaA). Images were captured with a light microscope (Nikon Corporation; &#x00D7;200 magnification) and colonies were counted using ImageJ software (version 1.8.0; National Institutes of Health).</p>
</sec>
<sec>
<title>TUNEL staining</title>
<p>According to the manufacturer&#x0027;s protocol, MHCC97-H cell apoptosis was analyzed using TUNEL Assay kit (Abcam). Briefly, cells were fixed in 4&#x0025; paraformaldehyde solution for 30 min at room temperature, treated with 0.2&#x0025; Triton X-100 for 5 min at room temperature, washed twice in PBS at room temperature, and labeled with fluorescein-12-dUTP using terminal deoxynucleotidyl transferase for 2 h at room temperature. Subsequently, cell nuclei were stained with 5 &#x00B5;g/ml DAPI at room temperature for 3 min. All images were obtained using a fluorescence microscope (DMi8; Leica Microsystems GmbH; &#x00D7;200 magnification).</p>
</sec>
<sec>
<title>Wound healing assay</title>
<p>Briefly, MHCC97-H cells were seeded in a six-well plate at a density of 5&#x00D7;10<sup>5</sup> cells/well in DMEM. When the cells were &#x007E;80&#x0025; confluent, scratches were made in the middle of slides using a sterile 10-&#x00B5;l pipette tip. After incubation for another 48 h with or without 20 &#x00B5;M OP-B in serum-free DMEM at 37&#x00B0;C, images were captured to estimate closure of the gap using a light microscope (Nikon Corporation; &#x00D7;200 magnification). Migration distance was evaluated using ImageJ software (version 1.8.0; National Institutes of Health) and calculated as follows: Migration distance=(width of gap at 0 h-width of gap at 48 h)/width of gap at 0 h. Data are shown as relative migration distance by normalization to the control group.</p>
</sec>
<sec>
<title>Transwell invasion assay</title>
<p>The invasive ability of MHCC97-H cells was evaluated by the Biocoat invasion assay kit (Corning, Inc.) strictly following the manufacturer&#x0027;s protocol. Firstly, 5&#x00D7;10<sup>5</sup> cells per well were plated in the upper chamber followed by treatment with 20 &#x00B5;M OP-B or not. After 12 h of treatment, the cells in the upper chamber were incubated with serum-free DMEM medium, whereas media supplemented with 10&#x0025; FBS was placed at the lower chamber. After 48 h, the invasive cells at the lower chamber were stained with 0.1&#x0025; crystal violet at room temperature and observed using an optical light microscope (Leica Microsystems GmbH; &#x00D7;200 magnification).</p>
</sec>
<sec>
<title>Tube formation assay</title>
<p>Matrigel (BD Biosciences) was thawed at 4&#x00B0;C, pipetted into 96-well plates and allowed to polymerize at 37&#x00B0;C for 1 h. Cells (1&#x00D7;10<sup>4</sup> per well) were suspended in DMEM containing 0 or 20 &#x00B5;M OP-B and seeded onto the Matrigel. After incubation for 24 h at 37&#x00B0;C, tube formation was analyzed by counting nodes and measuring total tube numbers using ImageJ software (version 1.8.0; National Institutes of Health).</p>
</sec>
<sec>
<title>Reverse transcription-quantitative PCR (RT-qPCR)</title>
<p>Total RNA was extracted using TRIzol<sup>&#x00AE;</sup> (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol, and then reverse transcribed into cDNA using a High Capacity cDNA Reverse Transcription Kit (Applied Biosystems) according to the manufacturer&#x0027;s protocol. SYBR-Green Supermix (Takara Biotechnology Co., Ltd.) was used for qPCR in a 10 &#x00B5;l reaction volume on the Roche Light Cycler R480 System (Roche Diagnostics). The following thermocycling conditions were used for the qPCR: Initial denaturation at 95&#x00B0;C for 30 sec; followed by 40 cycles of denaturation at 95&#x00B0;C for 10 sec, annealing at 60&#x00B0;C for 20 sec and extension at 70&#x00B0;C for 10 sec. Target gene expression levels were analyzed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> (<xref rid="b19-mmr-25-04-12638" ref-type="bibr">19</xref>) method and normalized to GAPDH. The primers used for RT-qPCR were as follows: PTP1B forward, 5&#x2032;-CCAGCCAAAGGGGAGCCGTC-3&#x2032; and reverse, 5&#x2032;-CTATGTGTTGCTGTTGAACA-3&#x2032;; and GAPDH forward, 5&#x2032;-AATGGGCAGCCGTTAGGAAA-3&#x2032; and reverse, 5&#x2032;-GCGCCCAATACGACCAAATC-3&#x2032;.</p>
</sec>
<sec>
<title>Western blot assay</title>
<p>Total protein was extracted from cells or tumor tissues by RIPA lysis buffer (Beyotime Institute of Biotechnology). Total protein was quantified using a BCA Kit (Beyotime Institute of Biotechnology), mixed with 5X sample buffer and boiled at 95&#x00B0;C for 5 min. Equal amounts (40 &#x00B5;g) of protein lysate per sample were separated on 10&#x0025; gels using SDS-PAGE and transferred onto the PVDF membranes. After blocking with 5&#x0025; skimmed milk for 2 h at room temperature, membranes were incubated with primary antibodies at 4&#x00B0;C overnight and secondary antibodies (goat anti-rabbit IgG HRP; 1:10,000; cat. no. ab6721; Abcam) at room temperature for 2 h. An enhanced chemiluminescence (ECL) detection kit (Amersham; Cytiva) was used to visualize the protein bands. Band intensity was semi-quantified by ImageJ software (v1.8.0; National Institutes of Health). Primary antibodies (all from Abcam) included: anti-PTP1B (1:1,000; cat. no. ab252928), anti-Bcl-2 (1:1,000; cat. no. ab32124), anti-Bax (1:5,000; cat. no. ab32503), anti-cleaved caspase 3 (1:500; cat. no. ab32042), anti-caspase-3 (1:1,000; cat. no. ab184787), anti-cleaved poly ADP-ribose polymerase (PARP; 1:5,000; cat. no. ab32064), anti-PARP (1:5,000; cat. no. ab191217), anti-E-cadherin (1:10,000; cat. no. ab40772), anti-N-cadherin (1:10,000; cat. no. ab76011), anti-Vimentin (1:1,000; cat. no. ab45939), anti-VEGFA (1:10,000; cat. no. ab52917), anti-phosphorylated (p)-phosphatidylinositol 3 kinase (PI3K; 1:1,000; cat. no. ab191606), anti-total (t)-PI3K (1:1,000; cat. no. ab278545), anti-p-AKT (1:1,000; cat. no. ab38449), anti-t-AKT (1:1,000; cat. no. ab8805), anti-p-adenosine 5&#x2032;-monophosphate-activated protein kinase (AMPK; 1:1,000; cat. no. ab109402), anti-t-AMPK (1:1,000; cat. no. ab214425) and anti-GAPDH (1:10,000; cat. no. ab181602).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as the mean &#x00B1; standard deviation. One-way ANOVA followed by Tukey&#x0027;s post hoc test was used for analysis between multiple groups. Calculations were performed using GraphPad Prism software (version 5.0; GraphPad Software, Inc.). 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>OP-B inhibits tumor growth and PTP1B expression in HCC xenografted mice</title>
<p>The anticancer effects of OP-B on HCC were first investigated <italic>in vivo</italic>. HCC xenografts were injected into mice (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1A</xref>) that were subsequently treated orally with 0, 15 or 75 mg/kg OP-B. Tumor volume and mouse body weight were examined for 21 days (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1B</xref>). The tumors were excised (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1C</xref>) and the final tumor weight and the tumor/body weight ratio were measured. (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1D</xref>), which were significantly reduced in mice treated with both 15 and 75 mg/kg OP-B compared with the control mice. Additionally, it was observed from IHC results that the expression level of Ki67 (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1E</xref>), CD31 (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1F</xref>) and VEGFA (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1G</xref>) in HCC tumor tissues of the xenografted mice was markedly decreased upon OP-B (15 and 75 mg/kg) administration compared with the control mice. In addition, the mRNA and protein expression levels of PTP1B in tumor samples of xenograft mice model was significantly inhibited by OP-B (<xref rid="f1-mmr-25-04-12638" ref-type="fig">Fig. 1H and I</xref>, respectively). These results showed that OP-B exerted anticancer effect on HCC <italic>in vivo</italic>.</p>
</sec>
<sec>
<title>OP-B reduces cell viability and PTP1B expression in HCC cells</title>
<p>To validate the effect of OP-B on HCC and PTP1B expression <italic>in vitro</italic>, HHL-5 human normal hepatocyte and MHCC97-H HCC cells were exposed to different concentrations of OP-B (5, 10, 20 and 40 &#x00B5;M) for 24 h, then cell viability was measured. As revealed in <xref rid="f2-mmr-25-04-12638" ref-type="fig">Fig. 2A</xref>, OP-B treatment did not cause significant effect on HHL-5 cell viability, but significantly reduced MHCC97-H cell viability in a concentration-dependent manner. In addition, both the mRNA and the protein expression levels of PTP1B were significantly downregulated by OP-B (<xref rid="f2-mmr-25-04-12638" ref-type="fig">Fig. 2B and C</xref>, respectively).</p>
<p>Subsequently, PTP1B was overexpressed in MHCC97-H cells by transfection of Ov-PTP1B vector and then the overexpression efficiency was confirmed by RT-qPCR and western blotting (<xref rid="f2-mmr-25-04-12638" ref-type="fig">Fig. 2D and E</xref>, respectively).</p>
</sec>
<sec>
<title>Decreased PTP1B expression may be responsible for the anticancer effect of OP-B on HCC</title>
<p>To observe the effect of OP-B on the malignant processes of HCC, MHCC97-H cells overexpressing PTP1B were treated with 20 &#x00B5;M OP-B, then cell proliferation, apoptosis, migration, invasion and angiogenesis were evaluated. As revealed in <xref rid="f3-mmr-25-04-12638" ref-type="fig">Fig. 3A</xref>, OP-B significantly reduced cell viability compared with the untreated control group, whereas OP-B &#x002B; Ov-PTP1B treatment significantly enhanced the cell viability compared with the OP-B &#x002B; Ov-NC group. These results indicated that the inhibitory effect of OP-B on HCC cell viability was reversed by PTP1B overexpression. Furthermore, OP-B markedly suppressed the colony formation compared with control MHCC97-H cells, whereas PTP1B overexpression markedly reduced this effect (<xref rid="f3-mmr-25-04-12638" ref-type="fig">Fig. 3B</xref>). TUNEL staining revealed that apoptosis was significantly increased upon OP-B treatment compared with the control group, and PTP1B overexpression reduced the level of apoptosis compared with OP-B &#x002B; Ov-NC (<xref rid="f3-mmr-25-04-12638" ref-type="fig">Fig. 3C</xref>). Consistently, OP-B treatment resulted in decreased protein expression of Bcl-2, but increased expression levels of Bax, cleaved caspase 3 and cleaved PARP, suggesting the induction of cell apoptosis (<xref rid="f3-mmr-25-04-12638" ref-type="fig">Fig. 3D</xref>). However, PTP1B overexpression caused a reverse effect on the expression of these proteins in OP-B-treated cells (<xref rid="f3-mmr-25-04-12638" ref-type="fig">Fig. 3D</xref>).</p>
<p>Results from wound healing, invasion and tube formation assays demonstrated that OP-B significantly inhibited MHCC97-H cell migration, invasion and angiogenesis compared with untreated control cells (<xref rid="f4-mmr-25-04-12638" ref-type="fig">Fig. 4A-C</xref>, respectively). By contrast, OP-B &#x002B; Ov-PTP1B treatment significantly increased these processes compared with OP-B &#x002B; Ov-NC group (<xref rid="f4-mmr-25-04-12638" ref-type="fig">Fig. 4A-C</xref>). In addition, OP-B treatment significantly increased E-cadherin expression but decreased N-cadherin, Vimentin and VEGFA expression (<xref rid="f4-mmr-25-04-12638" ref-type="fig">Fig. 4D</xref>), whereas PTP1B overexpression reversed the effect on the expression levels of these proteins caused by OP-B.</p>
</sec>
<sec>
<title>OP-B inactivates the PI3K/AKT signaling and activates AMPK signaling by reducing PTP1B expression</title>
<p>To uncover the underlying related signaling mechanism of OP-B, the expression of the PI3K/AKT and AMPK signaling pathways was detected. As demonstrated in <xref rid="f5-mmr-25-04-12638" ref-type="fig">Fig. 5</xref>, MHCC97-H cells showed decreased p/t-PI3K and p/t-AKT expression levels as well as increased p/t-AMPK expression in response to OP-B treatment. Conversely, when compared with OP-B &#x002B; Ov-NC, OP-B &#x002B; Ov-PTP1B treatment significantly upregulated p/t-PI3K and p/t-AKT expression levels and downregulated p/t-AMPK expression. These data indicated that OP-B may inhibit PI3K/AKT activation and activate the AMPK signaling, which is supported by the data showing that these effects were blocked by PTP1B overexpression.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>OP-B is a natural active compound extracted from the TCM <italic>Ophiopogon japonicus</italic> root, which was found to exert inhibitory effect on non-small cell lung cancer cell lines (<xref rid="b20-mmr-25-04-12638" ref-type="bibr">20</xref>). In the present study, OP-B was demonstrated to inhibit HCC development both <italic>in vitro</italic> and <italic>in vivo</italic>. Further experiments indicated that OP-B may exert its anticancer effect on HCC by targeting PTP1B and regulating the PI3K/AKT and AMPK signaling pathways.</p>
<p>Natural compounds from TCM have been revealed to exert remarkable effects in the treatment of HCC (<xref rid="b21-mmr-25-04-12638" ref-type="bibr">21</xref>&#x2013;<xref rid="b24-mmr-25-04-12638" ref-type="bibr">24</xref>). For example, PHY906 has been reported to reduce the adverse effects of capecitabine in advanced HCC patients in a phase I/II clinical study (<xref rid="b25-mmr-25-04-12638" ref-type="bibr">25</xref>). These studies reflected the satisfactory curative effect and huge potential of TCM in the treatment of HCC. In the present study, 15 and 75 mg/kg OP-B was selected for treating HCC-xenografted mice by oral gavage according to previous studies (<xref rid="b8-mmr-25-04-12638" ref-type="bibr">8</xref>,<xref rid="b17-mmr-25-04-12638" ref-type="bibr">17</xref>,<xref rid="b18-mmr-25-04-12638" ref-type="bibr">18</xref>). OP-B at these two doses had no toxic effect on mice; it did not affect the mental state, life activity and weight gain of rats with the exception of 75 mg/kg OP-B, which significantly reduced body weight at 21 days post-treatment and this may due to the significant reduction in tumor weight caused by 75 mg/kg OP-B treatment. Additionally, it was found that in HCC xenograft tumors, OP-B effectively inhibited the growth of tumor and the expression of Ki67, CD31 and VEGFA. In <italic>in vitro</italic> experiments, OP-B did not affect the cell viability of normal hepatocyte HHL-5, but significantly impaired that of the HCC cell line MHCC97-H. Meanwhile, it was observed that 40 &#x00B5;M OP-B reduced the cell viability of MHCC97-H to less than 50&#x0025;, indicating the excessive toxicity caused by 40 &#x00B5;M OP-B. Thus 5, 10 and 20 &#x00B5;M OP-B was utilized for subsequent functional analysis and results showed that treatment with OP-B significantly suppressed proliferation, migration, invasion and angiogenesis, but induced apoptosis of HCC cells. In addition, the expression of E-cadherin was enhanced and that of N-cadherin, vimentin and VEGFA was decreased upon OP-B treatment. Ki67 is a well-known cell proliferation marker; CD31 is a well-known marker of endothelial cells and a key factor for adhesion and accumulation of platelets (<xref rid="b26-mmr-25-04-12638" ref-type="bibr">26</xref>); VEGFA is the key regulator of angiogenesis during the growth of solid tumors (<xref rid="b26-mmr-25-04-12638" ref-type="bibr">26</xref>). Loss of E-cadherin expression results in loss of contact inhibition and is associated with increased cell motility and advanced stages of cancer (<xref rid="b27-mmr-25-04-12638" ref-type="bibr">27</xref>); N-cadherin and Vimentin are recognized as a markers for epithelial-mesenchymal transition (EMT) (<xref rid="b28-mmr-25-04-12638" ref-type="bibr">28</xref>). Consistently, the <italic>in vivo</italic> and <italic>in vitro</italic> results of the present study demonstrated the anticancer effect of OP-B on HCC.</p>
<p>To uncover the mechanism through which OP-B exert its anticancer effect, its potential downstream targets were predicted using SwissTargetPrediction online database and PTP1B was identified as one of the targets of OP-B (data not shown). Notably, the participation of PTP1B in liver cancer initiation and progression has been previously reported (<xref rid="b15-mmr-25-04-12638" ref-type="bibr">15</xref>,<xref rid="b29-mmr-25-04-12638" ref-type="bibr">29</xref>,<xref rid="b30-mmr-25-04-12638" ref-type="bibr">30</xref>). Results from the present study showed that OP-B reduced the expression of PTP1B both in HCC tumor tissues and in cells in a concentration-depend manner. It was therefore speculated that OP-B may suppress the progression of HCC by targeting PTP1B. Further functional analysis revealed that overexpression of PTP1B significantly reversed the effect of OP-B treatment on malignant processes of HCC cells, indicating that PTP1B downregulation may be responsible for the anticancer effect of OP-B on HCC.</p>
<p>Finally, the mechanisms underlying the actions of OP-B/PTP1B in HCC were uncovered. Jin <italic>et al</italic> (<xref rid="b31-mmr-25-04-12638" ref-type="bibr">31</xref>) reported that PTP1B promoted the progression of glioma by activating the MAPK/ERK and PI3K/AKT pathways. Xu <italic>et al</italic> (<xref rid="b32-mmr-25-04-12638" ref-type="bibr">32</xref>) demonstrated that inhibition of PTP1B blocked pancreatic cancer progression by targeting the PKM2/AMPK/mTOC1 pathway. OP-B was also found to inhibit the PI3K/Akt signaling pathway in non-small cell lung cancer cells (<xref rid="b20-mmr-25-04-12638" ref-type="bibr">20</xref>). The PI3K/AKT pathway had been extensively studied and found to be commonly activated in human cancer. Inhibition of this pathway leads to regression of human tumors (<xref rid="b33-mmr-25-04-12638" ref-type="bibr">33</xref>). AMPK signaling is generally considered a key effector that mediates the tumor-suppressive function of liver kinase B1 (<xref rid="b34-mmr-25-04-12638" ref-type="bibr">34</xref>). The inhibition of PI3K/AKT pathway or the activation of AMPK pathway has been found to inhibit proliferation, migration, invasion and EMT of cancer cells by regulating the expression of related markers such as Ki67, CD31, VEGFA, E-cadherin, N-cadherin and Vimentin (<xref rid="b35-mmr-25-04-12638" ref-type="bibr">35</xref>&#x2013;<xref rid="b37-mmr-25-04-12638" ref-type="bibr">37</xref>). In the present study, OP-B inhibited the phosphorylation of PI3K/AKT and enhanced the phosphorylation of AMPK, whereas PTP1B overexpression reversed the effect of OP-B on the PI3K/AKT and AMPK signaling pathways. Although the present results were opposite with certain previous studies (<xref rid="b38-mmr-25-04-12638" ref-type="bibr">38</xref>,<xref rid="b39-mmr-25-04-12638" ref-type="bibr">39</xref>), which showed that PTP1B inhibited the phosphorylation of PI3K/AKT signaling, the effect of PTP1B on PI3K/AKT and AMPK phosphorylation in cancer cells was demonstrated for the first time, to the best of our knowledge. Further studies are required to investigate whether it is due to the particularity of cancer cells compared with normal healthy cells that led to this opposite finding. Combined with previous findings (<xref rid="b11-mmr-25-04-12638" ref-type="bibr">11</xref>), it was demonstrated that OP-B could indeed suppress the malignant processes of HCC through regulating multiple pathways. However, the involvement of the PI3K/AKT and AMPK signaling pathways needs further validation using an agonist or antagonist of these two pathways. Whether OP-B could inhibit HCC through regulating other pathways involved in HCC progression, such as TGF-&#x03B2;, mTOR and Wnt/&#x03B2;-catenin signaling pathways (<xref rid="b40-mmr-25-04-12638" ref-type="bibr">40</xref>&#x2013;<xref rid="b42-mmr-25-04-12638" ref-type="bibr">42</xref>) needs to be elucidated in future studies.</p>
<p>Collectively, the present study demonstrated that OP-B suppressed the progression of HCC both <italic>in vivo</italic> and <italic>in vitro</italic> through targeting PTP1B. Additionally, the PI3K/AKT and AMPK signaling pathways may be involved in this effect. These results may provide insight into the underlying mechanism involved in the antitumor effects of OP-B on HCC and may support the application of OP-B in a clinical setting.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<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>JS and YZ conceived and designed the study. FY, QG and HT performed the experiments. FY and QG analyzed and interpreted the data. JS and YZ drafted the manuscript and revised it for critically important intellectual content. JS and YZ confirm the authenticity of all the raw data. All authors have read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The animal study protocol was approved by the Ethics Committee of Suzhou Hospital of Integrated Traditional Chinese and Western Medicine (Suzhou, China; approval no. 20180901).</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>
<ref-list>
<title>References</title>
<ref id="b1-mmr-25-04-12638"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Villanueva</surname><given-names>A</given-names></name></person-group><article-title>Hepatocellular carcinoma</article-title><source>N Engl J Med</source><volume>380</volume><fpage>1450</fpage><lpage>1462</lpage><year>2019</year><pub-id pub-id-type="doi">10.1056/NEJMra1713263</pub-id><pub-id pub-id-type="pmid">30970190</pub-id></element-citation></ref>
<ref id="b2-mmr-25-04-12638"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grandhi</surname><given-names>MS</given-names></name><name><surname>Kim</surname><given-names>AK</given-names></name><name><surname>Ronnekleiv-Kelly</surname><given-names>SM</given-names></name><name><surname>Kamel</surname><given-names>IR</given-names></name><name><surname>Ghasebeh</surname><given-names>MA</given-names></name><name><surname>Pawlik</surname><given-names>TM</given-names></name></person-group><article-title>Hepatocellular carcinoma: From diagnosis to treatment</article-title><source>Surg Oncol</source><volume>25</volume><fpage>74</fpage><lpage>85</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.suronc.2016.03.002</pub-id><pub-id pub-id-type="pmid">27312032</pub-id></element-citation></ref>
<ref id="b3-mmr-25-04-12638"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hartke</surname><given-names>J</given-names></name><name><surname>Johnson</surname><given-names>M</given-names></name><name><surname>Ghabril</surname><given-names>M</given-names></name></person-group><article-title>The diagnosis and treatment of hepatocellular carcinoma</article-title><source>Semin Diagn Pathol</source><volume>34</volume><fpage>153</fpage><lpage>159</lpage><year>2017</year><pub-id pub-id-type="doi">10.1053/j.semdp.2016.12.011</pub-id><pub-id pub-id-type="pmid">28108047</pub-id></element-citation></ref>
<ref id="b4-mmr-25-04-12638"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sim</surname><given-names>HW</given-names></name><name><surname>Knox</surname><given-names>J</given-names></name></person-group><article-title>Hepatocellular carcinoma in the era of immunotherapy</article-title><source>Curr Probl Cancer</source><volume>42</volume><fpage>40</fpage><lpage>48</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.currproblcancer.2017.10.007</pub-id><pub-id pub-id-type="pmid">29150141</pub-id></element-citation></ref>
<ref id="b5-mmr-25-04-12638"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liao</surname><given-names>X</given-names></name><name><surname>Bu</surname><given-names>Y</given-names></name><name><surname>Jia</surname><given-names>Q</given-names></name></person-group><article-title>Traditional Chinese medicine as supportive care for the management of liver cancer: Past, present, and future</article-title><source>Genes Dis</source><volume>7</volume><fpage>370</fpage><lpage>379</lpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.gendis.2019.10.016</pub-id><pub-id pub-id-type="pmid">32884991</pub-id></element-citation></ref>
<ref id="b6-mmr-25-04-12638"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>HM</given-names></name></person-group><article-title>Microcirculation of liver cancer, microenvironment of liver regeneration, and the strategy of Chinese medicine</article-title><source>Chin J Integr Med</source><volume>22</volume><fpage>163</fpage><lpage>167</lpage><year>2016</year><pub-id pub-id-type="doi">10.1007/s11655-016-2460-y</pub-id><pub-id pub-id-type="pmid">26919996</pub-id></element-citation></ref>
<ref id="b7-mmr-25-04-12638"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Gao</surname><given-names>Q</given-names></name><name><surname>Gu</surname><given-names>L</given-names></name><name><surname>Hu</surname><given-names>C</given-names></name><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name></person-group><article-title>Ophiopogonin B inhibits migration and invasion in non-small cell lung cancer cells through enhancing the interaction between Axin and &#x03B2;-catenin</article-title><source>J Cancer</source><volume>12</volume><fpage>6274</fpage><lpage>6284</lpage><year>2021</year><pub-id pub-id-type="doi">10.7150/jca.60066</pub-id><pub-id pub-id-type="pmid">34539900</pub-id></element-citation></ref>
<ref id="b8-mmr-25-04-12638"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname><given-names>GY</given-names></name><name><surname>Ma</surname><given-names>J</given-names></name><name><surname>Lu</surname><given-names>P</given-names></name><name><surname>Jiang</surname><given-names>X</given-names></name><name><surname>Chang</surname><given-names>C</given-names></name></person-group><article-title>Ophiopogonin B induces the autophagy and apoptosis of colon cancer cells by activating JNK/c-Jun signaling pathway</article-title><source>Biomed Pharmacother</source><volume>108</volume><fpage>1208</fpage><lpage>1215</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.biopha.2018.06.172</pub-id><pub-id pub-id-type="pmid">30372822</pub-id></element-citation></ref>
<ref id="b9-mmr-25-04-12638"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Jiang</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>F</given-names></name><name><surname>Xin</surname><given-names>H</given-names></name></person-group><article-title>Effects of ophiopogonin B on the proliferation and apoptosis of SGC-7901 human gastric cancer cells</article-title><source>Mol Med Rep</source><volume>13</volume><fpage>4981</fpage><lpage>4986</lpage><year>2016</year><pub-id pub-id-type="doi">10.3892/mmr.2016.5198</pub-id><pub-id pub-id-type="pmid">27121658</pub-id></element-citation></ref>
<ref id="b10-mmr-25-04-12638"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yuan</surname><given-names>S</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name><name><surname>Yi</surname><given-names>T</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name></person-group><article-title>The anti-tumor effect of OP-B on ovarian cancer in vitro and in vivo, and its mechanism: An investigation using network pharmacology-based analysis</article-title><source>J Ethnopharmacol</source><volume>283</volume><fpage>114706</fpage><year>2021</year><pub-id pub-id-type="doi">10.1016/j.jep.2021.114706</pub-id><pub-id pub-id-type="pmid">34614446</pub-id></element-citation></ref>
<ref id="b11-mmr-25-04-12638"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shi</surname><given-names>J</given-names></name><name><surname>Zhu</surname><given-names>L</given-names></name><name><surname>Tang</surname><given-names>HL</given-names></name><name><surname>Zhou</surname><given-names>YQ</given-names></name><name><surname>Xue</surname><given-names>BY</given-names></name><name><surname>Chen</surname><given-names>C</given-names></name></person-group><article-title>Ophiopogonin Binduceshepatocellular carcinoma MHCC97-H cell apoptosis and decreases invasion through inhibition of the JAK2/STAT3 signaling pathway</article-title><source>Int J Clin Exp Med</source><volume>11</volume><fpage>1825</fpage><lpage>1834</lpage><year>2018</year><pub-id pub-id-type="pmid">31938290</pub-id></element-citation></ref>
<ref id="b12-mmr-25-04-12638"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>A</given-names></name><name><surname>Rana</surname><given-names>D</given-names></name><name><surname>Rana</surname><given-names>R</given-names></name><name><surname>Bhatia</surname><given-names>R</given-names></name></person-group><article-title>Protein tyrosine phosphatase (PTP1B): A promising drug target against life-threatening ailments</article-title><source>Curr Mol Pharmacol</source><volume>13</volume><fpage>17</fpage><lpage>30</lpage><year>2020</year><pub-id pub-id-type="doi">10.2174/1874467212666190724150723</pub-id><pub-id pub-id-type="pmid">31339082</pub-id></element-citation></ref>
<ref id="b13-mmr-25-04-12638"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sharma</surname><given-names>B</given-names></name><name><surname>Xie</surname><given-names>L</given-names></name><name><surname>Yang</surname><given-names>F</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Zhou</surname><given-names>Q</given-names></name><name><surname>Xiang</surname><given-names>M</given-names></name><name><surname>Zhou</surname><given-names>S</given-names></name><name><surname>Lv</surname><given-names>W</given-names></name><name><surname>Jia</surname><given-names>Y</given-names></name><name><surname>Pokhrel</surname><given-names>L</given-names></name><etal/></person-group><article-title>Recent advance on PTP1B inhibitors and their biomedical applications</article-title><source>Eur J Med Chem</source><volume>199</volume><fpage>112376</fpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.ejmech.2020.112376</pub-id><pub-id pub-id-type="pmid">32416458</pub-id></element-citation></ref>
<ref id="b14-mmr-25-04-12638"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Tao</surname><given-names>Y</given-names></name><name><surname>Niu</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Yu</surname><given-names>Y</given-names></name><name><surname>Ma</surname><given-names>L</given-names></name></person-group><article-title>miR-125a-5p inhibits tumorigenesis in hepatocellular carcinoma</article-title><source>Aging</source><volume>11</volume><fpage>7639</fpage><lpage>7662</lpage><year>2019</year><pub-id pub-id-type="doi">10.18632/aging.102276</pub-id><pub-id pub-id-type="pmid">31527306</pub-id></element-citation></ref>
<ref id="b15-mmr-25-04-12638"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Zhong</surname><given-names>Y</given-names></name><name><surname>Lai</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>X</given-names></name></person-group><article-title>miR-206 inhibits cell proliferation, invasion, and migration by down-regulating PTP1B in hepatocellular carcinoma</article-title><source>Biosci Rep</source><volume>39</volume><fpage>BSR20181823</fpage><year>2019</year><pub-id pub-id-type="doi">10.1042/BSR20181823</pub-id><pub-id pub-id-type="pmid">31048362</pub-id></element-citation></ref>
<ref id="b16-mmr-25-04-12638"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Daina</surname><given-names>A</given-names></name><name><surname>Michielin</surname><given-names>O</given-names></name><name><surname>Zoete</surname><given-names>V</given-names></name></person-group><article-title>SwissTargetPrediction: Updated data and new features for efficient prediction of protein targets of small molecules</article-title><source>Nucleic Acids Res</source><volume>47</volume><fpage>W357</fpage><lpage>W364</lpage><year>2019</year><pub-id pub-id-type="doi">10.1093/nar/gkz382</pub-id><pub-id pub-id-type="pmid">31106366</pub-id></element-citation></ref>
<ref id="b17-mmr-25-04-12638"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Zhao</surname><given-names>R</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Jiang</surname><given-names>M</given-names></name><name><surname>Fu</surname><given-names>H</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name></person-group><article-title>Ophiopogonin B induces apoptosis, mitotic catastrophe and autophagy in A549 cells</article-title><source>Int J Oncol</source><volume>49</volume><fpage>316</fpage><lpage>324</lpage><year>2016</year><pub-id pub-id-type="doi">10.3892/ijo.2016.3514</pub-id><pub-id pub-id-type="pmid">27175570</pub-id></element-citation></ref>
<ref id="b18-mmr-25-04-12638"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Hu</surname><given-names>C</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Jiang</surname><given-names>R</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Fu</surname><given-names>H</given-names></name><name><surname>Wu</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name></person-group><article-title>Ophiopogonin B suppresses the metastasis and angiogenesis of A549 cells <italic>in vitro</italic> and <italic>in vivo</italic> by inhibiting the EphA2/Akt signaling pathway</article-title><source>Oncol Rep</source><volume>40</volume><fpage>1339</fpage><lpage>1347</lpage><year>2018</year><pub-id pub-id-type="pmid">29956803</pub-id></element-citation></ref>
<ref id="b19-mmr-25-04-12638"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(&#x2212;Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b20-mmr-25-04-12638"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Du</surname><given-names>Y</given-names></name><name><surname>Qui</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Chen</surname><given-names>K</given-names></name><name><surname>Huang</surname><given-names>Z</given-names></name><name><surname>Jiang</surname><given-names>M</given-names></name><name><surname>Xiong</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name><etal/></person-group><article-title>Ophiopogonin B-induced autophagy in non-small cell lung cancer cells via inhibition of the PI3K/Akt signaling pathway</article-title><source>Oncol Rep</source><volume>29</volume><fpage>430</fpage><lpage>436</lpage><year>2013</year><pub-id pub-id-type="doi">10.3892/or.2012.2131</pub-id><pub-id pub-id-type="pmid">23151908</pub-id></element-citation></ref>
<ref id="b21-mmr-25-04-12638"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Dang</surname><given-names>Z</given-names></name><name><surname>Yu</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Jiang</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>Z</given-names></name></person-group><article-title>Effects of adjuvant traditional Chinese medicine therapy on long-term survival in patients with hepatocellular carcinoma</article-title><source>Phytomedicine</source><volume>62</volume><fpage>152930</fpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.phymed.2019.152930</pub-id><pub-id pub-id-type="pmid">31128485</pub-id></element-citation></ref>
<ref id="b22-mmr-25-04-12638"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>C</given-names></name><name><surname>Yang</surname><given-names>S</given-names></name><name><surname>Wang</surname><given-names>K</given-names></name><name><surname>Bao</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Zhou</surname><given-names>S</given-names></name><name><surname>Liu</surname><given-names>H</given-names></name><name><surname>Qiu</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>T</given-names></name><name><surname>Yu</surname><given-names>H</given-names></name></person-group><article-title>Alkaloids from traditional Chinese medicine against hepatocellular carcinoma</article-title><source>Biomed Pharmacother</source><volume>120</volume><fpage>109543</fpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.biopha.2019.109543</pub-id><pub-id pub-id-type="pmid">31655311</pub-id></element-citation></ref>
<ref id="b23-mmr-25-04-12638"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Ye</surname><given-names>Q</given-names></name><name><surname>Mao</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>H</given-names></name></person-group><article-title>Research progress in liver-regenerating microenvironment and DNA methylation in hepatocellular carcinoma: The role of traditional Chinese medicine</article-title><source>Med Sci Monit</source><volume>26</volume><fpage>e920310</fpage><year>2020</year><pub-id pub-id-type="pmid">32144233</pub-id></element-citation></ref>
<ref id="b24-mmr-25-04-12638"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gong</surname><given-names>Y</given-names></name></person-group><article-title>Identifying the targets for treatment of liver fibrosis and hepatocellular carcinoma from both western medicine and Chinese medicine</article-title><source>Chin J Integr Med</source><volume>18</volume><fpage>245</fpage><lpage>249</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s11655-012-1062-6</pub-id><pub-id pub-id-type="pmid">22457133</pub-id></element-citation></ref>
<ref id="b25-mmr-25-04-12638"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yen</surname><given-names>Y</given-names></name><name><surname>So</surname><given-names>S</given-names></name><name><surname>Rose</surname><given-names>M</given-names></name><name><surname>Saif</surname><given-names>MW</given-names></name><name><surname>Chu</surname><given-names>E</given-names></name><name><surname>Liu</surname><given-names>SH</given-names></name><name><surname>Foo</surname><given-names>A</given-names></name><name><surname>Jiang</surname><given-names>Z</given-names></name><name><surname>Su</surname><given-names>T</given-names></name><name><surname>Cheng</surname><given-names>YC</given-names></name></person-group><article-title>Phase I/II study of PHY906/capecitabine in advanced hepatocellular carcinoma</article-title><source>Anticancer Res</source><volume>29</volume><fpage>4083</fpage><lpage>4092</lpage><year>2009</year><pub-id pub-id-type="pmid">19846955</pub-id></element-citation></ref>
<ref id="b26-mmr-25-04-12638"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Menon</surname><given-names>SS</given-names></name><name><surname>Guruvayoorappan</surname><given-names>C</given-names></name><name><surname>Sakthivel</surname><given-names>KM</given-names></name><name><surname>Rasmi</surname><given-names>RR</given-names></name></person-group><article-title>Ki-67 protein as a tumour proliferation marker</article-title><source>Clin Chim Acta</source><volume>491</volume><fpage>39</fpage><lpage>45</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.cca.2019.01.011</pub-id><pub-id pub-id-type="pmid">30653951</pub-id></element-citation></ref>
<ref id="b27-mmr-25-04-12638"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mendonsa</surname><given-names>AM</given-names></name><name><surname>Na</surname><given-names>TY</given-names></name><name><surname>Gumbiner</surname><given-names>BM</given-names></name></person-group><article-title>E-cadherin in contact inhibition and cancer</article-title><source>Oncogene</source><volume>37</volume><fpage>4769</fpage><lpage>4780</lpage><year>2018</year><pub-id pub-id-type="doi">10.1038/s41388-018-0304-2</pub-id><pub-id pub-id-type="pmid">29780167</pub-id></element-citation></ref>
<ref id="b28-mmr-25-04-12638"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Satelli</surname><given-names>A</given-names></name><name><surname>Li</surname><given-names>S</given-names></name></person-group><article-title>Vimentin in cancer and its potential as a molecular target for cancer therapy</article-title><source>Cell Mol Life Sci</source><volume>68</volume><fpage>3033</fpage><lpage>3046</lpage><year>2011</year><pub-id pub-id-type="doi">10.1007/s00018-011-0735-1</pub-id><pub-id pub-id-type="pmid">21637948</pub-id></element-citation></ref>
<ref id="b29-mmr-25-04-12638"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bartolom&#x00E9;</surname><given-names>RA</given-names></name><name><surname>Mart&#x00ED;n-Regalado</surname><given-names>&#x00C1;</given-names></name><name><surname>Ja&#x00E9;n</surname><given-names>M</given-names></name><name><surname>Zannikou</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>P</given-names></name><name><surname>de Los R&#x00ED;os</surname><given-names>V</given-names></name><name><surname>Balyasnikova</surname><given-names>IV</given-names></name><name><surname>Casal</surname><given-names>JI</given-names></name></person-group><article-title>Protein tyrosine phosphatase-1B inhibition disrupts IL13R&#x03B1;2-promoted invasion and metastasis in cancer cells</article-title><source>Cancers (Basel)</source><volume>12</volume><fpage>500</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/cancers12020500</pub-id><pub-id pub-id-type="pmid">32098194</pub-id></element-citation></ref>
<ref id="b30-mmr-25-04-12638"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tai</surname><given-names>WT</given-names></name><name><surname>Chen</surname><given-names>YL</given-names></name><name><surname>Chu</surname><given-names>PY</given-names></name><name><surname>Chen</surname><given-names>LJ</given-names></name><name><surname>Hung</surname><given-names>MH</given-names></name><name><surname>Shiau</surname><given-names>CW</given-names></name><name><surname>Huang</surname><given-names>JW</given-names></name><name><surname>Tsai</surname><given-names>MH</given-names></name><name><surname>Chen</surname><given-names>KF</given-names></name></person-group><article-title>Protein tyrosine phosphatase 1B dephosphorylates PITX1 and regulates p120RasGAP in hepatocellular carcinoma</article-title><source>Hepatology</source><volume>63</volume><fpage>1528</fpage><lpage>1543</lpage><year>2016</year><pub-id pub-id-type="doi">10.1002/hep.28478</pub-id><pub-id pub-id-type="pmid">26840794</pub-id></element-citation></ref>
<ref id="b31-mmr-25-04-12638"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>T</given-names></name><name><surname>Li</surname><given-names>D</given-names></name><name><surname>Yang</surname><given-names>T</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Kong</surname><given-names>J</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name></person-group><article-title>PTPN1 promotes the progression of glioma by activating the MAPK/ERK and PI3K/AKT pathways and is associated with poor patient survival</article-title><source>Oncol Rep</source><volume>42</volume><fpage>717</fpage><lpage>725</lpage><year>2019</year><pub-id pub-id-type="pmid">31173266</pub-id></element-citation></ref>
<ref id="b32-mmr-25-04-12638"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>Q</given-names></name><name><surname>Wu</surname><given-names>N</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Guo</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Jiang</surname><given-names>B</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Shi</surname><given-names>D</given-names></name></person-group><article-title>Inhibition of PTP1B blocks pancreatic cancer progression by targeting the PKM2/AMPK/mTOC1 pathway</article-title><source>Cell Death Dis</source><volume>10</volume><fpage>874</fpage><year>2019</year><pub-id pub-id-type="doi">10.1038/s41419-019-2073-4</pub-id><pub-id pub-id-type="pmid">31745071</pub-id></element-citation></ref>
<ref id="b33-mmr-25-04-12638"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alzahrani</surname><given-names>AS</given-names></name></person-group><article-title>PI3K/Akt/mTOR inhibitors in cancer: At the bench and bedside</article-title><source>Semin Cancer Biol</source><volume>59</volume><fpage>125</fpage><lpage>132</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.semcancer.2019.07.009</pub-id><pub-id pub-id-type="pmid">31323288</pub-id></element-citation></ref>
<ref id="b34-mmr-25-04-12638"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yuan</surname><given-names>J</given-names></name><name><surname>Dong</surname><given-names>X</given-names></name><name><surname>Yap</surname><given-names>J</given-names></name><name><surname>Hu</surname><given-names>J</given-names></name></person-group><article-title>The MAPK and AMPK signalings: Interplay and implication in targeted cancer therapy</article-title><source>J Hematol Oncol</source><volume>13</volume><fpage>113</fpage><year>2020</year><pub-id pub-id-type="doi">10.1186/s13045-020-00949-4</pub-id><pub-id pub-id-type="pmid">32807225</pub-id></element-citation></ref>
<ref id="b35-mmr-25-04-12638"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Wu</surname><given-names>J</given-names></name><name><surname>Guo</surname><given-names>P</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Fang</surname><given-names>Z</given-names></name><name><surname>Tian</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>Y</given-names></name><name><surname>Teng</surname><given-names>W</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name></person-group><article-title>Down-regulation of SREBP via PI3K/AKT/mTOR pathway inhibits the proliferation and invasion of non-small-cell lung cancer cells</article-title><source>Onco Targets Ther</source><volume>13</volume><fpage>8951</fpage><lpage>8961</lpage><year>2020</year><pub-id pub-id-type="doi">10.2147/OTT.S266073</pub-id><pub-id pub-id-type="pmid">32982287</pub-id></element-citation></ref>
<ref id="b36-mmr-25-04-12638"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>J</given-names></name><name><surname>Zhao</surname><given-names>X</given-names></name><name><surname>Sun</surname><given-names>Q</given-names></name><name><surname>Jiang</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Luo</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name></person-group><article-title>Synergic effect of PD-1 blockade and endostar on the PI3K/AKT/mTOR-mediated autophagy and angiogenesis in Lewis lung carcinoma mouse model</article-title><source>Biomed Pharmacother</source><volume>125</volume><fpage>109746</fpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.biopha.2019.109746</pub-id><pub-id pub-id-type="pmid">32106386</pub-id></element-citation></ref>
<ref id="b37-mmr-25-04-12638"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Kong</surname><given-names>J</given-names></name><name><surname>Dong</surname><given-names>S</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name><name><surname>Sun</surname><given-names>W</given-names></name></person-group><article-title>Metformin exhibits the anti-proliferation and anti-invasion effects in hepatocellular carcinoma cells after insufficient radiofrequency ablation</article-title><source>Cancer Cell Int</source><volume>17</volume><fpage>48</fpage><year>2017</year><pub-id pub-id-type="doi">10.1186/s12935-017-0418-6</pub-id><pub-id pub-id-type="pmid">28450808</pub-id></element-citation></ref>
<ref id="b38-mmr-25-04-12638"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Dusseault</surname><given-names>J</given-names></name><name><surname>Larose</surname><given-names>L</given-names></name></person-group><article-title>Nck1 depletion induces activation of the PI3K/Akt pathway by attenuating PTP1B protein expression</article-title><source>Cell Commun Signal</source><volume>12</volume><fpage>71</fpage><year>2014</year><pub-id pub-id-type="doi">10.1186/s12964-014-0071-9</pub-id><pub-id pub-id-type="pmid">25398386</pub-id></element-citation></ref>
<ref id="b39-mmr-25-04-12638"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>T</given-names></name><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Yu</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>K</given-names></name><name><surname>Shen</surname><given-names>X</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name></person-group><article-title>Hyrtiosal, a PTP1B inhibitor from the marine sponge Hyrtios erectus, shows extensive cellular effects on PI3K/AKT activation, glucose transport, and TGFbeta/Smad2 signaling</article-title><source>Chembiochem</source><volume>8</volume><fpage>187</fpage><lpage>193</lpage><year>2007</year><pub-id pub-id-type="doi">10.1002/cbic.200600349</pub-id><pub-id pub-id-type="pmid">17183521</pub-id></element-citation></ref>
<ref id="b40-mmr-25-04-12638"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Gingold</surname><given-names>JA</given-names></name><name><surname>Su</surname><given-names>X</given-names></name></person-group><article-title>Immunomodulatory TGF-&#x03B2; signaling in hepatocellular carcinoma</article-title><source>Trends Mol Med</source><volume>25</volume><fpage>1010</fpage><lpage>1023</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.molmed.2019.06.007</pub-id><pub-id pub-id-type="pmid">31353124</pub-id></element-citation></ref>
<ref id="b41-mmr-25-04-12638"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ferr&#x00ED;n</surname><given-names>G</given-names></name><name><surname>Guerrero</surname><given-names>M</given-names></name><name><surname>Amado</surname><given-names>V</given-names></name><name><surname>Rodr&#x00ED;guez-Per&#x00E1;lvarez</surname><given-names>M</given-names></name><name><surname>De la Mata</surname><given-names>M</given-names></name></person-group><article-title>Activation of mTOR signaling pathway in hepatocellular carcinoma</article-title><source>Int J Mol Sci</source><volume>21</volume><fpage>1266</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/ijms21041266</pub-id><pub-id pub-id-type="pmid">32070029</pub-id></element-citation></ref>
<ref id="b42-mmr-25-04-12638"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vilchez</surname><given-names>V</given-names></name><name><surname>Turcios</surname><given-names>L</given-names></name><name><surname>Marti</surname><given-names>F</given-names></name><name><surname>Gedaly</surname><given-names>R</given-names></name></person-group><article-title>Targeting Wnt/&#x03B2;-catenin pathway in hepatocellular carcinoma treatment</article-title><source>World J Gastroenterol</source><volume>22</volume><fpage>823</fpage><lpage>832</lpage><year>2016</year><pub-id pub-id-type="doi">10.3748/wjg.v22.i2.823</pub-id><pub-id pub-id-type="pmid">26811628</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-25-04-12638" position="float">
<label>Figure 1.</label>
<caption><p>Effect of OP-B on HCC progression and PTP1B expression <italic>in vivo</italic>. (A) HCC xenograft mice were treated with normal saline, or with 15 or 75 mg/kg OP-B for 21 days. (B) Body weight and tumor volumes were recorded every 7 days. (C) HCC tumors in different groups were removed from xenograft model and (D) weighed and the tumor/body weight was also calculated. The expression of Ki67 (E), CD31 (F) and VEGFA (G) in tumor samples of HCC xenograft mice were detected by IHC. (H) mRNA and (I) protein expression levels of PTP1B in tumor samples of HCC xenograft mice were measured by reverse transcription-quantitative PCR and western blot assays, respectively. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control. HCC, hepatocellular carcinoma; IHC, immunohistochemistry; OP-B, ophiopogonin-B; PTP1B, protein tyrosine phosphatase 1B.</p></caption>
<graphic xlink:href="mmr-25-04-12638-g00.tif"/>
</fig>
<fig id="f2-mmr-25-04-12638" position="float">
<label>Figure 2.</label>
<caption><p>Effect of OP-B on PTP1B expression in hepatocellular carcinoma cells. (A) HHL-5 and MHCC97-H cells were exposed to different concentrations of OP-B for 24 h, then cell viability was measured by Cell Counting Kit-8 assay. MHCC97-H cells were treated with different concentrations of OP-B for 24 h, then PTP1B (B) mRNA and (C) protein expression levels were evaluated. MHCC97-H cells were either transfected with Ov-PTP1B or empty vector, then the overexpression efficiency was verified by (D) reverse transcription-quantitative PCR and (E) western blot assays. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control. NC, negative control; OP-B, ophiopogonin-B; Ov, overexpression vector; PTP1B, protein tyrosine phosphatase 1B.</p></caption>
<graphic xlink:href="mmr-25-04-12638-g01.tif"/>
</fig>
<fig id="f3-mmr-25-04-12638" position="float">
<label>Figure 3.</label>
<caption><p>Effect of OP-B and PTP1B overexpression on hepatocellular carcinoma cell proliferation and apoptosis. MHCC97-H cells were transfected with Ov-PTP1B or OV-NC and subsequently treated with 20 &#x00B5;M OP-B. (A) Cell viability was measured by Cell Counting Kit-8 assay. (B) Colony formation was performed to observe cell proliferation. (C) TUNEL staining was used to assess apoptosis. (D) Protein expression levels of apoptosis-related proteins were detected by western blotting; GAPDH was used as the loading control. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control; <sup>##</sup>P&#x003C;0.01 and <sup>###</sup>P&#x003C;0.001 vs. OP-B &#x002B; Ov-NC. NC, negative control; OP-B, ophiopogonin-B; Ov, overexpression vector; PTP1B, protein tyrosine phosphatase 1B.</p></caption>
<graphic xlink:href="mmr-25-04-12638-g02.tif"/>
</fig>
<fig id="f4-mmr-25-04-12638" position="float">
<label>Figure 4.</label>
<caption><p>Effect of OP-B treatment and PTP1B overexpression on migration, invasion and angiogenesis of hepatocellular carcinoma cells. MHCC97-H cells were transfected with Ov-PTP1B or OV-NC and subsequently treated with 20 &#x00B5;M OP-B. (A) Cell migration was determined by wound healing assay. (B) Transwell assay was performed to observe cell invasion. (C) Tube formation assay was used to assess cell angiogenesis. (D) Protein expression levels of E-cadherin, N-cadherin, Vimentin and VEGFA were detected by western blot analysis. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control; <sup>##</sup>P&#x003C;0.01 and <sup>###</sup>P&#x003C;0.001 vs. OP-B &#x002B; Ov-NC. NC, negative control; OP-B, ophiopogonin-B; Ov, overexpression vector; PTP1B, protein tyrosine phosphatase 1B.</p></caption>
<graphic xlink:href="mmr-25-04-12638-g03.tif"/>
</fig>
<fig id="f5-mmr-25-04-12638" position="float">
<label>Figure 5.</label>
<caption><p>Effect of OP-B and PTP1B overexpression on PI3K/AKT and AMPK signaling in hepatocellular carcinoma cells. MHCC97-H cells were transfected with Ov-PTP1B or OV-NC and subsequently treated with 20 &#x00B5;M OP-B, then the protein expression levels of components of the PI3K/AKT and AMPK signaling pathways were detected by western blotting. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control; <sup>###</sup>P&#x003C;0.001 vs. OP-B &#x002B; Ov-NC. NC, negative control; OP-B, ophiopogonin-B; Ov, overexpression vector; PTP1B, protein tyrosine phosphatase 1B.</p></caption>
<graphic xlink:href="mmr-25-04-12638-g04.tif"/>
</fig>
</floats-group>
</article>
