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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2013.1368</article-id>
<article-id pub-id-type="publisher-id">etm-07-01-0228</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Fucoidan induces caspase-dependent apoptosis in MC3 human mucoepidermoid carcinoma cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>HANG-EUN</given-names></name><xref rid="af1-etm-07-01-0228" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHOI</surname><given-names>EUN-SUN</given-names></name><xref rid="af1-etm-07-01-0228" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SHIN</surname><given-names>JI-AE</given-names></name><xref rid="af1-etm-07-01-0228" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SYNG-OOK</given-names></name><xref rid="af2-etm-07-01-0228" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>KI-SOO</given-names></name><xref rid="af3-etm-07-01-0228" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHO</surname><given-names>NAM-PYO</given-names></name><xref rid="af1-etm-07-01-0228" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-etm-07-01-0228"/></contrib>
<contrib contrib-type="author">
<name><surname>CHO</surname><given-names>SUNG-DAE</given-names></name><xref rid="af1-etm-07-01-0228" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-etm-07-01-0228"/></contrib></contrib-group>
<aff id="af1-etm-07-01-0228">
<label>1</label>Department of Oral Pathology, School of Dentistry, Institute of Oral Bioscience, Chonbuk National University, Jeonju 561-756, Republic of Korea</aff>
<aff id="af2-etm-07-01-0228">
<label>2</label>Department of Veterinary Physiology and Pharmacology, Texas A&amp;M University, College Station, TX 77843-4466, USA</aff>
<aff id="af3-etm-07-01-0228">
<label>3</label>Department of Translational Research, Korea Health Industry Development Institute (KHIDI), Cheongwon-gun 363-951, Republic of Korea</aff>
<author-notes>
<corresp id="c1-etm-07-01-0228">Correspondence to: Professor Sung-Dae Cho or Professor Nam-Pyo Cho, Department of Oral Pathology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 664-14, Duckjin dong 1ga, Duckjin gu, Jeonju 561-756, Republic of Korea, E-mail: <email>efiwdsc@chonbuk.ac.kr</email>, E-mail: <email>npcho@chonbuk.ac.kr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>10</month>
<year>2013</year></pub-date>
<volume>7</volume>
<issue>1</issue>
<fpage>228</fpage>
<lpage>232</lpage>
<history>
<date date-type="received">
<day>07</day>
<month>07</month>
<year>2013</year></date>
<date date-type="accepted">
<day>21</day>
<month>10</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Fucoidan is a sulfated polysaccharide present in brown algae that has been identified to exhibit multiple biological effects. In this study, the apoptotic effects of fucoidan in MC3 human mucoepidermoid carcinoma (MEC) cells were investigated. The apoptotic effects of fucoidan on MC3 MEC cells were evaluated by cell proliferation assay, 4&#x02032;,6-diamidino-2-phenylindole staining and western blot analysis. The results showed that fucoidan decreased cell proliferation and induced caspase-dependent apoptosis in MC3 MEC cells. Fucoidan downregulated the phosphorylation of extracellular signal-regulated kinase (ERK) 1/2, whereas phospho-p38 mitogen-activated protein kinase or phospho-c-Jun NH<sub>2</sub>-terminal kinase (JNK) levels were not altered. In addition, fucoidan significantly decreased the expression levels of myeloid cell leukemia-1 (Mcl-1). These results suggest that fucoidan is able to modulate the ERK1/2 pathway and thereby regulate Mcl-1 protein expression and induce apoptosis in MC3 MEC cells. Therefore, fucoidan may be a promising agent for the treatment of human MEC.</p></abstract>
<kwd-group>
<kwd>fucoidan</kwd>
<kwd>apoptosis</kwd>
<kwd>mucoepidermoid carcinoma</kwd>
<kwd>extracellular signal-regulated kinase 1/2</kwd>
<kwd>myeloid cell leukemia-1</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Natural dietary compounds have been widely and safely consumed for centuries and have potential applications in pharmacology and cancer therapy (<xref rid="b1-etm-07-01-0228" ref-type="bibr">1</xref>). Fucoidan is a naturally occurring polysaccharide compound present in brown algae, including <italic>Fucus vesiculosus</italic>, <italic>Cladosiphon okamuranus</italic> and <italic>Laminaria saccharina</italic>(<xref rid="b2-etm-07-01-0228" ref-type="bibr">2</xref>,<xref rid="b3-etm-07-01-0228" ref-type="bibr">3</xref>). Numerous intensive studies have identified its biological activities, including antioxidative, immunomodulatory, antiviral, antithrombotic and anticoagulant effects (<xref rid="b4-etm-07-01-0228" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-etm-07-01-0228" ref-type="bibr">6</xref>). In addition, a number of studies support that the use of fucoidan as a supplement provides protection against various cancers (<xref rid="b7-etm-07-01-0228" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-etm-07-01-0228" ref-type="bibr">9</xref>). However, the anticancer effects of fucoidan in mucoepidermoid carcinoma (MEC) cells have yet to be studied.</p>
<p>Mitogen-activated protein kinases (MAPKs) are involved in cellular proliferation, differentiation and apoptosis (<xref rid="b10-etm-07-01-0228" ref-type="bibr">10</xref>), and the dynamic balance between extracellular signal-regulated kinase (ERK), c-Jun NH<sub>2</sub>-terminal kinase (JNK) and p38 MAPK contributes to the determination of cell fate (<xref rid="b11-etm-07-01-0228" ref-type="bibr">11</xref>). Previous studies have also demonstrated that MAPKs have essential roles in modulating the function of mitochondrial pro- and anti-apoptotic proteins (<xref rid="b12-etm-07-01-0228" ref-type="bibr">12</xref>,<xref rid="b13-etm-07-01-0228" ref-type="bibr">13</xref>). Myeloid cell leukemia-1 (Mcl-1), an anti-apoptotic member of the Bcl-2 family, has a pivotal role in protecting cells against apoptosis and is overexpressed in various human cancers (<xref rid="b14-etm-07-01-0228" ref-type="bibr">14</xref>). It is also important in cell survival regulatory pathways, suggesting the vital role of Mcl-1 in the regulation of apoptosis (<xref rid="b15-etm-07-01-0228" ref-type="bibr">15</xref>). Thus, MAPKs and Mcl-1 may be potential molecular targets for apoptotic cell death in cancer cells.</p>
<p>In the present study, the effects of fucoidan and its molecular mechanisms in the MC3 MEC cell line were investigated.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>Fucoidan (from <italic>Fucus vesiculosus</italic>) and 4&#x02032;,6-diamidino-2-phenylindole (DAPI) were purchased from Sigma (St. Louis, MO, USA). Dulbecco&apos;s modified Eagle&apos;s medium (DMEM), fetal bovine serum (FBS), 100&#x000D7; antibiotic solution, trypsin and D-phosphate-buffered saline (PBS) were obtained from WelGENE Inc. (Daegu, Republic of Korea). The poly (ADP-ribose) polymerase antibody was obtained from BD Biosciences (San Diego, CA, USA). Actin antibody was purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA). Antibodies for phospho-ERK, total ERK, phospho-JNK, total JNK, phospho-p38, total p38, Mcl-1, cleaved caspase-3 and cleaved poly ADP ribose polymerase (PARP) were purchased from Cell Signaling Technology, Inc. (Denver, MA, USA). The pan caspase inhibitor, z-VAD, was obtained from R&amp;D Systems (Minneapolis, MN, USA).</p></sec>
<sec>
<title>Cell culture and chemical treatments</title>
<p>MC3 MEC cells were obtained from Professor Wu Junzheng (Fourth Military Medical University, Xi&apos;an, China). Cells were cultured in DMEM supplemented with 10&#x00025; FBS and 100 U/ml each of penicillin and streptomycin in a humidified atmosphere of 5&#x00025; CO<sub>2</sub> at 37&#x000BA;C. An equal number of cells were seeded and allowed to attach to the well plate. The cells were pretreated with a pan caspase inhibitor, z-VAD (10 &#x003BC;M) 1 hr before fucoidan treatment. When the cells reached 50&#x02013;60&#x00025; confluence, they were treated with fucoidan (25, 50 and 100 &#x003BC;g/ml) dissolved in 0.1&#x00025; dimethyl sulfoxide (DMSO; vehicle control).</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation was determined by cell counting using a Neubauer&apos;s chamber (hemocytometer, Neubauer dual count chamber; Thermo Fisher Scientific Inc., Waltham, MA, USA). MC3 MEC cells were exposed to DMSO or fucoidan for 48 h. Following the period of exposure, cell were stained with trypan blue (0.04&#x00025;) and then counted. Each experiment was carried out in triplicate and the results are expressed as the mean &#x000B1; standard deviation.</p></sec>
<sec>
<title>DAPI staining</title>
<p>The apoptotic effects of fucoidan on MC3 MEC cells were measured using a fluorescent nuclear dye, DAPI. MC3 MEC cells were seeded and treated with varied concentrations (25, 50 and 100 &#x003BC;g/ml) of fucoidan, harvested by trypsinization and resuspended in PBS. The cells were fixed in 100&#x00025; methanol at room temperature (RT) for 10 min, deposited on slides and then stained with DAPI solution (2 mg/ml). The DAPI-stained cell morphology was observed under a fluorescence microscope (Microscope Axio Imager. M2; Carl Zeiss Co. Ltd., Seoul, Korea).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Whole cell lysates were extracted with lysis buffer and protein concentrations were measured using a DC Protein Assay (Bio-Rad, Hercules, CA, USA). Samples containing equal concentrations of protein were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and then transferred to Immun-Blot&#x02122; polyvinylidene fluoride membranes (Bio-Rad). The membranes were blocked with 5&#x00025; skimmed milk in Tris-buffered saline with Tween for 1 h 30 min at RT and maintained overnight at 4&#x000BA;C with primary antibodies. Membranes were then incubated with horseradish peroxidase-conjugated secondary antibodies (Santa Cruz Biotechnology Inc.) at RT for 1 h 30 min. Antibody-bound proteins were detected using enhanced chemiluminescence (ECL) western blotting luminol reagent (Santa Cruz Biotechnology Inc.).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were assessed for statistical significance using a Student&apos;s t-test. P&lt;0.05 compared to that of the vehicle control was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Fucoidan inhibits cell proliferation and induces apoptosis in MC3 MEC cells</title>
<p>To investigate the anticancer effects of fucoidan, the growth-inhibitory effects of fucoidan in the MC3 MEC cell line were first assessed. Cells were treated with DMSO or fucoidan (25, 50 and 100 &#x003BC;g/ml) for 48 h. The results demonstrated that fucoidan induced morphological changes of the MC3 MEC cells and the proliferation of the cells was significantly reduced in a concentration-dependent manner (<xref rid="f1-etm-07-01-0228" ref-type="fig">Fig. 1A</xref>). Then, whether the growth-inhibitory effects of fucoidan were associated with apoptotic cell death was investigated. As shown in <xref rid="f1-etm-07-01-0228" ref-type="fig">Fig. 1B</xref>, cells treated with fucoidan exhibited nuclear fragmentation and chromatin condensation in a concentration-dependent manner. The results demonstrated that fucoidan inhibited cell growth and induced apoptosis in MC3 MEC cells. The apoptotic activity of fucoidan was then determined by evaluating the levels of PARP cleavage and the activation of caspase 3. As shown in <xref rid="f2-etm-07-01-0228" ref-type="fig">Fig. 2A</xref>, fucoidan-treated MC3 MEC cells demonstrated increased cleavage of PARP and caspase-3. To investigate the involvement of caspase 3 in fucoidan-induced apoptosis, a pan caspase inhibitor, z-VAD, was used. The results showed that the cleavage of PARP induced by fucoidan was partially blocked in the presence of z-VAD, suggesting that fucoidan-induced apoptosis is mediated by caspase activation (<xref rid="f2-etm-07-01-0228" ref-type="fig">Fig. 2B</xref>).</p></sec>
<sec>
<title>Fucoidan decreases phosphorylation of ERK1/2 but does not change phospho-p38 and phospho-JNK levels in MC3 MEC cells</title>
<p>The MAPK family is positively associated with apoptotic cell death (<xref rid="b16-etm-07-01-0228" ref-type="bibr">16</xref>,<xref rid="b17-etm-07-01-0228" ref-type="bibr">17</xref>) and the MAPK signaling pathway is frequently dysregulated in neoplastic transformation (<xref rid="b18-etm-07-01-0228" ref-type="bibr">18</xref>). It has also been indicated that activation of the ERK1/2 pathway is commonly associated with survival; by contrast, the JNK1/2 and p38 MAPK pathway is associated with apoptosis (<xref rid="b19-etm-07-01-0228" ref-type="bibr">19</xref>). In the present study, the effects of fucoidan on the phosphorylation of ERK1/2, p-38 and JNK were examined, and the results showed that fucoidan downregulated the phosphorylation of ERK1/2 in a concentration-dependent manner (<xref rid="f3-etm-07-01-0228" ref-type="fig">Fig. 3A</xref>), but did not alter the phosphorylation or total expression levels of p38 and JNK (<xref rid="f3-etm-07-01-0228" ref-type="fig">Fig. 3B</xref>). Therefore, ERK1/2 may be important in fucoidan-induced apoptosis.</p></sec>
<sec>
<title>Fucoidan downregulates Mcl-1, a downstream target of ERK1/2</title>
<p>A number of anti-apoptotic effector proteins have been identified downstream of ERK1/2 signaling, including Mcl-1 (<xref rid="b20-etm-07-01-0228" ref-type="bibr">20</xref>,<xref rid="b21-etm-07-01-0228" ref-type="bibr">21</xref>). Thus, whether fucoidan treatment affects the Mcl-1 protein in MC3 cells was investigated using western blot analysis. The results showed that the expression of Mcl-1 protein significantly decreased with fucoidan treatment in a concentration-dependent manner (<xref rid="f4-etm-07-01-0228" ref-type="fig">Fig. 4</xref>). These results indicated that the expression of Mcl-1 may be regulated by the ERK1/2 pathway and subsequently induce apoptosis in MC3 MEC cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Fucoidan is a potent inducer of apoptosis in various cancer cell lines (<xref rid="b5-etm-07-01-0228" ref-type="bibr">5</xref>,<xref rid="b22-etm-07-01-0228" ref-type="bibr">22</xref>). A previous study has shown that fucoidan induced extrinsic or intrinsic apoptotic signals in different cancer cell types via the altered expression or activities of mitochondria-associated proteins, cell cycle regulatory proteins, proteases and transcription factors (<xref rid="b9-etm-07-01-0228" ref-type="bibr">9</xref>). However, the molecular mechanisms by which fucoidan initiates apoptosis in MC3 MEC cells have not been characterized. In the present study, the aim was to investigate the <italic>in vitro</italic> anti-cancer effects of fucoidan in MC3 MEC cells. The results demonstrated that fucoidan inhibited cell growth and induced apoptosis in MC3 MEC cells, which was indicated by decreased cell proliferation, nuclear fragmentation, chromatin condensation, cleaved PARP and activated caspase 3. In addition, a pan caspase inhibitor, z-VAD, blocked fucoidan-induced apoptosis suggesting that this effect is caspase-dependent.</p>
<p>MAPK family members appear to be important in the regulation of cell survival (<xref rid="b23-etm-07-01-0228" ref-type="bibr">23</xref>). For example, ERK1/2 activation has been shown to promote the anti-apoptotic functions of Bcl-2 and cell survival in neuronal PC12 cells, whereas the activation of JNKs results in cell death via the apoptotic signaling pathway (<xref rid="b24-etm-07-01-0228" ref-type="bibr">24</xref>). Previous studies have identified that fucoidan induces apoptotic cell death by activating the ERK1/2 pathway (<xref rid="b25-etm-07-01-0228" ref-type="bibr">25</xref>&#x02013;<xref rid="b27-etm-07-01-0228" ref-type="bibr">27</xref>); however, additional studies have also demonstrated that fucoidan is able to inactivate the ERK pathway for apoptosis (<xref rid="b1-etm-07-01-0228" ref-type="bibr">1</xref>,<xref rid="b9-etm-07-01-0228" ref-type="bibr">9</xref>,<xref rid="b28-etm-07-01-0228" ref-type="bibr">28</xref>). This suggests that the role of the ERK pathway in fucoidan-induced apoptosis remains controversial. Therefore, in the present study, the effects of fucoidan on the ERK1/2 signaling pathway were investigated. The results showed a concentration-dependent suppression of ERK1/2 phosphorylation. To eliminate the involvement of additional MAPK family members, such as JNK and p38, their expression levels were also evaluated. The results indicated that they were not altered by fucoidan, suggesting that the inactivation of ERK1/2 by fucoidan results in the induction of apoptosis.</p>
<p>The ERK pathway promotes cancer cell survival through inhibition of the apoptotic cascade by controlling the expression or activity of Bcl-2 family members (<xref rid="b28-etm-07-01-0228" ref-type="bibr">28</xref>,<xref rid="b29-etm-07-01-0228" ref-type="bibr">29</xref>). The fact that the Bcl-2 family and the ERK signaling pathway were both implicated in the control of cell survival suggests that ERK-stimulated enhancement of cell survival may be mediated through its effects on the expression of Bcl-2 or other Bcl-2 family members (<xref rid="b28-etm-07-01-0228" ref-type="bibr">28</xref>). Mcl-1 is an anti-apoptotic protein that is highly expressed in malignant tumors and has been implicated in resistance to chemotherapy (<xref rid="b30-etm-07-01-0228" ref-type="bibr">30</xref>). It has also been identified that ERK is an important regulator of Mcl-1 stability (<xref rid="b31-etm-07-01-0228" ref-type="bibr">31</xref>). Thus, in the present study, the effects of fucoidan on Mcl-1 were investigated, and the results showed that Mcl-1 expression was reduced by fucoidan in a concentration-dependent manner. These results suggest that fucoidan may have induced apoptosis through inactivation of the ERK pathway and the inhibition of Mcl-1.</p>
<p>In conclusion, to the best of our knowledge, this study demonstrated for the first time that fucoidan is able to induce apoptotic cell death in MC3 human MEC cells and this is associated with concentration-dependent inactivation of the ERK1/2 pathway to regulate Mcl-1 protein. These results suggest that fucoidan may be a promising dietary compound for the treatment of MEC.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education, Science and Technology (grant no. 2012003731) and research funds of Chonbuk National University, 2013.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-etm-07-01-0228"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Teruya</surname><given-names>K</given-names></name><name><surname>Yoshida</surname><given-names>T</given-names></name><name><surname>Eto</surname><given-names>H</given-names></name><name><surname>Shirahata</surname><given-names>S</given-names></name></person-group><article-title>Fucoidan extract enhances the anti-cancer activity of chemotherapeutic agents in MDA-MB-231 and MCF-7 breast cancer cells</article-title><source>Mar Drugs</source><volume>11</volume><fpage>81</fpage><lpage>98</lpage><year>2013</year></element-citation></ref>
<ref id="b2-etm-07-01-0228"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cumashi</surname><given-names>A</given-names></name><name><surname>Ushakova</surname><given-names>NA</given-names></name><name><surname>Preobrazhenskaya</surname><given-names>ME</given-names></name><etal/></person-group><article-title>A comparative study of the anti-inflammatory, anticoagulant, antiangiogenic, and antiadhesive activities of nine different fucoidans from brown seaweeds</article-title><source>Glycobiology</source><volume>17</volume><fpage>541</fpage><lpage>552</lpage><year>2007</year></element-citation></ref>
<ref id="b3-etm-07-01-0228"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Teruya</surname><given-names>K</given-names></name><etal/></person-group><article-title>Enzyme-digested fucoidan extracts derived from seaweed Mozuku of <italic>Cladosiphon novae-caledoniae</italic> kylin inhibit invasion and angiogenesis of tumor cells</article-title><source>Cytotechnology</source><volume>47</volume><fpage>117</fpage><lpage>126</lpage><year>2005</year></element-citation></ref>
<ref id="b4-etm-07-01-0228"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name></person-group><article-title>Antioxidant activity of sulfated polysaccharide fractions extracted from <italic>Laminaria japonica</italic></article-title><source>Int J Biol Macromol</source><volume>42</volume><fpage>127</fpage><lpage>132</lpage><year>2008</year></element-citation></ref>
<ref id="b5-etm-07-01-0228"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alekseyenko</surname><given-names>TV</given-names></name><name><surname>Zhanayeva</surname><given-names>SY</given-names></name><name><surname>Venediktova</surname><given-names>AA</given-names></name><etal/></person-group><article-title>Antitumor and antimetastatic activity of fucoidan, a sulfated polysaccharide isolated from the Okhotsk Sea <italic>Fucus evanescens</italic> brown alga</article-title><source>Bull Exp Biol Med</source><volume>143</volume><fpage>730</fpage><lpage>732</lpage><year>2007</year></element-citation></ref>
<ref id="b6-etm-07-01-0228"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maruyama</surname><given-names>H</given-names></name><name><surname>Tamauchi</surname><given-names>H</given-names></name><name><surname>Iizuka</surname><given-names>M</given-names></name><name><surname>Nakano</surname><given-names>T</given-names></name></person-group><article-title>The role of NK cells in antitumor activity of dietary fucoidan from <italic>Undaria pinnatifida</italic> sporophylls (Mekabu)</article-title><source>Planta Med</source><volume>72</volume><fpage>1415</fpage><lpage>1417</lpage><year>2006</year></element-citation></ref>
<ref id="b7-etm-07-01-0228"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Teruya</surname><given-names>K</given-names></name><name><surname>Eto</surname><given-names>H</given-names></name><name><surname>Shirahata</surname><given-names>S</given-names></name></person-group><article-title>Fucoidan extract induces apoptosis in MCF-7 cells via a mechanism involving the ROS-dependent JNK activation and mitochondria-mediated pathways</article-title><source>PLoS One</source><volume>6</volume><fpage>e27441</fpage><year>2011</year></element-citation></ref>
<ref id="b8-etm-07-01-0228"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koyanagi</surname><given-names>S</given-names></name><name><surname>Tanigawa</surname><given-names>N</given-names></name><name><surname>Nakagawa</surname><given-names>H</given-names></name><name><surname>Soeda</surname><given-names>S</given-names></name><name><surname>Shimeno</surname><given-names>H</given-names></name></person-group><article-title>Oversulfation of fucoidan enhances its anti-angiogenic and antitumor activities</article-title><source>Biochem Pharmacol</source><volume>65</volume><fpage>173</fpage><lpage>179</lpage><year>2003</year></element-citation></ref>
<ref id="b9-etm-07-01-0228"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aisa</surname><given-names>Y</given-names></name><name><surname>Miyakawa</surname><given-names>Y</given-names></name><name><surname>Nakazato</surname><given-names>T</given-names></name><etal/></person-group><article-title>Fucoidan induces apoptosis of human HS-sultan cells accompanied by activation of caspase-3 and down-regulation of ERK pathways</article-title><source>Am J Hematol</source><volume>78</volume><fpage>7</fpage><lpage>14</lpage><year>2005</year></element-citation></ref>
<ref id="b10-etm-07-01-0228"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chang</surname><given-names>L</given-names></name><name><surname>Karin</surname><given-names>M</given-names></name></person-group><article-title>Mammalian MAP kinase signalling cascades</article-title><source>Nature</source><volume>410</volume><fpage>37</fpage><lpage>40</lpage><year>2001</year></element-citation></ref>
<ref id="b11-etm-07-01-0228"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname><given-names>Z</given-names></name><name><surname>Dickens</surname><given-names>M</given-names></name><name><surname>Raingeaud</surname><given-names>J</given-names></name><name><surname>Davis</surname><given-names>RJ</given-names></name><name><surname>Greenberg</surname><given-names>ME</given-names></name></person-group><article-title>Opposing effects of ERK and JNK-p38 MAP kinases on apoptosis</article-title><source>Science</source><volume>270</volume><fpage>1326</fpage><lpage>1331</lpage><year>1995</year></element-citation></ref>
<ref id="b12-etm-07-01-0228"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schroeter</surname><given-names>H</given-names></name><name><surname>Boyd</surname><given-names>CS</given-names></name><name><surname>Ahmed</surname><given-names>R</given-names></name><etal/></person-group><article-title>c-Jun N-terminal kinase (JNK)-mediated modulation of brain mitochondria function: new target proteins for JNK signalling in mitochondrion-dependent apoptosis</article-title><source>Biochem J</source><volume>372</volume><fpage>359</fpage><lpage>369</lpage><year>2003</year></element-citation></ref>
<ref id="b13-etm-07-01-0228"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aoki</surname><given-names>H</given-names></name><name><surname>Kang</surname><given-names>PM</given-names></name><name><surname>Hampe</surname><given-names>J</given-names></name><etal/></person-group><article-title>Direct activation of mitochondrial apoptosis machinery by c-Jun N-terminal kinase in adult cardiac myocytes</article-title><source>J Biol Chem</source><volume>277</volume><fpage>10244</fpage><lpage>10250</lpage><year>2002</year></element-citation></ref>
<ref id="b14-etm-07-01-0228"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>NK</given-names></name><name><surname>Huang</surname><given-names>SL</given-names></name><name><surname>Chang</surname><given-names>TC</given-names></name><name><surname>Chao</surname><given-names>CC</given-names></name></person-group><article-title>Sorafenib induces endometrial carcinoma apoptosis by inhibiting Elk-1-dependent Mcl-1 transcription and inducing Akt/GSK3&#x003B2;-dependent protein degradation</article-title><source>J Cell Biochem</source><volume>114</volume><fpage>1819</fpage><lpage>1831</lpage><year>2013</year></element-citation></ref>
<ref id="b15-etm-07-01-0228"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang-Yen</surname><given-names>HF</given-names></name></person-group><article-title>Mcl-1: a highly regulated cell death and survival controller</article-title><source>J Biomed Sci</source><volume>13</volume><fpage>201</fpage><lpage>204</lpage><year>2006</year></element-citation></ref>
<ref id="b16-etm-07-01-0228"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wagner</surname><given-names>EF</given-names></name><name><surname>Nebreda</surname><given-names>AR</given-names></name></person-group><article-title>Signal integration by JNK and p38 MAPK pathways in cancer development</article-title><source>Nat Rev Cancer</source><volume>9</volume><fpage>537</fpage><lpage>549</lpage><year>2009</year></element-citation></ref>
<ref id="b17-etm-07-01-0228"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cagnol</surname><given-names>S</given-names></name><name><surname>Chambard</surname><given-names>JC</given-names></name></person-group><article-title>ERK and cell death: mechanisms of ERK-induced cell death - apoptosis, autophagy and senescence</article-title><source>FEBS J</source><volume>277</volume><fpage>2</fpage><lpage>21</lpage><year>2010</year></element-citation></ref>
<ref id="b18-etm-07-01-0228"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aquilano</surname><given-names>K</given-names></name><name><surname>Baldelli</surname><given-names>S</given-names></name><name><surname>Rotilio</surname><given-names>G</given-names></name><name><surname>Ciriolo</surname><given-names>MR</given-names></name></person-group><article-title>trans-Resveratrol inhibits H<sub>2</sub>O<sub>2</sub>-induced adenocarcinoma gastric cells proliferation via inactivation of MEK1/2-ERK1/2-c-Jun signalling axis</article-title><source>Biochem Pharmacol</source><volume>77</volume><fpage>337</fpage><lpage>347</lpage><year>2009</year></element-citation></ref>
<ref id="b19-etm-07-01-0228"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rahman</surname><given-names>MS</given-names></name><name><surname>Yamasaki</surname><given-names>A</given-names></name><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Shan</surname><given-names>L</given-names></name><name><surname>Halayko</surname><given-names>AJ</given-names></name><name><surname>Gounni</surname><given-names>AS</given-names></name></person-group><article-title>IL-17A induces eotaxin-1/CC chemokine ligand 11 expression in human airway smooth muscle cells: role of MAPK (Erk1/2, JNK, and p38) pathways</article-title><source>J Immunol</source><volume>177</volume><fpage>4064</fpage><lpage>4071</lpage><year>2006</year></element-citation></ref>
<ref id="b20-etm-07-01-0228"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sawatzky</surname><given-names>DA</given-names></name><name><surname>Willoughby</surname><given-names>DA</given-names></name><name><surname>Colville-Nash</surname><given-names>PR</given-names></name><name><surname>Rossi</surname><given-names>AG</given-names></name></person-group><article-title>The involvement of the apoptosis-modulating proteins ERK 1/2, Bcl-xL and Bax in the resolution of acute inflammation in vivo</article-title><source>Am J Pathol</source><volume>168</volume><fpage>33</fpage><lpage>41</lpage><year>2006</year></element-citation></ref>
<ref id="b21-etm-07-01-0228"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>HL</given-names></name><name><surname>Tsai</surname><given-names>AC</given-names></name><name><surname>Pan</surname><given-names>SL</given-names></name><etal/></person-group><article-title>EPOX inhibits angiogenesis by degradation of Mcl-1 through ERK inactivation</article-title><source>Clin Cancer Res</source><volume>15</volume><fpage>4904</fpage><lpage>4914</lpage><year>2009</year></element-citation></ref>
<ref id="b22-etm-07-01-0228"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Philchenkov</surname><given-names>A</given-names></name><name><surname>Zavelevich</surname><given-names>M</given-names></name><name><surname>Imbs</surname><given-names>T</given-names></name><name><surname>Zvyagintseva</surname><given-names>T</given-names></name><name><surname>Zaporozhets</surname><given-names>T</given-names></name></person-group><article-title>Sensitization of human malignant lymphoid cells to etoposide by fucoidan, a brown seaweed polysaccharide</article-title><source>Exp Oncol</source><volume>29</volume><fpage>181</fpage><lpage>185</lpage><year>2007</year></element-citation></ref>
<ref id="b23-etm-07-01-0228"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>P&#x000E1;rrizas</surname><given-names>M</given-names></name><name><surname>Saltiel</surname><given-names>AR</given-names></name><name><surname>LeRoith</surname><given-names>D</given-names></name></person-group><article-title>Insulin-like growth factor 1 inhibits apoptosis using the phosphatidylinositol 3&#x02032;-kinase and mitogen-activated protein kinase pathways</article-title><source>J Biol Chem</source><volume>272</volume><fpage>154</fpage><lpage>161</lpage><year>1997</year></element-citation></ref>
<ref id="b24-etm-07-01-0228"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Anderson</surname><given-names>P</given-names></name></person-group><article-title>Kinase cascades regulating entry into apoptosis</article-title><source>Microbiol Mol Biol Rev</source><volume>61</volume><fpage>33</fpage><lpage>46</lpage><year>1997</year></element-citation></ref>
<ref id="b25-etm-07-01-0228"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>JO</given-names></name><name><surname>Song</surname><given-names>MG</given-names></name><name><surname>Kim</surname><given-names>YN</given-names></name><name><surname>Park</surname><given-names>JI</given-names></name><name><surname>Kwak</surname><given-names>JY</given-names></name></person-group><article-title>The mechanism of fucoidan-induced apoptosis in leukemic cells: involvement of ERK1/2, JNK, glutathione, and nitric oxide</article-title><source>Mol Carcinog</source><volume>49</volume><fpage>771</fpage><lpage>782</lpage><year>2010</year></element-citation></ref>
<ref id="b26-etm-07-01-0228"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hyun</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>SC</given-names></name><name><surname>Kang</surname><given-names>JI</given-names></name><etal/></person-group><article-title>Apoptosis inducing activity of fucoidan in HCT-15 colon carcinoma cells</article-title><source>Biol Pharm Bull</source><volume>32</volume><fpage>1760</fpage><lpage>1764</lpage><year>2009</year></element-citation></ref>
<ref id="b27-etm-07-01-0228"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boo</surname><given-names>HJ</given-names></name><name><surname>Hyun</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>SC</given-names></name><etal/></person-group><article-title>Fucoidan from <italic>Undaria pinnatifida</italic> induces apoptosis in A549 human lung carcinoma cells</article-title><source>Phytother Res</source><volume>25</volume><fpage>1082</fpage><lpage>1086</lpage><year>2011</year></element-citation></ref>
<ref id="b28-etm-07-01-0228"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boucher</surname><given-names>MJ</given-names></name><name><surname>Morisset</surname><given-names>J</given-names></name><name><surname>Vachon</surname><given-names>PH</given-names></name><name><surname>Reed</surname><given-names>JC</given-names></name><name><surname>Lain&#x000E9;</surname><given-names>J</given-names></name><name><surname>Rivard</surname><given-names>N</given-names></name></person-group><article-title>MEK/ERK signaling pathway regulates the expression of Bcl-2, Bcl-X(L), and Mcl-1 and promotes survival of human pancreatic cancer cells</article-title><source>J Cell Biochem</source><volume>79</volume><fpage>355</fpage><lpage>369</lpage><year>2000</year></element-citation></ref>
<ref id="b29-etm-07-01-0228"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Balmanno</surname><given-names>K</given-names></name><name><surname>Cook</surname><given-names>SJ</given-names></name></person-group><article-title>Tumour cell survival signalling by the ERK1/2 pathway</article-title><source>Cell Death Differ</source><volume>16</volume><fpage>368</fpage><lpage>377</lpage><year>2009</year></element-citation></ref>
<ref id="b30-etm-07-01-0228"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akgul</surname><given-names>C</given-names></name></person-group><article-title>Mcl-1 is a potential therapeutic target in multiple types of cancer</article-title><source>Cell Mol Life Sci</source><volume>66</volume><fpage>1326</fpage><lpage>1336</lpage><year>2009</year></element-citation></ref>
<ref id="b31-etm-07-01-0228"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Domina</surname><given-names>AM</given-names></name><name><surname>Vrana</surname><given-names>JA</given-names></name><name><surname>Gregory</surname><given-names>MA</given-names></name><name><surname>Hann</surname><given-names>SR</given-names></name><name><surname>Craig</surname><given-names>RW</given-names></name></person-group><article-title>MCL1 is phosphorylated in the PEST region and stabilized upon ERK activation in viable cells, and at additional sites with cytotoxic okadaic acid or taxol</article-title><source>Oncogene</source><volume>23</volume><fpage>5301</fpage><lpage>5315</lpage><year>2004</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-etm-07-01-0228" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of fucoidan on cell proliferation and apoptosis in MC3 MEC cells. Cells were treated with DMSO (vehicle control; con) or varied concentrations of fucoidan (25, 50, and 100 &#x003BC;g/ml) for 48 h. (A) Cell morphology was observed under an optical microscope and cell proliferation was determined by cell counting. The values in the bar chart represents the mean &#x000B1; standard deviation (SD) of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 compared with the control group. (B) Fluorescent microscope images of DAPI-stained MC3 cells. The number of cells with nuclear fragmentation and condensation were quantified and the values in the bar chart are expressed as the mean &#x000B1; SD of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 compared with the control group. MEC, mucoepidermoid carcinoma cancer; DMSO, dimethyl sulfoxide; DAPI, 4&#x02032;,6-diamidino-2-phenylindole.</p></caption>
<graphic xlink:href="ETM-07-01-0228-g00.gif"/></fig>
<fig id="f2-etm-07-01-0228" position="float">
<label>Figure 2</label>
<caption>
<p>Caspase-mediated apoptosis in MC3 MEC cells. (A) Cleaved PARP and caspase 3 were detected in MC3 MEC cells treated with fucoidan by western blot analysis and actin was used as the loading control. (B) A pan caspase inhibitor (zVAD-fmk) was used to evaluate the involvement of caspase 3 in fucoidan-induced apoptosis. MEC, mucoepidermoid carcinoma cancer; PARP, poly ADP ribose polymerase.</p></caption>
<graphic xlink:href="ETM-07-01-0228-g01.gif"/></fig>
<fig id="f3-etm-07-01-0228" position="float">
<label>Figure 3</label>
<caption>
<p>Effects of fucoidan on the activation of MAPKs (ERK1/2, p38 and JNK). MC3 MEC cells were treated with DMSO (vehicle control) or varied concentrations of fucoidan (25, 50, and 100 &#x003BC;g/ml) for 48 h. (A) Effects of fucoidan on phospho-ERK1/2 and ERK1/2 were detected by western blot analysis and the bar chart represents the mean &#x000B1; standard deviation of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 compared with the control group. (B) Phospho-p38 (p-p38), phospho-JNK (p-JNK), p38 and JNK were detected. MAPK, mitogen-activated protein kinase; ERK, extracellular signal-regulated kinase; MEC, mucoepidermoid carcinoma cancer; DMSO, dimethyl sulfoxide.</p></caption>
<graphic xlink:href="ETM-07-01-0228-g02.gif"/></fig>
<fig id="f4-etm-07-01-0228" position="float">
<label>Figure 4</label>
<caption>
<p>Effects of fucoidan on Mcl-1 protein expression in MC3 MEC cells. MC3 cells were treated with DMSO (vehicle control) or varied concentrations of fucoidan (25, 50, and 100 &#x003BC;g/ml) for 48 h and the expression of Mcl-1 protein was anlayzed by western blotting. The bar chart represents the mean &#x000B1; standard deviation of three independent experiments. <sup>&#x0002A;</sup>P&lt;0.05 compared with the control group. MEC, mucoepidermoid carcinoma cancer; DMSO, dimethyl sulfoxide.</p></caption>
<graphic xlink:href="ETM-07-01-0228-g03.gif"/></fig></floats-group></article>
