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. 2014 Sep 30;5(18):8478-91.
doi: 10.18632/onco_target.2328.

The iron chelator Dp44mT inhibits hepatocellular carcinoma metastasis via N-Myc downstream-regulated gene 2 (NDRG2)/gp130/STAT3 pathway

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The iron chelator Dp44mT inhibits hepatocellular carcinoma metastasis via N-Myc downstream-regulated gene 2 (NDRG2)/gp130/STAT3 pathway

Jiabei Wang et al. Onco_target. .

Abstract

Here we showed that hepatocellular carcinoma (HCC) cell lines with high metastatic potential had low levels of NDRG2. The iron chelator Dp44mT up-regulated NDRG2, suppressed epithelial-mesenchymal transition (EMT) and inhibited tumor metastasis in HCC having high metastatic potential. Also Dp44mT attenuated the TGF-β1-induced EMT in HCC having low metastatic potential. In agreement, silencing endogenous NDRG2 with shNDRG2 in HCC cells attenuated the effect of Dp44mT. We showed that the NDRG2/gp130/STAT3 pathway can mediate Dp44mT effects. In agreement, we found that a combination of NDRG2 expression and p-STAT3 levels is a strong predictor of prognosis in HCC patients. We suggest that up-regulation of NDRG2 by Dp44mT is a promising therapeutic approach in HCC.

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Conflict of interest statement

Disclosure of potential conflicts of interest

No potential conflicts of interest were disclosed.

Figures

Figure 1
Figure 1. Levels of NDRG2 are decreased in HCC clinical samples, and decreased levels of NDRG2 indicate invasion/metastasis of HCC
(A) and (B) The protein and mRNA levels were evaluated in the indicated cell lines. The expression of NDRG2 was normalized against β-actin. (C) Cell invasion assay was performed in the indicated cells. The invading cells through the ECM were enumerated 48 hours later. The results represent means ± SD of experiments performed in triplicate. (D) Real-time PCR results of relative expression level of NDRG2 mRNA in 17 normal liver (Normal), 16 HCC without vascular invasion (Non-inv), and 15 HCC with vascular invasion (Inv) samples. mRNA levels of NDRG2 were normalized against β-actin. The results represent means ± SD of experiments performed in triplicate. (E) Protein levels of NDRG2 were determined in 15 Normal, 15 Non-inv, and 15 Inv samples. Box plot graph showed the statistical analysis of NDRG2 expression in all samples. The expression of NDRG2 was normalized against β-actin.
Figure 2
Figure 2. Dp44mT inhibits invasion and adhesion of cancer cells in vitro and inhibits metastasis in vivo through up-regulating NDRG2
(A) Dp44mT increased the expression of NDRG2 significantly in HCC-LM3 cells. Cell invasion experiment results showed Dp44mT (10 μM) or NDRG2 overexpression significantly inhibited the invasive capacity of HCC-LM3 cells, and NDRG2 knockdown attenuated the Dp44mT-induced inhibition of invasion in HCC-LM3 cells. The results represent means ± SD of experiments performed in triplicate. (B) 24 hours after Dp44mT (10 μM) treatment, adhesion to matrix proteins were performed in HCC-LM3 cells (which infected with NDRG2 or shNDRG2). Adhering cells were quantified by CytoSelectTM Cell Adhesion Assay Kit. The results represent means ± SD of experiments performed in triplicate. (C) 4 weeks after Dp44mT treatment, lung tissues were harvested. Representative lung tissue sections from each group were shown (hematoxylin and eosin stain; magnification, × 40). The number of lung metastatic foci in each group was calculated.
Figure 3
Figure 3. Dp44mT inhibits EMT in HCC cells
(A) 12 hours after Dp44mT (10 μM) treatment, real-time PCR was performed to assess mRNA levels of epithelial markers E-cadherin, cytokeratin-8, cytokeratin-17, cytokeratin-18, claudin-1, and claudin-8 and mesenchymal markers N-cadherin, vimentin, Jagged1, Jagged2, Goosecoid, and an EMT regulator TWIST1 in HCC-LM3 cells. Results were normalized against β-actin. The results represent means ± SD of experiments performed in triplicate. (B) 24 hours after treatment, immunoblotting showed Dp44mT (10 μM) or NDRG2 overexpression increased the expression of E-cadherin and decreased the expression of N-cadherin, vimentin and TWIST1 in HCC-LM3 and MHCC-97H cells. Knockdown of NDRG2 abrogated the effect of Dp44mT-induced reduction of EMT. β-actin was used as the internal control. All assays were done in triplicate. (C) Single and merged images were taken to show immunofluorescence staining of N-cadherin (green) and vimentin (red) accompanied by the cell nucleus (blue) stained by DAPI. (D) HCC-LM3 liver tumors from different groups were immunostained for indicated molecules. Pictures are representative of three independent experiments.
Figure 4
Figure 4. Dp44mT attenuates the TGF-β1-induced EMT in MHCC-97L and SMMC-7721 cells
(A) Cell invasion experiment results showed TGF-β1 (5 ng/ml) or NDRG2 knockdown significantly enhanced the invasive capacity of MHCC-97L cells, and Dp44mT (10 μM) and NDRG2 overexpression attenuated the TGF-β1/ NDRG2 knockdown induced activation of invasion in MHCC-97L and SMMC-7721 cells. The results represent means ± SD of experiments performed in triplicate. (B) Cells were pretreated in the presence or absence of TGF-β1 (5 ng/ml) for 48 hours and followed by co-incubation with Dp44mT (10 μM) for another 24 h. The expression of indicated proteins were detected by immunoblotting. (C) Iron (FeCl3) inhibits Dp44mT's ability to attenuate the TGF-β1-induced EMT. HCC cells were pre-treated in the presence or absence of TGF-β (5 ng/mL) for 48 h and followed by co-incubation with either: FeCl3 (20 μM), Dp44mT (10 μM) or Dp44mT (10 μM) + FeCl3 (20 μM) for another 24 h. (D) Immunoblotting showed that TGF-β1 or shNDRG2 treatment increases the expression of Snail, Slug and pSMAD3. Dp44mT or NDRG2 overexpression can attenuate the effect of TGF-β1. β-actin was used as the internal control. All assays were done in triplicate.
Figure 5
Figure 5. gp130/STAT3 pathway is involved in mediating Dp44mT action, and combination of NDRG2 expression and p-STAT3 signal is a powerful predictor of poor clinical outcome in HCCs
(A) 24 hours after indicated treatment (Dp44mT 10 μM), HCC cells were analyzed for the indicated protein by immunoblotting. β-actin was used as the internal control. (B) Cell invasion assay showed Dp44mT attenuated the IL-6 (20 ng/ml) induced invasive capacity in MHCC-97L cells. The results represent means ± SD of experiments performed in triplicate. (C) Dp44mT reduced IL-6-induced phosphorylation of STAT3 in MHCC-97L and SMMC-7721 cells. β-actin was used as the internal control. (D) Combination of NDRG2 and p-STAT3 enhanced correlation to clinical parameters and the significance for poor prognosis.

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