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      Brusatol suppresses STAT3-driven metastasis by downregulating epithelial-mesenchymal transition in hepatocellular carcinoma

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          Graphical abstract

          Highlights

          • Brusatol affects migration and invasion ability of HCC cells.

          • Brusatol affects EMT process through modulation of STAT3 activation pathway.

          • Brusatol mitigates tumorigenesis and metastasis in HCC preclinical model.

          Abstract

          Introduction

          Epithelial-mesenchymal transition (EMT) is a process of transdifferentiation where epithelial cells attain mesenchymal phenotype to gain invasive properties and thus, can contribute to metastasis of tumor cells.

          Objectives

          The antimetastatic and antitumor efficacy of brusatol (BT) was investigated in a hepatocellular carcinoma (HCC) model.

          Methods

          We evaluated the action of BT on EMT process using various biological assays in HCC cell lines and its effect on tumorigenesis in an orthotopic mouse model.

          Results

          We found that BT treatment restored the expression of Occludin, E-cadherin (epithelial markers) while suppressing the levels of different mesenchymal markers in HCC cells and tumor tissues. Moreover, we observed a decline in the expression of transcription factors (Snail, Twist). Since the expression of these two factors can be regulated by STAT3 signaling, we deciphered the influence of BT on modulation of this pathway. BT suppressed the phosphorylation of STAT3 Y705 and STAT3 depletion using siRNA resulted in the restoration of epithelial markers. Importantly, BT (1mg/kg) reduced the tumor burden in orthotopic mouse model with a concurrent decline in lung metastasis.

          Conclusions

          Overall, our results demonstrate that BT interferes with STAT3 induced metastasis by altering the expression of EMT-related proteins in HCC model.

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          Most cited references91

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          Molecular mechanisms of epithelial-mesenchymal transition.

          The transdifferentiation of epithelial cells into motile mesenchymal cells, a process known as epithelial-mesenchymal transition (EMT), is integral in development, wound healing and stem cell behaviour, and contributes pathologically to fibrosis and cancer progression. This switch in cell differentiation and behaviour is mediated by key transcription factors, including SNAIL, zinc-finger E-box-binding (ZEB) and basic helix-loop-helix transcription factors, the functions of which are finely regulated at the transcriptional, translational and post-translational levels. The reprogramming of gene expression during EMT, as well as non-transcriptional changes, are initiated and controlled by signalling pathways that respond to extracellular cues. Among these, transforming growth factor-β (TGFβ) family signalling has a predominant role; however, the convergence of signalling pathways is essential for EMT.
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            The basics of epithelial-mesenchymal transition.

            The origins of the mesenchymal cells participating in tissue repair and pathological processes, notably tissue fibrosis, tumor invasiveness, and metastasis, are poorly understood. However, emerging evidence suggests that epithelial-mesenchymal transitions (EMTs) represent one important source of these cells. As we discuss here, processes similar to the EMTs associated with embryo implantation, embryogenesis, and organ development are appropriated and subverted by chronically inflamed tissues and neoplasias. The identification of the signaling pathways that lead to activation of EMT programs during these disease processes is providing new insights into the plasticity of cellular phenotypes and possible therapeutic interventions.
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              • Article: found

              A perspective on cancer cell metastasis.

              Metastasis causes most cancer deaths, yet this process remains one of the most enigmatic aspects of the disease. Building on new mechanistic insights emerging from recent research, we offer our perspective on the metastatic process and reflect on possible paths of future exploration. We suggest that metastasis can be portrayed as a two-phase process: The first phase involves the physical translocation of a cancer cell to a distant organ, whereas the second encompasses the ability of the cancer cell to develop into a metastatic lesion at that distant site. Although much remains to be learned about the second phase, we feel that an understanding of the first phase is now within sight, due in part to a better understanding of how cancer cell behavior can be modified by a cell-biological program called the epithelial-to-mesenchymal transition.
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                Author and article information

                Contributors
                Journal
                J Adv Res
                J Adv Res
                Journal of Advanced Research
                Elsevier
                2090-1232
                2090-1224
                13 July 2020
                November 2020
                13 July 2020
                : 26
                : 83-94
                Affiliations
                [a ]Department of Science in Korean Medicine, College of Korean Medicine, Kyung Hee University, 24 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Republic of Korea
                [b ]Department of Studies in Molecular Biology, University of Mysore, Manasagangotri, Mysore 570006, India
                [c ]Division of Cellular and Molecular Research, Humphrey Oei Institute of Cancer Research, National Cancer Centre, Singapore
                [d ]Adichunchanagiri Institute for Molecular Medicine, BG Nagara 571448, Nagamangala Taluk, India
                [e ]Department of Studies in Organic Chemistry, University of Mysore, Manasagangotri, Mysore 570006, India
                [f ]Department of Botany and Microbiology, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
                [g ]Department of Pediatrics, College of Medicine and King Khalid University Hospital, King Saud University Medical City, Riyadh 11461, Saudi Arabia
                [h ]Amity Institute of Molecular Medicine and Stem cell Research (AIMMSCR), Amity University, Noida, Uttar Pradesh 201313, India
                [i ]Faculty of Medicine, The Chinese University of Hong Kong, Rm 101, 1/F Li Wai Chun Building, CUHK, Shatin, N.T., Hong Kong
                [j ]Institution of Excellence, Vijnana Bhavan, University of Mysore, Manasagangotri, Mysore 570006, India
                [k ]Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, Singapore
                [l ]Holistic Integrative Pharmacy Institutes, Hangzhou Normal University, Hangzhou, China
                [m ]Institute of Molecular and Cell Biology, A*STAR, Biopolis, Singapore
                [n ]Program in Cancer & Stem Cell Biology, Duke-NUS Medical School, Singapore
                [o ]National University of Singapore, Dept of Biochemistry, Yong Loo Lin School of Medicine, Singapore
                Author notes
                [* ]Corresponding authors at: Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, Singapore ( Gautam Sethi), Division of Cellular and Molecular Research, Humphrey Oei Institute of Cancer Research, National Cancer Centre, Singapore (Kam Man Hui), and Department of Science in Korean Medicine, College of Korean Medicine, Kyung Hee University, 24 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Republic of Korea (Kwang Seok Ahn). phcgs@ 123456nus.edu.sg cmrhkm@ 123456nccs.com.sg ksahn@ 123456khu.ac.kr
                [1]

                JHL and CDM contributed equally to this work.

                Article
                S2090-1232(20)30163-6
                10.1016/j.jare.2020.07.004
                7584682
                33133685
                23d597a1-85ac-4bf1-8b3f-5f20ed918e75
                © 2020 The Authors. Published by Elsevier B.V. on behalf of Cairo University.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 25 April 2020
                : 15 June 2020
                : 8 July 2020
                Categories
                Article

                emt,brusatol,hcc,orthotopic mouse model,metastasis
                emt, brusatol, hcc, orthotopic mouse model, metastasis

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