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ABBS 2008,40(09): Down-regulation of Sonic hedgehog signaling pathway activity is involved in 5-fluorouracil-induced apoptosis and motility inhibition in Hep3B cells

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Acta Biochim Biophys

Sin 2008, 40: 819-829

doi:10.1111/j.1745-7270.2008.00456.x

Down-regulation of Sonic hedgehog signaling

pathway activity is involved in 5-fluorouracil-induced apoptosis and motility

inhibition in Hep3B cells

Qiyu Wang1#, Shuhong Huang2#, Ling Yang1, Ling Zhao2, Yuxia Yin2, Zhongzhen Liu1, Zheyu Chen2*, and Hongwei Zhang1*

1

School of Life Sciences,

Shandong University, Jinan 250100, China

2

School of Medicine,

Shandong University, Jinan 250012, China

Received: March 25,

2008       

Accepted: June 26,

2008

This work was supported by the grants from the National Natural

Science­ Foundation of China (30570967, 30570967, 30228031, 30671072, 30671050

and 30725020) and the National Ministry of Science and Technology of China

(2006CB503803, 2007CB947100 and 2007CB815800)#

These

authors contributed equally to this work

*Corresponding

authors:

Hongwei Zhang: Tel,

86-531-88364935; Fax, 86-531-88565610; E-mail, [email protected]

Zheyu Chen: Tel, 86-531-88382329;

Fax, 86-531-88382329; E-mail, [email protected]

The Sonic hedgehog (SHh) pathway plays a

critical role in normal embryogenesis and carcinogenesis, but its function in cancer

cells treated with 5-fluorouracil (5-FU) remains unknown. We examined the

expression of a subset of SHh signaling pathway genes, including SHh, SMO,

PTC1, Su(Fu) and HIP in human hepatocellular carcinoma

(HCC) cell lines, Hep3B and HepG2, treated with 5-FU by reverse transcription­-polymerase

chain reaction. Using trypan blue analysis,

3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay and terminal

deoxynucleotidyl transferase-mediated digoxigenin-dUTP nick-end labeling assay,

we also detected the apoptosis of Hep3B cells resulting from the transfection

of pCS2-Gli1 expression vector combined with 5-FU treatment. The motility of

the cells was detected by scratch wound closure­ assay. The expression and

subcellular location of PTC1 protein in Hep3B cells treated by 5-FU were also

investigated­ by Western blot analysis and immunofluo­rescent microscopy. The

results indicated that the expression of SHh pathway target molecules at both

messenger RNA and protein­ levels are evidently down-regulated in Hep3B cells

treated with 5-FU. The overexpression of Gli1 restores cell viability and, to

some extent, the migration abilities inhibited by 5-FU. Furthermore, 5-FU

treatment affects the subcellular localization­ of PTC1 protein, a key member

in SHh signaling­ pathway. Our data showed that the down-regulation of SHh

signaling pathway activity was involved in 5-FU-induced apoptosis and the

inhibition of motility in hedgehog-activated HCC cell lines. This implies that

the combination of SHh signaling pathway inhibitor and 5-FU-based chemotherapy

might represent a more promising strategy against HCC.

Keywords        Sonic hedgehog signaling pathway; hepatocellular­

carcinoma; 5-fluorouracil; cell apoptosis; cell motility­

Hepatocellular carcinoma (HCC), the major tumor type of liver

cancer, is a malignancy with worldwide significance [1,2]. In recent years?liver cancer had the second

highest­ mortality rate of all malignancies in China, which is approximately 2040/100,000 per

year. Because the majority­ of patients present advanced or unresectable HCC,

traditional chemotherapy is ineffective. Therefore, it is necessary­ to

investigate the molecular mechanism of HCC development in order to create new

approaches to effective­ therapy [1].The hedgehog (Hh) signaling pathway plays a critical role in

organizing cell growth and differentiation during embryonic tissue patterning

[3]. The role of the Hh pathway­ in human cancers has been established [411]. A variety

of human cancers are induced by mutations leading­ to inappropriate Hh pathway

activation. For example, loss-of-function mutations of the Patched 1 (PTC1)

gene and excessive-activation mutations of the Smoothened (SMO) gene

might cause a number of human cancers [6,1216]. However, treatment with

specific Hh pathway inhibitors, such as KAAD-cyclopamine, can lead to growth

inhibition­ of cancer cells [6,9,1216].5-FU is an important, traditional chemotherapeutic drug. Adjuvant

5-FU-based chemotherapy is widely used in the clinical treatment of many

cancers, such as stage III colon­ cancer [17], gastrointestinal malignancies

[18], locally advanced unresectable pancreatic cancer [19], oropharyngeal

cancer [20],

and some patients with hepatoma [2123]. Though some

researchers have addressed the mechanism­ of 5-FU action [21,23], there is only

limited knowledge on the relationship between Sonic hedgehog (SHh) signaling

pathway and 5-FU. Further investigation of the function of 5-FU will help in

developing new strategies­ to increase its anticancer effect and will

contribute­ to the design of more powerful 5-FU derivatives.  Previous studies have shown that SHh signaling activation­ is an

important event in the development of human­ HCC [1]. Chen et al showed

that Gli1 short interfering­ RNA combined with 5-FU chemotherapy may be a more

promising strategy against HCC [8].In the present study, we explored whether SHh signaling­ pathway

activity was involved in the 5-FU-induced inhibition­ of cell viability and

motility in the Hep3B cell line. Based on our previous data [1], the Hep3B cell

line is known to have typical Hh signaling pathway activity, while the HepG2

cell line does not have typical activity. Furthermore, we also determined

whether the target molecules­ in the SHh signaling pathway could potentially

serve as predictive biomarkers in 5-FU-based HCC chemotherapy­ in the future.  Materials and Methods

Cell culture

Human HCC cell lines Hep3B and HepG2 were both purchased­ from the Cell

Bank, Chinese Academy of Sciences­ (Shanghai, China), and cultured in Dulbecco’s

modified Eagle’s medium (Gibco, Gaithersburg, USA), supplemented with 10 mM

HEPES (Gibco), 5 mM L-glutamine (Gibco), and 10% fetal bovine serum

(Gibco) in a humidified atmosphere of sterile air, 5% CO2 at 37 ?C.

Construction of pCS2-Gli1 expression vector and transfection

Human full-length complementary DNA from Gli1 was cleaved

from the pBluescript SK-Gli1 (a gift from Dr. Jingwu Xie, Department of

Pharmacology and Toxicology, Sealy Center for Cancer Cell Biology, University

of Texas, Galveston, USA) by HindIII and XbaI, and subcloned into

the pCS2 expression vector. Transient transfection of pCS2-Gli1 expression

vector in HCC cells was carried out using Lipofectamine 2000 reagent

(Invitrogen, Carlsbad, USA), according to the manufacturer’s recommendations. One day before transfection, 4000

cells per well were plated in a 6-well plate without antibiotics so that cells

would be 90% confluent at the time of transfection. The cells were transfected

with 4 mg plasmids, using 10 ml of Lipofec­tamine 2000. media were changed

at 24 h after transfection­ and replaced with 2 ml of fresh complete medium. To detect transfection efficiency, the co-transfection of

Gli1/green fluorescent protein (GFP) expression vectors was also carried out.

Phase contrast and fluorescence microscope micro­scopy

Phase contrast and fluorescence microscope micro­scopy

Cells were placed into 24-well plates and cultured for 24 h,

followed by transfection. As in previous reports and viability tests for IC50 at 48 h (Fig. 1) [23], the cells were treated with 150 mM 5-FU (19.51 mg/ml) every 24 h

for 3 d, observed and then photographed under a phase contrast­ microscope

(Nikon, Tokyo, Japan). Cells in each well were collected by spinning and

resuspended and stained with 0.5% trypan blue. Using a microscope, we counted

the number of unstained cells within limited grids in blood cell-counting

chambers. Then, the total number of living cells in each well was calculated.

Cells were fixed with 4% formaldehyde, pH 7.6, in another plate, stained with

acridine orange or Hochest33258 respectively, then cells were observed and

photographs were taken under a fluorescence microscope (Nikon).

MTT assay for cell viability

Cell viability was assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium

bromide (MTT; Sigma, St. Louis, USA) assay [23]. Briefly, in 96-well plates,

different groups (including a transfection group) of Hep3B and HepG2 cells were

treated for 6, 12, 24, 48, 72, 96 and 120 h with 100 ml Dulbecco’s modified Eagle’s

medium containing 0.1% dimethyl sulfoxide (DMSO), 150 mM 5-FU (19.51 mg/ml) and 2 mM

KAAD-cyclopamine respectively. About 20 ml of 5 mg/ml MTT in PBS was

added to each well including blank groups, and the plates were put into CO2 incubator at 37 ?C for 4 h. Then, when the supernatant was gently

removed, the formed formazan crystals were dissolved in 100 ml of DMSO. Using

a microplate reader (Bio-Rad, Hercules, USA), we evaluated the absorbance as

having an optical density value of 570 nm.

TUNEL assay

Hep3B cells were seeded onto sterile glass coverslips in a 6-well

plate, and then transfected. 5-FU was administered, and after 48 h, using an in

situ cell death detection kit, fluorescein was used to detect apoptotic

cells according to the recommended protocol (Roche Dignostics, Basel,

Switzerland). Terminal deoxynucleotidyl transferase fluorescence­-dUTP nick end

labeling (TUNEL) assay. The percentage of TUNEL positive cells was calculated

under a fluorescent microscope. At least 500 cells were counted in each

experiment [1]. The samples were analyzed under a fluorescence microscope with

450500

nm blue light activation and 515565 nm green light detection.

Immunocytochemistry

The immunocytochemistry procedure was modified as follows. After the

cells were washed three times with PBS for 15 s, then fixed with 4%

paraformaldehyde in PBS (pH 8) for 10 min. And the coverslips were incubated in

primary antibody at room temperature for 1 h. After washing­ with PBS for three

times, the cells were incubated­ in second antibody for another 1 h. Immunofluorescence was carried out using the primary antibodies

(PTC1, Cat. #6149; 1:300; Santa Cruz Biotechnology, Santa Cruz, USA) and Alexa

Fluor488-tagged secondary antibodies [1], and then observed under a fluorescence

microscope (Nikon), Alexa Fluor488 is excited at 475 nm laser light.

RNA extraction and reverse transcription-polymerase chain reaction

(RT-PCR)

RNA extraction was carried out using 20 ml Trizol total RNA extraction

reagent (Tiangen, Beijing, China) according­ to instructions with DNase I

digestion (Promega, Madison, USA). PCR experiments were carried out in 25 ml system using 2?PCR Taq MasterMix (Tiangen). The specific primer sequences,

annealing temperature and cycles are shown in Table 1. The band

intensity of each sample was quantitatively analyzed using Quantity One

software (Bio-Rad). The RT-PCR control was carried out by amplification­ of

glyceraldehyde-3-phosphate dehydrogenase (GAPDH) messenger RNA (mRNA)

using primers (Table 1).

Western blot analysis

PTC1 protein level was measured by Western blot using a PTC1

antibody (1:5000; Santa Cruz Biotechnology). Equal amounts of protein (5 mg per lane) were

loaded onto a 10% Tris-glycine gel, separated by electrophoresis, and

transferred to an Immobilon P membrane (Bio-Rad). The membranes were incubated

in blocking buffer (0.2 mM Tris, 137 mM NaCl, 5% no-fat milk, and 0.1% Tween

20) for 1 h and then probed at 4 ?C overnight with PTC1 antibody­ (1:5000;

Santa Cruz Biotechnology). The membranes­ were rinsed with washing buffer (0.1%

Tween 20, 0.2 mM Tris, and 137 mM NaCl) and incubated with horseradish

peroxidase-conjugated secondary antibody (1:5000) for 1 h at room temperature,

which was followed­ by chemiluminescent detection (Pierce, Rockford, USA).

Scratch wound closure assay for motility

Hep3B cells (3104/well) were seeded in a 6-well

plate and grown to 80% confluency before transfection. After 24 h, the monolayer

was scratched with a pipette tip to create a cell-free strip area [2426], gently

washed with PBS to remove floating cells and photographed at three random

locations (0 h). We set up different wells for control­ (0.1% DMSO solution)

and for 5-FU-treated groups with and without transfection. A photograph of cell

migration was taken with a microscope (Nikon) every 24 h for 3 d at the same

locations.

Statistical analysis

All data were expressed as mean±SE. Student’s t-test with

Welch’s correction was used to evaluate the differences. Differences between

two groups were determined using P-values. P<0.05 was considered statistically significant with marker *. All experiments were repeated three times.

Results

Expressions of SHh pathway target genes in Hep3B cells treated with

5-FU were down -regulated

It has been reported that the Hep3B cell line has SHh signaling­

pathway activity but that HepG2 does not, though the pathway ligand SHh could

be detected [1]. To determine­ whether 5-FU treatment could affect SHh pathway

activity, we examined the expression of SHh pathway related­ genes by RT-PCR.

The genes studied included ligand SHh gene, receptor SMO gene,

receptor PTC1 gene (a target gene in the SHh pathway), and the

transcript factor Gli1 gene, which could regulate the transcription of

target genes in SHh pathway. The expressions of Gli1 and PTC1

were believed to indicate the pathway activation [6,27]. We have also detected

the gene expression of Su(Fu) and HIP, both of which are negative

regulators of the SHh pathway. Our results revealed that 5-FU in Hep3B cells

could distinctly decrease the expression of PTC1 and Gli1 genes;

the mRNA levels of SHh, SMO and Su(Fu) were also

down-regulated, but HIP was not affected [Fig. 1(A)]. As in

previous reports [1,6], neither PTC1 nor Gli1 mRNA was detected

in HepG2 cells, and SHh expression was not affected [Fig. 1(B)]. To

confirm the above results, Western blot was carried out using PTC1 antibody.

The parallel result was obtained at protein level [Fig. 1(D)].

Overexpression of Gli1 could rescue the inhibition of cell

proliferation caused by 5-FU

To determine whether SHh pathway activity is involved in the

inhibition of cell proliferation caused by 5-FU, an expression­ plasmid,

pCS2-Gli1, was constructed and transfected­ into Hep3B cells. To avoid

interfering with Gli1 function, no tag was added in this construction. The

transfection­ efficiency was over 30%, as shown by co-transfection of pCS2-GFP

in the same system [Fig. 2(A)], and was confirmed by semi-quantitative

RT-PCR [Fig. 2(B)]. 5-FU was added to the medium 48 h after transfection­

and time-lapse MTT assay was carried out. The results revealed that the

experiment groups (Gli1 plasmid­ transfection combined with 5-FU treatment)

showed a higher growth rate than the 5-FU-treated groups (Fig. 3). They

also indicated that the overexpression of Gli1 could rescue cell proliferation

repressed by 5-FU. To determine whether the rescue effect was caused by the

inhibition of apoptosis in Hep3B cells, TUNEL assays were performed. As shown

in Fig. 4, 5-FU treated groups showed evident apoptosis, particularly

when compared with the control (P<0.05). However, Hep3B cells overexpressing Gli1 showed a lower rate of apoptosis compared with the 5-FU treated groups (P<0.05), as confirmed by phase contrast­ microscope (data not shown). These results were also confirmed by Hochest33258 fluorescent­ staining (Fig. 5) and  acridine

orange staining­ (Fig. 6). The rescue ability of the Gli1 plasmid

transfection­ group was also evident (P<0.05). Additionally, the repression­ extent by 5-FU is deeper than that by KAAD-cyclopamine, a specific­ inhibitor of Hh pathway; this may have resulted from the presumption that the down-regulation­ of the SHh pathway­ partially accounts for the antitumor effect of 5-FU. To get more direct evidence, we employed one of most credible experiments for testing cell viability, cell counting assay with trypan blue dyeing, using a hemocytometer on Hep3B cells (Fig. 7) [2830]. The results

are in accordance with those of MTT.

Overexpression of Gli1 could restore the cell motility

repressed by 5-FU

We detected the influence of the SHh signaling pathway on the

motility of Hep3B cells treated with 5-FU in scratch wound closure assay.

Higher mobility was observed in the group treated with 0.1% DMSO. The retrieval

effect on cell migration occurred in the 5-FU-treated Hep3B cells with Gli1

overexpressed [Fig. 8(A)]. In contrast, the 5-FU-treated HepG2 cells

showed few changes [Fig. 8(B)]. For Hep3B cells, the control group

showed marked migration after 24 h, while the 5-FU-treated groups did not.

Despite 5-FU treatment, the transfection groups still showed significant

motility after 48 h, compared with the initial morph of wound closure. For

HepG2 cells, 5-FU seemed less effective on cell motility than Hep3B.

The subcellular location of PTC1 protein changed in 5-FU-treated

cells

To investigate how 5-FU disturbed the SHh pathway signaling­ in

vitro, immunofluorescent assay was performed to detect the subcellular

location of PTC1 protein. In the control group, PTC1 protein appeared markedly

and mainly on the cell membrane and partially around the nucleus in the

cytoplasm (Fig. 9). When treated with 5-FU, PTC1 protein expression was

evidently down-regulated, and nearly all the PTC1 proteins were dispersed

across the cytoplasm. Furthermore, in the transfection group, the expression of

PTC1 protein was restored by the overexpression of Gli1. Analysis by fluorescent

intensity was carried out to confirm the differences at 0, 24 and 48 h. The

expression level of PTC1 protein in the 5-FU-treated groups was dramatically

reduced after 48 h treatment.

Discussion

More than 600,000 cases of liver cancer, mostly HCC, are diagnosed

globally each year. Because the majority of HCC cases are advanced or involve

an unresectable malignancy, it is characterized as a highly chemoresistant

cancer with no effective systemic therapy [1]. It

is the utmost important for us to gain a better understanding of the molecular

mechanism of HCC development and to find more effective therapeutic approaches.

Several important intracellular signaling pathways, such as Ras,

phosphatidylinositol-3 kinase, Wnt and Hh (the latter two are related to

embryogenesis), have been shown to function­ in HCC [9,31,32]. The role of the

Hh pathway in human liver cancer was established by Sicklick et al and

by our previous study [1,2]. Many investigations have indicated that targeted

inhibition of the Hh pathway in Hh-activated cancer cell lines results in

growth inhibition [6,9,13,14,16]. Our findings revealed that the expression of

SHh pathway­ target genes was decreased in Hep3B cells treated with 5-FU. The

data also indicated that over­expression of Gli1, a direct

transcriptional Hh target gene, could restore the proliferation ability and

cell motility suppressed by 5-FU in Hep3B cells. It implied that the

down-regulation of SHh signaling pathway activity was involved in cancer cells

5-FU-induced apoptosis. Our results were consistent­ with the recent report by

Chen et al that found the viability­ of Huh7 cells reduced when treated

with Gli1 short interfering­ RNA and 5-FU [8]. We also found that PTC1 had an abnormal subcellular location in

Hep3B cells treated with 5-FU. It suggested that 5-FU might directly or

indirectly change the function of PTC1 protein in Hep3B cells. PTC1 is an

important part of the Hh signaling pathway and serves as the receptor for the

secreted Hh molecule. The failure of PTC1-mediated suppression of SMO triggered

a cascade of intracellular events and activated the SHh signaling pathway [33].

It has been established that loss-of-function mutation in PTC1 occurs

frequently in human basal cell carcinomas and medulloblastomas [34]. However,

PTC1 might relate to the regulation of cell division [35]. Our data suggested

that 5-FU might down-regulate SHh signaling pathway activity through a

malfunction of PTC1, which subsequently induces the apoptosis and the

inhibition of motility of Hep3B cells, a classic Hh-activated HCC cell line.In summary, our results indicated that down-regulation of SHh

signaling pathway activity was involved in 5-FU antitumor effect. Thus,

5-FU-based combination chemotherapy that inhibits the SHh signaling pathway

might represent­ a promising strategy against HCC. To develop prospective

therapeutic strategies of HCC, key marker genes that respond to 5-FU must be

defined. As such, further investigation in multiple HCC cell lines and in

vivo should be conducted to benefit preclinical prevention and potential

clinical application in the future.

References

 1   Huang S, He J, Zhang X, Bian Y,

Yang L, Xie G, Zhang K et al. Activation of the hedgehog pathway in

human hepatocellular carcinomas. Carcinogenesis 2006, 27: 13341340

 2   Sicklick JK, Li YX, Jayaraman

A, Kannangai R, Qi Y, Vivekanandan P, Ludlow JW et al. Dysregulation of

the hedgehog pathway in human hepatocarcinogenesis. Carcinogenesis 2006, 27:

748757

 3   Lin SL, Chang SJ, Ying SY.

Transcriptional control of SHh/PTC1 signaling in embryonic development. Gene

2006, 367: 5665

 4   Kim Y, Yoon JW, Xiao X, Dean

NM, Monia BP, Marcusson EG. Selective down-regulation of glioma-associated

oncogene 2 inhibits­ the proliferation of hepatocellular carcinoma cells.

Cancer Res 2007, 67: 35833593

 5   Omenetti A, Diehl AM. The

adventures of sonic hedgehog in development and repair II. Sonic hedgehog and

liver development, inflammation, and cancer. Am J Physiol Gastrointest Liver

Physiol 2008, 294: 595598

 6   Akiyoshi T, Nakamura M, Koga K,

Nakashima H, Yao T, Tsuneyoshi M, Tanaka M et al. Gli1, downregulated in

colorectal cancers, inhibits proliferation of colon cancer cells involving Wnt

signaling activation. Gut 2006, 55: 991999

 7   Lewis MT, Visbal AP. The hedgehog

signaling network, mammary stem cells, and breast cancer: connections and

controversies. Ernst Schering Found Symp Proc 2006,5: 181217

 8   Chen XL, Cao LQ, She MR, Wang

Q, Huang XH, Fu XH. Gli1 siRNA induced apoptosis in Huh7 cells. World J Gastroenterol

2008, 14: 582589

 9   Kumar SK, Roy I, Anchoori RK,

Fazli S, Maitra A, Beachy PA, Khan SR. Targeted inhibition of hedgehog

signaling by cyclopamine prodrugs for advanced prostate cancer. Bioorg Med Chem

2008, 16: 27642768

10  Shaw G, Price AM, Ktori E,

Bisson I, Purkis PE, McFaul S, Oliver RT et al. Hedgehog signaling in

androgen independent prostate cancer. Eur Urol 2008 [Epub ahead of print]

11  Yanai K, Nakamura M, Akiyoshi

T, Nagai S, Wada J, Koga K, Noshiro H et al. Crosstalk of hedgehog and

Wnt pathways in gastric cancer. Cancer Lett 2008, 263: 145156

12  Nicolis SK. Cancer stem cells

and “stemness” genes in neuro-oncology­. Neurobiol Dis 2007, 25: 217229

13  Hussein MR. Ultraviolet

radiation and skin cancer: molecular mechanisms. J Cutan Pathol 2005, 32: 191205

14  Chang-Claude J, Dunning A,

Schnitzbauer U, Galmbacher P, Tee L, Wjst M, Chalmers J et al. The

patched polymorphism Pro1315Leu (C3944T) may modulate the association between

use of oral contraceptives and breast cancer risk. Int J Cancer 2003, 103: 779783

15  Saldanha G. The hedgehog

signaling pathway and cancer. J Pathol 2001, 193: 427432

16  Gailani MR, Bale AE.

Developmental genes and cancer: role of patched in basal cell carcinoma of the

skin. J Natl Cancer Inst 1997, 89: 11031109

17  Gibbs P, Handolias D,

McLaughlin S, Chapman M, Johns J, Faragher I. Single-institution experience of

adjuvant 5-fluorouracil-based chemotherapy for stage III colon cancer. Intern

Med J 2008, 38: 265269

18  Alvarez-Cabellos R, Garcia-Carbonero

R, Garcia-Lacalle C, Gomez P, Tercero A, Sanchez D, Paz-Ares L.

Fluorouracil-based chemotherapy in patients with gastrointestinal malignancies:

influence of nutritional folate status on toxicity. J Chemother 2007, 19: 744749

19  Oettle H, Neuhaus P. Adjuvant

therapy in pancreatic cancer: a critical appraisal. Drugs 2007, 67: 22932310

20  Watanabe A, Taniguchi M.

Metastatic oropharyngeal cancer successfully­ treated with docetaxel,

cisplatin, 5-FU and l-leucovorin. Gan To Kagaku Ryoho 2004, 31: 7981

21  Koike K, Takaki A, Tatsukawa M,

Suzuki M, Shiraha H, Iwasaki Y, Sakaguchi K et al. Combination of 5-FU

and IFN-a enhances IFN signaling pathway and caspase-8 activity, resulting in

marked apoptosis in hepatoma cell lines. Int J Oncol 2006, 29: 12531261

22  Oguma S, Sakai K, Sato R, Ouchi

K, Owada Y, Sato T. FT, 5-FU and uracil concentrations of the blood, bile and

tissue of hepatoma with liver cirrhosis after oral administration of UFT. Gan

To Kagaku Ryoho 1987, 14: 11221128

23  Chang J, Hsu Y, Kuo P, Kuo Y,

Chiang L, Lin C. Increase of Bax/ Bcl-XL ratio and arrest of cell cycle by

luteolin in immortalized human hepatoma cell line. Life Sci 2005, 76: 18831893

24  Lenferink AE, Magoon J, Cantin

C, O’Connor-McCourt MD. Investigation of three new mouse mammary tumor cell

lines as models for transforming growth factor (TGF)-b and Neu pathway

signaling studies: identification of a novel model for TGF-b-induced­

epithelial-to-mesenchymal transition. Breast Cancer Res 2004, 6: R514R530

25  Cao C, Sun Y, Healey S, Bi Z,

Hu G, Wan S, Kouttab N et al. EGFR-mediated expression of aquaporin-3 is

involved in human skin fibroblast migration. Biochem J 2006, 400: 225234

26  Liou GI, Matragoon S, Samuel S,

Behzadian MA, Tsai NT, Gu X, Roon P et al. MAP kinase and b-catenin signaling

in HGF induced RPE migration. Mol Vis 2002, 8: 483493

27  Adolphe C, Hetherington R,

Ellis T, Wainwright B. Patched1 functions as a gatekeeper by promoting cell

cycle progression. Cancer Res 2006, 66: 20812088

28  Roberts WG, Whalen PM, Soderstrom

E, Moraski G, Lyssikatos JP, Wang HF, Cooper B et al. Antiangiogenic and

antitumor activity­ of a selective PDGFR tyrosine kinase inhibitor, CP-673,451.

Cancer Res 2005, 65: 957966

29  Goto Y, Matsuzaki Y, Kurihara

S, Shimizu A, Okada T, Yamamoto K, Murata H et al. A new melanoma

antigen fatty acid-binding protein 7, involved in proliferation and invasion,

is a potential target for immunotherapy and molecular target therapy. Cancer

Res 2006, 66: 44434449

30  Olver S, Groves P, Buttigieg K,

Morris ES, Janas ML, Kelso A, Kienzle N. Tumor-derived interleukin-4 reduces

tumor clearance and deviates the cytokine and granzyme profile of tumor-induced

CD8+ T cells. Cancer Res 2006, 66: 571580

31  Austinat M, Dunsch R, Wittekind

C, Tannapfel A, Gebhardt R, Gaunitz F. Correlation between b-catenin mutations

and expression­ of Wnt-signaling target genes in hepatocellular carcinoma. Mol

Cancer 2008, 7: 21

32  Koike K. Antiviral treatment of

hepatitis C: present status and future prospects. J Infect Chemother 2006, 12:

227232

33  Ingham PW. Transducing

hedgehog: the story so far. EMBO J 1998, 17: 35053511

34  Hahn H, Christiansen J, Wicking

C, Zaphiropoulos PG, Chidambaram A, Gerrard B, Vorechovsky I et al. A mammalian

patched homolog is expressed in target tissues of sonic hedgehog and maps to a

region associated with developmental abnormalities. J Biol Chem 1996, 271:

1212512128

35  Barnes EA, Kong M, Ollendorff

V, Donoghue DJ. Patched1 interacts­ with cyclin B1 to regulate cell cycle

progression. EMBO J 2001, 20: 22142223