Wogonin inhibits the proliferation and invasion, and induces the apoptosis of HepG2 and Bel7402 HCC cells through NF‑κB/Bcl-2, EGFR and EGFR downstream ERK/AKT signaling
- Authors:
- Published online on: August 5, 2016 https://doi.org/10.3892/ijmm.2016.2700
- Pages: 1250-1256
Abstract
Introduction
Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related mortality worldwide and the incidence of HCC is increasing (1). Despite advances in surgical techniques and chemotherapeutic methods, the survival rate of patients with HCC remains poor. Recent studies have identified a number of molecules and signaling pathways that influence the malignant biological behavior of HCC (2–4). The identification of new molecules targeting these signaling pathways to inhibit cancer cell proliferation and metastasis may lead to the development of novel therapeutic strategies for HCC.
Wogonin belongs to the family of flavonoids, and is derived from the Chinese herb, Scutellaria baicalensis Georgi. It has been reported that wogonin exerts antioxidant, anti-thrombotic and anti-inflammatory effects (5–8). The inhibitory effects of wogonin on cancer cell growth and survival have been reported in several cancer cells, such as lung, cervical, leukemia and breast cancer cells (9–13). These studies also demonstrated some of the mechanisms through which wogonin exerts its inhibitory effects on cancer cell growth. For example, it was demonstrated that wogonin inhibited phorbol 12-myristate 13-acetate (PMA)-induced cyclooxygenase-2 (COX-2) protein and mRNA expression in human lung epithelial cancer cells (9). The authors also found that the mitogen-activated protein kinase kinase 1/2 (MEK1/2) inhibitor, U0126, also inhibited PMA-induced COX-2 expression. In addition, the activity of the AP-1-driven promoter, but not that of nuclear factor-κB (NF-κB), was inhibited by U0126. In that study, the authors suggested that wogonin inhibited PMA-induced COX-2 mRNA expression by inhibiting c-Jun expression and AP-1 activation in lung cancer cells (9). Another study demonstrated that wogonin induced the apoptosis of lung cancer cells by promoting the generation of reactive oxygen species (ROS) (12). It has also been previously demonstrated that wogonin induces the apoptosis of breast cancer cells by modulating the PI3K/AKT pathway (13). Thus, these studies demonstrate that wogonin inhibits cell cycle progression, regulates the p21, p27 and p53 status, promotes the generation of ROS, and downregulates the expression of the anti-apoptotic protein, Bcl-2 (14).
EGFR, which is overexpressed in various malignancies, plays a central role in essential cellular functions, including proliferation, apoptosis and differentiation, making it an important target in cancer therapy (15,16). It has been demonstrated that the ERK pathway, which can induce pro-matrix metalloproteinase 2 (MMP-2) activation, is a downstream target of EGFR (30). EGFR also regulates AKT signaling. The PI3K/AKT pathway is a well-known signaling pathway, which plays an important role in cell growth, metabolism, proliferation, migration and apoptosis (17,18). In addition, EGFR is an effective target of anti-HCC drugs (19).
However, to date, the molecular mechanisms of action of wogonin in HCC are not yet fully understood. In this study, we examined the effects of wogonin on NF-κB and epidermal growth factor receptor (EGFR) signaling. Importantly, we confirmed that wogonin promoted HCC cell apoptosis through the inhibition of NF-κB-induced Bcl-2 expression, and suppressed HCC cell proliferation and invasion through the inhibition of the EGFR (Tyr845)/ERK/AKT-induced activation of cyclin D1 and MMP2.
Materials and methods
Cell culture and transfection with small interfering RNA (siRNA)
The Bel7402 and HepG2 HCC cell lines were obtained from the American Type Culture Collection (ATCC, Manassas, VA, USA). The cells were cultured in DMEM (Invitrogen, Carlsbad, CA, USA) containing 10% fetal calf serum. Wogonin was purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA) and dissolved at a 500 mM concentration in dimethyl sulfoxide (DMSO) as a stock solution which was stored at −20°C. The cells were treated with various concentrations of wogonin (0, 25, 50 and 100 μM) for 24 h. Cells not treated with wogonin were used as controls. In addition, the cells were treated with the NF-κB inhibitor, Bay 11-7082 (5 μM for 12 h; Sigma-Aldrich, St. Louis, MO, USA). siRNA targeting EGFR were purchased from Dharmacon (Thermo Fisher Scientific, Inc., Beijing, China). The sequence of the siRNA against EGFR was CACAGUGGAGCGAAUUCCU. The control non-targeting siRNA sequence was GGACUUGGAUGAAGAAAUC. The cells were transfected with the siRNA using DharmaFECT 1 transfection reagent (Thermo Fisher Scientific, Waltham, MA, USA) according to the manufacturer's instructions. The transfection efficiency was determined by western blot analysis.
Cell counting kit-8 (CCK-8) cell proliferation assay
Cell proliferation assay was performed using CCK-8 solution (Dojindo, Kumamoto, Japan) according to the manufacturer's instructions. Cell proliferation was examined on days 1, 2 and 3 following treatment with wogonin. The cells were seeded at approximately 5×103 cells each well in 96-well plates and incubated with 10 μl CCK-8 solution for approximately 4 h. The optical density of the wells was measured at 450 nm using a Tecan F50 microplate reader (Tecan, Männedorf, Switzerland).
Quantitative (real-time) PCR (qPCR)
qPCR was performed using the SYBR-Green master mix kit (Applied Biosystems, Foster City, CA, USA). PCR was performed using the 7500 Real-time PCR system (Applied Biosystems). β-actin was used as the reference gene. The relative expression of target genes were calculated as ΔCt = Ct gene − Ct reference, and the fold change of target gene expression was calculated using the 2−ΔΔCt method. All PCR experiments in this study were repeated in triplicate. The sequences of the primers were as follows: cyclin D1 forward, 5′-GCTGGAGGTCTGCGAGGA-3′ and reverse, 5′-ACAGGAAGCGGTCCAGGTAGT-3′; cyclin E forward, 5′-AGCCAGCCTTGGGACAATAAT-3′ and reverse, 5′-GAGCCTCTGGATGGTGCAAT-3′; Bcl-2 forward, 5′-ACGGTGGTGGAGGAGCTCTT-3′ and reverse, 5′-CGGTTGACGCTCTCCACAC-3′; MMP2 forward, 5′-TGTGTTCTTTGCAGGGAATGAAT-3′ and reverse, 5′-TGTCTTCTTGTTTTTGCTCCAGTTA-3′; β-actin forward, 5′-ATAGCACAGCCTGGATAGCAACGTAC-3′ and reverse, 5′-CACCTTCTACAATGAGCTGCGTGTG-3′.
Western blot analysis
Whole cell extracts were prepared in cell lysis buffer (Pierce, Rockford, IL, USA) and quantified using the Bradford method. A total of 40 μg protein was separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Following electrophoresis, the proteins were transferred onto PVDF membranes (Millipore, Billerica, MA, USA) and blocked using non-fat milk. The membranes were incubated overnight at 4°C with antibodies against p-ERK (4376), p-AKT (4060), p-EGFR (Tyr845; 6963), cyclin D1 (2978), MMP2 (4022), cyclin E (4129), Bcl-2 (15071), CDK4 (12790), CDK6 (3136), cleaved caspase-3 (9661) and cleaved caspase-9 (7237) at a 1:1,000 dilution (all from Cell Signaling Technology, Danvers, MA, USA) and glyceraldehyde 3-phosphate dehydrogenase (GAPDH; 5174) at a 1:2,000 dilution (Cell Signaling Technology). This was followed by incubation with HRP-conjugated IgG antibody (1:2,000 dilution) (Cell Signaling Technology). All PVDF membranes were visualized using an enhanced chemiluminescence (ECL) kit (Pierce). Quantitative analysis of the western blots was performed using ImageJ software by assessing the grey value of the western blot bands.
Matrigel invasion assay and migration assay
Matrigel invasion assay was performed using a 24-well Transwell chamber (Costar, Cambridge, MA, USA). The inserts were coated with 20 μl Matrigel (1:5 dilution; BD Bioscience, San Jose, CA, USA). Following treatment, the HepG2 and Bel7402 cells were suspended in 100 μl of medium without serum and were transferred to the upper Transwell chambers. Approximately 600 μl of medium containing 10% fetal bovine serum (FBS) was added to the lower chamber. Following 16 h of incubation, the non-invaded cells on the upper membrane surface were removed using a cotton tip, and the cells that had passed through the filter were stained using hematoxylin (Sigma-Aldrich). The invading cell number was counted under a microscope (BX53; Olympus, Tokyo, Japan).
Cell cycle analysis and apoptosis by flow cytometry
Following incubation with wogonin, the cells were washed with phosphate-buffered saline (PBS) and suspended in a propidium iodide (PI) buffer (10 μg/ml PI, 0.5% Tween-20, 0.1% RNase in PBS). The cell cycle was analyzed using a FACS flow cytometer (Becton-Dickinson, San Jose, CA, USA).
For the detection of apoptosis, the Annexin V/PI apoptosis kit (Becton-Dickinson) was used. The cells were washed twice with PBS and suspended with binding buffer. Subsequently, 5 μl of Annexin V-FITC and 10 μl of PI were added followed by the incubation of the cells in the dark. The apoptotic rate was examined using a FACS flow cytometer (Becton-Dickinson).
Statistical analysis
SPSS version 11 for Windows was used for all analyses. ANOVA with a post-hoc test was applied to compare the differences between the control group and the wogonin-treated group. The Student's t-test was used to compare other data and a value of p<0.05 was considered to indicate a statistically significant difference.
Results
Wogonin inhibits the proliferation of HepG2 and Bel7402 cells by inhibiting the G1-S phase transition
The HepG2 and Bel7402 HCC cell lines were used to examine the growth inhibitory effects of wogonin (0, 25, 50 and 100 μM for 24 h). The results of CCK-8 assay revealed that treatment with wogonin inhibited the proliferation of both cell lines in a concentration-dependent manner (day 3: Bel7402, p<0.001; HepG2, p<0.001; ANOVA test) (Fig. 1A). Further analysis of the cell cycle revealed that wogonin significantly reduced the percentage of cells in the S phase and increased the percentage of cells in the G1 phase compared with the untreated control cells, thus indicating that wogonin induced arrest cell cycle at the G1-S checkpoint (Bel7402, p<0.001; HepG2, p<0.001) (Fig. 1B). Wogonin also decreased the percentage of cells in the G2/M phase in both cell lines (p<0.05).
Cyclin D1, cyclin E and CDK4/6 are the key factors controlling cell cycle progression. Thus, we examined the expression levels of these proteins in the wogonin-treated HepG2 and Bel7402 cells. By performing western blot analysis, we found that treatment with wogonin markedly decreased the protein expression levels of cyclin D1, cyclin E and CDK4/6 in a concentration dependent manner (Fig. 2A). In addition, qPCR yielded similar results. The mRNA expression levels of cyclin D1 and cyclin E decreased in the cells following treatment with wogonin (Bel7402: cyclin D1 and cyclin E, p<0.001; HepG2: cyclin D1 and cyclin E, p<0.001; ANOVA test) (Fig. 2B).
Wogonin induces the apoptosis and suppresses the invasion of HCC cells
We detected apoptosis using Annexin V/PI staining. As shown in Fig. 3A, treatment with wogonin significantly increased the percentage of apoptotic cells compared with the untreated controls. We also examined the levels of cleaved caspase-3 and caspase-9. The results of western blot analysis revealed that wogonin increased the expression levels of cleaved caspase-3 and caspase-9. We also examined changes in the levels of apoptosis-regulating proteins and found that the expression of Bcl-2 was markedly decreased following treatment with wogonin (Fig. 4A). To examine the effects of wogonin on the invasive ability of the HepG2 and Bel7402 cells, Matrigel invasion assay was carried out with the wogonin-treated cells using a Transwell chamber. As shown in Fig. 3B, treatment with wogonin for 24 h significantly decreased the number of invading HepG2 and Bel7402 cells (control vs. treatment: Bel7402, 492±31.5 vs. 198±16.5, p<0.001; HepG2, 137±10.5 vs. 51±6.5, p<0.001). In addition, we examined the levels of proteins associated with cell invasion and found that the expression levels of MMP2 and Bcl-2 were significantly downregulated at both the protein and mRNA levels (Bel7402: MMP2 and Bcl-2, p<0.001; HepG2: MMP2 and Bcl-2, p<0.001, ANOVA test) (Fig. 4B).
Wogonin induces apoptosis through NF-κB/Bcl-2 signaling
To explore the potential mechanisms of action of wogonin in the HepG2 and Bel7402 cell lines, we examined several signaling pathways which are related to cancer cell proliferation and invasion. We examined the effects of wogonin on NF-κB signaling. The results of western blot analysis revealed that the expression levels of p-IκB and p-p65 were significantly decreased following treatment with various concentrations of wogonin (Fig. 5A). Bcl-2 has been reported as a downstream target of NF-κB signaling (20). We demonstrated that treatment with the NF-κB inhibitor, Bay 11-7082 (5 μM for 12 h), decreased the expression of Bcl-2 in both cell lines. In addition, in the Bay 11-7082-treated cells, the suppressive effects of wogonin on Bcl-2 expression were not significant, suggesting that wogonin induced the apoptosis of HCC cells through the inhibition of NF-κB/Bcl-2 signaling; thus NF-κB signaling is required for the inhibitory effects of wogonin on Bcl-2 expression and for its promoting effects on apoptosis (Fig. 5B).
Wogonin suppresses HepG2 and Bel7402 cell proliferation and invasion through the inhibition of EGFR signaling and downstream ERK/AKT signaling
EGFR is a tyrosine kinase located at the cell membrane, which functions as an oncogene, mediating the malignant growth and invasion of various cancer cells (21–23). Our results revealed that wogonin inhibited EGFR (Tyr845) phosphorylation. The levels of downstream factors of EGFR signaling, including p-ERK and p-AKT were also downregulated following treatment with wogonin (Fig. 5A). To confirm the involvement of EGFR signaling in the wogonin-induced suppressive effects on MMP2 and cyclin D1 expression, we knocked down EGFR expression in these cell lines using siRNA. We found that, in the cells transfected with the siRNA targeting EGFR, the inhibitory effects of wogonin on cyclin D1 and MMP2 expression were not significant (Fig. 5C). These results suggested that wogonin inhibited HCC cell proliferation and invasion through the inhibition of EGFR (Tyr845) activity and that of its downstream factors, namely that of EGFR/ERK/MMP2, EGFR/AKT and EGFR/cyclin D1 signaling.
Discussion
In this study, we used the HCC cell lines, HepG2 and Bel7402, to examine the antitumor effects of wogonin. As shown by CCK-8 assay and Transwell assay, wogonin inhibited the proliferation and invasion of the HepG2 and Bel7402 cells in a concentration-dependent manner. In addition, cell cycle progression was arrested at the G1-S point, with the downregulation of cyclin family proteins, such as cyclin D1 and cyclin E. Invasion-related MMP2 expression was also downregulated. When examining the signaling pathways involved in the wogonin-mediated inhibitory effects on cell proliferation, we found that ERK and AKT signaling was significantly inhibited. Of note, we found that wogonin inactivated EGFR (Tyr845) phosphorylation, which is an upstream tyrosine kinase of ERK and AKT (24). To confirm the involvement of EGFR in the anticancer effects of wogonin, we knocked down endogenous EGFR expression in these cell lines and then examined the effects of wogonin on EGFR downstream factors, such as cyclin D1 and MMP2 (25,26). In the cells in which EGFR expression had been depleted, the effects of wogonin on cyclin D1 and MMP2 expression were not significant compared with those of the normal HepG2 and Bel7402 cells, suggesting wogonin exerts its anticancer effects through the inhibition of EGFR activity.
EGFR overexpression has been found in many types of cancer, and it plays important roles in cancer proliferation, invasion and metastasis, and is also associated with a poor survival rate (27,28). MMP2 plays a pivotal role in the invasion of many malignant cancers. EGFR upregulates its downstream molecule, MMP2, through the phosphorylation of the MEK/ERK/AP1 signaling pathway (29,30). In addition, EGFR activates AKT signaling, which plays a central role in cancer cell proliferation and survival (31). Many studies have demonstrated that targeting EGFR activity inhibits tumor growth and improves survival (32–34). In this study, we demonstrated that wogonin targets EGFR phosphorylation to suppress HCC cell proliferation and invasion, suggesting that wogonin may be used as a chemotherapeutic agent in the treatment of HCC.
In addition to the inhibitory effects of wogonin on EGFR-related HCC cell proliferation and invasion, we demonstrated that wogonin promoted apoptosis, which was in parallel with the downregulation of Bcl-2 protein and the cleavage of caspase-3 and caspase-9, both of which contribute to the apoptosis-inducing effects of wogonin. We also found that wogonin inhibited NF-κB signaling, which has been reported to be involved in Bcl-2 and the regulation of apoptosis in various types of cancer (35–37). Our results also revealed that in the cells treated with the NF-κB inhibitor, the suppressive effects of wogonin on Bcl-2 were significantly reduced. In cancer cells, NF-κB is activated either due to mutations in genes encoding the NF-κB transcription factors themselves,or in genes that control NF-κB activity. Since the role of NF-κB activation in cancer cell growth and survival has been reported in HCC (38), we hypothesized that NF-κB activation may partly suppress the apoptosis-inducing effects of wogonin. In addition, EGFR has been reported to activate NF-κB signaling through the CARMA3/Bcl10 complex (39). Since there is a crosstalk between NF-κB and EGFR signaling, we hypothesized that the effects of wogonin on NF-κB are partly due to its effects on EGFR signaling.
In conclusion, in this study, we demonstrated that wogonin inhibited the malignant biological behavior of the HCC cell lines, HepG2 and Bel7402, by inhibiting the phosphorylation of EGFR (Tyr845) and its downstream EGFR/cyclin D1, EGFR/AKT and EGFR/ERK/MMP2 signaling pathways. Wogonin also inhibited the activation of the NF-κB/Bcl-2 pathway and induced apoptosis. Thus, wogonin may serve as a novel therapeutic agent for the treatment of HCC.
References
Siegel RL, Miller KD and Jemal A: Cancer statistics, 2015. CA Cancer J Clin. 65:5–29. 2015. View Article : Google Scholar : PubMed/NCBI | |
Ye H and Liu W: Connectivity-based risk score for hepatocellular carcinoma prognosis. Hepatology. 58:1191–1192. 2013. View Article : Google Scholar : PubMed/NCBI | |
Li H, Wu K, Tao K, Chen L, Zheng Q, Lu X, Liu J, Shi L, Liu C, Wang G, et al: Tim-3/galectin-9 signaling pathway mediates T-cell dysfunction and predicts poor prognosis in patients with hepatitis B virus-associated hepatocellular carcinoma. Hepatology. 56:1342–1351. 2012. View Article : Google Scholar : PubMed/NCBI | |
Ke AW, Shi GM, Zhou J, Wu FZ, Ding ZB, Hu MY, Xu Y, Song ZJ, Wang ZJ, Wu JC, et al: Role of overexpression of CD151 and/or c-Met in predicting prognosis of hepatocellular carcinoma. Hepatology. 49:491–503. 2009. View Article : Google Scholar | |
Ueng YF, Shyu CC, Lin YL, Park SS, Liao JF and Chen CF: Effects of baicalein and wogonin on drug-metabolizing enzymes in C57BL/6J mice. Life Sci. 67:2189–2200. 2000. View Article : Google Scholar : PubMed/NCBI | |
Wakabayashi I and Yasui K: Wogonin inhibits inducible prostaglandin E(2) production in macrophages. Eur J Pharmacol. 406:477–481. 2000. View Article : Google Scholar : PubMed/NCBI | |
Lin SJ, Tseng HH, Wen KC and Suen TT: Determination of gentiopicroside, mangiferin, palmatine, berberine, baicalin, wogonin and glycyrrhizin in the traditional Chinese medicinal preparation sann-joong-kuey-jian-tang by high-performance liquid chromatography. J Chromatogr A. 730:17–23. 1996. View Article : Google Scholar : PubMed/NCBI | |
Lin CC and Shieh DE: The anti-inflammatory activity of Scutellaria rivularis extracts and its active components, baicalin, baicalein and wogonin. Am J Chin Med. 24:31–36. 1996. View Article : Google Scholar : PubMed/NCBI | |
Chen LG, Hung LY, Tsai KW, Pan YS, Tsai YD, Li YZ and Liu YW: Wogonin, a bioactive flavonoid in herbal tea, inhibits inflammatory cyclooxygenase-2 gene expression in human lung epithelial cancer cells. Mol Nutr Food Res. 52:1349–1357. 2008. View Article : Google Scholar : PubMed/NCBI | |
Lee E, Enomoto R, Suzuki C, Ohno M, Ohashi T, Miyauchi A, Tanimoto E, Maeda K, Hirano H, Yokoi T and Sugahara C: Wogonin, a plant flavone, potentiates etoposide-induced apoptosis in cancer cells. Ann NY Acad Sci. 1095:521–526. 2007. View Article : Google Scholar : PubMed/NCBI | |
Himeji M, Ohtsuki T, Fukazawa H, Tanaka M, Yazaki S, Ui S, Nishio K, Yamamoto H, Tasaka K and Mimura A: Difference of growth-inhibitory effect of Scutellaria baicalensis-producing flavonoid wogonin among human cancer cells and normal diploid cell. Cancer Lett. 245:269–274. 2007. View Article : Google Scholar | |
He F, Wang Q, Zheng XL, Yan JQ, Yang L, Sun H, Hu LN, Lin Y and Wang X: Wogonin potentiates cisplatin-induced cancer cell apoptosis through accumulation of intracellular reactive oxygen species. Oncol Rep. 28:601–605. 2012.PubMed/NCBI | |
Huang KF, Zhang GD, Huang YQ and Diao Y: Wogonin induces apoptosis and down-regulates survivin in human breast cancer MCF-7 cells by modulating PI3K-AKT pathway. Int Immunopharmacol. 12:334–341. 2012. View Article : Google Scholar | |
He L, Lu N, Dai Q, Zhao Y, Zhao L, Wang H, Li Z, You Q and Guo Q: Wogonin induced G1 cell cycle arrest by regulating Wnt/β-catenin signaling pathway and inactivating CDK8 in human colorectal cancer carcinoma cells. Toxicology. 312:36–47. 2013. View Article : Google Scholar : PubMed/NCBI | |
Saif MW: Colorectal cancer in review: the role of the EGFR pathway. Expert Opin Investig Drugs. 19:357–369. 2010. View Article : Google Scholar : PubMed/NCBI | |
Navolanic PM, Steelman LS and McCubrey JA: EGFR family signaling and its association with breast cancer development and resistance to chemotherapy (Review). Int J Oncol. 22:237–252. 2003.PubMed/NCBI | |
Lee DH, Szczepanski MJ and Lee YJ: Magnolol induces apoptosis via inhibiting the EGFR/PI3K/Akt signaling pathway in human prostate cancer cells. J Cell Biochem. 106:1113–1122. 2009. View Article : Google Scholar : PubMed/NCBI | |
Raufman JP, Shant J, Guo CY, Roy S and Cheng K: Deoxycholyltaurine rescues human colon cancer cells from apoptosis by activating EGFR-dependent PI3K/Akt signaling. J Cell Physiol. 215:538–549. 2008. View Article : Google Scholar | |
Qian L, Liu Y, Xu Y, Ji W, Wu Q, Liu Y, Gao Q and Su C: Matrine derivative WM130 inhibits hepatocellular carcinoma by suppressing EGFR/ERK/MMP-2 and PTEN/AKT signaling pathways. Cancer Lett. 368:126–134. 2015. View Article : Google Scholar : PubMed/NCBI | |
Zhao X, Ning Q, Sun X and Tian D: Pokemon reduces Bcl-2 expression through NF-κ Bp65: A possible mechanism of hepatocellular carcinoma. Asian Pac J Trop Med. 4:492–497. 2011. View Article : Google Scholar : PubMed/NCBI | |
Jia XF, Li J, Zhao HB, Liu J and Liu JJ: Correlation of EGFR gene amplification with invasion and metastasis of non-small cell lung cancer. Genet Mol Res. 14:11006–11012. 2015. View Article : Google Scholar : PubMed/NCBI | |
Mader CC, Oser M, Magalhaes MA, Bravo-Cordero JJ, Condeelis J, Koleske AJ and Gil-Henn H: An EGFR-Src-Arg-cortactin pathway mediates functional maturation of invadopodia and breast cancer cell invasion. Cancer Res. 71:1730–1741. 2011. View Article : Google Scholar : PubMed/NCBI | |
Gong C, Zhang J, Zhang L, Wang Y, Ma H, Wu W, Cui J, Wang Y and Ren Z: Dynamin2 downregulation delays EGFR endocytic trafficking and promotes EGFR signaling and invasion in hepatocellular carcinoma. Am J Cancer Res. 5:702–713. 2015.PubMed/NCBI | |
Wang YP, Huang LY, Sun WM, Zhang ZZ, Fang JZ, Wei BF, Wu BH and Han ZG: Insulin receptor tyrosine kinase substrate activates EGFR/ERK signalling pathway and promotes cell proliferation of hepatocellular carcinoma. Cancer Lett. 337:96–106. 2013. View Article : Google Scholar : PubMed/NCBI | |
Alam S, Pal A, Kumar R, Dwivedi PD, Das M and Ansari KM: EGFR-mediated Akt and MAPKs signal pathways play a crucial role in patulin-induced cell proliferation in primary murine keratinocytes via modulation of Cyclin D1 and COX-2 expression. Mol Carcinog. 53:988–998. 2014. | |
Fiano V, Ghimenti C, Imarisio S, Silengo L and Schiffer D: PAkt, cyclin D1 and p27/Kip.1 in glioblastomas with and without EGFR amplification and PTEN mutation. Anticancer Res. 24:2643–2647. 2004.PubMed/NCBI | |
Ezzoukhry Z, Louandre C, Trécherel E, Godin C, Chauffert B, Dupont S, Diouf M, Barbare JC, Mazière JC and Galmiche A: EGFR activation is a potential determinant of primary resistance of hepatocellular carcinoma cells to sorafenib. Int J Cancer. 131:2961–2969. 2012. View Article : Google Scholar : PubMed/NCBI | |
Kannangai R, Sahin F and Torbenson MS: EGFR is phosphorylated at Ty845 in hepatocellular carcinoma. Mod Pathol. 19:1456–1461. 2006.PubMed/NCBI | |
Bae GY, Choi SJ, Lee JS, Jo J, Lee J, Kim J and Cha HJ: Loss of E-cadherin activates EGFR-MEK/ERK signaling, which promotes invasion via the ZEB1/MMP2 axis in non-small cell lung cancer. Oncotarget. 4:2512–2522. 2013. View Article : Google Scholar : PubMed/NCBI | |
Dong QZ, Wang Y, Tang ZP, Fu L, Li QC, Wang ED and Wang EH: Derlin-1 is overexpressed in non-small cell lung cancer and promotes cancer cell invasion via EGFR-ERK-mediated up-regulation of MMP-2 and MMP-9. Am J Pathol. 182:954–964. 2013. View Article : Google Scholar : PubMed/NCBI | |
Kim H and Lim HY: Novel EGFR-TK inhibitor EKB-569 inhibits hepatocellular carcinoma cell proliferation by AKT and MAPK pathways. J Korean Med Sci. 26:1563–1568. 2011. View Article : Google Scholar : PubMed/NCBI | |
Ling Y, Yang X, Li W, Li Z, Yang L, Qiu T, Guo L, Dong L, Li L, Ying J and Lin D: Overexpression of mutant EGFR protein indicates a better survival benefit from EGFR-TKI therapy in non-small cell lung cancer. Oncotarget. July 13–2016.Epub ahead of print. View Article : Google Scholar | |
Shan L, Wang Z, Guo L, Sun H, Qiu T, Ling Y, Li W, Li L, Liu X and Zheng B: Concurrence of EGFR amplification and sensitizing mutations indicate a better survival benefit from EGFR-TKI therapy in lung adenocarcinoma patients. Lung Cancer. 89:337–342. 2015. View Article : Google Scholar : PubMed/NCBI | |
Nose N, Uramoto H, Iwata T, Hanagiri T and Yasumoto K: Expression of estrogen receptor beta predicts a clinical response and longer progression-free survival after treatment with EGFR-TKI for adenocarcinoma of the lung. Lung Cancer. 71:350–355. 2011. View Article : Google Scholar | |
Chen GG, Liang NC, Lee JF, Chan UP, Wang SH, Leung BC and Leung KL: Over-expression of Bcl-2 against Pteris semipinnata L-induced apoptosis of human colon cancer cells via a NF-kappa B-related pathway. Apoptosis. 9:619–627. 2004. View Article : Google Scholar : PubMed/NCBI | |
Kurland JF, Voehringer DW and Meyn RE: The MEK/ERK pathway acts upstream of NF kappa B1 (p50) homodimer activity and Bcl-2 expression in a murine B-cell lymphoma cell line. MEK inhibition restores radiation-induced apoptosis. J Biol Chem. 278:32465–32470. 2003. View Article : Google Scholar : PubMed/NCBI | |
Herrmann JL, Beham AW, Sarkiss M, Chiao PJ, Rands MT, Bruckheimer EM, Brisbay S and McDonnell TJ: Bcl-2 suppresses apoptosis resulting from disruption of the NF-kappa B survival pathway. Exp Cell Res. 237:101–109. 1997. View Article : Google Scholar | |
Cheng JC, Chou CH, Kuo ML and Hsieh CY: Radiation-enhanced hepatocellular carcinoma cell invasion with MMP-9 expression through PI3K/Akt/NF-kappaB signal transduction pathway. Oncogene. 25:7009–7018. 2006. View Article : Google Scholar : PubMed/NCBI | |
Jiang T, Grabiner B, Zhu Y, Jiang C, Li H, You Y, Lang J, Hung MC and Lin X: CARMA3 is crucial for EGFR-Induced activation of NF-kappaB and tumor progression. Cancer Res. 71:2183–2192. 2011. View Article : Google Scholar : PubMed/NCBI |