Page 15 - G. Cell differentiation. division. and death
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Downregulation of survivin by ginsenosdie CK increased anti-cancer effect








                                                                            in human malignant neuroblastoma cells











                                                                                                                                                                                                Jung-Mi Oh , Sun Young Park                                                                                            1,2       , Sungkun Chun                                               1,2
                                                                                                                                                                                                                                              1,2











                                                                                                                                  1 Department of Physiology, Jeonbuk National University Medical School, Jeonju,  Korea




                                                                                                                           2  Brain Korea 21 Plus Program, Jeonbuk National University Medical School, Jeonju, Korea








               Neuroblastoma (NB) is a solid tumor that mostly in children. Malignant NB have poor prognosis because conventional chemotherapeutic agents are hardly effective.



               Survivin is a member of the inhibitor of apoptosis family proteins and is involved in tumor cell survival and invasion, and differentiation. Survivin is highly upregulated




               in NB and correlated with poor prognosis. Malignant NB ( SK-N-BE(2) and SH-SY5Y) cells were highly expressed of survivin protein. In this study, we examined the



               effects of survivin knockdown and ginsenoside CK on survival and differentiation of NB cells. We found that CK treatments inhibited cell mortality and down-regulated




               survivin gene expression. Survivin knockdown using siRNA in NB cells induced morphological features of neuronal differentiation and apoptotic cell death. The



               combination of survivin siRNA and CK induced increased expression of NSE and E-cadherin and decreased expression of Notch-1 and PCNA, thereby promoting



               apoptosis and differentiation. Collectively, combination therapy with CK and inhibition of survivin may be a potentially effective agent for the treatment of NB.









                                                                                                                                                          Key words: Neuroblastoma, Ginsenosides, Survivin, EMT, Apoptosis












                                                                       Introduction                                                                                                  c


                                                                                                                                                                                                                                                                                                                                                                c




               •            Neuroblastoma is a solid tumor that mostly occurs in children.






               •            Survivin is an inhibitor of apoptosis protein and is


                            overexpressed in a wide spectrum of tumors, including


                            neuroblastoma.







               •            EMT is known to be essential for the initial and overall rate


                            limiting steps of neuroblastoma invasion and metastasis.                                                                                                     d                                                                            e






               •            In recent years, as the emphasis of EMT in the tumor



                            progression has been increased, anticancer strategies against


                            EMT have been widely investigated.






               •            Therefore, the inhibition of survivin by itself, or in


                            combination with other approach, has emerged as a promising


                            therapeutic strategy

                                                                                                                                                                                                                                                                                                                                                             Influence of survivin knockdown and CK treatment on



                                                                                                                                                                                                                                                                                                                                                             cell apoptosis
                                                                           Objective


                                                                                                                                                                                                    CK inhibits EMT in SK-N-BE(2) cells                                                                                                                         a




                   In this study, we examined the effect of survivin knock-                                                                                                            a


                   down by siRNA and stimultaneous CK treatment in                                                                                                                                          Control                      CK 5µM



                   neuroblastoma cells                                                                                                                                                       0h                                                                          (mm)  1          Control    CK



                                                                                                                                                                                                              A                                                            0.8                                                   **


                                                                              Methods                                                                                                                                                                                    distance  0.6                  **                       **




                                                                                                                                                                                            24h                                                                            0.4                          **



                     Separation and validation of effective ginsenosides                                                                                                                                                                                                 Migratory  0.2

                     in ginseng using TLC & HPLC                                                                                                                                                                                                                             0  0h                     24h                      48h

                                                                                                                                                                                            48h
                                                                                                                      Cell growth rate : MTT                                                                                                                                                 Time (post scratch)


                                                                                                                                    assay                                                                                                                                             c



                                                                                                                                                                                        b











                                   Effects of apoptosis
                                                                                                                Immnufluorescence





                      •    Annexin/PI staining                                                        • Alexa-594

                      •    Hoechst 33342                                                                 conjugate antibody
                                                                                                      • Alexa-4884
                                                                                                                                                                                         Expression of survivin in neuroblastoma cell lines
                                                                                                         conjugate antibody





                                                         Ginsenoside effects on migration & invasion                                                                                                                                                                                                                                                            b
                                                                                                                                                                                           a                                                                          b






















                     Real time-PCR, Western blot                                    Evaluation of ginsenoside effects on genes


                     • Metastasis associated proteins : matrix metalloproteinase MMP-2, MMP-9                                                                                           Knockdown of  survivin in SK-N-BE(2) cells by siRNA



                     • Apoptosis associated proteins : BCL-2, Bcl-Xl, Survivin, PARP, Caspase-3                                                                                                                                                                                                                                                                 c


                                                                                                                                                                                     a

                                                                               Results                                                                                                    siRNA sequence





                                                                                                                                                                                       # 1: CUCAUCUAAGCUGCUUAUU(dTdT) / anti-sense : AAUAAGCAGCUUAGAUGAG(dTdT) (1012477)
                                                                                                                                                                                       # 2: AAGGAGAUCAACAUUUUCA(dTdT) / anti-sense : UGAAAAUGUUGAUCUCCUU(dTdT) (1012475)
                              CK effects on the SK-N-BE(2) cell proliferation                                                                                                          # 3: GUGCAACCGCCUAGACUUU(dTdT) / anti-sense : AAAGUCUAGGCGGUUGCAC(dTdT) (1012479)






                   a                                                                                   b                                                                             b





















































                                                                                                                                                             References                                                                                                                                                                                                                                                Conclusion





               * L. Zhang et al., J. Braz. J.Med. Biol. Res. 47(7), 548-553 (2014).      * Hossain et al., Exp Xell Res. 318 (13) , 1597-1610 (2012)
                                                                                                                                                                                                                                                                                                                                                               Survivin silencing potentiated anti-cancer effects of CK in human


               * Lee S.C et al., Oncotarget. 6(29) 27146-27159 (2015).                  * Li Y.D. et al., Int. J. Clin Exp Pathol., 8(2), 1731-1736 (2015)                                                                                                                                                                                                  malignant neuroblastoma cells having survivin overexpression.





               * H.M. Calderone et al.  J Cancer Therapy , 5, 1289-1302 (2014).
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