Abstract
Background
The study aimed to investigate the inhibitory effect of (1R,4r)-4-((R)-1-aminoethyl)-N-(pyridin-4-yl) cyclohexanecarboxamide (Y-27632) and (−)-epigallocatechin-3-gallate (EGCG) on the proliferation and migration of PANC-1 cells. EGCG, found in green tea, has been previously shown to be one of the most abundant and powerful catechins in cancer prevention and treatment. Y-27632, a selective inhibitor of rho-associated protein kinase 1, is widely used in treating cardiovascular disease, inflammation, and cancer.
Material/Methods
PANC-1 cells, maintained in Dulbecco’s Modified Eagle’s Medium, were treated with dimethyl sulfoxide (control) as well as different concentrations (20, 40, 60, and 80 μg/mL) of EGCG for 48 h. In addition, PANC-1 cells were treated separately with 60 μg/mL EGCG, 20 μM Y-27632, and EGCG combined with Y-27632 (60 μg/mL EGCG + 20 μM Y-27632) for 48 h. The effect of EGCG and Y-27632 on the proliferation and migration of PANC-1 cells was evaluated using Cell Counting Kit-8 and transwell migration assays. The expression of peroxisome proliferator–activated receptor alpha (PPARα) and Caspase-3 mRNA was determined by Quantitative real-time polymerase chain reaction (RT-qPCR).
Results
EGCG (20–80 μg/mL) inhibited cell viability in a dose-dependent manner. Y-27632 enhanced the sensitivity of PANC-1 cells to EGCG (by increasing the expression of PPARα and Caspase-3 mRNA) and suppressed cell proliferation. PANC-1 cell migration was inhibited by treatment with a combination of EGCG and Y-27632.
Conclusions
Y-27632 increases the sensitivity of PANC-1 cells to EGCG in regulating cell proliferation and migration, which is likely to be related to the expression of PPARα mRNA and Caspase-3 mRNA.
MeSH Keywords: Cell Migration Assays, Cell Proliferation, Pancreatic Neoplasms
Background
Pancreatic cancer, currently one of the most lethal human malignancies [1], is largely refractory to conventional therapies. Peroxisome proliferator-activated receptor alpha (PPARα), a member of the PPAR family [2], regulating tumorigenesis [3], is a ligand-activated transcription factor [4]. Caspase-3 is encoded by the CASP3 gene [5], as a potential therapeutic target for cancer patients [6] and plays key roles in the growth stimulation.
(−)-Epigallocatechin-3-gallate (EGCG) (C22H18O11; Figure 1A), found in green tea [7], which is widely consumed in China [8], is one of the most abundant and powerful catechins [9] in cancer prevention and treatment. (1R,4r)-4-((R)-1-aminoethyl)-N-(pyridin-4-yl) cyclohexane carboxamide (Y-27632) (C14H21N3O; Figure 1B), a selective inhibitor of rho-associated protein kinase 1 (ROCK1) [10], is widely used in treating cardiovascular disease [11], inflammation [12], and cancer [13]. Although Y-27632 [14–16] and EGCG [17–19] inhibit the growth of many cancer cells, whether the efficacy of Y-27632 increases the sensitivity of PANC-1 cells to EGCG is not yet clear. The present study hypothesized that the combination of Y-27632 and EGCG would reveal additive inhibitory effects in vitro.
Figure 1.
Effect of the combination of (−)-epigallocatechin-3-gallate (EGCG) and (1R,4r)-4-((R)-1-aminoethyl)-N-(pyridin-4-yl) cyclohexane carboxamide (Y-27632) on PANC-1 cell proliferation. (A, B) Chemical structure of EGCG (C22H18O11) and Y-27632 (C14H21N3O). (C) Different concentrations of EGCG (20, 40, 60, and 80 μg/mL) inhibited cell viability in a dose-dependent manner. The effect of EGCG and Y-27632 on the PANC-1 cell proliferation was evaluated by CCK-8 assay. (D) PANC-1 cells were treated separately with DMSO (control), 60 μg/mL EGCG, 20 μM Y-27632, and 60 μg/mL EGCG + 20 μM Y-27632 for 48 h. Data represent mean ± standard error of mean, n = 3. Compared with control, ** P<0.01. Compared with EGCG, * P<0.05.
In the present study, the capacity of Y-27632 to sensitize PANC-1 cells to the effects of EGCG in regulating cell proliferation and migration was investigated. Furthermore, the expression of PPARα mRNA and caspase-3 mRNA in EGCG and Y-27632 alone, and in EGCG combined with Y-27632 on PANC-1 cells, was examined.
Material and Methods
Cell culture
PANC-1 cells (SIBCB, Shanghai, China) were maintained in Dulbecco’s Modified Eagle’s Medium (DMEM) (Gibco BRL, MD, USA) (15) supplemented with 10% fetal bovine serum (Gibco BRL, MD, USA) and penicillin (100 U/mL)–streptomycin (100 mg/mL) (Gibco BRL, MD, USA) in a humidified atmosphere containing 5% CO2 and 95% air at 37°C.
Cell proliferation assay
PANC-1 cells (1×106/well) were seeded into 96-well plates (Corning, NY, USA). These cells were then treated with dimethyl sulfoxide (DMSO) (control) as well as different concentrations (20, 40, 60, and 80 μg/mL) of EGCG (NICPBP, Beijing, China) for 48 h. In addition, PANC-1 cells were treated separately with DMSO (control), 60 μg/mL EGCG, 20 μM Y-27632, and EGCG combined with Y-27632 (60 μg/mL EGCG + 20 μM Y-27632) for 48 h. Cell viability was assessed using the Cell Counting Kit-8 (CCK-8) [16] as described in a previous study. The absorbance (A) of each hole in the 96-well plate was determined at 475 nm using a microplate reader, using the formula:
Hoechst 33258 staining
PANC-1 cells were treated separately with DMSO (control), 60 μg/mL EGCG, 20 μM Y-27632, and 60 μg/mL EGCG + 20 μM Y-27632 for 48 h. After washing with phosphate-buffered saline (Gibco BRL), the fixed PANC-1 cells were stained with 10 -μg/mL Hoechst 33258 (Beyotime Institute of Biotechnology, Jiangsu, China) [17] for 10 min at room temperature.
Transwell migration assay
PANC-1 cells (1×106/well) were placed in the upper chamber of a transwell filter. Drugs (DMSO, 60 μg/mL EGCG, 20 μM Y-27632, and 60 μg/mL EGCG + 20 μM Y-27632) were added separately into the upper chamber and PANC-1 cells were incubated for 10 h. After fixation and 0.1% crystal violet staining, PANC-1 cells were counted and the cell migration inhibition rate [18] of each group was calculated.
Quantitative real-time reverse transcription-polymerase chain reaction
PANC-1 cells were treated separately with DMSO (control), 60 μg/mL EGCG, 20 μM Y-27632, and 60 μg/mL EGCG + 20 μM Y-27632 for 48 h. Quantitative real-time polymerase chain reaction (RT-qPCR) [19] was used to observe the expression of PPARα mRNA and caspase-3 mRNA of these groups. The primer pairs [glyceraldehyde-3-phosphate dehydrogenase (GAPDH), PPARα, and caspase-3] were synthesized by Shanghai Sangon Biological Engineering Technology & Services Co., Ltd. (Shanghai, China). The primer pairs included the following: forward: 5′-AGAAGGCTGGGGCTCATTTG-3′ and reverse: 5′-AGGGGCCATCCACAGTCTTC-3′ for GAPDH (258 bp); forward: 5′-TTCGCAATCCATCGGCGAG-3′ and reverse: 5′-CCACAGGATAAGTCACCGAGG-3′ for PPARα (146 bp). Forward: 5′-CATGGAAGCGAATCAATGGACT-3′ and reverse: 5′-CTGTACCAGACCGAGATGTCA-3′ for caspase-3 (139 bp). GAPDH was used as an internal control to evaluate the relative expression of PPARα. RT-qPCR reagents were purchased from TIANGEN Biotech (Beijing) Co., Ltd. (Beijing, China). Relative mRNA was calculated using the formula: 2−ΔΔCt [20,21].
Statistical analysis
Data are shown as mean ± standard deviation. Statistical comparisons were performed using SPSS version 18.0 software (22). P<0.05 was considered to be significant [23,24].
Results
Y-27632 augments the antiproliferative effect of EGCG in PANC-1 cells
The effect of EGCG and Y-27632 on the PANC-1 cell proliferation was evaluated using the CCK-8 assay. Different concentrations of EGCG (20, 40, 60, and 80 μg/mL) inhibited cell viability in a dose-dependent manner (Figure 1C). EGCG (60 μg/mL) inhibited PANC-1 cell viability by 69% (Figure 1D). Y-27632 (20 μM) inhibited PANC-1 cell viability by 17% (Figure 1D), and 60 μg/mL EGCG + 20 μM Y-27632 inhibited PANC-1 cell viability by 82% (Figure 1D). These results suggest that 20 μM Y-27632 enhanced the sensitivity of PANC-1 cells to 60 μg/mL EGCG and suppressed cell proliferation.
Y-27632 improved the anti-migration and apoptosis effect of EGCG in PANC-1 cells
The effect of 60 μg/mL EGCG on the PANC-1 cell migration in the presence of 20 μM Y-27632 was evaluated using transwell migration assays (Figure 2A). Following treatment with 60 μg/mL EGCG + 20 μM Y-27632, the cell migration significantly decreased compared with that of the untreated PANC-1 control and the cells treated with 20 μM Y-27632 or 60 μg/mL EGCG alone (Figure 2B). These data suggest that PANC-1 cell migration is inhibited by treatment with 60 μg/mL EGCG + 20 μM Y-27632. Under Hoechst 33258 staining (Figure 2C), the normal PANC-1 cells without 60 μg/mL EGCG and 20 μM Y-27632 intervention were dark blue (control), but early apoptotic nuclei due to chromosomal collapse were stained bright blue in the 60 μg/mL EGCG and 20 μM Y-27632 treatment groups (Figure 2C), and were easily distinguished from the normal cells. Also, the number of bright blue-stained nuclei increased (Figure 2C) in the 60 μg/mL EGCG + 20 μM Y-27632 treatment group.
Figure 2.
Effect of the combination of EGCG and Y-27632 on PANC-1 cell migration and apoptosis. PANC-1 cells were treated separately with DMSO (control), 60 μg/mL EGCG, 20 μM Y-27632, and 60 μg/mL EGCG + 20 μM Y-27632 for 48 h. (A) The effect of 60 μg/mL EGCG on the PANC-1 cell migration in the presence of 20 μM Y-27632 was evaluated using transwell migration assays. (B) Data represent mean ± SEM, n=3. Compared with control, * P<0.05, ** P<0.01. Compared with control, Y-27632, or EGCG, *** P<0.01. (C) Apoptosis of EGCG and Y-27632 in PANC-1 cells was determined by Hoechst 33258 staining.
Combination of Y-27632 and EGCG increased the expression of PPARα mRNA and caspase-3 mRNA
The expression of PPARα mRNA and caspase-3 mRNA was determined by RT-qPCR. The amplification and melting curves of PPARα and caspase-3 are shown in Figure 3A, 3B. Significant changes in the expression of PPARα mRNA and caspase-3 mRNA were observed in PANC-1 cells treated with 60 μg/mL EGCG or 20 μM Y-27632 alone, and 60 μg/mL EGCG + 20 μM Y-27632. Treatment with 20 μM Y-27632 + 60 μg/mL EGCG caused a sharp increase in the expression of PPARα mRNA and caspase-3 mRNA compared with the levels detected following treatment with 60 μg/mL EGCG or 20 μM Y-27632 alone (Figure 3C).
Figure 3.
The combination of EGCG and Y-27632 increased the expression of PPARα mRNA and caspase-3 mRNA. PANC-1 cells were treated with DMSO (control), EGCG (60 μg/ml EGCG), or Y-27632 (20 μM Y-27632), and EGCG combined with Y-27632 (60 μg/ml EGCG + 20 μM Y-27632) for 48 h. The expression of PPARα mRNA and caspase-3 mRNA was analyzed by qRT-PCR. (A) The amplification curves of PPARα and caspase-3. (B) The melting curves of PPARα and caspase-3. (C) The relative gene expression of PPARα mRNA and caspase-3 mRNA in each group. Data represent mean ± SEM, n=3. Treatment with 20 μM Y-27632 + 60 μg/mL EGCG (compared with control, * P<0.05) caused a sharp increase in the expression of PPARα mRNA and caspase-3 mRNA compared with the levels detected following treatment with 60 μg/mL EGCG or 20 μM Y-27632 alone (compared with 20 μM Y-27632 + 60 μg/mL EGCG, * P<0.05).
Discussion
Our study demonstrated that Y-27632 sensitized the PANC-1 cells to the inhibitory effects of EGCG on cell proliferation and migration. Furthermore, the combination of Y-27632 and EGCG promoted apoptosis of the PANC-1 cells. The results also indicate that the Y-27632-induced sensitization is related to the increased expression of PPARα mRNA and caspase-3 mRNA.
This study, using the CCK-8 assay, evaluated the probable effect of different concentrations of EGCG (20, 40, 60, and 80 μg/mL) on PANC-1 cells. The results are in agreement with a previous study [25], which showed that EGCG (20–80 μg/mL) inhibited the proliferation of PANC-1 cells in a dose-dependent manner. The results also showed that at 48 h, Y-27632 enhanced the sensitivity of PANC-1 cells to EGCG and suppressed the proliferation of PANC-1 cells.
In the present study, using transwell migration assays and Hoechst 33258 staining, the effect of 20 μM Y-27632 combined with 60 μg/mL EGCG on the PANC-1 cell migration and apoptosis was evaluated. The results also showed that 20 μM Y-27632 enhanced the anti-migration effect of 60 μg/mL EGCG on PANC-1 cells when treated for 48 h. Furthermore, the effects of 60 μg/mL EGCG in regulating apoptosis of PANC-1 cells enhanced when treated with 20 μM Y-27632 + 60 μg/mL EGCG.
Tumor growth and metastasis depend on angiogenesis [26,27], and gene expression profiling of PPARα has been used in several studies [28,29], but a very few studies included pancreatic cancer. When PANC-1 cells were exposed to EGCG [30], the expression of PPARα, a direct negative regulator of heme oxygenase (HO-1) activation by EGCG [31], which confers cell susceptibility to EGCG, increased at the protein level in a dose-dependent manner. EGCG induces apoptosis and inhibits the growth of PANC-1 tumors [32] and activates caspase-3 is a dose-dependent manner. Therefore, the capacity of Y-27632 to sensitize PANC-1 cells to EGCG by activated PPARα mRNA and caspase-3 mRNA expression were investigated.
Conclusions
The combination of EGCG and Y-27632 significantly increased the expression of PPARα mRNA and caspase-3 mRNA in PANC-1 cells. These data suggest that Y-27632 sensitizes PANC-1 cells to EGCG by increasing the expression of PPARα mRNA and caspase-3 mRNA. The synergistic effect of the combination of EGCG and Y-27632 on PANC-1 provides new and useful information for its application in pancreatic cancer therapy.
Acknowledgments
We thank Hangzhou Wehbe Technology Co. Ltd. for assistance during the work on this manuscript.
Footnotes
Source of support: This work was supported by grants from the Natural Science Foundation of Jiangxi Province (grant number: 20122BAB205077), the Science and Technology Support Program of Jiangxi Province of China (grant number: 20133BBG70086), and the Natural Science Youth Foundation of Jiangxi Province of China (grant number: 20122BAB215042)
References
- 1.Herreros-Villanueva M, Hijona E, Cosme A, Bujanda L. Mouse models of pancreatic cancer. World J Gastroenterol. 2012;18:1286–94. doi: 10.3748/wjg.v18.i12.1286. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Gao J, Yuan S, Jin J, et al. PPARalpha regulates tumor progression, foe or friend? Eur J Pharmacol. 2015;765:560–64. doi: 10.1016/j.ejphar.2015.09.027. [DOI] [PubMed] [Google Scholar]
- 3.Sun Y, Zhang L, Gu HF, et al. Peroxisome proliferator-activated receptor-alpha regulates the expression of pancreatic/duodenal homeobox-1 in rat insulinoma (INS-1) cells and ameliorates glucose-induced insulin secretion impaired by palmitate. Endocrinology. 2008;149:662–71. doi: 10.1210/en.2007-1275. [DOI] [PubMed] [Google Scholar]
- 4.Bishop-Bailey D. PPARs and angiogenesis. Biochem Soc Trans. 2011;39:1601–5. doi: 10.1042/BST20110643. [DOI] [PubMed] [Google Scholar]
- 5.Birame BM, Jigui W, Fuxian Y, et al. Potentiation of apoptin-induced apoptosis by cecropin B-like antibacterial peptide ABPs1 in human HeLa cervical cancer cell lines is associated with membrane pore formation and caspase-3 activation. J Microbiol Biotechnol. 2014;24(6):756–64. doi: 10.4014/jmb.1209.09076. [DOI] [PubMed] [Google Scholar]
- 6.Hu Q, Peng J, Liu W. Elevated cleaved caspase-3 is associated with shortened overall survival in several cancer types. Int J Clin Exp Pathol. 2014;7(8):5057–70. [PMC free article] [PubMed] [Google Scholar]
- 7.Modernelli A, Naponelli V, Giovanna Troglio M, et al. EGCG antagonizes Bortezomib cytotoxicity in prostate cancer cells by an autophagic mechanism. Sci Rep. 2015;5:15270. doi: 10.1038/srep15270. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Tian LW, Tao MK, Xu M, et al. Carboxymethyl- and carboxyl-catechins from ripe Pu-er tea. J Agric Food Chem. 2014;62:12229–34. doi: 10.1021/jf5036959. [DOI] [PubMed] [Google Scholar]
- 7.Dou QP. Molecular mechanisms of green tea polyphenols. Nutr Cancer. 2009;61:827–35. doi: 10.1080/01635580903285049. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Isler D, Ozaslan M, Karagoz ID, et al. Antitumoral effect of a selective Rho-kinase inhibitor Y-27632 against Ehrlich ascites carcinoma in mice. Pharmacol Rep. 2014;66:114–20. doi: 10.1016/j.pharep.2013.06.006. [DOI] [PubMed] [Google Scholar]
- 9.Kolluru GK, Majumder S, Chatterjee S. Rho-kinase as a therapeutic target in vascular diseases: Striking nitric oxide signaling. Nitric Oxide. 2014;43:45–54. doi: 10.1016/j.niox.2014.09.002. [DOI] [PubMed] [Google Scholar]
- 10.Schaafsma D, Bos IS, Zuidhof AB, et al. The inhaled Rho kinase inhibitor Y-27632 protects against allergen-induced acute bronchoconstriction, airway hyperresponsiveness, and inflammation. Am J Physiol Lung Cell Mol Physiol. 2008;295:L214–19. doi: 10.1152/ajplung.00498.2007. [DOI] [PubMed] [Google Scholar]
- 11.Nakashima M, Adachi S, Yasuda I, et al. Inhibition of Rho-associated coiled-coil containing protein kinase enhances the activation of epidermal growth factor receptor in pancreatic cancer cells. Mol Cancer. 2011;10:79. doi: 10.1186/1476-4598-10-79. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Gogebakan B, Bayraktar R, Suner A, et al. Do fasudil and Y-27632 affect the level of transient receptor potential (TRP) gene expressions in breast cancer cell lines? Tumour Biol. 2014;35:8033–41. doi: 10.1007/s13277-014-1752-0. [DOI] [PubMed] [Google Scholar]
- 13.Huang HP, Wang CJ, Tsai JP, et al. Y27632 attenuates the aristolochic acid-promoted invasion and migration of human urothelial cancer TSGH cells in vitro and inhibits the growth of xenografts in vivo. Nephrol Dial Transplant. 2012;27:565–75. doi: 10.1093/ndt/gfr366. [DOI] [PubMed] [Google Scholar]
- 14.Routhier A, Astuccio M, Lahey D, et al. Pharmacological inhibition of Rho-kinase signaling with Y-27632 blocks melanoma tumor growth. Oncol Rep. 2010;23:861–67. [PubMed] [Google Scholar]
- 15.Bimonte S, Leongito M, Barbieri A, et al. Inhibitory effect of (−)-epigallocatechin-3-gallate and bleomycin on human pancreatic cancer MiaPaca-2 cell growth. Infect Agent Cancer. 2015;10:22. doi: 10.1186/s13027-015-0016-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Hodges V, Tucci M, Benghuzzi H. The effects of metformin and EGCG on PANC-1 cell survival. Biomed Sci Instrum. 2015;51:393–99. [PubMed] [Google Scholar]
- 17.Sun L, Zhang C, Li P. Copolymeric micelles for delivery of EGCG and cyclopamine to pancreatic cancer cells. Nutr Cancer. 2014;66(5):896–903. doi: 10.1080/01635581.2014.904908. [DOI] [PubMed] [Google Scholar]
- 15.He XJ, Jiang XT, Ma YY, et al. REG4 contributes to the invasiveness of pancreatic cancer by upregulating MMP-7 and MMP-9. Cancer Sci. 2012;103:2082–91. doi: 10.1111/cas.12018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Chen A, Huang X, Xue Z, et al. The role of p21 in apoptosis, proliferation, cell cycle arrest, and antioxidant activity in UVB-irradiated human HaCaT keratinocytes. Med Sci Monit Basic Res. 2015;21:86–95. doi: 10.12659/MSMBR.893608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Chen Z, Yang Y, Liu B, et al. Promotion of metastasis-associated gene expression in survived PANC-1 cells following trichostatin a treatment. Anticancer Agents Med Chem. 2015;15:1317–25. doi: 10.2174/1871520615666150520093040. [DOI] [PubMed] [Google Scholar]
- 18.Zhang HJ, Yao DF, Yao M, et al. Annexin A2 silencing inhibits invasion, migration, and tumorigenic potential of hepatoma cells. World J Gastroenterol. 2013;19:3792–801. doi: 10.3748/wjg.v19.i24.3792. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Zeng T, Zhang CL, Song FY, et al. CMZ reversed chronic ethanol-induced disturbance of PPAR-alpha possibly by suppressing oxidative stress and PGC-1alpha acetylation, and activating the MAPK and GSK3beta pathway. PLoS One. 2014;9:e98658. doi: 10.1371/journal.pone.0098658. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods. 2001;25:402–8. doi: 10.1006/meth.2001.1262. [DOI] [PubMed] [Google Scholar]
- 21.Muller PY, Janovjak H, Miserez AR, Dobbie Z. Processing of gene expression data generated by quantitative real-time RT-PCR. Biotechniques. 2002;32:1372–74. 1376, 1378–79. [PubMed] [Google Scholar]
- 22.Wang HM, Lu JH, Chen WY, Gu AQ. Upregulated lncRNA-UCA1 contributes to progression of lung cancer and is closely related to clinical diagnosis as a predictive biomarker in plasma. Int J Clin Exp Med. 2015;8:11824–30. [PMC free article] [PubMed] [Google Scholar]
- 23.Zhang QL, Wang L, Zhang YW, et al. The proteasome inhibitor bortezomib interacts synergistically with the histone deacetylase inhibitor suberoylanilide hydroxamic acid to induce T-leukemia/lymphoma cells apoptosis. Leukemia. 2009;23:1507–14. doi: 10.1038/leu.2009.41. [DOI] [PubMed] [Google Scholar]
- 24.Chu R, van Hasselt A, Vlantis AC, et al. The cross-talk between estrogen receptor and peroxisome proliferator-activated receptor gamma in thyroid cancer. Cancer. 2014;120:142–53. doi: 10.1002/cncr.28383. [DOI] [PubMed] [Google Scholar]
- 25.Guo R, Li W, Liu B, et al. Resveratrol protects vascular smooth muscle cells against high glucose-induced oxidative stress and cell proliferation in vitro. Med Sci Monit Basic Res. 2014;20:82–92. doi: 10.12659/MSMBR.890858. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Yildirim V, Doganci S, Yesildal F, et al. Sodium nitrite provides angiogenic and proliferative effects in vivo and in vitro. Med Sci Monit Basic Res. 2015;21:41–46. doi: 10.12659/MSMBR.893727. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Fong P, Meng LR. Effect of mTOR inhibitors in nude mice with endometrial carcinoma and variable PTEN expression status. Med Sci Monit Basic Res. 2014;20:146–52. doi: 10.12659/MSMBR.892514. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Takizawa Y, Nakata R, Fukuhara K, et al. The 4′-hydroxyl group of resveratrol is functionally important for direct activation of PPARalpha. PLoS One. 2015;10:e0120865. doi: 10.1371/journal.pone.0120865. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Thomas M, Bayha C, Klein K, et al. The truncated splice variant of peroxisome proliferator-activated receptor alpha, PPARalpha-tr, autonomously regulates proliferative and pro-inflammatory genes. BMC Cancer. 2015;15:488. doi: 10.1186/s12885-015-1500-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Luo J, Xue J, Ge X, et al. Mechanism of sensitizing effect of PPARα activation on epigallocatechin-3-gallate (EGCG) in cancer cells. Science & Technology Review. 2013;31:21–26. [Google Scholar]
- 31.Šarić A, Sobočanec S, Mačak Šafranko Ž, et al. Diminished resistance to hyperoxia in brains of reproductively senescent female CBA/H mice. Med Sci Monit Basic Res. 2015;21:191–99. doi: 10.12659/MSMBR.895356. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Kostin SF, McDonald DE, McFadden DW. Inhibitory effects of (−)-epigallocatechin-3-gallate and pterostilbene on pancreatic cancer growth in vitro. J Surg Res. 2012;177(2):255–62. doi: 10.1016/j.jss.2012.04.023. [DOI] [PubMed] [Google Scholar]



