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. 2017 Apr 20;13(6):4825–4831. doi: 10.3892/ol.2017.6053

Anticancer effect of curcumin inhibits cell growth through miR-21/PTEN/Akt pathway in breast cancer cell

Xinzheng Wang 1,✉, Yakai Hang 2, Jinbiao Liu 1, Yongqiang Hou 1, Ning Wang 1, Mingjun Wang 1
PMCID: PMC5452995  PMID: 28599484

Abstract

Curcumin is a polyphenol extracted from turmeric, which that belongs to the Zingiberaceae family. Curcumin has numerous effects, including anti-inflammatory, antitumor, anti-oxidative and antimicrobial effects. However, the effects of curcumin on human breast cancer cells remain largely unknown. The aim of the present study was to investigate the anticancer effects and the mechanisms by which curcumin affects breast cancer cells. The anticancer effect of curcumin on cell viability and cytotoxicity on human breast cancer MCF-7 cells was analyzed using 3-(4,5-dimethyl-2-thiazolyl)-2, 5-diphenyl-2H-tetrazolium bromide and lactate dehydrogenase assays, respectively. Cell apoptosis of MCF-7 cells was detected using flow cytometry, 4′,6-diamidino-2-phenylindolestaining assay and caspase-3/9 activity kits. Reverse transcription-quantitative polymerase chain reaction was used to analyze microRNA-21 (miR-21) expression in MCF-7 cells. The protein expression of phosphatase and tensin homolog (PTEN) and phospho-protein kinase B (pAkt) was determined by western blot analysis. miR-21 was transfected into MCF-7 cells and the anticancer effect of curcumin on cell viability and the expression of PTEN and pAkt was analyzed. The present results demonstrated that curcumin inhibited cell viability and induced cytotoxicity of MCF-7 cells in a concentration- and time-dependent manner, by inducing apoptosis and increasing caspase-3/9 activities. In addition, curcumin downregulated miR-21 expression in MCF-7 cells by upregulating the PTEN/Akt signaling pathway. The present study has for the first time, to the best of our knowledge, revealed the anticancer effect of curcumin in suppressing breast cancer cell growth, and has elucidated that the miR-21/PTEN/Akt signaling pathway is a key mechanism for the anticancer effects of curcumin.

Keywords: curcumin, breast cancer, miR-21, PTEN, Akt

Introduction

Breast cancer is the most common malignant tumor among women and is a significant global health problem. It is estimated that ~1.3 million women are diagnosed with breast cancer and >450,000 breast cancer-associated mortalities are recorded every year (1). Although the morbidity of breast cancer and mortality rates have decreased, due to prevention, screening, early detection and treatment, and the survival time of breast cancer patients has been extended, there are a significant amount of individuals diagnosed with breast cancer, which transforms into malignant tumors (2,3).

MicroRNAs (miRs) are a large family of single stranded non-coding RNAs composed of 22 nucleotides. miRs regulate gene expression, which affects various biological behaviors, including the formation, growth and development of embryos, hematopoiesis, proliferation, apoptosis and differentiation of cells, and occurrence and development of tumors (4). Increasing studies suggest that miRs are important in the occurrence and development of tumors, and certain miRs act as oncogenes or anti-oncogenes (5). One such miR is miR-21, which has been demonstrated to be overexpressed in pulmonary, mammary gland and prostate and colon malignant tumors, gastrointestinal, esophageal and pancreatic cancer and head and neck neoplasms (6).

Curcumin is a polyphenol with a low molecular weight and is extracted from Curcuma longa L, which belongs to the Zingiberaceae family (7). Generally, curcumin is regarded as the most effective constituent in turmeric and accounts for 2–8% in the majority of turmeric preparations. According to various studies, curcumin has numerous pharmacological effects, including anti-oxidative (8), anti-inflammatory (9), anticancer (10), free radical clearance (1) and antimicrobial effects (2). In addition, curcumin has numerous pharmacological functions on the cardiovascular and digestive systems (11). The present study investigated whether the anticancer effect of curcumin inhibits breast cancer cell growth through the miR-21/phosphatase and tensin homolog (PTEN)/protein kinase B (Akt) signaling pathway.

Materials and methods

Materials

Dulbecco's modified Eagle's medium (DMEM) and fetal bovine serum (FBS) was obtained from HyClone™ (GE Healthcare, Logan, UT, USA). Curcumin (purity >98%) was supplied by Sigma-Aldrich (St. Louis, MO, USA). 3-(4,5-dimethyl-2-thiazolyl)-2, 5-diphenyl-2H-tetrazolium bromide (MTT) and lactate dehydrogenase (LDH) were supplied by Tianjin Chemical Reagent No. 1 Plant (Tianjin, China). Annexin V-fluorescein isothiocyanate (FITC)/propidium iodide (PI) Apoptosis Detection kit was obtained from Beijing Biosea Biotechnology, Co., Ltd. (Beijing, China). A BCA Protein Assay kit was supplied by Wuhan Boster Bioengineering Co., Ltd. (Wuhan, China). Caspase-3 (C1116) and caspase-9 (C1158) activity kits were obtained from Beyotime Institute of Biotechnology (Beijing, China). TRIzol reagent was supplied by Invitrogen™ (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Primescript™ RT Master mix kit was obtained from Takara Biotechnology Co., Ltd. (Dalian, China). ABI Prism 7900HT Real-Time PCR system was supplied by Applied Biosystems® (Thermo Fisher Scientific, Inc.).

Cell culture

Human breast cancer MCF-7 cell line was purchased from Shanghai Institute of Cell Biology, Chinese Academy of Sciences (Shanghai, China). The MCF-7 cells were cultured in DMEM containing 10% FBS with 100 U/ml penicillin and 100 U/ml streptomycin (Sigma-Aldrich) in a humidified atmosphere of 95% air with 5% CO2 at 37°C.

MTT assay

MCF-7 cells were seeded at a density of 2×104 cells/well (0.2 ml/well) in 96-well plates (Corning, Inc., Corning, NY, USA) for 24 h. Following exposure to various concentrations of curcumin [0 (with DMSO vehicle), 0.5, 1.0, 2.0, 5.0 and 10.0 µM] for 24, 48 and 72 h, respectively (12), 20 µl MTT solution (Tianjin Chemical Reagent No. 1 Plant, Tianjin, China) was added to each well and the cells were incubated for an additional 4 h. In total, 200 µl dimethyl sulfoxide (Sinopharm Chemical Reagent Co., Ltd., Shanghai, China) was added to each well and the plates were agitated for 20 min at room temperature. The absorbance of the samples was measured at 490 nm using a microplate reader (model 3550; Bio-Rad Laboratories, Inc., Hercules, CA, USA).

LDH assay

MCF-7 cells were seeded in 96-well plates at a density of 2×104 cells/well (0.2 ml/well) for 24 h. Following exposure to various concentrations of curcumin [0 (with DMSO vehicle), 0.5, 1.0, 2.0, 5.0 and 10.0 µM] for 24, 48 and 72 h, 100 µl LDH solution was added to each well and the plates was incubated at room temperature for 30 min. The absorbance of the samples was measured at 490 nm using a microplate reader (Bio-Rad Laboratories, Inc.).

Cell apoptosis evaluation using flow cytometry

MCF-7 cells were seeded in 6-well plates (Corning, Inc.) at a density of 1×106 cells/well (2 ml/well) for 24 h. The cells were centrifuged at 2,000 × g for 10 min and collected following treatment with curcumin at 0 (with DMSO vehicle), 1, 2 and 5 µM for 48 h. The cells were then washed twice with cold phosphate-buffered saline (PBS). The MCF-7 cells were resuspended with 500 µl binding buffer (Beijing Biosea Biotechnology, Co., Ltd., Beijing, China). Subsequently, miscible liquids were mixed with 10 µl Annexin V for 30 min in the dark at room temperature, followed by the addition of 5 µl PI (Beijing Biosea Biotechnology, Co., Ltd.) for 30 min in the dark at room temperature. Subsequently, the samples were analyzed by FACSAria flow cytometer (BD Biosciences, Franklin Lakes, NJ, USA).

4′,6-diamidino-2-phenylindole (DAPI) staining assay

MCF-7 cells were seeded in 6-well plates at a density of 1×106 cells/well (2 ml/well) for 24 h. The cells were collected following treatment with curcumin at 0 (with DMSO vehicle), 1, 2 and 5 µM for 48 h, and subsequently washed twice with cold PBS. The MCF-7 cells were fixed in 4% paraformaldehyde (Sinopharm Chemical Reagent Co., Ltd.), permeabilized with 0.1% Triton X-100 (Sinopharm Chemical Reagent Co., Ltd.) and stained with 2 µg/ml DAPI (Beyotime Institute of Biotechnology) for 10 min. Nucleic morphology of the MCF-7 cells was observed under a fluorescence microscope (Nikon Corporation, Tokyo, Japan).

Caspase-3 and caspase-9 activities

MCF-7 cells were seeded in 6-well plates at a density of 1×106 cells/well (2 ml/well) for 24 h. MCF-7 cells were collected following treatment with curcumin at 0 (with DMSO vehicle), 1, 2 and 5 µM for 48 h, and the cells were subjected to lysis by a cell lysis buffer (Beyotime Institute of Biotechnology) for 0.5–1 h on ice. The cell lysates were centrifuged at 12,000 × g for 10 min at 4°C. The concentration of the proteins was determined by BCA Protein Assay kit. The proteins were mixed with reaction buffers from the caspase-3/9 activity kits (caspase-3, Ac-DEVD-pNA; caspase-9, Ac-LEHD-pNA) and incubated at 37°C for 2 h in the dark. The activities of caspase-3 and caspase-9 were measured at an absorbance of 405 nm using the microplate reader from Bio-Rad Laboratories, Inc.

Reverse transcription-quantitative polymerase chain reaction (qPCR) of miR-21 expression

MCF-7 cells were seeded in 6-well plates at a density of 1×106 cells/well (2 ml/well) for 24 h. MCF-7 cells were collected following treatment with curcumin at 0 (with DMSO vehicle), 1, 2 and 5 µM for 48 h, and total RNA was extracted using TRIzol reagent (Invitrogen™; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol. PrimeScript™ RT Master mix was used to transcribe cDNA according to the manufacturer's protocol (Takara Biotechnology Co., Ltd.). qPCR was performed with an ABI Prism 7900HT Real-Time PCR system and the SYBR Green I florescent dye method (Applied Biosystems; Thermo Fisher Scientific, Inc.) was used to quantify miR-21 expression (3). PCR was initiated at 95°C for 3 min, followed by 40 cycles at 95°C for 20 sec and 60°C for 30 sec. The primers used are as follows: miR-21, forward 5′-GGGGTAGCTTATCAGACTGATG-3′ and reverse 5′-TGTCGTGGAGCGGCAATTG-3′; U6, forward 5′-CGCTTCGGCACATATACTA-3′ and reverse 5′-CGCTTCACGAATTTGCGTGTCA-3′. The relative level of miR-21 was calculated with the comparative 2−ΔΔCq method using small RNA U6 (13).

Western blot analysis for PTEN/Akt protein expression

MCF-7 cells were seeded in 6-well plates at a density of 1×106 cells/well (2 ml/well) for 24 h. The cells were collected following treatment with curcumin at 0 (with DMSO vehicle), 1, 2 and 5 µM for 48 h, and MCF-7 cells were subjected to cell lysis with a cell lysis buffer for 30 min to 1 h on ice. The cell lysates were centrifuged at 12,000 × g for 10 min at 4°C and the concentration of proteins was determined by BCA Protein Assay kit. The proteins were subjected to 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Following electrophoresis, the gels were transferred to polyvinylidene difluoride membrane (0.22 mm). The membrane was blocked in 5% non-fat milk in PBS at room temperature for 2 h. The transferred membrane was incubated with rabbit polyclonal anti-PTEN (dilution, 1:1,500; sc-6817-R; Santa Cruz Biotechnologies, Inc., Dallas, TX, USA), anti-phospho-Akt (p-Akt; dilution, 1:1,500; sc-135650; Santa Cruz Biotechnologies, Inc.) and anti-β-actin (dilution, 1:500; D110007; Sangon Biotech, Co., Ltd., Shanghai, China) antibodies overnight at 4°C. After washing with PBS three times, the membrane was incubated with a secondary polyclonal peroxidase-labeled antibody (6403–05; Wuhan Amyjet Scientific, Inc., Wuhan, China) for 2 h. The membrane was detected using the Immun-Star™ WesternC™ Chemiluminescent kit (Bio-Rad Laboratories, Inc.) and autoradiography films (Amersham HyperFilm ECL; GE Healthcare). Quantification was performed using Quantity One software version 3.0 (Bio-Rad Laboratories, Inc.).

Transfection of MCF-7 cells with miR-21 plasmids

Negative control plasmids and miR-21 plasmids were designed and purchased from Sangon Biotech, Co., Ltd. The MCF-7 cells were seeded onto a 6-well plate at a density of 1×106 cells/well for 24 h, and were transiently transfected using Lipofectamine® 2000 transfection reagent (Invitrogen™; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol.

Statistical analysis

Data are expressed as the mean ± standard error of the mean. Comparisons of two groups were performed using Student's t-test and multiple comparisons were made by performing one-way analysis of variance followed by Bonferroni's test. Statistical analysis was conducted using SPSS software (version 15; SPSS, Inc., Chicago, IL, USA). P<0.05 was considered to indicate a statistically significant difference.

Results

Anticancer effect of curcumin inhibits cell growth

The structure of curcumin is shown in Fig. 1. MTT assay revealed that the growth of MCF-7 cells was reduced following treatment with various concentrations of curcumin (0, 0.5, 1.0, 2.0, 5.0 and 10.0 µM) for 24, 48 and 72 h. Subsequent to treatment with 2, 5 and 10 µM curcumin for 48 (P=0.0097, 0.0041 and 0.0022, respectively) or 72 h (P=0.0072, 0.0033 and 0.0009, respectively), the cell growth of MCF-7 cells was significantly inhibited in a concentration- and time-dependent manner compared with cells treated with 0 µM curcumin (Fig. 2).

Figure 1.

Figure 1.

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Chemical structure of curcumin.

Figure 2.

Figure 2.

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Anticancer effect of curcumin inhibits human breast cancer MCF-7 cell proliferation. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group.

Anticancer effect of curcumin induces cytotoxicity

The effects of treating MCF-7 cells with various concentrations of curcumin (0, 0.5, 1.0, 2.0, 5.0 and 10.0 µM) for 24, 48 and 72 h on cell cytotoxicity was analyzed using a LDH assay. Curcumin treatment at 2, 5 and 10 µM for 48 (P=0.0088, 0.0038 and 0.0017, respectively) and 72 h (P=0.0079, 0.0027 and 0.0003, respectively) increased the cytotoxicity of MCF-7 cells in a concentration- and time-dependent manner (Fig. 3).

Figure 3.

Figure 3.

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Anticancer effect of curcumin induces cytotoxicity in human breast cancer MCF-7 cells. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group.

Anticancer effect of curcumin induces cell apoptosis

The effects of treating MCF-7 cells with various concentrations of curcumin (0, 1, 2 and 5 µM) for 48 h on cell apoptosis was analyzed using flow cytometry. As shown in Fig. 4, curcumin induced significant apoptotic cell death of MCF-7 cells in a concentration-dependent manner, when treated with 2 (P=0.0021) and 5 µM (P=0.0004) at 48 h.

Figures 4.

Figures 4.

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Anticancer effect of curcumin induces apoptosis of human breast cancer MCF-7 cells. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group. FCM, flow cytometry.

Anticancer effect of curcumin induces apoptotic morphology in cells

The effects of treating MCF-7 cells with various concentrations of curcumin (0, 1, 2 and 5 µM) for 48 h on nucleic morphology was analyzed using DAPI staining. As shown in Fig. 5, nucleic apoptosis of MCF-7 cells was observed to be significantly promoted by treatment with 2 and 5 µM curcumin at 48 h in a concentration-dependent manner.

Figure 5.

Figure 5.

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Anticancer effect of curcumin induces apoptotic nucleic morphology in human breast cancer MCF-7 cells stained with 4′,6-diamidino-2-phenylindole.

Anticancer effect of curcumin induces caspase-3/9 activities

Effects of curcumin on caspase-3/9 activities of MCF-7 cells was examined using commercial caspase-3/9 activity kits, after the cells had been treated with curcumin at 0, 1, 2 and 5 µM for 48 h. When treated with curcumin at 2 and 5 µM, caspase-3 (P=0.0057 and 0.0012) and −9 (P=0.0042 and 0.0008) activities in MCF-7 cells were significantly increased in a concentration-dependent manner (Fig. 6A and B).

Figure 6.

Figure 6.

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Anticancer effect of curcumin induces (A) caspase-3 and (B) caspase-9 activities in human breast cancer MCF-7 cells. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group.

Anticancer effect of curcumin regulates miR-21 expression

The effects of treating MCF-7 cells with various concentrations of curcumin (0, 1, 2 and 5 µM) for 48 h on the expression of miR-21 was analyzed using qPCR. Fig. 7 reveals that the expression of miR-21 was significantly suppressed in cells treated with curcumin in a concentration-dependent manner (P=0.0079 and 0.0021).

Figure 7.

Figure 7.

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Anticancer effect of curcumin decreases miR-21 expression in human breast cancer MCF-7 cells. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group. miR, microRNA.

Anticancer effect of curcumin regulates PTEN/Akt

Effects of curcumin on the PTEN/Akt signaling pathway in MCF-7 cells was verified by western blot analysis, subsequent to the cells being treated with curcumin at 0, 1, 2 and 5 µM for 48 h. Following treatment, PTEN protein expression was significantly increased (P=0.0081 and 0.0009) and p-Akt protein expression was significantly decreased (P=0.0092 and 0.0033) in a concentration-dependent manner (Fig. 8).

Figure 8.

Figure 8.

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Anticancer effect of curcumin regulates PTEN/Akt protein expression in human breast cancer MCF-7 cells. Protein expression of (A and B) PTEN and (C and D) p-Akt was upregulated and downregulated by curcumin, respectively, in a concentration-dependent manner. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group. PTEN, phosphatase and tensin homolog; p-Akt, phospho-protein kinase B.

Upregulation of miR-21 regulates the anticancer effect of curcumin on cell growth

The previous results had demonstrated that miR-21 plays a role in the anticancer effect of curcumin on cell growth. Therefore, miR-21 was upregulated in MCF-7 cells by transfection of MCF-7 cells with miR-21 plasmids, and the anticancer effect of curcumin on the cell growth of these transfected cells was evaluated. miR-21 plasmids significantly upregulated miR-21 expression (Fig. 9A). Overexpression of miR-21 significantly reduced the anticancer effect of curcumin, as demonstrated by an increase in cell proliferation of transfected cells compared with parental MCF-7 cells (P=0.0037; Fig. 9B).

Figure 9.

Figure 9.

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Upregulation of miR-21 decreases the anticancer effect of curcumin on human breast cancer MCF-7 cell growth. (A) MCF-7 cells transfected with miR-21 plasmids and treated with curcumin upregulate miR-21 expression. (B) MCF-7 cells transfected with miR-21 plasmids decrease the anticancer activity of curcumin. **P<0.01 vs. 0 µM curcumin-treatment group; ##P<0.01 vs. 2 µM curcumin-treatment group. miR, microRNA.

Upregulation of miR-21 regulates the anticancer effect of curcumin through the PTEN/Akt pathway

The present study additionally investigated whether miR-21 regulates the anticancer effect of curcumin through the PTEN/Akt pathway in MCF-7 cells. As shown in Fig. 10, miR-21 plasmids significantly decreased the anticancer effect of curcumin by decreasing the expression of PTEN and increasing the expression of p-Akt (P=0.0039).

Figure 10.

Figure 10.

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Upregulation of miR-21 regulates the anticancer effect of curcumin on the PTEN/Akt pathway in human breast cancer MCF-7 cells. MCF-7 cells transfected with miR-21 plasmids (A and B) decreased the protein expression of PTEN and (C and D) increased the protein expression of p-Akt. Data are presented as the mean ± standard error of the mean. **P<0.01 vs. 0 µM curcumin-treatment group; ##P<0.01 vs. 2 µM curcumin-treatment group. miR, microRNA; PTEN, phosphatase and tensin homolog; p-Akt, phospho-protein kinase B.

Discussion

Breast cancer is one of the most common malignant tumors worldwide. According to the latest global estimates, in 2002 morbidity from breast cancer was 37.5 per 100,000 individuals, and the incidence was 1.15 million patients (3). For nearly 30 years, the morbidity caused by breast cancer in the majority of countries has increased (14,15). The present study demonstrates that the anticancer effect of curcumin significantly inhibits cell growth, increases cytotoxicity and induces apoptosis and caspase-3/9 activities in MCF-7 cells in a concentration- and time-dependent manner. In addition, the anticancer activity of curcumin has been demonstrated to inhibit cell proliferation and induce apoptosis in lung adenocarcinoma A549 cells (16) non-small cell lung cancer (17), gastric cancer (12) and colorectal cancer (18). Therefore, curcumin may be a potential drug for breast cancer treatment.

For numerous types of tumors, inhibiting the expression of miR-21 leads to an inhibition in cell growth, induces apoptosis and inhibits cell migration and invasion (19). miR-21 is regarded as a proto-oncogene, and has an increased expression in various human cancer tissues and cells, including glioma, multiple myeloma and cervical, ovarian, bladder, prostate, lung and breast cancer (20,21). miR-21 not only participates in the differentiation, proliferation and apoptosis of cells, but is closely associated with the occurrence, growth, invasion and metastasis of tumors (22). The present study demonstrates that the anticancer effect of curcumin significantly reduced the expression of miR-21 in MCF-7 cells in a concentration-dependent manner. Similarly, Mudduluru et al (23) revealed that curcumin inhibits the invasion and metastasis of colorectal cancer cells through the regulation of miR-21 expression. Gaining insight into the molecular characteristics of miR-21 may aid in understanding the antitumor function of curcumin in various human cancers.

Previous studies have suggested that PTEN is a target gene with certain biological functions. As a tumor-inhibiting factor, PTEN controls the growth, invasion and metastasis of tumors (24). Inhibition of PTEN may affect downstream molecules of the phosphoinositide 3-kinase (PI3K) signaling pathway, including Akt, which leads to a stimulation of the growth and invasion and metastatic abilities of tumors (25). An overexpression of miR-21 in human hepatoma cells leads to a decrease in the expression of PTEN; therefore, it may be hypothesized that there is a negative association between PTEN and miR-21 (26). In addition, miR-21 possibly promotes the occurrence and growth of tumors by inhibiting the expressions of PTEN (27). The present study demonstrated that the anticancer effects of curcumin significantly promoted the protein expression of PTEN and suppressed the protein expression of p-Akt in MCF-7 cells. Furthermore, Khaw et al (28) reported that curcumin inhibits telomerase and induces cell apoptosis of brain tumour cells by upregulating the expression of PTEN. Additionally, Wong et al (29) revealed that curcumin inhibits uterine leiomyosarcoma cells via Akt. However, the detailed mechanisms concerning the effects of curcumin treatment on the PTEN/Akt pathway remains unclear, and further clarification is required.

The PTEN/PI3K/Akt signaling pathway exists extensively in all types of tumor cells (30). Akt affects the apoptosis of cancer cells, myocardial cells and other cells (31). This pathway affects cell cycle progress by controlling the activation of genes associated with apoptosis; therefore, control of the growth and proliferation of cells is via this pathway. This pathway participates in the formation of tumor vasculature and consequently is important in the formation of tumors (32). In addition, the PTEN/PI3K/Akt pathway participates in the invasion and metastasis of tumors. PTEN inhibits the formation of tumors through negative regulation of the PI3K/Akt signaling pathway, and an inactivation or mutation of PTEN genes decreases the inhibition of the pathway causing cell canceration (33). In the process of PI3K/AKT signal transduction, PI3K is activated, which in turn activates PIP3 as a secondary messenger that activates signal molecules downstream. The PI3K signaling pathway is important in a series of pathophysiological procedures, including cell differentiation, apoptosis, proliferation and migration and the neoplastic transformation of cells (34). Certain studies have demonstrated that PTEN/PI3K/Akt signaling pathways are closely associated with the cell growth, proliferation, survival and apoptosis, metabolism of tumors, tumor angiogenesis, invasion and metastasis, drug resistance in cancer and tumor immune response escape (35).

Overall, an upregulation of miR-21 significantly inhibited the anticancer effect of curcumin on cell growth in MCF-7 cells, suppressed the promotion of PTEN protein expression and increased p-Akt protein expression. In conclusion, the present results of this initial study indicate that curcumin reduces the malignancy of breast cancer cells, and this anticancer effect is controlled by the miR-21/PTEN/Akt signaling pathway. These results provide a basis for the future management of breast cancer. In conclusion, the results of the present study indicate that curcumin reduces the malignancy of breast cancer cells, and this anticancer effect is controllled by a miR-21/PTEN/ Akt signaling pathway, which may present a novel method of treating breast cancer.

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