Abstract
Purpose
Alisol A is a bioactive triterpenoid isolated from the Rhizoma Alismatis. Previous studies have shown that alisol A has anticancer potential. In this study, we explored the effect of alisol A on the growth of nasopharyngeal carcinoma (NPC) cells.
Materials and Methods
MTT assay, colony formation assay, flow cytometry, transwell assay, wound healing assay, and western blotting were used to assess cell viability, proliferation, cell cycle, migration, invasion, and protein expression, respectively, in vitro. AutoDock Vina and Discovery Studio software were used for molecular docking.
Results
Alisol A inhibited the viability, proliferation, migration, and invasion of NPC cells. The molecular docking simulation assay confirmed that alisol A bound to YAP protein. In addition, alisol A promoted the phosphorylation of YAP and suppressed the expression of YAP in NPC cells.
Conclusion
Alisol A inhibited the proliferation, migration, and invasion of NPC cells by inhibiting the Hippo signaling pathway. Alisol A may be a candidate drug for NPC.
Keywords: Alisol A, nasopharyngeal carcinoma, Hippo signaling pathway
INTRODUCTION
Nasopharyngeal carcinoma (NPC) occurs frequently in the Southeast Asia countries and southern China.1 NPC is associated with multiple risk factors, including the Epstein-Barr virus infection,2 host genetics,3 and environment.4 Invasive surgery, radiotherapy, and chemotherapy contribute to the recovery of NPC.5 Cisplatin is the most commonly used chemotherapeutic drug for NPC, while its acute toxicities are often intolerable.6 Therefore, the development of new drugs is essential to improve the clinical outcomes of NPC patients.
Natural products are a valuable source of new anti-cancer drugs due to their potential effectiveness and low toxicity.7,8 Rhizoma Alismatis [dried rhizomes of Alisma orientalis (Sam.) Juzep.] is widely used in China, Korea, and Japan.9 The extracts of Rhizoma Alismatis have multiple pharmacological effects, including anti-hyperlipidemic,10 anti-hypoglycemic,11 anti-inflammatory, 12 hepatoprotective,13 anti-hepatitis B virus,14 anti-bacterial,15 and anti-cancer16 activities. Alisol A is one of the triterpenes isolated from Rhizoma Alismatis.17 Previous studies have shown that alisol A suppresses the growth of breast cancer cells.18 However, there has been no report regarding the effect of alisol A on NPC cells.
The Hippo signaling pathway plays a major role in anticancer therapeutics.19 YAP is a principal member and downstream effector of the Hippo signaling pathway.20 Molecular docking is used to identify potential protein targets for compound.21 Based on the molecular docking analysis, we found that alisol A was a potent inhibitor of YAP.
In this study, we used HK1 and C666-1 cells to detect whether alisol A could inhibit cell proliferation, migration, and invasion.
MATERIALS AND METHODS
Cell culture
NPC cell lines (C666-1 and HK1) were purchased from Shanghai Huiying Biotechnology Co., Ltd (Shanghai, China). Cells were cultured in RPMI-1640 containing 10% FBS, 100 U/mL penicillin G, and 100 µg/mL streptomycin (HyClone, Logan, UT, USA) at 37℃ in a 5% CO2 incubator. Alisol A was purchased from Tauto Biotech Co., Ltd (Shanghai, China) and dissolved in dimethyl sulfoxide (DMSO).
3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay
C666-1 and HK1 cells (2×104) were seeded in 96-well plates and treated with alisol A (10, 20, and 40 µM) or cisplatin (DDP, 10 µM) for 24 h. At 24, 48, and 72 h, 20 µL of MTT solution (5 mg/mL) was added to each well of 96-well plates for 4 h at 37℃. Formed formazan crystals were dissolved in 100 µL DMSO. The absorbance was measured at 570 nm by a microplate reader (Bio-Rad, Hercules, CA, USA). Data were expressed as follows: inhibition ratio (%)=[1−(OD570treated−OD570blank)/(OD570control−OD570blank)]×100%.
Colony formation assay
C666-1 and HK1 cells (1×103) were seeded in 6-well plates. The cells were treated with alisol A (10, 20, and 40 µM) or DDP (10 µM) for 8 days at 37℃. The medium were renewed every 2 days. Colonies were stained with 0.1% crystal violet solution and counted under the inverted microscope. A cell colony should contain ≥50 cell masses.
Cell cycle analysis
C666-1 and HK1 cells (3×105) were seeded in 6-well plates and treated with alisol A (10, 20, and 40 µM) for 24 h. After collection and fixation, cells were stained with propidium iodide. Samples were analyzed by a flow cytometer (BD Biosciences, Franklin Lakes, NJ, USA).
Wound healing assay
C666-1 and HK1 cells (3×105) were seeded into 6-well plates and treated with alisol A (10, 20, and 40 µM) for 24 h. The monolayer cells were scratched by a sterile 10 µL pipette tip. The wound areas were photographed 24 h later using an inverted microscope (Nikon, Melville, NY, USA).
Cell migration and invasion assays
Transwell chambers were coated with or without Matrigel (BD Biosciences). Cells were seeded into the top chamber with 100 µL Serum-free medium. Cells were stained with crystal violet. The number of cells was counted in five randomly fields.
Western blot
Total cells were lysed by lysis buffer on ice. The nuclear and cytoplasmic proteins were extracted and separated using the nuclear protein extraction kit (Beyotime Biotechnology, Jiangsu, China). Then, 20 µg of protein were separated by SDS-PAGE and transferred to PVDF membranes (Millipore, Billerica, MA, USA). The membranes were incubated with specific antibodies. Primary antibodies were shown as follows: β-actin (1:2000, 4967), GAPDH (1:2000, 5174), Histone H3 (1:2000, 9715), YAP (1:2000, 4912), p-YAP(ser127) (1:2000, 4911), MMP2 (1:2000, 4022), MMP9 (1:2000, 3852), cyclin D1 (1:2000, 2922), cyclin E1 (1:2000, 20808), CDK2 (1:2000, 2546), CDK4 (1:2000, 12790) (Cell Signaling Technology, Boston, MA, USA). The membranes were incubated with secondary antibody (1:5000, A0545) (Sigma, St. Louis, MO, USA). Finally, protein bands were visualized using an enhanced chemiluminescence detection kit (Cell Signaling Technology) and photographed using a GE Amersham Imager 600 imaging system.
Immunofluorescence
The fixed cells were incubated with YAP (1:300, 14729) (Cell Signaling Technology). Cells were incubated with DAPI and visualized using a confocal microscope (Leica, Wetzlar, Germany).
Molecular docking
The crystal structure of YAP was obtained from the protein data bank (PDB, http://www.rcsb.org/, ID: 4rex). Crystal structure of each protein was selected based on the best resolution available. PubChem (https://pubchem.ncbi.nlm.nih.gov/) was used to obtain the three-dimension (3D) structure of alisol A (MOL000850). AutoDock Vina and Discovery Studio software were used for the docking simulations and calculations. The value of root mean square deviation (RMSD) was calculated using PyMOL. The prediction of binding mode was selected with RMSD below 2.0 Å.
Statistical analysis
All analyses were performed using SPSS 22.0 program (IBM Corp., Armonk, NY, USA). Statistical significance was evaluated by one-way ANOVA and Student's t-test. A p-value<0.05 was considered statistically significant.
RESULTS
Alisol A inhibits NPC cells proliferation
The two-dimension (2D) and 3D chemical structures of alisol A are shown in Fig. 1A and B. Alisol A significantly inhibited the growth of C666-1 and HK1 cells in a time- and concentration-dependent manner. The inhibition rate of alisol A was less than that of DDP (Fig. 1C). We found that alisol A inhibited the colony formation of C666-1 and HK1 cells in a concentrationdependent manner. The inhibition of DDP on clone formation was stronger than that of alisol A (Fig. 1D).
Fig. 1. Alisol A inhibits the growth of NPC cells. (A) The two-dimension chemical structure of alisol A. (B) The three-dimension chemical structure of alisol A. (C) MTT assay was used for cell inhibition rate. (D) The colony numbers were counted by clone formation assay. Data are presented as the mean±SD of three independent experiments (*p<0.05, **p<0.01, ***p<0.001 vs. control group). NPC, nasopharyngeal carcinoma.
Alisol A induces cell cycle arrest in G0/G1 phase of NPC cells
As shown in Fig. 2A, the proportion of cells in the G0/G1 phase was distinctly increased, while the proportion of cells in the S phase was distinctly decreased. In addition, we found that alisol A treatment significantly reduced the protein expression of cell cycle-related genes, including cyclin D1, cyclin E1, CDK2, and CDK4 in NPC cells (Fig. 2B). These results indicate that the cell cycle was arrested in the G0/G1 phase.
Fig. 2. Alisol A induces cell cycle arrest in G0/G1 phase of NPC cells. (A) Cell cycle distribution was assessed by flow cytometry. (B) The expression of cell cycle-related proteins was detected by western blot. Data are presented as the mean±SD of three independent experiments (*p<0.05, **p<0.01, ***p<0.001 vs. control group). NPC, nasopharyngeal carcinoma.
Alisol A inhibits migration and invasion of NPC cells
The migration and invasion abilities of NPC cells were reduced in alisol A-treated cells (Fig. 3A–C). In addition, alisol A treatment significantly reduced the protein expression of MMP2 and MMP9 in NPC cells (Fig. 3D).
Fig. 3. Alisol A inhibits the migration and invasion of NPC cells. (A) Cell migration was measured by wound healing assay. (B) Cell migration was measured by transwell assay. (C) Cell invasion was measured by transwell assay. (D) The expression of MMP2 and MMP9 was detected by western blot. Data are presented as the mean±SD of three independent experiments (*p<0.05, **p<0.01, ***p<0.001 vs. control group). NPC, nasopharyngeal carcinoma.
Alisol A attenuates YAP nuclear expression in NPC cells
The docking interaction between alisol A and YAP was detected by AutoDock Vina software (Fig. 4A). The pink color represented the amino acid breakdown, the yellow dotted line represented the hydrogen bond, and the light green represented the preferential confirmation of molecules (RMSD=0.180 Å, Bond energy=−6.7 Kcal/mol). The interaction between alisol A and YAP was predicted using the Discovery Studio software, and the 2D schematic diagram is shown in Fig. 4B. We further investigated the effects of alisol A on Hippo signaling. As shown in Fig. 4C, YAP protein expression was decreased and p-YAP Ser127 level was increased after alisol A treatment. Alisol A reduced YAP in the nucleus, whereas it increased p-YAP Ser127 in cytoplasm (Fig. 4D).
Fig. 4. Alisol A attenuates YAP nuclear expression in NPC cells. (A) The docking interaction between alisol A and YAP was detected by AutoDock Vina software. (B) The docking interaction between alisol A and YAP was detected by Discovery Studio software. (C) The expression of Hippo signaling pathway-related proteins was detected by western blot. (D) YAP expression in cytosol or nuclear fractions was detected by western blot. (E) YAP expression in nuclear fractions was detected by immunofluorescence. Scale bar, 10 µm. Data are presented as the mean±SD of three independent experiments (*p<0.05, **p<0.01, ***p<0.001 vs. control group). NPC, nasopharyngeal carcinoma.
DISCUSSION
Traditional Chinese medicine has been practiced for thousands of years, and is widely accepted as an alternative treatment for cancer.22 Recently, bioactive compounds in Rhizoma Alismatis have been widely elucidated for their antineoplastic effect. Alisol A suppresses the progress of breast cancer.18 Alisol B suppresses the proliferation of breast cancer cells.23 Alisol B 23-acetate induces apoptosis of human lung cancer cells24 and hepatoma cells.25 Our study revealed the anti-cancer activity of alisol A in NPC cells.
Cancer is characterized by uncontrolled cell cycle.26 Cyclin D/E and CDK2, CDK4 are critical for cells entering the S phase from G1.27 Cell cycle arrest is frequently found in NPC.28 Solanine regulates the expression of cell cycle proteins, including Cyclin D1, Cyclin E1, CDK2, and CDK4 in prostate cancer.29 In this study, the expression of cyclin D1, cyclin E1, CDK2, and CDK4 was significantly down-regulated in alisol A-treated C666-1 and HK1 cells. Similar report has found that alisol A arrests cell cycle at the G0/G1 phase by regulating the expression of CDK4/cyclin D1 and CDK2/cyclin E1 in breast cancer cells.18 Our study showed that alisol A suppresses the proliferation of C666-1 and HK1 cells in vitro by inducing G0/G1 arrest.
MMPs are implicated in the metastatic process of cancer cells.30 The degradation of extracellular matrix (ECM) is a vital procedure in cell metastasis.31 MMP2 and MMP9 are involved in the degradation of ECM.32 Alisol A 24-acetate reduces MMP2 and MMP9 expression, and shortens cell migration distance.33 Our results suggest that alisol A treatment inhibits NPC cell migration and invasion by suppressing the expression of MMP2 and MMP9.
YAP is identified as an oncogene in different types of cancers.34,35 It is well documented that the YAP-induced promotion of cell proliferation is determined by its nuclear translocation.36 YAP expression is decreased following wogonoside treatment in endometrial cancer.37 Corosolic acid induces the repression of cancer progress by translocating YAP from the nucleus in hepatocellular carcinoma.38 However, YAP protein expression does not change after artemisinin treatment in the whole cell extracts of hepatocellular carcinoma cells.39 In this study, alisol A treatment decreased YAP protein expression in the nucleus.
To sum up, our research might provide a novel mechanism of alisol A for the treatment of NPC. Alisol A inhibited the growth, migration, and invasion of NPC cells by suppressing YAP protein expression in the nucleus.
Footnotes
The authors have no potential conflicts of interest to disclose.
- Conceptualization: Xianghong Chen and Huiqing Liu.
- Data curation: Xianghong Chen.
- Formal analysis: Huiqing Liu.
- Funding acquisition: Xianghong Chen and Huiqing Liu.
- Investigation: Xianghong Chen and Huiqing Liu.
- Methodology: Xianghong Chen and Huiqing Liu.
- Project administration: Huiqing Liu.
- Resources: Xianghong Chen.
- Software: Xianghong Chen.
- Supervision: Huiqing Liu.
- Validation: Xianghong Chen.
- Visualization: Xianghong Chen.
- Writing—original draft: Xianghong Chen.
- Writing—review & editing: Huiqing Liu.
- Approval of final manuscript: all authors.
AVAILABILITY OF DATA AND MATERIAL
The datasets used and analyzed in the current study are available from the corresponding author upon reasonable request.
References
- 1.Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424. doi: 10.3322/caac.21492. [DOI] [PubMed] [Google Scholar]
- 2.Fan C, Tang Y, Wang J, Xiong F, Guo C, Wang Y, et al. The emerging role of Epstein-Barr virus encoded microRNAs in nasopharyngeal carcinoma. J Cancer. 2018;9:2852–2864. doi: 10.7150/jca.25460. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Lin DC, Meng X, Hazawa M, Nagata Y, Varela AM, Xu L, et al. The genomic landscape of nasopharyngeal carcinoma. Nat Genet. 2014;46:866–871. doi: 10.1038/ng.3006. [DOI] [PubMed] [Google Scholar]
- 4.Chang ET, Liu Z, Hildesheim A, Liu Q, Cai Y, Zhang Z, et al. Active and passive smoking and risk of nasopharyngeal carcinoma: a population-based case-control study in Southern China. Am J Epidemiol. 2017;185:1272–1280. doi: 10.1093/aje/kwx018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Nakanishi Y, Wakisaka N, Kondo S, Endo K, Sugimoto H, Hatano M, et al. Progression of understanding for the role of Epstein-Barr virus and management of nasopharyngeal carcinoma. Cancer Metastasis Rev. 2017;36:435–447. doi: 10.1007/s10555-017-9693-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Wang K, Dong J, He S, Wang X, Jiang C, Hu P, et al. Comparison of weekly and triweekly cisplatin regimens during concurrent chemoradiotherapy for nasopharyngeal carcinoma. BMC Cancer. 2019;19:482. doi: 10.1186/s12885-019-5688-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Yuan R, Hou Y, Sun W, Yu J, Liu X, Niu Y, et al. Natural products to prevent drug resistance in cancer chemotherapy: a review. Ann N Y Acad Sci. 2017;1401:19–27. doi: 10.1111/nyas.13387. [DOI] [PubMed] [Google Scholar]
- 8.Sharifi-Rad J, Ozleyen A, Boyunegmez Tumer T, Oluwaseun Adetunji C, El Omari N, Balahbib A, et al. Natural products and synthetic analogs as a source of antitumor drugs. Biomolecules. 2019;9:679. doi: 10.3390/biom9110679. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Tian T, Chen H, Zhao YY. Traditional uses, phytochemistry, pharmacology, toxicology and quality control of Alisma orientale (Sam.) Juzep: a review. J Ethnopharmacol. 2014;158 Pt A:373–387. doi: 10.1016/j.jep.2014.10.061. [DOI] [PubMed] [Google Scholar]
- 10.Zhou X, Ren Q, Wang B, Fang G, Ling Y, Li X. Alisol A 24-acetate isolated from the Alismatis Rhizoma improves hepatic lipid deposition in hyperlipidemic mice by ABCA1/ABCG1 pathway. J Nanosci Nanotechnol. 2019;19:5496–5502. doi: 10.1166/jnn.2019.16592. [DOI] [PubMed] [Google Scholar]
- 11.Li Q, Qu H. Study on the hypoglycemic activities and metabolism of alcohol extract of Alismatis Rhizoma. Fitoterapia. 2012;83:1046–1053. doi: 10.1016/j.fitote.2012.05.009. [DOI] [PubMed] [Google Scholar]
- 12.Liu SS, Sheng WL, Li Y, Zhang SS, Zhu JJ, Gao HM, et al. Chemical constituents from Alismatis Rhizoma and their anti-inflammatory activities in vitro and in vivo. Bioorg Chem. 2019;92:103226. doi: 10.1016/j.bioorg.2019.103226. [DOI] [PubMed] [Google Scholar]
- 13.Meng Q, Duan XP, Wang CY, Liu ZH, Sun PY, Huo XK, et al. Alisol B 23-acetate protects against non-alcoholic steatohepatitis in mice via farnesoid X receptor activation. Acta Pharmacol Sin. 2017;38:69–79. doi: 10.1038/aps.2016.119. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Jiang ZY, Zhang XM, Zhang FX, Liu N, Zhao F, Zhou J, et al. A new triterpene and anti-hepatitis B virus active compounds from Alisma orientalis. Planta Med. 2006;72:951–954. doi: 10.1055/s-2006-947178. [DOI] [PubMed] [Google Scholar]
- 15.Jin HG, Jin Q, Kim AR, Choi H, Lee JH, Kim YS, et al. A new triterpenoid from Alisma orientale and their antibacterial effect. Arch Pharm Res. 2012;35:1919–1926. doi: 10.1007/s12272-012-1108-5. [DOI] [PubMed] [Google Scholar]
- 16.Zhang LL, Xu YL, Tang ZH, Xu XH, Chen X, Li T, et al. Effects of alisol B 23-acetate on ovarian cancer cells: G1 phase cell cycle arrest, apoptosis, migration and invasion inhibition. Phytomedicine. 2016;23:800–809. doi: 10.1016/j.phymed.2016.04.003. [DOI] [PubMed] [Google Scholar]
- 17.Xu W, Li T, Qiu JF, Wu SS, Huang MQ, Lin LG, et al. Anti-proliferative activities of terpenoids isolated from Alisma orientalis and their structure-activity relationships. Anticancer Agents Med Chem. 2015;15:228–235. doi: 10.2174/1871520614666140601213514. [DOI] [PubMed] [Google Scholar]
- 18.Lou C, Xu X, Chen Y, Zhao H. Alisol A suppresses proliferation, migration, and invasion in human breast cancer MDA-MB-231 cells. Molecules. 2019;24:3651. doi: 10.3390/molecules24203651. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Moon S, Park SY, Park HW. Regulation of the Hippo pathway in cancer biology. Cell Mol Life Sci. 2018;75:2303–2319. doi: 10.1007/s00018-018-2804-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Ahmed AA, Mohamed AD, Gener M, Li W, Taboada E. YAP and the Hippo pathway in pediatric cancer. Mol Cell Oncol. 2017;4:e1295127. doi: 10.1080/23723556.2017.1295127. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Geromichalos GD. Importance of molecular computer modeling in anticancer drug development. J BUON. 2007;12 Suppl 1:S101–S18. [PubMed] [Google Scholar]
- 22.Xiang Y, Guo Z, Zhu P, Chen J, Huang Y. Traditional Chinese medicine as a cancer treatment: modern perspectives of ancient but advanced science. Cancer Med. 2019;8:1958–1975. doi: 10.1002/cam4.2108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Zhang A, Sheng Y, Zou M. Antiproliferative activity of Alisol B in MDA-MB-231 cells is mediated by apoptosis, dysregulation of mitochondrial functions, cell cycle arrest and generation of reactive oxygen species. Biomed Pharmacother. 2017;87:110–117. doi: 10.1016/j.biopha.2016.12.088. [DOI] [PubMed] [Google Scholar]
- 24.Liu Y, Xia XC, Meng LY, Wang Y, Li YM. Alisol B 23 acetate inhibits the viability and induces apoptosis of non small cell lung cancer cells via PI3K/AKT/mTOR signal pathway. Mol Med Rep. 2019;20:1187–1195. doi: 10.3892/mmr.2019.10355. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Xia J, Luo Q, Huang S, Jiang F, Wang L, Wang G, et al. Alisol B 23-acetate-induced HepG2 hepatoma cell death through mTOR signaling-initiated G1 cell cycle arrest and apoptosis: a quantitative proteomic study. Chin J Cancer Res. 2019;31:375–388. doi: 10.21147/j.issn.1000-9604.2019.02.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Shapiro GI, Harper JW. Anticancer drug targets: cell cycle and checkpoint control. J Clin Invest. 1999;104:1645–1653. doi: 10.1172/JCI9054. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Simmons Kovacs LA, Orlando DA, Haase SB. Transcription networks and cyclin/CDKs: the yin and yang of cell cycle oscillators. Cell Cycle. 2008;7:2626–2629. doi: 10.4161/cc.7.17.6515. [DOI] [PubMed] [Google Scholar]
- 28.Ma Z, Wang W, Zhang Y, Yao M, Ying L, Zhu L. Inhibitory effect of simvastatin in nasopharyngeal carcinoma cells. Exp Ther Med. 2019;17:4477–4484. doi: 10.3892/etm.2019.7525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Pan B, Zhong W, Deng Z, Lai C, Chu J, Jiao G, et al. Inhibition of prostate cancer growth by solanine requires the suppression of cell cycle proteins and the activation of ROS/P38 signaling pathway. Cancer Med. 2016;5:3214–3222. doi: 10.1002/cam4.916. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Polette M, Nawrocki-Raby B, Gilles C, Clavel C, Birembaut P. Tumour invasion and matrix metalloproteinases. Crit Rev Oncol Hematol. 2004;49:179–186. doi: 10.1016/j.critrevonc.2003.10.008. [DOI] [PubMed] [Google Scholar]
- 31.Chen K, Zhang S, Ji Y, Li J, An P, Ren H, et al. Baicalein inhibits the invasion and metastatic capabilities of hepatocellular carcinoma cells via down-regulation of the ERK pathway. PLoS One. 2013;8:e72927. doi: 10.1371/journal.pone.0072927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Du P, Lai YH, Yao DS, Chen JY, Ding N. Downregulation of microRNA-1246 inhibits tumor growth and promotes apoptosis of cervical cancer cells by targeting thrombospondin-2. Oncol Lett. 2019;18:2491–2499. doi: 10.3892/ol.2019.10571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Xue XH, Zhou XM, Wei W, Chen T, Su QP, Tao J, et al. Alisol A 24-acetate, a triterpenoid derived from Alisma orientale, inhibits Ox-LDL-induced phenotypic transformation and migration of rat vascular smooth muscle cells through suppressing ERK1/2 signaling. J Vasc Res. 2016;53:291–300. doi: 10.1159/000448715. [DOI] [PubMed] [Google Scholar]
- 34.Plouffe SW, Hong AW, Guan KL. Disease implications of the Hippo/YAP pathway. Trends Mol Med. 2015;21:212–222. doi: 10.1016/j.molmed.2015.01.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Gao L, Cheng XL, Cao H. LncRNA THOR attenuates cisplatin sensitivity of nasopharyngeal carcinoma cells via enhancing cells stemness. Biochimie. 2018;152:63–72. doi: 10.1016/j.biochi.2018.06.015. [DOI] [PubMed] [Google Scholar]
- 36.Harvey K, Tapon N. The Salvador-Warts-Hippo pathway-an emerging tumour-suppressor network. Nat Rev Cancer. 2007;7:182–191. doi: 10.1038/nrc2070. [DOI] [PubMed] [Google Scholar]
- 37.Chen S, Wu Z, Ke Y, Shu P, Chen C, Lin R, et al. Wogonoside inhibits tumor growth and metastasis in endometrial cancer via ER stress-Hippo signaling axis. Acta Biochim Biophys Sin (Shanghai) 2019;51:1096–1105. doi: 10.1093/abbs/gmz109. [DOI] [PubMed] [Google Scholar]
- 38.Jia M, Xiong Y, Li M, Mao Q. Corosolic acid inhibits cancer progress through inactivating YAP in hepatocellular carcinoma. Oncol Res. 2020;28:371–383. doi: 10.3727/096504020X15853075736554. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Li Y, Lu J, Chen Q, Han S, Shao H, Chen P, et al. Artemisinin suppresses hepatocellular carcinoma cell growth, migration and invasion by targeting cellular bioenergetics and Hippo-YAP signaling. Arch Toxicol. 2019;93:3367–3383. doi: 10.1007/s00204-019-02579-3. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets used and analyzed in the current study are available from the corresponding author upon reasonable request.




