구강편평상피세포암종에서 shikonin에 의한 상피간엽이행 억제
Shikonin inhibits the Epithelial-Mesenchymal Transition in Oral Squamous Cell Carcinoma
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초록
구강암은 주변 근육이나 골조직으로의 침습과 경부 림프절로 전이가 빈번히 일어나며, 전이가 일어난 환자의 5년 생존율은 약 40%로, 환자의 예후 개선을 위해 전이를 억제하는 항암제의 개발이 필요한 실정이다. 상피간엽이행 (EMT)이 일어난 세포에서는 이동성과 침습성이 증가하고, 암세포가 새로운 기관으로 전이가 일어나게 된다. 따라서, EMT를 억제하는 것은 암세포의 전이를 억제하는 치료 방법으로 고려 되고 있다. Shikonin은 지치에서 분리 정제된 물질로 항염증 효과가 널리 알려져 있다. 최근 shikonin은 다양한 암세포에서 세포자멸사 및 세포주기정지를 유도하고, 폐 및 위암세포의 전이성을 상실시키는 것이 밝혀졌다. 하지만 여전히 shikonin이 구강암에서 항전이 효과는 아직 불분명하다. 따라서 본 연구에서는 shikonin이 처리된 구강암 세포주에 대한 EMT 억제의 억제 효과를 확인 하였다. 본 연구에서 사용된 구강암 세포주 CAL-27로 세포생존율 및 세포증식율, 세포이동 및 침습, 단백질 및유전자의 발현을 확인하였다. CAL-27 세포는 shikonin 처리에 의해 생존율 및 증식율이 억제되었다. 또한, shikonin은 wound-healing 및 transwell invasion assay를 통해 CAL-27 세포의 이동 및 침습을 억제 하는것을 확인 하였다. Shikonin은 CAL-27 세포에서 epithelial marker 인 E-cadherin 의 protein 발현을 증가시켰으며, mesenchymal marker 인 N-cadherin, Snail 및 Slug 의 protein 및 RNA 발현을 감소 시켰다. 따라서, shikonin은 구강암세포주인 CAL-27의 상피간엽이행을 억제 함을 알 수 있었으며, 본 연구 결과는shikonin이 항전이성을 가지는 항암제로서의 가능성을 시사한다.
Abstract
Oral cancer invades the surrounding muscles and bone tissue and metastasizes to the cervical lymph nodes. The 5-year survival rate of patients with metastases is about 40%, and it is necessary to develop anticancer drugs that suppress metastasis to improve the prognosis of patients. In epithelial-mesenchymal transition (EMT), the squamous cancer cells have mobility, which increases the invasiveness and metastasis to new organs. Therefore, EMT inhibition is considered a therapeutic method for inhibiting the metastasis of cancer cells. Shikonin has been isolated and purified from Lithospermum erythrorhizon Sieb. et Zucc and is widely known for its anti-inflammatory effect. Recently, shikonin has been shown to induce apoptosis and cell cycle arrest in various cancer cells and to inhibit the metastatic properties of lung and gastric cancer cells. However, the effects of shikonin on oral cancer are still unclear. Therefore, we investigated the effect of EMT inhibition on shikonin-treated oral cancer cell line, CAL-27 cells. Shikonin treatment inhibited the viability and proliferation of CAL-27 cells. In addition, shikonin inhibited their migration and invasion in wound-healing and transwell invasion assays. Shikonin increased the protein expression of E-cadherin, an epithelial marker in CAL-27 cells, and decreased the protein and RNA expression of mesenchymal markers like N-cadherin, Snail, and Slug. Therefore, shikonin inhibited the epithelial-mesenchymal metastasis of oral cancer cell line CAL-27, suggesting that it may be an anticancer agent with an anti-metastatic effect.
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