Abstract. Epithelial-mesenchymal transition (EMT) is a notable mechanism underlying cancer cell metastasis. Transforming growth factor β1 (TGF-β1) has been used to induce EMT; however, there is a lack of information regarding the role of TGF-β1 in mesenchymal-epithelial transition (MET). In the present study, EMT was induced in A549 lung cancer cells using TGF-β1 (TGF-β1-treated group) and MET was induced sequentially from the TGF-β1-treated group by removing the TGF-β1 (MET/return group). Untreated A549 lung cancer cells were used as a control. Characteristic features, including cancer stem cell markers [cluster of differentiation (CD)24, CD44 and CD133], cell proliferation and migration and diverse intracellular mechanisms, were observed in all groups. Using western blot analysis, the TGF-β1-treated group demonstrated increased vimentin and reduced E-cadherin expression, whereas the MET/return group demonstrated the opposite trend. Among cancer stem cell markers, the population of CD24 low cells was reduced in the TGF-β1-treated group. Furthermore, the G2/M phase cell cycle population, cisplatin-sensitivity, and cell proliferation and migration ability were increased in the TGF-β1-treated group. These features were unaltered in the MET/return group when compared to the TGF-β1-treated group. Immunoblotting revealed an increase in the levels of SMAD3, phosphorylated SMAD3, phosphorylated extracellular signal-regulated kinase and caspase-3, and a decrease in active caspase-3 levels in the TGF-β1-treated group. Increased caspase-3 and reduced active caspase-3 levels were observed in the MET/return group, similar to those in the TGF-β1-treated group; however, levels of other signalling proteins were unchanged compared with the control group. EMT induced by TGF-β1 was not preserved; however, stemness-associated properties (CD24 expression, caspase-3 expression, cell proliferation and cisplatin-resistance) were sustained following removal of TGF-β1.
IntroductionEpithelial-mesenchymal transition (EMT) is a biological process observed in embryo neural crest formation (1). In order to migrate easily to distant locations, embryonic epithelial cells undergo EMT to become mesenchymal cells (2). In addition to embryonic cells, cancer cells also undergo EMT (3). This phenomenon was proposed as a cancer metastasis hypothesis, in which epithelial cancer cells downregulate E-cadherin to detach from the primary tumour (4). E-cadherin and vimentin, expressed in epithelial and mesenchymal cells, respectively, have been considered as key markers for EMT (5). Reports suggest that several factors, including Snail and Twist, are able to regulate E-cadherin expression (6,7 Abbreviations: EMT, epithelial-mesenchymal transition; TGF-β1, transforming growth factor β1; MET, mesenchymal-epithelial transition; NSCLC, non-small cell lung cancer; STAT3, signal transducer and activator of transcription 3; NF-κB, nuclear factor-κB