Literature DB >> 29508276

Identification of natural compounds targeting Annexin A2 with an anti-cancer effect.

Yu-Shi Wang1, He Li1, Yang Li1, Hongyan Zhu1, Ying-Hua Jin2.   

Abstract

Annexin A2, a multifunctional tumor associated protein, promotes nuclear factor-kappa B (NF-κB) activation by interacting with NF-κB p50 subunit and facilitating its nuclear translocation. Here we demonstrated that two ginsenosides Rg5 (G-Rg5) and Rk1 (G-Rk1), with similar structure, directly bound to Annexin A2 by molecular docking and cellular thermal shift assay. Both Rg5 and Rk1 inhibited the interaction between Annexin A2 and NF-κB p50 subunit, their translocation to nuclear and NF-κB activation. Inhibition of NF-κB by these two ginsenosides decreased the expression of inhibitor of apoptosis proteins (IAPs), leading to caspase activation and apoptosis. Over expression of K302A Annexin A2, a mutant version of Annexin A2, which fails to interact with G-Rg5 and G-Rk1, effectively reduced the NF-κB inhibitory effect and apoptosis induced by G-Rg5 and G-Rk1. In addition, the knockdown of Annexin A2 largely enhanced NF-κB activation and apoptosis induced by the two molecules, indicating that the effects of G-Rg5 and G-Rk1 on NF-κB were mainly mediated by Annexin A2. Taken together, this study for the first time demonstrated that G-Rg5 and G-Rk1 inhibit tumor cell growth by targeting Annexin A2 and NF-κB pathway, and G-Rg5 and G-Rk1 might be promising natural compounds for targeted cancer therapy.

Entities:  

Keywords:  Annexin A2; G-Rg5; G-Rk1; HCC; NF-κB

Mesh:

Substances:

Year:  2018        PMID: 29508276      PMCID: PMC5966357          DOI: 10.1007/s13238-018-0513-z

Source DB:  PubMed          Journal:  Protein Cell        ISSN: 1674-800X            Impact factor:   14.870


Introduction

Annexin A2, a Ca2+-dependent lipid binding protein, widely distributed in nuclear, cytoplasm, endosomes and extracellular space and participates in various cellular process including signal transduction, endocytosis and exocytosis, proliferation, differentiation and apoptosis in mammalian cells (Klionsky et al., 2012; Moreau et al., 2011; Gerke et al., 2005; Moss and Morgan, 2004). A lot of evidence suggests that Annexin A2 may be a promising therapeutic target for cancer treatment (Chen et al., 2015; Staquicini et al., 2017; Kesavan et al., 2010; Wang et al., 2012). First, an accumulating observations have shown that Annexin A2 overexpressed in various types of cancer cells such as hepatocellular carcinoma (Zhang et al., 2012; Longerich et al., 2011; Sun et al., 2013), breast cancer (Deng et al., 2013; Chuthapisith et al., 2009; Shetty et al., 2012), lung cancer (Yao et al., 2009), gastric carcinoma (Zhang et al., 2012), pancreatic cancer (Takano et al., 2008), and colorectal cancer (Yang et al., 2013; Duncan et al., 2008). Second, the abnormal up-regulation of Annexin A2 enhances cancer development with higher aggression and poorer prognosis (Ohno et al., 2009; Ma et al., 2014; Yang et al., 2014). Third, forced inhibition of Annexin A2 effectively reduces tumor progression both in vitro and in vivo studies. Furthermore, signal transduction study has shown that Annexin A2 either promotes cancer cell metastasis by forming heterotetramer with S100A10 and binding with cell membrane (Réty et al., 1999), or largely enhances pro-survival capability and chemoresistance by activating transcription factors STAT-3 and nuclear factor-kappa B (NF-κB) (Tong et al., 2015; Jung et al., 2015). NF-κB is a transcription factor activating the expression of genes involved in inflammation, immune response, angiogenesis, cell proliferation and apoptosis (Perkins, 2012). Constitutive activation of NF-κB is a hallmark of several types of cancers, which not only promotes tumorigenesis and cancer development but also enhances drug resistance (Dolcet et al., 2005; Hanahan and Weinberg, 2000). Recent reports have shown that inhibition of NF-κB significantly inhibited cancer growth by directly inducing cancer cell apoptosis (Woo et al., 2016; Alexandersavino et al., 2016; Kwon et al., 2016; Yin et al., 2016; Hayden et al., 2008). Interestingly, the multifunctional tumor associated protein Annexin A2 promotes NF-κB activation via directly binding to NF-κB p50 subunit with its N-terminal sequences, and inhibition of Annexin A2 provides a new regulatory tool on NF-κB activity (Jung et al., 2015). Ginsenosides are the major bio-active component of ginseng (Attele et al., 1999) and ginsenoside Rg5 (G-Rg5) and Rk1 (G-Rk1) are the two main ginsenosides identified in heat processed ginseng (Toh et al., 2010). In the present study, we identified G-Rg5 and G-Rk1 that inhibited NF-κB activation, down-regulated the expression of IAPs and induced apoptosis by specifically binding to Annexin A2.

Results

G-Rg5 and G-Rk1 interacted with Annexin A2

Molecular docking was first performed as a primary screening for natural compounds targeting Annexin A2. G-Rg5 bound to Annexin A2 with Glu296 and Lys302 responsible to this interaction (Fig. 1A). Cellular thermal shift assay (CTSA) with HepG2 cells demonstrated that G-Rg5 and G-Rk1 largely improved the thermal stability of Annexin A2, indicating the binding of G-Rg5 and G-Rk1 with Annexin. Exogenous wild-type Annexin A2 (Annexin A2-WT) showed a similar thermal stability shift under treatment of G-Rg5 and G-Rk1, while G-Rg5 and G-Rk1 didn’t change the thermal stability of exogenous K302A mutant of Annexin A2 (Annexin A2-K302A), indicating Lys302 might be responsible for the interaction between Annexin A2 and ginsenosides (Fig. 1B), as predicted by molecular docking. To rule out the effects from other cellular content and signaling towards the thermal stability of Annexin A2, we carried out the thermal shift assay with purified Annexin A2 and the two ginsenosides. Both G-Rg5 and G-Rk1 obviously enhanced the thermal stability of Annexin A2-WT but not Annexin A2-K302A in a dose-dependent manner (Fig. 1C). These data indicated that both G-Rg5 and G-Rk1 directly bound to Annexin A2, and Lys302 is a critical residue for this interaction.
Figure 1

G-Rg5 and G-Rk1 bound to Annexin A2. (A) Results of molecular docking shows the interaction between Annexin A2 and G-Rg5. (B) Cellular thermal shift assay presented the thermal stability of Annexin A2 under treatment with G-Rg5 (12 μmol/L) and G-Rk1 (12 μmol/L). (C) Thermal shift in vitro showed the thermal stability of purified Annexin A2 (0.2 μmol/L) under treatment with G-Rg5 and G-Rk1

G-Rg5 and G-Rk1 bound to Annexin A2. (A) Results of molecular docking shows the interaction between Annexin A2 and G-Rg5. (B) Cellular thermal shift assay presented the thermal stability of Annexin A2 under treatment with G-Rg5 (12 μmol/L) and G-Rk1 (12 μmol/L). (C) Thermal shift in vitro showed the thermal stability of purified Annexin A2 (0.2 μmol/L) under treatment with G-Rg5 and G-Rk1

G-Rg5 and G-Rk1 inhibited the interaction and nuclear co-localization of Annexin A2 and NF-κB p50 subunit

In order to tell whether the G-Rg5 and G-Rk1 binding to Annexin A2 modulated the action of Annexin A2 in cells, we determined the interaction and nuclear co-localization of Annexin A2 and NF-κB p50 subunit under G-Rg5 and G-Rk1 treatment. Immuno-precipitation was performed using HepG2 cells treated with 6 μmol/L G-Rg5 or 6 μmol/L G-Rk1, with or without NF-κB activator PMA (100 ng/mL) or etoposide (25 μg/mL). The interaction between Annexin A2 and NF-κB p50 was significantly attenuated under G-Rg5 and G-Rk1 treatment, both in resting cells and NF-κB activator treated cells (Fig. 2A). To rule out the possibility that the interaction was regulated by other eukaryotic cellular content, another immunoprecipitation was carried out with prokaryotic cell-expressed Annexin A2 and p50, and the interaction was also inhibited largely by G-Rg5 and G-Rk1 (Fig. 2B). Next, immunofluorescence was employed to examine the sub-cellular distribution of Annexin A2 and p50 under ginsenoside treatment. The nuclear co-localization of Annexin A2 and p50 was inhibited in both resting state and NF-κB activator-stimulating cells under G-Rg5 and G-Rk1 treatment (Fig. 2C). Taken together, G-Rg5 and G-Rk1 inhibited the interaction between Annexin A2 and p50, and their nuclear co-localization.
Figure 2

G-Rg5 and G-Rk1 inhibited interaction between Annexin A2 and NF-κB p50 subunit and their nuclear co-localization. (A) Immunoprecipitation was performed with whole-cell lysate of HepG2 cells under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and the interaction was analyzed by an immunoblot. (B) Immunoprecipitation was performed with prokaryotic cells-expressed Annexin A2 and NF-κB p50 subunit under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and the interaction was analyzed by an immunoblot. (C) The subcellular distribution of Annexin A2 and NF-κB p50 subunit was examined by immunofluorescence under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and DAPI showed the nuclear region

G-Rg5 and G-Rk1 inhibited interaction between Annexin A2 and NF-κB p50 subunit and their nuclear co-localization. (A) Immunoprecipitation was performed with whole-cell lysate of HepG2 cells under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and the interaction was analyzed by an immunoblot. (B) Immunoprecipitation was performed with prokaryotic cells-expressed Annexin A2 and NF-κB p50 subunit under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and the interaction was analyzed by an immunoblot. (C) The subcellular distribution of Annexin A2 and NF-κB p50 subunit was examined by immunofluorescence under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and DAPI showed the nuclear region

G-Rg5 and G-Rk1 inhibited NF-κB activation and down-regulated downstream anti-apoptosis gene expression

The activation of NF-κB was examined by dual luciferase reporter assay with HepG2 cells treated with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL). G-Rg5 and G-Rk1 inhibited NF-κB activation in resting state and under treatment with etoposide and PMA, activator enhancing NF-κB activity (Fig. 3A). The similar inhibitory effect was observed to downstream genes of NF-κB like IL-6 (Fig. 3B), a classic NF-κB activating gene, and IAPs genes including X-IAP, c-IAP1, c-IAP2 and survivin (Fig. 3C–F). The protein levels of X-IAP, c-IAP1, c-IAP2 and survivin were also down-regulated by G-Rg5 and G-Rk1, in both resting and NF-κB activator-stimulated cells (Fig. 3G).
Figure 3

G-Rg5 and G-Rk1 inhibited NF-κB activation and down-regulated downstream anti-apoptosis genes. (A) NF-κB activity was examined by luciferase reporter assay under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL). (B–F) Relative gene expression levels of IL-6 (B), X-IAP (C), c-IAP1 (D), c-IAP2 (E) and survivin (F) were examined by qRT-PCR under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL). (G) Protein levels of X-IAP, c-IAP1, c-IAP2 and survivin were examined by immunoblot under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and β-actin was shown as a loading control. All data are shown as the mean ± SD and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times

G-Rg5 and G-Rk1 inhibited NF-κB activation and down-regulated downstream anti-apoptosis genes. (A) NF-κB activity was examined by luciferase reporter assay under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL). (B–F) Relative gene expression levels of IL-6 (B), X-IAP (C), c-IAP1 (D), c-IAP2 (E) and survivin (F) were examined by qRT-PCR under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL). (G) Protein levels of X-IAP, c-IAP1, c-IAP2 and survivin were examined by immunoblot under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), etoposide (25 μg/mL) and PMA (100 ng/mL), and β-actin was shown as a loading control. All data are shown as the mean ± SD and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times

Annexin A2 knock-down enhanced anti-cancer activity of G-Rg5 and G-Rk1 in HepG2 cells

To examine whether Rg5 inhibits NF-κB activation primarily by Annexin A2, knock-down of Annexin A2 was employed with shRNA vectors. Both Annexin A2 knock-down and G-Rg5 inhibited NF-κB activation, and the inhibitory effect of G-Rg5 was largely enhanced by Annexin A2 knock-down at the moderate concentration (6 μg/mL), and at the high dose of G-Rg5 (6 μg/mL), Annexin A2 knock-down showed little effect (Fig. 4A), which indicates G-Rg5 regulating NF-κB mainly through Annexin A2. Caspase 3 and 9 was activated under G-Rg5 treatment, which was also enhanced by Annexin A2 knock-down (Fig. 4B and 4C). MTT assay showed the anti-survival activity of G-Rg5, which was also enhanced by Annexin A2 knock-down (Fig. 4D). G-Rk1 behaved in a similar manner to G-Rg5 on NF-κB inhibition (Fig. 4E), caspase activation (Fig. 4F and 4G) and anti-proliferation activity (Fig. 4H). A plate clone formation assay showed that G-Rg5 and G-Rk1 inhibited clone formation of HepG2 cells and Annexin A2 knock-down intensified this inhibitory effect (Fig. 4I), as expected. Taken together, G-Rg5 and G-Rk1 inhibited proliferation of HepG2 cells, which might be mainly mediated by Annexin A2.
Figure 4

Knock-down of Annexin A2 enhanced anti-proliferation effect of G-Rg5 and G-Rk1. (A) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (B and C) Activity of caspase 9 (B) and 3 (C) was examined under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (D) Cell viability was examined by MTT for 48 h under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (E) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (F and G) Activity of caspase 9 (F) and 3 (G) was examined under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (H) Cell viability was examined by MTT for 48 h under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (I) Plate clone formation assay was examined under treatment of G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L) with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (J) Protein level of Annexin A2 was examined by immunoblot with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2, and β-actin was shown as a loading control. All data are shown as the mean ± SD. *P < 0.05, **P < 0.01 and ***P < 0.001 and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times. Statistical analyses were performed using Student’s t-test

Knock-down of Annexin A2 enhanced anti-proliferation effect of G-Rg5 and G-Rk1. (A) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (B and C) Activity of caspase 9 (B) and 3 (C) was examined under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (D) Cell viability was examined by MTT for 48 h under treatment of G-Rg5 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (E) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (F and G) Activity of caspase 9 (F) and 3 (G) was examined under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (H) Cell viability was examined by MTT for 48 h under treatment of G-Rk1 with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (I) Plate clone formation assay was examined under treatment of G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L) with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2. (J) Protein level of Annexin A2 was examined by immunoblot with (sh-Annexin A2) or without (sh-NC) knock-down of Annexin A2, and β-actin was shown as a loading control. All data are shown as the mean ± SD. *P < 0.05, **P < 0.01 and ***P < 0.001 and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times. Statistical analyses were performed using Student’s t-test

K302A Annexin A2 protected cells from cytotoxic effect induced by G-Rg5 and G-Rk1

To further provide evidence for the major role of Annexin A2 in G-Rg5 and G-Rk1-induced NF-κB inhibition, studies were carried out with exogenous Annexin A2-K302A, a mutant version, which fails to interact with G-Rg5 and G-Rk1. First, immunoprecipitation was performed with Annexin A2-WT or Annexin A2-K302A over-expressed HepG2 cells with G-Rg5 and G-Rk1 treatment. Both chemicals attenuated the interaction between p50 and Annexin A2-WT, which was either endogenous or myc-tagged exogenous. However these two chemicals failed to reduce the interaction between p50 and Annexin A2-K302A, appeared to promote this interaction (Fig. 5A). An in-vitro immunoprecipitation using prokaryotic cell expressed p50 and Annexin A2-K302A showed that p50 and Annexin A2-K302A did interact with each other, and either chemicals failed to affect this interaction (Fig. 5B). Immunocytochemistry clearly showed that wild type of Annexin A2 (either endogenous or exogenous) failed to co-localize to nuclear with p50 under treatment of G-Rg5 and G-Rk1 (Fig. 5C), while the two chemicals promoted the nuclear co-localization of Annexin A2-K302A.
Figure 5

Annexin A2-K302A blocked the inhibitory effect of G-Rg5 and G-Rk1 on the interaction between Annexin A2 and NF-κB p50 subunit and their nuclear co-localization. (A) HepG2 cells were transfected with Annexin A2-WT-myc and Annexin A2-K302A-myc, and immunoprecipitation was performed with whole-cell lysate under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L) and examined by an immunoblot. (B) Immunoprecipitation was performed with prokaryotic cells-expressed Annexin A2-K302A and NF-κB p50 subunit under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and the interaction was analyzed by an immunoblot. (C) HepG2 cells were transfected with Annexin A2-WT-myc and Annexin A2-K302A-myc, and the subcellular distribution of Annexin A2 and NF-κB p50 subunit was examined by immunofluorescence under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and DAPI showed the nuclear region

Annexin A2-K302A blocked the inhibitory effect of G-Rg5 and G-Rk1 on the interaction between Annexin A2 and NF-κB p50 subunit and their nuclear co-localization. (A) HepG2 cells were transfected with Annexin A2-WT-myc and Annexin A2-K302A-myc, and immunoprecipitation was performed with whole-cell lysate under treatment with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L) and examined by an immunoblot. (B) Immunoprecipitation was performed with prokaryotic cells-expressed Annexin A2-K302A and NF-κB p50 subunit under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and the interaction was analyzed by an immunoblot. (C) HepG2 cells were transfected with Annexin A2-WT-myc and Annexin A2-K302A-myc, and the subcellular distribution of Annexin A2 and NF-κB p50 subunit was examined by immunofluorescence under treatment with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L), and DAPI showed the nuclear region Next, NF-κB activation was examined in Annexin A2-WT or Annexin A2-K302A overexpressed HepG2 cells. Overexpression of Annexin A2-WT enhanced NF-κB activation, and G-Rg5 inhibited NF-κB activity in a dose-dependent manner both in mock transfected and in Annexin A2-WT expressed HepG2 cells. Interestingly, G-Rg5 didn’t inhibit, even enhance NF-κB activity in Annexin A2-K302A overexpressed HepG2 cells (Fig. 6A). Activation of caspase 9 and 3 was attenuated when Annexin A2-WT was overexpressed, and only slight activation was detected with an over-expression of Annexin-K302A (Fig. 6B and 6C). Similarly, Annexin A2-K302A abolished the inhibition of NF-κB induced by G-Rk1 (Fig. 6D). G-Rk1 induced weaker caspase activation in Annexin A2-WT over-expressing cells and a little caspase activation was observed in Annexin A2-K302A over-expressing cells compared with mock transfected cells (Fig. 6E and 6F). Anti-proliferation activity was examined by MTT assay and plate clone formation assay with Annexin A2-WT or Annexin A2-K302A over-expressing HepG2 cells. Both Annexin A2-WT and Annexin A2-K302A over-expression rendered cells to resist the cytotoxic effect of G-Rg5 and G-Rk1, and the activity of Annexin A2-K302A showed higher than that of Annexin A2-WT (Fig. 6G and 6H).
Figure 6

Annexin A2-K302A protected cells from anti-proliferation effect of G-Rg5 and G-Rk1. (A) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (B and C) Activity of caspase 9 (B) and 3 (C) was examined under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (D) Cell viability was examined by MTT for 48 h under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (E) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (F and G) Activity of caspase 9 (F) and 3 (G) was examined under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (H) Cell viability was examined by MTT for 48 h under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (I) Plate clone formation assay was examined under treatment of G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L) with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. All data are shown as the mean ± SD and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times

Annexin A2-K302A protected cells from anti-proliferation effect of G-Rg5 and G-Rk1. (A) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (B and C) Activity of caspase 9 (B) and 3 (C) was examined under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (D) Cell viability was examined by MTT for 48 h under treatment of G-Rg5 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (E) NF-κB activity was examined by luciferase reporter assay under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (F and G) Activity of caspase 9 (F) and 3 (G) was examined under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (H) Cell viability was examined by MTT for 48 h under treatment of G-Rk1 with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. (I) Plate clone formation assay was examined under treatment of G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L) with Annexin A2-WT-myc and Annexin A2-K302A-myc overexpressed in HepG2 cells. All data are shown as the mean ± SD and the experimental points show the average of at least triplicates. All experiments were repeated at least 3 times

Discussion

Annexin A2, a multi-functional cancer associated protein, promotes cancer progress in a list of mechanisms. In this report we developed an assay for screening small-molecule modulator of Annexin A2 and identified two Annexin A2 regulating compounds G-Rg5 and G-Rk1 (Fig. 1A). A recent report has shown that both G-Rg5 and G-Rk1 inhibited NF-κB activation and related immuno-response in HepG2 cells (Lee, 2015). G-Rg5 and G-Rk1 directly bound to Annexin A2 and disturbed the interaction between Annexin A2 and NF-κB p50 (Figs. 1 and 2), which leaded to the cytosol-retention of these two proteins and resulted in the inactivation of NF-κB transcriptional activity. IAPs, the NF-κB downstream genes were down-regulated, and caspase-3 and -9 were activated by the treatment of either compound (Fig. 3). As described, Annexin A2 binds to NF-κB p50 subunit, and promotes NF-κB activation, which might promote the pro-survival effect and chemoresistance in tumor tissues (Tong et al., 2015; Staquicini et al., 2017; Das et al., 2010). The N-terminal of Annexin A2 is necessary for the interaction between Annexin A2 and NF-κB p50 (Jung et al., 2015). A recent report demonstrates that Lys302 of Annexin A2 contributes to the conformational stability of its N-terminal, and promoting the interactions with other proteins driven by this sequence (Ecsédi et al., 2017). The interaction between Annexin A2 and p50 may possibly follow this pattern, and modifications towards Lys302 will probably regulate the activation of NF-κB. G-Rg5 and G-Rk1 triggered multiple cellular events, which possibly participated in NF-κB activation, however, this activation was dominantly inactivated by G-Rg5 or G-Rk1 binding to Annexin A2-WT in Annexin A2 over-expressed cancer cells. As G-Rg5 and G-Rk1 failed to interact with Annexin A2-K302A, G-Rg5 or G-Rk1 could not inactivate the other pathway triggered NF-κB activation (Figs. 5, 6A and 6B), presenting little anti-cancer activity in Annexin A2-K302A over-expressed HepG2 cells (Fig. 6). We further examined the effect of G-Rg5 and Rk1 on NF-κB activity in various cancer cells, including SW480, PC3, HeLa and Huh7, as well as noncancerous HEK-293T cells and normal CCC-HEL1 cells. G-Rg5 or G-Rk1 significantly inhibited NF-κB activity in Annexin A2 over-expressed cells like SW480, PC3, HeLa as did in HepG2 cells, but not in Huh7, a liver cancer cell line with low expression of Annexin A2. Interestingly neither compound inhibited the NF-κB activity in noncancerous HEK-293T cell and normal CCC-HEL1 cells (Fig. S1). These data suggested that G-Rg5 or G-Rk1 may serve as a specific anticancer reagent for the treatment of Annexin A2 over-expressed cancers, and this possibility should be examined in future study. In conclusion, we have identified two specific small-molecule inhibitors of Annexin A2, G-Rg5 and G-Rk1, which inhibited NF-κB activity and promoted apoptosis. These data supported the notion that the inhibition of Annexin A2 may be a useful strategy to prevent and treat cancers and G-Rg5 and G-Rk1 can serve as a leading compound for targeted cancer treatment.

Materials and methods

Cell lines, reagents and plasmids

HepG2 cells were obtained from the American Type Culture Collection (ATCC, Rockville, MA, USA). Dulbecco’s Modified Eagle Medium (DMEM) and fetal bovine serum (FBS) were obtained from Gibco BRL (Grand Island, NE, USA). Chemical reagents were listed below: G-Rg5 (Sigma), G-Rk1 (Sigma), phorbol myristate acetate (PMA, Sigma) and etoposide (Sigma). Ginsenosides were dissolved in 75% alcohol with a final concentration of 12 mmol/L. PMA (10 μg/mL) and etoposide (25 mg/mL) were dissolved in DMSO. Primary antibodies were listed below: mouse anti-Annexin A2 (Santa Cruz, sc-47696), mouse anti-p50 (Santa Cruz, sc-8414), rabbit anti-p50 (Santa Cruz, sc-7178), mouse anti-C-myc (Santa Cruz, sc-49), rabbit anti-C-myc (Santa Cruz, sc-789), mouse anti-X-IAP (Santa Cruz, sc-55551), rabbit anti-c-IAP1 (Santa Cruz, sc-7943), rabbit anti-c-IAP2 (Santa Cruz, sc-7944), mouse anti-survivin (Santa Cruz, sc-17779) and mouse anti-β-actin (Santa Cruz, sc-47778). Secondary antibodies were listed below: HRP-conjugated goat anti-mouse IgG (Pierce), HRP-conjugated goat anti-rabbit IgG (Pierce), Cy™3 affinipure donkey anti-mouse IgG (Jackson ImmunoResearch Inc., PA, USA), and Alexa Fluor® 488 affinipure donkey anti-Rabbit IgG (Jackson ImmunoResearch Inc., PA, USA). Genes of human Annexin A2 and human NF-κB p50 subunit were amplified by PCR, and cloned into pEXS-CG (GST-tag at C-terminal, provided by Professor Fei Sun’s group, at the Institute of Biophysics of Chinese Academy of Sciences). Prokaryotic vectors were gained that allowed expression of non-tagged Annexin A2 (pEXS-Annexin A2-WT), non-tagged NF-κB p50 subunit (pEXS-p50), and C-terminal GST-tagged Annexin A2 (pEXS-CG-Annexin A2-WT). A single point mutation was engineered within Annexin A2-expressing vector, with resulting vectors called pEXS-Annexin A2-K302A and pEXS-CG-Annexin A2-K302A. The sequences of both Annexin A2-WT and Annexin A2-K302A were cloned into pcs4 (C-myc-tag at C-terminal), with resulting vectors called pcs4-Annexin A2-WT-myc and pcs4-Annexin A2-K302A-myc. Short hairpin RNA (shRNA) vector, pGPU6-GFP-Neo-Annexin A2 (1496), was obtained to knock down Annexin A2 expression in RNA interference assays (GenePharma, Jiangsu, China). The luciferase reporter assays were performed with the following plasmids: pNFκB-TA-luc (Beyotime, Shanghai, China) and pRL-CMV (Promega, WI, USA).

Molecular docking

We downloaded the three-dimensional structure of G-Rg5 (PubChem CID: 44416768) and G-Rk1 (PubChem CID: 11499198) from the NCBI Pubchem Compound database (http://www.ncbi.nlm.nih.gov/pccompound), and we downloaded the crystal structure of Annexin A2 (PDB ID: 2HYU) from the RCSB Protein Data Bank (http://www.rcsb.org/pdb). Molecular docking was performed with AutoDock tools (version 4.2.6) with the default setting, based on the Lamarckian Genetic Algorithm (Scripps Research Institute, La Jolla, CA, USA). We processed the optimum structure of the complex with the Discovery Studio 4.0 Visualizer (BIOVIA, CA, USA).

Purification of prokaryotic-expressed Annexin A2

The E. coli expression strain, BL21 (DE3), was transformed with pEXS-CG-Annexin A2, and cultured in Luria-Bertani (LB) liquid medium with 50 μg/mL ampicillin at 37°C until the density reached an OD600 of 1.5. Cells were cooled to 16°C and cultured for another 12 h at 16°C with 1.0 mmol/L IPTG for protein expression. Then, cells were harvested by centrifuging at 6,000 rpm (JA10 rotor, Beckman) for 12 min. The cell pellet was resuspended in pre-cooled lysis buffer (PBS containing 1 mg/mL lysozyme, 1 mmol/L DTT and 1 mmol/L PMSF), placed on ice, and ultra-sonicated for cell lysis. The lysed cells were separated with centrifugation at 12,000 rpm (JA25.50 rotor, Beckman) for 40 min, and the supernatant was loaded onto a GST-affinity chromatography column. The column was washed with pre-cooled PBS containing 1 mol/L NaCl, 1 mmol/L DTT and 1 mmol/L PMSF. Then, we added 10 μg of human HRV 3C protease (TAKARA) to the column, and incubated the column at 4°C overnight to allow cleavage of the GST-tag at the C-terminus of the protein. The eluted fraction was then loaded onto a Superdex75 16/600 column (GE Healthcare) and eluted at a flow rate of 1.0 mL/min. Fractions were pooled and concentrated to 10 mg/mL with a 10-kDa cut-off centrifuge filter (Millipore). The Annexin A2-K302A mutant was purified with the same procedure.

Thermal shift assay

In vivo thermal shift assay (cellular thermal shift assay, CTSA): HepG2 cells (3 × 107) were seeded into a 100-mm culture plate with 12 μmol/L of G-Rg5 or G-Rk1 and cultured for 1 h. Control cells were incubated with the same volume. Cells were cultivated and counted, followed by resuspending in PBS (containing 1 mmol/L PMSF) to a final density of 2 × 107/mL. Then cells were subpackaged into 12 PCR tubes, with 100 μL per PCR tube, and heated with a thermal gradient from 40°C to 73°C, for 3 min. After freeze-thawed twice with liquid nitrogen, the supernatant was separated by centrifugation at 20,000 ×g for 20 min and collected. 20 μL of the supernatant was loaded onto an SDS-PAGE gel, followed by an immunoblot. In vitro thermal shift assay: Purified Annexin A2 protein was diluted with PBS (containing 1 mmol/L PMSF) to a final concentration of 0.2 mmol/L (~7 μg/mL) and subpackaged into PCR tubes, with 90 μL per PCR tube. G-Rg5 or G-Rk1 were diluted with PBS to a final concentration of 100 μmol/L, then added to PCR tubes with Annexin A2 protein, forming a dose gradient from 0.2 μmol/L to 10 μmol/L. PCR tubes were made up to 100 μL with PBS and heated at 55°C for 3 min, with the control tube on ice for 3 min. Then 10 μL from each tube was loaded onto an SDS-PAGE gel, followed by an immunoblot.

Immunoprecipitation

In vivo: HepG2 cells (1.6 × 106) were plated into 100-mm culture plates and treated with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), PMA (100 ng/mL) and etoposide (25 μg/mL) for 12 h. Cells were lysed in lysis buffer (Pierce) containing protease inhibitors (Roche) and 1 mmol/L PMSF. 2 mg of total protein lysates were mixed with 10 μL of anti-Annexin A2, anti-p50 antibody or anti-C-myc, and incubated at 4°C for 3 h on a tube rotator. Protein A/G beads (Millipore) were washed three times with lysis buffer, and then incubated at 4°C for 4 h with the lysate-antibody complexes. The protein-agarose beads complexes were washed three times with lysis buffer. Samples were then separated with an SDS-PAGE and analyzed with an immunoblot. In vitro: Cultures of the E. coli expression strain, BL21 (DE3), were transformed with pEXS-CG, pEXS-Annexin A2 (label-free) and pEXS-p50. Cells were cultivated in LB liquid medium containing 50 μg/mL ampicillin at 37°C, until the cell density reached an OD600 of 1.5. Then, cells were cultivated with 1 mmol/L IPTG for another 12 h. Cells were lysed with ultra-sonication in lysis buffer (100 mmol/L PBS, 125 mmol/L NaCl, 1 mg/mL lysozyme, and 1 mmol/L PMSF). 1 mg of the protein lysate containing Annexin A2 and another 1 mg of the protein lysate containing p50 were incubated at 4°C overnight with 12 μmol/L G-Rg5 or G-Rk1. As a control, 1 mg of protein lysate that contained neither Annexin A2 nor p50 was incubated in parallel. The remaining steps were performed as described above for the in vivo assay.

Immunofluorescence

Glass cover slips were placed into the wells of a 24-well plate, and 5 × 104 HepG2 cells were seeded into each well. After a 16-h incubation, cells were treated with G-Rg5 (6 μmol/L), G-Rk1 (6 μmol/L), PMA (100 ng/mL) and etoposide (25 μg/mL) for 2 h. Next, cells were fixed with pre-cool methanol at 4°C for 5 min. Then, cells were washed twice with PBST (100 mmol/L PBS with 0.5% Tween-20). The fixed cells were permeabilized with PBST containing 0.2% Triton X-100 at 4°C for 20 min, then washed three times with PBST. Permeabilized cells were incubated with blocking buffer (PBST containing 3% donkey serum) at room temperature for 1 h, then incubated with a primary antibody (mouse anti-Annexin A2 and rabbit anti-NF-κB, each diluted 1:200 in PBST with 5% BSA) for 3 h at 4°C. Cells were washed three times with PBST and incubated with a secondary antibody (Cy™3 affinipure donkey anti-mouse IgG and Alexa Fluor® 488 affinipure donkey anti-Rabbit IgG, each diluted 1:200 in PBST with 5% BSA) for 2 h at room temperature. After the cells were washed twice with PBST, stained with PBST and 0.1% DAPI (Sigma), and analyzed with a fluorescence microscope.

Cell viability assay

HepG2 cells were plated (5 × 103 per well) onto 96-well plates and treated with G-Rg5 or G-Rk1 at the indicated concentrations for 48 h. Cell viability was determined with the MTT assay.

Plate clone formation assay

HepG2 were plated (1 × 103 per well) onto 6-well plates and treated with G-Rg5 (6 μmol/L) and G-Rk1 (6 μmol/L) at the indicated concentrations for 1 week. Then cells were washed twice with PBS and fixed with pre-cooled methanol for 10 min, followed by crystal violet staining for 5 min. Then cells were washed twice with PBS and photographed.

Quantitative real-time PCR (qRT-PCR)

Whole-cell RNA was isolated with TRIzol (Invitrogen). Then, 5-μg aliquots of whole-cell RNA were used for cDNA synthesis with the EasyScript Reverse Transcriptase kit (Transgen). QRT-PCR was performed on Applied Biosystem 7500 Real-time PCR system (Applied Biosystem. Inc) and TransStart Tuo Green qPCR SuperMix (Transgen). The amplification was performed with a three-step program, 1 cycle at 94°C for 30 s, followed by 45 cycles of 94°C for 5 s, 50°C for 15 s, and 72°C for 10 s, with signal collecting steps after annealing and extending for 34 s.

Statistical analysis

Data are presented as the mean ± S.D. Statistical significance was calculated with the Student’s t-test. Below is the link to the electronic supplementary material. Supplementary material 1 (PDF 503 kb)
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Christiaan Leeuwenburgh; Patrick Legembre; Renaud Legouis; Michael Lehmann; Huan-Yao Lei; Qun-Ying Lei; David A Leib; José Leiro; John J Lemasters; Antoinette Lemoine; Maciej S Lesniak; Dina Lev; Victor V Levenson; Beth Levine; Efrat Levy; Faqiang Li; Jun-Lin Li; Lian Li; Sheng Li; Weijie Li; Xue-Jun Li; Yan-bo Li; Yi-Ping Li; Chengyu Liang; Qiangrong Liang; Yung-Feng Liao; Pawel P Liberski; Andrew Lieberman; Hyunjung J Lim; Kah-Leong Lim; Kyu Lim; Chiou-Feng Lin; Fu-Cheng Lin; Jian Lin; Jiandie D Lin; Kui Lin; Wan-Wan Lin; Weei-Chin Lin; Yi-Ling Lin; Rafael Linden; Paul Lingor; Jennifer Lippincott-Schwartz; Michael P Lisanti; Paloma B Liton; Bo Liu; Chun-Feng Liu; Kaiyu Liu; Leyuan Liu; Qiong A Liu; Wei Liu; Young-Chau Liu; Yule Liu; Richard A Lockshin; Chun-Nam Lok; Sagar Lonial; Benjamin Loos; Gabriel Lopez-Berestein; Carlos López-Otín; Laura Lossi; Michael T Lotze; Peter Lőw; Binfeng Lu; Bingwei Lu; Bo Lu; Zhen Lu; Frédéric Luciano; Nicholas W Lukacs; Anders H Lund; Melinda A Lynch-Day; Yong Ma; Fernando Macian; Jeff P MacKeigan; Kay F Macleod; Frank Madeo; Luigi Maiuri; Maria Chiara Maiuri; Davide Malagoli; May Christine V Malicdan; Walter Malorni; Na Man; Eva-Maria Mandelkow; Stéphen Manon; Irena Manov; Kai Mao; Xiang Mao; Zixu Mao; Philippe Marambaud; Daniela Marazziti; Yves L Marcel; Katie Marchbank; Piero Marchetti; Stefan J Marciniak; Mateus Marcondes; Mohsen Mardi; Gabriella Marfe; Guillermo Mariño; Maria Markaki; Mark R Marten; Seamus J Martin; Camille Martinand-Mari; Wim Martinet; Marta Martinez-Vicente; Matilde Masini; Paola Matarrese; Saburo Matsuo; Raffaele Matteoni; Andreas Mayer; Nathalie M Mazure; David J McConkey; Melanie J McConnell; Catherine McDermott; Christine McDonald; Gerald M McInerney; Sharon L McKenna; BethAnn McLaughlin; Pamela J McLean; Christopher R McMaster; G Angus McQuibban; Alfred J Meijer; Miriam H Meisler; Alicia Meléndez; Thomas J Melia; Gerry Melino; Maria A Mena; Javier A Menendez; Rubem F S Menna-Barreto; Manoj B Menon; Fiona M Menzies; Carol A Mercer; Adalberto Merighi; Diane E Merry; Stefania Meschini; Christian G Meyer; Thomas F Meyer; Chao-Yu Miao; Jun-Ying Miao; Paul A M Michels; Carine Michiels; Dalibor Mijaljica; Ana Milojkovic; Saverio Minucci; Clelia Miracco; Cindy K Miranti; Ioannis Mitroulis; Keisuke Miyazawa; Noboru Mizushima; Baharia Mograbi; Simin Mohseni; Xavier Molero; Bertrand Mollereau; Faustino Mollinedo; Takashi Momoi; Iryna Monastyrska; Martha M Monick; Mervyn J Monteiro; Michael N Moore; Rodrigo Mora; Kevin Moreau; Paula I Moreira; Yuji Moriyasu; Jorge Moscat; Serge Mostowy; Jeremy C Mottram; Tomasz Motyl; Charbel E-H Moussa; Sylke Müller; Sylviane Muller; Karl Münger; Christian Münz; Leon O Murphy; Maureen E Murphy; Antonio Musarò; Indira Mysorekar; Eiichiro Nagata; Kazuhiro Nagata; Aimable Nahimana; Usha Nair; Toshiyuki Nakagawa; Kiichi Nakahira; Hiroyasu Nakano; Hitoshi Nakatogawa; Meera Nanjundan; Naweed I Naqvi; Derek P Narendra; Masashi Narita; Miguel Navarro; Steffan T Nawrocki; Taras Y Nazarko; Andriy Nemchenko; Mihai G Netea; Thomas P Neufeld; Paul A Ney; Ioannis P Nezis; Huu Phuc Nguyen; Daotai Nie; Ichizo Nishino; Corey Nislow; Ralph A Nixon; Takeshi Noda; Angelika A Noegel; Anna Nogalska; Satoru Noguchi; Lucia Notterpek; Ivana Novak; Tomoyoshi Nozaki; Nobuyuki Nukina; Thorsten Nürnberger; Beat Nyfeler; Keisuke Obara; Terry D Oberley; Salvatore Oddo; Michinaga Ogawa; Toya Ohashi; Koji Okamoto; Nancy L Oleinick; F Javier Oliver; Laura J Olsen; Stefan Olsson; Onya Opota; Timothy F Osborne; Gary K Ostrander; Kinya Otsu; Jing-hsiung James Ou; Mireille Ouimet; Michael Overholtzer; Bulent Ozpolat; Paolo Paganetti; Ugo Pagnini; Nicolas Pallet; Glen E Palmer; Camilla Palumbo; Tianhong Pan; Theocharis Panaretakis; Udai Bhan Pandey; Zuzana Papackova; Issidora Papassideri; Irmgard Paris; Junsoo Park; Ohkmae K Park; Jan B Parys; Katherine R Parzych; Susann Patschan; Cam Patterson; Sophie Pattingre; John M Pawelek; Jianxin Peng; David H Perlmutter; Ida Perrotta; George Perry; Shazib Pervaiz; Matthias Peter; Godefridus J Peters; Morten Petersen; Goran Petrovski; James M Phang; Mauro Piacentini; Philippe Pierre; Valérie Pierrefite-Carle; Gérard Pierron; Ronit Pinkas-Kramarski; Antonio Piras; Natik Piri; Leonidas C Platanias; Stefanie Pöggeler; Marc Poirot; Angelo Poletti; Christian Poüs; Mercedes Pozuelo-Rubio; Mette Prætorius-Ibba; Anil Prasad; Mark Prescott; Muriel Priault; Nathalie Produit-Zengaffinen; Ann Progulske-Fox; Tassula Proikas-Cezanne; Serge Przedborski; Karin Przyklenk; Rosa Puertollano; Julien Puyal; Shu-Bing Qian; Liang Qin; Zheng-Hong Qin; Susan E Quaggin; Nina Raben; Hannah Rabinowich; Simon W Rabkin; Irfan Rahman; Abdelhaq Rami; Georg Ramm; Glenn Randall; Felix Randow; V Ashutosh Rao; Jeffrey C Rathmell; Brinda Ravikumar; Swapan K Ray; Bruce H Reed; John C Reed; Fulvio Reggiori; Anne Régnier-Vigouroux; Andreas S Reichert; John J Reiners; Russel J Reiter; Jun Ren; José L Revuelta; Christopher J Rhodes; Konstantinos Ritis; Elizete Rizzo; Jeffrey Robbins; Michel Roberge; Hernan Roca; Maria C Roccheri; Stephane Rocchi; H Peter Rodemann; Santiago Rodríguez de Córdoba; Bärbel Rohrer; Igor B Roninson; Kirill Rosen; Magdalena M Rost-Roszkowska; Mustapha Rouis; Kasper M A Rouschop; Francesca Rovetta; Brian P Rubin; David C Rubinsztein; Klaus Ruckdeschel; Edmund B Rucker; Assaf Rudich; Emil Rudolf; Nelson Ruiz-Opazo; Rossella Russo; Tor Erik Rusten; Kevin M Ryan; Stefan W Ryter; David M Sabatini; Junichi Sadoshima; Tapas Saha; Tatsuya Saitoh; Hiroshi Sakagami; Yasuyoshi Sakai; Ghasem Hoseini Salekdeh; Paolo Salomoni; Paul M Salvaterra; Guy Salvesen; Rosa Salvioli; Anthony M J Sanchez; José A Sánchez-Alcázar; Ricardo Sánchez-Prieto; Marco Sandri; Uma Sankar; Poonam Sansanwal; Laura Santambrogio; Shweta Saran; Sovan Sarkar; Minnie Sarwal; Chihiro Sasakawa; Ausra Sasnauskiene; Miklós Sass; Ken Sato; Miyuki Sato; Anthony H V Schapira; Michael Scharl; Hermann M Schätzl; Wiep Scheper; Stefano Schiaffino; Claudio Schneider; Marion E Schneider; Regine Schneider-Stock; Patricia V Schoenlein; Daniel F Schorderet; Christoph Schüller; Gary K Schwartz; Luca Scorrano; Linda Sealy; Per O Seglen; Juan Segura-Aguilar; Iban Seiliez; Oleksandr Seleverstov; Christian Sell; Jong Bok Seo; Duska Separovic; Vijayasaradhi Setaluri; Takao Setoguchi; Carmine Settembre; John J Shacka; Mala Shanmugam; Irving M Shapiro; Eitan Shaulian; Reuben J Shaw; James H Shelhamer; Han-Ming Shen; Wei-Chiang Shen; Zu-Hang Sheng; Yang Shi; Kenichi Shibuya; Yoshihiro Shidoji; Jeng-Jer Shieh; Chwen-Ming Shih; Yohta Shimada; Shigeomi Shimizu; Takahiro Shintani; Orian S Shirihai; Gordon C Shore; Andriy A Sibirny; Stan B Sidhu; Beata Sikorska; Elaine C M Silva-Zacarin; Alison Simmons; Anna Katharina Simon; Hans-Uwe Simon; Cristiano Simone; Anne Simonsen; David A Sinclair; Rajat Singh; Debasish Sinha; Frank A Sinicrope; Agnieszka Sirko; Parco M Siu; Efthimios Sivridis; Vojtech Skop; Vladimir P Skulachev; Ruth S Slack; Soraya S Smaili; Duncan R Smith; Maria S Soengas; Thierry Soldati; Xueqin Song; Anil K Sood; Tuck Wah Soong; Federica Sotgia; Stephen A Spector; Claudia D Spies; Wolfdieter Springer; Srinivasa M Srinivasula; Leonidas Stefanis; Joan S Steffan; Ruediger Stendel; Harald Stenmark; Anastasis Stephanou; Stephan T Stern; Cinthya Sternberg; Björn Stork; Peter Strålfors; Carlos S Subauste; Xinbing Sui; David Sulzer; Jiaren Sun; Shi-Yong Sun; Zhi-Jun Sun; Joseph J Y Sung; Kuninori Suzuki; Toshihiko Suzuki; Michele S Swanson; Charles Swanton; Sean T Sweeney; Lai-King Sy; Gyorgy Szabadkai; Ira Tabas; Heinrich Taegtmeyer; Marco Tafani; Krisztina Takács-Vellai; Yoshitaka Takano; Kaoru Takegawa; Genzou Takemura; Fumihiko Takeshita; Nicholas J Talbot; Kevin S W Tan; Keiji Tanaka; Kozo Tanaka; Daolin Tang; Dingzhong Tang; Isei Tanida; Bakhos A Tannous; Nektarios Tavernarakis; Graham S Taylor; Gregory A Taylor; J Paul Taylor; Lance S Terada; Alexei Terman; Gianluca Tettamanti; Karin Thevissen; Craig B Thompson; Andrew Thorburn; Michael Thumm; FengFeng Tian; Yuan Tian; Glauco Tocchini-Valentini; Aviva M Tolkovsky; Yasuhiko Tomino; Lars Tönges; Sharon A Tooze; Cathy Tournier; John Tower; Roberto Towns; Vladimir Trajkovic; Leonardo H Travassos; Ting-Fen Tsai; Mario P Tschan; Takeshi Tsubata; Allan Tsung; Boris Turk; Lorianne S Turner; Suresh C Tyagi; Yasuo Uchiyama; Takashi Ueno; Midori Umekawa; Rika Umemiya-Shirafuji; Vivek K Unni; Maria I Vaccaro; Enza Maria Valente; Greet Van den Berghe; Ida J van der Klei; Wouter van Doorn; Linda F van Dyk; Marjolein van Egmond; Leo A van Grunsven; Peter Vandenabeele; Wim P Vandenberghe; Ilse Vanhorebeek; Eva C Vaquero; Guillermo Velasco; Tibor Vellai; Jose Miguel Vicencio; Richard D Vierstra; Miquel Vila; Cécile Vindis; Giampietro Viola; Maria Teresa Viscomi; Olga V Voitsekhovskaja; Clarissa von Haefen; Marcela Votruba; Keiji Wada; Richard Wade-Martins; Cheryl L Walker; Craig M Walsh; Jochen Walter; Xiang-Bo Wan; Aimin Wang; Chenguang Wang; Dawei Wang; Fan Wang; Fen Wang; Guanghui Wang; Haichao Wang; Hong-Gang Wang; Horng-Dar Wang; Jin Wang; Ke Wang; Mei Wang; Richard C Wang; Xinglong Wang; Xuejun Wang; Ying-Jan Wang; Yipeng Wang; Zhen Wang; Zhigang Charles Wang; Zhinong Wang; Derick G Wansink; Diane M Ward; Hirotaka Watada; Sarah L Waters; Paul Webster; Lixin Wei; Conrad C Weihl; William A Weiss; Scott M Welford; Long-Ping Wen; Caroline A Whitehouse; J Lindsay Whitton; Alexander J Whitworth; Tom Wileman; John W Wiley; Simon Wilkinson; Dieter Willbold; Roger L Williams; Peter R Williamson; Bradly G Wouters; Chenghan Wu; Dao-Cheng Wu; William K K Wu; Andreas Wyttenbach; Ramnik J Xavier; Zhijun Xi; Pu Xia; Gengfu Xiao; Zhiping Xie; Zhonglin Xie; Da-zhi Xu; Jianzhen Xu; Liang Xu; Xiaolei Xu; Ai Yamamoto; Akitsugu Yamamoto; Shunhei Yamashina; Michiaki Yamashita; Xianghua Yan; Mitsuhiro Yanagida; Dun-Sheng Yang; Elizabeth Yang; Jin-Ming Yang; Shi Yu Yang; Wannian Yang; Wei Yuan Yang; Zhifen Yang; Meng-Chao Yao; Tso-Pang Yao; Behzad Yeganeh; Wei-Lien Yen; Jia-jing Yin; Xiao-Ming Yin; Ook-Joon Yoo; Gyesoon Yoon; Seung-Yong Yoon; Tomohiro Yorimitsu; Yuko Yoshikawa; Tamotsu Yoshimori; Kohki Yoshimoto; Ho Jin You; Richard J Youle; Anas Younes; Li Yu; Long Yu; Seong-Woon Yu; Wai Haung Yu; Zhi-Min Yuan; Zhenyu Yue; Cheol-Heui Yun; Michisuke Yuzaki; Olga Zabirnyk; Elaine Silva-Zacarin; David Zacks; Eldad Zacksenhaus; Nadia Zaffaroni; Zahra Zakeri; Herbert J Zeh; Scott O Zeitlin; Hong Zhang; Hui-Ling Zhang; Jianhua Zhang; Jing-Pu Zhang; Lin Zhang; Long Zhang; Ming-Yong Zhang; Xu Dong Zhang; Mantong Zhao; Yi-Fang Zhao; Ying Zhao; Zhizhuang J Zhao; Xiaoxiang Zheng; Boris Zhivotovsky; Qing Zhong; Cong-Zhao Zhou; Changlian Zhu; Wei-Guo Zhu; Xiao-Feng Zhu; Xiongwei Zhu; Yuangang Zhu; Teresa Zoladek; Wei-Xing Zong; Antonio Zorzano; Jürgen Zschocke; Brian Zuckerbraun
Journal:  Autophagy       Date:  2012-04       Impact factor: 16.016

8.  Intracellular annexin A2 regulates NF-κB signaling by binding to the p50 subunit: implications for gemcitabine resistance in pancreatic cancer.

Authors:  H Jung; J S Kim; W K Kim; K-J Oh; J-M Kim; H J Lee; B S Han; D S Kim; Y S Seo; S C Lee; S G Park; K-H Bae
Journal:  Cell Death Dis       Date:  2015-01-22       Impact factor: 8.469

9.  Annexin II represents metastatic potential in clear-cell renal cell carcinoma.

Authors:  Y Ohno; M Izumi; T Kawamura; T Nishimura; K Mukai; M Tachibana
Journal:  Br J Cancer       Date:  2009-06-09       Impact factor: 7.640

10.  Characterisation and protein expression profiling of annexins in colorectal cancer.

Authors:  R Duncan; B Carpenter; L C Main; C Telfer; G I Murray
Journal:  Br J Cancer       Date:  2007-12-11       Impact factor: 7.640

View more
  10 in total

Review 1.  Annexin A2 promotion of hepatocellular carcinoma tumorigenesis via the immune microenvironment.

Authors:  Li-Wei Qiu; Yi-Fei Liu; Xiao-Qing Cao; Yan Wang; Xiao-Hong Cui; Xian Ye; Shuo-Wen Huang; Hong-Jun Xie; Hai-Jian Zhang
Journal:  World J Gastroenterol       Date:  2020-05-14       Impact factor: 5.742

2.  Ginsenoside compound K inhibits nuclear factor-kappa B by targeting Annexin A2.

Authors:  Yu-Shi Wang; Hongyan Zhu; He Li; Yang Li; Bing Zhao; Ying-Hua Jin
Journal:  J Ginseng Res       Date:  2018-04-21       Impact factor: 6.060

3.  The Anti-Tumor Effect and Underlying Apoptotic Mechanism of Ginsenoside Rk1 and Rg5 in Human Liver Cancer Cells.

Authors:  Chen Chen; Qing Lv; Yang Li; Ying-Hua Jin
Journal:  Molecules       Date:  2021-06-27       Impact factor: 4.411

4.  Probable Mechanisms of Doxorubicin Antitumor Activity Enhancement by Ginsenoside Rh2.

Authors:  Alexander Popov; Anna Klimovich; Olga Styshova; Alexander Tsybulsky; Dmitry Hushpulian; Andrey Osipyants; Anna Khristichenko; Sergey Kazakov; Manuj Ahuja; Navneet Kaidery; Bobby Thomas; Vladimir Tishkov; Abraham Brown; Irina Gazaryan; Andrey Poloznikov
Journal:  Molecules       Date:  2022-01-19       Impact factor: 4.411

Review 5.  Pharmacological activities of ginsenoside Rg5 (Review).

Authors:  Ming-Yang Liu; Fei Liu; Yan-Li Gao; Jia-Ning Yin; Wei-Qun Yan; Jian-Guo Liu; Hai-Jun Li
Journal:  Exp Ther Med       Date:  2021-06-06       Impact factor: 2.447

6.  Inhibition of proliferation and migration of tumor cells through phenylboronic acid-functionalized polyamidoamine-mediated delivery of a therapeutic DNAzyme Dz13.

Authors:  Jiebing Yang; Jiayuan Zhang; Jiakai Xing; Zhiyuan Shi; Haobo Han; Quanshun Li
Journal:  Int J Nanomedicine       Date:  2019-08-09

7.  Specific Interaction With Human Serum Albumin Reduces Ginsenoside Cytotoxicity in Human Umbilical Vein Endothelial Cells.

Authors:  He Li; Chen Chen; Zhong-Ming Li; Yang Yang; Chao-Qun Xing; Yang Li; Ying-Hua Jin
Journal:  Front Pharmacol       Date:  2020-04-29       Impact factor: 5.810

8.  Crucial role of Anxa2 in cancer progression: highlights on its novel regulatory mechanism.

Authors:  Tong Wang; Zhiyong Wang; Ruifang Niu; Liang Wang
Journal:  Cancer Biol Med       Date:  2019-11       Impact factor: 4.248

Review 9.  RNA packaging into extracellular vesicles: An orchestra of RNA-binding proteins?

Authors:  Fabrizio Fabbiano; Jessica Corsi; Elena Gurrieri; Caterina Trevisan; Michela Notarangelo; Vito G D'Agostino
Journal:  J Extracell Vesicles       Date:  2020-12-28

10.  Ginsenoside Rg5 Inhibits Human Osteosarcoma Cell Proliferation and Induces Cell Apoptosis through PI3K/Akt/mTORC1-Related LC3 Autophagy Pathway.

Authors:  Ming-Yang Liu; Fei Liu; Yan-Jiao Li; Jia-Ning Yin; Yan-Li Gao; Xin-Yue Wang; Chen Yang; Jian-Guo Liu; Hai-Jun Li
Journal:  Oxid Med Cell Longev       Date:  2021-06-25       Impact factor: 6.543

  10 in total

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