Literature DB >> 29695674

Induction of myosin light chain kinase and CPI-17 by TGF-β accelerates contractile activity in intestinal epithelial cells.

Md Shafiqul Islam1, Noriyuki Kaji1, Shoma Mikawa1, Qunhui Yang1, Moriaki Kusabe2, Masatoshi Hori1, Hiroshi Ozaki1.   

Abstract

Epithelial-mesenchymal transition (EMT) is an orchestral and functional change in epithelial cells. Many signaling pathways are involved in EMT, and transforming growth factor-beta (TGF-β) is considered to be one of the most important factors in induction of EMT. In this study, we treated the rat intestinal epithelial cell line (IEC-6) with TGF-β1 as a signaling stimulant. Gross analysis of IEC-6 cells showed typical characteristics of epithelial cells such as cuboidal morphology and cell-cell contact, whereas treatment with TGF-β1 (10 ng/ml-1) for 7 days produced robust, spindle-shaped morphology. Immunocytochemistry analysis showed distinct E-cadherin staining in IEC-6 cells, but weak and faint in EMT cells. EMT cells showed positive expression of α-SMA and tenascin-C but IEC-6 cells did not. Quantitative real-time PCR analysis showed that myosin light chain kinase and C-kinase potentiated protein phosphatase-1 inhibitor (CPI-17) mRNAs were significantly upregulated in EMT cells. Immunocytochemistry analysis also showed that EMT cells strongly expressed CPI-17 but IEC-6 cells did not. A collagen gel contraction assay revealed that EMT cells had greatly increased contraction compared with control cells. These results suggest that the increased contractile activity induced by TGF-β in EMT cells may be attributable to the upregulation of molecules responsible for myosin phosphorylation/de-phosphorylation.

Entities:  

Keywords:  CPI-17; EMT; MLCK; TGF-β1; contraction

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Year:  2018        PMID: 29695674      PMCID: PMC6021892          DOI: 10.1292/jvms.17-0684

Source DB:  PubMed          Journal:  J Vet Med Sci        ISSN: 0916-7250            Impact factor:   1.267


During development as well as in pathological situations such as cancer progression, epithelial cells change to mesenchymal-like cells via different signaling pathways such as pathways mediated by transforming growth factor-beta (TGF-β), fibroblast growth factor, epidermal growth factor, hepatocyte growth factor, Wnt/β-catenin, notch, etc. [28]. Among these pathways, TGF-β is considered the most important pathway [12, 30, 32]. The TGF-β signaling pathway involves many cellular processes that control cell growth, cell differentiation, apoptosis, cellular homeostasis, and other cellular functions. TGF-β signal transduction decreases the expression of E-cadherin [27] and increases mesenchymal markers such as fibronectin and α-smooth muscle actin (α-SMA) [18]. Epithelial-mesenchymal transition (EMT) is a cell differentiation process involving an orchestrated series of events in which cell-cell interactions are altered. EMT cells acquire many distinct functions including the appearance of specialized cellular components, some of which are known and others that are not. Although the reason why epithelial cells transform to transitional mesenchyme-like cells is unknown, it is thought to occur during development, wound healing, fibrosis, and metastasis for cancer progression [29]. Contraction is an important cellular function that is involved in many pathophysiological and normal processes such as wound closure [3, 5]. The contractile patterns of smooth muscle cells and other smooth muscle-like cells such as myofibroblasts vary from cell to cell and tissue to tissue. The role of α−SMA in contraction of EMT cells remains unknown [2, 22]. The physiological importance of TGF-β induction of EMT cells and increased contraction remains to be determined. Collagen gel contraction assay revealed that epithelial cells converted to EMT acquired cell contractility [31]; however, there is no established signaling pathways how the EMT cells exhibit increased contraction. CPI-17 is an endogenous inhibitor protein for myosin light chain phosphatase (MLCP) which plays critical role in smooth muscle contraction. Up regulation and downregulation of CPI-17 occur in pathological conditions resulting in alter contraction of smooth muscle [13]. Downregulation of CPI-17 may play a role in motility impairments in inflammation [20]. For examples, ulcerative colitis and inflammatory bowel disease (IBD) patients express decreased level of CPI-17 protein, inhibition of myosin light chain phosphorylation and contraction [19, 21]. On the other hand, increased expression of CPI-17 in smooth muscle and increased phosphorylation of CPI-17 are associated with the increased contraction of vascular smooth muscle contractility and increases blood pressure [25]. Therefore, alteration of CPI-17 regulation in EMT cells could be involved with the cell contraction phenomenon. Recently, we have reported that AOM-DSS-induced chronic colitis model mice have EMT cells [8]. We assumed that chronic consistent inflammation may be involved in the EMT process along with the signaling pathways responsible for possible changes in smooth muscle contractile elements. In the present study, we performed in vitro analysis of EMT and analyzed components of the signaling pathways that may play a role in contraction.

MATERIALS AND METHODS

Cell culture

The rat small intestinal cell line, IEC-6, was obtained from RIKEN Cell Bank (RCB0993, Japan). The cells were cultured in Dulbecco’s modified Eagle medium (DMEM) containing 10% fetal bovine serum (FBS). The condition of the cells was observed with a phase contrast microscope, and if the cells were healthy, they were sub-cultured and experiments were performed. In all cases, the experiments were done at least in triplicate.

Immunocytochemistry

For E-cadherin, α-SMA, tenascin-C, and CPI-17 immunocytochemistry, IEC-6 cells were cultured in DMEM containing 10% FBS on 25-mm cover glass until they reached 50–55% confluence. When the cultured cells reached 50–55% confluence, medium was replaced with DMEM supplemented with 0.5% FBS containing TGF-β1 (10 ng/ml−1) for 7 days to induce EMT cells. The cell morphology was observed every day with an inverted microscope. The medium was changed every 2 days. The cells were washed three times with HBSS and fixed with 10% neutral formalin. After preservation, the cells were washed three times with PBS, permeabilized with Tween 20 (Calbiochem, Darmstadt, Germany), and incubated with blocking buffer containing 5% normal goat serum for 1 hr. Cells were then washed and incubated with purified mouse anti-E-cadherin (1:250) (BD Biosciences, Catalog no. 61081), mouse monoclonal anti-α-SMA (1:250) (Santa Cruz Biotechnology, Catalog no. sc-32251), rabbit polyclonal α-h tenascin-C (1:250), or goat polyclonal anti-CPI-17 (1:250) (Santa Cruz Biotechnology) antibody overnight at 4°C. The specimens were washed and incubated with the appropriate secondary antibodies (1:1,000) for 2 hr at room temperature in a dark chamber. Nuclei were stained with DAPI (Molecular Probes). Images were obtained using an Eclipse E800 fluorescence microscope (Nikon, Tokyo, Japan).

RNA extraction and RT-PCR analysis

IEC-6 cells were cultured in DMEM containing 10% FBS until they reached 50–55% confluence. When the cultured cells reached 50–55% confluence, medium was replaced with DMEM supplemented with 0.5% FBS containing TGF-β1 (10 ng/ml−1) for 7 days to induce EMT cells. The medium was changed every 2 days. Total RNA was extracted by using Trizol reagent (Invitrogen, Tokyo, Japan). First-strand cDNA was synthesized by using a random nine-mer primer and ReverTra Ace(R) (a high efficient M-MLV; Moloney Murine Leukemia Virus reverse transcriptase) (Toyobo, Tokyo Japan) at 30°C for 10 min, 42°C for 1 hr, 99°C for 5 min, and 4°C for 5 min. PCR amplification was performed by using ExTaq DNA polymerase. Primers used for PCR analysis are shown in Table 1. After an initial check, we selected 32 cycles for α-SMA, E-cadherin, and tenascin-C.
Table 1.

Sequences of the primers used for RT-PCR analysis

Primer setsOrientationSequence (5′ to 3′)PCR product (bp)
Rat-α-SMA (NM_031004)ForwardGGGAGTGATGGTTGGAATGG 197
ReverseCCGTTAGCAAGGTCGGATG
Rat E-cadherinForwardATCTAAAGCTTCACAAGCTGGA502
ReverseTGATCTGTGACTGTGACCACTA
Rat-TnC (XM_008763758.2)ForwardATGTTGAATGGCGACAC188
ReverseCGGTCTCCAAACCCAG
Rat-GAPDH (XM_576394)ForwardTCCCTCAAGATTGTCAGCAA 308
ReverseAGATCCACAACGGATACATT

Quantitative real-time PCR analysis

Real-time PCR was performed in an AriaMx Real-Time PCR System (Agilent Technologies, Santa Clara, CA, U.S.A.) using SYBR-green fluorescence (ThunderbirdTM SYBR®, Toyobo, Japan) with the ROX reference dye [8]. Primers used for real-time PCR analysis are shown in Table 2. Amplification conditions were 95°C for 60 sec as a hot start, followed by 45 cycles of 95°C for 15 sec and 60°C for 60 sec. High-resolution dissociation (melting) curves were calculated following reaction at 95°C for 30 sec and 60–95°C for 30 sec to confirm primer specificity. The purity of the amplified products was confirmed by dissociation curves and gel electrophoresis. Samples were analyzed by the ΔCq method using 18S as the reference gene.
Table 2.

All primers used in real-time PCR analysis

Primer setsOrientationSequence (5′ to 3′)PCR product (bp)
Rat- CPI-17 (NM_130403)ForwardGACGAGCTGCTGGAATTGG89
ReverseAAGTCCTCTGTGGGATTCAGG
Rat- MLCK (XM_213611)ForwardGCTGCACAGCATCCAATACC153
ReverseCAGAGCACCGTAGCACAAAATC
Rat- MYPT1 (NM_053890)ForwardGTCAGCTCAACAGGCCAAAC128
ReverseAGGTTGTGACTTATCTTCCCCTTC
Rat- RhoA (NM_057132)ForwardAGCACACAAGGCGGGAGTTAG108
ReverseCTGAACACTCCATGTACCCAAAAG
Rat- ROCK1 (NM_031098)ForwardAGATGCCATGTTAAGTCCCACA194
ReverseGCACGGACAAAGCCAGAAG
Rat- ROCK2 (NM_013022)ForwardTCAGAGGTTTACAGATGAAAGCAGA98
ReverseTGATGCCTTATGACGAACCAAC
18S rRNAForward AAACGGCTACCACATCCAAG155
ReverseCCTCCAATGGATCCTCGTTA

Collagen gel contraction analysis of IEC-6 and EMT cells

A collagen gel contraction assay was used to study the inherent and acquired contractile ability of the cells. A modified collagen gel contraction assay was used in this study [1]. In brief, a collagen lattice was prepared by mixing 70% type I collagen from porcine tendon (Nitta Gelatin, Japan), 20% 5 × DMEM and 10% 0.05 N NaOH on ice (collagen concentration, 2.1 mg/ml−1). The mixture was then added to each well of 12-well plates and incubated at 37°C for 1 hr. After solidification, IEC-6 cells or EMT cells were seeded on the top of the lattice at a density of 1 × 105 cells in each well and incubated overnight for complete attachment. Under microscopic examination and after observing proper attachment of cells, the cells were incubated in serum-free conditions for 24 hr. TGF-β1 (10 ng/ml−1) was added to EMT cells in all conditions. For the positive control, 1% FBS was added 30 min before detachment of the lattice from the well. The lattice was detached from each well with a micro-spatula and photographed at 0, 1, 2 and 3 hr with or without treatment. Finally, the lattice area was measured by Image J software (National Institutes of Health, Bethesda, MD, U.S.A.).

Western blotting analysis for conditioned medium and cell lysates of IEC-6 cells and EMT cells

Conditioned medium and cell lysates were used for Western blot analysis [9]. Cell lysates were prepared in extraction buffer containing 150 mM NaCl, 1% NP-40, 0.5% DOC, 0.1% SDS, 50 mM Tris-HCl, pH 7.5, 20 mM EDTA, complete protease inhibitor (Roche) and Pefabloc SC (Roche). Samples were prepared with 5 µg of protein (cell lysates and conditioned media) mixed with 6x SDS-sample buffer under reducing conditions. Samples were boiled at 100°C for 5 min and then subjected to 5% SDS-PAGE. Membranes were blocked in PBS containing 5% normal goat serum and 1% bovine serum albumin. The membranes were incubated with α-hTnC polyclonal antibody (1:500) and rabbit α-β-actin polyclonal antibody (1:500). After washing, the membranes were incubated with the appropriate HRP-conjugated secondary antibody.

Data and statistical analysis

Results are expressed as the mean ± SEM. Statistical analysis of the data was performed using GraphPad Prism 3 (GraphPad Software, La Jolla, CA, U.S.A.). The Student’s unpaired t-test was used to compare two groups, whereas one-way ANOVA with a Bonferroni post-hoc test was used to compare more than two groups. P<0.05 and P<0.01 were considered statistically significant.

RESULTS

TGF-β1 induced EMT cells from IEC-6 epithelial cells

Treatment of IEC-6 epithelial cells with TGF-β1 (10 ng/ml−1) for 7 days resulted in a change in morphology to robust, spindle-shaped mesenchymal-like cells. Untreated epithelial cells showed characteristics such as cuboidal-shaped morphology and cell-cell contact (Fig. 1A, panels a–b). Immunocytochemistry analysis of TGF-β1-treated cells demonstrated loss of the epithelial cell marker E-cadherin and gain of the mesenchymal cell marker α-SMA. Untreated IEC-6 cells clearly expressed E-cadherin but not α-SMA (Fig. 1B, panels a–b and 1C, panels a-b). Molecular analysis with RT-PCR further confirmed that EMT cells expressed significantly (P<0.05) upregulated levels of α-SMA mRNA. E-cadherin mRNA was expressed at lower levels than in control cells, although the difference was not significant (Fig. 1D).
Fig. 1.

TGF-β1 induced EMT in IEC-6 cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Phase contrast photograph; (a) morphology of epithelial cells showing a cuboidal shape and cell-cell contact in control cells, (b) spindle-shaped morphology of EMT cells. (B) Immunocytochemistry analysis of E-cadherin; (a) control cells prominently expressed E-cadherin (green color, E-cadherin; blue color, nucleus), (b) EMT cells lost E-cadherin expression (green color, E-cadherin; blue color, nucleus). (C) Immunocytochemistry analysis of α-SMA; (a) control cells did not express α-SMA (red color, α-SMA; blue color, nucleus), (b) many EMT cells were α-SMA positive (red color, α-SMA; blue color, nucleus). n=5. Bar=50 µm. (D) RT-PCR analysis of E-cadherin and α-SMA; EMT cells expressed significantly higher levels of α-SMA and markedly lower levels of E-cadherin mRNA. n=5, *P<0.05.

TGF-β1 induced EMT in IEC-6 cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Phase contrast photograph; (a) morphology of epithelial cells showing a cuboidal shape and cell-cell contact in control cells, (b) spindle-shaped morphology of EMT cells. (B) Immunocytochemistry analysis of E-cadherin; (a) control cells prominently expressed E-cadherin (green color, E-cadherin; blue color, nucleus), (b) EMT cells lost E-cadherin expression (green color, E-cadherin; blue color, nucleus). (C) Immunocytochemistry analysis of α-SMA; (a) control cells did not express α-SMA (red color, α-SMA; blue color, nucleus), (b) many EMT cells were α-SMA positive (red color, α-SMA; blue color, nucleus). n=5. Bar=50 µm. (D) RT-PCR analysis of E-cadherin and α-SMA; EMT cells expressed significantly higher levels of α-SMA and markedly lower levels of E-cadherin mRNA. n=5, *P<0.05.

TGF-β1 induced expression of tenascin-C in EMT cells

Tenascin-C is an extracellular matrix glycoprotein that is expressed at high levels during embryogenesis but is almost absent during normal postnatal life [11]. Recently, we showed that tenascin-C is a very good marker for mesenchymal cells [9]. Thus, we investigated tenascin-C expression in TGF-β1-induced EMT cells. Immunocytochemistry showed that TGF-β1-treated EMT cells expressed high levels of tenascin-C, whereas control epithelial cells were not immuno-positive for tenascin-C (Fig. 2A, panels a–b). RT-PCR analysis revealed that EMT cells significantly (P<0.05) upregulated tenascin-C mRNA compared to control cells (Fig. 2B). Western blot analysis further confirmed that EMT cells significantly (P<0.01) upregulated tenascin-C and secreted the molecule into the medium (Fig. 2C, panels a–b). In control cells, tenascin-C was nearly undetectable in both conditioned medium and cell lysates (Fig. 2C, panels a–b).
Fig. 2.

TGF-β1 induced expression of tenascin-C in EMT cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Immunocytochemical analysis of tenascin-C; (a) control cells did not express tenascin-C (green color, tenascin-C); (b) EMT cells expressed high levels of tenascin-C. n=5. Bar=50 µm. (B) RT-PCR analysis of tenascin-C mRNA; EMT cells expressed significantly increased levels of tenascin-C mRNA. n=5, *P<0.05. (C) Western blot analysis of conditioned medium and cell lysates; (a) EMT cells excreted significantly higher levels of tenascin-C into the medium compared to controls cells, which did not excrete detectable levels of tenascin-C into the medium, (b) significantly higher levels of tenascin-C were found in cell lysates of EMT cells compared to control cell lysates, which showed a negligible quantity of tenascin-C. n=5, **P<0.01.

TGF-β1 induced expression of tenascin-C in EMT cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Immunocytochemical analysis of tenascin-C; (a) control cells did not express tenascin-C (green color, tenascin-C); (b) EMT cells expressed high levels of tenascin-C. n=5. Bar=50 µm. (B) RT-PCR analysis of tenascin-C mRNA; EMT cells expressed significantly increased levels of tenascin-C mRNA. n=5, *P<0.05. (C) Western blot analysis of conditioned medium and cell lysates; (a) EMT cells excreted significantly higher levels of tenascin-C into the medium compared to controls cells, which did not excrete detectable levels of tenascin-C into the medium, (b) significantly higher levels of tenascin-C were found in cell lysates of EMT cells compared to control cell lysates, which showed a negligible quantity of tenascin-C. n=5, **P<0.01.

TGF-β1 induced expression of myosin light chain kinase (MLCK) and CPI-17 in EMT cells

We next examined the change in smooth muscle contractile elements after treatment with TGF-β1. Quantitative real-time PCR analysis showed that treatment with TGF-β1 resulted in significant upregulation of MLCK (P<0.05) and CPI-17 (P<0.01) mRNA in EMT cells compared to the control IEC-6 cells (Fig. 3A). No remarkable differences in expression of RhoA, MYPT1, ROCK1, or ROCK2 were observed between control and EMT cells (Fig. 3A). Immunocytochemistry analysis further confirmed that EMT cells strongly expressed CPI-17 but IEC-6 epithelial cells did not (Fig. 3B, panels a–b).
Fig. 3.

TGF-β1 induced expression of CPI-17 and MLCK in EMT cells. IEC-6 cells were cultured in DMEM containing TGF-β1 (10 ng/ml−1) for 7 days. (A) Quantitative real-time PCR analysis of CPI-17, MLCK, MYPT1, RhoA, ROCK1, and ROCK2 mRNA in control and EMT cells. EMT cells expressed significantly higher levels of CPI-17 and MLCK mRNA. n=5, *P<0.05 and **P<0.01. (B) Immunocytochemistry analysis of CPI-17; (a) control epithelial cells did not express CPI-17 (green color, CPI-17; blue color, nucleus); (b) EMT cells expressed CPI-17 (green color, CPI-17; blue color, nucleus). n=5. Bar=50 µm.

TGF-β1 induced expression of CPI-17 and MLCK in EMT cells. IEC-6 cells were cultured in DMEM containing TGF-β1 (10 ng/ml−1) for 7 days. (A) Quantitative real-time PCR analysis of CPI-17, MLCK, MYPT1, RhoA, ROCK1, and ROCK2 mRNA in control and EMT cells. EMT cells expressed significantly higher levels of CPI-17 and MLCK mRNA. n=5, *P<0.05 and **P<0.01. (B) Immunocytochemistry analysis of CPI-17; (a) control epithelial cells did not express CPI-17 (green color, CPI-17; blue color, nucleus); (b) EMT cells expressed CPI-17 (green color, CPI-17; blue color, nucleus). n=5. Bar=50 µm.

TGF-β1 induced increased collagen gel contraction by EMT cells

MLCK inherently controls contraction through signaling pathways via myosin phosphorylation. CPI-17 differentially controls phosphorylation levels through inhibition of myosin light chain phosphatase activity [14]. Therefore, we next examined the potency of collagen gel contraction by EMT and control IEC-6 cells. We found that EMT cells treated with or without 1% FBS showed significantly (P<0.01) increased collagen gel contraction compared with control cells (Fig. 4A and 4B).
Fig. 4.

TGF-β1 induced greater collagen gel contraction in EMT cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Collagen gel contraction in the absence of FBS; (a) control IEC-6 cells and EMT cells, (b) representative photograph showing the contraction pattern of IEC-6 cells and EMT cells. (B) Collagen gel contraction in presence of 1% FBS; (a) FBS-treated IEC-6 cells and FBS-treated EMT cells, (b) representative photograph showing the contraction pattern of FBS-treated IEC-6 cells and FBS-treated EMT cells. Collagen gel lattice is considered 100% at zero level contraction. n=5, **P<0.01.

TGF-β1 induced greater collagen gel contraction in EMT cells. IEC-6 cells were cultured in DMEM with or without TGF-β1 (10 ng/ml−1) for 7 days. (A) Collagen gel contraction in the absence of FBS; (a) control IEC-6 cells and EMT cells, (b) representative photograph showing the contraction pattern of IEC-6 cells and EMT cells. (B) Collagen gel contraction in presence of 1% FBS; (a) FBS-treated IEC-6 cells and FBS-treated EMT cells, (b) representative photograph showing the contraction pattern of FBS-treated IEC-6 cells and FBS-treated EMT cells. Collagen gel lattice is considered 100% at zero level contraction. n=5, **P<0.01.

DISCUSSION

EMT cells appear in physiological and pathological conditions. The signaling pathway that induces EMT is complex [17]. Physiologically, EMT is a principal step during embryonic morphogenesis, and pathologically, EMT plays a role in chronic degenerative fibrosis, cancer metastasis, etc. [29]. Many scientists also believe that EMT may be involved in cancer progression due to loss of E-cadherin [26]. EMT cells lose and acquire many new components; some are known and others are unknown. In our study, we used TGF-β1 to induce EMT and found that EMT cells acquired a spindle-shaped, mesenchymal-like morphology, lost expression of E-cadherin, and gained expression of α-SMA and the extracellular matrix protein, tenascin-C [9, 23]. We also found that EMT cells exhibited high contractile activity in the collagen gel contraction assay compared to control epithelial cells. Although several pathways and cellular components are involved in the contraction mechanism, phosphorylation and de-phosphorylation of the regulatory light chain of myosin via the Ca2+-calmodulin dependent MLCK play critical roles [24]. Additionally, the sensitivity of smooth muscle contractile elements to cytosolic Ca2+ is greatly dependent on CPI-17, an inhibitor protein of myosin light chain phosphatase [4, 14]. Inhibition of myosin phosphatase is critical for agonist-induced contractility of vascular smooth muscle. In the CPI-17 response to agonists, Thr-38 is phosphorylated by protein kinase C producing an increase in inhibitory potency [7, 15]. Smooth muscle-specific CPI-17 transgenic mouse (CPI-17-Tg) selectively expressed in smooth muscle-enriched tissues including mesenteric arteries and response to norepinephrine was enhanced in CPI-17-Tg mice and the hypercontractility was associated with increased phosphorylation of CPI-17 and 20-kDa myosin light chain under basal and stimulated conditions [25]. CPI-17 is a substrate of Rho-kinase which could be involved in the Ca2+ sensitization of smooth muscle contraction [16], myosin-associated protein phosphatase-1 holoenzyme [6] and contraction [25]. In this study, we found that EMT cells lost E-cadherin expression but gained α-SMA, tenascin-C, MLCK and CPI-17 expression; however, mRNA for RhoA, MYPT1, ROCK1 and ROCK2, were unchanged in both normal and EMT cells. Not only smooth muscle cells but also other cells express a small amount of CPI-17, including intestinal epithelial cells, epithelial cells in the lung alveoli, trachea, and esophagus [14], and epithelial-derived tumor cells [10]. In conclusion our results suggest that TGF-β1-induced EMT cells showed increased cellular contraction via changes in the MLCK (phosphorylation step) and CPI-17 (de-phosphorylation step) signaling pathway that contributes to the myosin phosphorylation and de-phosphorylation process.
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