MEG-3-mediated Wnt/β-catenin signaling pathway controls the inhibition of tunicamycin-mediated viability in glioblastoma.

Glioblastoma is the most common primary brain carcinoma and leads to a poor survival rate of patients worldwide. Results of previous studies have suggested that tunicamycin may inhibit aggressiveness by promoting apoptosis of glioblastoma cells. In the present study, the effects of tunicamycin and its potential molecular mechanisms underlying the viability and aggressiveness of glioblastoma cells were investigated. Western blot analysis, the reverse transcription-quantitative polymerase chain reaction, immunohistochemistry, apoptosis assays and immunofluorescence were employed to examine the effects of tunicamycin on apoptosis, viability, aggressiveness and cell cycle arrest of glioblastoma cells by downregulation of the expression levels of fibronectin and epithelial cadherin. In vitro experiments demonstrated that tunicamycin significantly inhibited the viability, migration and invasion of glioblastoma cells. Results demonstrated that tunicamycin administration promoted apoptosis of glioblastoma cells through the upregulation of poly(ADP-ribose) polymerase and caspase-9. Cell cycle assays revealed that tunicamycin suppressed the proliferation of, and induced cell cycle arrest at S phase in, glioblastoma cells. Additionally, tunicamycin increased the expression of maternally expressed gene-3 (MEG-3) and wingless/integrated (Wnt)/β-catenin in glioblastoma cells. Results also indicated that tunicamycin administration promoted the Wnt/β-catenin signaling pathway in glioblastoma cells. Knockdown of MEG-3 inhibited tunicamycin-mediated downregulation of the Wnt/β-catenin signaling pathway, which was inhibited further by tunicamycin-mediated inhibition of viability and aggressiveness in glioblastoma. In vivo assays demonstrated that tunicamycin treatment significantly inhibited tumor viability and promoted apoptosis, which further led to an increased survival rate of tumor-bearing mice compared with that of the control group. In conclusion, these results indicate that tunicamycin may inhibit the viability and aggressiveness by regulating MEG-3-mediated Wnt/β-catenin signaling, suggesting that tunicamycin may be a potential anticancer agent for glioblastoma therapy.

Introduction

Glioblastoma is the most aggressive type of primary brain tumor and originates from glial cells in adults (1,2). Glioblastoma is characterized by the appearance of vascular proliferation, aggressive invasion and necrosis in human normal brain tissues (3,4). Patients with glioblastoma exhibit a poor prognosis despite maximal multimodal therapy. Patients with advanced glioblastoma exhibit symptoms of seizures and/or stroke, which increase the difficulty for clinical treatment (5). Previous studies have revealed that glioblastoma accounted for ~75% of cases of all malignant tumors associated with brain (6). Glioblastoma exhibits a diversity of morphology depending on the malignant grade (7). Biomarkers may improve the efficacy of anticancer treatments (8). Therefore, basic research and treatment for glioblastoma is the primary focus of future studies.

Tunicamycin is a nucleotide antibiotic produced by Streptomyces lysosuperficus. Previous studies have indicated that tunicamycin may inhibit the growth and aggressiveness of tumor cells (9,10). Evidence suggests that tunicamycin exhibits antitumor efficacy by suppressing the viability and promoting apoptosis of tumor cells (11,12). Kim et al (13) demonstrated that tunicamycin induced apoptosis by preventing the V600E mutation of BRAF in FRO human thyroid carcinoma cells. Hasegawa et al (14) suggested that tunicamycin promotes tumor necrosis factor-related apoptosis-inducing ligand-mediated apoptosis in endometriotic stromal cells. Xing et al (15) revealed that tunicamycin may act as an endoplasmic reticulum stress inducer since it suppressed the self-renewal ability of glioma-initiating cells partly through inhibiting the translation of sex-determining region Y-box 2.

In the present study, the effects of tunicamycin and its potential underlying molecular mechanisms were examined in glioma cells and glioma-bearing mice. The aim of the present study was to investigate whether tunicamycin may inhibit the viability and metastasis of glioma cells through regulating the maternally expressed gene-3 (MEG-3)-mediated wingless/integrated (Wnt)/β-catenin signaling pathway. Results suggest that tunicamycin downregulated MEG-3 and inhibited the Wnt/β-catenin signaling pathway, thus tunicamycin may be a potential target for glioblastoma therapy.

Materials and methods

Ethical statement

The present study was performed in accordance with the recommendations of the Guide for the Care and Use of Laboratory Animals (1). All experimental protocols were performed in accordance with the Ethical Committee of Dezhou People's Hospital (Dezhou, China).

Cell culture

BV-2 and BC3H1 cells were purchased from the American Type Culture Collection (Manassas, VA, USA). Cells were cultured in Dulbecco's modified Eagle's medium (DMEM; Thermo Fisher Scientific, Inc., Waltham, MA, USA) medium supplemented with 10% fetal bovine serum (Invitrogen; Thermo Fisher Scientific, Inc.). All cells were cultured at 37°C in a humidified atmosphere containing 5% CO2.

MTT assay

BV-2 and BC3H1 cells were treated with tunicamycin (2 mg/ml) for 48 h in a 96-well plate at 37°C. Experiments were performed in triplicate for each condition and PBS was used as a control. Following incubation, 20 µl 5 mg/ml MTT solution was added to each well prior to incubation for an additional 4 h at 37°C. The majority of the medium was removed and 100 µl dimethylsulfoxide was added into the wells to solubilize the formazan crystals. The optical density was measured at 450 nm using a plate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA).

Cell migration and invasion assays

BV-2 (1×106) and BC3H1 (1×106) cells were incubated with tunicamycin (2 mg/ml) for 12 h at 37°C. Cells were suspended at a density of 1×105 in 500 µl serum-free DMEM. For the migration assay, cells were plated in a Matrigel migration chamber (BD Biosciences, Franklin Lakes, NJ, USA) for 24 h at 37°C. For the invasion assay, cells were plated in BioCoat Matrigel invasion chambers (BD Biosciences) for 24 h at 37°C, according to the manufacturer's protocol. Cells were then stained with 5% crystal violet for 30 min at 37°C. Cells were then washed with PBS three times at room temperature and the invasive and migratory tumor cells were counted under a light microscope (Olympus BX51; Olympus Corporation, Tokyo, Japan) in at least three random fields.

Cell transfection with small interfering RNA (siRNA)

All siRNAs were obtained from Invitrogen; Thermo Fisher Scientific, Inc. The following siRNAs were used: si-RNA-MEG-3 (si-MEG-3; sense: 5′-CAUUGGCAUCCUUCGAAAUTT-3′ and antisense: 5′-AUUUCGAUGGAAGCCAAUGTT-3′) or si-RNA-vector (sense: 5′-AAGCUGAGCAAGAUUCAGACC-3′, and antisense: 5′-GGUCUGAAUCUUGCUCAGCUU-3′; Invitrogen; Thermo Fisher Scientific, Inc.). In brief, BV-2 and BC3H1 cells (1×106) were transfected with 100 pmol si-MEG-3 or si-RNA-vector using Cell Line Nucleofector kit L (Lonza Group, Ltd., Basel, Switzerland). After 72 h transfection, si-RNA-MEG-3-transfected BV-2 and BC3H1 cells (1×106) were treated by tunicamycin (2 mg/ml, si-MEG-3-TUN) for 12 h at 37°C.

Apoptosis assay

BV-2 and BC3H1 cells were incubated with tunicamycin (2 mg/ml) for 24 h. Following incubation, tumor cells were trypsinized and collected. Cells were then washed with ice-cold PBS, resuspended at 1×106 cells/ml in PBS and labeled with annexin V-fluorescein isothiocyanate (FITC) and propidium iodide (Annexin V-FITC kit; BD Biosciences) and analyzed using a FACScan flow cytometer (BD Biosciences). Apoptotic cells were analyzed using BD FACSDiva™ Software 1.2 (BD Biosciences).

Western blot analysis

BV-2, BC3H1 cells and animal tissues were homogenized in a lysate buffer containing a protease inhibitor (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) and were centrifuged at 8,000 × g at 4°C for 10 min. The protein concentration was determined using a BCA kit (cat. no. 23225; Thermo Fisher Scientific, Inc.). Total proteins were separated by 12.5% SDS-PAGE and transferred onto polyvinylidene fluoride membranes (EMD Millipore, Billerica, MA, USA). The membranes were blocked with 5% (w/v) nonfat dry milk dissolved in tris-buffered saline plus Tween-20 (TBST) solution for 2 h at 37°C. The membranes were incubated with rabbit anti-mouse primary antibodies: CyclinD1 (1:1,000; cat. no. ab134175; Abcam, Cambridge, UK), CyclinD2 (1:1,000; cat. no. ab81359; Abcam), Fibronectin (1:1,000; ab2413; Abcam), E-cadherin (1:1,000; cat. no. ab11512; Abcam), PARP (1:1,000; cat. no. ab32138; Abcam), Caspase-9 (1:1,000; cat. no. ab52298; Abcam), Survivin (1:1,000; cat. no. ab469; Abcam), P53 (1:1,000; cat. no. ab1431; Abcam), MEG-3 (1:1,000; cat. no. ab141322; Abcam), Wnt/β-catenin (1:1,000; cat. no. ab228526; Abcam) and β-actin (1:1,000; cat. no. ab8226; Abcam) and then incubated with horseradish peroxidase-labeled immunoglobulin secondary antibody HRP-conjugated goat anti-rabbit IgG mAb (1:2,000; cat. no. PV-6001; OriGene Technologies, Inc., Beijing, China) for 1 h at 37°C. All protein bands were visualized by enhanced chemiluminescence (Abcam) with Quantity one software (version 4.62, Bio-Rad Laboratories, Inc.) employed to quantify protein expression levels.

Animal study

A total of 30 specific pathogen-free male Balb/c mice (8 weeks old, 25–30 g) were obtained from Slack Laboratory Animal Co., Ltd., (Shanghai, China). All mice were housed under controlled temperatures at room temperature (humidity, 50–60%) in a 12-h light/dark cycle with free access to food and water. BV-2 cells (1×106) were implanted into nude mice and mice were divided into two groups (n=15 in each group). Treatment was initiated on day 3 following tumor implantation (diameter, 5–6 mm). Tumor-bearing mice were intravenously injected with tunicamycin (10 mg/kg) or PBS (control) once daily, 24 times. The tumor volumes were calculated to evaluate the efficacy of tunicamycin for tumor inhibition according to a previous study (16). On day 24, 5 mice in each group were sacrificed for further analysis and the remaining mice were housed for a 120-day observation.

Immunohistochemistry and immunofluorescence

Xenograft mouse tumor tissue was fixed in 10% formaldehyde at 4°C for 12 h and embedded in paraffin. The tumor tissue was cut to 4-µm sections on silanized glass slides, deparaffinized in xylene and then rehydrated using ethanol gradients. The sections were pretreated with antigen target retrieval solution at 90°C for 40 min in citrate buffer [10 mmol/l citric acid monohydrate adjusted with 2 N sodium hydroxide to (pH 6.0)]. Endogenous peroxidase activity was blocked by methanol with 0.3% hydrogen peroxide for 30 min at room temperature. The sections were incubated with rabbit anti-mouse primary antibodies at 4°C for 12 h: MEG-3 (1:1,000; cat. no. ab141322; Abcam), Wnt/β-catenin (1:1,000; cat. no. ab228526; Abcam) or epithelial-mesenchymal transition marker E-cadherin (1:1,000; cat. no. ab11512; Abcam). Then, tumor tissues were incubated with secondary antibodies goat anti-rabbit IgG H&L (Alexa Fluor® 488) preadsorbed (1:2,000; cat. no. ab150081; Abcam) for 1 h at 37°C and slides were visualized using a Ventana Benchmark automated staining system (Ventana Medical Systems, Inc., Tucson, AZ, USA). For immunofluorescence, BV-2 and BC3H1 cells were incubated with red fluorescent (1:500; Alexa Fluor 647)-labeled rabbit anti-mouse antibody (Qiagen Sciences, Inc., Gaithersburg, MD, USA) at room temperature for 2 h and washed with PBS three times. Expression levels of MEG-3 were analyzed using fluorescence microscopy (Canon, Inc., Tokyo, Japan). The density of the protein expression was analyzed by Quantity one software version 4.62 (Bio-Rad Laboratories, Inc., Hercules, CA, USA).

TUNEL analysis

For analysis of the apoptosis of tumor tissues, the terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick end labeling (TUNEL) assay (Biomake, Newmarket, UK) was used to detect TUNEL-positive cells. The paraffin-embedded sections of tumor tissues were conventionally dewaxed, treated with 50 µl 0.1% Triton X-100 (prepared with 0.1% sodium citrate) and preserved at room temperature for 8 min for vitrification, washed with PBS for 5 min three times, treated with 3% H2O2 at room temperature for 10 min to block peroxidase and washed three times with PBS for 5 min. TUNEL reaction solution (cat. no. 11684817910; Roche Diagnostics GmbH, Mannheim, Germany) was prepared with enzyme solution and label solution (Beyotime Institute of Biotechnology, Haimen, China) at a dilution of 1:9 (freshly prepared on ice). The sections were wiped dry, 50 µl TUNEL reaction solution was added, and sections were incubated in a humidified atmosphere (50–60%) away from light at 37°C for 60 min, followed by washing with PBS for 5 min three times. Thereafter, the sections were wiped dry, 50 µl converter-POD (Beyotime Institute of Biotechnology) was added, and sections were incubated in a humidified atmosphere (50–60%) at 37°C for 30 min, and washed with PBS for 5 min three times. The sections were removed and wiped dry, 50 µl diaminobenzidine substrate (1:20; cat. no. zli-9017; OriGene Technologies, Inc.) was added at room temperature for 10 sec. Following this, the sections were subsequently counterstained with hematoxylin at room temperature for 10 min and dehydrated with 75% ethanol. Tissues sections' images (5 random fields) were captured with a ZEISS LSM 510 confocal microscope at 488 nm.

Statistical analysis

Data were analyzed using SPSS software (version 19.0; IBM Corp., Armonk, NY, USA) and GraphPad Prism (version 5.0; GraphPad Software, Inc., La Jolla, CA, USA). Data are expressed as the mean ± standard deviation. All experiments were performed in triplicate. Results were analyzed using Student's t-test or one-way analysis of variance followed by Tukey's honest significant difference test. P<0.05 was considered to indicate a statistically significant difference.

Results

Tunicamycin inhibits viability and induces cell cycle arrest in glioma cells

First, viability and cell cycle distribution was examined in glioma cells following treatment with 2 mg/ml tunicamycin. As demonstrated in Fig. 1A and B, tunicamycin significantly suppressed the viability of BV-2 and BC3H1 cells. Cell cycle analysis revealed that tunicamycin induces cell cycle arrest at S phase in BV-2 and BC3H1 cells (Fig. 1C and D). Western blot analysis demonstrated that tunicamycin significantly decreased the expression of cyclin D1 and cyclin D2 in BV-2 and BC3H1 cells (Fig. 1E and F). These results suggest that tunicamycin inhibits viability by inducing cell cycle arrest in glioma cells.

Figure 1.

Effect of treatment with tunicamycin (2 mg/ml) on the viability of glioma cells. Tunicamycin inhibited the viability of (A) BV-2 and (B) BC3H1 cells. Tunicamycin induced cell cycle arrest at S phase in (C) BV-2 and (D) BC3H1 cells. Tunicamycin downregulated the expression of cyclin D1 and cyclin D2 in (E) BV-2 and (F) BC3H1 cells. **P<0.01.

Tunicamycin inhibits metastasis of glioma cells by downregulating tumor metastasis-associated proteins

Migration and invasion assays demonstrated that treatment with tunicamycin (2 mg/ml) significantly suppressed the aggressiveness of BV-2 and BC3H1 cells compared with the control group (Fig. 2A-D). Western blot analysis demonstrated that tunicamycin significantly decreased the expression levels of metastasis-associated proteins, including fibronectin and epithelial (E-)cadherin in BV-2 and BC3H1 cells (Fig. 2E and F). These results suggest that tunicamycin inhibits metastasis of glioma cells by downregulating tumor metastasis-associated proteins in vitro.

Figure 2.

Effect of treatment with tunicamycin (2 mg/ml) on the aggressiveness of glioma cells. Migration of (A) BV-2 and (B) BC3H1 cells in response to treatment with tunicamycin (2 mg/ml). Invasion of (C) BV-2 and (D) BC3H1 cells in response to treatment with tunicamycin (2 mg/ml). Tunicamycin treatment decreased the expression levels of the metastasis-associated proteins fibronectin and E-cadherin in (E) BV-2 and (F) BC3H1 cells. **P<0.01. E-cadherin, epithelial cadherin.

Tunicamycin promotes apoptosis of glioma cells through the mitochondrial apoptotic signaling pathway

Results demonstrated that tunicamycin induced apoptosis of BV-2 and BC3H1 cells compared with the control group (Fig. 3A and B). Western blot analysis revealed that treatment with tunicamycin increased the expression levels of cleaved poly(ADP-ribose) polymerase (PARP) and caspase-9 in BV-2 and BC3H1 cells (Fig. 3C and D). However, expression levels of survivin and p53 were significantly downregulated in response to treatment with tunicamycin in BV-2 and BC3H1 cells (Fig. 2E and F). These results suggest that tunicamycin induces apoptosis in glioma cells through regulating the expression of apoptosis-associated proteins.

Figure 3.

Tunicamycin (2 mg/ml) promotes apoptosis of glioma cells. Tunicamycin induced apoptosis of (A) BV-2 and (B) BC3H1 cells compared with control. Treatment with tunicamycin increased the expression levels of cleaved PARP and caspase-9 in (C) BV-2 and (D) BC3H1 cells. Treatment with tunicamycin downregulated survivin and p53 levels in (E) BV-2 and (F) BC3H1 cells. **P<0.01. PARP, poly(ADP-ribose) polymerase.

Tunicamycin inhibits the expression of MEG-3 and Wnt/β-catenin in glioma cells

Results demonstrated that tunicamycin increased the expression levels of MEG-3 in BV-2 and BC3H1 cells (Fig. 4A and B). Western blot analysis demonstrated that the expression levels of Wnt/β-catenin were upregulated in response to treatment with tunicamycin in BV-2 and BC3H1 cells (Fig. 4C and D). Additionally, tunicamycin inhibited epithelial-mesenchymal transition in BV-2 and BC3H1 cells (Fig. 4E and F). These results suggest that tunicamycin inhibits the MEG-3-mediated-Wnt/β-catenin signaling pathway in glioma cells.

Figure 4.

Tunicamycin decreases the expression levels of MEG-3 and Wnt/β-catenin in glioma cells. Treatment with tunicamycin increases the expression of MEG-3 in (A) BV-2 and (B) BC3H1 cells. Treatment with tunicamycin increases the expression of Wnt/β-catenin in (C) BV-2 and (D) BC3H1 cells. Treatment with tunicamycin inhibits epithelial-mesenchymal transition in (E) BV-2 and (F) BC3H1 cells as determined using immunofluorescence. **P<0.01. MEG-3, maternally expressed gene-3; Wnt, wingless/integrated.

Tunicamycin regulates metastasis of glioma cells through the MEG-3-mediated Wnt/β-catenin signaling pathway

In order to analyze tunicamycin-mediated aggressiveness of glioma cells, the MEG-3-mediated Wnt/β-catenin signaling pathway was examined. Results demonstrated that knockdown of MEG-3 using si-MEG-3 prevented tunicamycin-mediated (si-MEG-3-TUN) upregulation of Wnt/β-catenin in BV-2 and BC3H1 cells (Fig. 5A and B). Results revealed that knockdown of MEG-3 prevented tunicamycin-mediated inhibition of expression levels of fibronectin and E-cadherin in BV-2 and BC3H1 cells (Fig. 5C and D). Additionally, tunicamycin-mediated inhibition of migration and invasion was also eliminated by knockdown of MEG-3 in BV-2 and BC3H1 cells (Fig. 5E and F). These results indicate that tunicamycin regulates migration and invasion of glioma cells through the MEG-3-mediated Wnt/β-catenin signaling pathway.

Figure 5.

Tunicamycin suppresses metastasis of glioma cells through MEG-3-mediated Wnt/β-catenin signaling pathway. Knockdown of MEG-3 inhibited tunicamycin-mediated upregulation of Wnt/β-catenin in (A) BV-2 and (B) BC3H1 cells. Knockdown of MEG-3 prevents tunicamycin-mediated inhibition of expression of fibronectin and E-cadherin in (C) BV-2 and (D) BC3H1 cells. Knockdown of MEG-3 prevented tunicamycin-mediated inhibition of (E) migration and (F) invasion of BV-2 and BC3H1 cells. **P<0.01. MEG-3, maternally expressed gene-3; TUN, tunicamycin; si, small-interfering RNA; Wnt, wingless/integrated.

In vivo antitumor efficacy of tunicamycin in glioma-bearing mice

Anticancer efficacy of tunicamycin was further examined in tumor-bearing mice. As presented in Fig. 6A, 24 days after tunicamycin treatment, the treatment significantly decreased the tumor volume in a xenograft mouse model. A terminal deoxynucleotidyl transferase dUTP nick end labeling assay revealed that treatment with tunicamycin upregulated the numbers of apoptotic cells in tumor samples (Fig. 6B). Expression levels of MEG-3 and β-catenin were upregulated in tunicamycin-treated tumors (Fig. 6C). Additionally, tunicamycin treatment significantly prolonged the survival rate of tumor-bearing mice (Fig. 6D). These results suggest that tunicamycin treatment inhibits tumor viability and prolongs the survival rate of glioma-bearing mice.

Figure 6.

In vivo antitumor efficacy of tunicamycin in glioma-bearing mice. (A) Tunicamycin decreases tumor volume 24 days after treatment compared with the control group. (B) Tunicamycin increases the production of apoptotic bodies in glioma tumors determined by TUNEL assay. Arrows indicate apoptotic bodies. (C) Expression levels of MEG-3 and Wnt/β-catenin in tumors following treatment with tunicamycin as assessed by immunohistochemistry (scale bar, 50 µm). (D) Tunicamycin treatment prolongs the survival rate in glioma-bearing mice 120 days after treatment. **P<0.01. MEG-3, maternally expressed gene-3.

Discussion

The majority of gliomas are tumorigenic in neuroectodermal tumors. Currently, the antiglioma therapies, including chemoradiotherapy and biotherapy are efficient for patients with cancer (17,18). Incidence rates of gliomas are increasing (19,20). Evidence suggests that tunicamycin may inhibit tumor growth and promote apoptosis mediated by tumor necrosis factor-related apoptosis-inducing ligand (10,21). In the present study, the potential molecular mechanism underlying the function of tunicamycin in glioma cells was investigated. Results suggested that treatment with tunicamycin significantly inhibited the viability and promoted apoptosis of glioma cells in vitro and in vivo. Additionally, tunicamycin regulated glioma cell metastasis through the MEG-3-mediated Wnt/β-catenin signaling pathway.

A systematic review and meta-analysis have demonstrated that drug-induced apoptosis contributes to the inhibition of viability and aggressiveness in glioma cells (22,23). A previous study revealed that metronomic treatment with anticancer agents may inhibit the growth of tumor cells through inhibiting angiogenesis and promoting apoptosis in orthotopic models of glioma (24). The results of the present study demonstrated that tunicamycin induced apoptosis through increasing the expression levels of cleaved PARP and caspase-9 in BV-2 and BC3H1 cells. Additionally, tunicamycin significantly downregulated survivin and p53 in BV-2 and BC3H1 cells. Previous evidence suggested that cyclin D1 degradation contributes to cell cycle arrest in colorectal cancer and mantle cell lymphoma (25). Results revealed that tunicamycin induced cell cycle arrest in glioma cells by downregulating cyclin D1 and cyclin D2.

Hypermethylation of the promoter of MEG-3 has been demonstrated to inhibit the proliferation of epithelial ovarian cancer cells (26). Additionally, the long non-coding RNA MEG-3 inhibits tumor progression and aggressiveness through the downregulation of MYC protein in lung cancer (27). Furthermore, long non-coding RNA MEG-3 may activate p53 and is downregulated in esophageal squamous cell cancer (28). The results of the present study demonstrated that tunicamycin upregulates MEG-3 in glioma cells, which in turn inhibits the viability and aggressiveness of glioma cells in vitro and in vivo.

A previous study revealed that the Wnt/β-catenin signaling pathway promoted malignant progression in a rat model of glioma (29). Abla et al (30) demonstrated that Wnt/β-catenin signaling pathway is associated with the pathogenesis of glioma. The results of the present study revealed that tunicamycin increased the expression of MEG-3 and Wnt/β-catenin in glioma cells, which in turn inhibited cell growth and metastasis. Additionally, Wnt/β-catenin pathway-associated components may be abnormally activated and serve an important function in the occurrence and development of brainstem glioma (31). Furthermore, malignant glioma may induce an astrocytic mesenchyme-like transition by activating the Wnt/β-catenin signaling pathway (32). The results of the present study demonstrated that tunicamycin regulated viability and metastasis by regulating the MEG-3-mediated Wnt/β-catenin signaling pathway.

In conclusion, the results of the present study revealed that tunicamycin induced pro-apoptotic gene activation and inhibited the expression of anti-apoptotic genes in glioma. Additionally, administration of tunicamycin inhibited the viability and aggressiveness by inducing apoptosis in glioma in vitro and in vivo. Tunicamycin treatment regulated viability and metastasis through the regulation of the MEG-3-mediated Wnt/β-catenin signaling pathway. Therefore, tunicamycin may be a potential target for the treatment of glioma.