<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JBiSE</journal-id><journal-title-group><journal-title>Journal of Biomedical Science and Engineering</journal-title></journal-title-group><issn pub-type="epub">1937-6871</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jbise.2015.83015</article-id><article-id pub-id-type="publisher-id">JBiSE-54718</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Tanshinone IIA Could Inhibit Pancreatic Cancer BxPC-3 Cells through Increasing PERK, ATF6, Caspase-12 and CHOP Expression to Induce Apoptosis
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>hin-Cheng</surname><given-names>Su</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Tumor Research Center of Integrative Medicine, Changhua Christian Hospital, Changhua, China</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>succ.maeva@msa.hinet.net</email></corresp></author-notes><pub-date pub-type="epub"><day>17</day><month>03</month><year>2015</year></pub-date><volume>08</volume><issue>03</issue><fpage>149</fpage><lpage>159</lpage><history><date date-type="received"><day>8</day>	<month>February</month>	<year>2015</year></date><date date-type="rev-recd"><day>accepted</day>	<month>12</month>	<year>March</year>	</date><date date-type="accepted"><day>17</day>	<month>March</month>	<year>2015</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Tanshinone IIA (Tan-IIA) is extracted from Dan-Shen. Tan-IIA could inhibit human pancreatic cancer BxPC-3 cells through decreasing TCTP, Mcl-1 and Bcl-xl expression
  <em> in vitro</em>. Our previous study showed that Tan-IIA can inhibit hepatocellular carcinoma hep-J5 cells and human breast cancer BT-20 cells through inducing endoplasmic reticulum (ER) stress. In the present study, we investigated the ER stress related protein expressions in human pancreatic cancer BxPC3 cells were treated with Tan-IIA. The ER stress related protein expressions in human pancreatic cancer BxPC-3 cells were evaluated by western blotting. The results showed that Tan-IIA can increase the protein expressions of PERK, ATF6, Caspase-12 and CHOP, but decrease Bip, PDI, Calnexin, Calreticulin and Bcl-2 expression. These findings indicated that Tan-IIA can inhibit human pancreatic cancer BxPC-3 cells by inducing ER stress to induce apoptosis.
 
</p></abstract><kwd-group><kwd>Tanshinone IIA</kwd><kwd> Pancreatic Cancer BxPC-3 Cells</kwd><kwd> ER Stress</kwd><kwd> Apoptosis</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>In 2012, pancreatic cancer is the 4th leading cause of cancer death in the US [<xref ref-type="bibr" rid="scirp.54718-ref1">1</xref>] . Gemcitabine is the standard treatment for pancreatic cancer patients, but the survival rate for one year was only 18% [<xref ref-type="bibr" rid="scirp.54718-ref2">2</xref>] . Although many efforts have been made to improve the clinical efficacy, but current chemotherapeutic medicines for pancreatic cancer are unsatisfactory [<xref ref-type="bibr" rid="scirp.54718-ref3">3</xref>] -[<xref ref-type="bibr" rid="scirp.54718-ref5">5</xref>] and need to identify new treatments. Tanshinone IIA (C<sub>19</sub>H<sub>18</sub>O<sub>3</sub>) is one of the active components in Radix Salviae miltiorrhizae [<xref ref-type="bibr" rid="scirp.54718-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref7">7</xref>] . It was well documented that Tanshinone IIA (Tan-IIA) has anti-inflammatory activities [<xref ref-type="bibr" rid="scirp.54718-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref9">9</xref>] and antioxidant properties [<xref ref-type="bibr" rid="scirp.54718-ref10">10</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref11">11</xref>] . It was well documented that Tan- IIA can inhibit many human cancer cell lines through different molecular mechanisms, such as Tan-IIA down- regulates ErbB-2 and up-regulates TNF-alpha expression to inhibit colon cancer colo205 cells [<xref ref-type="bibr" rid="scirp.54718-ref12">12</xref>] , Tanshinone IIA inhibits human breast cancer MDA-MB-231 cells through increasing Bax to Bcl-xL ratios [<xref ref-type="bibr" rid="scirp.54718-ref13">13</xref>] , Tanshinone IIA inhibits human non-small cell lung cancer A549 cells through the induction of reactive oxygen species and decreasing the mitochondrial membrane potential [<xref ref-type="bibr" rid="scirp.54718-ref14">14</xref>] , Tan-IIA could inhibit small cell lung cancer H146 cells by up-regulating the Bax/Bcl-2 ratio and decreasing mitochondrial membrane potential [<xref ref-type="bibr" rid="scirp.54718-ref15">15</xref>] , Tan-IIA possesses cytotoxic effects in human pancreatic (MIAPaCa-2) tumor cell lines was documented, but the mechanism has not been established [<xref ref-type="bibr" rid="scirp.54718-ref16">16</xref>] . Because our previous studies showed Tan-IIA could inhibit hepatocellular carcinoma Hep-J5 cells [<xref ref-type="bibr" rid="scirp.54718-ref17">17</xref>] and breast cancer BT-20 cells [<xref ref-type="bibr" rid="scirp.54718-ref18">18</xref>] through inducing ER stress. Our previous study also showed Tan-IIA can inhibit human pancreatic cancer BxPC-3 cells through decreasing TCTP, Mcl-1 and Bcl-xl expression in vitro [<xref ref-type="bibr" rid="scirp.54718-ref19">19</xref>] . In the present study, we investigated the ER stress related protein expressions in human pancreatic cancer BxPC3 cells were treated with Tan-IIA.</p></sec><sec id="s2"><title>2. Materials and Methods</title><p>Chemicals and reagents: Tan-IIA (molecular formula: C19H18O3) was purchased from Sigma (CAS-No 568- 72-9). The BxPC-3 human pancreatic cancer cell line (BCRC NUMBER: 60283) was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan). MTT [3-(4,5-dimethylthiazol-2-y1)-2,5-diphenyl- tetrazolium bromide], Sodium deoxycholate, leupeptin, Triton X-100, Tris-HCl, ribonuclease-A and sodium orthovanadate were obtained from Sigma Chemical Co. (St. Louis, MO, USA). Dimethyl sulfoxide (DMSO), potassium phosphates and TE buffer were purchased from Merck Co. (Darmstadt, Germany). Fetal bovine serum (FBS) and glutamine were obtained from Gibco BRL (Grand Island, NY, USA). Sodium pyruvate, HEPES, RPMI-1640, trypsin-EDTA, mouse anti-β-actin, and penicillin-streptomycin, were obtained from Sigma-Aldrich (St. Louis, MO, USA). Buffer (10X TG-SDS), Tween-20 and glycine, were obtained from Amresco (St. Louis, MO, USA). BioMax film was obtained from Kodak. Antibodies BcL-2 (cell signaling #2872, MW 28 kDa), Bip (cell signaling #9956, MW 78 kDa), PDI (cell signaling #9956, MW 57 kDa), Calnexin (cell signaling #9956, MW 90 kDa), Caspase 9 (cell signaling #9508, MW 37 kDa), C/EBP-homologous protein (CHOP; also known as GADD153) (cell signaling #9956, MW 27 kDa): protein kinase RNA (PKR)-like ER kinase (PERK) (cell signaling #9956, MW 140 kDa), Iinositol-requiring protein kinase RNA (PKR)-like ER kinase (ein-1 IRE1α) (cell signaling #9956, MW 130 kDa), p-JNK (cell signaling #9910, MW 46 kDa) were obtained from cell signaling. Caspase 12 (abcam, ab62484, MW 38 kDa), elF2α (abcam, ab5369, MW 36 kDa), ATF4 (abcam, ab1370, MW 38 kDa): activating transcription factor-6 (ATF6) (abcam, ab37149, MW 50 kDa) were obtained from abcam. Calreticulin (GeneTex, GTX42683, MW 48 kDa) was obtained from GeneTex. Other materials and reagents not specified were obtained from Sigma or Merck.</p><p>Cell culture: The BxPC-3 cells are established from a 61-year-old female pancreatic epithelial cell adenocarcinoma was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan), were main- tained in RPMI-1640 medium containing 10% FBS, 1% penicillin/streptomycin (10,000 U/ml penicillin, 10 mg/ml streptomycin) at 37˚C in a humidified atmosphere containing 5% CO<sub>2</sub>.</p><sec id="s2_1"><title>2.1. Cytotoxicity Assay</title><p>The cytotoxicity of Tan-IIA for BxPC-3 cells was evaluated by MTT assay in triplicate as document described [<xref ref-type="bibr" rid="scirp.54718-ref20">20</xref>] . Briefly, the BxPC-3 cells were plated in 96-well plates at a density of 1 &#215; 10<sup>4</sup> cells/well and treated with various concentrations of Tan-IIA for different durations (24, 48 and 72 hours). Subsequently, the cells were incubated with 100 μl MTT (1 mg/ml) in fresh complete RPMI medium for 2 hrs. The surviving cells converted MTT to formazan by forming a blue-purple color when dissolved in dimethyl sulfoxide. Absorbance was measured using an ELISA microplate reader at 590 nm. The relative percentage of cell viability was calculated by dividing the absorbance of treated cells by that of the control in each experiment, using the following formula: Proliferation rate (%) = (ODtest − ODblank) &#215; 100, where ODtest and ODblank are the optical density of the test substances and the blank control, respectively.</p></sec><sec id="s2_2"><title>2.2. Western Blot</title><p>The effects of Tan-IIA on the protein expressions of Bip, PDI, Calnexin, Calreticulin, IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 in BxPC-3 cells</p><p>BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours and the proteins expression levels of Bip, PDI, Calnexin, Calreticulin, IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 were evaluated by western blotting.</p><p>BxPC-3 cells were treated with various concentrations (0, 2.0 and 4.0 μM) of Tan-IIA for 48 hours and the proteins expression levels of Bip, PDI, Calnexin, Calreticulin, IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 were evaluated by western blotting.</p><p>BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 24, 48 and 72 h) and then the proteins expression levels of Bip, PDI, Calnexin, Calreticulin, IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 were evaluated by western blotting. BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 2, 4, 6, 8, 12, 24 and 48 h) and then the proteins expression levels of Bip, PDI, Calnexin, Calreticulin were evaluated by western blotting. The western blot procedures as document described [<xref ref-type="bibr" rid="scirp.54718-ref21">21</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref22">22</xref>] . Briefly, BxPC-3 cells were treated with various concentrations of Tan-IIA for different durations; the cells were lysed in the ice-cold whole cell extract buffer containing the protease inhibitors. The lysate was vibrated for 30 min at 4˚C and centrifuged at 10,000 rpm for 10 minutes. Protein concentration was measured by BCA protein assay kit (Pierce, Rockford, IL). Equal amounts of proteins (40 μg) were subjected to electrophoresis using 10% - 15% sodium dodecyl sulfate-polyacrylamide gels. To verify equal protein loading and transfer, proteins were then transferred to polyvinylidene difluoride membranes and then the membranes were blocked overnight at 4˚C using blocking buffer (5% non-fat dried milk in solution containing 50 mM Tris/HCl (pH 8.0), 2 mM CaCl<sub>2</sub>, 80 mM sodium chloride, 0.05% Tween 20 and 0.02% sodium azide). The membranes were then incubated with specific primary antibody. After incubated with primary Abs for 2 hours at 25˚C, the membranes were washed thrice with TBST buffer and followed by anti-rabbit or anti-mouse immunoglobulin G-horseradish peroxidase conjugated secondary antibodies. The membranes were washed three times for 10 min with washing solution. Finally, the immunoreactive protein bands were visualized on the X-ray film and analyzed using the enhanced chemiluminescence detection system (Perkin Elmer Life and Analytical Sciences, Boston, MA). The detection of β-actin was used as an internal control in all of the data for Western blotting.</p></sec><sec id="s2_3"><title>2.3. Immunocytochemistry Staining</title><p>The cells were cultured in 6-well plate dish at a density of 5 &#215; 10<sup>5</sup> per well for 16 - 20 hours. After Tan-IIA treatment for 24 or 48 hours, the cells were washed with PBS. Then fixation with 50% acetone and 50% methanol solution overnight at 4˚C, the cells were washed three times with PBS, and non-specific binding sites were blocked in PBS containing 0.1% BSA for 1 h at room temperature. Thereafter, the cells were separately incubated with rabbit anti-caspase 3 (1:20) antibody in PBS containing 0.1% BSA overnight at 4˚C, and washed three times with PBS. Then the cells were incubated with anti-rabbit FITC (1:200) in PBS containing 0.1% BSA for 1 h at room temperature, and washed three times with PBS. The nuclei were stained with the 5 μg/ml PI, respectively. After staining, the samples were immediately examined under Olympus IX81 microscope (Olympus, Tokyo, Japan).</p></sec><sec id="s2_4"><title>2.4. Statistical Analysis</title><p>Values are presented as mean &#177; SD. The student’s t-test was used to analyze the statistical significance. <sup>*</sup>p value &lt; 0.05 was considered significant for all tests.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. The Cytotoxicity of Tan-IIA in BxPC-3 Cells</title><p>BxPC-3 cells were cultured with various concentrations (0, 3, 10, 31 and 51 μM) of Tan-IIA for different durations (24, 48 and 72 hours). The results showed that the viable cell percentages relative to the control were 78.81 &#177; 1.050, 48.43 &#177; 0.773, 30.78 &#177; 1.202, 23.58 &#177; 0.716 for 24 hours; 55.90 &#177; 1.422, 31.32 &#177; 1.215, 15.83 &#177; 0.389, 16.04 &#177; 3.971 for 48 hours; 40.81 &#177; 0.874, 19.33 &#177; 0.348, 9.04 &#177; 0.268, 3.71 &#177; 0.486 for 72 hours, respectively (<xref ref-type="fig" rid="fig1">Figure 1</xref>). During Tan-IIA treatment for 24, 48 and 72 hours, the half-maximum inhibitory concentration (IC50) was 12.43, 4.57 and 2.47 μM, respectively.</p></sec><sec id="s3_2"><title>3.2. The Effect of Tan-IIA on the Protein Expressions of Bip, PDI, Calnexin, and Calreticulin in BxPC-3 Cells</title><p>BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours and the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA decreased the protein expression levels of Bip, PDI, Calnexin and Calreticulin (<xref ref-type="fig" rid="fig2">Figure 2</xref>(a)). BxPC-3 cells were treated with various concentrations (0, 2.0 and 4.0 μM) of Tan-IIA for 48 hours and the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA decreased the protein expression levels of Bip, PDI, Calnexin and Calreticulin (<xref ref-type="fig" rid="fig2">Figure 2</xref>(b)). BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 24, 48 and 72 h) and then the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA decreased the protein expression levels of Bip, PDI and Calnexin but mild increased Calreticulin expression (<xref ref-type="fig" rid="fig3">Figure 3</xref>). BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 2, 4, 6, 8, 12, 24 and 48 h) and then the proteins expression levels of Bip, PDI, Calnexin, Calreticulin were evaluated by western blotting. The results showed that the protein expression levels of Bip (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)), PDI (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b)), Calnexin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(c)) and Calreticulin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(d)) are decreased in BxPC-3 cells were treated with Tan-IIA.</p></sec><sec id="s3_3"><title>3.3. The Effect of Tan-IIA on the Protein Expressions of IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 in BxPC-3 Cells</title><p>BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours and the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA increased the protein expression levels of IRE1α, PERK, elF2α, ATF6, CHOP, Caspase-12, Caspase-9 and Caspase-3 (<xref ref-type="fig" rid="fig5">Figure 5</xref>(a)); but decrease Bcl-2 (<xref ref-type="fig" rid="fig5">Figure 5</xref>(b)). BxPC-3 cells were treated with various concentrations (0, 2.0 and 4.0 μM) of Tan-IIA for 48 hours and the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA increased the protein expression levels of IRE1α, PERK, elF2α, ATF6, CHOP, Caspase-12,</p><fig id="fig1"  position="float"><label><xref ref-type="fig" rid="fig1">Figure 1</xref></label><caption><title> The cytotoxicity of Tanshinone IIA BxPC-3 cells were cultured with various concentrations (0, 3, 10, 31 and 51 μM) of Tan-IIA for different durations (24, 48 and 72 hours). The results showed that during Tan-IIA treatment for 24, 48 and 72 hours, the half-maximum inhibitory concentration (IC50) was 12.43, 4.57 and 2.47 μM, respectively. Each point is the mean &#177; SD of three experiments</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x5.png"/></fig><fig-group id="fig2"><label><xref ref-type="fig" rid="fig2">Figure 2</xref></label><caption><title> The protein expression of Bip, PDI, Calnexin, and Calreticulin in BxPC-3 cells BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours or (0, 2.0 and 4.0 μM) of Tan-IIA for 48 hours, and then the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA decreased the protein expression levels of Bip, PDI, Calnexin and Calreticulin (<xref ref-type="fig" rid="fig2">Figure 2</xref>(a), <xref ref-type="fig" rid="fig2">Figure 2</xref>(b)).</title></caption><fig id ="fig2_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x6.png"/></fig><fig id ="fig2_2"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x7.png"/></fig></fig-group><fig id="fig3"  position="float"><label><xref ref-type="fig" rid="fig3">Figure 3</xref></label><caption><title> The protein expression of Bip, PDI, Calnexin, and Calreticulin in BxPC-3 cells BxPC-3 cells were treated with Tan-IIA (8.5 μM) for 0, 24, 48 and 72 h, and then were evaluated by western blotting. The results showed that Tan-IIA decreased the protein expression levels of Bip, PDI and Calnexin but mild increased Calreticulin expression (<xref ref-type="fig" rid="fig3">Figure 3</xref>)</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x8.png"/></fig><fig-group id="fig4"><label><xref ref-type="fig" rid="fig4">Figure 4</xref></label><caption><title> The protein expression of Bip, PDI, Calnexin, and Calreticulin in BxPC-3 cells BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 2, 4, 6, 8, 12, 24 and 48 h) and then the proteins expression levels of Bip, PDI, Calnexin, Calreticulin were evaluated by western blotting. The results showed that the protein expression levels of Bip (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)), PDI (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b)), Calnexin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(c)) and Calreticulin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(d)) are decreased in BxPC-3 cells were treated with Tan-IIA.</title></caption><fig id ="fig4_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x10.png"/></fig><fig id ="fig4_2"><label>(c)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x9.png"/></fig><fig id ="fig4_3"><label> (d)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x12.png"/></fig><fig id ="fig4_4"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x11.png"/></fig></fig-group><p>Caspase-9 and Caspase-3 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)); but decrease Bcl-2 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)). BxPC-3 cells were treated with Tan- IIA (8.5 μM) for different durations (0, 24, 48 and 72 h) and then the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA increased the protein expression levels of PERK, elF2α, ATF4, IRE1α, ATF6, CHOP, Caspase-12 and Caspase-9 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)), but decreased p-JNK (data no show) and Bcl-2 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)).</p></sec><sec id="s3_4"><title>3.4. The Protein Expression of Caspase-3 in BxPC-3 Cells</title><p>BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours. The protein expression of Caspase-3 in BxPC-3 cells was observed by immunocytochemistry as described in materials and methods. The results showed that Tan-IIA could induce high level of Caspase-3 (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>Our results showed that Tan-IIA can inhibit the proliferation of human pancreatic cancer BxPC-3 cells with</p><fig-group id="fig5"><label><xref ref-type="fig" rid="fig5">Figure 5</xref></label><caption><title> The effects of Tan-IIA on the protein expression of IRE1α, PERK, and elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 in BxPC-3 cells BxPC-3 cells were treated with various concentrations (0, 4.2 and 8.5 μM) of Tan-IIA for 24 hours or (0, 2.0 and 4.0 μM) of Tan-IIA for 48 hours, and then the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA increased the protein expression levels of IRE1α, PERK, elF2α, ATF6, CHOP, Caspase-12, Caspase-9 and Caspase-3 (<xref ref-type="fig" rid="fig5">Figure 5</xref>(a), <xref ref-type="fig" rid="fig5">Figure 5</xref>(c)); but decrease Bcl-2 (<xref ref-type="fig" rid="fig5">Figure 5</xref>(b), <xref ref-type="fig" rid="fig5">Figure 5</xref>(d)).</title></caption><fig id ="fig5_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x13.png"/></fig><fig id ="fig5_2"><label>(c)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x14.png"/></fig><fig id ="fig5_3"><label> (d)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x15.png"/></fig><fig id ="fig5_4"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x16.png"/></fig></fig-group><p>time- and dose-dependent in vitro (<xref ref-type="fig" rid="fig1">Figure 1</xref>). This is agreement with other documents [<xref ref-type="bibr" rid="scirp.54718-ref16">16</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref19">19</xref>] . It is well documented that decrease the protein expressions related to unfolding protein response (UPR) will inducing ER stress [<xref ref-type="bibr" rid="scirp.54718-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref24">24</xref>] . Our results showed that the protein expression levels of Bip (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)), PDI (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b)), Calnexin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(c)) and Calreticulin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(d)) are decreased in BxPC-3 cells were treated with Tan-IIA. These findings indicate Tan-IIA can induce ER stress in BxPC-3 cells. It is well documented for the activation of ER stress in cancer therapy. When upstream elements of ER stress (such as IRE1α, PERK, Caspase-12 and ATF6) were activated and then the target proteins CHOP was increased [<xref ref-type="bibr" rid="scirp.54718-ref25">25</xref>] . The target proteins CHOP could inhibit Bcl-2 expression was well documented. When UPR exceed the threshold, these cells were damaged and may be through inducing ATF6 mediate CHOP signaling pathway to induce apoptosis [<xref ref-type="bibr" rid="scirp.54718-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.54718-ref27">27</xref>] . Our result also showed that BxPC-3 cells were treated with Tan-IIA can increase PERK, elF2α, ATF4, IRE1α, ATF6, CHOP, Caspase-12 and Caspase-9 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)) expression but decrease Bcl-2 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)) expression with time and dose dependent. The Immunocy to chemistry results also showed that Tan-IIA could induce high level of</p><fig-group id="fig6"><label><xref ref-type="fig" rid="fig6">Figure 6</xref></label><caption><title> The effects of Tan-IIA on the protein expression of IRE1α, PERK, elF2α, ATF6, ATF4, Caspase-12, Caspase-9, CHOP and Bcl-2 in BxPC-3 cells BxPC-3 cells were treated with Tan-IIA (8.5 μM) for different durations (0, 24, 48 and 72 h) and then the proteins expression levels were evaluated by western blotting. The results showed that Tan-IIA increased the protein expression levels of PERK, elF2α, ATF4, IRE1α, ATF6, CHOP, Caspase-12 and Caspase-9 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)), but decreased p-JNK (data no show) and Bcl-2 (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)).</title></caption><fig id ="fig6_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x17.png"/></fig><fig id ="fig6_2"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x18.png"/></fig></fig-group><fig id="fig7"  position="float"><label><xref ref-type="fig" rid="fig7">Figure 7</xref></label><caption><title> The protein expression of Caspase-3 in BxPC-3 cells BxPC-3 cells were treated with Tan-IIA (0, 4.2 and 8.5 μM) for 24 hours. The protein expression of Caspase-3 in BxPC-3 cells was observed by immunocytochemistry as described in materials and methods. The results showed that Tan-IIA could induce high level of Caspase-3 (<xref ref-type="fig" rid="fig7">Figure 7</xref>)</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x19.png"/></fig><fig id="fig8"  position="float"><label><xref ref-type="fig" rid="fig8">Figure 8</xref></label><caption><title> The proposed molecular mechanisms for Tan-IIA to inhibited BxPC-3 cells Tan-IIA induce UPR through decreasing the protein expression of Bip, PDI, Calnexin and Calreticulin, then increase PERK, elF2α, ATF4, IRE1α, Caspase-12 and ATF6 expression and then stimuli ER stress downstream CHOP over expression. In addition, CHOP decreased Bcl-2 protein expression and induced mitochondria dysfunction to induce apoptosis (<xref ref-type="fig" rid="fig8">Figure 8</xref>)</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-9102131x20.png"/></fig><p>Caspase-3 (<xref ref-type="fig" rid="fig7">Figure 7</xref>). These findings indicate that Tan-IIA could induce apoptosis through inducing ER stress in BxPC-3 cells in vitro. This is the first report for Tan-IIA could inhibit the proliferations of human pancreatic cancer BxPC-3 cells through ER stress pathway. Tan-IIA with chemotherapeutic potential for human pancreatic cancer BxPC-3 cells in vitro. It is warrants further study in the future. The proposed molecular mechanisms for Tan-IIA to inhibited BxPC-3 cells as follow (<xref ref-type="fig" rid="fig8">Figure 8</xref>): Tan-IIA induce UPR through decreasing the protein expression of Bip, PDI, Calnexin and Calreticulin, then increase PERK, elF2α, ATF4, IRE1α, Caspase-12 and ATF6 expression, and then stimuli ER stress downstream CHOP over expression. In addition, CHOP decreased Bcl-2 protein expression and induced mitochondria dysfunction to induce apoptosis.</p></sec><sec id="s5"><title>Conflict of Interest Statement</title><p>No competing interests.</p></sec><sec id="s6"><title>Authors’ Contributions</title><p>Chin-Cheng Su is the single investigator for this study providing oversight and contributed fundamental conceptualization for the research, writing a grant proposal and manuscript.</p></sec><sec id="s7"><title>Acknowledgements</title><p>This study was supported by grant 101-CCH-IRP-11 from the Research Section of the Changhua Christian Hospital, Changhua, Taiwan Province, China.</p></sec><sec id="s8"><title>Abbreviations</title><p>Tan-IIA: Tanshinone IIA;</p><p>ATF6: Activating transcription factor-6;</p><p>ein-1(IRE1α): Iinositol-requiring protein kinase RNA (PKR)-like ER kinase;</p><p>PERK: Protein kinase RNA (PKR)-like ER kinase;</p><p>CHOP: Also known as GADD153, C/EBP-homologous protein;</p><p>FBS: Fetal bovine serum;</p><p>ER stress: Endoplasmic reticulum stress.</p></sec></body><back><ref-list><title>References</title><ref id="scirp.54718-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Siegel, R., Naishadham, D. and Jemal, A. 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