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<front>
<journal-meta>
<journal-id journal-id-type="pmc">BIOCELL</journal-id>
<journal-id journal-id-type="nlm-ta">BIOCELL</journal-id>
<journal-id journal-id-type="publisher-id">BIOCELL</journal-id>
<journal-title-group>
<journal-title>BIOCELL</journal-title>
</journal-title-group>
<issn pub-type="epub">1667-5746</issn>
<issn pub-type="ppub">0327-9545</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">49878</article-id>
<article-id pub-id-type="doi">10.32604/biocell.2024.049878</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Silvestrol alleviates glioblastoma progression through ERK pathway modulation and MANBA and NRG-1 expression</article-title><alt-title alt-title-type="left-running-head">Silvestrol alleviates glioblastoma progression through ERK pathway modulation and MANBA and NRG-1 expression</alt-title><alt-title alt-title-type="right-running-head">Silvestrol Modulates Glioblastoma via ERK &#x0026; MANBA/NRG-1</alt-title>
</title-group>
<contrib-group>
<contrib id="author-1" contrib-type="author">
<name name-style="western"><surname>ZHOU</surname><given-names>LAN</given-names></name>
<xref ref-type="aff" rid="aff-1">1</xref><xref ref-type="author-notes" rid="afn1">#</xref>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western"><surname>ZHANG</surname><given-names>QI</given-names></name>
<xref ref-type="aff" rid="aff-2">2</xref><xref ref-type="author-notes" rid="afn1">#</xref>
</contrib>
<contrib id="author-3" contrib-type="author" corresp="yes">
<name name-style="western"><surname>TIAN</surname><given-names>BO</given-names></name>
<xref ref-type="aff" rid="aff-1">1</xref><email>tianbo_cqyghosp@163.com</email>
</contrib>
<contrib id="author-4" contrib-type="author" corresp="yes">
<name name-style="western"><surname>YANG</surname><given-names>FENG</given-names></name>
<xref ref-type="aff" rid="aff-1">1</xref><email>yangfeng_cqyghosp@163.com</email>
</contrib>
<aff id="aff-1"><label>1</label><institution>Neurosurgery Department, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College</institution>, <addr-line>Chongqing</addr-line>, <country>China</country></aff>
<aff id="aff-2"><label>2</label><institution>Neurosurgery Department, Changdu People&#x2019;s Hospital of Tibet</institution>, <addr-line>Changdu</addr-line>, <country>China</country></aff>
</contrib-group><author-notes><corresp id="cor1"><label>&#x002A;</label>Address correspondence to: Bo Tian, <email>tianbo_cqyghosp@163.com</email>; Feng Yang, <email>yangfeng_cqyghosp@163.com</email></corresp>
<fn id="afn1">
<p><sup>#</sup>These authors contributed equally to this work</p>
</fn></author-notes>
<pub-date date-type="collection" publication-format="electronic">
<year>2024</year></pub-date>
<pub-date date-type="pub" publication-format="electronic"><day>03</day><month>7</month><year>2024</year></pub-date>
<volume>48</volume>
<issue>7</issue>
<fpage>1081</fpage>
<lpage>1093</lpage>
<history>
<date date-type="received"><day>21</day><month>1</month><year>2024</year></date>
<date date-type="accepted"><day>24</day><month>4</month><year>2024</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2024 Zhou et al.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Zhou et al.</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_BIOCELL_49878.pdf"></self-uri>
<abstract>
<sec>
<title>Background</title>
<p>Glioblastoma, a notably malignant tumor within the central nervous system, is distinguished by its aggressive behavior. Silvestrol, a robust inhibitor of the RNA helicase eukaryotic initiation factor 4A (eIF4A), has shown significant potential as an anticancer compound. Yet, the impact of silvestrol on glioblastoma, especially its molecular mechanisms, has not been fully elucidated.</p>
</sec>
<sec>
<title>Methods</title>
<p>This investigation employed a variety of <italic>in vitro</italic> assays, such as cell counting kit-8 (CCK-8), clonogenic, 5-ethynyl-2&#x2032;-deoxyuridine (EDU), wound healing, and flow cytometry, to evaluate cell cycle progression, apoptosis, cell viability, and migration. Western blot analysis was also performed to study the apoptosis and extracellular regulated kinase (ERK) pathways. After the ERK pathway was inhibited, differentially expressed genes (DEGs) in U87 cells were identified, followed by an analysis of target genes using the gene expression profiling interactive analysis (GEPIA) database.</p>
</sec>
<sec>
<title>Results</title>
<p>Silvestrol significantly suppressed the proliferation, migration, and colony formation of glioma cells. It caused cell cycle arrest and enhanced apoptosis in these cells. Additionally, silvestrol stimulated the ERK pathway, with these effects being reversible by an ERK phosphorylation inhibitor. Transcriptome combined with GEPIA, GSCA, UALCAN, TIMER database screened 4 potential drug targets of silvestrol: chromosome 1 open reading frame 226 (C1ORF226), mannosidase beta A (MANBA), IQ motif and Sec7 domain 2 (IQSEC2), neuregulin 1 (NRG-1). Among them, C1ORF226 was lower risk gene while MANBA, IQSEC2, and NRG-1 were high-risk genes. Furthermore, silvestrol notably reduced MANBA mRNA levels, which could be reversed by inhibiting ERK phosphorylation. Furthermore, silvestrol markedly decreased NRG-1 protein levels, with an additional reduction observed when the ERK pathway was blocked.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Silvestrol&#x2019;s anti-glioma effects are primarily due to the suppression of MANBA expression via the ERK pathway and possibly by hindering the translation of NRG-1 protein, thus reducing its expression. The downregulation of MANBA and NRG-1 proteins may be crucial in hindering glioma development and progression. These results highlight the intricate relationship between the ERK pathway and gene expression regulation in silvestrol&#x2019;s therapeutic effectiveness against glioma.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>Glioblastoma</kwd>
<kwd>Silvestrol</kwd>
<kwd>ERK pathway</kwd>
<kwd>MANBA</kwd>
<kwd>NRG-1</kwd>
</kwd-group>
<funding-group>
<award-group id="awg1">
<funding-source>Chongqing Science and Health Joint Medical Research Project</funding-source>
<award-id>2020FYYX150</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Glioblastoma is the most prevalent primary malignant brain tumor, known for its diffuse infiltrative growth [<xref ref-type="bibr" rid="ref-1">1</xref>]. It accounts for approximately 14.5% of all brain tumors, and its incidence stands at approximately 5.6 per 100,000 person-years, predominantly affecting individuals aged between 45 and 75 [<xref ref-type="bibr" rid="ref-2">2</xref>,<xref ref-type="bibr" rid="ref-3">3</xref>]. The standard treatment regimen for glioblastoma in clinical settings includes surgical resection, followed by radiation therapy and chemotherapy [<xref ref-type="bibr" rid="ref-4">4</xref>]. However, the 5-year survival rate for glioblastoma patients remains low at about 6.8%, with median survival spanning between 15 and 18 months [<xref ref-type="bibr" rid="ref-1">1</xref>]. Recent strides have been made in understanding glioblastoma&#x2019;s molecular mechanisms, tumor microenvironment, and genomics yet progress in treatment and survival outcomes has been modest [<xref ref-type="bibr" rid="ref-4">4</xref>&#x2013;<xref ref-type="bibr" rid="ref-6">6</xref>].</p>
<p>Silvestrol, a naturally occurring active small molecule, was isolated from the plant <italic>Aglaia foveolata</italic> in Indonesia [<xref ref-type="bibr" rid="ref-7">7</xref>]. It has been identified as an inhibitor of eukaryotic initiation factor 4A (eIF4A), one of the eukaryotic translation initiation factors, and is noted for its high specificity and tolerability in animal models [<xref ref-type="bibr" rid="ref-8">8</xref>]. The overactivity of translation initiation factors is closely linked to translation dysregulation, a condition that is strongly associated with excessive cell proliferation, angiogenesis, survival, and altered energetics in tumors [<xref ref-type="bibr" rid="ref-9">9</xref>,<xref ref-type="bibr" rid="ref-10">10</xref>]. Consequently, silvestrol has demonstrated the capability to inhibit the growth of numerous cancer cell lines at low nanomolar concentrations [<xref ref-type="bibr" rid="ref-11">11</xref>&#x2013;<xref ref-type="bibr" rid="ref-14">14</xref>], especially targeting mRNAs with highly structured 5&#x2032;UTR that are heavily reliant on eIF4A for translation [<xref ref-type="bibr" rid="ref-15">15</xref>]. Notably, oncogenes such as mutant KRAS genes possess long and highly structured 5&#x2032;UTRs [<xref ref-type="bibr" rid="ref-16">16</xref>]. Inhibitors of eIF4A have displayed significant antitumor activity both <italic>in vivo</italic> and <italic>in vitro</italic> in various tumors, including pancreatic ductal adenocarcinoma [<xref ref-type="bibr" rid="ref-17">17</xref>], leukemia [<xref ref-type="bibr" rid="ref-18">18</xref>], hepatocellular carcinoma [<xref ref-type="bibr" rid="ref-19">19</xref>], and have been shown to enhance tumor cell radiosensitivity [<xref ref-type="bibr" rid="ref-20">20</xref>,<xref ref-type="bibr" rid="ref-21">21</xref>]. However, the efficacy of silvestrol against glioblastoma remains uncertain.</p>
<p>Silvestrol is recognized for its role in inhibiting eIF4A, a key component of the eukaryotic translation initiation factor 4F (eIF4F) complex, essential for the initiation of eukaryotic translation. Moreover, research suggests that eIF4F serves as a central node in resistance mechanisms against anti-BRAF and anti-mitogen-activated protein kinase kinase (anti-MEK) cancer therapies [<xref ref-type="bibr" rid="ref-22">22</xref>]. Notably, inhibiting both extracellular regulated kinase (ERK) and eIF4A has been found to exert a synergistic effect [<xref ref-type="bibr" rid="ref-23">23</xref>], with the activation of the mitogen-activated protein kinases (MAPK) pathway also known to boost eIF4A activity [<xref ref-type="bibr" rid="ref-24">24</xref>]. The ERK1/2 intracellular signaling pathway, a classical MAPK transduction pathway, is crucial for mediating extracellular signals in cell proliferation, differentiation, development, stress response, and apoptosis [<xref ref-type="bibr" rid="ref-25">25</xref>]. Recent research has shown that silvestrol inhibits the AKT/mTOR and ERK1/2 signaling pathways, demonstrating anti-tumor effects in Glioblastoma multiforme (GBM) cells [<xref ref-type="bibr" rid="ref-26">26</xref>]. This study focused on the role of hypoxia-inducible factor within these pathways but did not delve deeply into the subsequent gene regulatory networks [<xref ref-type="bibr" rid="ref-26">26</xref>]. External stimuli and receptor engagement activate Ras, leading to the phosphorylation of ERK through the Ras/Raf/MEK/ERK cascade at both threonine and tyrosine sites [<xref ref-type="bibr" rid="ref-27">27</xref>]. Upon activation, ERK rapidly moves from the cytoplasm to the nucleus, phosphorylating various transcription factors and influencing gene expression related to transcription. While the ERK pathway is often overexpressed in tumors and continuously activated to encourage tumor cell proliferation, excessive activation of Ras-ERK signaling has been found to accumulate cyclin-dependent kinase (CDK) inhibitors, including cell cycle arrest [<xref ref-type="bibr" rid="ref-28">28</xref>].</p>
<p>Therefore, this study utilized U87 MG and U251 glioblastoma cell lines to examine silvestrol&#x2019;s inhibitory effects on glioblastomas <italic>in vitro</italic>, aiming to determine whether silvestrol&#x2019;s inhibition relies on the ERK1/2 signaling pathway. Significantly, our research delves into the mechanisms through which silvestrol regulates glioblastoma cell proliferation, employing extensive data mining.</p>
</sec>
<sec id="s2">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Materials</title>
<p>Silvestrol (MCE, cat: HY-13251, NJ, USA) was purchased from MCE, and dissolved in dimethyl sulfoxide (Beyotime, ST038, Shanghai, China). 4% paraformaldehyde (Biosharp, BL539A, GuangDong, China), LY3214996 (MCE, HY-101494, NJ, USA). Antibodies: &#x03B2;-actin, cleaved caspase3, extracellular regulated kinase 1/2 (ERK1/2), p-ERK1/2, mitogen-activated protein kinase kinase (MEK), p-MEK, Goat Anti-Rabbit IgG (H &#x002B; L) HRP (Affinity, LOT: AF7018, AF7022, AF1015, AF0155, AF8035, AF6385, S0001, WuHan, China), neuregulin 1 (NRG-1) (66492-1-Ig, protein tech, Wuhan, China).</p>
</sec>
<sec id="s2_2">
<title>Cell culture</title>
<p>U87 MG and U251 glioblastoma cell lines were obtained from Wuhan Prosser Life Technology Co., Ltd. China. The glioblastoma cell line was cultured in Dulbecco&#x2019;s modification of Eagle&#x2019;s medium (BasalMedia, L110KJ, Shanghai, China) medium containing 10% fetal bovine serum (Procell, 164210-500, Wuhan, China) and 1% Penicillin-Streptomycin Solution (Procell, PB180120, Wuhan, China) at 37&#x00B0;C in a 5% CO<sub>2</sub> incubator.</p>
</sec>
<sec id="s2_3">
<title>Cell viability assay</title>
<p>The half maximal inhibitory concentration (IC50) of silvestrol on U87 MG and U251 cells for 48 h was determined using the cell counting kit-8 (CCK-8) (DOJINDO, CK04, Kumamoto, Japan). U87 MG and U251 cells were seeded in 96-well plates at 2000 cells per well. After culturing the cells overnight, they were treated with different concentrations of silvestrol for 48 h. 10 &#x03BC;L of CCK-8 solution was then added to each well and incubated for 3 h at 37&#x00B0;C. Subsequently, their optical density values at 450 nm were measured using a microplate reader (BioTek, SYNERGY/H1, Vermont, Germany).</p>
<p>After the IC<sub>50</sub> was determined, 0, 2.5, and 10 nM silvestrol were treated with cells for 24, 48, and 72 h, respectively, to assess silvestrol&#x2019;s impact on cell proliferation, and the rest of the operations were carried out as above.</p>
</sec>
<sec id="s2_4">
<title>5-ethynyl-2&#x2032;-deoxyuridine (EDU) assay</title>
<p>87 MG and U251 cells were plated in 96-well plates at a density of 5 &#x00D7; 10<sup>4</sup> cells per well. After treatment with drugs for 24 h, 100 &#x03BC;L of EDU (Beyotime, C0088S, Shanghai, China) working solution (20 &#x03BC;M) was added and cells were cultured for an additional 2 h. Following this, cells were fixed with 4% paraformaldehyde (Beyotime, P0099, Shanghai, China) for 15 min at room temperature. Afterward, they were washed with 200 &#x03BC;L of immunostaining strong permeabilizer (Beyotime, P0097, Shanghai, China) and incubated at room temperature for ten minutes. Subsequently, 50 &#x03BC;L of click reaction solution was added, and cells were incubated in the dark at room temperature for 30 min. Finally, cells were counterstained with Hoechst 33342 for 10 min, and blocked, and fluorescence images were captured using a fluorescence microscope (Leica, DMi8, Hessen, Germany).</p>
</sec>
<sec id="s2_5">
<title>Colony formation assay</title>
<p>In 6-well plates, cells were seeded at 1000/well, and after overnight adherence, different concentrations of drugs were added. After 7&#x2013;14 days, the cell culture medium was removed, washed with PBS, and then washed with 4% paraformaldehyde. The cells were fixed and stained with Giemsa staining solution (Beyotime, C0131, Shanghai, China) for 30 min. Lastly, the cells were washed with PBS three times and photographed.</p>
</sec>
<sec id="s2_6">
<title>Annexin V/PI staining assay</title>
<p>The apoptosis rate of U87 MG cells was detected using an Annexin V-FITC/PI apoptosis kit (Multi Sciences, C0131, Hangzhou, China). U87 MG cells were harvested following a 24-h drug treatment, washed with pre-cooled PBS at 4&#x00B0;C, and resuspended in a buffer. Subsequently, the Annexin V-FITC/PI mixture was added, gently mixed and incubated for 15 min in the dark. Cell analysis was performed using a flow cytometer (Beckman, CytoFLEX LX, CA, USA).</p>
</sec>
<sec id="s2_7">
<title>Cell cycle analysis</title>
<p>In 6-well plates, U87 MG and U251 underwent drugs for 24 h and were collected. Cells were washed with PBS, fixed with 75% ethanol, and fixed overnight at 4&#x00B0;C. Before staining, washed with PBS, then added 500 &#x03BC;L PI/RNase Staining Buffer (BD, 550825, NJ, USA) and incubated for 15 min in the dark. Detected using a flow cytometer (Beckman, CytoFLEX LX, CA, USA).</p>
</sec>
<sec id="s2_8">
<title>Western blot</title>
<p>Following a 24-h drug treatment of U87 MG and U251 cells, the cells were collected for Western blot (WB) experiments, with experimental procedures referenced from previous reports [<xref ref-type="bibr" rid="ref-29">29</xref>]. The reagents and materials used in this study are as follows: RIPA lysis buffer (Beyotime, P0013B, Shanghai, China), ultrasensitive multi-function imager (Cytiva, Amersham ImageQuant 800, MA, USA).</p>
</sec>
<sec id="s2_9">
<title>Wound healing assay</title>
<p>In 6-well plates, U251 was cultured until the cell density reached approximately 70%&#x2013;80%. Slowly create straight scratches in the cell monolayer with a 200 &#x03BC;L pipette tip. After washing away floating cells with PBS, the cells were treated with various drugs in a serum-free medium and then incubated. The microscope was used to capture scratch images of each group at the same location at both 0 and 24 h.</p>
</sec>
<sec id="s2_10">
<title>RNA sequencing and data analysis</title>
<p>U87 cell grouping: silvestrol (10 nM) and silvestrol (10 nM) &#x002B; LY3214996 (ERK inhibitor). Total RNA was extracted using TRIzol reagent (Invitrogen, 15596018CN, CA, USA). Concentrations were quantified using Illumina Novaseq 6000 sequencing platform and cDNA was built libraries by starting material Poly (A)&#x002B; RNA, which finally was purified with AMPure XP beads. IlluminaHiSeq platform (BioMarker Technologies, Beijing, China) sequenced the library. Reference gene source: homo_sapiens (<ext-link ext-link-type="uri" xlink:href="http://asia.ensembl.org/Homo_sapiens/Info/Index">http://asia.ensembl.org/Homo_sapiens/Info/Index</ext-link>); Reference genome version: grch38. We normalized fragments per kilobase of transcript per million fragments mapped (FPKM) &#x003D; cDNA fragments/[mapped fragments (millions) &#x00D7; transcript length (kb)].</p>
<p>Genes upregulated (|FC-1| &#x2265; 0.5 and <italic>p</italic> adjust &#x003C; 0.05) or downregulated (|FC-1| &#x2265; 0.5 and <italic>p</italic> adjust &#x003C; 0.05) by ERK inhibitors (LY3214996) were designated as the RNA-UP and RNA-DOWN gene sets, respectively. Additionally, differentially expressed genes in glioblastoma compared to normal tissues were identified as the GEPIA-UP and GEPIA-DOWN gene sets using the gene expression profiling interactive analysis (GEPIA) database.</p>
<p>The intersection of transcriptomic data and the GEPIA database was obtained to identify uniformly upregulated and downregulated genes for subsequent gene ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment. Furthermore, the association between hub genes and clinical survival rates was analyzed using the tumor immune estimation resource (TIMER) database.</p>
</sec>
<sec id="s2_11">
<title>qPCR</title>
<p>Cell pellets were resuspended in TRNzol Universal Reagent (TianGen, DP424, Beijing, China) and incubated on ice for 30 min. One-fifth of the volume (200 &#x03BC;L) of chloroform was added, followed by gentle inversion for 15 times. The mixture was placed on ice for 10 min to allow phase separation. After centrifugation (4&#x00B0;C, 10000 rpm, 15 min) (Thermo, pico21/21R, CA, USA), the upper aqueous phase was carefully collected and mixed with an equal volume of isopropanol. The mixture was placed on ice for 10 min and then centrifuged (4&#x00B0;C, 10000 rpm, 10 min) to obtain RNA precipitate. The RNA pellet was resuspended in 700 &#x03BC;L of 75% ethanol, followed by centrifugation (4&#x00B0;C, 7500 rpm, 5 min) to wash the RNA. After air-drying on ice, the RNA sample was dissolved in 20 &#x03BC;L of RNase-free water. The PrimeScript&#x2122; RT reagent Kit with gDNA Eraser (TaKaRa, RR047A, Kusatsu, Japan) was utilized for the reverse transcription of RNA into cDNA. Real-time fluorescence quantitative PCR was conducted using the GoTaq&#x00AE; qPCR Master Mix (Promega, A6001, WI, USA). The sequence of primers is as follows: &#x03B2;-actin(human)-F: CATGTACGTTGCTATCCAGGC; &#x03B2;-actin(human)-R: CTCCTTAATGTCACGCACGAT; NRG1(human)-F: CGGTGTCCATGCCTTCCAT; NRG1(human)-R: GTGTCACGAGAAGTAGAGGTCT; MANBA(human)-F: TGAGCTGCGTTTCCAGTCAG; MANBA(human)-R: ACATGGCATTCACCCTTCTGC.</p>
</sec>
<sec id="s2_12">
<title>Immunofluorescence</title>
<p>After reaching an appropriate cell density in a 96-well plate, U87 cells were fixed with 4% paraformaldehyde for 15 min. Following fixation, cells were washed with PBS and treated with 0.3% Triton X-100 for 10 min. Rinse the wells three times with PBS, then add 50 &#x03BC;L of immunostaining blocking solution (Beyotime, P0102, Shanghai, China), and incubate at room temperature for 60 min. The staining solution containing NRG-1 antibody was added, ensuring thorough wetting of the cells. Incubation was conducted overnight at 4&#x00B0;C, followed by three PBS washes. Subsequently, secondary antibodies (BBI, D110061, and D110090, Shanghai, China) were added and incubated for 1 h, followed by another round of PBS washes. DAPI (Beyotime, C1002, Shanghai, China) was diluted 1:100 in PBS and added (10 &#x03BC;L) for nuclear counterstaining. After 15 min of incubation in the dark, specimens were washed five times with PBST (5 min each) to remove excess DAPI. Finally, the localization and expression of NRG-1 antibody in the cells were observed by a fluorescence microscope (Leica, DMi8, Hessen, Germany).</p>
</sec>
<sec id="s2_13">
<title>Statistical analysis</title>
<p>Comparisons were performed using Prism (Graphpad Software Inc, GraphPad 8.0.1, CA, USA). All data were expressed as the mean &#x00B1; SD and the one-way ANOVA and Tukey&#x2019;s multiple comparison test were used to determine the statistical significance of the differences among groups. <italic>p</italic> &#x003C; 0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
<sec id="s3">
<title>Result</title>
<sec id="s3_1">
<title>Silvestrol suppressed the proliferation of brain glioblastoma cells in a dose-dependent manner</title>
<p>Initially, half maximal inhibitory concentration (IC50) of silvestrol was determined in two glioblastoma cell lines over 48 h, revealing IC50 values of 6.379 nM for U251 and 9.154 nM for U87 MG. Compared to the control group, the suppressive effect of silvestrol on brain glioblastoma cells was observed to increase significantly with higher drug concentrations, indicating a clear dose-response relationship (<italic>p</italic> &#x003C; 0.05) (<xref ref-type="fig" rid="fig-1">Figs. 1A</xref> and <xref ref-type="fig" rid="fig-1">1B</xref>). Based on these findings, the following experiments were conducted using 10 nM as the high-dose group, 4 nM as the mid-dose group, and 2.5 nM as the low-dose group. Cell proliferation assays demonstrated that silvestrol&#x2019;s inhibitory effect on both glioblastoma cell types intensified over time and with increasing concentration (<xref ref-type="fig" rid="fig-1">Figs. 1C</xref> and <xref ref-type="fig" rid="fig-1">1D</xref>). Additionally, colony formation assays provided further proof of silvestrol&#x2019;s suppressive effects, showing a significant decrease in the cloning efficiency of glioblastoma cells at both high and low doses of silvestrol compared to the control group (<xref ref-type="fig" rid="fig-1">Figs. 1E</xref> and <xref ref-type="fig" rid="fig-1">1F</xref>). Silvestrol was also found to hinder the migration of U251 cells, with higher concentrations of silvestrol correlating with a greater percentage of wound closure in a dose-dependent manner (<xref ref-type="fig" rid="fig-1">Fig. 1G</xref>).</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>Effects of silvestrol on human GBM cells. Cell viability was assessed using the CCK-8 method. (A) U251 was treated with different concentrations of silvestrol (0, 1, 2, 4, 8, 16, 24 nM) for 48 h. The horizontal axis represents log<sub>10</sub>(concentrations). (B) U87 MG was treated with different concentrations of silvestrol (0, 1, 2, 4, 8, 16, 32 nM) for 48 h. The horizontal axis represents log<sub>10</sub>(concentrations). (C) Silvestrol high-dose group (10 nM) and low-dose group (2.5 nM) treated U251 cells for 24, 48, and 72 h. (D) Silvestrol high-dose group and low-dose group treated U87 MG cells for 24, 48, and 72 h. (E and F) Colony formation experiments of silvestrol on U251 (E), U87 MG (F) cells. (G) Scratch experiment of U251 treated with silvestrol. &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. ctrl group. <sup>#</sup><italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. silvestrol (2.5 nM) group. Scale bar (E and F) &#x003D; 3 cm. Scale bar (G) &#x003D; 200 &#x03BC;m.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Silvestrol suppressed proliferation in two brain glioblastoma cell lines by inducing cell cycle arrest and promoting apoptosis in U87 MG cells</title>
<p>EDU proliferation assays revealed that silvestrol decreased the proportion of EDU-positive cells in both U251 and U87 MG cell lines (<xref ref-type="fig" rid="fig-2">Figs. 2A</xref> and <xref ref-type="fig" rid="fig-2">2B</xref>). Flow cytometry analyses showed that silvestrol triggered cell cycle arrest in the G2 phase for U251 cells (<xref ref-type="fig" rid="fig-2">Fig. 2C</xref>) and in the G1 phase for U87 MG cells (<xref ref-type="fig" rid="fig-2">Fig. 2D</xref>). This arrest obstructed the seamless transition of cells into subsequent phases, effectively impeding DNA synthesis in both types of glioblastoma cells and disrupting normal cell division. Furthermore, levels of the apoptosis-indicative protein, cleaved caspase3, were significantly increased (<xref ref-type="fig" rid="fig-2">Figs. 2E</xref> and <xref ref-type="fig" rid="fig-2">2F</xref>), with this elevation demonstrating a dose-dependent relationship (<italic>p</italic> &#x003C; 0.05). Additional flow cytometry analyses of apoptosis indicated that silvestrol enhanced both early and late apoptosis in U87 MG cells (<xref ref-type="fig" rid="fig-2">Fig. 2G</xref>). Remarkably, the group treated with a high dose of silvestrol showed a substantially higher total rate of apoptosis compared to both the control and low-dose groups (<italic>p</italic> &#x003C; 0.05).</p>
<fig id="fig-2">
<label>Figure 2</label>
<caption>
<title>Effects of silvestrol on the proliferation, cycle, and apoptosis of human GBM cells. (A and B) EDU proliferation assay and the percentage of positive proliferation of U251 (A) and U87 MG (B) cells treated with silvestrol high-dose group (10 nM) and low-dose group (2.5 nM) for 24 h. (C and D) Flow cytometry of U251 (C) and U87 MG (D) cells treated with silvestrol high-dose group (10 nM) and low-dose group (2.5 nM) for 24 h. (E and F) Silvestrol high-dose group (10 nM) and low-dose group (2.5 nM) treated U251 (E), U87 MG (F) cells for 24 h, Western blotting to detect the expression levels of cleaved caspase3 and caspase3 proteins. And statistics Ratio of cleaved caspase3/caspase3 protein expression. (G) Silvestrol high-dose group (10 nM) and low-dose group (2.5 nM) were treated with U87 MG cells for 24 h, and cell apoptosis was measured by flow cytometry, and the total apoptosis rate was calculated. The values are performed as mean &#x00B1; SD (n &#x003D; 3 in each group). &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. ctrl group. <sup>#</sup><italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. silvestrol (2.5 nM) group. Bar &#x003D; 200 &#x03BC;m.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Silvestrol promptly activated the Ras/Raf/MEK/ERK pathway in U87 MG and U251 cell lines</title>
<p>We detected a significant and rapid elevation in extracellular regulated kinase (ERK) phosphorylation levels in both U251 and U87 MG glioblastoma cells within 2 h of treatment with silvestrol at a concentration of 10 nM (<italic>p</italic> &#x003C; 0.05). This phosphorylation surge returned to baseline levels after 2 h. Moreover, the phosphorylation of MEK in both U251 and U87 MG cells exhibited a notable increase (<italic>p</italic> &#x003C; 0.05) (<xref ref-type="fig" rid="fig-3">Figs. 3A</xref> and <xref ref-type="fig" rid="fig-3">3B</xref>). Additionally, upon administering silvestrol (4 nM) for 1 h, the phosphorylation levels were diminished when an ERK inhibitor, LY3214996, at a concentration of 80 nM was applied (<xref ref-type="fig" rid="fig-3">Figs. 3C</xref> and <xref ref-type="fig" rid="fig-3">3D</xref>). These observations confirm that silvestrol treatment leads to the activation of the Ras/Raf/MEK/ERK signaling pathway and that LY3214996 is effective in inhibiting this activation of the ERK pathway.</p>
<fig id="fig-3">
<label>Figure 3</label>
<caption>
<title>Western blotting to detect the expression levels of ERk, p-ERk, MEk, and p-MEk proteins, and the ratio of p-ERk/ERk and p-MEk/MEk protein expression was calculated. (A and B) The relative expression levels of p-ERk/ERk and p-MEk/MEk in U251 (A) and U87 MG (B) cells treated with silvestrol high-dose group (10 nM) within 2 h (0.5, 1, 2 h). The values are performed as mean &#x00B1; SD (n &#x003D; 3 in each group). &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. con group. (C and D) Relative expression levels of p-ERk/ERk in silvestrol middle dose group (4 nM) or silvestrol middle dose group (4 nM) &#x002B; LY3214996 treatment for 1 h. The values are performed as mean &#x00B1; SD (n &#x003D; 3 in each group). &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. con group. <sup>#</sup><italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. silvestrol (4 nM) group.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>ERK inhibitors modulate the effects of silvestrol on human GBM cells but do not alter apoptosis induced by silvestrol in U87 MG cells</title>
<p>The application of an ERK inhibitor introduced several significant changes. Firstly, it reduced the antiproliferative effects of silvestrol, as evidenced in <xref ref-type="fig" rid="fig-4">Figs. 4A</xref> and <xref ref-type="fig" rid="fig-4">4B</xref>. It also lessened the cell cycle arrest caused by silvestrol, as illustrated in <xref ref-type="fig" rid="fig-4">Figs. 4C</xref> and <xref ref-type="fig" rid="fig-4">4D</xref>, and improved the colony formation capability of U87 MG cells, as indicated in <xref ref-type="fig" rid="fig-4">Fig. 4E</xref>. Moreover, the presence of the ERK inhibitor decreased the reduction in U251 cell migration induced by silvestrol, leading to a notably lower percentage of wound healing distance compared to the silvestrol medium-dose group (<xref ref-type="fig" rid="fig-4">Fig. 4F</xref>). However, it is critical to note that the increase in levels of the apoptosis-related protein, cleaved caspase3, remained largely unaffected by the treatment with silvestrol (4 nM) in conjunction with the ERK inhibitor, as shown in <xref ref-type="fig" rid="fig-4">Figs. 4G</xref> and <xref ref-type="fig" rid="fig-4">4H</xref>. The ERK inhibitor did not significantly influence the early and late apoptosis in U87 MG cells promoted by silvestrol, as depicted in <xref ref-type="fig" rid="fig-4">Fig. 4I</xref>. Despite this, the overall rate of apoptosis experienced a significant increase (<italic>p</italic> &#x003C; 0.05).</p>
<fig id="fig-4">
<label>Figure 4</label>
<caption>
<title>ERK inhibitors affect the regulation of human GBM cells by silvestrol. (A and B) EDU proliferation experiments and percentages of U251 (A) and U87 MG (B) cells treated with silvestrol medium-dose group (4 nM) or silvestrol medium-dose group (4 nM) &#x002B; ERK inhibitor LY3214996 for 24 h. (C and D) U251 (C) and U87 MG (D) cells treated with silvestrol medium-dose group (4 nM) or silvestrol medium-dose group (4 nM) &#x002B; LY3214996 for 24 h. and the cell cycle was measured by flow cytometry. (E) Colony formation experiments of U87 MG cells treated with silvestrol medium-dose group (4 nM) or silvestrol medium-dose group (4 nM) &#x002B; LY3214996. (F) Scratch test of U251 cells treated with silvestrol medium dose group (4 nM) or silvestrol medium dose group (4 nM) &#x002B; LY3214996. Alteration of the pro-apoptotic effect of silvestrol on human GBM cells after the addition of an ERK inhibitor. (G and H) Silvestrol middle-dose group (4 nM), middle-dose group (4 nM) &#x002B; LY3214996 treated U251 (A), U87 MG (B) cells for 24 h, Western blotting to detect the expression levels of cleaved caspase3 and caspase3 proteins. And the relative amount of cleaved caspase3/caspase3 was counted. (I) Silvestrol middle-dose group (4 nM) and middle-dose group (4 nM) &#x002B; LY3214996 were treated with U87 MG cells for 24 h, and the apoptosis was measured by flow cytometry, and the total apoptotic rate was calculated. The values are performed as mean &#x00B1; SD (n &#x003D; 3 in each group). &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. con group. <sup>#</sup><italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. silvestrol (4 nM) group. Scale bar (A, B, and F) &#x003D; 200 &#x03BC;m. Scale bar (E) &#x003D; 3 cm.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f004.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Silvestrol alters transcriptional profiles in glioblastoma cells by inhibiting the ERK pathway</title>
<p>The overlap between RNA-UP and GEPIA-UP gene sets comprised 37 genes, whereas the intersection of RNA-DOWN and GEPIA-DOWN gene sets included 29 genes (<xref ref-type="fig" rid="fig-5">Fig. 5A</xref>). Both the upregulated and downregulated hub genes implicated in catalytic activities, binding-related molecular functions, and a range of biological processes (<xref ref-type="fig" rid="fig-5">Fig. 5B</xref>). In particular, genes that were upregulated were linked to immune diseases, cardiovascular diseases, and genetic information processing. In contrast, downregulated genes were associated with neurodegenerative diseases and resistance to anti-tumor drugs (<xref ref-type="fig" rid="fig-5">Fig. 5C</xref>). Both hub-up genes and hub-down genes were also verified by UALCAN online tools and GSCA database (<xref ref-type="fig" rid="fig-5">Fig. 5D</xref> and <xref ref-type="table" rid="table-1">Table 1</xref>).</p>
<fig id="fig-5">
<label>Figure 5</label>
<caption>
<title>A Comprehensive Analysis of Transcriptomics, GEPIA Database, and Clinical Data Unveiling Hub Genes in Glioblastoma. (A) Venn diagram of RNA-seq and GEPIA databases. The GEPIA-UP and GEPIA-DOWN gene sets represent genes upregulated and downregulated in glioblastoma compared to normal tissues, identified using the GEPIA database. The RNA-UP and RNA-DOWN gene sets consist of genes upregulated and downregulated by ERK inhibitors (LY3214996), reflecting the DEGs between the silvestrol-treated group and the combined silvestrol &#x002B; LY3214996-treated group. (B) GO results of Biological Process (BP), Cellular Component (CC), and Molecular Function (MF). (C) KEGG pathway enrichment of hub differentially expressed genes (DEGs). (D) Expression pattern of hub genes in glioblastoma multiforma (GBM) using UALCAN online tool (<ext-link ext-link-type="uri" xlink:href="https://ualcan.path.uab.edu/">https://ualcan.path.uab.edu/</ext-link>). (E) Cumulative survival is associated with specific gene expression levels in TIMER database.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f005.tif"/>
</fig><table-wrap id="table-1"><label>Table 1</label>
<caption>
<title>The difference of gene expression between subtypes presents and the survival difference between high and low gene expression groups (<italic>p</italic> &#x003C; 0.05)</title></caption>
<table><colgroup>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Symbol</th>
<th>Subtype (<italic>p</italic> val)</th>
<th>Higher_risk_of_death</th>
<th>Regulation in tumor</th>
</tr>
</thead>
<tbody>
<tr>
<td>PPL</td>
<td>5.62512E&#x2212;11</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>ETS2</td>
<td>5.46116E&#x2212;07</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>HR</td>
<td>7.13336E&#x2212;07</td>
<td>Lower expr.</td>
<td>down</td>
</tr>
<tr>
<td>RAB27B</td>
<td>8.42629E&#x2212;07</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>GFRA1</td>
<td>3.04263E&#x2212;06</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>HAS1</td>
<td>5.5831E&#x2212;06</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>TUBA4A</td>
<td>0.000082841</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>NTM</td>
<td>0.000096336</td>
<td>Lower expr.</td>
<td>down</td>
</tr>
<tr>
<td>KIRREL3</td>
<td>0.00010389</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>CDH13</td>
<td>0.000122962</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>AFF3</td>
<td>0.000147348</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>IQSEC2</td>
<td>0.000155224</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>TRNP1</td>
<td>0.000362168</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>DMTN</td>
<td>0.000643653</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>SAMD14</td>
<td>0.001151501</td>
<td>Lower expr.</td>
<td>down</td>
</tr>
<tr>
<td>NRG1</td>
<td>0.001662325</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>SRRM3</td>
<td>0.002480224</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>ADAMTS10</td>
<td>0.005299339</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>KCTD4</td>
<td>0.006694713</td>
<td>Lower expr.</td>
<td>down</td>
</tr>
<tr>
<td>ALDH1A3</td>
<td>0.024807926</td>
<td>Higher expr.</td>
<td>down</td>
</tr>
<tr>
<td>CHN1</td>
<td>0.029795664</td>
<td>Lower expr.</td>
<td>down</td>
</tr>
<tr>
<td>HES1</td>
<td>1.78881E&#x2212;16</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>SMIM3</td>
<td>4.43314E&#x2212;15</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>PCSK5</td>
<td>1.85115E&#x2212;12</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>MANBA</td>
<td>2.40858E&#x2212;11</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>DNASE2</td>
<td>6.74728E&#x2212;10</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>CPVL</td>
<td>1.16646E&#x2212;08</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>TMEM109</td>
<td>1.26286E&#x2212;08</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>EDEM2</td>
<td>2.98463E&#x2212;08</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>CXCL3</td>
<td>6.48027E&#x2212;08</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>FDXR</td>
<td>1.48089E&#x2212;06</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>PDIA4</td>
<td>3.01479E&#x2212;06</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>ARRDC4</td>
<td>4.84472E&#x2212;06</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>MYCL</td>
<td>7.14638E-06</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>EPHB3</td>
<td>0.000040514</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>GPC2</td>
<td>0.000070332</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>CAPN5</td>
<td>0.000231243</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>MXD3</td>
<td>0.000233654</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>SLCO2B1</td>
<td>0.000296364</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>LGMN</td>
<td>0.001684796</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>CLU</td>
<td>0.00209552</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>TTC38</td>
<td>0.003293619</td>
<td>Lower expr.</td>
<td>up</td>
</tr>
<tr>
<td>SDF2L1</td>
<td>0.004214654</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>ARHGAP25</td>
<td>0.007041499</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>NGFR</td>
<td>0.007973092</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>KCNE4</td>
<td>0.008271602</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>HMOX1</td>
<td>0.013169962</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
<tr>
<td>GLDC</td>
<td>0.014930288</td>
<td>Higher expr.</td>
<td>up</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Moreover, TIMER database was used to analyze genes related to cumulative survival rates, and the results revealed that patients with high expression of the chromosome 1 open reading frame 226 (C1ORF226) gene experienced significantly higher survival rates (Log-rank <italic>p</italic> &#x003D; 0.032). Conversely, patients with low expression levels of mannosidase beta A (MANBA) (Log-rank <italic>p</italic> &#x003D; 0.015), IQ motif and Sec7 domain 2 (IQSEC2) (Log-rank <italic>p</italic> &#x003D; 0.018), NRG1 (Log-rank <italic>p</italic> &#x003D; 0.002) also showed significantly improved survival rates (<xref ref-type="fig" rid="fig-5">Fig. 5E</xref>). Notably, C1ORF226 and MANBA were part of the upregulated hub gene set, while IQSEC2 and NRG1 were included in the downregulated hub gene set (<xref ref-type="fig" rid="fig-5">Fig. 5D</xref>).</p>
</sec>
<sec id="s3_6">
<title>Key gene related to the ERK pathway and regulated by silvestrol identified</title>
<p>The expression levels of MANBA mRNA were significantly reduced by silvestrol at a concentration of 4 nM, and this reduction was reversed upon the introduction of LY3214996, as depicted in <xref ref-type="fig" rid="fig-6">Fig. 6A</xref>. In contrast, silvestrol markedly increased the mRNA levels of NRG-1, and once again, the addition of LY3214996 reversed this effect, as shown in <xref ref-type="fig" rid="fig-6">Fig. 6B</xref>. Interestingly, Western blot analysis revealed that silvestrol not only significantly decreased the protein levels of NRG-1 but also further reduced these levels upon the addition of LY3214996 (<xref ref-type="fig" rid="fig-6">Fig. 6C</xref>). Immunofluorescence staining of cells displayed consistent patterns, with similar alterations in the levels of NRG-1 (<xref ref-type="fig" rid="fig-6">Fig. 6D</xref>).</p>
<fig id="fig-6">
<label>Figure 6</label>
<caption>
<title>Regulation of MANBA and NRG-1 by Silvestrol. (A) qPCR results of MANBA. (B) qPCR results of NRG-1. (C) Western blotting results of NRG-1. (D) Immunofluorescence staining results of NRG-1. The values are performed as mean &#x00B1; SD (n &#x003D; 3 in each group). &#x002A;<italic>p</italic> &#x003C; 0.05 <italic>vs</italic>. silvestrol_4 nM. Bar &#x003D; 200 &#x03BC;m.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-48-49878-f006.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>Silvestrol, a small molecule extracted from natural plants, has demonstrated clear therapeutic effects on tumors, as well as significant inhibitory effects on viruses, including the hepatitis E virus [<xref ref-type="bibr" rid="ref-30">30</xref>], Ebola virus [<xref ref-type="bibr" rid="ref-31">31</xref>], and Chikungunya Virus [<xref ref-type="bibr" rid="ref-32">32</xref>]. As a potent eukaryotic initiation factor 4A (EIF4A) inhibitor, the precise antitumor and antiviral pathways of silvestrol have yet to be fully elucidated. Our findings revealed that silvestrol activates the extracellular regulated kinase (ERK) pathway in a short timeframe.</p>
<p>This study, through a series of experiments, has shown that silvestrol inhibits proliferation (<xref ref-type="fig" rid="fig-1">Figs. 1A</xref>&#x2013;<xref ref-type="fig" rid="fig-1">1D</xref>, <xref ref-type="fig" rid="fig-2">2C</xref> and <xref ref-type="fig" rid="fig-2">2D</xref>), colony formation (<xref ref-type="fig" rid="fig-1">Figs. 1E</xref> and <xref ref-type="fig" rid="fig-1">1F</xref>), and migration (<xref ref-type="fig" rid="fig-1">Fig. 1G</xref>) in U87 MG and U251 glioblastoma cell lines, while also promoting apoptosis (<xref ref-type="fig" rid="fig-2">Figs. 2E</xref>&#x2013;<xref ref-type="fig" rid="fig-2">2G</xref>). These results confirm silvestrol&#x2019;s tumor-suppressive effects on glioblastoma cells. Moreover, we discovered that silvestrol induces phosphorylation of mitogen-activated protein kinase kinase (MEK) and extracellular regulated kinase (ERK) (<xref ref-type="fig" rid="fig-3">Fig. 3</xref>), shedding light on its mechanism of action. The ERK1/2 pathway, crucial for cell proliferation and entry into the S phase from G1 [<xref ref-type="bibr" rid="ref-28">28</xref>], is primarily activated via the Ras/Raf/MEK/ERK pathway. MEK is the sole specific activator of ERK, with numerous substrates identified for the ERK pathway [<xref ref-type="bibr" rid="ref-33">33</xref>]. To delve deeper into the mechanisms, we utilized the ERK inhibitor LY3214996, which diminishes ERK phosphorylation and blocks ERK pathway activation [<xref ref-type="bibr" rid="ref-34">34</xref>]. The presence of LY3214996 attenuated silvestrol&#x2019;s inhibitory effects on cell proliferation (<xref ref-type="fig" rid="fig-4">Figs. 4A</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4D</xref>), colony formation (<xref ref-type="fig" rid="fig-4">Fig. 4E</xref>), and cell migration (<xref ref-type="fig" rid="fig-4">Fig. 4F</xref>). Additionally, in glioblastoma cells treated with silvestrol, LY3214996 induced transcriptional changes that aligned with the gene expression profile of glioblastoma in the gene expression profiling interactive analysis (GEPIA) database (<xref ref-type="fig" rid="fig-5">Fig. 5A</xref>), particularly in cell cycle processes (<xref ref-type="fig" rid="fig-5">Fig. 5B</xref>) and genetic information processing (<xref ref-type="fig" rid="fig-5">Fig. 5C</xref>). Together, these findings strongly suggest that silvestrol regulates tumor cell proliferation via the ERK pathway.</p>
<p>However, silvestrol&#x2019;s promotion of apoptosis in glioblastoma cells was not reversed by targeting the ERK pathway (<xref ref-type="fig" rid="fig-4">Figs. 4G</xref> and <xref ref-type="fig" rid="fig-4">4H</xref>). Instead, LY3214996 further intensified apoptosis in U87 MG cells (<xref ref-type="fig" rid="fig-4">Fig. 4I</xref>), indicating that the ERK pathway might facilitate tumor cell survival, while silvestrol could employ other pathways to induce apoptosis. Further analysis of transcriptomic data and public databases identified two key genes, mannosidase beta A (MANBA) and neuregulin 1 (NRG-1), with notable expression patterns.</p>
<p>The MANBA gene encodes &#x03B2;-mannosidase and has been reported to be overexpressed in liver cancer [<xref ref-type="bibr" rid="ref-35">35</xref>], esophageal squamous cell carcinoma [<xref ref-type="bibr" rid="ref-36">36</xref>], and colorectal cancer in the Swedish population [<xref ref-type="bibr" rid="ref-37">37</xref>], though the specific signaling pathways associated with this overexpression have not been documented. Recent research has found that interfering with the expression of MANBA in glioblastoma cells significantly reduces the clonogenicity, migration, and invasion capabilities of the glioblastoma cells [<xref ref-type="bibr" rid="ref-38">38</xref>]. Public databases indicate that MANBA is overexpressed in glioblastoma patients (<xref ref-type="fig" rid="fig-5">Fig. 5D</xref>) with high MANBA levels correlated with lower survival rates (<italic>p</italic> &#x003D; 0.015) (<xref ref-type="fig" rid="fig-5">Fig. 5E</xref>). Silvestrol decreased MANBA expression, a process reversed by LY3214996 (<xref ref-type="fig" rid="fig-6">Fig. 6A</xref>), suggesting silvestrol&#x2019;s potential to extend glioblastoma patient survival by reducing MANBA levels.</p>
<p>The NRG-1 gene, known to promote proliferation [<xref ref-type="bibr" rid="ref-39">39</xref>], and enhance glioblastoma cell survival [<xref ref-type="bibr" rid="ref-40">40</xref>], showed decreased expression in glioblastoma patients (<xref ref-type="fig" rid="fig-5">Fig. 5D</xref>), intriguingly correlating lower expression with significantly higher survival rates (<italic>p</italic> &#x003D; 0.002) (<xref ref-type="fig" rid="fig-5">Fig. 5E</xref>). Silvestrol increased NRG1 mRNA levels (<xref ref-type="fig" rid="fig-6">Fig. 6B</xref>), but decreased NRG-1 protein levels (<xref ref-type="fig" rid="fig-6">Fig. 6C</xref>), with LY3214996 reversing mRNA changes (<xref ref-type="fig" rid="fig-6">Fig. 6B</xref>), but further reducing the protein levels (<xref ref-type="fig" rid="fig-6">Fig. 6C</xref>). This suggests that silvestrol might promote NRG-1 transcription through the ERK pathway but inhibit its translation, explaining the further decrease in protein levels when the ERK pathway is inhibited.</p>
<p>This study has limitations, notably in the speculative nature of the functions of MANBA and NRG-1 proteins, which are based on preliminary research findings and lack further experimental validation. For instance, conducting interference or compensatory experiments targeting these two genes would provide more definitive insights into their roles in silvestrol-mediated inhibition of glioblastoma or the development of glioblastoma.</p>
</sec>
<sec id="s5">
<title>Conclusion</title>
<p>Silvestrol exerts its anti-glioma effects primarily by inhibiting the expression of MANBA through the ERK pathway and potentially impeding the translation of NRG-1 protein, thereby diminishing its expression. The suppression of MANBA and NRG-1 proteins may play a critical role in inhibiting glioma development and progression. These findings underscore the complex interplay between the ERK pathway and gene expression regulation in the therapeutic efficacy of silvestrol against glioma.</p>
</sec>
</body>
<back>
<glossary content-type="abbreviations" id="glossary-1">
<title>Abbreviations</title>
<def-list>
<def-item>
<term>eIF4A</term>
<def>
<p>Eukaryotic initiation factor 4A</p>
</def>
</def-item>
<def-item>
<term>EIF4F</term>
<def>
<p>Eukaryotic translation initiation factor 4F</p>
</def>
</def-item>
<def-item>
<term>CCK-8</term>
<def>
<p>Cell counting kit-8</p>
</def>
</def-item>
<def-item>
<term>EDU</term>
<def>
<p>5-ethynyl-2&#x2032;-deoxyuridine</p>
</def>
</def-item>
<def-item>
<term>ERK</term>
<def>
<p>Extracellular regulated kinase</p>
</def>
</def-item>
<def-item>
<term>C1ORF226</term>
<def>
<p>Chromosome 1 open reading frame 226</p>
</def>
</def-item>
<def-item>
<term>MANBA</term>
<def>
<p>Mannosidase beta A</p>
</def>
</def-item>
<def-item>
<term>IQSEC2</term>
<def>
<p>IQ motif and Sec7 domain 2</p>
</def>
</def-item>
<def-item>
<term>NRG-1</term>
<def>
<p>Neuregulin 1</p>
</def>
</def-item>
<def-item>
<term>TRNP1</term>
<def>
<p>TMF1 regulated nuclear protein 1</p>
</def>
</def-item>
<def-item>
<term>TUBA4A</term>
<def>
<p>Tubulin alpha 4A</p>
</def>
</def-item>
<def-item>
<term>GEPIA</term>
<def>
<p>Gene expression profiling interactive analysis</p>
</def>
</def-item>
<def-item>
<term>MEK</term>
<def>
<p>Mitogen-activated protein kinase kinase</p>
</def>
</def-item>
<def-item>
<term>MAPK</term>
<def>
<p>Mitogen-activated protein kinases</p>
</def>
</def-item>
</def-list>
</glossary>
<ack>
<p>None.</p>
</ack>
<sec>
<title>Funding Statement</title>
<p>This research was supported by the Chongqing Science and Health Joint Medical Research Project (2020FYYX150).</p>
</sec>
<sec>
<title>Author Contributions</title>
<p>Lan Zhou designed the experiments and performed the bioinformatic analysis. Qi Zhang and Lan Zhou performed the experiments. Qi Zhang wrote the paper. Bo Tian and Feng Yang contributed to the final version of the manuscript, as well as read and approved it. All authors read and approved the manuscript.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of Data and Materials</title>
<p>This study did not include data deposited in external repositories. All data presented in this study are included in the article.</p>
</sec>
<sec>
<title>Ethics Approval</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of Interest</title>
<p>The authors declare that they have no conflicts of interest to report regarding the present study.</p>
</sec>
<ref-list content-type="authoryear">
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