Background: Cervical cancer is a major concern in women's health. Investigating the biological behavior of cancer cells can help to understand the underlying pathogenesis and offer novel insights into disease management. Therefore, this study evaluated the effect of irisin on the biological behaviors of cervical cancer cells and elucidated its underlying mechanism.
Methods: Cell viability of Caski and HeLa cells under different irisin concentrations was examined using the cell counting kit-8 (CCK-8) assay. Cell proliferation and autophagy levels were assessed at protein and mRNA levels using Western blot (WB) and quantitative real-time polymerase chain reaction (qRT-PCR) analyses, respectively. Apoptosis was determined by assessing the levels of activated caspase-3, caspase-8, and caspase-9 using corresponding enzyme-linked immunosorbent assay (ELISA) kits. The impact of irisin on cell cycle and apoptosis rates was evaluated using flow cytometry analysis. However, the migratory capability of irisin-treated cells was assessed using the scratch healing assay. Furthermore, expression levels of matrix metalloproteinases (MMP2, MMP7, and MMP9) were determined using WB analysis, and the Transwell assay assessed the invasive potential of the cells. The impact of irisin on macrophage polarization was examined through CD86 and CD206 typing using flow cytometry, and macrophage polarization status was determined by detecting the levels of inflammatory cytokines (interleukin (IL)-6, IL-10) and tumor necrosis factor-α (TNF-α). Then, THP-1 cells were directly co-cultured with cervical cancer cells to detect their effect on their biological behavior with or without irisin treatment, aiming to explore the underlying mechanism.
Results: Irisin reduces cervical cancer cell viability and decreases the protein and mRNA expression levels of minichromosome maintenance complex component 2 (MCM2), antigen identified by monoclonal antibody Ki67 (Ki67), and proliferating cell nuclear antigen (PCNA) (p < 0.05) in a dose-dependent manner, resulting in G0/G1 cell cycle arrest (p < 0.05). Irisin suppresses the expression of autophagy-related proteins Beclin-1 and microtubule-associated protein 1 light chain 3 (LC3) (p < 0.05), increases the content of cleaved caspase-3, cleaved caspase-8, and cleaved caspase-9 (p < 0.05), and enhances the apoptosis rate (p < 0.05). Additionally, irisin suppresses cervical cancer cell migration and reduces the expression of MMP2, MMP7, and MMP9 proteins (p < 0.05). Furthermore, it increases the number of CD86-positive cells (p < 0.05) while increasing the content of M1-type cytokine IL-6 and TNF-α (p < 0.05) and reducing the levels of M2-type cytokines IL-10 (p < 0.05), thereby promoting M1 polarization. The altered polarization state affects the apoptosis rate (p < 0.05), invasiveness (p < 0.05), and a
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