Abstract: Objective To investigate the effect and mechanism of midazolam on the proliferation and apoptosis of human breast cancer cell line MDA‑MB‑231. Methods According to the random number table method, MDA‑MB‑231 cells were divided into the following groups: a control group (group A), midazolam groups at the doses of 10, 30 and 50 mg/L (groups B, C, and D, respectively), an interfering microRNA‑98‑5p (microRNA‑98‑5p, miR‑98‑5p) expression+50 mg/L group (group E), an interference miR‑98‑5p expression negative control+50 mg/L midazolam group (group F), a miR‑98‑5p overexpression negative control group (group G) and a miR‑98‑5p overexpression group (group H), with six replicated wells per group. Methyl thiazolyl tetrazolium (MTT) assay was used to detect the survival rate of MDA‑MB‑231 cells, while flow cytometry was used to detect cell cycle and apoptosis. The expression of miR‑98‑5p in MDA‑MB‑231 cells was detected by real‑time fluorescent quantitative polymerase chain reaction (RT‑qPCR), while the levels of Cyclin Dl, B cell lymphoma‑2 (Bcl‑2), and cysteine protease‑3 (caspase‑3) in MDA‑MB‑231 cells were detected by Western blot. Results Compared with group A, the survival rate of MDA‑MB‑231 cells, the proportion of cells in the S phase and G2/M phase, and the levels of Cyclin Dl and Bcl‑2 significantly decreased in groups B, C, and D (P<0.05), while the relative expression of miR‑98‑5p, the proportion of cells in the G0/G1 phase, the apoptotic rate, and the expression of caspase‑3 significantly increased in groups B, C, and D (P<0.05). Compared with group B, the survival rate of cells, the proportion of cells in the S phase and G2/M phase, the levels of Cyclin Dl and Bcl‑2 significantly decreased in groups C and D (P<0.05), while the relative expression of miR‑98‑5p, the proportion of cells in the G0/G1 phase, the apoptotic rate, and the expression of caspase‑3 significantly increased in groups C and D (P<0.05).Compared with group C, the survival rate of cells, the proportion of cells in the S phase and G2/M phase, the levels of Cyclin Dl and Bcl‑2 significantly decreased in group D (P<0.05), while the relative expression of miR‑98‑5p, the proportion of cells in the G0/G1 phase, the apoptotic rate, and the expression of caspase‑3 significantly increased in group D (P<0.05). Compared with group D, the survival rate of cells, the proportion of cells in the S phase and G2/M phase, the levels of Cyclin Dl and Bcl‑2 significantly increased in group E (P<0.05), while the relative expression of miR‑98‑5p, the proportion of cells in the G0/G1 phase, the apoptotic rate and the expression of caspase‑3 protein significantly decreased in group E (P<0.05). There was no statistical difference in the relative expression of miR‑98‑5p, the proportion of cells in the G0/G1 phase and S phase, cell survival rate, the apoptotic rate, and the expression of Cyclin Dl, Bcl‑2, caspase‑3 between group F and group D (P>0.05). The proportion of the G2/M phase decreased in group F, compared with those in group D (P<0.05). There was no statistical difference in cell survival rate, apoptosis rate, cell cycle distribution, and the expression of Cyclin Dl, Bcl‑2, and caspase‑3 between group A and group G (P>0.05). Compared with group G, the survival rate of cells, the proportion of cells in the S phase and G2/M phase, and the expression of Cyclin Dl and Bcl‑2 significantly decreased in group H (P<0.05), while the apoptotic rate, the proportion of cells in the G0/G1 phase and the expression of caspase‑3 expression significantly increased (P<0.05). Conclusions Midazolam can up‑regulate the expression of miR‑98‑5p to inhibits the proliferation of breast cancer cells and promotes apoptosis.
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