Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer

Ying Liu,1,* Ning Zhang,1,* Hanwen Zhang,1 Lijuan Wang,2 Yi Duan,1 Xiaolong Wang,1 Tong Chen,1 Yiran Liang,1 Yaming Li,1 Xiaojin Song,1 Chen Li,1 Dianwen Han,1 Bing Chen,2 Wenjing Zhao,2 Qifeng Yang1,2 1Department of Breast Surgery, Qilu Hospital of Shandong University, Ji’nan, Shandong, P...

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Main Authors: Liu Y, Zhang N, Zhang H, Wang L, Duan Y, Wang X, Chen T, Liang Y, Li Y, Song X, Li C, Han D, Chen B, Zhao W, Yang Q
Format: Article
Language:English
Published: Dove Medical Press 2020-08-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/fatostatin-in-combination-with-tamoxifen-induces-synergistic-inhibitio-peer-reviewed-article-DDDT
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author Liu Y
Zhang N
Zhang H
Wang L
Duan Y
Wang X
Chen T
Liang Y
Li Y
Song X
Li C
Han D
Chen B
Zhao W
Yang Q
author_facet Liu Y
Zhang N
Zhang H
Wang L
Duan Y
Wang X
Chen T
Liang Y
Li Y
Song X
Li C
Han D
Chen B
Zhao W
Yang Q
author_sort Liu Y
collection DOAJ
description Ying Liu,1,* Ning Zhang,1,* Hanwen Zhang,1 Lijuan Wang,2 Yi Duan,1 Xiaolong Wang,1 Tong Chen,1 Yiran Liang,1 Yaming Li,1 Xiaojin Song,1 Chen Li,1 Dianwen Han,1 Bing Chen,2 Wenjing Zhao,2 Qifeng Yang1,2 1Department of Breast Surgery, Qilu Hospital of Shandong University, Ji’nan, Shandong, People’s Republic of China; 2Pathology Tissue Bank, Qilu Hospital of Shandong University, Ji’nan, Shandong, People’s Republic of China*These authors contributed equally to this workCorrespondence: Qifeng Yang Email qifengy_sdu@163.comBackground: Tamoxifen is the cornerstone of adjuvant therapy for hormone receptor-positive breast cancer. Despite its efficacy, limited drug sensitivity and endocrine resistance remain the important clinical challenges. The main objective of this study was to investigate fatostatin, which was found to sensitize breast cancer to the antitumour effect of tamoxifen both in vitro and in vivo.Methods: Fatostatin-induced ER degradation was detected by immunoprecipitation assay. The antitumour effect of fatostatin and tamoxifen on MCF-7 and T47D cells was assessed by MTT and colony forming assays. Cell cycle arrest was detected by flow cytometric analysis. Apoptosis was detected by annexin V/propidium iodide double staining and TUNEL assay. Autophagy was detected by MDC assay and acridine orange staining. Migration and invasion assays were performed using a Transwell system, and the efficacy of the synergistic use of fatostatin and tamoxifen in vivo was evaluated using an MCF-7 xenograft model in BALB/c nu/nu female mice.Results: The synergistic use of fatostatin and tamoxifen significantly suppressed cell viability and invasion, induced cell cycle arrest, and regulated apoptosis and autophagy in MCF-7 and T47D cell lines via PI3K-AKT-mTOR signalling. Additionally, the expression levels of Atg7/12/13, beclin and LC3B increased while p-mTOR and P62 expression levels decreased after treatment with fatostatin and tamoxifen. Tumor growth in the xenograft model was suppressed significantly with the synergistic treatment of fatostatin and tamoxifen.Conclusion: Fatostatin could induce ER degradation by K48-linked polyubiquitination, which was the key mechanism contributing to tamoxifen inhibition of PI3K-AKT-mTOR signalling in breast cancer. Fatostatin may have a promising clinical use for ER-positive breast cancer patients.Keywords: tamoxifen, fatostatin, oestrogen-positive breast cancer, polyubiquitination
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spelling doaj.art-11cc2723265243c3bb5b6af387a214142022-12-22T00:08:38ZengDove Medical PressDrug Design, Development and Therapy1177-88812020-08-01Volume 143535354556659Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast CancerLiu YZhang NZhang HWang LDuan YWang XChen TLiang YLi YSong XLi CHan DChen BZhao WYang QYing Liu,1,* Ning Zhang,1,* Hanwen Zhang,1 Lijuan Wang,2 Yi Duan,1 Xiaolong Wang,1 Tong Chen,1 Yiran Liang,1 Yaming Li,1 Xiaojin Song,1 Chen Li,1 Dianwen Han,1 Bing Chen,2 Wenjing Zhao,2 Qifeng Yang1,2 1Department of Breast Surgery, Qilu Hospital of Shandong University, Ji’nan, Shandong, People’s Republic of China; 2Pathology Tissue Bank, Qilu Hospital of Shandong University, Ji’nan, Shandong, People’s Republic of China*These authors contributed equally to this workCorrespondence: Qifeng Yang Email qifengy_sdu@163.comBackground: Tamoxifen is the cornerstone of adjuvant therapy for hormone receptor-positive breast cancer. Despite its efficacy, limited drug sensitivity and endocrine resistance remain the important clinical challenges. The main objective of this study was to investigate fatostatin, which was found to sensitize breast cancer to the antitumour effect of tamoxifen both in vitro and in vivo.Methods: Fatostatin-induced ER degradation was detected by immunoprecipitation assay. The antitumour effect of fatostatin and tamoxifen on MCF-7 and T47D cells was assessed by MTT and colony forming assays. Cell cycle arrest was detected by flow cytometric analysis. Apoptosis was detected by annexin V/propidium iodide double staining and TUNEL assay. Autophagy was detected by MDC assay and acridine orange staining. Migration and invasion assays were performed using a Transwell system, and the efficacy of the synergistic use of fatostatin and tamoxifen in vivo was evaluated using an MCF-7 xenograft model in BALB/c nu/nu female mice.Results: The synergistic use of fatostatin and tamoxifen significantly suppressed cell viability and invasion, induced cell cycle arrest, and regulated apoptosis and autophagy in MCF-7 and T47D cell lines via PI3K-AKT-mTOR signalling. Additionally, the expression levels of Atg7/12/13, beclin and LC3B increased while p-mTOR and P62 expression levels decreased after treatment with fatostatin and tamoxifen. Tumor growth in the xenograft model was suppressed significantly with the synergistic treatment of fatostatin and tamoxifen.Conclusion: Fatostatin could induce ER degradation by K48-linked polyubiquitination, which was the key mechanism contributing to tamoxifen inhibition of PI3K-AKT-mTOR signalling in breast cancer. Fatostatin may have a promising clinical use for ER-positive breast cancer patients.Keywords: tamoxifen, fatostatin, oestrogen-positive breast cancer, polyubiquitinationhttps://www.dovepress.com/fatostatin-in-combination-with-tamoxifen-induces-synergistic-inhibitio-peer-reviewed-article-DDDTtamoxifenfatostatinoestrogen-positive breast cancerpolyubiquitination
spellingShingle Liu Y
Zhang N
Zhang H
Wang L
Duan Y
Wang X
Chen T
Liang Y
Li Y
Song X
Li C
Han D
Chen B
Zhao W
Yang Q
Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
Drug Design, Development and Therapy
tamoxifen
fatostatin
oestrogen-positive breast cancer
polyubiquitination
title Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
title_full Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
title_fullStr Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
title_full_unstemmed Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
title_short Fatostatin in Combination with Tamoxifen Induces Synergistic Inhibition in ER-Positive Breast Cancer
title_sort fatostatin in combination with tamoxifen induces synergistic inhibition in er positive breast cancer
topic tamoxifen
fatostatin
oestrogen-positive breast cancer
polyubiquitination
url https://www.dovepress.com/fatostatin-in-combination-with-tamoxifen-induces-synergistic-inhibitio-peer-reviewed-article-DDDT
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