Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis

Background: Gastric cancer is the third leading cause of cancer-related death worldwide, for which several novel therapeutic strategies have been developed. Cisplatin (CDDP) mainly exerts its anti-gastric cancer effects; however, drug resistance limits its use. Thus, the development of drugs that ca...

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Main Authors: Chengwei Liu, Dongchang Li, Jian Wang, Zhengguang Wang
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023083184
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author Chengwei Liu
Dongchang Li
Jian Wang
Zhengguang Wang
author_facet Chengwei Liu
Dongchang Li
Jian Wang
Zhengguang Wang
author_sort Chengwei Liu
collection DOAJ
description Background: Gastric cancer is the third leading cause of cancer-related death worldwide, for which several novel therapeutic strategies have been developed. Cisplatin (CDDP) mainly exerts its anti-gastric cancer effects; however, drug resistance limits its use. Thus, the development of drugs that can augment their antitumor effects is necessary. Arenobufagin (ArBu) is a novel anticancer drug, and the effects of ArBu in combination with CDDP on gastric cancer have not yet been studied. Aims: To identify a possible synergistic effect between ArBu and CDDP in gastric cancer and investigate the underlying mechanism. Methods: Cell viability, colony formation, migration, apoptosis, cell cycle, western blotting, immunofluorescence, and reverse-transcription polymerase chain reaction (RT-PCR) were analyzed in vitro. Western blotting, RT-PCR, hematoxylin and eosin (H&E) staining and blood biochemistry were carried out to examine in vivo. Results: We found that ArBu, in combination with CDDP, effectively inhibited the proliferation and migration of gastric cancer cells, promoted apoptosis, and downregulated the expression of carbonic anhydrase 9 (CA9), matrix metalloproteinase-2 (MMP-2), and matrix metalloproteinase-9 (MMP-9). In addition, treatment with ArBu in combination with CDDP increased the level of inhibitor of nuclear factor kappa B kinase subunit beta (IKBKB), E-cadherin, and nuclear factor kappa-B/p65 (NF-κB/p65). Furthermore, the combination of ArBu and CDDP inhibited tumor growth in xenograft nude mice with no obvious side effects. Conclusions: ArBu synergizes with CDDP to inhibit tumor growth both in vivo and in vitro by inducing alkaliptosis. This indicated that ArBu combined with CDDP may serve as a potential agent for the treatment of gastric cancer.
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spelling doaj.art-2e326262d457468ea5b22b5fb9e0d0202023-12-02T07:01:15ZengElsevierHeliyon2405-84402023-11-01911e21110Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosisChengwei Liu0Dongchang Li1Jian Wang2Zhengguang Wang3Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR ChinaDepartment of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR ChinaDepartment of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR ChinaCorresponding author. Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, 230032, Anhui, PR China.; Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR ChinaBackground: Gastric cancer is the third leading cause of cancer-related death worldwide, for which several novel therapeutic strategies have been developed. Cisplatin (CDDP) mainly exerts its anti-gastric cancer effects; however, drug resistance limits its use. Thus, the development of drugs that can augment their antitumor effects is necessary. Arenobufagin (ArBu) is a novel anticancer drug, and the effects of ArBu in combination with CDDP on gastric cancer have not yet been studied. Aims: To identify a possible synergistic effect between ArBu and CDDP in gastric cancer and investigate the underlying mechanism. Methods: Cell viability, colony formation, migration, apoptosis, cell cycle, western blotting, immunofluorescence, and reverse-transcription polymerase chain reaction (RT-PCR) were analyzed in vitro. Western blotting, RT-PCR, hematoxylin and eosin (H&E) staining and blood biochemistry were carried out to examine in vivo. Results: We found that ArBu, in combination with CDDP, effectively inhibited the proliferation and migration of gastric cancer cells, promoted apoptosis, and downregulated the expression of carbonic anhydrase 9 (CA9), matrix metalloproteinase-2 (MMP-2), and matrix metalloproteinase-9 (MMP-9). In addition, treatment with ArBu in combination with CDDP increased the level of inhibitor of nuclear factor kappa B kinase subunit beta (IKBKB), E-cadherin, and nuclear factor kappa-B/p65 (NF-κB/p65). Furthermore, the combination of ArBu and CDDP inhibited tumor growth in xenograft nude mice with no obvious side effects. Conclusions: ArBu synergizes with CDDP to inhibit tumor growth both in vivo and in vitro by inducing alkaliptosis. This indicated that ArBu combined with CDDP may serve as a potential agent for the treatment of gastric cancer.http://www.sciencedirect.com/science/article/pii/S2405844023083184ArenobufaginCisplatinGastric cancerAlkaliptosis
spellingShingle Chengwei Liu
Dongchang Li
Jian Wang
Zhengguang Wang
Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
Heliyon
Arenobufagin
Cisplatin
Gastric cancer
Alkaliptosis
title Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
title_full Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
title_fullStr Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
title_full_unstemmed Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
title_short Arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
title_sort arenobufagin increases the sensitivity of gastric cancer to cisplatin via alkaliptosis
topic Arenobufagin
Cisplatin
Gastric cancer
Alkaliptosis
url http://www.sciencedirect.com/science/article/pii/S2405844023083184
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AT jianwang arenobufaginincreasesthesensitivityofgastriccancertocisplatinviaalkaliptosis
AT zhengguangwang arenobufaginincreasesthesensitivityofgastriccancertocisplatinviaalkaliptosis