Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer

Abstract Background Ovarian cancer remains the most fatal gynecological malignancy. Current therapeutic options are limited due to late diagnosis in the majority of the cases, metastatic spread to the peritoneal cavity and the onset of chemo-resistance. Thus, novel therapeutic approaches are require...

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Main Authors: Andy Göbel, Valentina M. Zinna, Stefania Dell’Endice, Nikolai Jaschke, Jan Dominik Kuhlmann, Pauline Wimberger, Tilman D. Rachner
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-020-07164-x
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author Andy Göbel
Valentina M. Zinna
Stefania Dell’Endice
Nikolai Jaschke
Jan Dominik Kuhlmann
Pauline Wimberger
Tilman D. Rachner
author_facet Andy Göbel
Valentina M. Zinna
Stefania Dell’Endice
Nikolai Jaschke
Jan Dominik Kuhlmann
Pauline Wimberger
Tilman D. Rachner
author_sort Andy Göbel
collection DOAJ
description Abstract Background Ovarian cancer remains the most fatal gynecological malignancy. Current therapeutic options are limited due to late diagnosis in the majority of the cases, metastatic spread to the peritoneal cavity and the onset of chemo-resistance. Thus, novel therapeutic approaches are required. Statins and amino-bisphosphonates are inhibitors of the mevalonate pathway, which is a fundamental pathway of cellular metabolism, essential for cholesterol production and posttranslational protein farnesylation and geranylgeranylation. While this pathway has emerged as a promising treatment target in several human malignancies, its potential as a therapeutic approach in ovarian cancer is still not fully understood. Methods Human ovarian cancer cell lines (IGROV-1, A2780, A2780cis) were treated with increasing concentrations (0.5-100 μM) of statins (simvastatin, atorvastatin, rosuvastatin) and zoledronic acid. Effects on cell vitality and apoptosis were assessed using Cell Titer Blue®, Caspase 3/7 Glo®, clonogenic assays as well as cleaved poly (ADP-ribose) polymerase (cPARP) detection. The inhibition of the mevalonate pathway was confirmed using Western Blot of unprenylated Ras and Rap1a proteins. Quantitative real-time PCR and ELISA were used to analyze modulations on several key regulators of ovarian cancer tumorigenesis. Results The treatment of IGROV-1 and A2780 cells with statins and zoledronic acid reduced vitality (by up to 80%; p < 0.001) and induced apoptosis by up to 8-folds (p < 0.001) in a dose-dependent fashion. Rescue experiments using farnesyl pyrophosphate or geranylgeranyl pyrophosphate evidenced that blocked geranylgeranylation is the major underlying mechanism of the pro-apoptotic effects. Gene expression of the tumor-promoting cytokines and mediators, such as transforming growth factor (TGF)-β1, vascular endothelial growth factor (VEGF), interleukin (IL)-8, and IL-6 were significantly suppressed by statins and zoledronic acid by up to 90% (p < 0.001). For all readouts, simvastatin was most potent of all agents used. Cisplatin-resistant A2780cis cells showed a relative resistance to statins and zoledronic acid. However, similar to the effects in A2780 cells, simvastatin and zoledronic acid significantly induced caspase 3/7 activation (6-folds; p < 0.001). Conclusion Our in vitro findings point to promising anti-tumor effects of statins and zoledronic acid in ovarian cancer and warrant additional validation in preclinical and clinical settings.
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spelling doaj.art-9646a631756b47db9076b98eec6dd6542022-12-22T00:00:30ZengBMCBMC Cancer1471-24072020-07-0120111710.1186/s12885-020-07164-xAnti-tumor effects of mevalonate pathway inhibition in ovarian cancerAndy Göbel0Valentina M. Zinna1Stefania Dell’Endice2Nikolai Jaschke3Jan Dominik Kuhlmann4Pauline Wimberger5Tilman D. Rachner6Division of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine III, Technische UniversitätInstitute for Research in Biomedicine (IRB Barcelona), Barcelona Institute of Science and TechnologyDivision of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine III, Technische UniversitätDivision of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine III, Technische UniversitätGerman Cancer Consortium (DKTK), Partner Site Dresden and German Cancer Research Center (DKFZ)German Cancer Consortium (DKTK), Partner Site Dresden and German Cancer Research Center (DKFZ)Division of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine III, Technische UniversitätAbstract Background Ovarian cancer remains the most fatal gynecological malignancy. Current therapeutic options are limited due to late diagnosis in the majority of the cases, metastatic spread to the peritoneal cavity and the onset of chemo-resistance. Thus, novel therapeutic approaches are required. Statins and amino-bisphosphonates are inhibitors of the mevalonate pathway, which is a fundamental pathway of cellular metabolism, essential for cholesterol production and posttranslational protein farnesylation and geranylgeranylation. While this pathway has emerged as a promising treatment target in several human malignancies, its potential as a therapeutic approach in ovarian cancer is still not fully understood. Methods Human ovarian cancer cell lines (IGROV-1, A2780, A2780cis) were treated with increasing concentrations (0.5-100 μM) of statins (simvastatin, atorvastatin, rosuvastatin) and zoledronic acid. Effects on cell vitality and apoptosis were assessed using Cell Titer Blue®, Caspase 3/7 Glo®, clonogenic assays as well as cleaved poly (ADP-ribose) polymerase (cPARP) detection. The inhibition of the mevalonate pathway was confirmed using Western Blot of unprenylated Ras and Rap1a proteins. Quantitative real-time PCR and ELISA were used to analyze modulations on several key regulators of ovarian cancer tumorigenesis. Results The treatment of IGROV-1 and A2780 cells with statins and zoledronic acid reduced vitality (by up to 80%; p < 0.001) and induced apoptosis by up to 8-folds (p < 0.001) in a dose-dependent fashion. Rescue experiments using farnesyl pyrophosphate or geranylgeranyl pyrophosphate evidenced that blocked geranylgeranylation is the major underlying mechanism of the pro-apoptotic effects. Gene expression of the tumor-promoting cytokines and mediators, such as transforming growth factor (TGF)-β1, vascular endothelial growth factor (VEGF), interleukin (IL)-8, and IL-6 were significantly suppressed by statins and zoledronic acid by up to 90% (p < 0.001). For all readouts, simvastatin was most potent of all agents used. Cisplatin-resistant A2780cis cells showed a relative resistance to statins and zoledronic acid. However, similar to the effects in A2780 cells, simvastatin and zoledronic acid significantly induced caspase 3/7 activation (6-folds; p < 0.001). Conclusion Our in vitro findings point to promising anti-tumor effects of statins and zoledronic acid in ovarian cancer and warrant additional validation in preclinical and clinical settings.http://link.springer.com/article/10.1186/s12885-020-07164-xOvarian cancerStatinsAmino-bisphosphonatesApoptosisMevalonate pathway
spellingShingle Andy Göbel
Valentina M. Zinna
Stefania Dell’Endice
Nikolai Jaschke
Jan Dominik Kuhlmann
Pauline Wimberger
Tilman D. Rachner
Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
BMC Cancer
Ovarian cancer
Statins
Amino-bisphosphonates
Apoptosis
Mevalonate pathway
title Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
title_full Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
title_fullStr Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
title_full_unstemmed Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
title_short Anti-tumor effects of mevalonate pathway inhibition in ovarian cancer
title_sort anti tumor effects of mevalonate pathway inhibition in ovarian cancer
topic Ovarian cancer
Statins
Amino-bisphosphonates
Apoptosis
Mevalonate pathway
url http://link.springer.com/article/10.1186/s12885-020-07164-x
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