PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS

Recent evidence has reported that proton pump inhibitors (PPIs) can exert antineoplastic effects through the disruption of pH homeostasis by inhibiting vacuolar ATPase (H+-VATPase), a proton pump overexpressed in several tumor cells, but this aspect has not been deeply investigated in EAC yet. In th...

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Main Authors: Eduardo Chueca, Nadezda Apostolova, Juan Vicente Esplugues, María Asunción García-González, Angel Lanas, Elena Piazuelo
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphar.2016.00452/full
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author Eduardo Chueca
Eduardo Chueca
Nadezda Apostolova
Nadezda Apostolova
Juan Vicente Esplugues
Juan Vicente Esplugues
María Asunción García-González
María Asunción García-González
María Asunción García-González
Angel Lanas
Angel Lanas
Angel Lanas
Elena Piazuelo
Elena Piazuelo
Elena Piazuelo
author_facet Eduardo Chueca
Eduardo Chueca
Nadezda Apostolova
Nadezda Apostolova
Juan Vicente Esplugues
Juan Vicente Esplugues
María Asunción García-González
María Asunción García-González
María Asunción García-González
Angel Lanas
Angel Lanas
Angel Lanas
Elena Piazuelo
Elena Piazuelo
Elena Piazuelo
author_sort Eduardo Chueca
collection DOAJ
description Recent evidence has reported that proton pump inhibitors (PPIs) can exert antineoplastic effects through the disruption of pH homeostasis by inhibiting vacuolar ATPase (H+-VATPase), a proton pump overexpressed in several tumor cells, but this aspect has not been deeply investigated in EAC yet. In the present study, the expression of H+-VATPase was assessed through the metaplasia-dysplasia-adenocarcinoma sequence in Barrett’s esophagus (BE) and the antineoplastic effects of PPIs and cellular mechanisms involved were evaluated in vitro. H+-VATPase expression was assessed by immunohistochemistry in paraffined-embedded samples or by immunofluorescence in cultured BE and EAC cell lines. Cells were treated with different concentrations of PPIs and parameters of citotoxicity, oxidative stress and autophagy were evaluated. H+-VATPase expression was found in all biopsies and cell lines evaluated, showing differences in the location of the pump between the cell lines. Esomeprazole inhibited proliferation and cell invasion and induced apoptosis of EAC cells. Production of reactive oxygen species (ROS) seemed to be involved in the cytotoxic effects observed since the addition of N-acetylcysteine significantly reduced esomeprazole-induced apoptosis in EAC cells. Esomeprazole also reduced intracellular pH of tumor cells, whereas only disturbed the mitochondrial membrane potential in OE33 cells. Esomeprazole induced autophagy in both EAC cells, but also triggered a blockade in autophagic flux in the metastatic cell line. These data provide in vitro evidence supporting the potential use of PPIs as novel antineoplastic drugs for EAC and also shed some light on the mechanisms that trigger PPIs cytotoxic effects, which differ upon the cell line evaluated.
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spelling doaj.art-f2f99574454c4b7ab2c97679bc00dbf02022-12-22T01:26:14ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122016-11-01710.3389/fphar.2016.00452222425PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLSEduardo Chueca0Eduardo Chueca1Nadezda Apostolova2Nadezda Apostolova3Juan Vicente Esplugues4Juan Vicente Esplugues5María Asunción García-González6María Asunción García-González7María Asunción García-González8Angel Lanas9Angel Lanas10Angel Lanas11Elena Piazuelo12Elena Piazuelo13Elena Piazuelo14CIBERehdIIS AragónCIBERehdUniversity of ValenciaCIBERehdUniversity of ValenciaCIBERehdIIS AragónIACS AragónCIBERehdIIS AragónUniversity of ZaragozaCIBERehdIIS AragónIACS AragónRecent evidence has reported that proton pump inhibitors (PPIs) can exert antineoplastic effects through the disruption of pH homeostasis by inhibiting vacuolar ATPase (H+-VATPase), a proton pump overexpressed in several tumor cells, but this aspect has not been deeply investigated in EAC yet. In the present study, the expression of H+-VATPase was assessed through the metaplasia-dysplasia-adenocarcinoma sequence in Barrett’s esophagus (BE) and the antineoplastic effects of PPIs and cellular mechanisms involved were evaluated in vitro. H+-VATPase expression was assessed by immunohistochemistry in paraffined-embedded samples or by immunofluorescence in cultured BE and EAC cell lines. Cells were treated with different concentrations of PPIs and parameters of citotoxicity, oxidative stress and autophagy were evaluated. H+-VATPase expression was found in all biopsies and cell lines evaluated, showing differences in the location of the pump between the cell lines. Esomeprazole inhibited proliferation and cell invasion and induced apoptosis of EAC cells. Production of reactive oxygen species (ROS) seemed to be involved in the cytotoxic effects observed since the addition of N-acetylcysteine significantly reduced esomeprazole-induced apoptosis in EAC cells. Esomeprazole also reduced intracellular pH of tumor cells, whereas only disturbed the mitochondrial membrane potential in OE33 cells. Esomeprazole induced autophagy in both EAC cells, but also triggered a blockade in autophagic flux in the metastatic cell line. These data provide in vitro evidence supporting the potential use of PPIs as novel antineoplastic drugs for EAC and also shed some light on the mechanisms that trigger PPIs cytotoxic effects, which differ upon the cell line evaluated.http://journal.frontiersin.org/Journal/10.3389/fphar.2016.00452/fullProton Pump InhibitorsReactive Oxygen SpeciesBarrett’s esophagusEsophageal adenocarcinomavacuolar ATPase
spellingShingle Eduardo Chueca
Eduardo Chueca
Nadezda Apostolova
Nadezda Apostolova
Juan Vicente Esplugues
Juan Vicente Esplugues
María Asunción García-González
María Asunción García-González
María Asunción García-González
Angel Lanas
Angel Lanas
Angel Lanas
Elena Piazuelo
Elena Piazuelo
Elena Piazuelo
PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
Frontiers in Pharmacology
Proton Pump Inhibitors
Reactive Oxygen Species
Barrett’s esophagus
Esophageal adenocarcinoma
vacuolar ATPase
title PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
title_full PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
title_fullStr PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
title_full_unstemmed PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
title_short PROTON PUMP INHIBITORS DISPLAY ANTITUMOR EFFECTS IN BARRETT’S ADENOCARCINOMA CELLS
title_sort proton pump inhibitors display antitumor effects in barrett s adenocarcinoma cells
topic Proton Pump Inhibitors
Reactive Oxygen Species
Barrett’s esophagus
Esophageal adenocarcinoma
vacuolar ATPase
url http://journal.frontiersin.org/Journal/10.3389/fphar.2016.00452/full
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