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Relative non-steroidal anti-inflammatory drug (NSAID) antiproliferative activity is mediated through p21-induced G1
Jonathan M Bock1, Sarita G Menon, Prabhat C Goswami
1Department of Otolaryngology--Head and Neck Surgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA.
Abstract:
This study was performed to compare the relative antineoplastic activity of 10 different non-steroidal anti-inflammatory drugs (NSAIDs) in clinical use, and to investigate the underlying mechanisms of this activity in a squamous cell carcinoma of the head and neck model (SCCHN). A standard 5-day MTT assay was used to calculate IC(50) values in UM-SCC-1 cells for 10 NSAIDs, including celecoxib, rofecoxib, sulindac sulfide, sulindac sulfone, indomethacin, ketoprofen, flurbiprofen, naproxen, piroxicam, and aspirin. Celecoxib, a COX-2 specific inhibitor, was by far the most potent NSAID, with an IC(50) of 39.9 +/- 1.1 microM, followed by sulindac sulfide (116.5 +/- 2.34 microM). Celecoxib and sulindac sulfide also induced more activation of caspase-3 than any other NSAID. Cell cycle analysis showed that celecoxib and sulindac sulfide both induced a 3-fold increase in G(1) phase distribution, and this correlated with strong induction of p21(waf1/cip1), inhibition of cyclin D1, and hypophosphorylation of Rb. Celecoxib and sulindac sulfide treatment induced strong downstream inhibition of E2F transactivating activity as determined by a luciferase reporter assay. These data demonstrate the wide range of activity of various NSAID agents, and reveal a mechanism of action through cell cycle inhibition and induction of apoptosis.
Insights
This study compared 10 non-steroidal anti-inflammatory drugs (NSAIDs) for head and neck cancer treatment. Celecoxib and sulindac sulfide showed the most potent antineoplastic activity by inhibiting cell cycle progression and inducing apoptosis.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used clinically.
- Some NSAIDs exhibit antineoplastic properties, but their relative potencies and mechanisms vary.
- Squamous cell carcinoma of the head and neck (SCCHN) is a significant health concern.
Purpose of the Study:
- To compare the antineoplastic activity of 10 different NSAIDs against SCCHN cells.
- To investigate the molecular mechanisms underlying the observed antineoplastic effects.
- To identify potential therapeutic applications of NSAIDs in SCCHN treatment.
Main Methods:
- MTT assay to determine IC(50) values for 10 NSAIDs in UM-SCC-1 cells.
- Caspase-3 activation assay to measure apoptosis induction.
- Cell cycle analysis (G1 phase distribution) and Western blotting for cell cycle regulators (p21, cyclin D1, Rb).
- Luciferase reporter assay to assess E2F transactivating activity.
Main Results:
- Celecoxib (COX-2 inhibitor) demonstrated the highest potency (IC(50) = 39.9 microM), followed by sulindac sulfide.
- Celecoxib and sulindac sulfide significantly induced caspase-3 activation, indicating apoptosis.
- Both agents caused a 3-fold increase in G1 phase arrest, associated with p21 induction, cyclin D1 inhibition, and Rb hypophosphorylation.
- Downstream inhibition of E2F transactivating activity was observed with celecoxib and sulindac sulfide.
Conclusions:
- NSAIDs exhibit a wide range of antineoplastic activities against SCCHN cells.
- Celecoxib and sulindac sulfide possess significant anti-SCCHN potential through cell cycle inhibition and apoptosis induction.
- The findings elucidate specific molecular mechanisms involving cell cycle regulators and E2F activity.
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