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.

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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