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Sensitizing HER2-overexpressing cancer cells to luteolin-induced apoptosis through suppressing p21(WAF1/CIP1)
Chun-Te Chiang1, Tzong-Der Way, Jen-Kun Lin
1Institute of Biochemistry and Molecular Biology, College of Medicine, National Taiwan University, No. 1, Section 1, Jen-ai Road, Taipei 10018, Taiwan.
Abstract:
HER2 overexpression, which confers resistance to various therapeutic regimens, correlates with a poor clinical prognosis. In this study, we showed that luteolin, a naturally occurring flavonoid, is a potent stimulator of HER2 degradation. Luteolin effectively inhibited cell proliferation and induced apoptosis in HER2-overexpressing cancer cells. Furthermore, we found that low doses of luteolin up-regulated p21 expression and high doses of luteolin down-regulated its expression. Examination of the Akt/mammalian target of rapamycin (mTOR) signaling revealed that this signaling was only transiently inhibited by low doses of luteolin, which suggested that the inability to cause sustained Akt/mTOR inhibition may contribute to p21 induction and provide a survival advantage to HER2-overexpressing cancer cells. To test this hypothesis, we showed that the combined use of luteolin and mTOR inhibitor rapamycin prevented low doses of luteolin from inducing p21 expression, and HER2-overexpressing cancer cells would be sensitized toward luteolin-induced apoptosis. In addition, p21 small interfering RNA also increased the luteolin-induced cell death. In nude mice with xenografted SKOV3.ip1-induced tumors, luteolin significantly inhibited HER2 expression and tumor growth in a dose-dependent manner, and rapamycin further enhanced the effect of luteolin with a concomitant p21 inhibition. These results reveal an intriguing finding that suppressing p21 expression might have therapeutic implications and further suggest that combination of mTOR inhibitors may be a promising strategy to help increase the efficacy of preventive or therapeutic compounds against HER2-overexpressing tumors.
Insights
Luteolin promotes HER2 degradation, inhibiting cancer cell growth. Combining luteolin with mTOR inhibitors, like rapamycin, enhances apoptosis by suppressing p21, offering a promising strategy for HER2-overexpressing tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- HER2 overexpression is linked to poor prognosis and therapeutic resistance in cancers.
- Luteolin, a natural flavonoid, shows potential in cancer treatment.
- The Akt/mammalian target of rapamycin (mTOR) pathway is crucial in cancer cell survival.
Purpose of the Study:
- To investigate luteolin's effect on HER2 degradation and its therapeutic potential in HER2-overexpressing cancers.
- To explore the role of p21 and Akt/mTOR signaling in luteolin's mechanism of action.
- To evaluate the efficacy of combining luteolin with mTOR inhibitors.
Main Methods:
- In vitro studies on HER2-overexpressing cancer cells to assess luteolin's impact on cell proliferation, apoptosis, and signaling pathways (HER2, Akt/mTOR, p21).
- In vivo studies using nude mice with xenografted tumors to evaluate luteolin and rapamycin efficacy.
- Manipulation of p21 expression using small interfering RNA (siRNA).
Main Results:
- Luteolin effectively stimulates HER2 degradation, inhibits proliferation, and induces apoptosis in HER2-overexpressing cancer cells.
- Low doses of luteolin up-regulated p21, while high doses down-regulated it; transient Akt/mTOR inhibition was observed.
- Combination therapy with luteolin and rapamycin (an mTOR inhibitor) enhanced apoptosis and suppressed p21, showing significant tumor growth inhibition in vivo.
Conclusions:
- Luteolin is a potent stimulator of HER2 degradation with therapeutic potential against HER2-overexpressing cancers.
- Suppression of p21 expression, potentially through combination with mTOR inhibitors, enhances luteolin's efficacy.
- Combination of luteolin with mTOR inhibitors represents a promising strategy for treating HER2-overexpressing tumors.
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