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The antidepressant sertraline downregulates Akt and has activity against melanoma cells
Kalpana K Reddy1, Benjamin Lefkove, Lan Bo Chen
1Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.
Abstract:
Melanoma is a common malignancy which is poorly responsive to chemotherapy and radiation. One of the major reasons melanoma responds poorly to these modalities is constitutive expression of Akt, which protects against apoptosis. The antidepressant sertraline was found to be a potent cytotoxic agent against A375 human melanoma. To determine the mechanism by which sertraline kills melanoma cells, Western blot analysis of signaling molecules, including phosphorylated Akt, caspase 9 and phospho-p70 S6 kinase was performed. Finally, the effects of sertraline on A375 xenografts in mice were assessed. Sertaline potently inhibited the phosphorylation of Akt, and caused cell death through induction of endoplasmic reticulum in vitro. Sertraline monotherapy demonstrated activity against A375 xenografts in vivo. Akt is a major cause of resistance of melanoma to current therapy. Antidepressants are commonly used to prevent interferon-induced depression. Use of antidepressants that decrease Akt may improve the efficacy of interferon and other therapies against melanoma. Further studies are needed to elucidate whether sertraline acts as an Akt inhibitor in melanoma.
Insights
The antidepressant sertraline shows potent cytotoxic effects against melanoma cells by inhibiting Akt signaling. This finding suggests potential new therapeutic strategies for melanoma treatment.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Melanoma exhibits poor response to conventional therapies like chemotherapy and radiation.
- Constitutive activation of Akt signaling confers resistance to apoptosis in melanoma cells.
Purpose of the Study:
- To investigate the cytotoxic effects and underlying mechanisms of sertraline in human melanoma cells.
- To evaluate the in vivo efficacy of sertraline against melanoma xenografts.
Main Methods:
- Western blot analysis to assess signaling molecules (e.g., phosphorylated Akt, caspase 9).
- In vitro cytotoxicity assays against A375 human melanoma cells.
- In vivo studies using A375 xenografts in mice.
Main Results:
- Sertraline demonstrated potent inhibition of Akt phosphorylation in melanoma cells.
- Sertraline induced cell death via endoplasmic reticulum stress.
- Sertraline monotherapy showed significant activity against A375 xenografts in vivo.
Conclusions:
- Sertraline exhibits potent anti-melanoma activity, targeting Akt signaling and inducing apoptosis.
- Sertraline represents a potential therapeutic agent for melanoma, possibly enhancing current treatments.
- Further research is warranted to confirm sertraline's role as an Akt inhibitor in melanoma.
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