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Updated: Jun 16, 2026

Isolated Pancreatic Islet Treatment and Apoptosis Measurement
Published on: May 2, 2025
Blocking angiotensin II Type 1 receptor triggers apoptotic cell death in human pancreatic cancer cells
Qiaoke Gong1, Molly Davis, Galina Chipitsyna
1Department of Surgery, Jefferson Pancreatic, Biliary and Related Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.
Objectives:
Pancreatic ductal adenocarcinoma (PDA) is an aggressive malignancy with an annual mortality rate close to its annual incidence. We recently demonstrated that angiotensin II (AngII) type 1 receptor (AT1R) might be involved in PDA angiogenesis. This study evaluated the antiproliferative and proapoptotic effects of an AT1R blocker, losartan, in PDA cells with different p53 mutation status.
Methods:
Cell cycle was analyzed by flow cytometric analysis of DNA content; apoptosis by annexin V-fluorescein isothiocyanate (V-FITC) and terminal deoxytransferase (TdT)-mediated dUTP nick-end labeling staining; messenger RNA and protein by real-time polymerase chain reaction and Western blotting; caspase-3 activity by colorimetric assay; and promoter activity by luciferase assay.
Results:
Losartan dose-dependently decreased cell survival and increased their preG1 accumulation. It also increased p53, p21, p27, and Bax and reduced Bcl-2 and Bcl-xl expression. In wtp53 cells, losartan increased p53 transcription and activated caspase-3 in both cell lines. However, its proapoptotic effects in mtp53 cells were mainly caspase-3-dependent.
Conclusion:
Our data describe the involvement of AT1R in PDA cell apoptotic machinery and provide the first evidences that losartan stimulates the proapoptotic signaling pathways regardless of the p53 mutation status. As loss of p53 function is frequently observed in PDA patients, our data suggest AT1R blockade as a novel therapeutic strategy to control PDA growth.
Insights
Losartan, an angiotensin II type 1 receptor (AT1R) blocker, reduces pancreatic cancer cell survival and promotes apoptosis, regardless of p53 mutation status. This suggests AT1R blockade as a potential therapy for pancreatic ductal adenocarcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Pancreatic ductal adenocarcinoma (PDA) is an aggressive cancer with high mortality.
- Angiotensin II type 1 receptor (AT1R) signaling may play a role in PDA angiogenesis.
- The p53 tumor suppressor gene is frequently mutated in PDA.
Purpose of the Study:
- To evaluate the antiproliferative and proapoptotic effects of losartan, an AT1R blocker, on PDA cells.
- To investigate these effects in PDA cells with different p53 mutation statuses (wild-type vs. mutated).
Main Methods:
- Cell cycle analysis using flow cytometry.
- Apoptosis assessment via Annexin V/TdT assays.
- Gene and protein expression analysis using RT-PCR and Western blotting.
- Caspase-3 activity and promoter activity assays.
Main Results:
- Losartan dose-dependently decreased PDA cell survival and increased G1 cell cycle arrest.
- Losartan upregulated pro-apoptotic proteins (p53, Bax) and downregulated anti-apoptotic proteins (Bcl-2, Bcl-xl).
- Losartan activated caspase-3, with effects being caspase-3-dependent in mutated p53 cells.
Conclusions:
- Losartan stimulates proapoptotic signaling pathways in PDA cells irrespective of p53 mutation status.
- AT1R is involved in the apoptotic machinery of PDA cells.
- AT1R blockade represents a potential therapeutic strategy for controlling PDA growth, especially given frequent p53 mutations.
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