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Published on: August 14, 2012
Cardiotonic steroids attenuate ERK phosphorylation and generate cell cycle arrest to block human hepatoma cell growth
Zhong-Wei Xu1, Feng-Mei Wang, Mo-Jie Gao
1Department of Cell Biology, Medical College of the Chinese People's Armed Police Forces, Tianjin City 300162, China.
Abstract:
Recent studies revealed the potential of Na(+)/K(+)-ATPase as a target for anticancer therapy and showed additional modes of action of cardiotonic steroids (CSs), a diverse family of naturally derived compounds, as inhibitors of Na(+)/K(+)-ATPase. The results from epidemiological studies showed significantly lower mortality rates in cancer patients receiving CSs, which sparked interest in the anticancer properties of these drugs. The present study was designed to investigate the anticancer effect of CSs (ouabain or cinobufagin) and to elucidate the molecular mechanisms of CS activity in hepatoma cell lines (HepG2 and SMMC-7721). Ouabain and cinobufagin significantly inhibited cell proliferation by attenuating the phosphorylation of extracellular regulated kinase (ERK) and down-regulating the expression of C-myc. These CSs also induced cell apoptosis by increasing the concentration of intracellular free calcium ([Ca(2+)](i)) and induced S phase cell cycle arrest by down-regulating the expression of Cyclin A, cyclin dependent kinase 2 (CDK2) and proliferating cell nuclear antigen (PCNA) as well as up-regulating the expression of cyclin dependent kinase inhibitor 1A (p21(CIP1)). Overexpression of ERK reversed the antiproliferation effect of ouabain or cinobufagin in HepG2 and SMMC-7721 cells. Currently, the first generation of CS-based anticancer drugs (UNBS1450 and Anvirzel) are in Phase I clinical trials. These data clearly support their potential use as cancer therapies.
Insights
Cardiotonic steroids (CSs) show anticancer potential by inhibiting hepatoma cell proliferation and inducing apoptosis. These natural compounds target key cell signaling pathways, supporting their development as novel cancer therapies.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Cardiotonic steroids (CSs) are natural compounds inhibiting Na(+)/K(+)-ATPase.
- Epidemiological studies suggest CSs may reduce cancer mortality.
- CSs exhibit additional anticancer mechanisms beyond Na(+)/K(+)-ATPase inhibition.
Purpose of the Study:
- Investigate the anticancer effects of CSs (ouabain, cinobufagin) in hepatoma cell lines.
- Elucidate the molecular mechanisms underlying CS anticancer activity.
Main Methods:
- Utilized HepG2 and SMMC-7721 hepatoma cell lines.
- Assessed cell proliferation, apoptosis, and cell cycle progression.
- Analyzed key protein and gene expression (ERK, C-myc, Cyclin A, CDK2, PCNA, p21(CIP1)).
- Investigated the role of extracellular regulated kinase (ERK) signaling.
Main Results:
- Ouabain and cinobufagin significantly inhibited cell proliferation and induced apoptosis.
- CSs attenuated ERK phosphorylation and decreased C-myc expression.
- CSs induced S phase cell cycle arrest by modulating cell cycle regulators.
- Overexpression of ERK reversed the antiproliferative effects of CSs.
Conclusions:
- CSs demonstrate significant anticancer effects in hepatoma cells via multiple molecular pathways.
- CSs represent a promising therapeutic strategy for cancer treatment.
- Ongoing clinical trials (Phase I) for CS-based drugs (UNBS1450, Anvirzel) warrant further investigation.
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