Omeprazole inhibits proliferation and modulates autophagy in pancreatic cancer cells

Andrej Udelnow1, Andreas Kreyes, Stefan Ellinger

  • 1Department of General, Visceral and Transplantation Surgery, University Hospital of Ulm, Ulm, Germany.

Plos One
|June 2, 2011
PubMed
Abstract

Insights

Omeprazole inhibits pancreatic cancer cell growth by modulating autophagy and lysosomal pathways, potentially overcoming chemoresistance. This proton pump inhibitor shows promise for new clinical applications in cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Pancreatic tumors exhibit significant chemoresistance, necessitating novel therapeutic strategies.
  • Omeprazole's role in tumor chemoresistance is debated, requiring further investigation into its mechanisms.

Purpose of the Study:

  • To investigate the pharmacodynamic, morphological, and biochemical effects of omeprazole on pancreatic cancer cell lines.
  • To elucidate the molecular mechanisms by which omeprazole may modulate pancreatic cancer chemoresistance.

Main Methods:

  • Dose-effect analyses of omeprazole and chemotherapeutics (gemcitabine, 5-fluorouracil) on pancreatic cancer cell lines.
  • Electron microscopy, proton NMR spectroscopy, Western blot analysis, and acridine orange staining to assess cellular effects and pathway modulation.
  • Gene expression analysis of autophagy-related and drug resistance markers.

Main Results:

  • Omeprazole inhibited pancreatic cancer cell proliferation at non-toxic concentrations and reversed 5-fluorouracil resistance.
  • Omeprazole induced autophagosome accumulation and programmed cell death, modulating lysosomal transport and autophagy pathways.
  • Intracellular omeprazole was identified, and its interaction with v-ATPase regulatory functions, without inhibiting pump activity, was suggested.

Conclusions:

  • Omeprazole modulates pancreatic cancer cell autophagy and lysosomal transport, leading to programmed cell death.
  • This mechanism may circumvent common pancreatic cancer resistance pathways.
  • Findings suggest potential new clinical applications for omeprazole in pancreatic cancer treatment.

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