Nitric oxide donor exisulind is an effective inhibitor of murine photocarcinogenesis

Tripti Singh1, Sandeep C Chaudhary, Puneet Kapur

  • 1Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, USA.

Insights

Topical NO-exisulind significantly reduced UVB-induced skin tumors in mice by inhibiting proliferation and promoting apoptosis. This novel treatment also decreased tumor invasiveness, suggesting potential for skin cancer prevention and treatment.

Area of Science:

  • Oncology
  • Dermatology
  • Pharmacology

Background:

  • NO-releasing nonsteroidal anti-inflammatory drugs (NO-NSAIDs) exhibit anti-inflammatory, antiproliferative, and apoptosis-inducing properties in tumor cells.
  • UVB radiation is a primary cause of skin cancer, necessitating effective preventative and therapeutic strategies.

Purpose of the Study:

  • To investigate the efficacy of NO-exisulind in a murine model of UVB-induced skin tumors.
  • To evaluate the effects of NO-exisulind on tumor growth, proliferation, apoptosis, and epithelial-mesenchymal transition (EMT).

Main Methods:

  • Topical application of NO-exisulind to SKH-1 hairless mice exposed to UVB radiation.
  • Assessment of tumor incidence, number, and volume.
  • Analysis of proliferation markers (PCNA, cyclin D1), apoptosis markers (Bax, Bcl2, TUNEL assay), and EMT markers (Fibronectin, N-cadherin, E-cadherin, SNAI, Slug, Twist).
  • Evaluation of signaling pathways (Erk1/2, p38).

Main Results:

  • NO-exisulind treatment significantly reduced tumor development, number, and volume compared to controls.
  • Reduced expression of proliferation markers (PCNA, cyclin D1) and increased apoptosis (elevated Bax, decreased Bcl2, more TUNEL-positive cells).
  • Inhibition of EMT markers (decreased Fibronectin, N-cadherin, SNAI, Slug, Twist; increased E-cadherin) and reduced phosphorylation of Erk1/2 and p38 signaling pathways.

Conclusions:

  • NO-exisulind effectively reduces UVB-induced skin tumor growth in a murine model.
  • The mechanism involves blocking cell proliferation, inducing apoptosis, and inhibiting epithelial-mesenchymal transition.
  • NO-exisulind demonstrates potential as a therapeutic agent for skin cancer by reducing tumor progression and invasiveness.

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