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Targeting RET to induce medullary thyroid cancer cell apoptosis: an antagonistic interplay between PI3K/Akt and
Minakshi Mazumdar1, Arghya Adhikary, Samik Chakraborty
1Division of Molecular Medicine, Bose Institute, P-1/12, Calcutta Improvement Trust Road, Scheme VII M, Kolkata, West Bengal, 700 054, India.
Abstract:
Mutations in REarranged during Transfection (RET) receptor tyrosine, followed by the oncogenic activation of RET kinase is responsible for the development of medullary thyroid carcinoma (MTC) that responds poorly to conventional chemotherapy. Targeting RET, therefore, might be useful in tailoring surveillance of MTC patients. Here we showed that theaflavins, the bioactive components of black tea, successfully induced apoptosis in human MTC cell line, TT, by inversely modulating two molecular pathways: (i) stalling PI3K/Akt/Bad pathway that resulted in mitochondrial transmembrane potential (MTP) loss, cytochrome-c release and activation of the executioner caspases-9 and -3, and (ii) upholding p38MAPK/caspase-8/caspase-3 pathway via inhibition of Ras/Raf/ERK. Over-expression of either constitutively active myristoylated-Akt-cDNA (Myr-Akt-cDNA) or dominant-negative-caspase-8-cDNA (Dn-caspase-8-cDNA) partially blocked theaflavin-induced apoptosis, while co-transfection of Myr-Akt-cDNA and Dn-caspase-8-cDNA completely eradicated the effect of theaflavins thereby negating the possibility of existence of other pathways. A search for the upstream signaling revealed that theaflavin-induced disruption of lipid raft caused interference in anchorage of RET in lipid raft that in turn stalled phosphorylation of Ras and PI3Kinase. In such anti-survival cellular micro-environment, pro-apoptotic signals were triggered to culminate into programmed death of MTC cell. These findings not only unveil a hitherto unexplained mechanism underlying theaflavin-induced MTC death, but also validate RET as a promising and potential target for MTC therapy.
Insights
Theaflavins from black tea induce programmed cell death in medullary thyroid carcinoma (MTC) by targeting the RET pathway. This research highlights theaflavins as a potential therapeutic strategy for MTC.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Medullary thyroid carcinoma (MTC) is driven by RET receptor tyrosine kinase mutations.
- MTC exhibits poor response to conventional chemotherapy, necessitating novel therapeutic targets.
- RET signaling is crucial for MTC cell survival and proliferation.
Purpose of the Study:
- To investigate the anti-cancer effects of theaflavins, black tea components, on MTC.
- To elucidate the molecular mechanisms underlying theaflavin-induced apoptosis in MTC cells.
- To validate RET as a therapeutic target for MTC.
Main Methods:
- Utilized human MTC cell line (TT) for in vitro studies.
- Investigated theaflavin's impact on key signaling pathways (PI3K/Akt/Bad, p38MAPK/caspase-8/caspase-3, Ras/Raf/ERK).
- Employed gene manipulation techniques (over-expression of Myr-Akt-cDNA, Dn-caspase-8-cDNA) to dissect apoptotic pathways.
- Analyzed the role of lipid rafts and RET anchorage in theaflavin's mechanism of action.
Main Results:
- Theaflavins induced apoptosis in MTC cells by modulating PI3K/Akt/Bad and p38MAPK/caspase-8/caspase-3 pathways.
- Theaflavins caused loss of mitochondrial transmembrane potential, cytochrome-c release, and caspase activation.
- Disruption of lipid rafts by theaflavins interfered with RET anchorage, inhibiting Ras and PI3Kinase phosphorylation.
- Over-expression studies confirmed the involvement of Akt and caspase-8 in theaflavin-induced apoptosis.
Conclusions:
- Theaflavins trigger programmed cell death in MTC through a novel mechanism involving RET signaling disruption.
- Theaflavins represent a promising therapeutic agent for MTC, targeting the oncogenic RET pathway.
- This study validates RET as a key target for developing novel MTC therapies.
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