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Updated: May 10, 2026

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
Aldose reductase inhibition suppresses colon cancer cell viability by modulating microRNA-21 mediated programmed cell
Ashish Saxena1, Mohammad Shoeb, Kota V Ramana
1Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, TX 77555, United States.
Abstract:
Inhibition of polyol pathway enzyme aldose reductase (AR) has been shown to prevent colon cancer cells growth in culture and in nude mice xenografts. However, the role of AR in the mediation of growth factor-induced colon cancer cells growth is not well understood. In this study, we have investigated how AR inhibition prevents tumour growth via regulation of microRNA (miR)-21-mediated programmed cell death 4 (PDCD4) expression in colon cancer cells in in vitro and in vivo. Treatment of colon cancer cells (HT29, SW480 and Caco-2) with epidermal growth factor (EGF) caused increased expression of miR-21 and inhibition of AR prevented it. Further, AR inhibition also increased PDCD4, a putative target of miR-21 in human colon cancer cells. Inhibition of AR also prevented EGF-induced phosphorylation of PDCD4. Treatment of HT29 cells with AR inhibitor, fidarestat, prevented the EGF-induced phosphorylation of mammalian target of rapamycin (mTOR), regulatory associated protein of mTOR (Raptor), eukaryotic initiation factor 4E (eIF4E), p70 S6 kinase (S6K) and eukaryotic initiation factor 4E (eIF4E)-binding protein 1 (4E-BP1) and increased the phosphorylation of 5' adenosine monophosphate-activated protein kinase (AMPK). Similarly, in nude mice xenograft tissues, PDCD4 and 4E-BP1 levels were significantly higher in AR inhibitor-treated mice compared to controls. Collectively, these results indicate that AR inhibition prevents growth factor-induced colon cancer growth by down-regulating miR-21 expression and increasing PDCD4 levels through the reactive oxygen species (ROS)/AMPK/mTOR/AP1/4E-BP1 pathway.
Insights
Inhibiting aldose reductase (AR) blocks growth factor-induced colon cancer. This occurs by reducing miR-21 and increasing programmed cell death 4 (PDCD4) via the ROS/AMPK/mTOR pathway.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Aldose reductase (AR) inhibition shows promise in preventing colon cancer cell growth.
- The precise role of AR in mediating growth factor-induced colon cancer proliferation remains unclear.
Purpose of the Study:
- To investigate how AR inhibition impedes tumor growth.
- To elucidate the mechanism involving microRNA-21 (miR-21) and programmed cell death 4 (PDCD4) expression in colon cancer.
Main Methods:
- Utilized in vitro (HT29, SW480, Caco-2 cells) and in vivo (nude mice xenografts) models.
- Administered epidermal growth factor (EGF) and AR inhibitor (fidarestat).
- Assessed expression and phosphorylation levels of key proteins and microRNAs (miR-21, PDCD4, mTOR, AMPK, etc.).
Main Results:
- AR inhibition prevented EGF-induced miR-21 upregulation and increased PDCD4 levels.
- AR inhibition blocked EGF-induced phosphorylation of mTOR pathway components and increased AMPK phosphorylation.
- In vivo studies confirmed increased PDCD4 and 4E-binding protein 1 (4E-BP1) in AR inhibitor-treated mice.
Conclusions:
- AR inhibition effectively suppresses growth factor-driven colon cancer progression.
- The mechanism involves down-regulation of miR-21 and upregulation of PDCD4 via the ROS/AMPK/mTOR/AP1/4E-BP1 signaling axis.
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