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Dihydromyricetin activates AMP-activated protein kinase and P38(MAPK) exerting antitumor potential in osteosarcoma
Zhiqiang Zhao1, Jun-qiang Yin1, Man-si Wu2
1Department of Musculoskeletal Oncology, The First Affiliated Hospital of Sun Yat-Sen University;
Abstract:
Numerous patients with osteosarcoma either are not sensitive to chemotherapy or develop drug resistance to current chemotherapy regimens. Therefore, it is necessary to develop several potentially useful therapeutic agents. Dihydromyricetin is the major flavonoid component derived from Ampelopsis grossedentata, which has a long history of use in food and medicine. The present study examined the antitumor activity both in vitro and in vivo without noticeable side effects and the underlying mechanism of action of dihydromyricetin in osteosarcoma cells. We found that dihydromyricetin induced increased p21 expression and G2-M cell-cycle arrest, caused DNA damage, activated ATM-CHK2-H2AX signaling pathways, and induced apoptosis in osteosarcoma cells as well as decreasing the sphere formation capability by downregulating Sox2 expression. Mechanistic analysis showed that the antitumor potential of dihydromyricetin may be due to the activation of AMPKα and p38(MAPK), as the activating AMPKα led to the inactivation of GSK3β in osteosarcoma cells. Moreover, GSK3β deletion or GSK3β inhibition by LiCl treatment resulted in increased p21 expression and reduced Sox2 expression in osteosarcoma cells. Taken together, our results strongly indicate that the antitumor potential of dihydromyricetin is correlated with P38(MAPK) and the AMPKα-GSK3β-Sox2 signaling pathway. Finally, immunohistochemical analysis indicated that some patients had a lower p-AMPK expression after chemotherapy, which supports that the combination of dihydromyricetin and chemotherapy drug will be beneficial for patients with osteosarcoma. In conclusion, our results are the first to suggest that dihydromyricetin may be a therapeutic candidate for the treatment of osteosarcoma.
Insights
Dihydromyricetin shows significant antitumor activity against osteosarcoma by inducing cell-cycle arrest and apoptosis. This flavonoid may offer a new therapeutic strategy for osteosarcoma patients resistant to chemotherapy.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- Osteosarcoma often exhibits resistance to conventional chemotherapy.
- Novel therapeutic agents are crucial for improving patient outcomes.
- Dihydromyricetin, a flavonoid from Ampelopsis grossedentata, has a history of medicinal use.
Purpose of the Study:
- To investigate the antitumor potential of dihydromyricetin in osteosarcoma.
- To elucidate the underlying molecular mechanisms of its action.
- To evaluate its efficacy and safety in vitro and in vivo.
Main Methods:
- In vitro and in vivo studies on osteosarcoma cells.
- Analysis of cell-cycle progression, DNA damage, and apoptosis.
- Investigation of signaling pathways including ATM-CHK2-H2AX, AMPKα, p38(MAPK), GSK3β, and Sox2.
- Immunohistochemical analysis of patient samples.
Main Results:
- Dihydromyricetin induced G2-M cell-cycle arrest, DNA damage, and apoptosis in osteosarcoma cells.
- It downregulated Sox2 expression, reducing sphere formation.
- The compound activated AMPKα and p38(MAPK), leading to GSK3β inactivation and subsequent p21 upregulation and Sox2 downregulation.
- Lower p-AMPK expression was observed in some post-chemotherapy patients, suggesting combination therapy benefits.
Conclusions:
- Dihydromyricetin exhibits potent antitumor activity against osteosarcoma through multiple signaling pathways.
- Its mechanism involves the AMPKα-GSK3β-Sox2 pathway and induction of cell-cycle arrest and apoptosis.
- Dihydromyricetin represents a promising therapeutic candidate for osteosarcoma, potentially enhancing chemotherapy efficacy.
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