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Published on: December 1, 2016
Arsenic trioxide exerts anti-lung cancer activity by inhibiting angiogenesis
Meng-Hang Yang, Yuan-Sheng Zang, Hai Huang
1Department of Respiratory Medicine, Shanghai Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai 200003, China. xuewei-zhao@hotmail.com.
Abstract:
Arsenic trioxide (As2O3) has been used in the clinic for the treatment of acute promyelocytic 1eukemia and some solid tumors. However, its effectiveness against lung cancer has not been well demonstrated, and the underlying mechanism(s) of action remain unclear. In the present study, we found that As2O3 significantly inhibited the growth of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) xenograft tumors. It was observed to have antiangiogenic effects in xenograft models and matrigel pellets. It also significantly inhibited the expression of VEGF-A, VEGFR-2, HIF-1α, Dll4 and Notch-1 in vivo. Moreover, As2O3 also inhibited the expression of HIF-1α, VEGFR-2, Dll4, and Notch-1 in lung cancer cell lines and human umbilical vein endothelial cells. These findings suggest that As2O3 has significant anti-lung cancer activity, which may occur as a result of the antiangiogenic effects caused by the downregulation of the VEGF and Dll4-Notch signaling pathways.
Insights
Arsenic trioxide (As2O3) shows significant anti-lung cancer activity by inhibiting tumor growth and angiogenesis. This effect is linked to the downregulation of key signaling pathways like VEGF and Dll4-Notch.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Arsenic trioxide (As2O3) is clinically used for acute promyelocytic leukemia and some solid tumors.
- Its efficacy and mechanisms against lung cancer remain largely unelucidated.
- Lung cancer remains a leading cause of cancer-related mortality worldwide.
Purpose of the Study:
- To investigate the anti-cancer effects of As2O3 on non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC).
- To elucidate the underlying mechanisms, particularly focusing on antiangiogenic properties and related signaling pathways.
Main Methods:
- Inhibition of NSCLC and SCLC xenograft tumor growth in vivo.
- Assessment of antiangiogenic effects using xenograft models and matrigel pellets.
- Evaluation of protein and gene expression of VEGF-A, VEGFR-2, HIF-1α, Dll4, and Notch-1 in tumors, cell lines, and endothelial cells.
Main Results:
- As2O3 significantly inhibited the growth of NSCLC and SCLC xenograft tumors.
- The compound demonstrated antiangiogenic effects in preclinical models.
- As2O3 downregulated the expression of VEGF-A, VEGFR-2, HIF-1α, Dll4, and Notch-1 in vitro and in vivo.
Conclusions:
- As2O3 exhibits significant anti-lung cancer activity.
- The anti-cancer effects are mediated through antiangiogenic mechanisms.
- Downregulation of VEGF and Dll4-Notch signaling pathways contributes to As2O3's efficacy in lung cancer.
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