Multiple effects of digoxin on subsets of cancer-associated genes through the alternative splicing pathway

Guan-Yu Lu1, Shu-Ting Liu2, Shih-Ming Huang2

  • 1Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 114, Taiwan, ROC; Department of Pharmacy, Shalu Division, Kuang Tien General Hospital, Taichung 433, Taiwan, ROC.

Biochimie
|September 7, 2014
PubMed

Insights

Cardiac glycosides like digoxin deplete p53 protein by affecting post-transcriptional regulation via SRSF3. This impacts cell cycle, DNA damage, and epithelial-mesenchymal transition, suggesting new therapeutic targets.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Na(+)/K(+)-ATPase signaling differs from its ion pumping. Cardiac glycosides interact with this complex, activating pathways and increasing intracellular calcium.
  • Cardiac glycosides are known to deplete p53 and hypoxia-induced factor 1α, but the mechanisms remain unclear.

Purpose of the Study:

  • To elucidate the detailed mechanisms by which cardiac glycosides, specifically digoxin, induce p53 protein depletion.
  • To investigate the role of splicing factor SRSF3 in digoxin-mediated p53 regulation.
  • To explore the effects of digoxin on cell cycle, DNA damage, apoptosis, and epithelial-mesenchymal transition (EMT).

Main Methods:

  • Investigated digoxin's effect on p53 protein levels, examining both synthesis and post-transcriptional regulation.
  • Assessed the impact of digoxin on SRSF3 expression and its role in p53 isoform switching (p53α to p53β).
  • Utilized HeLa cells to analyze digoxin's influence on G2/M arrest, DNA damage, apoptosis, E-cadherin, and snail expression.

Main Results:

  • Digoxin depletes p53 not only by inhibiting synthesis but also via post-transcriptional mechanisms involving SRSF3 down-regulation.
  • Digoxin treatment led to p53β isoform enrichment, G2/M arrest, DNA damage, apoptosis, and promoted EMT via reduced E-cadherin and induced snail.
  • Caffeine, another SRSF3-reducing agent, showed similar effects on cell cycle and DNA damage; combined digoxin and caffeine induced snail, blocked cell cycle, and conferred resistance to cell death.

Conclusions:

  • Down-regulation of splicing factor SRSF3 by digoxin alters cell cycle progression, cell death, and invasion.
  • Targeting splicing factors like SRSF3 presents a potential strategy for cardiac glycoside drug repositioning.
  • Digoxin's multifaceted effects on cellular processes highlight its complex pharmacology beyond ion transport.

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