Prevention of carcinogen and inflammation-induced dermal cancer by oral rapamycin includes reducing genetic damage

Vinh Dao1, Srilakshmi Pandeswara2, Yang Liu3

  • 1The Graduate School of Biomedical Sciences, University of Texas Health Science Center, San Antonio, Texas. Department of Medicine, University of Texas Health Science Center, San Antonio, Texas.

Insights

Oral microencapsulated rapamycin (eRapa) prevents skin cancer by reducing DNA damage, not by inhibiting mTORC1 signaling. This novel mechanism offers a potential new strategy for cancer prevention in humans.

Area of Science:

  • Oncology
  • Molecular Biology
  • Dermatology

Background:

  • Cancer prevention is crucial and cost-effective.
  • Rapamycin, an mTOR inhibitor, shows promise in preventing spontaneous cancers in mice.
  • The efficacy of rapamycin in inflammation-driven skin carcinogenesis requires further investigation.

Purpose of the Study:

  • To investigate the cancer prevention efficacy of oral microencapsulated rapamycin (eRapa) in a mouse model of skin carcinogenesis.
  • To elucidate the underlying molecular mechanisms of eRapa's cancer prevention effects.
  • To explore the potential of eRapa as a broad-spectrum cancer prevention agent.

Main Methods:

  • Mice were exposed to dimethylbenz(a)anthracene (DMBA) and 12-O-tetradecanoylphorbol-13-acetate (TPA) to induce skin carcinogenesis.
  • Oral microencapsulated rapamycin (eRapa) was administered before or after carcinogen exposure.
  • Tumor latency, prevalence, and malignant transformation were assessed.
  • mTORC1 signaling, inflammatory markers, stem cell populations, and DNA damage were analyzed in skin and papillomas.
  • In vitro studies with fibroblasts were conducted to assess DNA damage reduction.

Main Results:

  • eRapa administration before DMBA/TPA significantly delayed tumor onset, reduced papilloma formation, and prevented squamous cell carcinoma.
  • eRapa did not inhibit mTORC1 signaling or key proinflammatory factors in the skin.
  • eRapa reduced DMBA/TPA-induced DNA damage and the specific hras codon 61 mutation.
  • The cancer prevention and DNA damage reduction effects were lost when eRapa was given after carcinogen exposure.
  • eRapa achieved picomolar concentrations in the skin and reduced DNA damage in vitro.

Conclusions:

  • Oral microencapsulated rapamycin (eRapa) effectively prevents skin cancer in a chemically induced mouse model.
  • DNA damage reduction is identified as a novel mechanism for rapamycin-mediated cancer prevention, independent of mTORC1 inhibition.
  • These findings support the potential use of eRapa as a cancer prevention strategy for specific human populations.

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