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Selective repression of RET proto-oncogene in medullary thyroid carcinoma by a natural alkaloid berberine
Vishnu Muthuraj Kumarasamy1, Yoon-Joo Shin2, John White3
1College of Pharmacy, University of Arizona, Tucson, Arizona, 85721. vishnuk@email.arizona.edu.
Background:
The gain-of-function mutation of the RET proto-oncogene, which encodes a receptor tyrosine kinase, is strongly associated with the development of several medullary thyroid carcinomas (MTCs). Thus, the RET protein has been explored as an excellent target for progressive and advanced MTC. In this study we have demonstrated a therapeutic strategy for MTC by suppressing the transcription of RET proto-oncogene though the stabilization of G-quadruplex structure formed on the promoter region of this gene using a natural product berberine.
Methods:
Medullary thyroid carcinoma (MTC) TT cell line has been used to evaluate the effects of berberine on RET expression and its downstream signaling pathways. The specificity of berberine was demonstrated by using the papillary thyroid carcinoma TPC1 cell line, which lacks the G-quadruplex forming sequence on the RET promoter region due to chromosomal rearrangement.
Results:
Berberine suppressed the RET expression by more than 90 % in MTC TT cells at a concentration of 2.5 μg/ml with minimal effect on the TPC1 cells. Canadine, which is a structural analogue of berberine, showed little interaction with RET G-quadruplex and also had no effect on RET expression in MTC TT cells. The down-regulation of RET with berberine further inhibited the cell proliferation through cell cycle arrest and activation of apoptosis in TT cells, which was confirmed by a 2-fold increase in the caspase-3 activity and the down-regulation of cell-cycle regulatory proteins.
Conclusion:
Our data strongly suggest that the G-quadruplex forming region and the stabilization of this structure play a critical role in mediating the repressive effect of berberine on RET transcription.
Insights
Berberine stabilizes G-quadruplex structures to suppress RET proto-oncogene transcription, offering a new therapeutic strategy for medullary thyroid carcinoma (MTC). This natural compound effectively inhibits MTC cell proliferation and induces apoptosis.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Gain-of-function mutations in the RET proto-oncogene are linked to medullary thyroid carcinoma (MTC).
- The RET receptor tyrosine kinase is a key target for MTC therapy.
- Targeting RET transcription offers a potential therapeutic strategy for advanced MTC.
Purpose of the Study:
- To investigate berberine as a therapeutic agent for MTC.
- To explore the mechanism of berberine in suppressing RET proto-oncogene transcription.
- To evaluate the effect of berberine on MTC cell proliferation and survival.
Main Methods:
- Utilized medullary thyroid carcinoma (MTC) TT cell line to assess berberine's effects on RET expression.
- Employed papillary thyroid carcinoma TPC1 cell line to confirm berberine's specificity.
- Analyzed downstream signaling pathways, cell cycle regulation, and apoptosis.
Main Results:
- Berberine suppressed RET expression by over 90% in MTC TT cells at 2.5 μg/ml.
- Berberine inhibited cell proliferation, induced cell cycle arrest, and activated apoptosis in TT cells.
- Berberine's analogue, canadine, showed no significant effect, highlighting berberine's specific interaction with the RET G-quadruplex.
Conclusions:
- Stabilization of the RET promoter G-quadruplex structure is critical for berberine's transcriptional repression.
- Berberine represents a promising therapeutic strategy for MTC by targeting RET transcription.
- G-quadruplex stabilization offers a novel approach for cancer therapy.
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