Suppression of mTOR pathway and induction of autophagy-dependent cell death by cabergoline
Shao Jian Lin1, Zhi Gen Leng2, Yu Hang Guo2
1Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Abstract:
Cabergoline (CAB), the first-line drug for treatment of prolactinomas, is effective in suppressing prolactin hypersecretion, reducing tumor size, and restoring gonadal function. However, mechanisms for CAB-mediated tumor shrinkage are largely unknown. Here we report a novel cytotoxic mechanism for CAB. CAB induced formation of autophagosome in rat pituitary tumor MMQ and GH3 cells at the early stage through inhibiting mTOR pathway, resulting in higher conversion rates of LC3-I to LC3-II, GFP-LC3 aggregation, and increased autophagosome formation. Interestingly, CAB treatment augmented lysosome acidification and resulted in impaired proteolytic degradation within autolysosomes. This blocked the autophagic flux, leading to the accumulation of p62 aggregation and undigested autolysosomes. Knockdown of ATG7, ATG5, or Becn1, could significantly rescue the CAB-mediated cell death of MMQ cells (p < 0.05). CAB-induced autophagy and blockade of autophagy flux participated in antitumoral action in vivo. In conclusion, our study provides evidence that CAB concomitantly induces autophagy and inhibits the autophagic flux, leading to autophagy-dependent cell death. These findings elucidate novel mechanisms for CAB action.
Insights
Cabergoline (CAB) induces autophagy and blocks its flux, leading to cell death in prolactinomas. This novel mechanism explains CAB
Area of Science:
- Molecular Biology
- Cell Biology
- Endocrinology
Background:
- Cabergoline (CAB) is a first-line treatment for prolactinomas, effectively reducing prolactin levels and tumor size.
- The precise mechanisms underlying CAB's tumor-shrinking effects remain largely unelucidated.
Purpose of the Study:
- To investigate the novel cytotoxic mechanisms of Cabergoline (CAB) in prolactinoma cells.
- To explore the role of autophagy and autophagic flux in CAB-mediated anti-tumor activity.
Main Methods:
- Induction of autophagy by CAB in rat pituitary tumor cell lines (MMQ and GH3) via mTOR pathway inhibition.
- Assessment of autophagosome formation, LC3 conversion, and p62 aggregation.
- Evaluation of CAB's effect on lysosomal acidification and proteolytic degradation.
- Analysis of CAB-induced cell death following knockdown of autophagy-related genes (ATG7, ATG5, Becn1).
- In vivo studies to confirm the role of autophagy and autophagic flux blockade in anti-tumoral action.
Main Results:
- CAB treatment initiated autophagosome formation by inhibiting the mTOR pathway, evidenced by increased LC3-II conversion and GFP-LC3 puncta.
- CAB augmented lysosome acidification, impairing proteolytic degradation and blocking autophagic flux, leading to p62 accumulation.
- Genetic inhibition of key autophagy genes (ATG7, ATG5, Becn1) significantly rescued CAB-induced cell death.
- CAB-induced autophagy and autophagic flux blockade were confirmed to contribute to anti-tumoral effects in vivo.
Conclusions:
- Cabergoline (CAB) exerts its anti-proliferative effects by simultaneously inducing autophagy and inhibiting autophagic flux.
- This dual action leads to autophagy-dependent cell death in prolactinoma cells.
- The findings reveal a novel cytotoxic mechanism for CAB, offering potential therapeutic insights.
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