AICAR induces AMPK-independent programmed necrosis in prostate cancer cells

Feng Guo1, Shuang-Qing Liu1, Xing-Hua Gao1

  • 1Department of Urology, Jinan Central Hospital Affiliated to Shandong University, Jinan, Shandong Province 250013, China.

Insights

AICAR induces programmed necrosis, not apoptosis, in prostate cancer cells. This cell death mechanism is independent of AMPK but relies on cyclophilin-D and reactive oxygen species, offering new therapeutic insights.

Area of Science:

  • Oncology
  • Cell Biology
  • Biochemistry

Background:

  • AICAR (5-Aminoimidazole-4-carboxamide riboside) is an AMPK agonist with known cytotoxic effects on cancer cells.
  • Its specific mechanisms in prostate cancer remain underexplored.
  • Prostate cancer remains a significant global health concern requiring novel therapeutic strategies.

Purpose of the Study:

  • To investigate the cytotoxic effects of AICAR on prostate cancer cells.
  • To elucidate the underlying signaling pathways involved in AICAR-induced cell death.
  • To determine if AICAR's effects are mediated by apoptosis or necrosis.

Main Methods:

  • Prostate cancer cell lines (LNCaP, PC-3, PC-82) were treated with AICAR.
  • Apoptosis and necrosis were assessed using specific assays.
  • The role of AMPK, cyclophilin-D (CYPD), and reactive oxygen species (ROS) was investigated using inhibitors and shRNAs.
  • Necrostatin-1, cyclosporin A, sanglifehrin A, N-acetylcysteine, and MnTBAP were utilized.

Main Results:

  • AICAR predominantly induced programmed necrosis, not apoptosis, in prostate cancer cells.
  • Necrostatin-1 significantly attenuated AICAR's cytotoxicity.
  • Inhibition of mitochondrial protein CYPD, via inhibitors or shRNAs, markedly reduced AICAR-induced necrosis.
  • AICAR-induced necrosis was independent of AMPK activation but required ROS production, as evidenced by ROS scavengers inhibiting the effect.

Conclusions:

  • AICAR exhibits cytotoxicity in prostate cancer cells primarily through AMPK-independent programmed necrosis.
  • Mitochondrial CYPD and ROS production are critical mediators of AICAR-induced necrosis.
  • These findings provide mechanistic insights into AICAR's action and suggest potential therapeutic avenues for prostate cancer.

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