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In vitro antiglioma action of indomethacin is mediated via AMP-activated protein kinase/mTOR complex 1 signalling
Aleksandar Pantovic1, Mihajlo Bosnjak2, Katarina Arsikin3
1Neurology Clinic, Military Medical Academy, Belgrade, Serbia.
Abstract:
We investigated the role of the intracellular energy-sensing AMP-activated protein kinase (AMPK)/mammalian target of rapamycin (mTOR) pathway in the in vitro antiglioma effect of the cyclooxygenase (COX) inhibitor indomethacin. Indomethacin was more potent than COX inhibitors diclofenac, naproxen, and ketoprofen in reducing the viability of U251 human glioma cells. Antiglioma effect of the drug was associated with p21 increase and G2M cell cycle arrest, as well as with oxidative stress, mitochondrial depolarization, caspase activation, and the induction of apoptosis. Indomethacin increased the phosphorylation of AMPK and its targets Raptor and acetyl-CoA carboxylase (ACC), and reduced the phosphorylation of mTOR and mTOR complex 1 (mTORC1) substrates p70S6 kinase and PRAS40 (Ser183). AMPK knockdown by RNA interference, as well as the treatment with the mTORC1 activator leucine, prevented indomethacin-mediated mTORC1 inhibition and cytotoxic action, while AMPK activators metformin and AICAR mimicked the effects of the drug. AMPK activation by indomethacin correlated with intracellular ATP depletion and increase in AMP/ATP ratio, and was apparently independent of COX inhibition or the increase in intracellular calcium. Finally, the toxicity of indomethacin towards primary human glioma cells was associated with the activation of AMPK/Raptor/ACC and subsequent suppression of mTORC1/S6K. By demonstrating the involvement of AMPK/mTORC1 pathway in the antiglioma action of indomethacin, our results support its further exploration in glioma therapy.
Insights
The cyclooxygenase inhibitor indomethacin shows potent antiglioma effects by activating AMP-activated protein kinase (AMPK) and inhibiting mTORC1. This pathway activation leads to glioma cell death, supporting indomethacin
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- The AMP-activated protein kinase (AMPK) and mammalian target of rapamycin (mTOR) pathway regulates cellular energy homeostasis.
- Dysregulation of the AMPK/mTOR pathway is implicated in various cancers, including glioma.
- Cyclooxygenase (COX) inhibitors are being explored for their potential anticancer properties.
Purpose of the Study:
- To investigate the role of the AMPK/mTOR pathway in the antiglioma effects of the COX inhibitor indomethacin.
- To compare the efficacy of indomethacin with other COX inhibitors against glioma cells.
- To elucidate the molecular mechanisms underlying indomethacin-induced glioma cell death.
Main Methods:
- In vitro studies using U251 human glioma cells and primary human glioma cells.
- Treatment with indomethacin and other COX inhibitors (diclofenac, naproxen, ketoprofen).
- Assessment of cell viability, cell cycle progression, apoptosis, oxidative stress, and mitochondrial function.
- Analysis of AMPK and mTOR pathway activation through Western blotting and RNA interference.
- Measurement of intracellular ATP and AMP/ATP ratios.
Main Results:
- Indomethacin demonstrated superior potency in reducing glioma cell viability compared to other tested COX inhibitors.
- Indomethacin induced G2M cell cycle arrest, oxidative stress, mitochondrial depolarization, caspase activation, and apoptosis.
- Indomethacin activated AMPK signaling (increased phosphorylation of AMPK, Raptor, ACC) and inhibited mTORC1 signaling (decreased phosphorylation of mTOR, p70S6K, PRAS40).
- AMPK activation by indomethacin was linked to intracellular ATP depletion and increased AMP/ATP ratio.
- AMPK knockdown or mTORC1 activation abrogated indomethacin's cytotoxic effects, while AMPK activators mimicked them.
- Similar AMPK/mTORC1 pathway modulation was observed in primary human glioma cells.
Conclusions:
- The study demonstrates that indomethacin exerts its antiglioma effects through the activation of the AMPK pathway and subsequent inhibition of mTORC1.
- The findings highlight the critical role of the AMPK/mTOR pathway in mediating indomethacin's cytotoxicity against glioma cells.
- Indomethacin's potential as a therapeutic agent for glioma warrants further investigation, particularly concerning its impact on the AMPK/mTOR pathway.
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