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.

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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