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Published on: February 20, 2015
Montelukast Induces Apoptosis-Inducing Factor-Mediated Cell Death of Lung Cancer Cells
Ming-Ju Tsai1,2,3,4, Wei-An Chang5,6, Pei-Hsun Tsai7,8,9
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan. SiegfriedTsai@gmail.com.
Abstract:
Developing novel chemo-prevention techniques and advancing treatment are key elements to beating lung cancer, the most common cause of cancer mortality worldwide. Our previous cohort study showed that cysteinyl leukotriene receptor antagonists, mainly montelukast, decreased the lung cancer risk in asthma patients. In the current study, we conducted in vivo and in vitro experiments to demonstrate the inhibiting effect of montelukast on lung cancer and to investigate the underlying mechanisms. Using Lewis lung carcinoma-bearing mice, we showed that feeding montelukast significantly delayed the tumor growth in mice (p < 0.0001). Montelukast inhibited cell proliferation and colony formation and induced the cell death of lung cancer cells. Further investigation showed the down-regulation of B-cell lymphoma 2 (Bcl-2), up-regulation of Bcl-2 homologous antagonist/killer (Bak), and nuclear translocation of apoptosis-inducing factor (AIF) in montelukast-treated lung cancer cells. Montelukast also markedly decreased the phosphorylation of several proteins, such as with no lysine 1 (WNK1), protein kinase B (Akt), extracellular signal-regulated kinase 1/2 (Erk1/2), MAPK/Erk kinase (MEK), and proline-rich Akt substrate of 40-kDa (PRAS40), which might contribute to cell death. In conclusion, montelukast induced lung cancer cell death via the nuclear translocation of AIF. This study confirmed the chemo-preventive effect of montelukast shown in our previous cohort study. The utility of montelukast in cancer prevention and treatment thus deserves further studies.
Insights
Montelukast, a cysteinyl leukotriene receptor antagonist, inhibits lung cancer growth and induces cell death by promoting apoptosis-inducing factor (AIF) nuclear translocation. This confirms its potential as a lung cancer chemo-preventive agent.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Lung cancer remains the leading cause of cancer mortality globally.
- Cysteinyl leukotriene receptor antagonists, like montelukast, previously showed potential in reducing lung cancer risk in asthma patients.
Purpose of the Study:
- To demonstrate the inhibitory effect of montelukast on lung cancer growth and cell death.
- To elucidate the underlying molecular mechanisms of montelukast's anti-cancer action.
Main Methods:
- In vivo studies using Lewis lung carcinoma-bearing mice.
- In vitro experiments on lung cancer cell lines.
- Analysis of apoptosis-related protein expression and signaling pathway modulation.
Main Results:
- Montelukast significantly delayed tumor growth in mice (p < 0.0001).
- Montelukast inhibited lung cancer cell proliferation and colony formation, inducing cell death.
- Mechanisms involved down-regulation of Bcl-2, up-regulation of Bak, and nuclear translocation of AIF, alongside decreased phosphorylation of key signaling proteins (WNK1, Akt, Erk1/2, MEK, PRAS40).
Conclusions:
- Montelukast induces lung cancer cell death primarily through the nuclear translocation of AIF.
- The findings support montelukast's chemo-preventive and potential therapeutic role in lung cancer, warranting further investigation.
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