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Published on: May 15, 2019
The STAT3 inhibitor pimozide impedes cell proliferation and induces ROS generation in human osteosarcoma by
Nan Cai1,2, Wei Zhou3, Lan-Lan Ye1
1School of Medicine, Shenzhen UniversityShenzhen 518060, People's Republic of China.
Abstract:
Currently, there is a considerable need to develop new treatments for osteosarcoma (OS), a very aggressive bone cancer. The activation of STAT3 signaling is positively associated with poor prognosis and aggressive progression in OS patients. Our previous study reported that the FDA-approved antipsychotic drug pimozide had anti-tumor activity against hepatocellular carcinoma and prostate cancer cells by suppressing STAT3 activity. Therefore, the aim of this study was to investigate the specific effect of pimozide on OS cells and the underlying molecular mechanism. Pimozide inhibited cell proliferation, colony formation, and sphere formation capacities of the OS cells in a dose-dependent manner, inducing G0/G1 phase cell cycle arrest. Pimozide reduced the percentage of side population cells representing cancer stem-like cells and enhanced the sensitivity of OS cells to 5-FU induced proliferative inhibition. In addition, pimozide induced apoptosis of U2OS cells, which showed increased expression of cleaved-PARP, a marker of programmed cell death. Moreover, pimozide suppressed Erk signaling in OS cells. Importantly, pimozide induced ROS generation by downregulating the expression of the antioxidant enzyme catalase (CAT). NAC treatment partially reversed the ROS generation and cytotoxic effects induced by pimozide. CAT treatment attenuated the pimozide-induced proliferation inhibition. The decrease of CAT expression induced by pimozide was potentially mediated through the suppression of cellular STAT3 activity in OS cells. Thus, pimozide may be a novel STAT3 inhibitor that suppresses cellular STAT3 activity to inhibit OS cells or stem-like cells and is a novel potential anti-cancer agent in OS treatment.
Insights
The antipsychotic drug pimozide effectively inhibits osteosarcoma (OS) cell growth and stem-like cells by suppressing STAT3 signaling and inducing oxidative stress. This suggests pimozide as a potential new treatment for this aggressive bone cancer.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Osteosarcoma (OS) is an aggressive bone cancer with limited treatment options.
- STAT3 signaling activation correlates with poor prognosis in OS patients.
- Pimozide, an FDA-approved drug, has shown anti-tumor effects by inhibiting STAT3 in other cancers.
Purpose of the Study:
- To investigate the anti-cancer effects of pimozide on osteosarcoma cells.
- To elucidate the molecular mechanisms underlying pimozide's action in OS.
- To evaluate pimozide as a potential therapeutic agent for osteosarcoma.
Main Methods:
- Assessed pimozide's effects on OS cell proliferation, colony formation, and sphere formation.
- Analyzed cell cycle distribution and apoptosis markers (cleaved-PARP).
- Investigated pimozide's impact on cancer stem-like cells, Erk signaling, STAT3 activity, and reactive oxygen species (ROS) generation, including the role of catalase (CAT).
Main Results:
- Pimozide inhibited OS cell proliferation, colony formation, and sphere formation in a dose-dependent manner, inducing G0/G1 cell cycle arrest.
- Pimozide reduced cancer stem-like cells, enhanced sensitivity to 5-FU, and induced apoptosis.
- Pimozide suppressed Erk signaling, downregulated catalase (CAT) expression, increased ROS generation, and inhibited STAT3 activity, with NAC and CAT treatments partially reversing these effects.
Conclusions:
- Pimozide exhibits significant anti-osteosarcoma activity by inhibiting cell proliferation, stemness, and inducing apoptosis.
- Pimozide's mechanism involves STAT3 and Erk signaling suppression, leading to decreased catalase expression, increased ROS generation, and oxidative stress.
- Pimozide demonstrates potential as a novel therapeutic agent for osteosarcoma treatment, targeting STAT3 signaling.
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