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.

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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