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Pioglitazone inhibits cancer cell growth through STAT3 inhibition and enhanced AIF expression via a PPARγ-independent
Masanobu Tsubaki1, Tomoya Takeda1, Yoshika Tomonari1
1Division of Pharmacotherapy, Faculty of Pharmacy, Kindai University, Kowakae, Higashi-Osaka, Japan.
Abstract:
Pioglitazone is an anti-diabetic agent that belongs to the thiazolidinedione class, which target peroxisome proliferator-activated receptor γ (PPARγ), a transcription factor in the nuclear receptor family. Different cancer cells expressing high levels of PPARγ and PPARγ ligands induce cell cycle arrest, cell differentiation, and apoptosis. However, the mechanisms underlying these processes remain unknown. Here, we investigated the mechanism underlying pioglitazone-induced apoptosis in human cancer cells. We showed that at similar concentrations, pioglitazone induced death in cancer cells expressing high or low levels of PPARγ. Combined treatment of pioglitazone and GW9662, a PPARγ antagonist, did not rescue this cell death phenotype. Z-VAD-fmk, a pan-caspase inhibitor, did not reverse pioglitazone-induced apoptosis in cancer cells expressing PPARγ at high or low levels. Pioglitazone suppressed the activation of signal transducers and activator of transcription 3 (STAT3) and Survivin expression, and enhanced the apoptosis-inducing factor (AIF) levels in these cells. Furthermore, pioglitazone enhanced the cytotoxic effect of cisplatin and oxaliplatin by suppressing Survivin and increasing AIF expression. These results indicated that pioglitazone induced apoptosis via a PPARγ-independent pathway, thus describing pioglitazone as a potential therapeutic agent for controlling the progression of different cancers.
Insights
Pioglitazone induces cancer cell death independently of its known target, peroxisome proliferator-activated receptor gamma (PPARγ). This anti-diabetic drug shows potential as a cancer therapeutic by suppressing STAT3 and Survivin while increasing apoptosis-inducing factor (AIF).
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Pioglitazone, an anti-diabetic drug, targets peroxisome proliferator-activated receptor gamma (PPARγ).
- PPARγ activation is known to induce cell cycle arrest, differentiation, and apoptosis in cancer cells.
- The precise mechanisms of pioglitazone's effects on cancer cells remain unclear.
Purpose of the Study:
- To investigate the mechanism of pioglitazone-induced apoptosis in human cancer cells.
- To determine if pioglitazone's effects are mediated through PPARγ.
- To explore pioglitazone's potential as a cancer therapeutic agent.
Main Methods:
- Treatment of human cancer cells with pioglitazone.
- Co-treatment with a PPARγ antagonist (GW9662) and a pan-caspase inhibitor (Z-VAD-fmk).
- Analysis of apoptosis markers, signal transducer and activator of transcription 3 (STAT3) activation, Survivin expression, and apoptosis-inducing factor (AIF) levels.
- Assessment of pioglitazone's combined effects with cisplatin and oxaliplatin.
Main Results:
- Pioglitazone induced cancer cell death irrespective of PPARγ expression levels.
- Neither PPARγ antagonism nor caspase inhibition reversed pioglitazone-induced apoptosis.
- Pioglitazone suppressed STAT3 activation and Survivin expression while increasing AIF levels.
- Pioglitazone enhanced the cytotoxicity of cisplatin and oxaliplatin.
Conclusions:
- Pioglitazone induces apoptosis in cancer cells via a PPARγ-independent pathway.
- The drug modulates key proteins involved in cell survival and death.
- Pioglitazone demonstrates potential as an anti-cancer agent, possibly in combination therapies.
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