Metformin and epothilone A treatment up regulate pro-apoptotic PARP-1, Casp-3 and H2AX genes and decrease of AKT
Aneta Rogalska1, Barbara Bukowska1, Agnieszka Marczak1
1Department of Medical Biophysics, Institute of Biophysics, Faculty of Biology and Environmental Protection, University of Lodz, Lodz, Poland.
Abstract:
High mortality rates in ovarian and liver cancer are largely a result of resistance to currently used chemotherapy. Here, we investigated genotoxic and pro-oxidant effects of metformin (MET) and epothilone A (A) in combination with respect to apoptosis in HepG2 and SKOV-3 cancer cells. Reactive oxygen species (ROS) was studied using 2',7'-dichlorodihydrofluoresein diacetate, and samples were analyzed for the presence and absence of the N-acetylcysteine (NAC). Expression of genes involved in programmed cell death, oxidative and alkylating DNA damage was measured. Probes were analyzed in the presence of Akt or nuclear factor-κB inhibitor. Compared to either drug alone, combination of epothilone A and metformin was more potent; decreased Akt level; and elevated percentage of apoptotic cells, induced cell cycle arrest at G1 phase and elevated the sub-G1 cell population by increasing the mRNA level of caspase-3, poly (ADP-ribose) polymerase-1 and H2AX. The anticancer effect of the drug combination was partially reversed by NAC supplementation, suggesting that ROS generation is required to induce apoptosis. The present study demonstrates that novel combination such as epothilone A and MET show promise in expanding ovarian and liver cancer therapy.
Insights
Combining epothilone A and metformin shows promise for ovarian and liver cancer therapy. This drug combination effectively induces cancer cell death by generating reactive oxygen species (ROS), offering a potential new treatment strategy.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- High mortality in ovarian and liver cancers is often due to chemotherapy resistance.
- Novel therapeutic strategies are needed to overcome treatment resistance in these cancers.
Purpose of the Study:
- To investigate the combined genotoxic and pro-oxidant effects of metformin (MET) and epothilone A (A) on cancer cells.
- To evaluate the potential of this drug combination in inducing apoptosis and overcoming chemoresistance.
Main Methods:
- HepG2 (liver) and SKOV-3 (ovarian) cancer cells were treated with MET and epothilone A, alone and in combination.
- Reactive oxygen species (ROS) generation was measured using a fluorescent probe.
- Apoptosis, cell cycle arrest, and gene expression (caspase-3, PARP-1, H2AX) were analyzed.
Main Results:
- The combination of epothilone A and MET significantly enhanced apoptosis and induced cell cycle arrest compared to monotherapy.
- The drug combination increased mRNA levels of key apoptosis markers: caspase-3, poly (ADP-ribose) polymerase-1, and H2AX.
- Anticancer effects were partially reversed by N-acetylcysteine (NAC), indicating a crucial role for ROS generation.
Conclusions:
- The combination of epothilone A and metformin demonstrates potent anticancer activity against liver and ovarian cancer cells.
- ROS generation is a key mechanism underlying the synergistic apoptotic effect of this drug combination.
- This novel combination therapy holds promise for improving treatment outcomes in ovarian and liver cancer.
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