Fingolimod interrupts the cross talk between estrogen metabolism and sphingolipid metabolism within prostate cancer

Rasha M Allam1, Ahmed M Al-Abd2, Alaa Khedr3

  • 1Department of Pharmacology, National Research Centre, Giza, Egypt.

Toxicology Letters
|April 15, 2018
PubMed

Insights

Fingolimod (FTY720) inhibits prostate cancer growth by altering estrogen metabolism and sphingolipid pathways. This drug reduces harmful estrogen metabolites while increasing protective ones, disrupting cancer cell proliferation.

Area of Science:

  • Oncology
  • Biochemistry
  • Endocrinology

Background:

  • Sphingolipids regulate tumor microenvironments and are crucial in estrogen-dependent cancers like prostate cancer.
  • Estrogen and its metabolites are implicated in prostate cancer development and progression.
  • Fingolimod (FTY720), a sphingokinase-1 inhibitor, exhibits anticancer properties.

Purpose of the Study:

  • To investigate how FTY720 affects the interplay between sphingolipid and estrogen metabolism in prostate cancer cells.
  • To determine the impact of FTY720 on estrogen metabolite levels and related enzyme expression.
  • To explore FTY720's influence on estrogen receptor signaling and downstream targets.

Main Methods:

  • Assessing FTY720's cytotoxic and antiproliferative effects on prostate cancer cells.
  • Quantifying estrogen metabolite concentrations after FTY720 exposure.
  • Measuring the expression levels of key enzymes involved in estrogen synthesis, metabolism, and detoxification (CYP19, CYP1A1, CYP1B1, COMT).
  • Analyzing the expression of estrogen receptors (ERα, ERβ) and downstream genes (CXCR4, cyclin D1).

Main Results:

  • FTY720 demonstrated significant cytotoxic and antiproliferative effects (IC50: 3.0–6.8 μM) against prostate cancer cells.
  • FTY720 decreased levels of estradiol, estrone, 4-hydroxyestradiol, and 16α-hydroxyestrone while increasing 2-methoxyestrone and 2-methoxyestradiol.
  • FTY720 downregulated estrogen-synthesizing enzymes (CYP19, CYP1A1, CYP1B1) and upregulated catechol estrogen-detoxifying enzyme (COMT).
  • FTY720 abolished estrogen-stimulated ERα and basal ERβ expression, suppressed CXCR4 and cyclin D1 expression.
  • Estradiol and catechol estrogens induced SphK1 expression, while methoxylated metabolites suppressed it.

Conclusions:

  • FTY720 effectively modulates the estrogenic microenvironment within prostate cancer cells.
  • The drug interrupts the cross-talk between sphingolipid metabolism and estrogen metabolism, offering a potential therapeutic strategy.
  • FTY720's ability to alter estrogen metabolite profiles and receptor signaling highlights its potential in combating prostate cancer.

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