Topotecan induces apoptosis via ASCT2 mediated oxidative stress in gastric cancer

Lai Wang1, Yang Liu2, Ting-Li Zhao1

  • 1Jiangsu Key Laboratory of Drug Screening, China Pharmaceutical University, 24 Tong Jia Xiang, Nanjing, China.

Abstract

Insights

Topotecan (TPT) reduces gastric cancer growth by inhibiting glutamine uptake via ASCT2, increasing oxidative stress, and inducing apoptosis. ASCT2 is a potential anti-cancer target for TPT therapy.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Molecular Biology

Background:

  • Topotecan (TPT), a Topoisomerase I inhibitor, demonstrates anti-cancer effects in gastric cancer.
  • Cancer cells exhibit metabolic reprogramming for increased nutrient uptake, a known hallmark of cancer.
  • The impact of TPT on gastric cancer metabolism remains largely unexplored.

Purpose of the Study:

  • To elucidate the effects of Topotecan (TPT) on metabolic pathways in gastric cancer.
  • To investigate the role of ASCT2 in TPT-mediated gastric cancer cell growth inhibition.

Main Methods:

  • Assessed ATP production, glucose, and glutamine uptake using assay kits.
  • Quantified glutathione (GSH) and reactive oxygen species (ROS) levels.
  • Determined apoptosis rates, mitochondrial membrane potential (MMP), and protein expression via flow cytometry and western blotting.

Main Results:

  • TPT treatment increased ATP production and glucose uptake (via HK2/GLUT1 upregulation) but decreased glutamine uptake (via ASCT2 downregulation).
  • ASCT2 inhibition or knockdown significantly suppressed gastric cancer cell growth, reduced GSH, and increased ROS.
  • ASCT2 knockdown induced apoptosis through the mitochondrial pathway and diminished TPT's anti-cancer efficacy.

Conclusions:

  • TPT inhibits gastric cancer proliferation by downregulating ASCT2, leading to oxidative stress and apoptosis via the mitochondrial pathway.
  • ASCT2 plays a crucial role in regulating gastric cancer cell proliferation.
  • ASCT2 represents a promising therapeutic target for Topotecan (TPT) in gastric cancer treatment.

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