Pyrimethamine Elicits Antitumor Effects on Prostate Cancer by Inhibiting the p38-NF-κB Pathway

Xumin Zhou1,2, Jinming Zhang3, Xiaoping Hu4

  • 1Department of Pathogen Biology and Experimental Teaching Center of Preventive Medicine, Guangdong Provincial Key Laboratory of Tropical Disease, School of Public Health, Southern Medical University, Guangzhou, China.

Insights

The antimalarial drug pyrimethamine effectively inhibits prostate cancer growth by halting cell proliferation and promoting apoptosis. This study reveals pyrimethamine as a novel therapeutic strategy for castration-resistant prostate cancer (CRPC).

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Castration-resistant prostate cancer (CRPC) is an aggressive malignancy with limited treatment options.
  • Androgen deprivation therapy (ADT) is a standard treatment, but resistance inevitably develops.
  • Pyrimethamine, an antimalarial drug, shows potential antitumor activity, but its effect on prostate cancer is not well understood.

Purpose of the Study:

  • To investigate the efficacy and mechanism of pyrimethamine in treating prostate cancer.
  • To determine pyrimethamine's effects on prostate cancer cell proliferation, cell cycle, and apoptosis.
  • To explore pyrimethamine's impact on the p38-NF-κB signaling pathway in prostate cancer.

Main Methods:

  • In vitro studies using DU145 and PC3 metastatic prostate cancer cell lines.
  • In vivo studies using xenograft models to assess tumor growth suppression.
  • Analysis of cell proliferation, cell cycle progression, apoptosis, and p38-NF-κB pathway activity.

Main Results:

  • Pyrimethamine significantly inhibited prostate cancer cell proliferation and induced S-phase cell cycle arrest.
  • The drug promoted apoptosis in prostate cancer cells in vitro and suppressed tumor growth in vivo.
  • Pyrimethamine was found to inhibit the p38-NF-κB axis, both in vitro and in vivo.

Conclusions:

  • Pyrimethamine demonstrates significant antiproliferative and proapoptotic effects on prostate cancer cells.
  • The drug acts by modulating cell cycle and intrinsic apoptotic signaling pathways.
  • Pyrimethamine represents a novel therapeutic strategy for castration-resistant prostate cancer (CRPC) by targeting the p38-NF-κB axis.

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