Cigarette smoke extract reduces FOXO3a promoting tumor progression and cell migration in lung cancer

Serena Di Vincenzo1, Claudia Sangiorgi1, Maria Ferraro1

  • 1Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy (CNR), Palermo, Italy.

Toxicology
|March 19, 2021
PubMed

Insights

Cigarette smoke harms lung cancer cells by increasing oxidative stress and damaging mitochondria, leading to tumor progression and metastasis. This occurs partly due to reduced levels of the tumor suppressor FOXO3a.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Lung cancer is a leading cause of cancer death globally.
  • Carcinogens in tobacco smoke contribute to lung cancer progression and metastasis.
  • Molecular mechanisms underlying these effects are not fully understood.

Purpose of the Study:

  • To investigate the impact of cigarette smoke on lung cancer cell metabolism and mitochondrial function.
  • To examine the role of the transcription factor FOXO3a in cigarette smoke-induced tumor progression and cell migration.
  • To analyze key molecular pathways, including epithelial-to-mesenchymal transition (EMT), affected by cigarette smoke.

Main Methods:

  • Exposure of lung cancer cell lines (A549, COLO 699 N, SK-MES-1) to cigarette smoke extract (CSE) and TGF-β1.
  • Assessment of reactive oxygen species (ROS), mitochondrial superoxide, ATP, lactate, FOXO3a, p21, survivin, EMT markers (E-cadherin, SNAIL1), MMP-9, and cell migration.
  • Utilized techniques: flow cytometry, fluorimetry, western blot, Real-Time PCR, and scratch test.

Main Results:

  • CSE exposure increased ROS, mitochondrial superoxide, and lactate release, while decreasing intracellular ATP.
  • CSE reduced FOXO3a levels and increased survivin and p21 in the cytoplasm.
  • CSE induced EMT markers (decreased E-cadherin, increased SNAIL1, MMP-9) and promoted cell migration, similar to TGF-β1 effects.

Conclusions:

  • Cigarette smoke induces oxidative stress and mitochondrial damage, leading to metabolic reprogramming and increased glycolysis.
  • Downregulation of the tumor suppressor FOXO3a by cigarette smoke contributes to EMT and enhanced cell migration.
  • These molecular events promoted by cigarette smoke drive lung cancer progression and metastasis.