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Published on: May 14, 2016
Pazopanib restricts small cell lung cancer proliferation via reactive oxygen species-mediated endoplasmic reticulum
Yue Li1, Chen Chen1, Hai-Lin Liu1
1Department of Lung Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin Lung Cancer Center, Tianjin, China.
Background:
Pazopanib is an approved multitarget anticancer agent for soft tissue sarcoma (STS) and renal cell carcinoma (RCC), which is also under clinical investigation for other malignancies, including small cell lung cancer (SCLC). However, the potential anti-SCLC mechanisms of pazopanib remain unclear.
Methods:
Cell viability was evaluated by CCK-8, apoptotic cell detection was conducted using annexin V/PI staining followed by flow cytometry, and Western blot analysis was used to detect the apoptotic-related molecules and ER-stress pathway effectors. The intracellular reactive oxygen species (ROS) level was determined by DCFH-HA staining followed by flow cytometry. An NCI-H446 xenograft model was established to evaluate pazopanib on tumor suppression in vivo. Immunohistochemistry (IHC) was used to assess the proliferative activity of xenograft in NCI-H446 cell-bearing NOD-SCID mice.
Results:
Pazopanib dose- and time-dependently inhibited SCLC cell proliferation induced significant apoptosis in SCLC cell lines, increased cleaved-caspase3 and Bax, and decreased Bcl-2. Moreover, the PERK-related ER-stress pathway was potently activated by pazopanib treatment, inhibiting ER-stress by salubrinal significantly reversing pazopanib-mediated apoptosis in SCLC cell lines. Furthermore, pazopanib-induced intracellular ROS levels increased, while inhibiting ROS by NAC significantly reversed pazopanib-induced apoptosis in SCLC cells. In addition, pazopanib significantly suppressed NCI-H446 xenograft growth and decreased Ki67 positive cells in the tumor.
Conclusion:
Our findings indicate that pazopanib induces SCLC cell apoptosis through the ER-stress process via upregulation of ROS levels. Further investigation of relevant biomarkers to accurately select patients for benefit from pazopanib should be further investigated.
Insights
Pazopanib triggers apoptosis in small cell lung cancer (SCLC) cells by activating ER-stress and increasing reactive oxygen species (ROS). This study clarifies pazopanib
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Pazopanib is an approved anticancer agent for soft tissue sarcoma (STS) and renal cell carcinoma (RCC).
- Its efficacy and mechanisms against small cell lung cancer (SCLC) are under investigation.
- The precise anti-SCLC mechanisms of pazopanib remain unclear.
Purpose of the Study:
- To elucidate the molecular mechanisms by which pazopanib exerts its anti-SCLC effects.
- To investigate the role of endoplasmic reticulum (ER) stress and reactive oxygen species (ROS) in pazopanib-induced SCLC apoptosis.
- To evaluate the in vivo efficacy of pazopanib in an SCLC xenograft model.
Main Methods:
- Cell viability assays (CCK-8) and flow cytometry (Annexin V/PI staining) were used to assess apoptosis.
- Western blot analysis detected apoptotic markers and ER-stress pathway proteins.
- ROS levels were measured by flow cytometry, and an NCI-H446 xenograft model was used for in vivo studies.
Main Results:
- Pazopanib inhibited SCLC cell proliferation and induced apoptosis, evidenced by increased cleaved-caspase3/Bax and decreased Bcl-2.
- Pazopanib activated the PERK-related ER-stress pathway and increased intracellular ROS levels.
- Inhibition of ER-stress or ROS reversed pazopanib-induced apoptosis in SCLC cells, and pazopanib suppressed tumor growth in vivo.
Conclusions:
- Pazopanib induces SCLC cell apoptosis via ER-stress activation and ROS upregulation.
- These findings provide mechanistic insights into pazopanib's anti-SCLC activity.
- Further research into predictive biomarkers for pazopanib treatment in SCLC is warranted.
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