Exploring the Role of Sodium-Glucose Cotransporter as a New Target for Cancer Therapy

Sanaa Bardaweel1, Ahmad Issa1

  • 1Department of Pharmaceutical Sciences, School of Pharmacy, University of Jordan, Amman, Jordan.

Abstract

Insights

Sodium-glucose cotransporter 2 (SGLT2) inhibitors demonstrate significant antiproliferative and anti-tumorigenesis effects in various cancer cell lines. These SGLT2 inhibitors also show potential in combination therapies and gene expression modulation for cancer treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Cancer remains a leading cause of mortality worldwide, necessitating novel therapeutic strategies.
  • Sodium-glucose cotransporter 2 (SGLT2) inhibitors, primarily used for diabetes management, are being investigated for their potential anticancer properties.

Purpose of the Study:

  • To investigate the effects of SGLT2 inhibitors on cancer cell proliferation, tumorigenesis, migration, colony formation, and apoptosis.
  • To assess the gene expression patterns influenced by SGLT2 inhibitors.
  • To evaluate the efficacy of SGLT2 inhibitors in combination with chemotherapeutic drugs.

Main Methods:

  • MTT assay for antiproliferative and combined effects.
  • Wound-healing and colony formation assays for cell migration and tumorigenesis.
  • Annexin V-FITC/propidium iodide staining for apoptosis assessment.
  • Real-time PCR for SGLT2 gene expression analysis.

Main Results:

  • Canagliflozin, dapagliflozin, and ipragliflozin significantly inhibited cancer cell growth in a dose- and time-dependent manner.
  • Synergistic effects were observed when SGLT2 inhibitors were combined with doxorubicin and raloxifene in specific cell lines, while cisplatin showed antagonistic effects.
  • SGLT2 inhibitors reduced cell migration and colony formation, induced apoptosis, and downregulated SGLT2, VEGF, and Bcl-2 gene expression in cancer cells.

Conclusions:

  • SGLT2 inhibitors exhibit significant antiproliferative, anti-tumorigenesis, and anti-migration properties.
  • These inhibitors can induce apoptosis and modulate the expression of key genes involved in cancer progression.
  • SGLT2 inhibitors hold promise as a potential therapeutic agent or adjunct therapy in oncology.

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