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Published on: July 3, 2025
Intracellular cGMP increase is not involved in thyroid cancer cell death
Sara D' Alessandro1,2, Elia Paradiso1, Clara Lazzaretti1
1Unit of Endocrinology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Introduction:
Type 5 phosphodiesterase (PDE5) inhibitors (PDE5i) lead to intracellular cyclic-guanosine monophosphate (cGMP) increase and are used for clinical treatment of erectile dysfunction. Studies found that cGMP may up/downregulate the growth of certain endocrine tumor cells, suggesting that PDE5i could impact cancer risk.
Aim:
We evaluated if PDE5i may modulate thyroid cancer cell growth in vitro.
Materials And Methods:
We used malignant (K1) and benign (Nthy-ori 3-1) thyroid cell lines, as well as the COS7 cells as a reference model. Cells were treated 0-24 h with the PDE5i vardenafil or the cGMP analog 8-br-cGMP (nM-μM range). cGMP levels and caspase 3 cleavage were evaluated by BRET, in cGMP or caspase 3 biosensor-expressing cells. Phosphorylation of the proliferation-associated extracellularly-regulated kinases 1 and 2 (ERK1/2) was evaluated by Western blotting, while nuclear fragmentation by DAPI staining. Cell viability was investigated using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay.
Results:
Both vardenafil and 8-br-cGMP effectively induced dose-dependent cGMP BRET signals (p≤0.05) in all the cell lines. However, no differences in caspase 3 activation occurred comparing PDE5i-treated vs untreated cells, at all concentrations and time-points tested (p>0.05). These results match those obtained upon cell treatment with 8-br-cGMP, which failed in inducing caspase 3 cleavage in all the cell lines (p>0.05). Moreover, they reflect the lack of nuclear fragmentation. Interestingly, the modulation of intracellular cGMP levels with vardenafil or the analog did not impact cell viability of both malignant and benign thyroid tumor cell lines, nor the phosphorylation of ERK1/2 (p>0.05).
Conclusions:
This study demonstrates that increased cGMP levels are not linked to cell viability or death in K1 and Nthy-ori 3-1 cell lines, suggesting that PDE5i do not impact the growth of thyroid cancer cells. Since different results were previously published, further investigations are recommended to clarify the impact of PDE5i on thyroid cancer cells.
Insights
Type 5 phosphodiesterase inhibitors (PDE5i) did not affect thyroid cancer cell growth or viability in vitro. Increased cyclic-guanosine monophosphate (cGMP) levels from PDE5i treatment did not lead to cell death, suggesting no impact on thyroid cancer risk.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Type 5 phosphodiesterase inhibitors (PDE5i) increase intracellular cyclic-guanosine monophosphate (cGMP).
- cGMP's role in endocrine tumor cell growth suggests PDE5i may influence cancer risk.
- The impact of PDE5i on thyroid cancer remains unclear.
Purpose of the Study:
- To investigate the effect of PDE5 inhibitors on thyroid cancer cell growth in vitro.
- To determine if PDE5 inhibitors modulate cell viability and proliferation markers in thyroid cancer cells.
Main Methods:
- Utilized malignant (K1) and benign (Nthy-ori 3-1) thyroid cell lines.
- Treated cells with vardenafil (a PDE5 inhibitor) or 8-br-cGMP (a cGMP analog).
- Assessed cGMP levels, caspase 3 activation, ERK1/2 phosphorylation, nuclear fragmentation, and cell viability.
Main Results:
- Vardenafil and 8-br-cGMP increased intracellular cGMP levels in a dose-dependent manner.
- No significant differences in caspase 3 activation, nuclear fragmentation, or ERK1/2 phosphorylation were observed.
- PDE5i treatment did not impact the viability of malignant or benign thyroid cell lines.
Conclusions:
- Elevated cGMP levels do not influence cell viability or death in thyroid cancer cell lines.
- PDE5 inhibitors do not appear to affect the growth of thyroid cancer cells in vitro.
- Further research is recommended to fully elucidate the impact of PDE5i on thyroid cancer.
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