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Novel Adiponectin Receptor Agonist Inhibits Cholangiocarcinoma via Adenosine Monophosphate-activated Protein Kinase
Khac Cuong Bui1,2,3,4, Thi Mai Ly Nguyen1,4,5, Samarpita Barat1
1Department of Internal Medicine I, Universitätsklinikum Tübingen, Tübingen, Germany.
Background:
Cholangiocarcinoma (CCA) has a poor prognosis and only limited palliative treatment options. The deficiency of adiponectin and adenosine monophosphate-activated protein kinase (AMPK) signaling was reported in several malignancies, but the alteration of these proteins in CCA is still unclear.
Objectives:
This study aimed to assess the role of adiponectin and AMPK signaling in CCA. Furthermore, AdipoRon, a novel adiponectin receptor (AdipoR) agonist, was evaluated in vitro and in vivo as a new anti-tumor therapy for CCA.
Methods:
The expression of AdipoR1 and p-AMPKα in human tissue microarrays (TMAs) was evaluated by immunohistochemistry staining (IHC). The effect of 2-(4-Benzoylphenoxy)-N-[1-(phenylmethyl)-4-piperidinyl]-acetamide (AdipoRon) was investigated in vitro with proliferation, crystal violet, migration, invasion, colony formation, senescence, cell cycle and apoptosis assays and in vivo using a CCA engineered mouse model (AlbCre/LSL-KRASG12D/p53L/L). RT-qPCR and western blot methods were applied to study molecular alterations in murine tissues.
Results:
AdipoR1 and p-AMPKα were impaired in human CCA tissues, compared to adjacent non-tumor tissue. There was a positive correlation between the AdipoR1 and p-AMPKα levels in CCA tissues. Treatment with AdipoRon inhibited proliferation, migration, invasion and colony formation and induced apoptosis in a time- and dose-dependent manner in vitro (p<0.05). In addition, AdipoRon reduced the number of CCA and tumor volume, prolonged survival, and decreased metastasis and ascites in the treated group compared to the control group (p<0.05).
Conclusions:
AdipoR1 and p-AMPKα are impaired in CCA tissues, and AdipoRon effectively inhibits CCA in vitro and in vivo. Thus, AdipoRon may be considered as a potential anti-tumor therapy in CCA.
Insights
Adiponectin receptor 1 (AdipoR1) and AMPK signaling are diminished in cholangiocarcinoma (CCA). The AdipoRon drug effectively suppressed CCA growth and metastasis in preclinical studies, indicating its potential as a novel cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cholangiocarcinoma (CCA) presents a poor prognosis with limited treatment options.
- Adiponectin and AMPK signaling pathways are implicated in various cancers, but their role in CCA remains largely uncharacterized.
- Investigating these pathways is crucial for developing new therapeutic strategies for CCA.
Purpose of the Study:
- To determine the expression levels of AdipoR1 and phosphorylated AMPK (p-AMPKα) in human CCA tissues.
- To evaluate the anti-tumor efficacy of AdipoRon, a novel AdipoR agonist, in both in vitro and in vivo CCA models.
- To explore AdipoRon's potential as a therapeutic agent for CCA.
Main Methods:
- Immunohistochemistry (IHC) was used to assess AdipoR1 and p-AMPKα expression in human CCA tissue microarrays (TMAs).
- In vitro assays (proliferation, migration, invasion, colony formation, apoptosis, cell cycle, senescence) were performed to evaluate AdipoRon's effects.
- An engineered mouse model of CCA (AlbCre/LSL-KRASG12D/p53L/L) was utilized for in vivo studies, with molecular analyses using RT-qPCR and western blot.
Main Results:
- AdipoR1 and p-AMPKα expression were significantly reduced in human CCA tissues compared to adjacent non-tumor tissues.
- A positive correlation was observed between AdipoR1 and p-AMPKα levels in CCA.
- AdipoRon demonstrated significant inhibition of CCA cell proliferation, migration, invasion, and colony formation in vitro, while inducing apoptosis.
- In vivo, AdipoRon treatment led to reduced tumor volume, decreased metastasis and ascites, prolonged survival, and suppressed CCA progression in the mouse model.
Conclusions:
- AdipoR1 and p-AMPKα signaling pathways are impaired in CCA.
- AdipoRon exhibits potent anti-tumor activity against CCA both in vitro and in vivo.
- AdipoRon represents a promising therapeutic candidate for the treatment of cholangiocarcinoma.
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