Trifluoperazine exerts anti-osteosarcoma effect by inducing mitochondria-dependent apoptosis via AKT/TXNIP signaling

Xiangchen Zeng1, Wenkai Chen1, Naichun Yu2

  • 1School of Medicine, Xiamen University, Xiamen, China.

Insights

Trifluoperazine (TFP), an antipsychotic, shows promise in treating osteosarcoma (OS). It inhibits OS cell growth and migration by increasing reactive oxygen species (ROS) and inducing apoptosis, offering a potential new therapy.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Osteosarcoma (OS) survival rates have not improved in decades, necessitating novel therapeutic strategies.
  • Trifluoperazine (TFP), an existing antipsychotic, demonstrates anticancer properties against various tumors.
  • The specific mechanisms of TFP action in osteosarcoma remain largely unelucidated.

Purpose of the Study:

  • To investigate the molecular pathways and therapeutic potential of trifluoperazine (TFP) in osteosarcoma (OS).
  • To determine TFP's effects on OS cell behavior, cell cycle, and apoptosis.
  • To explore the relationship between TFP, reactive oxygen species (ROS), thioredoxin binding protein (TXNIP), and AKT signaling in OS.

Main Methods:

  • Cell culture experiments assessing OS cell migration, proliferation, and cell cycle arrest.
  • RNA-sequencing (RNA-Seq) to analyze gene expression changes induced by TFP.
  • Investigation of reactive oxygen species (ROS) production and mitochondrial apoptosis pathways.
  • Western blot analysis to examine protein expression and phosphorylation, particularly of AKT and TXNIP.

Main Results:

  • TFP significantly inhibited OS cell migration and proliferation, inducing G0/G1 cell cycle arrest.
  • TFP elevated thioredoxin binding protein (TXNIP) expression, leading to increased reactive oxygen species (ROS) production and mitochondria-dependent apoptosis.
  • AKT dephosphorylation was identified as an upstream event promoting TXNIP expression, revealing a novel regulatory axis.
  • In vivo studies confirmed TFP's efficacy in suppressing OS tumor growth and inducing apoptosis with minimal side effects.

Conclusions:

  • Trifluoperazine (TFP) exerts anticancer effects in osteosarcoma by modulating the TXNIP/ROS/apoptosis pathway and regulating AKT signaling.
  • TFP demonstrates significant potential as a therapeutic agent for osteosarcoma, warranting further clinical investigation.
  • The findings provide a deeper understanding of TFP's anticancer mechanisms and its potential application in OS treatment.

Related Concept Videos

PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
3.4K
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
6.4K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.5K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K