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Ketorolac disturbs proteasome functions and induces mitochondrial abnormality-associated apoptosis
Prashant Kumar1, Sumit Kinger1, Ankur Rakesh Dubey1
1Cellular and Molecular Neurobiology Unit, Indian Institute of Technology Jodhpur, Jodhpur, Rajasthan, India.
Abstract:
Non-steroidal anti-inflammatory drugs (NSAIDs) are recommended to treat moderate-to-severe pain. Previous studies suggest that NSAIDs can suppress cellular proliferation and elevate apoptosis in different cancer cells. Ketorolac is an NSAID and can reduce the cancer cells' viability. However, molecular mechanisms by which Ketorolac can induce apoptosis and be helpful as an anti-tumor agent against carcinogenesis are unclear. Here, we observed treatment with Ketorolac disturbs proteasome functions, which induces aggregation of aberrant ubiquitinated proteins. Ketorolac exposure also induced the aggregation of expanded polyglutamine proteins, results cellular proteostasis disturbance. We found that the treatment of Ketorolac aggravates the accumulation of various cell cycle-linked proteins, which results in pro-apoptotic induction in cells. Ketorolac-mediated proteasome disturbance leads to mitochondrial abnormalities. Finally, we have observed that Ketorolac treatment depolarized mitochondrial membrane potential, released cytochrome c into cytoplasm, and induced apoptosis in cells, which could be due to proteasome functional depletion. Perhaps more in-depth research is required to understand the details of NSAID-based anti-proliferative molecular mechanisms that can elevate apoptosis in cancer cells and generate anti-tumor potential with the combination of putative cancer drugs.
Insights
Ketorolac, a non-steroidal anti-inflammatory drug (NSAID), disrupts proteasome function, leading to protein aggregation and apoptosis induction in cancer cells. This suggests potential anti-tumor applications for Ketorolac by enhancing cancer cell death.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used for pain management.
- Previous research indicates NSAIDs may inhibit cancer cell proliferation and induce apoptosis.
- The precise molecular mechanisms of Ketorolac's anti-cancer effects remain largely undefined.
Purpose of the Study:
- To elucidate the molecular mechanisms by which Ketorolac induces apoptosis in cancer cells.
- To investigate Ketorolac's potential as an anti-tumor agent.
- To explore the role of proteasome function and protein aggregation in Ketorolac's effects.
Main Methods:
- Cellular treatment with Ketorolac.
- Analysis of proteasome function and protein aggregation (ubiquitinated and polyglutamine proteins).
- Assessment of cell cycle protein accumulation, mitochondrial membrane potential, and cytochrome c release.
Main Results:
- Ketorolac treatment disturbed proteasome function, causing aggregation of ubiquitinated and expanded polyglutamine proteins.
- Ketorolac induced accumulation of cell cycle-linked proteins, leading to apoptosis.
- Ketorolac-mediated proteasome dysfunction resulted in mitochondrial abnormalities, including membrane depolarization and cytochrome c release.
Conclusions:
- Ketorolac induces apoptosis in cancer cells through proteasome functional depletion and subsequent mitochondrial dysfunction.
- The findings highlight Ketorolac's potential as an anti-cancer agent by promoting cancer cell death.
- Further research is warranted to explore NSAID-based anti-proliferative mechanisms and combination therapies for cancer treatment.
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