Involvement of GSK-3β, NF-κB, PPARγ, and apoptosis in amlodipine's anticancer effect in BALB/c mice

El-Shaimaa A Arafa1, Maha M Abdel-Fattah2, Emad H M Hassanein3

  • 1College of Pharmacy and Health Sciences, Ajman University, Ajman 346, United Arab Emirates; Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman 346, United Arab Emirates; Department of Pharmacology and Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62514, Egypt.

Insights

Amlodipine, a calcium channel blocker, demonstrated significant anti-cancer effects in a murine lung cancer model. It reduced tumor progression by modulating key molecular pathways and enhancing cancer cell apoptosis, suggesting its potential as an adjuvant therapy.

Area of Science:

  • Pharmacology and Toxicology
  • Cancer Biology and Therapeutics
  • Molecular Medicine

Background:

  • Lung cancer remains a leading cause of cancer-related mortality worldwide.
  • Current chemotherapy for lung cancer faces limitations including poor selectivity, inadequate tumor delivery, and significant side effects.
  • There is a need for novel therapeutic strategies, potentially including repurposed drugs, to improve lung cancer treatment outcomes.

Purpose of the Study:

  • To investigate the anti-cancer potential of amlodipine, a calcium channel blocker, in a chemically induced murine lung cancer model.
  • To elucidate the molecular mechanisms underlying amlodipine's effects, focusing on modulation of GSK-3β, NF-κB, PPARγ, and apoptosis.
  • To assess amlodipine's impact on oxidative stress, inflammation, and histopathological changes in lung tissue.

Main Methods:

  • Lung cancer was induced in BALB/c mice using urethane.
  • Amlodipine was administered orally at 10 mg/kg/day for the final 28 days of the experiment.
  • Evaluated histopathological changes, oxidant/antioxidant balance (MDA, GSH, SOD), inflammatory markers (MPO, ICAM-1, IL-6, TNF-α, NF-κB), apoptosis markers (Bax, Bcl-2), and signaling pathways (GSK-3β, PPARγ).

Main Results:

  • Amlodipine significantly mitigated urethane-induced lung histopathological abnormalities.
  • It restored oxidant/antioxidant balance and exerted marked anti-inflammatory effects by downregulating key inflammatory markers and NF-κB.
  • Amlodipine enhanced cancer cell apoptosis (increased Bax/decreased Bcl-2) and its effects were linked to increased PPARγ and reduced GSK-3β signaling.

Conclusions:

  • Amlodipine exhibits promising anti-cancer activity against lung cancer in a murine model.
  • The anti-cancer effects are mediated through modulation of GSK-3β, NF-κB, PPARγ pathways, and induction of apoptosis.
  • Amlodipine represents a potential valuable adjuvant therapeutic option for lung carcinoma, especially in patients with co-existing cardiovascular conditions.