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Beta-Blockers as Potential Adjuvants in Melanoma Treatment
Laura Rama1,2, Mónica Almeida1, Jiya Jose3
1Centre for Environmental and Marine Studies (CESAM), Department of Biology, University of Aveiro, 3810-193 Aveiro, Portugal.
Abstract:
Melanoma, in advanced stages, is the most invasive type of skin cancer, with currently available treatments showing limited efficiency. The number of melanoma cancer cases is expected to increase in the coming years, emphasizing the need for more efficient therapeutic strategies. The present study aimed to evaluate the potential of β-blockers, commonly used to treat cardiac conditions, to be repurposed for the treatment of melanoma. The effects of non-selective β-blockers (carvedilol and propranolol), β1 selective blockers (atenolol and metoprolol) and antineoplastics drugs (cisplatin and 5-fluorouracil) on the A375 melanoma cell line were studied, individually and in combined exposures, by assessing cell viability over a 72 h period. The 72 h half-maximal inhibitory concentrations (IC50s) determined for A375 cells allow the ranking of toxicity as: cisplatin (2.46 (1.87-3.38) μM) > 5-fluorouracil (4.77 (4.48-5.07) μM) > carvedilol (16.91 (15.47-18.99) μM) > propranolol (58.03 (57.08-59.11) μM) > atenolol and metoprolol (β1 selective blockers that exhibited no significant effect on the cell's viability). The effects of combined exposures were also studied. Metoprolol and carvedilol exhibited synergistic interactions with cisplatin at specific concentrations. Overall, the data highlight the concentration-dependent nature of mixture effects and support the potential application of β-blockers melanoma treatment.
Insights
This study explored repurposing beta-blockers for melanoma treatment. Certain beta-blockers, like carvedilol and metoprolol, showed potential, especially when combined with chemotherapy drugs, offering new avenues for melanoma therapy.
Area of Science:
- Oncology
- Pharmacology
- Dermatology
Background:
- Advanced melanoma presents significant therapeutic challenges due to limited treatment efficacy.
- Rising melanoma incidence necessitates novel and more effective treatment strategies.
- Beta-blockers, primarily used for cardiac conditions, are being investigated for repurposing in cancer therapy.
Purpose of the Study:
- To evaluate the efficacy of beta-blockers as a potential repurposed treatment for melanoma.
- To assess the effects of specific beta-blockers (carvedilol, propranolol, atenolol, metoprolol) and chemotherapy drugs (cisplatin, 5-fluorouracil) on melanoma cell viability.
- To investigate synergistic interactions between beta-blockers and chemotherapy agents in melanoma treatment.
Main Methods:
- In vitro study using the A375 melanoma cell line.
- Assessment of cell viability over 72 hours following exposure to various drug concentrations.
- Determination of half-maximal inhibitory concentrations (IC50s) for individual and combined drug exposures.
Main Results:
- Cisplatin and 5-fluorouracil demonstrated higher toxicity than carvedilol and propranolol.
- Atenolol and metoprolol (beta-1 selective blockers) showed no significant impact on melanoma cell viability at tested concentrations.
- Carvedilol and metoprolol exhibited synergistic effects with cisplatin at specific concentrations, indicating enhanced anti-cancer activity.
Conclusions:
- Beta-blockers demonstrate concentration-dependent effects on melanoma cells.
- Carvedilol and metoprolol show promise for melanoma treatment, particularly in combination therapies with chemotherapy.
- Repurposing beta-blockers represents a potential new therapeutic avenue for advanced melanoma.
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