Harnessing pyroptosis to restrain melanoma through aripiprazole

Yu-Teng Chang1,2,3, I-Hsiang Lin4,5, Jeng-Jer Shieh1,6,7,8,9

  • 1Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.

Insights

The antipsychotic drug aripiprazole triggers programmed cell death (pyroptosis) in melanoma cells by activating caspase-1 and releasing inflammatory cytokines. This discovery highlights aripiprazole

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Melanoma is resistant to apoptosis-based therapies, necessitating novel cell death strategies.
  • Pyroptosis is a pro-inflammatory programmed cell death pathway involving caspase-1, gasdermin D, and IL-1β.
  • Aripiprazole is an antipsychotic drug with potential anti-cancer applications.

Purpose of the Study:

  • To investigate the mechanism by which aripiprazole induces cell death in melanoma.
  • To explore the role of pyroptosis and inflammatory signaling in aripiprazole's anti-melanoma effects.
  • To identify key molecular targets mediating aripiprazole's anti-cancer activity.

Main Methods:

  • Transcriptomic analysis of melanoma cells treated with aripiprazole.
  • Assays to detect caspase-1 activation, gasdermin D cleavage, and cytokine release.
  • Investigation of the MAPK signaling pathway and cell-cycle progression.
  • Genetic and pharmacological manipulation of NOD2 expression and activity.

Main Results:

  • Aripiprazole induced pyroptosis in BRAF-mutant melanoma cells, characterized by caspase-1 activation and IL-1β release.
  • Aripiprazole activated the MAPK signaling cascade and caused G1 cell-cycle arrest.
  • Nucleotide-binding oligomerization domain-containing protein 2 (NOD2) was upregulated by aripiprazole and found to be essential for pyroptosis induction.
  • NOD2 mediated both inflammasome activation and downstream signaling pathways (MAPK, NF-κB).

Conclusions:

  • Aripiprazole effectively induces pyroptosis in melanoma cells via NOD2-dependent inflammatory signaling.
  • Aripiprazole's anti-cancer effects involve pyroptosis, MAPK activation, and cell-cycle arrest.
  • Serotonergic drugs like aripiprazole show promise as immunomodulatory agents for cancer therapy.

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