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Updated: Jan 13, 2026

A Melanoma Patient-Derived Xenograft Model
Published on: May 20, 2019
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.
Abstract:
Melanoma exhibits significant resistance to conventional apoptosis-based therapies, underscoring the need for alternative strategies to induce cancer cell death. Pyroptosis is a pro-inflammatory form of programmed cell death characterized by caspase-1 activation, gasdermin D cleavage, and interleukin-1β (IL-1β) release. In this study, transcriptomic analysis revealed that aripiprazole induces robust inflammatory signaling in melanoma cells. The antipsychotic drug aripiprazole was found to trigger pyroptosis in BRAF-mutant melanoma cells, leading to caspase-1 activation, gasdermin D cleavage, and increased secretion of pro-inflammatory cytokines. Aripiprazole treatment also activated the MAPK signaling cascade and induced G1 cell-cycle arrest. Notably, aripiprazole rapidly upregulated the expression of nucleotide-binding oligomerization domain-containing protein 2 (NOD2), an innate immune receptor that acts upstream of inflammasome activation and simultaneously regulates MAPK and NF-κB signaling pathways. Genetic and pharmacological evidence demonstrated that NOD2 is essential for aripiprazole-induced pyroptosis and downstream signal propagation. This study provides mechanistic insight into the anti-cancer potential of aripiprazole and supports the broader investigation of serotonergic drugs as immunomodulatory agents in cancer therapy.
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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