Imipramine Targets Apoptosis, Metastasis, and EGFR/SRC-mediated EMT in Oral Cancer Cells
Wei-Chun Wang1,2, Ying-Tzu Chen3, Fei-Ting Hsu4
1Department of Oral and Maxillofacial Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan, R.O.C.
Background/Aim:
Oral cancer (OC) exhibits aggressive growth and metastatic potential. Imipramine, a tricyclic antidepressant, has been recently explored for its anticancer activity. This study investigated imipramine's therapeutic effects and underlying anti-progression mechanisms in OC.
Materials And Methods:
SAS and MOC1 cell lines were treated with imipramine for cytotoxicity, apoptosis, migration, invasion, and epithelial-mesenchymal transition (EMT) analyses using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), flow cytometry, Transwell assays, and western blotting.
Results:
Imipramine significantly reduced OC cell viability in a dose-dependent manner and induced apoptosis through both extrinsic (Fas/FasL-caspase-8) and intrinsic (mitochondrial depolarization, ROS/Ca2+ elevation, caspase-9) pathways. Anti-apoptotic proteins X-linked inhibitor of apoptosis (XIAP) and cellular FLICE-like inhibitory protein (c-FLIP) and proliferation regulator Cyclin D1 were downregulated. Imipramine also inhibited migration, invasion, and expression of matrix metalloproteinase-2 (MMP-2), matrix metalloproteinase-9 (MMP-9), and vascular endothelial growth factor-A (VEGF-A). EMT progression was suppressed, evidenced by decreased zinc-finger-enhancer binding protein 1/2 (ZEB1/2), Snail, Slug, N-cadherin, and re-expression of E-cadherin, accompanied by inactivation of the EGFR/SRC axis.
Conclusion:
Imipramine exhibits potent anti-OC activity by inducing apoptosis, inhibiting metastasis, and suppressing EMT, supporting its potential as a repurposed therapeutic agent.
Insights
Imipramine, an antidepressant, shows potent anticancer effects against oral cancer (OC) by inducing cell death and inhibiting metastasis. This study supports imipramine
Area of Science:
- Pharmacology and Cancer Therapeutics
- Molecular Oncology
- Drug Repurposing
Background:
- Oral cancer (OC) is aggressive with high metastatic potential.
- Imipramine, a tricyclic antidepressant, has emerging anticancer properties.
- Understanding imipramine's mechanisms in OC is crucial for therapeutic development.
Purpose of the Study:
- To investigate the therapeutic effects of imipramine on oral cancer cells.
- To elucidate the anti-progression mechanisms of imipramine in oral cancer.
Main Methods:
- Oral cancer cell lines (SAS, MOC1) treated with imipramine.
- Assays included MTT for cytotoxicity, flow cytometry for apoptosis, Transwell for migration/invasion, and Western blotting for protein expression.
- Key pathways and proteins involved in apoptosis, metastasis, and epithelial-mesenchymal transition (EMT) were analyzed.
Main Results:
- Imipramine significantly reduced oral cancer cell viability and induced apoptosis via extrinsic and intrinsic pathways.
- It downregulated anti-apoptotic proteins (XIAP, c-FLIP) and proliferation regulator (Cyclin D1).
- Imipramine inhibited migration, invasion, MMP-2, MMP-9, VEGF-A, and suppressed EMT by altering key transcription factors and adhesion molecules, inactivating the EGFR/SRC axis.
Conclusions:
- Imipramine demonstrates significant anti-oral cancer activity.
- Mechanisms include apoptosis induction, metastasis inhibition, and EMT suppression.
- Imipramine shows potential as a repurposed therapeutic agent for oral cancer.
Related Concept Videos
Mitogens and the Cell Cycle
Targeted Cancer Therapies
There are several types of targeted therapies against...
Metastasis
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase


