A study on the antitumor effect and mechanism of arsenic trioxide on lung adenocarcinoma

Qixian Zheng1, Haiyu Liu1, Qianyuan Zhang2

  • 1Department of Pulmonary and Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.

Abstract

Insights

Arsenic trioxide (ATO) inhibits lung adenocarcinoma cell growth by reducing proliferation and invasion. It also triggers apoptosis by affecting key pathways like mTOR and base excision repair (BER).

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Lung adenocarcinoma is a prevalent cancer requiring novel therapeutic strategies.
  • Arsenic trioxide (ATO) demonstrates antitumor effects across various cancers, but its precise mechanisms in lung adenocarcinoma are not fully understood.

Purpose of the Study:

  • To investigate the effects of Arsenic Trioxide (ATO) on the malignant phenotype of human lung adenocarcinoma A549 cells.
  • To elucidate the molecular mechanisms underlying ATO's action, focusing on cell proliferation, apoptosis, invasion, and migration.

Main Methods:

  • Determined the half-maximal inhibitory concentration (IC50) of ATO using the Cell Counting Kit-8 assay.
  • Performed transcriptome sequencing and bioinformatics analyses (GO, KEGG) to identify differentially expressed genes and pathways.
  • Validated key protein expression changes using Western blot analysis.

Main Results:

  • ATO treatment significantly reduced A549 cell proliferation, invasion, and migration while increasing apoptosis.
  • Transcriptome analysis identified significant alterations in gene expression, with enrichment in mammalian target of rapamycin (mTOR) signaling, base excision repair (BER), and apoptosis pathways.
  • Protein analysis revealed decreased levels of phosphorylated mTOR (p-mTOR), APE-1, Bcl-2, and Bcl-XL, and increased levels of cleaved caspase-8 and cleaved caspase-9.

Conclusions:

  • ATO effectively suppresses the malignant phenotype of lung adenocarcinoma A549 cells.
  • The observed effects are mediated by the inhibition of mTOR phosphorylation, downregulation of BER components, and activation of both extrinsic and intrinsic apoptotic pathways.
  • These findings provide a basis for further research into ATO as a potential therapeutic agent for lung adenocarcinoma.