他汀类药物通过调节 pAkt 信号通路发挥抗癌作用。

Statins exhibit anticancer effects through modifications of the pAkt signaling pathway.

机构信息

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

Int J Oncol. 2012 Mar;40(3):867-75. doi: 10.3892/ijo.2011.1223. Epub 2011 Oct 6.

Abstract

Statins are cholesterol lowering drugs that exhibit antitumor effects in several in vitro and in vivo models, and epidemiological studies indicate that statins prevent cancer. However, the molecular mechanism underlying the effects of statins still needs to be elucidated. We previously demonstrated that single doses of different statins rapidly affect Akt signaling via the purinergic receptor P2X7. In particular, statins down-regulated nuclear pAkt. Here, we report that long-term treatment of A549 cells with high concentrations of statins (15-75 µM) selects cell sub-populations exhibiting altered P2X receptor expression, signs of increased PTEN activity, enhanced PHLPP2, decreased PI3K p110β and inhibited downstream pAkt signaling. Furthermore, the nuclear accumulation of pAkt in response to insulin was inhibited in selected cells. Statin-selected cells displayed reduced proliferation rate and were more vulnerable to etoposide- and 5-fluorouracil-elicited cytotoxic effects. The stability of a selected phenotype (50 µM) was tested for three weeks in the absence of statins. This resulted in a reversal of some, but not all alterations. Importantly, the truncated nuclear insulin response was retained. We conclude that long-term treatment with high doses of statins selects cells exhibiting stable alterations in insulin-Akt signaling and which are vulnerable to DNA damage. Our studies strengthen the hypothesis that an altered Akt signaling has a role in chemopreventive effects of statins.

摘要

他汀类药物是降低胆固醇的药物,在几种体外和体内模型中都具有抗肿瘤作用,流行病学研究表明他汀类药物可预防癌症。然而,他汀类药物作用的分子机制仍有待阐明。我们之前的研究表明,不同他汀类药物的单次剂量可通过嘌呤能受体 P2X7 迅速影响 Akt 信号转导。特别是,他汀类药物下调了核内 pAkt。在这里,我们报告说,用高浓度他汀类药物(15-75 μM)长期处理 A549 细胞会选择改变 P2X 受体表达、增加 PTEN 活性、增强 PHLPP2、减少 PI3K p110β 的细胞亚群,并抑制下游 pAkt 信号转导。此外,胰岛素诱导的核内 pAkt 积累在选择的细胞中受到抑制。他汀类药物选择的细胞增殖速度减慢,对依托泊苷和 5-氟尿嘧啶引起的细胞毒性作用更为敏感。在没有他汀类药物的情况下,对选择的表型(50 μM)的稳定性进行了为期三周的测试。这导致一些但不是所有的改变都得到了逆转。重要的是,截断的核内胰岛素反应仍然保留。我们的结论是,用高剂量他汀类药物长期治疗会选择表现出胰岛素-Akt 信号转导稳定改变且对 DNA 损伤敏感的细胞。我们的研究加强了这样一种假设,即改变的 Akt 信号转导在他汀类药物的化学预防作用中起作用。

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