Chandran Karthic, Goswami Sudeshna, Sharma-Walia Neelam
H. M. Bligh Cancer Research Laboratories, Department of Microbiology and Immunology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, U.S.A.
Oncotarget. 2016 Mar 29;7(13):15577-99. doi: 10.18632/oncotarget.6402.
Inflammatory and invasive breast cancers are aggressive and require better understanding for the development of new treatments and more accurate prognosis. Here, we detected high expression of PPARα in human primary inflammatory (SUM149PT) and highly invasive (SUM1315MO2) breast cancer cells, and tissue sections of human breast cancer. PPARα ligands are clinically used to treat dyslipidemia. Among lipid lowering drugs clofibrate, fenofibrate and WY14643, clofibrate showed high chemo-sensitivity towards breast cancer cells. Clofibrate treatment significantly induced PPARα DNA binding activity, and remarkably reduced cyclooxygenase-2/PGE2 and 5-lipoxygenase/LTB4 inflammatory pathways. Clofibrate treatment reduced the proliferation of breast cancer cells probably by inhibiting NF-κB and ERK1/2 activation, reducing cyclinD1, cyclinA, cyclinE, and inducing pro-apoptotic P21 levels. Surprisingly, the expression of lipogenic pathway genes including SREBP-1c (sterol regulatory element-binding protein-1c), HMG-CoA synthase, SPTLC1 (serine palmitoyltransferase long-chain), and Acyl-CoA oxidase (ACO) decreased with a concurrent increase in fatty acid oxidation genes such as CPT-1a (carnitine palmitoyltransferase 1a) and SREBP-2 (Sterol regulatory element-binding protein-2). Clofibrate treatment induced secretion of free fatty acids and effectively decreased the level of phosphorylated active form of fatty acid synthase (FASN), an enzyme catalyzing de novo synthesis of fatty acids. High level of coactivators steroid receptor coactivator-1 (SRC-1) and histone acetylase CBP-300 (CREB binding protein-300) were observed in the nuclear complexes of clofibrate treated breast cancer cells. These findings implicate that stimulating PPARα by safe, well-tolerated, and clinically approved clofibrate may provide a safer and more effective strategy to target the signaling, lipogenic, and inflammatory pathways in aggressive forms of breast cancer.
炎性和浸润性乳腺癌具有侵袭性,需要深入了解以开发新的治疗方法并实现更准确的预后。在此,我们检测到过氧化物酶体增殖物激活受体α(PPARα)在人原发性炎性乳腺癌细胞(SUM149PT)和高侵袭性乳腺癌细胞(SUM1315MO2)以及人乳腺癌组织切片中高表达。PPARα配体在临床上用于治疗血脂异常。在降脂药物氯贝丁酯、非诺贝特和WY14643中,氯贝丁酯对乳腺癌细胞表现出高化疗敏感性。氯贝丁酯处理显著诱导PPARα的DNA结合活性,并显著降低环氧合酶-2/前列腺素E2(COX-2/PGE2)和5-脂氧合酶/白三烯B4(5-LOX/LTB4)炎症通路。氯贝丁酯处理可能通过抑制核因子κB(NF-κB)和细胞外信号调节激酶1/2(ERK1/2)的激活、降低细胞周期蛋白D1、细胞周期蛋白A、细胞周期蛋白E水平以及诱导促凋亡蛋白P21水平来减少乳腺癌细胞的增殖。令人惊讶的是,包括固醇调节元件结合蛋白-1c(SREBP-1c)、3-羟基-3-甲基戊二酰辅酶A合酶(HMG-CoA synthase)、丝氨酸棕榈酰转移酶长链(SPTLC1)和酰基辅酶A氧化酶(ACO)在内的脂肪生成途径基因的表达下降,同时脂肪酸氧化基因如肉碱棕榈酰转移酶1a(CPT-1a)和固醇调节元件结合蛋白-2(SREBP-2)的表达增加。氯贝丁酯处理诱导游离脂肪酸的分泌,并有效降低催化脂肪酸从头合成的脂肪酸合酶(FASN)的磷酸化活性形式的水平。在氯贝丁酯处理的乳腺癌细胞核复合物中观察到高水平的共激活因子类固醇受体共激活因子-1(SRC-1)和组蛋白乙酰转移酶CBP-300(CREB结合蛋白-300)。这些发现表明,通过安全、耐受性良好且经临床批准的氯贝丁酯刺激PPARα可能为靶向侵袭性乳腺癌的信号传导、脂肪生成和炎症途径提供一种更安全有效的策略。