Lin Dengqiang, Li Xiaoxia, Xu Lieyu, Lian Jianpo, Xu Yunze, Meng Li, Xie Xin, Wang Xiaojing, He Hongchao, Xu Danfeng, Wang Chenghe, Zhu Yu
Department of Urology, Ruijin Hospital Affiliated to Medical School of Shanghai Jiaotong UniversityNo.197, Ruijin'er Road, Shanghai, China.
Department of Radiology, Shanghai Ninth People's Hospital Affiliated to Medical School of Shanghai Jiaotong UniversityNo.639, Zhizaoju Road, Shanghai, China.
Am J Transl Res. 2017 Sep 15;9(9):3990-4002. eCollection 2017.
Malignant pheochromocytoma is accurately diagnosed only at occurrence of metastatic foci. However, at that time, patients are less likely to get many benefits from traditional chemotherapy. Over-expression of BCL-2 family proteins is tightly correlated with progression of pheochromocytoma. ApoG2, as the most potent gossypol derivative, has exhibited anti-tumor activities in various tumors. In the present study, we found that the staining degree of Bcl-2 being stronger than Bax was more frequently observed in pheochromocytoma than adrenocorticohyperplasia, which was possibly related to shorter overall survival. In addition, ApoG2 could induce apoptosis through up-regulation of Bax and down-regulation of Bcl-2, increasing reactive oxygen species (ROS) levels, inducing cytochrome C release and cleaving caspase proteins. Most importantly, those inhibition effects were blocked by caspase activation inhibitor Z-VAD-fmk and antioxidant -acetyl-L-cysteine. The above results were further confirmed . Furthermore, ApoG2 could effectively inhibit tumor movement capabilities. Altogether, our results indicated that ApoG2 was a potential effective target drug for pheochromocytoma.
恶性嗜铬细胞瘤只有在出现转移灶时才能得到准确诊断。然而,在那个时候,患者从传统化疗中获益的可能性较小。BCL-2家族蛋白的过表达与嗜铬细胞瘤的进展密切相关。ApoG2作为最有效的棉酚衍生物,在多种肿瘤中都表现出抗肿瘤活性。在本研究中,我们发现与肾上腺皮质增生相比,嗜铬细胞瘤中更常观察到Bcl-2染色程度强于Bax,这可能与总生存期较短有关。此外,ApoG2可通过上调Bax和下调Bcl-2、增加活性氧(ROS)水平、诱导细胞色素C释放和切割半胱天冬酶蛋白来诱导细胞凋亡。最重要的是,这些抑制作用被半胱天冬酶激活抑制剂Z-VAD-fmk和抗氧化剂N-乙酰-L-半胱氨酸阻断。上述结果得到了进一步证实。此外,ApoG2可有效抑制肿瘤的迁移能力。总之,我们的结果表明ApoG2是一种潜在的治疗嗜铬细胞瘤的有效靶向药物。