Huntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, Utah.
Department of Oncological Sciences, University of Utah, Salt Lake City, Utah.
Cancer Prev Res (Phila). 2018 Oct;11(10):629-642. doi: 10.1158/1940-6207.CAPR-18-0087. Epub 2018 Jul 18.
There are conflicting epidemiologic data on whether chronic aspirin (ASA) use may reduce melanoma risk in humans. Potential anticancer effects of ASA may be mediated by its ability to suppress prostaglandin E (PGE) production and activate 5'-adenosine monophosphate-activated protein kinase (AMPK). We investigated the inhibitory effects of ASA in a panel of melanoma and transformed melanocyte cell lines, and on tumor growth in a preclinical model. ASA and the COX-2 inhibitor celecoxib did not affect melanoma cell viability, but significantly reduced colony formation, cell motility, and pigmentation (melanin production) at concentrations of 1 mmol/L and 20 μmol/L, respectively. ASA-mediated inhibition of cell migration and pigmentation was rescued by exogenous PGE or Compound C, which inhibits AMPK activation. Levels of tyrosinase, MITF, and p-ERK were unaffected by ASA exposure. Following a single oral dose of 0.4 mg ASA to NOD/SCID mice, salicylate was detected in plasma and skin at 4 hours and PGE levels were reduced up to 24 hours. Some human melanoma tumors xenografted into NOD/SCID mice were sensitive to chronic daily ASA administration, exhibiting reduced growth and proliferation. ASA-treated mice bearing sensitive and resistant tumors exhibited both decreased PGE in plasma and tumors and increased phosphorylated AMPK in tumors. We conclude that ASA inhibits colony formation, cell motility, and pigmentation through suppression of PGE and activation of AMPK and reduces growth of some melanoma tumors This preclinical model could be used for further tumor and biomarker studies to support future melanoma chemoprevention trials in humans. .
关于慢性阿司匹林(ASA)的使用是否可能降低人类患黑色素瘤的风险,目前存在相互矛盾的流行病学数据。ASA 的潜在抗癌作用可能与其抑制前列腺素 E(PGE)产生和激活 5'-腺苷单磷酸激活蛋白激酶(AMPK)的能力有关。我们在一组黑色素瘤和转化黑素细胞系中研究了 ASA 的抑制作用,并在临床前模型中研究了其对肿瘤生长的影响。ASA 和 COX-2 抑制剂塞来昔布不会影响黑色素瘤细胞活力,但分别在 1 mmol/L 和 20 μmol/L 的浓度下显著降低集落形成、细胞迁移和色素沉着(黑色素产生)。ASA 介导的细胞迁移和色素沉着抑制作用可通过外源性 PGE 或抑制 AMPK 激活的化合物 C 挽救。ASA 暴露对酪氨酸酶、MITF 和 p-ERK 的水平没有影响。给 NOD/SCID 小鼠单次口服 0.4 mg ASA 后,在 4 小时时在血浆和皮肤中检测到水杨酸盐,并且 PGE 水平在 24 小时内降低。一些异种移植到 NOD/SCID 小鼠中的人类黑色素瘤肿瘤对慢性每日 ASA 给药敏感,表现为生长和增殖减少。接受敏感和耐药肿瘤的 ASA 治疗的小鼠表现为血浆和肿瘤中 PGE 减少,肿瘤中磷酸化 AMPK 增加。我们得出结论,ASA 通过抑制 PGE 和激活 AMPK 抑制集落形成、细胞迁移和色素沉着,并减少一些黑色素瘤肿瘤的生长。这种临床前模型可用于进一步的肿瘤和生物标志物研究,以支持未来在人类中进行黑色素瘤化学预防试验。