Liu Shuang, Polsdofer Erik V, Zhou Lukun, Ruan Sanbao, Lyu Hui, Hou Defu, Liu Hao, Thor Ann D, He Zhimin, Liu Bolin
Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, Guangdong 510095, China.
Department of Interdisciplinary Oncology, Stanley S. Scott Cancer Center, School of Medicine, Louisiana State University (LSU) Health Sciences Center, New Orleans, LA 70112, USA.
Mol Ther Oncolytics. 2021 Apr 29;21:303-314. doi: 10.1016/j.omto.2021.04.012. eCollection 2021 Jun 25.
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) shows promising antitumor activity in preclinical studies. However, the efficacy of recombinant TRAIL in clinical trials is compromised by its short serum half-life and low stability. Induction of endogenous TRAIL may overcome the limitations and become a new strategy for cancer treatment. Here, we discovered that metformin increased TRAIL expression and induced apoptosis in triple-negative breast cancer (TNBC) and non-small cell lung cancer (NSCLC) cells. Metformin did not alter the expression of TRAIL receptors (TRAIL-R1/DR4 and TRAIL-R2/DR5). Metformin-upregulated TRAIL was secreted into conditioned medium (CM) and found to be functional, since the CM promoted TNBC cells undergoing apoptosis, which was abrogated by a recombinant TRAIL-R2-Fc chimera. Moreover, blockade of TRAIL binding to DR4/DR5 or specific knockdown of TRAIL expression significantly attenuated metformin-induced apoptosis. Studies with a tumor xenograft model revealed that metformin not only significantly inhibited tumor growth but also elicited apoptosis and enhanced TRAIL expression . Collectively, we have demonstrated that upregulation of TRAIL and activation of death receptor signaling are pivotal for metformin-induced apoptosis in TNBC and NSCLC cells. Our studies identify a novel mechanism of action of metformin exhibiting potent antitumor activity via induction of endogenous TRAIL.
肿瘤坏死因子相关凋亡诱导配体(TRAIL)在临床前研究中显示出有前景的抗肿瘤活性。然而,重组TRAIL在临床试验中的疗效因其血清半衰期短和稳定性低而受到影响。诱导内源性TRAIL可能克服这些限制,并成为癌症治疗的一种新策略。在此,我们发现二甲双胍可增加三阴性乳腺癌(TNBC)和非小细胞肺癌(NSCLC)细胞中TRAIL的表达并诱导其凋亡。二甲双胍并未改变TRAIL受体(TRAIL-R1/DR4和TRAIL-R2/DR5)的表达。二甲双胍上调的TRAIL分泌到条件培养基(CM)中并被发现具有功能,因为CM可促进TNBC细胞发生凋亡,而重组TRAIL-R2-Fc嵌合体可消除这种凋亡。此外,阻断TRAIL与DR4/DR5的结合或特异性敲低TRAIL的表达可显著减弱二甲双胍诱导的凋亡。肿瘤异种移植模型研究表明,二甲双胍不仅可显著抑制肿瘤生长,还可引发凋亡并增强TRAIL的表达。总体而言,我们已经证明TRAIL的上调和死亡受体信号通路的激活对于二甲双胍诱导TNBC和NSCLC细胞凋亡至关重要。我们的研究确定了二甲双胍通过诱导内源性TRAIL发挥强大抗肿瘤活性的一种新作用机制。