The PhD Program of Translational Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan; International PhD Program for Translational Science, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan; College of Medical Science and Technology, Graduate Institute of Biomedical Informatics, Taipei Medical University, Taipei 11031, Taiwan; Clinical Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei 11031, Taiwan; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 114, Taiwan.
Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung, 20401, Taiwan; Program in Molecular Medicine, School of Life Sciences, National Yang Ming University, Taipei 11221, Taiwan.
Phytomedicine. 2022 Jan;95:153797. doi: 10.1016/j.phymed.2021.153797. Epub 2021 Oct 21.
Despite advances in chemotherapies and targeted drugs, colorectal cancer (CRC) remains challenging to treat due to drug resistance. Emerging evidence indicates that cancer-associated fibroblasts (CAFs) facilitate the generation of cancer stem-like cells (CSCs) and drug resistance. Glycogen synthase kinase-3 (GSK) associated signaling pathways have been implicated in the generation of CSCs and represent a target for therapeutics development.
Gamma-mangostin (gMG) isolated from Garcinia mangostana was evaluated for its ability to downregulate GSK3β-associated signaling in CRC cells and overcome CAF-induced 5-fluorouracil resistance and CSC generation.
Bioinformatics analysis, in silico molecular docking, in vitro assays, including cell viability tests, colony- and tumor sphere-formation assays, transwell migration assays, ELISA, SDS-PAGE, Western blotting, miR expression, qPCR, and flow cytometry, as well as in vivo mouse xenograft models were used to evaluate the antitumor effects of gMG.
Bioinformatics analyses indicated that GSK3β/CDK6/β-catenin mRNA signature was significantly higher in colon cancer patients. Additional algorithms predicted a higher miR-26b level was associated with significantly higher survival in CRC patients and GSK3β and CDK6 as targets of miR-26b-5p. To validate these findings in vitro, we showed that CAF-cocultured CRC cells expressed an increased expression of GSK3β, β-catenin, CDK6, and NF-κB. Therapeutically, we demonstrated that gMG treatment suppressed GSK3β-associated signaling pathways while concomitantly increased the miR-26b-5p level. Using a xenograft mouse model of CAFs cocultured HCT116 tumorspheres, we showed that gMG treatment reduced tumor growth and overcame CAF-induced 5-fluorouracil resistance.
Pharmacological intervention with gMG suppressed CRC carcinogenesis and stemness via downregulating GSK3/β-catenin/CDK6 and upregulating the miR-26b-5p tumor suppressor. Thus, gMG represents a potential new CRC therapeutic agent and warrants further investigation.
尽管化疗和靶向药物有了进步,但由于耐药性,结直肠癌(CRC)的治疗仍然具有挑战性。新出现的证据表明,癌相关成纤维细胞(CAFs)促进了癌症干细胞样细胞(CSCs)的产生和耐药性。糖原合成酶激酶-3(GSK)相关信号通路与 CSCs 的产生有关,是治疗药物开发的靶点。
从藤黄属植物中分离出的γ-倒捻子素(gMG),其能够下调 CRC 细胞中 GSK3β 相关信号,并克服 CAF 诱导的 5-氟尿嘧啶耐药和 CSC 生成。
采用生物信息学分析、计算机分子对接、体外试验,包括细胞活力试验、集落和肿瘤球形成试验、Transwell 迁移试验、ELISA、SDS-PAGE、Western blot、miR 表达、qPCR 和流式细胞术,以及体内小鼠异种移植模型,评估 gMG 的抗肿瘤作用。
生物信息学分析表明,结肠癌患者的 GSK3β/CDK6/β-catenin mRNA 特征明显更高。其他算法预测 miR-26b 水平较高与 CRC 患者的生存率显著提高有关,GSK3β 和 CDK6 是 miR-26b-5p 的靶点。为了在体外验证这些发现,我们表明 CAF 共培养的 CRC 细胞表达了更高的 GSK3β、β-catenin、CDK6 和 NF-κB 表达。治疗上,我们证明 gMG 治疗抑制了 GSK3β 相关信号通路,同时增加了 miR-26b-5p 的水平。使用 CAFs 共培养 HCT116 肿瘤球的异种移植小鼠模型,我们表明 gMG 治疗减少了肿瘤生长并克服了 CAF 诱导的 5-氟尿嘧啶耐药性。
用 gMG 进行药物干预,通过下调 GSK3/β-catenin/CDK6 和上调 miR-26b-5p 肿瘤抑制因子,抑制 CRC 癌变和干细胞特性。因此,gMG 代表了一种潜在的新的 CRC 治疗药物,值得进一步研究。