Li Ling-Li, Peng Ze, Hu Qian, Xu Li-Jun, Zou Xin, Huang Dong-Mei, Yi Ping
Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430045, Hubei Province, China.
Department of Integrated Traditional Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Gastrointest Oncol. 2022 Apr 15;14(4):842-857. doi: 10.4251/wjgo.v14.i4.842.
Gastric cancer is the third deadliest cancer in the world and ranks second in incidence and mortality of cancers in China. Despite advances in prevention, diagnosis, and therapy, the absolute number of cases is increasing every year due to aging and the growth of high-risk populations, and gastric cancer is still a leading cause of cancer-related death. Gastric cancer is a consequence of the complex interaction of microbial agents, with environmental and host factors, resulting in the dysregulation of multiple oncogenic and tumor-suppressing signaling pathways. Global efforts have been made to investigate in detail the genomic and epigenomic heterogeneity of this disease, resulting in the identification of new specific and sensitive predictive and prognostic biomarkers. Trastuzumab, a monoclonal antibody against the HER2 receptor, is approved in the first-line treatment of patients with HER2+ tumors, which accounts for 13%-23% of the gastric cancer population. Ramucirumab, a monoclonal antibody against VEGFR2, is currently recommended in patients progressing after first-line treatment. Several clinical trials have also tested novel agents for advanced gastric cancer but mostly with disappointing results, such as anti-EGFR and anti-MET monoclonal antibodies. Therefore, it is still of great significance to screen specific molecular targets for gastric cancer and drugs directed against the molecular targets.
To investigate the effect and mechanism of berberine against tumor growth in gastric cancer xenograft models and to explore the role of hepatocyte nuclear factor 4α (HNF4α)-WNT5a/β-catenin pathways played in the antitumor effects of berberine.
MGC803 and SGC7901 subcutaneous xenograft models were established. The control group was intragastrically administrated with normal saline, and the berberine group was administrated intragastrically with 100 mg/kg/d berberine. The body weight of nude mice during the experiment was measured to assess whether berberine has any adverse reaction. The volume of subcutaneous tumors during this experiment was recorded to evaluate the inhibitory effect of berberine on the growth of MGC803 and SGC7901 subcutaneous transplantation tumors. Polymerase chain reaction assays were conducted to evaluate the alteration of transcriptional expression of HNF4α, WNT5a and β-catenin in tumor tissues and liver tissues from the MGC803 and SGC7901 xenograft models. Western blotting and IHC were performed to assess the protein expression of HNF4α, WNT5a and β-catenin in tumor tissues and liver tissues from the MGC803 and SGC7901 xenograft models.
In the both MGC803 and SGC7901 xenograft tumor models, berberine significantly reduced tumor volume and weight and thus retarded the growth rate of tumors. In the SGC7901 and MGC803 subcutaneously transplanted tumor models, berberine down-regulated the expression of HNF4α, WNT5a and β-catenin in tumor tissues from both transcription and protein levels. Besides, berberine also suppressed the protein expression of HNF4α, WNT5a and β-catenin in liver tissues.
Berberine retarded the growth of MGC803 and SGC7901 xenograft model tumors, and the mechanism behind these anti-growth effects might be the downregulation of the expression of HNF4α-WNT5a/β-catenin signaling pathways both in tumor tissues and liver tissues of the xenograft models.
胃癌是全球第三大致命癌症,在中国癌症发病率和死亡率中排名第二。尽管在预防、诊断和治疗方面取得了进展,但由于人口老龄化和高危人群的增加,病例绝对数每年仍在上升,胃癌仍是癌症相关死亡的主要原因。胃癌是微生物因子与环境和宿主因素复杂相互作用的结果,导致多种致癌和抑癌信号通路失调。全球已努力详细研究该疾病的基因组和表观基因组异质性,从而鉴定出新型特异性和敏感性预测及预后生物标志物。曲妥珠单抗是一种抗HER2受体单克隆抗体,被批准用于一线治疗HER2+肿瘤患者,这类患者占胃癌人群的13%-23%。雷莫西尤单抗是一种抗VEGFR2单克隆抗体,目前推荐用于一线治疗后进展的患者。多项临床试验也对晚期胃癌新型药物进行了测试,但大多结果令人失望,如抗EGFR和抗MET单克隆抗体。因此,筛选胃癌特异性分子靶点及针对这些分子靶点的药物仍具有重要意义。
研究小檗碱对胃癌异种移植模型肿瘤生长的影响及机制,探讨肝细胞核因子4α(HNF4α)-WNT5a/β-连环蛋白通路在小檗碱抗肿瘤作用中的作用。
建立MGC803和SGC7901皮下异种移植模型。对照组灌胃给予生理盐水,小檗碱组灌胃给予100mg/kg/d小檗碱。测量实验期间裸鼠体重,评估小檗碱是否有不良反应。记录实验期间皮下肿瘤体积,评估小檗碱对MGC803和SGC7901皮下移植瘤生长的抑制作用。采用聚合酶链反应检测评估MGC803和SGC7901异种移植模型肿瘤组织和肝组织中HNF4α、WNT5a和β-连环蛋白转录表达的变化。采用蛋白质印迹法和免疫组化法评估MGC803和SGC7901异种移植模型肿瘤组织和肝组织中HNF4α、WNT5a和β-连环蛋白的蛋白表达。
在MGC803和SGC-7901异种移植瘤模型中,小檗碱均显著降低肿瘤体积和重量,从而延缓肿瘤生长速度。在SGC-7901和MGC803皮下移植瘤模型中,小檗碱从转录和蛋白水平下调肿瘤组织中HNF4α、WNT5a和β-连环蛋白的表达。此外,小檗碱还抑制肝组织中HNF4α、WNT5a和β-连环蛋白的蛋白表达。
小檗碱延缓MGC803和SGC7901异种移植模型肿瘤生长,这些抗生长作用背后的机制可能是下调异种移植模型肿瘤组织和肝组织中HNF4α-WNT5a/β-连环蛋白信号通路的表达。