褪黑素通过上调自噬和下调肌球蛋白轻链激酶增强胃癌细胞对5-氟尿嘧啶的敏感性。

Melatonin Potentiates Sensitivity to 5-Fluorouracil in Gastric Cancer Cells by Upregulating Autophagy and Downregulating Myosin Light-Chain Kinase.

作者信息

Shi Xiaorui, Li Hongxia, Dan Zhangyong, Shu Chuanlin, Zhu Rumeng, Yang Qingling, Wang Yi, Zhu Huaqing

机构信息

Laboratory of Molecular Biology, Department of Biochemistry, Anhui Medical University, Hefei 230032, China.

Department of Oncology, The Third Affiliated Hospital of Anhui Medical University, Hefei 230032, China.

出版信息

J Cancer. 2023 Aug 21;14(14):2608-2618. doi: 10.7150/jca.85353. eCollection 2023.

Abstract

5-Fluorouracil is an effective chemotherapeutic drug for gastric cancer. However, the acquisition of chemotherapeutic resistance remains a challenge in treatment. Melatonin can enhance the therapeutic effect of 5-fluorouracil; however, the underlying mechanisms are not well understood. We investigated the effects of combinations of melatonin and 5-fluorouracil on the proliferation, migration and invasion of gastric cancer cells. Melatonin significantly potentiated the 5-fluorouracil-mediated inhibition of proliferation, migration and invasion in gastric cancer cells, which potentiates sensitivity to 5-FU by promoting the activation of Beclin-1-dependent autophagy and targeting the myosin light-chain kinase (MLCK) signaling pathway. Previous studies have shown that autophagy might be associated with the MLCK signaling pathway. The autophagy inhibitor, 3-methyladenine, effectively rescued the migratory and invasive capabilities of gastric cancer cells, while also reducing expression level of MLCK and the phosphorylation level of MLC. This indicates that autophagy is involved in tumor metastasis, which may be related to inhibition of the MLCK signaling pathway. Our findings indicate that melatonin can improve the effectiveness of 5-fluorouracil in gastric cancer and could be used as a supplemental agent in the treatment of gastric cancer with 5-fluorouracil.

摘要

5-氟尿嘧啶是一种治疗胃癌的有效化疗药物。然而,获得化疗耐药性仍是治疗中的一项挑战。褪黑素可增强5-氟尿嘧啶的治疗效果;然而,其潜在机制尚未完全明确。我们研究了褪黑素与5-氟尿嘧啶联合使用对胃癌细胞增殖、迁移和侵袭的影响。褪黑素显著增强了5-氟尿嘧啶对胃癌细胞增殖、迁移和侵袭的抑制作用,通过促进依赖Beclin-1的自噬激活并靶向肌球蛋白轻链激酶(MLCK)信号通路,增强了对5-氟尿嘧啶的敏感性。先前的研究表明,自噬可能与MLCK信号通路有关。自噬抑制剂3-甲基腺嘌呤有效挽救了胃癌细胞的迁移和侵袭能力,同时还降低了MLCK的表达水平和MLC的磷酸化水平。这表明自噬参与肿瘤转移,可能与抑制MLCK信号通路有关。我们的研究结果表明,褪黑素可提高5-氟尿嘧啶治疗胃癌的有效性,可作为5-氟尿嘧啶治疗胃癌的辅助药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4085/10539390/92dd811d850b/jcav14p2608g001.jpg

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