Department of Anesthesiology, Ditmanson Medical Foundation Chia‑Yi Christian Hospital, Chiayi 60002, Taiwan, R.O.C.
Department of Biochemical Science and Technology, National Chiayi University, Chiayi 600355, Taiwan, R.O.C.
Oncol Rep. 2024 May;51(5). doi: 10.3892/or.2024.8731. Epub 2024 Apr 12.
Glioblastoma multiforme (GBM) is the most aggressive type of malignant brain tumor. Currently, the predominant clinical treatment is the combination of surgical resection with concurrent radiotherapy and chemotherapy, using temozolomide (TMZ) as the primary chemotherapy drug. Lidocaine, a widely used amide‑based local anesthetic, has been found to have a significant anticancer effect. It has been reported that aberrant hepatocyte growth factor (HGF)/mesenchymal‑epithelial transition factor (MET) signaling plays a role in the progression of brain tumors. However, it remains unclear whether lidocaine can regulate the MET pathway in GBM. In the present study, the clinical importance of the HGF/MET pathway was analyzed using bioinformatics. By establishing TMZ‑resistant cell lines, the impact of combined treatment with lidocaine and TMZ was investigated. Additionally, the effects of lidocaine on cellular function were also examined and confirmed using knockdown techniques. The current findings revealed that the HGF/MET pathway played a key role in brain cancer, and its activation in GBM was associated with increased malignancy and poorer patient outcomes. Elevated HGF levels and activation of its receptor were found to be associated with TMZ resistance in GBM cells. Lidocaine effectively suppressed the HGF/MET pathway, thereby restoring TMZ sensitivity in TMZ‑resistant cells. Furthermore, lidocaine also inhibited cell migration. Overall, these results indicated that inhibiting the HGF/MET pathway using lidocaine can enhance the sensitivity of GBM cells to TMZ and reduce cell migration, providing a potential basis for developing novel therapeutic strategies for GBM.
多形性胶质母细胞瘤(GBM)是最具侵袭性的恶性脑肿瘤。目前,主要的临床治疗方法是手术切除联合放疗和化疗,以替莫唑胺(TMZ)作为主要化疗药物。利多卡因是一种广泛使用的酰胺类局部麻醉剂,已被发现具有显著的抗癌作用。有报道称,异常的肝细胞生长因子(HGF)/间质-上皮转化因子(MET)信号在脑肿瘤的进展中起作用。然而,目前尚不清楚利多卡因是否可以调节 GBM 中的 MET 通路。在本研究中,通过生物信息学分析了 HGF/MET 通路的临床重要性。通过建立 TMZ 耐药细胞系,研究了利多卡因与 TMZ 联合治疗的影响。此外,还使用敲低技术检查和证实了利多卡因对细胞功能的影响。目前的研究结果表明,HGF/MET 通路在脑癌中起关键作用,其在 GBM 中的激活与恶性程度增加和患者预后较差有关。发现 HGF 水平升高和其受体激活与 GBM 细胞对 TMZ 的耐药性有关。利多卡因能有效抑制 HGF/MET 通路,从而恢复 TMZ 耐药细胞对 TMZ 的敏感性。此外,利多卡因还抑制细胞迁移。总之,这些结果表明,使用利多卡因抑制 HGF/MET 通路可以增强 GBM 细胞对 TMZ 的敏感性,减少细胞迁移,为开发治疗 GBM 的新治疗策略提供了潜在的依据。
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