Effect of Digoxin on apoptosis of MDA-MB-231 cells in triple negative breast cancer
LYU Yuchen1 WU Miaomiao2 FANG Kun2 CHEN Wenxu1 SHEN Aizong2 LIU Tongzhu2 WANG Ning1
1.College of Pharmacy, Anhui University of Chinese Medicine, Anhui Province, Hefei 230012, China;
2.Biomedical Engineering Agency, the First Affiliated Hospital of USTC Anhui Provincial Hospital, Anhui Province, Hefei 230001, China
Abstract:Objective To investigate the effect of Digoxin on apoptosis of MDA-MB-231 cells of triple negative breast cancer in vitro, and to reveal its possible mechanism. Methods Breast cancer MDA-MB-231 cells were cultured in vitro and divided into control group and drug administration group (25, 50, 100, 200 nmol/L Digoxin). CCK-8 method was used to detect the effects of Digoxin at different concentrations on the activity of MDA-MB-231 cells at different action time (24, 48, 72 h). The effects of Digoxin at different concentrations on apoptosis and mitochondrial membrane potential were quantitatively investigated by flow cytometry. Expression of Bax, Bcl-2, P62 and LC3B in MDA-MB-231 cells was detected by Western blot. The effects of Digoxin at different concentrations on autophagosomes in MDA-MB-231 cells were observed by transmission electron microscopy. Results CCK-8 results indicated that, compared with the control group, the activity of MDA-MB-231 cells decreased in the drug administration group at different time, with statistically significant differences (P < 0.05 or P < 0.01). Annexin V/PI double staining results indicated that compared with the control group, the apoptosis rate of the treated group increased with a statistically significant difference (P < 0.05 or P < 0.01). The results of JC-1 staining indicated that compared with the control group, 50, 100 and 200 nmol/L of Digoxin reduced the mitochondrial membrane potential of MDA-MB-231 cells, and the proportion of JC-1 decreased, with statistically significant differences (P < 0.05 or P < 0.01). The results of fluoroscopy indicated that, compared with the control group, the cell morphology of the drug administration group underwent apoptotic changes, and the formation of autophagosomes was observed in the drug administration group. Western blot results indicated that, compared with the control group, the administration group up-regulated the expression of pro-apoptotic factor Bax, down-regulated the expression of anti-apoptotic factor Bcl-2, and up-regulated the expression of autophagy marker protein LC3B, with statistically significant differences (P < 0.05 or P < 0.01); compared with the control group, 50, 100 and 200 nmol/L of Digoxin decreased the expression of P62, with statistically significant differences (P < 0.05 or P < 0.01). Conclusion Digoxin inhibits the activity of MDA-MB-231 cells, promotes apoptosis, induces autophagy, and may have a potential effect on triple negative breast cancer.
[1] Hu S,Xu Y,Meng L,et al. Curcumin inhibits proliferation and promotes apoptosis of breast cancer cells [J]. Exp Ther Med,2018,16(2):1266-1272.
[2] Rida P,Ogden A,Ellis IO,et al. First international TNBC conference meeting report[J]. Breast Cancer Res Treat,2018, 169(3):407-412.
[3] Winnicka K,Bielawski K,Bielawska A,et al. Antiproliferative activity of derivatives of ouabain, digoxin and proscillaridin A in human MCF-7and MDA-MB-231 breast cancer cells [J]. Biol Pharm Bull,2008,31(6):1131-1140.
[4] Wang Y,Qiu Q,Shen JJ,et al. Cardiac glycosides induce autophagy in human non-small cell lung cancer cells through regulation of dual signaling pathways [J]. Biochem Cell Biol, 2012, 17(44):1813-1824.
[5] Zhao YT, Yan JY, Han XC,et al. Anti-proliferative effect of digoxin on breast cancer cells via inducing apoptosis [J]. Eur Rev Med Pharmacol Sci,2017,21(24):5837-5842.
[6] Trenti A,Grumati P,Cusinato F,et al. Cardiac glycoside ouabain induces autophagic cell death in non-small cell lun g cancer cells via a JNK-dependent decrease of Bcl-2 [J]. Biochemical Pharmacology,2014,89(2):197-209.
[7] Wang Y,Zhan Y,Xu R,et al. Src mediates extracellular signal-regulated kinase 1/2 activation and autophagic cell death induced by cardiac glycosides in human non-small cell lung cancer cell lines [J]. Mol Carcinog,2015,54 Suppl 1:E26-E34..
[8] Winnicka K,Bielawski K,Bielawska A,et al. Apoptosis-mediated cytotoxicity of ouabain, digoxin and proscillaridin A in the estrogen independent MDA-MB-231 breast cancer cells [J]. Arch Pharm Res,2007,30(10):1216-1224.
[9] Newman RA, Kondo Y,Yokoyama T,et al. Autophagic Cell Death of Human Pancreatic Tumor Cells Mediated by Oleandrin,a Lipid-Soluble Cardiac Glycoside [J]. Integr Cancer Ther,2007,6(4):354-364.
[10] Chen JQ,Contreras RG,Wang R,et al. Sodium ATPase (Na+-K+-ATPase) and ouabain related cardiac glycosides:a new paradigm for development of anti-breast cancer drugs [J]. Breast Cancer Res Treat,2006,96(1):1-15.
[11] Bielawski K,Winnicka K,Bielawska A. Inhibition of DNA Topoisomerases I and II, and Growth Inhibition of Breast Cancer MCF-7 Cells by Ouabain,Digoxin and Proscillaridin A [J]. Biol Pharm Bull,2006,29(7):1493-1497.
[12] Newman RA,Yang P,Pawlus AD,et al. Cardiac glycosides as novel cancer therapeutic agents [J]. Mol Interv,2008,8(1):36-49.
[13] Slingerland M,Cerella C,Guchelaar HJ,et al. Cardiac glycosides in cancer therapy: from preclinical investigations towards clinical trials [J]. Invest New Drugs,2013, 31(4):1087-1094.
[14] Brown JM,Attardi LD. The role of apoptosis in cancer development and treatment response [J]. Nat Rev Cancer,2005,5(3):231-237.
[15] Eidet JR,Pasovic L,Maria R,et al. Objective assessment of changes in nuclear morphology and cell distribution following induction of apoptosis [J]. Diagn Pathol,2014, 9:92.
[16] Zong WX,Lindsten T,Ross AJ,et al. BH3-only proteins that bind pro-survival Bcl-2 family members fail to induce apoptosis in the absence of Bax and Bak [J]. Genes Dev,2001,15(12):1481-1486.
[17] Cory S,Adams JM. The Bcl-2 family:regulators of the cellular life-or-death [J]. Nat Rev Cancer,2002,2(9):647-656.
[18] Dai H,Meng XW,Kaufmann SH. Bcl-2 family,mitochondrial apoptosis and beyond [J]. Cancer Transl Med, 2016,2(1):7-20.
[19] Liu YL,Yang PM,Shun CT,et al. Autophagy potentiates the anti-cancer effects of the histone deacetylase inhibitors in hepatocellular carcinoma [J]. Autophagy 2010,6(8):1057-1065.
[20] Newman RA,Kondo Y,Yokoyama T,et al. Autophagic cell death of human pancreatic tumor cells mediated by oleandrin,a lipid-soluble cardiac glycoside[J]. Integr Cancer Ther,2007,6(4):354-364.
[21] Tanida I,Minematsu-Ikeguchi N,Ueno T,et al. Lysosomal turnover,but not a cellular level of endogenous LC3 is a marker for autophagy [J]. Autophagy,2005,1(2):84-91.
[22] Su H,Wang X. Autophagy and p62 in cardiac protein quality control [J]. Autophagy,2011,7(11):1382-1383.