Ameliorating cancer cachexia by inhibiting cancer cell release of Hsp70 and Hsp90 with omeprazole

© 2021 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders..

BACKGROUND: Cancer cachexia, characterized by muscle and fat tissue wasting, is a major determinant of cancer-related mortality without established treatment. Recent animal data revealed that cancer cells induce muscle wasting by releasing Hsp70 and Hsp90 as surface proteins on extracellular vesicles (EVs). Here, we test a therapeutic strategy for ameliorating cancer cachexia by inhibiting the release of Hsp70 and Hsp90 using proton pump inhibitor omeprazole.

METHODS: Omeprazole effect on Hsp70/90 release through EVs by Lewis lung carcinoma (LLC) cells in vitro, serum levels of Hsp70/90 and Hsp70/90-carrying EVs in LLC tumour-bearing mice, and LLC-induced muscle protein degradation pathways in C2C12 myotubes and mice were determined. Omeprazole effect on endolysosomal pH and Rab27b expression in LLC cells were analysed.

RESULTS: Omeprazole treatment of LLC cells inhibited Hsp70/90 and Hsp70/90-carrying EV release in a dose-dependent manner (1 to 10 μM) and attenuated the catabolic activity of LLC cell-conditioned medium on C2C12 myotubes. Systemic omeprazole administration to LLC tumour-bearing mice (5 mg/kg/day subcutaneously) for 2 weeks blocked elevation of serum Hsp70, Hsp90, and Hsp70/90-carrying EVs, abrogated skeletal muscle catabolism, and prevented loss of muscle function as well as muscle and epididymal fat mass without altering tumour growth. Consequently, median survival increased by 23.3%. Mechanistically, omeprazole increased cancer cell endolysosomal pH level dose-dependently (0.1 to 1 μM) by inhibiting vacuolar H+ -ATPase. Further, omeprazole suppressed the highly elevated expression of Rab27b, a key regulator of EV release, in LLC cells.

CONCLUSIONS: Omeprazole ameliorates cancer cachexia by inhibiting cancer cell release of Hsp70 and Hsp90.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of cachexia, sarcopenia and muscle - 13(2022), 1 vom: 05. Feb., Seite 636-647

Sprache:

Englisch

Beteiligte Personen:

Liu, Zhelong [VerfasserIn]
Xiong, Jian [VerfasserIn]
Gao, Song [VerfasserIn]
Zhu, Michael X [VerfasserIn]
Sun, Kai [VerfasserIn]
Li, Min [VerfasserIn]
Zhang, Guohua [VerfasserIn]
Li, Yi-Ping [VerfasserIn]

Links:

Volltext

Themen:

Fat tissue wasting
Hsp70
Hsp90
Journal Article
KG60484QX9
Lewis lung carcinoma
Muscle wasting
Omeprazole
Rab27b
Research Support, N.I.H., Extramural
Vacuolar H+-ATPase

Anmerkungen:

Date Completed 23.03.2022

Date Revised 23.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jcsm.12851

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33268122X