The radiation- and chemo-sensitizing capacity of diclofenac can be predicted by a decreased lactate metabolism and stress response

© 2024. The Author(s)..

BACKGROUND: An enhanced aerobic glycolysis ("Warburg effect") associated with an increase in lactic acid in the tumor microenvironment contributes to tumor aggressiveness and resistance to radiation and chemotherapy. We investigated the radiation- and chemo-sensitizing effects of the nonsteroidal anti-inflammatory drug (NSAID) diclofenac in different cancer cell types.

METHODS: The effects of a non-lethal concentration of diclofenac was investigated on c-MYC and Lactate Dehydrogenase (LDH) protein expression/activity and the Heat shock Protein (HSP)/stress response in human colorectal (LS174T, LoVo), lung (A549), breast (MDA-MB-231) and pancreatic (COLO357) carcinoma cells. Radiation- and chemo-sensitization of diclofenac was determined using clonogenic cell survival assays and a murine xenograft tumor model.

RESULTS: A non-lethal concentration of diclofenac decreases c-MYC protein expression and LDH activity, reduces cytosolic Heat Shock Factor 1 (HSF1), Hsp70 and Hsp27 levels and membrane Hsp70 positivity in LS174T and LoVo colorectal cancer cells, but not in A549 lung carcinoma cells, MDA-MB-231 breast cancer cells and COLO357 pancreatic adenocarcinoma cells. The impaired lactate metabolism and stress response in diclofenac-sensitive colorectal cancer cells was associated with a significantly increased sensitivity to radiation and 5Fluorouracil in vitro, and in a human colorectal cancer xenograft mouse model diclofenac causes radiosensitization.

CONCLUSION: These findings suggest that a decrease in the LDH activity and/or stress response upon diclofenac treatment predicts its radiation/chemo-sensitizing capacity.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Radiation oncology (London, England) - 19(2024), 1 vom: 16. Jan., Seite 7

Sprache:

Englisch

Beteiligte Personen:

Schwab, Melissa [VerfasserIn]
Dezfouli, Ali Bashiri [VerfasserIn]
Khosravi, Mohammad [VerfasserIn]
Alkotub, Bayan [VerfasserIn]
Bauer, Lisa [VerfasserIn]
Birgani, Mohammad Javed Tahmasebi [VerfasserIn]
Multhoff, Gabriele [VerfasserIn]

Links:

Volltext

Themen:

144O8QL0L1
Diclofenac
Journal Article
Lactates
Radiation sensitization
Stress response
Tumor metabolism

Anmerkungen:

Date Completed 18.01.2024

Date Revised 19.01.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13014-024-02399-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367196646