Abstract
Purpose
Disulfiram (DSF) is an approved drug for the treatment of alcohol dependence. Accumulating evidence indicates that DSF, alone or in combination with copper (Cu), possesses strong antitumor activity in various malignancies. This study investigated the effects of DSF on gastric cancer (GC) and the potential mechanisms involved.
Methods
GC cell proliferation and apoptosis upon treatment with DSF with or without copper were analyzed using CCK-8 assay, colony formation assay, and flow cytometry. Glucose metabolism was investigated using glucose consumption and lactate production assays. The expression of caspase-3, Bcl-2, LC-3, P62, S6K1, c-Myc, GLUT1, PKM2, and LDHA was analyzed using western blot assay. In vivo nude mice studies were performed to verify the findings from in vitro analyses.
Results
Our study showed that DSF was highly toxic to GC cells in a Cu-dependent manner. Nontoxic concentrations of Cu enhanced the inhibitory effects of DSF on cell viability and colony formation. DSF also induced apoptotic and autophagic cell death in the presence of Cu. In addition, DSF/Cu inhibited glycolysis and xenograft growth of GC cells by suppressing the expression of S6K1, c-Myc, and their downstream molecules, including GLUT1, PKM2, and LDHA.
Conclusion
Our study demonstrated that DSF/Cu exerted antitumor activity against GC cells both in vitro and in vivo. DSF/Cu may represent a promising therapeutic strategy for the treatment of GC.
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Availability of data and material
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Abbreviations
- GC:
-
Gastric cancer
- DSF:
-
Disulfiram
- GLUT1:
-
Glucose transporter type 1
- HK2:
-
Hexokinase 2
- PKM2:
-
Pyruvate kinase M2
- LDHA:
-
L-lactate dehydrogenase A chain
- IHC:
-
Immunohistochemistry
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492
Thrift AP, El-Serag HB (2020) Burden of gastric cancer. Clin Gastroenterol Hepatol 18(3):534–542. https://doi.org/10.1016/j.cgh.2019.07.045
Ekinci E, Rohondia S, Khan R, Dou QP (2019) Repurposing disulfiram as an anti-cancer agent: updated review on literature and patents. Recent Pat Anti-Cancer Drug Discov 14(2):113–132. https://doi.org/10.2174/1574892814666190514104035
Yang Q, Yao Y, Li K, Jiao L, Zhu J, Ni C, Li M, Dou QP, Yang H (2019) An updated review of disulfiram: molecular targets and strategies for cancer treatment. Curr Pharm Des 25(30):3248–3256. https://doi.org/10.2174/1381612825666190816233755
McMahon A, Chen W, Li F (2020) Old wine in new bottles: advanced drug delivery systems for disulfiram-based cancer therapy. J Controll Release 319:352–359. https://doi.org/10.1016/j.jconrel.2020.01.001
Guo F, Yang Z, Kulbe H, Albers AE, Sehouli J, Kaufmann AM (2019) Inhibitory effect on ovarian cancer ALDH+ stem-like cells by disulfiram and copper treatment through ALDH and ROS modulation. Biomed Pharmacother 118:109371. https://doi.org/10.1016/j.biopha.2019.109371
Liu P, Brown S, Goktug T, Channathodiyil P, Kannappan V, Hugnot JP, Guichet PO, Bian X, Armesilla AL, Darling JL, Wang W (2012) Cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells. Br J Cancer 107(9):1488–1497. https://doi.org/10.1038/bjc.2012.442
Jin N, Zhu X, Cheng F, Zhang L (2018) Disulfiram/copper targets stem cell-like ALDH(+) population of multiple myeloma by inhibition of ALDH1A1 and Hedgehog pathway. J Cell Biochem 119(8):6882–6893. https://doi.org/10.1002/jcb.26885
Liu X, Wang L, Cui W, Yuan X, Lin L, Cao Q, Wang N, Li Y, Guo W, Zhang X, Wu C, Yang J (2016) Targeting ALDH1A1 by disulfiram/copper complex inhibits non-small cell lung cancer recurrence driven by ALDH-positive cancer stem cells. Oncotarget 7(36):58516–58530. https://doi.org/10.18632/oncotarget.11305
Cong J, Wang Y, Zhang X, Zhang N, Liu L, Soukup K, Michelakos T, Hong T, DeLeo A, Cai L, Sabbatino F, Ferrone S, Lee H, Levina V, Fuchs B, Tanabe K, Lillemoe K, Ferrone C, Wang X (2017) A novel chemoradiation targeting stem and nonstem pancreatic cancer cells by repurposing disulfiram. Cancer Lett 409:9–19. https://doi.org/10.1016/j.canlet.2017.08.028
Yang Z, Guo F, Albers AE, Sehouli J, Kaufmann AM (2019) Disulfiram modulates ROS accumulation and overcomes synergistically cisplatin resistance in breast cancer cell lines. Biomed Pharmacother 113:108727. https://doi.org/10.1016/j.biopha.2019.108727
Yip NC, Fombon IS, Liu P, Brown S, Kannappan V, Armesilla AL, Xu B, Cassidy J, Darling JL, Wang W (2011) Disulfiram modulated ROS-MAPK and NFkappaB pathways and targeted breast cancer cells with cancer stem cell-like properties. Br J Cancer 104(10):1564–1574. https://doi.org/10.1038/bjc.2011.126
Li Y, Chen F, Chen J, Chan S, He Y, Liu W, Zhang G (2020) Disulfiram/copper induces antitumor activity against both nasopharyngeal cancer cells and cancer-associated fibroblasts through ROS/MAPK and ferroptosis pathways. Cancers. https://doi.org/10.3390/cancers12010138
Xu B, Wang S, Li R, Chen K, He L, Deng M, Kannappan V, Zha J, Dong H, Wang W (2017) Disulfiram/copper selectively eradicates AML leukemia stem cells in vitro and in vivo by simultaneous induction of ROS-JNK and inhibition of NF-kappaB and Nrf2. Cell Death Dis 8(5):e2797. https://doi.org/10.1038/cddis.2017.176
Iljin K, Ketola K, Vainio P, Halonen P, Kohonen P, Fey V, Grafstrom RC, Perala M, Kallioniemi O (2009) High-throughput cell-based screening of 4910 known drugs and drug-like small molecules identifies disulfiram as an inhibitor of prostate cancer cell growth. Clin Cancer Res 15(19):6070–6078. https://doi.org/10.1158/1078-0432.CCR-09-1035
Chiba T, Suzuki E, Yuki K, Zen Y, Oshima M, Miyagi S, Saraya A, Koide S, Motoyama T, Ogasawara S, Ooka Y, Tawada A, Nakatsura T, Hayashi T, Yamashita T, Kaneko S, Miyazaki M, Iwama A, Yokosuka O (2014) Disulfiram eradicates tumor-initiating hepatocellular carcinoma cells in ROS-p38 MAPK pathway-dependent and -independent manners. PLoS ONE 9(1):e84807. https://doi.org/10.1371/journal.pone.0084807
Wang W, McLeod HL, Cassidy J (2003) Disulfiram-mediated inhibition of NF-kappaB activity enhances cytotoxicity of 5-fluorouracil in human colorectal cancer cell lines. Int J Cancer 104(4):504–511. https://doi.org/10.1002/ijc.10972
Li Y, Wang LH, Zhang HT, Wang YT, Liu S, Zhou WL, Yuan XZ, Li TY, Wu CF, Yang JY (2018) Disulfiram combined with copper inhibits metastasis and epithelial-mesenchymal transition in hepatocellular carcinoma through the NF-kappaB and TGF-beta pathways. J Cell Mol Med 22(1):439–451. https://doi.org/10.1111/jcmm.13334
Allensworth JL, Evans MK, Bertucci F, Aldrich AJ, Festa RA, Finetti P, Ueno NT, Safi R, McDonnell DP, Thiele DJ, Van Laere S, Devi GR (2015) Disulfiram (DSF) acts as a copper ionophore to induce copper-dependent oxidative stress and mediate anti-tumor efficacy in inflammatory breast cancer. Mol Oncol 9(6):1155–1168. https://doi.org/10.1016/j.molonc.2015.02.007
Chen D, Cui QC, Yang H, Dou QP (2006) Disulfiram, a clinically used anti-alcoholism drug and copper-binding agent, induces apoptotic cell death in breast cancer cultures and xenografts via inhibition of the proteasome activity. Can Res 66(21):10425–10433. https://doi.org/10.1158/0008-5472.CAN-06-2126
Majera D, Skrott Z, Chroma K, Merchut-Maya JM, Mistrik M, Bartek J (2020) Targeting the NPL4 Adaptor of p97/VCP Segregase by Disulfiram as an emerging cancer vulnerability evokes replication stress and DNA damage while silencing the ATR pathway. Cells. https://doi.org/10.3390/cells9020469
Skrott Z, Mistrik M, Andersen KK, Friis S, Majera D, Gursky J, Ozdian T, Bartkova J, Turi Z, Moudry P, Kraus M, Michalova M, Vaclavkova J, Dzubak P, Vrobel I, Pouckova P, Sedlacek J, Miklovicova A, Kutt A, Li J, Mattova J, Driessen C, Dou QP, Olsen J, Hajduch M, Cvek B, Deshaies RJ, Bartek J (2017) Alcohol-abuse drug disulfiram targets cancer via p97 segregase adaptor NPL4. Nature 552(7684):194–199. https://doi.org/10.1038/nature25016
Skrott Z, Majera D, Gursky J, Buchtova T, Hajduch M, Mistrik M, Bartek J (2019) Disulfiram’s anti-cancer activity reflects targeting NPL4, not inhibition of aldehyde dehydrogenase. Oncogene 38(40):6711–6722. https://doi.org/10.1038/s41388-019-0915-2
Du C, Zheng Z, Li D, Chen L, Li N, Yi X, Yang Y, Guo F, Liu W, Xie X, Xie M (2016) BKCa promotes growth and metastasis of prostate cancer through facilitating the coupling between alphavbeta3 integrin and FAK. Oncotarget. https://doi.org/10.18632/oncotarget.9559
Du C, Yi X, Liu W, Han T, Liu Z, Ding Z, Zheng Z, Piao Y, Yuan J, Han Y, Xie M, Xie X (2014) MTDH mediates trastuzumab resistance in HER2 positive breast cancer by decreasing PTEN expression through an NFkappaB-dependent pathway. BMC Cancer 14:869. https://doi.org/10.1186/1471-2407-14-869
Wiggins HL, Wymant JM, Solfa F, Hiscox SE, Taylor KM, Westwell AD, Jones AT (2015) Disulfiram-induced cytotoxicity and endo-lysosomal sequestration of zinc in breast cancer cells. Biochem Pharmacol 93(3):332–342. https://doi.org/10.1016/j.bcp.2014.12.014
Wickstrom M, Danielsson K, Rickardson L, Gullbo J, Nygren P, Isaksson A, Larsson R, Lovborg H (2007) Pharmacological profiling of disulfiram using human tumor cell lines and human tumor cells from patients. Biochem Pharmacol 73(1):25–33. https://doi.org/10.1016/j.bcp.2006.08.016
Rae C, Tesson M, Babich JW, Boyd M, Sorensen A, Mairs RJ (2013) The role of copper in disulfiram-induced toxicity and radiosensitization of cancer cells. J Nucl Med 54(6):953–960. https://doi.org/10.2967/jnumed.112.113324
Guo X, Xu B, Pandey S, Goessl E, Brown J, Armesilla AL, Darling JL, Wang W (2010) Disulfiram/copper complex inhibiting NFkappaB activity and potentiating cytotoxic effect of gemcitabine on colon and breast cancer cell lines. Cancer Lett 290(1):104–113. https://doi.org/10.1016/j.canlet.2009.09.002
Schwartz L, Supuran CT, Alfarouk KO (2017) The Warburg effect and the hallmarks of cancer. Anticancer Agents Med Chem 17(2):164–170
Tekade RK, Sun X (2017) The Warburg effect and glucose-derived cancer theranostics. Drug Discov Today 22(11):1637–1653. https://doi.org/10.1016/j.drudis.2017.08.003
Lovborg H, Oberg F, Rickardson L, Gullbo J, Nygren P, Larsson R (2006) Inhibition of proteasome activity, nuclear factor-KappaB translocation and cell survival by the antialcoholism drug disulfiram. Int J Cancer 118(6):1577–1580. https://doi.org/10.1002/ijc.21534
Calderon-Aparicio A, Cornejo A, Orue A, Rieber M (2019) Anticancer response to disulfiram may be enhanced by co-treatment with MEK inhibitor or oxaliplatin: modulation by tetrathiomolybdate, KRAS/BRAF mutations and c-MYC/p53 status. Ecancermedicalscience 13:890. https://doi.org/10.3332/ecancer.2019.890
Wang L, Chai X, Wan R, Zhang H, Zhou C, Xiang L, Paul ME, Li Y (2020) Disulfiram chelated with copper inhibits the growth of gastric cancer cells by modulating stress response and Wnt/β-catenin signaling. Front Oncol. https://doi.org/10.3389/fonc.2020.595718
Zhang J, Pu K, Bai S, Peng Y, Li F, Ji R, Guo Q, Sun W, Wang Y (2020) The anti-alcohol dependency drug disulfiram inhibits the viability and progression of gastric cancer cells by regulating the Wnt and NF-κB pathways. J Int Med Res 48(6):1–8. https://doi.org/10.1177/0300060520925996
Funding
This work was supported by National Natural Science Foundation of China (grant number 81702423), Postdoctoral Research Foundation of China (grant numbers 2017M623442 and 2018T111169), and Foundation of Shenyang Cancer Targeted Therapy Research Center (grant number 213463).
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Du, C., Guan, X., Liu, Y. et al. Disulfiram/copper induces antitumor activity against gastric cancer cells in vitro and in vivo by inhibiting S6K1 and c-Myc. Cancer Chemother Pharmacol 89, 451–458 (2022). https://doi.org/10.1007/s00280-022-04398-3
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DOI: https://doi.org/10.1007/s00280-022-04398-3