Abstract
Objective
Pituitary adrenocorticotropic hormone (ACTH)-secreting adenoma is a relatively intractable endocrine adenoma that can cause a range of severe metabolic disorders and pathological changes involving multiple systems. Previous studies have shown that celastrol has antitumor effects on a variety of tumor cells via the AKT/mTOR signaling. However, whether celastrol has pronounced antitumor effects on pituitary ACTH-secreting adenoma is unclear. This study aimed to identify a new effective therapeutic drug for pituitary ACTH-secreting adenoma.
Methods
Mouse pituitary ACTH-secreting adenoma cells (AtT20 cells) were used as an experimental model in vitro and to establish a xenograft tumor model in mice. Cells and animals were administered doses of celastrol at various levels. The effects of celastrol on cell viability, migration, apoptosis and autophagy were then examined. Finally, the potential involvement of AKT/mTOR signaling in celastrol’s mechanism was assessed.
Results
Celastrol inhibited the proliferation and migration of pituitary adenoma cells in a time- and concentration-dependent manner. It blocked AtT20 cells in the G0/G1 phase, and induced apoptosis and autophagy by downregulating the AKT/mTOR signaling pathway. Similar results were obtained in mice.
Conclusion
Celastrol exerts potent antitumor effects on ACTH-secreting adenoma by downregulating the AKT/mTOR signaling in vitro and in vivo.
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References
Lau D, Rutledge C, Aghi MK. Cushing’s disease: current medical therapies and molecular insights guiding future therapies. Neurosurg Focus, 2015,38(2):E11
Lacroix A, Feelders RA, Stratakis CA, et al. Cushing’s syndrome. Lancet, 2015,386(9996):913–927
Broersen LHA, Jha M, Biermasz NR, et al. Effectiveness of medical treatment for Cushing’s syndrome: a systematic review and meta-analysis. Pituitary, 2018, 21(6):631–641
Pivonello R, De Leo M, Cozzolino A, et al. The Treatment of Cushing’s Disease. Endocr Rev, 2015,36(4):385–486
Wang CY, Bai XY, Wang CH. Traditional Chinese medicine: a treasured natural resource of anticancer drug research and development. Am J Chin Med, 2014, 42(3): 543–559
Fan Y, Ma Z, Zhao L, et al. Anti-tumor activities and mechanisms of Traditional Chinese medicines formulas: A review. Biomed Pharmacother, 2020,132:110820.
Wang SF, Wu MY, Cai CZ, et al. Autophagy modulators from traditional Chinese medicine: Mechanisms and therapeutic potentials for cancer and neurodegenerative diseases. J Ethnopharmacol, 2016,194:861–876
Wong VKW, Qiu C, Xu SW, et al. Ca(2+) signalling plays a role in celastrol-mediated suppression of synovial fibroblasts of rheumatoid arthritis patients and experimental arthritis in rats. Br J Pharmacol, 2019, 176(16):2922–2944
Liu J, Lee J, Hernandez MAS, et al. Treatment of obesity with celastrol. Cell, 2015,161(5):999–1011
Feng X, Guan D, Auen T, et al. IL1R1 is required for celastrol’s leptin-sensitization and antiobesity effects. Nat Med, 2019,25(4):575–582
Peng X, Liang Y, Li J, et al. Preventive effects of “ovalbumin-conjugated celastrol-loaded nanomicelles” in a mouse model of ovalbumin-induced allergic airway inflammation. Eur J Pharm Sci, 2020,143:105172
Chen X, Zhao Y, Luo W, et al. Celastrol induces ROS-mediated apoptosis via directly targeting peroxiredoxin-2 in gastric cancer cells. Theranostics, 2020,10(22):10290–10308
Jiang Z, Cao Q, Dai G, et al. Celastrol inhibits colorectal cancer through TGF-β1/Smad signaling. Onco Targets Ther, 2019,12:509–518
Zhao Y, Tan Y, Meng T, et al. Simultaneous targeting therapy for lung metastasis and breast tumor by blocking the NF-κB signaling pathway using Celastrol-loaded micelles. Drug Deliv, 2018,25(1):341–352
Su Z, Yang Z, Xu Y, et al. Apoptosis, autophagy, necroptosis, and cancer metastasis. Mol Cancer, 2015, 14:48
Carneiro BA, El-Deiry WS. Targeting apoptosis in cancer therapy. Nat Rev Clin Oncol, 2020,17(7):395–417
Grilo AL, Mantalaris A. Apoptosis: A mammalian cell bioprocessing perspective. Biotechnol Adv, 2019, 37(3): 459–475
Wang RC, Wei Y, An Z, et al. Akt-mediated regulation of autophagy and tumorigenesis through Beclin 1 phosphorylation. Science, 2012,338(6109):956–959
Liu X, Zhao P, Wang X, et al. Celastrol mediates autophagy and apoptosis via the ROS/JNK and Akt/mTOR signaling pathways in glioma cells. J Exp Clin Cancer Res, 2019,38(1):184
Zhu Y, Liu X, Zhao P, et al. Celastrol Suppresses Glioma Vasculogenic Mimicry Formation and Angiogenesis by Blocking the PI3K/Akt/mTOR Signaling Pathway. Front Pharmacol, 2020,11:25
Li X, Zhu G, Yao X, et al. Celastrol induces ubiquitin-dependent degradation of mTOR in breast cancer cells. Onco Targets Ther, 2018,11:8977–8985
Feng H, Cheng X, Kuang J, et al. Apatinib-induced protective autophagy and apoptosis through the AKT-mTOR pathway in anaplastic thyroid cancer. Cell Death Dis, 2018,9(10):1030
Zhou J, Jiang YY, Chen H, et al. Tanshinone I attenuates the malignant biological properties of ovarian cancer by inducing apoptosis and autophagy via the inactivation of PI3K/AKT/mTOR pathway. Cell Prolif, 2020, 53(2): e12739
Dworakowska D, Wlodek E, Leontiou CA, et al. Activation of RAF/MEK/ERK and PI3K/AKT/mTOR pathways in pituitary adenomas and their effects on downstream effectors. Endocr Relat Cancer, 2009, 16(4): 1329–1338
Song ZJ, Reitman ZJ, Ma ZY, et al. The genome-wide mutational landscape of pituitary adenomas. Cell Res, 2016,26(11):1255–1259
Jin K, Ruan L, Pu J, et al. Metformin suppresses growth and adrenocorticotrophic hormone secretion in mouse pituitary corticotroph tumor AtT20 cells. Mol Cell Endocrinol, 2018,478:53–61
Pivonello R, De Martino MC, De Leo, et al. Cushing’s disease: the burden of illness. Endocrine, 2017,56(1):10–18
Lonser RR, Nieman L, Oldfield EH. Cushing’s disease: pathobiology, diagnosis, and management. J Neurosurg, 2017,126(2):404–417
Lin FZ, Wang SC, Hsi YT, et al. Celastrol induces vincristine multidrug resistance oral cancer cell apoptosis by targeting JNK1/2 signaling pathway. Phytomedicine, 2019,54:1–8
Li HY, Zhang J, Sun LL, et al. Celastrol induces apoptosis and autophagy via the ROS/JNK signaling pathway in human osteosarcoma cells: an in vitro and in vivo study. Cell Death Dis, 2015,6(1):e1604
Dagogo-Jack I, Shaw AT. Tumour heterogeneity and resistance to cancer therapies. Nat Rev Clin Oncol, 2018,15(2):81–94
Emmanuel R, Weinstein S, Landesman-Milo D, et al. eIF3c: a potential therapeutic target for cancer. Cancer Lett, 2013,336(1):158–166
Peng B, Xu L, Cao F, et al. HSP90 inhibitor, celastrol, arrests human monocytic leukemia cell U937 at G0/G1 in thiol-containing agents reversible way. Mol Cancer, 2010,9:79
Delbridge AR, Strasser A. The BCL-2 protein family, BH3-mimetics and cancer therapy. Cell Death Differ, 2015,22(7):1071–1080
Kim B, Srivastava SK, Kim SH. Caspase-9 as a therapeutic target for treating cancer. Expert Opin Ther Targets, 2015,19(1):113–127
Wu Y, Chen M, Jiang J. Mitochondrial dysfunction in neurodegenerative diseases and drug targets via apoptotic signaling. Mitochondrion, 2019,49:35–45
Onorati AV, Dyczynski M, Ojha R, et al. Targeting autophagy in cancer. Cancer, 2018,124(16):3307–3318
Jiang T, Chen X, Ren X, et al. Emerging role of autophagy in anti-tumor immunity: Implications for the modulation of immunotherapy resistance. Drug Resist Updat, 2021,56:100752
Poillet-Perez L, White E. Role of tumor and host autophagy in cancer metabolism. Genes Dev, 2019, 33(11–12):610–619
Shi YN, Liu LP, Deng CF, et al. Celastrol ameliorates vascular neointimal hyperplasia through Wnt5a-involved autophagy. Int J Biol Sci, 2021,17(10):2561–2575
Wang L, Tang L, Yao C, et al. The Synergistic Effects of Celastrol in combination with Tamoxifen on Apoptosis and Autophagy in MCF-7 Cells. J Immunol Res, 2021, 2021:5532269
Shi B, Ma M, Zheng Y, et al. mTOR and Beclin1: Two key autophagy-related molecules and their roles in myocardial ischemia/reperfusion injury. J Cell Physiol, 2019,234(8):12562–12568
Rodríguez-Hernández MA, González R, de la Rosa Á J, et al. Molecular characterization of autophagic and apoptotic signaling induced by sorafenib in liver cancer cells. J Cell Physiol, 2018,234(1):692–708
Rahmani M, Nkwocha J, Hawkins E, et al. Cotargeting BCL-2 and PI3K Induces BAX-Dependent Mitochondrial Apoptosis in AML Cells. Cancer Res, 2018, 78(11): 3075–3086
Chen S, Gu C, Xu C, et al. Celastrol prevents cadmium-induced neuronal cell death via targeting JNK and PTEN-Akt/mTOR network. J Neurochem, 2014,128(2):256–266
Metselaar DS, Meel MH, Benedict B, et al. Celastrol-induced degradation of FANCD2 sensitizes pediatric high-grade gliomas to the DNA-crosslinking agent carboplatin. EBioMedicine, 2019,50:81–92
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The authors declare that they have no competing interest.
Author Ting LEI is a member of the Editorial Board for Current Medical Science. The paper was handled by the other editor and has undergone rigorous peer review process. Author Ting LEI was not involved in the journal’s review of, or decision related to, this manuscript.
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This work was supported by the National Natural Science Youth Foundation of China (No. 81602204).
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Cai, Z., Qian, B., Pang, J. et al. Celastrol Induces Apoptosis and Autophagy via the AKT/mTOR Signaling Pathway in the Pituitary ACTH-secreting Adenoma Cells. CURR MED SCI 42, 387–396 (2022). https://doi.org/10.1007/s11596-022-2568-6
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DOI: https://doi.org/10.1007/s11596-022-2568-6