Abstract
Prostate cancer is one of the main global health threats for men which is in close association with chronic inflammation. Neuropeptide substance P (SP), acting through neurokinin receptor (NK‐1R), induces various pro-inflammatory responses which are strongly involved in the pathogenesis of several diseases as well as cancer. Therefore, we aimed to investigate the pro-inflammatory functions of the SP/NK1R complex in prostate cancer and the therapeutic effects of its inhibition by NK‐1R antagonist, aprepitant, in vitro. MTT assay was conducted for the cytotoxicity assessment of aprepitant in prostate cancer cells. The protein expression levels were evaluated by Western blot assay. Quantitative real-time PCR (qRT-PCR) was applied to measure mRNA expression levels of pro-inflammatory cytokines. Concurrently, the protein concentrations of pro-inflammatory cytokines were also analyzed by enzyme-linked immunosorbent assay. We observed that SP increased the levels of pro-inflammatory cytokines (IL-1β, IL-6, and TNF-α), while treatment with aprepitant reduced the effects of SP. We also indicated that SP increased the protein levels of nuclear factor-kappa B (NF-κB), as the main regulator of inflammatory processes, and also an NF-κB target gene, cyclooxygenase 2 (COX-2) in prostate cancer cells, while treatment with aprepitant reversed these effects. Taken together, our findings highlight the importance of the SP/NK1R system in the modulation of pro-inflammatory responses in prostate cancer cells and suggest that aprepitant may be developed as a novel anti-inflammatory agent for the management of cancer-associated inflammation.
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The data are available from the corresponding author on reasonable request.
References
Giona, S. (2021). In Prostate Cancer, (Bott, S. R. J. and Ng, K. L., eds.), Brisbane (AU).
Rawla, P. (2019). Epidemiology of Prostate Cancer. World J Oncol, 10, 63–89.
Ebrahimi, S., Hashemy, S. I., Sahebkar, A., & Aghaee Bakhtiari, S. H. (2021). MicroRNA regulation of androgen receptor in castration-resistant prostate cancer: Premises, promises, and potentials. Current Molecular Pharmacology, 14, 559–569.
Karantanos, T., Corn, P. G., & Thompson, T. C. (2013). Prostate cancer progression after androgen deprivation therapy: Mechanisms of castrate resistance and novel therapeutic approaches. Oncogene, 32, 5501–5511.
Litwin, M. S., & Tan, H. J. (2017). The diagnosis and treatment of prostate cancer: A review. JAMA, 317, 2532–2542.
Archer, M., Dogra, N., & Kyprianou, N. (2020) Inflammation as a driver of prostate cancer metastasis and therapeutic resistance. Cancers (Basel), 12.
Nguyen, D. P., Li, J., Yadav, S. S., & Tewari, A. K. (2014). Recent insights into NF-κ B signalling pathways and the link between inflammation and prostate cancer. BJU international, 114, 168–176.
Staal, J., & Beyaert, R. (2018) Inflammation and NF-kappaB signaling in prostate cancer: Mechanisms and clinical implications. Cells, 7.
Ugge, H., Downer, M. K., Carlsson, J., Bowden, M., Davidsson, S., Mucci, L. A., Fall, K., Andersson, S. O., & Andren, O. (2019). Circulating inflammation markers and prostate cancer. Prostate, 79, 1338–1346.
Gu, J., Polak, J. M., Probert, L., Islam, K. N., Marangos, P. J., Mina, S., Adrian, T. E., McGregor, G. P., O’Shaughnessy, D. J., & Bloom, S. R. (1983). Peptidergic innervation of the human male genital tract. Journal of Urology, 130, 386–391.
Iwamura, M., Egawa, S., Uchida, T., Koshiba, K., Cockett, A. T., & Gershagen, S. (1998). Suppression of the growth and invasiveness of human prostate cancer cells in vitro by neuropeptide antagonist substance P analogues. Urologic Oncology, 4, 24–28.
Yu, D. S., Hsieh, D. S., Chen, H. I., & Chang, S. Y. (2001). The expression of neuropeptides in hyperplastic and malignant prostate tissue and its possible clinical implications. Journal of Urology, 166, 871–875.
Garcia-Recio, S., & Gascon, P. (2015). Biological and pharmacological aspects of the NK1-receptor. BioMed Research International, 2015, 495704.
Hokfelt, T., Pernow, B., & Wahren, J. (2001). Substance P: A pioneer amongst neuropeptides. Journal of Internal Medicine, 249, 27–40.
Mozafari, M., Ebrahimi, S., Darban, R. A., & Hashemy, S. I. (2022) Potential in vitro therapeutic effects of targeting SP/NK1R system in cervical cancer. Molecular Biology Reports, 1–10.
Steinhoff, M. S., von Mentzer, B., Geppetti, P., Pothoulakis, C., & Bunnett, N. W. (2014). Tachykinins and their receptors: Contributions to physiological control and the mechanisms of disease. Physiological Reviews, 94, 265–301.
Ebrahimi, S., Alalikhan, A., Aghaee-Bakhtiari, S. H., & Hashemy, S. I. (2022). The redox modulatory effects of SP/NK1R system: Implications for oxidative stress-associated disorders. Life Sciences, 296, 120448.
Ebrahimi, S., Javid, H., Alaei, A., & Hashemy, S. I. (2020). New insight into the role of substance P/neurokinin-1 receptor system in breast cancer progression and its crosstalk with microRNAs. Clinical Genetics, 98, 322–330.
Ghahremani, F., Sabbaghzadeh, R., Ebrahimi, S., Javid, H., Ghahremani, J., & Hashemy, S. I. (2021). Pathogenic role of the SP/ NK1R system in GBM cells through inhibiting the thioredoxin system. Iranian Journal of Basic Medical Sciences, 24, 499–505.
Ghahremani, F., Sabbaghzadeh, R., Ebrahimi, S., Javid, H., Ghahremani, J., & Hashemy, S. I. (2021). Pathogenic role of the SP/NK1R system in GBM cells through inhibiting the thioredoxin system. Iranian journal of basic medical sciences, 24, 499.
Javid, H., Mohammadi, F., Zahiri, E., & Hashemy, S. I. (2019). The emerging role of substance P/neurokinin-1 receptor signaling pathways in growth and development of tumor cells. Journal of Physiology and Biochemistry, 75, 415–421.
Mozafari, M., Ebrahimi, S., Darban, R. A., & Hashemy, S. I. (2022). Potential in vitro therapeutic effects of targeting SP/NK1R system in cervical cancer. Molecular Biology Reports, 49, 1067–1076.
Munoz, M., & Covenas, R. (2014). Involvement of substance P and the NK-1 receptor in human pathology. Amino Acids, 46, 1727–1750.
Hartung, H. P., & Toyka, K. V. (1989). Substance P, the immune system and inflammation. International Reviews of Immunology, 4, 229–249.
Patel, M., ValaiyaduppuSubas, S., Ghani, M. R., Busa, V., Dardeir, A., Marudhai, S., & Cancarevic, I. (2020). Role of substance P in the pathophysiology of inflammatory bowel disease and its correlation with the degree of inflammation. Cureus, 12, e11027.
Payan, D. G. (1989). Neuropeptides and inflammation: The role of substance P. Annual Review of Medicine, 40, 341–352.
Suvas, S. (2017). Role of substance P neuropeptide in inflammation, wound healing, and tissue homeostasis. The Journal of Immunology, 199, 1543–1552.
Feickert, M., & Burckhardt, B. B. (2019). Substance P in cardiovascular diseases - A bioanalytical review. Clinica Chimica Acta, 495, 501–506.
Esteban, F., Ramos-Garcia, P., Munoz, M., & Gonzalez-Moles, M. A. (2021) Substance P and neurokinin 1 receptor in chronic inflammation and cancer of the head and neck: A review of the literature. International Journal of Environmental Research and Public Health, 19.
Singh, S., Kumaravel, S., Dhole, S., Roy, S., Pavan, V., & Chakraborty, S. (2021). Neuropeptide substance P enhances inflammation-mediated tumor signaling pathways and migration and proliferation of head and neck cancers. Indian Journal of Surgical Oncology, 12, 93–102.
Chen, X. Y., Ru, G. Q., Ma, Y. Y., Xie, J., Chen, W. Y., Wang, H. J., Wang, S. B., Li, L., Jin, K. T., He, X. L., & Mou, X. Z. (2016). High expression of substance P and its receptor neurokinin-1 receptor in colorectal cancer is associated with tumor progression and prognosis. Oncotargets and Therapy, 9, 3595–3602.
Rodriguez, P. L., Jiang, S., Fu, Y., Avraham, S., & Avraham, H. K. (2014). The proinflammatory peptide substance P promotes blood-brain barrier breaching by breast cancer cells through changes in microvascular endothelial cell tight junctions. International Journal of Cancer, 134, 1034–1044.
Ebrahimi, S., Mirzavi, F., Aghaee-Bakhtiari, S. H., & Hashemy, S. I. (2022). SP/NK1R system regulates carcinogenesis in prostate cancer: Shedding light on the antitumoral function of aprepitant. Biochimica et Biophysica Acta, Molecular Cell Research, 1869, 119221.
Bang, R., Sass, G., Kiemer, A. K., Vollmar, A. M., Neuhuber, W. L., & Tiegs, G. (2003). Neurokinin-1 receptor antagonists CP-96,345 and L-733,060 protect mice from cytokine-mediated liver injury. Journal of Pharmacology and Experimental Therapeutics, 305, 31–39.
Munoz, M., & Covenas, R. (2020). Neurokinin receptor antagonism: A patent review (2014-present). Expert Opinion on Therapeutic Patents, 30, 527–539.
Nizam, E., Koksoy, S., & Erin, N. (2020). NK1R antagonist decreases inflammation and metastasis of breast carcinoma cells metastasized to liver but not to brain; phenotype-dependent therapeutic and toxic consequences. Cancer Immunology, Immunotherapy, 69, 1639–1650.
Memari, F., Mirzavi, F., Jalili-Nik, M., Afshari, A. R., Ghorbani, A., & Soukhtanloo, M. (2022). Tumor-inhibitory effects of zerumbone against HT-29 human colorectal cancer cells. International journal of toxicology, 41, 402–411.
Mashaghi, A., Marmalidou, A., Tehrani, M., Grace, P. M., Pothoulakis, C., & Dana, R. (2016). Neuropeptide substance P and the immune response. Cellular and Molecular Life Sciences, 73, 4249–4264.
Michalaki, V., Syrigos, K., Charles, P., & Waxman, J. (2004). Serum levels of IL-6 and TNF-alpha correlate with clinicopathological features and patient survival in patients with prostate cancer. British Journal of Cancer, 90, 2312–2316.
Nguyen, D. P., Li, J., & Tewari, A. K. (2014). Inflammation and prostate cancer: The role of interleukin 6 (IL-6). BJU International, 113, 986–992.
Sharma, J., Gray, K. P., Harshman, L. C., Evan, C., Nakabayashi, M., Fichorova, R., Rider, J., Mucci, L., Kantoff, P. W., & Sweeney, C. J. (2014). Elevated IL-8, TNF-alpha, and MCP-1 in men with metastatic prostate cancer starting androgen-deprivation therapy (ADT) are associated with shorter time to castration-resistance and overall survival. Prostate, 74, 820–828.
Thomas-Jardin, S. E., Dahl, H., Kanchwala, M. S., Ha, F., Jacob, J., Soundharrajan, R., Bautista, M., Nawas, A. F., Robichaux, D., Mistry, R., Anunobi, V., Xing, C., & Delk, N. A. (2020). RELA is sufficient to mediate interleukin-1 repression of androgen receptor expression and activity in an LNCaP disease progression model. Prostate, 80, 133–145.
Jin, R. J., Lho, Y., Connelly, L., Wang, Y., Yu, X., Saint Jean, L., Case, T. C., Ellwood-Yen, K., Sawyers, C. L., Bhowmick, N. A., Blackwell, T. S., Yull, F. E., & Matusik, R. J. (2008). The nuclear factor-kappaB pathway controls the progression of prostate cancer to androgen-independent growth. Cancer Research, 68, 6762–6769.
Ni, T., Liu, Y., Peng, Y., Li, M., Fang, Y., & Yao, M. (2016). Substance P induces inflammatory responses involving NF-kappaB in genetically diabetic mice skin fibroblasts co-cultured with macrophages. Am J Transl Res, 8, 2179–2188.
Lieb, K., Fiebich, B. L., Berger, M., Bauer, J., & Schulze-Osthoff, K. (1997). The neuropeptide substance P activates transcription factor NF-kappa B and kappa B-dependent gene expression in human astrocytoma cells. The Journal of Immunology, 159, 4952–4958.
Cohen, B. L., Gomez, P., Omori, Y., Duncan, R. C., Civantos, F., Soloway, M. S., Lokeshwar, V. B., & Lokeshwar, B. L. (2006). Cyclooxygenase-2 (COX-2) expression is an independent predictor of prostate cancer recurrence. International journal of cancer, 119, 1082–1087.
Gupta, S., Srivastava, M., Ahmad, N., Bostwick, D. G., & Mukhtar, H. (2000). Over-expression of cyclooxygenase-2 in human prostate adenocarcinoma. Prostate, 42, 73–78.
Rubio, J., Ramos, D., Lopez-Guerrero, J. A., Iborra, I., Collado, A., Solsona, E., Almenar, S., & Llombart-Bosch, A. (2005). Immunohistochemical expression of Ki-67 antigen, cox-2 and Bax/Bcl-2 in prostate cancer; prognostic value in biopsies and radical prostatectomy specimens. European Urology, 48, 745–751.
Koon, H. W., Zhao, D., Zhan, Y., Rhee, S. H., Moyer, M. P., & Pothoulakis, C. (2006). Substance P stimulates cyclooxygenase-2 and prostaglandin E2 expression through JAK-STAT activation in human colonic epithelial cells. The Journal of Immunology, 176, 5050–5059.
Gallicchio, M., Rosa, A. C., Benetti, E., Collino, M., Dianzani, C., & Fantozzi, R. (2006). Substance P-induced cyclooxygenase-2 expression in human umbilical vein endothelial cells. British Journal of Pharmacology, 147, 681–689.
Yaksh, T. L., Dirig, D. M., Conway, C. M., Svensson, C., Luo, Z. D., & Isakson, P. C. (2001). The acute antihyperalgesic action of nonsteroidal, anti-inflammatory drugs and release of spinal prostaglandin E2 is mediated by the inhibition of constitutive spinal cyclooxygenase-2 (COX-2) but not COX-1. Journal of Neuroscience, 21, 5847–5853.
Szarek, J. L., Spurlock, B., Gruetter, C. A., & Lemke, S. (1998). Substance P and capsaicin release prostaglandin E2 from rat intrapulmonary bronchi. American Journal of Physiology, 275, L1006-1012.
Poli-Bigelli, S., Rodrigues-Pereira, J., Carides, A. D., Julie Ma, G., Eldridge, K., Hipple, A., Evans, J. K., Horgan, K. J., Lawson, F. and Aprepitant Protocol 054 Study, G. (2003). Addition of the neurokinin 1 receptor antagonist aprepitant to standard antiemetic therapy improves control of chemotherapy-induced nausea and vomiting. Results from a randomized, double-blind, placebo-controlled trial in Latin America. Cancer, 97, 3090–3098.
Zheng, J., Chen, K., Zhu, Y., Wang, H., Chen, Z., Yong, X., Yin, H., Chen, J., Lai, K., & Liu, Y. (2019). The neurokinin-1 receptor antagonist aprepitant ameliorates oxidized LDL-induced endothelial dysfunction via KLF2. Molecular Immunology, 106, 29–35.
Liu, X., Zhu, Y., Zheng, W., Qian, T., Wang, H., & Hou, X. (2019). Antagonism of NK-1R using aprepitant suppresses inflammatory response in rheumatoid arthritis fibroblast-like synoviocytes. Artif Cells Nanomed Biotechnol, 47, 1628–1634.
Zhao, X. N., Bai, Z. Z., Li, C. H., Sheng, C. L., & Li, H. Y. (2020). The NK-1R antagonist aprepitant prevents LPS-induced oxidative stress and inflammation in RAW264.7 macrophages. Drug Des Devel Ther, 14, 1943–1952.
Chmielinska, J. J., Kramer, J. H., Mak, I. T., Spurney, C. F., & Weglicki, W. B. (2020). Substance P receptor blocker, aprepitant, inhibited cutaneous and other neurogenic inflammation side effects of the EGFR1-TKI, erlotinib. Molecular and Cellular Biochemistry, 465, 175–185.
Kitchens, C. A., McDonald, P. R., Pollack, I. F., Wipf, P., & Lazo, J. S. (2009). Synergy between microtubule destabilizing agents and neurokinin 1 receptor antagonists identified by an siRNA synthetic lethal screen. The FASEB Journal, 23(756), 713-756.713.
Ge, C., Huang, H., Huang, F., Yang, T., Zhang, T., Wu, H., Zhou, H., Chen, Q., Shi, Y., & Sun, Y. (2019). Neurokinin-1 receptor is an effective target for treating leukemia by inducing oxidative stress through mitochondrial calcium overload. Proceedings of the National Academy of Sciences, 116, 19635–19645.
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This work was financially supported by the Research Council, Mashhad University of Medical Sciences (grant number: 4001500).
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Conceptualization: SE and SIH. Methodology: SE and BE. Formal analysis: SE, BE, and AA. Writing—original draft preparation: SE, BE. Writing—review and editing: all authors. Supervision: SIH. Project administration: SIH, BAM, ARA, MF, HRG. Funding acquisition: SIH. All authors have read and agreed to the published version of the manuscript.
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Ebrahimi, S., Erfani, B., Alalikhan, A. et al. The In Vitro Pro-inflammatory Functions of the SP/NK1R System in Prostate Cancer: a Focus on Nuclear Factor-Kappa B (NF-κB) and Its Pro-inflammatory Target Genes. Appl Biochem Biotechnol 195, 7796–7807 (2023). https://doi.org/10.1007/s12010-023-04495-w
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DOI: https://doi.org/10.1007/s12010-023-04495-w