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Quinacrine and Curcumin in combination decreased the breast cancer angiogenesis by modulating ABCG2 via VEGF A

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Journal of Cell Communication and Signaling Aims and scope

Abstract

Cancer stem cells (CSCs) cause drug resistance in cancer due to its extensive drug efflux, DNA repair and self-renewal capability. ATP binding cassette subfamily G member 2 (ABCG2) efflux pump afford protection to CSCs in tumors, shielding them from the adverse effects of chemotherapy. Although the role of ABCG2 in cancer progression, invasiveness, recurrence are known but its role in metastasis and angiogenesis are not clear. Here, using in vitro (CSCs enriched side population [SP] cells), ex vivo (patient derived primary cells), in ovo (fertilized egg embryo) and in vivo (patient derived primary tissue mediated xenograft (PDX)) system, we have systematically studied the role of ABCG2 in angiogenesis and the regulation of the process by Curcumin (Cur) and Quinacrine (QC). Cur + QC inhibited the proliferation, invasion, migration and expression of representative markers of metastasis and angiogenesis. Following hypoxia, ABCG2 enriched cells released angiogenic factor vascular endothelial growth factor A (VEGF A) and induced the angiogenesis via PI3K-Akt-eNOS cascade. Cur + QC inhibited the ABCG2 expression and thus reduced the angiogenesis. Interestingly, overexpression of ABCG2 in SP cells and incubation of purified ABCG2 protein in media induced the angiogenesis but knockdown of ABCG2 decreased the vascularization. In agreement with in vitro results, ex vivo data showed similar phenomena. An induction of vascularization was noticed in PDX mice but reduction of vascularization was also observed after treatment of Cur + QC. Thus, data suggested that in hypoxia, ABCG2 enhances the production of angiogenesis factor VEGF A which in turn induced angiogenesis and Cur + QC inhibited the process by inhibiting ABCG2 in breast cancer.

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Data Availability

Experimental data generated during the current study are available from the corresponding author upon reasonable request.

References

  • Abhinand CS, Athira PA, Soumya SJ, Sudhakaran PR (2020) Multiple targets directed multiple ligands: An in silico and in vitro approach to evaluating the effect of triphala on angiogenesis. Biomolecules 10:177

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cao B, Jia J, Ma L et al (2012) Recombinant human endostatin could eliminate the pro-angiogenesis priority of SP cells sorted from non-small cell lung cancer cells. Clin Transl Oncol 14:575–585

    Article  CAS  PubMed  Google Scholar 

  • Chatterjee S, Sinha S, Molla S et al (2021) PARP inhibitor Veliparib (ABT-888) enhances the anti-angiogenic potentiality of Curcumin through deregulation of NECTIN-4 in oral cancer: Role of nitric oxide (NO). Cell Signal 80:109902

    Article  CAS  PubMed  Google Scholar 

  • Chen Z, Liu F, Ren Q et al (2010) Suppression of ABCG2 inhibits cancer cell proliferation. Int J Cancer 126:841–851

    CAS  PubMed  Google Scholar 

  • Chikazawa N, Tanaka H, Tasaka T et al (2010) Inhibition of Wnt signaling pathway decreases chemotherapy-resistant side-population colon cancer cells. Anticancer Res 30:2041–2048

    CAS  PubMed  Google Scholar 

  • Dai Y, Liu S, Zhang W-Q et al (2017) YAP1 regulates ABCG2 and cancer cell side population in human lung cancer cells. Oncotarget 8:4096

    Article  PubMed  Google Scholar 

  • Das B, Kundu CN (2021) Anti-cancer stem cells potentiality of an anti-malarial agent quinacrine: an old wine in a new bottle. Anti-Cancer Agents in Medicinal Chemistry (Formerly Current Medicinal Chemistry-Anti. -Cancer Agents) 21:416–427

    Google Scholar 

  • Dash SR, Chatterjee S, Sinha S et al (2022) NIR irradiation enhances the apoptotic potentiality of quinacrine-gold hybrid nanoparticles by modulation of HSP-70 in oral cancer stem cells. Nanomed-Nanotechnol 40:102502

  • DeLay M, Jahangiri A, Carbonell WS et al (2012) Microarray analysis verifies two distinct phenotypes of glioblastomas resistant to antiangiogenic therapy. Clin Cancer Res 18:2930–2942

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hashemitabar S, Yazdian-Robati R, Hashemi M et al (2019) ABCG2 aptamer selectively delivers doxorubicin to drug-resistant breast cancer cells. J Biosci 44:39. https://doi.org/10.1007/s12038-019-9854-x

    Article  CAS  PubMed  Google Scholar 

  • He C, Zhang H, Wang B et al (2018) SDF-1/CXCR4 axis promotes the growth and sphere formation of hypoxic breast cancer SP cells by c-Jun/ABCG2 pathway. Biochem Biophys Res Commun 505:593–599

    Article  CAS  PubMed  Google Scholar 

  • Higashikuni Y, Sainz J, Nakamura K et al (2010) The ATP-binding cassette transporter BCRP1/ABCG2 plays a pivotal role in cardiac repair after myocardial infarction via modulation of microvascular endothelial cell survival and function. Arterioscler Thromb Vasc Biol 30:2128–2135

    Article  CAS  PubMed  Google Scholar 

  • Higashikuni Y, Sainz J, Nakamura K et al (2012) The atp-binding cassette transporter abcg2 protects against pressure overload–induced cardiac hypertrophy and heart failure by promoting angiogenesis and antioxidant response. Arterioscler Thromb Vasc Biol 32:654–661

    Article  CAS  PubMed  Google Scholar 

  • Huang L, Perrault C, Coelho-Martins J et al (2013) Induction of acquired drug resistance in endothelial cells and its involvement in anticancer therapy. J Hematol Oncol 6:1–12

    Article  Google Scholar 

  • Jiang Z-S, Sun Y-Z, Wang S-M, Ruan J-S (2017) Epithelial-mesenchymal transition: potential regulator of ABC transporters in tumor progression. J Cancer 8:2319

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim DH, Xing T, Yang Z et al (2017) Epithelial mesenchymal transition in embryonic development, tissue repair and cancer: a comprehensive overview. J Clin Med 7:1

    Article  PubMed  PubMed Central  Google Scholar 

  • Li L, Jiang AC, Dong P et al (2009) MDR1/P-gp and VEGF synergistically enhance the invasion of Hep-2 cells with multidrug resistance induced by taxol. Ann Surg Oncol 16:1421–1428

    Article  PubMed  Google Scholar 

  • Li F, Zeng H, Ying K (2011) The combination of stem cell markers CD133 and ABCG2 predicts relapse in stage I non-small cell lung carcinomas. Med Oncol 28:1458–1462

    Article  CAS  PubMed  Google Scholar 

  • Liu H-B, Meng Q-H, Du D-W et al (2014) The effects of ABCG2 on the viability, proliferation and paracrine actions of kidney side population cells under oxygen-glucose deprivation. Int J Med Sci 11:1001

    Article  PubMed  PubMed Central  Google Scholar 

  • Liu Y, Huang P, Hou X et al (2019) Hybrid curcumin–phospholipid complex-near-infrared dye oral drug delivery system to inhibit lung metastasis of breast cancer. Int J Nanomed 14:3311

    Article  CAS  Google Scholar 

  • Mohapatra P, Preet R, Das D et al (2014) The contribution of heavy metals in cigarette smoke condensate to malignant transformation of breast epithelial cells and in vivo initiation of neoplasia through induction of a PI3K–AKT–NFκB cascade. Toxicol Appl Pharmcol 274:168–179

    Article  CAS  Google Scholar 

  • Murakami M, Ohnuma S, Fukuda M et al (2017) Synthetic analogs of curcumin modulate the function of multidrug resistance–linked ATP-binding cassette transporter ABCG2. Drug Metab Dispos 45:1166–1177

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nayak A, Siddharth S, Das S et al (2017) Nanoquinacrine caused apoptosis in oral cancer stem cells by disrupting the interaction between GLI1 and β catenin through activation of GSK3β. Toxicol Appl Pharmcol 330:53–64

    Article  CAS  Google Scholar 

  • Nayak A, Das S, Nayak D et al (2019) Nanoquinacrine sensitizes 5-FU-resistant cervical cancer stem-like cells by down-regulating Nectin-4 via ADAM-17 mediated NOTCH deregulation. Cell Oncol 42:157–171

    Article  CAS  Google Scholar 

  • Nayak D, Tripathi N, Kathuria D et al (2020) Quinacrine and curcumin synergistically increased the breast cancer stem cells death by inhibiting ABCG2 and modulating DNA damage repair pathway. Int J Biochem Cell Biol 119:105682

    Article  CAS  PubMed  Google Scholar 

  • Ning W, Li S, Yang W et al (2021) Blocking exosomal miRNA-153-3p derived from bone marrow mesenchymal stem cells ameliorates hypoxia-induced myocardial and microvascular damage by targeting the ANGPT1-mediated VEGF/PI3k/Akt/eNOS pathway. Cell Signal 77:109812

    Article  CAS  PubMed  Google Scholar 

  • Pradella D, Naro C, Sette C, Ghigna C (2017) EMT and stemness: flexible processes tuned by alternative splicing in development and cancer progression. Mol Cancer 16:1–19

    Article  Google Scholar 

  • Pradhan R, Chatterjee S, Hembram KC et al (2021) Nano formulated Resveratrol inhibits metastasis and angiogenesis by reducing inflammatory cytokines in oral cancer cells by targeting tumor associated macrophages. J Nutr Biochem 92:108624

    Article  CAS  PubMed  Google Scholar 

  • Preet R, Mohapatra P, Mohanty S et al (2012) Quinacrine has anticancer activity in breast cancer cells through inhibition of topoisomerase activity. Int J Cancer 130:1660–1670

    Article  CAS  PubMed  Google Scholar 

  • Preet R, Siddharth S, Satapathy SR et al (2016) Chk1 inhibitor synergizes quinacrine mediated apoptosis in breast cancer cells by compromising the base excision repair cascade. Biochem Pharmacol 105:23–33

    Article  CAS  PubMed  Google Scholar 

  • Rao DK, Liu H, Ambudkar SV, Mayer M (2014) A combination of curcumin with either gramicidin or ouabain selectively kills cells that express the multidrug resistance-linked ABCG2 transporter. J Biol Chem 289:31397–31410

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Satapathy SR, Siddharth S, Das D et al (2015) Enhancement of cytotoxicity and inhibition of angiogenesis in oral cancer stem cells by a hybrid nanoparticle of bioactive quinacrine and silver: implication of base excision repair cascade. Mol Pharm 12:4011–4025

    Article  CAS  PubMed  Google Scholar 

  • Satapathy SR, Nayak A, Siddharth S et al (2018) Metallic gold and bioactive quinacrine hybrid nanoparticles inhibit oral cancer stem cell and angiogenesis by deregulating inflammatory cytokines in p53 dependent manner. Nanomedicine: Nanotechnology, Biology and Medicine 14:883–896

  • Sethy C, Goutam K, Das B et al (2021) Nectin-4 promotes lymphangiogenesis and lymphatic metastasis in breast cancer by regulating CXCR4-LYVE-1 axis. Vascul Pharmacol 140:106865

    Article  CAS  PubMed  Google Scholar 

  • Shang H-G, Yu H-L, Ma X-N, Xu X (2016) Multidrug resistance and tumor-initiating capacity of oral cancer stem cells. JBUON 21:461–465

    PubMed  Google Scholar 

  • Shay G, Lynch CC, Fingleton B (2015) Moving targets: Emerging roles for MMPs in cancer progression and metastasis. Matrix Biol 44:200–206

    Article  PubMed  Google Scholar 

  • Shimoda M, Ota M, Okada Y (2018) Isolation of cancer stem cells by side population method. Cancer Stem Cells. Springer, pp 49–59

  • Siddharth S, Nayak D, Nayak A et al (2016) ABT-888 and quinacrine induced apoptosis in metastatic breast cancer stem cells by inhibiting base excision repair via adenomatous polyposis coli. DNA Repair 45:44–55

    Article  CAS  PubMed  Google Scholar 

  • Siddharth S, Goutam K, Das S et al (2017) Nectin-4 is a breast cancer stem cell marker that induces WNT/β-catenin signaling via Pi3k/Akt axis. Int J Biochem Cell Biol 89:85–94

    Article  CAS  PubMed  Google Scholar 

  • Siddharth S, Nayak A, Das S et al (2018) The soluble nectin-4 ecto-domain promotes breast cancer induced angiogenesis via endothelial Integrin-β4. Int J Biochem Cell Biol 102:151–160

    Article  CAS  PubMed  Google Scholar 

  • Taheri T, Jamialahmadi K, Khadijeh F (2017) Unexpected Lower Expression of Oncoprotein Gankyrin in Drug Resistant ABCG2 Overexpressing Breast Cancer Cell Lines. Asian Pac J Cancer Prev 18:3413–3418. https://doi.org/10.22034/APJCP.2017.18.12.3413

    Article  PubMed  PubMed Central  Google Scholar 

  • Wu C-P, Hsiao S-H, Murakami M et al (2017) Alpha-mangostin reverses multidrug resistance by attenuating the function of the multidrug resistance-linked ABCG2 transporter. Mol Pharm 14:2805–2814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yao L, Zhang Z (2019) The reversal of MRP1 expression induced by low-frequency and low-intensity ultrasound and curcumin mediated by VEGF in brain glioma. OncoTargets Ther 12:3581

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yu C-J, Ou J-H, Wang M-L et al (2015) Elevated survivin mediated multidrug resistance and reduced apoptosis in breast cancer stem cells. J BUON 20:1287–1294

    PubMed  Google Scholar 

  • Zhang H, Zhang Y, Cheng Y et al (2018) Metformin incombination with curcumin inhibits the growth, metastasis, and angiogenesis of hepatocellular carcinoma in vitro and in vivo. Mol Carcinog 57:44–56

    Article  CAS  PubMed  Google Scholar 

  • Zhu S, Chen Z, Wang L et al (2018) A combination of SAHA and Quinacrine is effective in inducing cancer cell death in upper gastrointestinal cancers. Clin Cancer Res 24:1905–1916

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The authors would like to sincerely thank the Indian Council of Medical Research (ICMR), Government of India, for providing a research fellowship (Reference number: 3/2/2/35/2018/Online Onco Fship/NCD-III) to DN.

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DN performed the majority of the experiments and wrote the initial draft of the manuscript. SP, CD, SB helped in performing some of the experiments and analyzed the data. CNK conceived the scientific idea, designed the experiments, and wrote the final version of the manuscript.

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Correspondence to Chanakya Nath Kundu.

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The mice experiments were carried out according to the guidelines of CPCSEA, New Delhi and approved by the Institutional Animal Ethics Committee (IAEC), KIIT, Deemed to be University (Ethical clearance approval Regd. #1577/PO/Re/S/2011/CPCSEA). The experiments using patient tissue samples were conducted according to the guidelines of the Declaration of Helsinki and approved by the Institutional Ethics Committee of Acharya Harihar Regional Cancer Centre, Cuttack, Odisha, India (Ethical clearance approval Regd. #ECR/297/Inst/OR/2013). The experiments using HUVECs were performed according to the guidelines of the Declaration of Helsinki and approved by the Institutional Ethics Committee of Kalinga Institute of Medical Sciences hospital, Bhubaneswar, Odisha, India (Ethical clearance approval Regd. #KIMS/KIIT/IEC/55/2016).

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Nayak, D., Paul, S., Das, C. et al. Quinacrine and Curcumin in combination decreased the breast cancer angiogenesis by modulating ABCG2 via VEGF A. J. Cell Commun. Signal. 17, 609–626 (2023). https://doi.org/10.1007/s12079-022-00692-0

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